Eye Movement Desensitization and Reprocessing Improves Depressive Symptoms, Quality of Life, and Heart Rate Variability in Patients with Heart Failure
學年 106
學期 2
出版（發表）日期 2018-07-15
作品名稱 Eye Movement Desensitization and Reprocessing Improves Depressive Symptoms, Quality of Life, and Heart Rate Variability in Patients with Heart Failure
作品名稱（其他語言）
著者 Chi-Wen Kao; Shu-Meng Cheng; Fang-Jung Wan; Wei-Shiang Lin; Yue-Cune Chang
單位
出版者
著錄名稱、卷期、頁數 Neuropsychiatry (London) 8(3), p.1073-1082
摘要 Background Depression is a common co-morbidity in patients with heart failure. Eye movement desensitization and reprocessing (EMDR) has been identified as an effective intervention for severe psychological distress. Objective The purpose of this study was to examine the effect of an EMDR intervention on depressive symptoms, health-related quality of life, and heart rate variability (HRV) in patients with heart failure. Methods For this longitudinal experimental study, 57 consecutive patients were randomly assigned to an experimental (n = 25, EMDR intervention) or control (n = 32, routine care) group through blocked randomization. Data were collected at four times (pre-intervention, postintervention, and one-month and three-month follow-up) and analyzed with the generalized estimating equation approach. Results Most participants were male (57.9%), with a mean age of 63.14 ± 14.53 years and mean ejection fraction of 49.86 ± 15.18%. The majority of them were NYHA class II (n = 41, 71.9%) with a clinical history of hypertension (n = 38, 66.7%). Participants receiving the EMDR intervention showed significantly greater improvement in depressive symptoms (p < 0.001), health-related quality of life (p = 0.007), and High Frequency (HF) (p = 0.003), Low Frequency (LF) (p < 0.001), and LF/HF ratio (p = 0.001) in HRV at post-intervention compare with controls. Furthermore, the intervention effects were sustained at one month and three months after completion of the intervention. Conclusion The EMDR intervention may improve depressive symptoms, health-related quality of life, and HRV in patients with heart failure. The improvements can be maintained three months later.
關鍵字 Heart failure;Eye movement desensitization and reprocessing;Depression;Quality of life;Heart rate variability
語言 en_US
ISSN 1758-2016
期刊性質 國外
收錄於 SCI
產學合作
通訊作者 Chi-Wen Kao
審稿制度 是
國別 GBR
公開徵稿
出版型式 ,電子版
相關連結

機構典藏連結 ( http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/115985 )