Zusammenfassung
Die Wirksamkeit der EMDR-Behandlungstechnik in der Therapie von Patienten mit posttraumatischen
Belastungsstörungen kann inzwischen als empirisch gut belegt gelten. Dennoch wird
dieses neue Therapieverfahren in Fachkreisen teilweise sehr polemisch kritisiert.
Ziel unserer Studie war es, den subjektiven Eindruck zu überprüfen, dass sich bei
EMDR-Behandlungsstudien unterschiedliche methodische Qualitätsstandards in unterschiedlichen
Ergebnissen niederschlagen. Unsere Metaanalyse der publizierten Therapiestudien zeigt,
dass methodisch sorgfältig geplante Studien mit Behandlung durch gut ausgebildete
und erfahrene Therapeuten und mit einer ausreichend hohen Zahl an Behandlungssitzungen
deutlich bessere Behandlungsergebnisse erzielen, als Studien, die mit niedrigeren
methodischen Standards durchgeführt werden.
Study Quality and Effect-Sizes - A Meta-Analysis of EMDR-Treatment for Posttraumatic
Stress Disorder
Although the good efficacy of eye movement desensitization and reprocessing (EMDR)
in the treatment of patients with PTSD is up to now documented by a number of studies,
this new treatment technique is still the target of highly controversial critique.
Our meta-analysis tries to answer the question of whether EMDR-therapy studies with
higher quality standards achieve better results than others. Therefore, all published
studies underwent a scoring procedure of study quality and effect sizes were computed.
It can be shown that carefully planned studies, including treatment by well-trained
therapists and with a sufficiently high number of treatment session achieve better
results compared to studies with low methodological standards.
Key words
Posttraumatic stress disorder - Treatment studies - EMDR - Meta-Analysis
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Dr. med. Martin Sack
Abteilung Psychosomatik und Psychotherapie Medizinische Hochschule Hannover
30625 Hannover
Email: sack.martin@mh-hannover.de