{"id":43244,"date":"2025-10-08T15:21:15","date_gmt":"2025-10-08T14:21:15","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=43244"},"modified":"2025-10-08T15:21:15","modified_gmt":"2025-10-08T14:21:15","slug":"a-randomised-controlled-trial-evaluating-the-efficacy-and-mechanisms-of-eye-movement-desensitisation-and-reprocessing-therapy-emdr-compared-with-treatment-as-usual-for-adults-with-depression-in-prim","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/sq\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/nihr-funded-projects\/a-randomised-controlled-trial-evaluating-the-efficacy-and-mechanisms-of-eye-movement-desensitisation-and-reprocessing-therapy-emdr-compared-with-treatment-as-usual-for-adults-with-depression-in-prim\/","title":{"rendered":"Nj\u00eb studim i kontrolluar i rast\u00ebsish\u00ebm q\u00eb vler\u00ebson efikasitetin dhe mekanizmat e terapis\u00eb s\u00eb desensibilizimit dhe rip\u00ebrpunimit t\u00eb l\u00ebvizjes s\u00eb syve (EMDR) krahasuar me trajtimin si zakonisht p\u00ebr t\u00eb rriturit me depresion n\u00eb kujdesin par\u00ebsor."},"content":{"rendered":"
Seksioni me titull module-1<\/span><\/a>
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Nj\u00eb studim i kontrolluar i rast\u00ebsish\u00ebm q\u00eb vler\u00ebson efikasitetin dhe mekanizmat e terapis\u00eb s\u00eb desensibilizimit dhe rip\u00ebrpunimit t\u00eb l\u00ebvizjes s\u00eb syve (EMDR) krahasuar me trajtimin si zakonisht p\u00ebr t\u00eb rriturit me depresion n\u00eb kujdesin par\u00ebsor.<\/h1>\n

 <\/p>\n

Financimi<\/h2>\n

Instituti Komb\u00ebtar p\u00ebr K\u00ebrkime n\u00eb Sh\u00ebndet\u00ebsi dhe Kujdes (NIHR) Vler\u00ebsimi i Efikasitetit dhe Mekanizmit Ref NIHR160513.<\/p>\n

Sfondi<\/h2>\n

Depresioni \u00ebsht\u00eb nj\u00eb gjendje e zakonshme n\u00eb kujdesin par\u00ebsor dhe nj\u00eb shkak kryesor i paaft\u00ebsis\u00eb dhe dit\u00ebve t\u00eb humbura t\u00eb pun\u00ebs. Vet\u00ebm gjysma e pacient\u00ebve i p\u00ebrgjigjen trajtimeve m\u00eb t\u00eb zakonshme (antidepresant\u00eb dhe terapi konjitive-sjellor\u00ebse (CBT)). EMDR \u00ebsht\u00eb nj\u00eb nd\u00ebrhyrje e rekomanduar nga NICE p\u00ebr \u00e7rregullimin e stresit post-traumatik (PTSD). Protokolli \u00ebsht\u00eb p\u00ebrshtatur p\u00ebr depresionin. Ai thekson r\u00ebnd\u00ebsin\u00eb e rip\u00ebrpunimit t\u00eb kujtimeve t\u00eb ruajtura n\u00eb m\u00ebnyr\u00eb jofunksionale q\u00eb mund t\u00eb lindin pas ngjarjeve stresuese t\u00eb jet\u00ebs (p.sh. humbja e pun\u00ebs) ose p\u00ebrvojave traumatike (p.sh. abuzimi n\u00eb f\u00ebmij\u00ebri) dhe t\u00eb cilat mund t\u00eb predispozojn\u00eb dhe t\u00eb ruajn\u00eb depresionin. Synimi i kujtimeve t\u00eb lidhura me depresionin duke p\u00ebrdorur EMDR ofron nj\u00eb rrug\u00eb t\u00eb re p\u00ebr trajtim q\u00eb mund t\u00eb veproj\u00eb n\u00ebp\u00ebrmjet mekanizmave t\u00eb ndrysh\u00ebm. Ka disa prova q\u00eb EMDR mund t\u00eb zvog\u00ebloj\u00eb simptomat depresive. Megjithat\u00eb, nuk ka prova t\u00eb forta t\u00eb efikasitetit dhe \u00ebsht\u00eb e paqart\u00eb se si funksionon EMDR.<\/p>\n

Synimet dhe objektivat<\/h2>\n

P\u00ebr t\u00eb p\u00ebrcaktuar efikasitetin e EMDR (p\u00ebrve\u00e7 kujdesit t\u00eb zakonsh\u00ebm t\u00eb mjekut t\u00eb p\u00ebrgjithsh\u00ebm (UC)) krahasuar me UC p\u00ebr pacient\u00ebt me depresion n\u00eb kujdesin par\u00ebsor. Studimi mekanik i integruar do t\u00eb p\u00ebrcaktoj\u00eb n\u00ebse reduktimet e depresionit nd\u00ebrmjet\u00ebsohen nga mekanizmat kryesor\u00eb t\u00eb p\u00ebrpunimit t\u00eb kujtes\u00ebs dhe n\u00ebse kapaciteti i kujtes\u00ebs s\u00eb pun\u00ebs \u00ebsht\u00eb i lidhur me p\u00ebrgjigjen ndaj trajtimit. Nj\u00eb studim cil\u00ebsor i nd\u00ebrthurur do t\u00eb shqyrtoj\u00eb pranueshm\u00ebrin\u00eb e EMDR p\u00ebr depresionin, do t\u00eb eksploroj\u00eb m\u00eb tej mekanizmat dhe do t\u00eb identifikoj\u00eb shkaqet e mundshme t\u00eb p\u00ebrgjigjeve t\u00eb ndryshme. Nj\u00eb ushtrim i kostos s\u00eb nd\u00ebrhyrjes do t\u00eb vler\u00ebsoj\u00eb koston e ofrimit t\u00eb EMDR n\u00eb NHS.<\/p>\n

Metodat<\/h2>\n

Dy studime t\u00eb kontrolluara individualisht t\u00eb randomizuara me grupe paralele, shum\u00ebqendrore, me ndarje n\u00eb nivelin e grupit individual n\u00eb kujdesin par\u00ebsor. Pacient\u00eb t\u00eb p\u00ebrshtatsh\u00ebm t\u00eb mosh\u00ebs =18 vje\u00e7, kan\u00eb nj\u00eb rezultat t\u00eb Inventarit t\u00eb Depresionit Beck (BDI-II) =14 dhe plot\u00ebsojn\u00eb kriteret e depresionit ICD-11. Pjes\u00ebmarr\u00ebsit do t\u00eb randomizohen p\u00ebr nd\u00ebrhyrjen (12-18 seanca t\u00eb EMDR: takim individual ball\u00eb p\u00ebr ball\u00eb \u00e7do jav\u00eb 60-90 minuta) p\u00ebrve\u00e7 kolit ulceroz kolit (ULC) ose p\u00ebr t\u00eb vazhduar me kolitin ulceroz. Rezultati primar (i efikasitetit) do t\u00eb jet\u00eb rezultati n\u00eb BDI-II n\u00eb jav\u00ebn e 26-t\u00eb. Rezultatet dyt\u00ebsore do t\u00eb p\u00ebrfshijn\u00eb remisionin (rezultati BDI-II <10), ankthin, funksionin, cil\u00ebsin\u00eb e jet\u00ebs dhe rezultatet n\u00eb jav\u00ebn e 52-t\u00eb. Nd\u00ebrmjet\u00ebsit do t\u00eb maten gjat\u00eb trajtimit n\u00eb jav\u00ebn e 16-t\u00eb. Nj\u00eb madh\u00ebsi mostre prej 380 pjes\u00ebmarr\u00ebsish do t\u00eb siguroj\u00eb fuqi 90% n\u00eb nivelin e r\u00ebnd\u00ebsis\u00eb 2-an\u00ebshe 5% p\u00ebr t\u00eb zbuluar nj\u00eb madh\u00ebsi efekti prej 0.378 duke lejuar p\u00ebr t\u00ebrheqjen e 25% n\u00eb jav\u00ebn e 26-t\u00eb. Me k\u00ebt\u00eb madh\u00ebsi t\u00eb mostr\u00ebs do t\u00eb kemi fuqi 87.2%, 87% dhe 79.4% p\u00ebr t\u00eb zbuluar nj\u00eb efekt indirekt t\u00eb 40%, 30% dhe 20%. Intervistat me pjes\u00ebmarr\u00ebsit do t\u00eb zhvillohen pas p\u00ebrfundimit t\u00eb rezultateve t\u00eb tyre kryesore (efikasitetit) (20 nd\u00ebrhyrje, 10 kock\u00eb ulcerative ulcerative) dhe me t\u00eb gjith\u00eb terapist\u00ebt dhe mbik\u00ebqyr\u00ebsit e prov\u00ebs. Intervistat do t\u00eb regjistrohen n\u00eb audio, do t\u00eb transkriptohen fjal\u00eb p\u00ebr fjal\u00eb dhe do t\u00eb analizohen tematikisht. T\u00eb dh\u00ebnat mbi ofrimin dhe mbik\u00ebqyrjen e EMDR do t\u00eb mblidhen dhe kostot e shoq\u00ebruara do t\u00eb vler\u00ebsohen duke p\u00ebrdorur burime t\u00eb disponueshme n\u00eb nivel komb\u00ebtar p\u00ebr kostot p\u00ebr nj\u00ebsi.<\/p>\n

Afatet kohore p\u00ebr dor\u00ebzimin<\/h2>\n

Fillimi: Mars 2025. Ngritja, miratimet dhe trajnimi i terapist\u00ebve: 8 muaj. Pilot i brendsh\u00ebm 6-mujor. N\u00ebse plot\u00ebsohen kriteret 'fillim', rekrutimi deri n\u00eb tetor 2027 dhe ndjekja deri n\u00eb tetor 2028. 6 muaj p\u00ebr analiz\u00ebn e t\u00eb dh\u00ebnave dhe shkrimin e raportimit. Raporti p\u00ebrfundimtar: Prill 2029.<\/p>\n

Ndikimi dhe p\u00ebrhapja e parashikuar<\/h2>\n

Ne do t\u00eb zhvillojm\u00eb nj\u00eb plan me bashk\u00ebpun\u00ebtor\u00ebt tan\u00eb, pal\u00ebt e interesuara dhe p\u00ebrfaq\u00ebsuesit e PPI-s\u00eb p\u00ebr t\u00eb siguruar q\u00eb rezultatet t\u00eb shp\u00ebrndahen gjer\u00ebsisht. Rezultatet do t\u00eb ndikojn\u00eb n\u00eb udh\u00ebzimet dhe planet e NICE-s\u00eb p\u00ebr rritjen e numrit t\u00eb terapist\u00ebve t\u00eb akredituar EMDR n\u00eb sh\u00ebrbimet e terapis\u00eb me t\u00eb folur t\u00eb NHS-s\u00eb.<\/p>\n

Kush po e udh\u00ebheq hulumtimin?<\/h2>\n

Profesoresha Nicola Wiles, Profesoreshe e Epidemiologjis\u00eb, Shkolla Mjek\u00ebsore e Bristolit (PHS), Universiteti i Bristolit.<\/p>\n

Informacion i m\u00ebtejsh\u00ebm<\/h2>\n

Email CI: Nicola.Wiles@bristol.ac.uk<\/p>\n

P\u00ebr m\u00eb shum\u00eb informacion ose p\u00ebr t'u p\u00ebrfshir\u00eb n\u00eb k\u00ebt\u00eb projekt, ju lutemi t\u00eb kontaktoni\u00a0bnssg.research@nhs.net<\/a>.<\/p>\n

Pik\u00ebpamjet e shprehura jan\u00eb ato t\u00eb autorit\/autor\u00ebve dhe jo domosdoshm\u00ebrisht ato t\u00eb NIHR ose t\u00eb Departamentit t\u00eb Sh\u00ebndet\u00ebsis\u00eb dhe Kujdesit Social<\/p>\n

Ju lutemi gjeni m\u00eb shum\u00eb informacion k\u00ebtu<\/a>.<\/p>\n <\/div>\r\n <\/section><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

The embedded mechanistic study will determine whether reductions in depression are mediated by key memory-processing mechanisms and if working memory capacity is associated with treatment response. <\/p>","protected":false},"author":16,"featured_media":0,"parent":32881,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-43244","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/43244","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/comments?post=43244"}],"version-history":[{"count":2,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/43244\/revisions"}],"predecessor-version":[{"id":43246,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/43244\/revisions\/43246"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/32881"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/media?parent=43244"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/tags?post=43244"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}