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3MDR 治疗创伤后应激障碍青少年患者:病例报告。

3MDR treatment in an adolescent with PTSD: a case report.

机构信息

ARQ Centrum' 45, Oegstgeest, the Netherlands.

Mental Health Caribbean, Bonaire, the Netherlands.

出版信息

Eur J Psychotraumatol. 2023;14(2):2272487. doi: 10.1080/20008066.2023.2272487. Epub 2023 Oct 30.

Abstract

As Posttraumatic stress disorder (PTSD) in adolescents significantly impacts their well-being, effective treatment is of great importance. Little is known, however, about the novel, multi-modal virtual reality supported, exposure-based psychotherapeutic interventions such as 3MDR in this population. To describe the 3MDR treatment of an adolescent with PTSD who did not respond to previous exposure-based PTSD interventions. A 14-year-old girl diagnosed with PTSD received six sessions of 3MDR embedded in family therapy. The patient tolerated the 3MDR intervention very well. Personalized music and self-selected pictures appeared to be a good fit, contributing to enhanced engagement in and adherence to the therapy. She no longer met criteria for PTSD post-intervention, and at 18 months follow-up. This case report suggests that 3MDR has potential as a trauma treatment for adolescents with treatment-resistant PTSD.

摘要

创伤后应激障碍(PTSD)在青少年中显著影响他们的健康,因此有效的治疗非常重要。然而,对于这种人群中新型的、多模式的虚拟现实支持的暴露为基础的心理治疗干预,如 3MDR,我们知之甚少。本文描述了一位青少年 PTSD 患者的 3MDR 治疗案例,该患者对以前的暴露为基础的 PTSD 干预措施没有反应。一名被诊断患有 PTSD 的 14 岁女孩接受了六次嵌入家庭治疗的 3MDR 治疗。患者非常耐受 3MDR 干预。个性化音乐和自我选择的图片似乎非常合适,有助于提高治疗的参与度和依从性。她在治疗后不再符合 PTSD 标准,并且在 18 个月的随访中也是如此。这个案例报告表明,3MDR 有可能成为治疗难治性 PTSD 的青少年创伤治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ee4/10763824/7b33cae360c9/ZEPT_A_2272487_F0001_OB.jpg

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