# EMDR疗法对老年人有效吗？

- URL: https://alisanburak.com/zh/emdr-terepisi-yasli-bireylerde-etkili-mi
- Language: zh
- Last updated: 2026-08-15
- Page title: EMDR疗法对老年人有效吗？ | Assoc. Prof. Dr. Alişan Burak Yaşar

> EMDR疗法是治疗老年人创伤后应激障碍（PTSD）及相关问题的有效选择。老年人中，创伤后应激障碍（PTSD）及共病的精神障碍和躯体疾病较为常见……

本页面由土耳其语自动翻译。 [阅读原文](https://alisanburak.com/emdr-terepisi-yasli-bireylerde-etkili-mi)

[← 返回博客](https://alisanburak.com/zh/blog)

# EMDR疗法对老年人有效吗？

2025年10月20日综合

[Görsel: EMDR疗法对老年人有效吗？]

EMDR疗法是治疗老年人创伤后应激障碍（PTSD）及相关问题的有效选择。

老年人中，创伤后应激障碍（PTSD）及共病的精神障碍和躯体疾病较为常见，且可能难以治疗。近年来，关于EMDR（眼动脱敏与再加工）疗法在老年人中的可行性和疗效的研究逐渐增多。

**疗效与临床结果**

- EMDR疗法可显著减轻老年人的PTSD症状，使80%的患者不再符合PTSD诊断标准。缓解率为37%–52%（Gielkens et al., 2022）。
- EMDR可降低老年人的衰弱程度，并提高生活质量（Gielkens et al., 2022）。
- 接受EMDR治疗后，也观察到了认知功能（尤其是记忆力和注意力）的改善（Gielkens et al., 2023）。
- 有研究报告，对于存在轻至中度认知障碍的老年人，EMDR也可减轻焦虑、睡眠问题及躯体不适（Mikhailova, 2015; Ahmed, 2018）。

**人格障碍与共病**

- 对于PTSD共病人格障碍的老年人，EMDR可改善人格功能，并减少符合人格障碍诊断标准的情况（Gielkens et al., 2023; Gielkens et al., 2024）。
- 尽管共病负担较高，EMDR的疗效仍不受治疗时长或基线精神病理症状严重程度的影响（Gielkens et al., 2022）。

**安全性与可行性**

- 老年人对EMDR的耐受性良好，尚未报告严重不良反应（Gielkens et al., 2022; Mikhailova, 2015）。
- 可对标准治疗方案进行调整，以适应存在认知或身体功能受限的老年人（Ahmed, 2018; Gielkens et.al., 2018）。

**结论**

EMDR疗法是一种安全有效的治疗选择，可改善老年人的PTSD、共病精神障碍、衰弱状况及生活质量。通过个体化调整，该疗法也可用于存在认知或身体功能受限的老年人。不过，仍需要开展规模更大的对照研究。

**参考文献**

Gielkens, E., Sobczak, S., Rossi, G., & Van Alphen, S. (2022). The feasibility of eye movement desensitization and reprocessing (EMDR) for older adults with posttraumatic stress disorder (PTSD) and comorbid psychiatric and somatic disorders.. Psychological trauma : theory , research, practice and policy. https://doi.org/10.1037/tra0001402

Gielkens, E., Sobczak, S., Gerrits, N., Rosowsky, E., Stas, L., Rossi, G., & Van Alphen, S. (2023). EMDR in older adults with PTSD and comorbid personality disorders. International Psychogeriatrics. https://doi.org/10.1017/s104161022400019x

Gielkens, E., Turksma, K., Kranenburg, L., Stas, L., Sobczak, S., Van Alphen, S., & Rossi, G. (2022). Feasibility of EMDR in Older Adults with PTSD to Reduce Frailty and Improve Quality of Life. Clinical Gerontologist, 48, 37 - 47. https://doi.org/10.1080/07317115.2022.2114397

Gielkens, E., Sobczak, S., Gerrits, N., Rosowsky, E., Stas, L., Rossi, G., & Van Alphen, S. (2024). Feasibility of EMDR toward Personality Functioning in Older Adults with PTSD. Clinical Gerontologist, 48, 48 - 59. https://doi.org/10.1080/07317115.2024.2344793

Mikhailova, E. (2015). Application of EMDR in the Treatment of Older People with a History of Psychical Trauma. European Psychiatry, 30, 1 - 1. https://doi.org/10.1016/s0924-9338(15)30664-7

Ahmed, A. (2018). EMDR Therapy for an Elderly Woman With Depression, Traumatic Memories, and Parkinson’s Disease Dementia: A Case Study. Journal of EMDR Practice and Research , 12, 16 - 23. https://doi.org/10.1891/1933-3196.12.1.16

Gielkens, E., Rossi, G., Van Alphen, S., & Sobczak, S. (2023). A First Exploration: Can Eye Movement Desensitization and Reprocessing Improve Cognition in Older Adults With Posttraumatic Stress Disorder?. Journal of Geriatric Psychiatry and Neurolog y, 37, 206 - 221. https://doi.org/10.1177/08919887231207639

Gielkens, E., Vink, M., Sobczak, S., Rosowsky, E., & Van Alphen, B. (2018). EMDR in Older Adults With Posttraumatic Stress Disorder. The Journal of EMDR Practice and Research , 12, 132 - 141. https://doi.org/10.1891/1933-3196.12.3.132

EMDR terapisi hakkında genel bilgi: [EMDR terapisi](https://alisanburak.com/zh/emdr-terapisi-istanbul)

[← 上一篇 Hafif Düzeyde Zihinsel Yetersizliği veya Sınırda Zihinsel İşlevselliği ve Davranışsal Sorunları Olan Yetişkinlerde TSSB için Kısa Süreli Yoğunlaştırılmış EMDR Terapisi: Çoklu Başlangıç Düzeyi Desenli Bir Çalışma（针对伴有行为问题的轻度智力障碍或边缘智力功能成人创伤后应激障碍的短期强化眼动脱敏与再加工治疗：一项多基线设计研究）](https://alisanburak.com/zh/hafif-duzeyde-zihinsel-yetersizligi-veya-sinirda-zihinsel-islevselligi-ve-davranissal-sorunlari-olan-yetiskinlerde-tssb-icin-kisa-sureli-yogunlastirilmis-emdr-terapisi-coklu-baslangic-duzeyi-desenli)[下一篇 → 精神科运动处方：从证据到实践的挑战与行为改变策略](https://alisanburak.com/zh/psikiyatride-egzersiz-recetelemesi-kanittan-uygulamaya-gecisteki-zorluklar-ve-davranis-degisikligi-stratejileri)

---

Kaynak / Source: https://alisanburak.com/zh/emdr-terepisi-yasli-bireylerde-etkili-mi

İletişim / Contact: Bağdat Caddesi, Veli Güneysu Apt. No:453 K:4 D:9, Suadiye / Kadıköy, İstanbul · +90 532 642 95 25 · info@alisanburak.com · https://alisanburak.com/bagdat-caddesi-psikoterapi-iletisim