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De behandeling van specifieke fobieën met Eye Movement Desensitization and Reprocessing: een gecontroleerde studie

Samenvatting

In deze studie werd onderzocht of Eye Movement Desensitization and Reprocessing (EMDR) van nut kan zijn bij het behandelen van een specifieke fobie. De studie bestond uit twee fasen. Tijdens de eerste fase werden spinfobici toegewezen aan drie onderzoeksgroepen: een EMDR groep, een imaginaire exposure groep of een controlegroep die geen behandeling ontving. De behandeling werd geëvalueerd met een gestandaardiseerde gedragstest waarbij de fobici werd verzocht het gevreesde object (i.c. spin) zo dicht mogelijk te benaderen. Geen van de drie groepen – dus ook de EMDR–groep niet – boekte vooruitgang. De exposure in vivo behandeling, die alle fobici tijdens de tweede fase van het onderzoek ontvingen, leidde daarentegen wel tot een significante verbetering op de gedragstest.

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Notes

  1. 1.

    Verandering significant op P<0,05/6 niveau (d.w.z. Bonferroni correctie)

  2. 2.

    Verandering significant op P<0,05/6 niveau (d.w.z. Bonferroni correctie)

  3. 3.

    Verandering significant op P<0,05/6 niveau (d.w.z. Bonferroni correctie)

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Correspondence to Peter Muris.

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Abstract

The present study examined the efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of a specific phobia. Twenty–four spider phobic subjects were randomly assigned to either 1) an EMDR group (n=8), 2) an imaginal exposure group (n=8), or 3) a control group (n=8). Both the EMDR and the imaginal exposure group underwent a one–hour treatment. The control group initially received no treatment, and waited for one hour. Next, all groups received exposure in vivo. Treatment outcome was evaluated with a standaardized Behavioural Approach Test (BAT). No evidence was found for EMDR being more effective than imaginal exposure or waiting list control. In fact, only exposure in vivo therapy resulted in significant improvement on the BAT.

Peter Muris en Harald Merckelbach zijn verbonden aan de Vakgroep Differentiële en Experimentele psychologie van de Rijksuniversiteit Limburg.

Correspondentie–adres: Postbus 616, 6200 MD Maastricht.

Dit artikel is een bewerking van een tot op heden ongepubliceerd Engelstalig stuk (Muris & Merckelbach, in druk a). Verder werd over de EMDR–behandeling van twee spinfobici uit het huidige onderzoek al eerder uitvoerig gerapporteerd (zie Muris & Merckelbach, 1995 a+b).

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Muris, P., Merckelbach, H. De behandeling van specifieke fobieën met Eye Movement Desensitization and Reprocessing: een gecontroleerde studie. DITH 16, 1–5 (1996). https://doi.org/10.1007/BF03060128

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