Flatot-Blin Deborah, Rey Arnaud, Derynck Flavie, Fossard Olivier, Khalfa Stephanie
Laboratoire de Psychologie Cognitive, CNRS, Aix Marseille University, 13003 Marseille, France.
Laboratoire de Neurosciences Cognitives, CNRS, Aix Marseille University, 13003 Marseille, France.
Healthcare (Basel). 2023 Aug 7;11(15):2226. doi: 10.3390/healthcare11152226.
Eye movement desensitization and reprocessing (EMDR) therapy is one of the therapies recommended by the World Health Organization (2013) to treat posttraumatic stress disorder (PTSD). Although efficient, repeated exposure to the traumatic memory may reduce its acceptability to patients. The therapy "eye movement and alternate stimulation for brain integration" (MOSAIC in French) was developed to improve acceptability and reduce pain by drawing on the patient's internal resources. MOSAIC therapy focuses on the body sensations that the patient wants to experience and avoids having to relive the traumatic memories. This observational study aimed to compare the clinical efficiency of EMDR and MOSAIC therapy for PTSD and to measure the well-being generated by both therapies. Twenty-six PTSD patients (17 females and 9 males, mean age 37.01 years, = 13.06) received treatment by psychiatrists and/or psychologists trained with EMDR or MOSAIC therapy. Both patient groups achieved a significant decrease in PTSD symptoms as measured with the PCL-5. However, fewer sessions were required with the MOSAIC therapy than with EMDR therapy. As expected, the level of well-being experienced by the patient during the therapy, assessed using the Lickert scale, was higher with MOSAIC than with EMDR therapy from the first session. These findings provide the first evidence of the efficacy of MOSAIC therapy treatment, which now needs to be corroborated in a larger randomized clinical trial.
眼动脱敏再处理（EMDR）疗法是世界卫生组织（2013年）推荐的用于治疗创伤后应激障碍（PTSD）的疗法之一。尽管有效，但反复暴露于创伤记忆可能会降低患者对其的接受度。“用于大脑整合的眼动与交替刺激”疗法（法语为MOSAIC）旨在通过利用患者的内在资源来提高接受度并减轻痛苦。MOSAIC疗法关注患者想要体验的身体感觉，避免再次经历创伤记忆。这项观察性研究旨在比较EMDR和MOSAIC疗法对PTSD的临床疗效，并衡量两种疗法所产生的幸福感。26名PTSD患者（17名女性和9名男性，平均年龄37.01岁，标准差=13.06）接受了接受过EMDR或MOSAIC疗法培训的精神科医生和/或心理学家的治疗。两组患者使用PCL-5量表测量的PTSD症状均显著减轻。然而，MOSAIC疗法所需的疗程比EMDR疗法少。正如预期的那样，从第一疗程开始，使用利克特量表评估，患者在治疗期间体验到的幸福感水平，MOSAIC疗法比EMDR疗法更高。这些发现首次证明了MOSAIC疗法的疗效，现在需要在更大规模的随机临床试验中得到证实。
