Guépin Claire, Duhem Stéphane, Gaud Nicolas, Warembourg Frédérique, Vaiva Guillaume, Leroy Arnaud
CHU de Lille, General Psychiatry Department, Regional center for Psychotraumatism Hauts-de-France, Lille, France.
CHU de Lille, Child & Adolescent Psychiatry Department, Regional center for Psychotraumatism Hauts-de-France, Lille, France.
Eur J Psychotraumatol. 2025 Dec;16(1):2480889. doi: 10.1080/20008066.2025.2480889. Epub 2025 Apr 4.
Psychotraumatic disorders, particularly post-traumatic stress disorder (PTSD), have been a major public health issue for many years. However, many patients remain resistant to treatment, with significant levels of residual symptoms, a high dropout rate, and poor functional prognosis despite a reduction in psychotraumatic symptoms. The physical impact of trauma might influence treatment response. We have developed an integrative method for patients suffering from post-traumatic stress disorder (PTSD). In this study, we report the cases of 16 successive patients with PTSD treated with adjunct psychomotor trauma exposure. The data were collected retrospectively from the clinical records of subjects treated with adjunct psychomotor exposure therapy at the Hauts-de-France Regional Center for Psychotrauma. Severity of psychotrauma was reported using PCL-5 before and one month after treatment. A decrease in PCL-5 score was seen in all participants between baseline (45.6 ± 11.6) at the end of treatment (16.6 ± 10.1) ( < .001). Adjunct psychomotor exposure therapy is a promising tool for the treatment of PTSD. Future high-quality randomised controlled trials are necessary.
精神创伤性障碍，尤其是创伤后应激障碍（PTSD），多年来一直是一个重大的公共卫生问题。然而，许多患者对治疗仍有抵抗，尽管精神创伤症状有所减轻，但仍存在显著程度的残留症状、高脱落率和不良的功能预后。创伤的身体影响可能会影响治疗反应。我们为患有创伤后应激障碍（PTSD）的患者开发了一种综合方法。在本研究中，我们报告了连续16例接受辅助性心理运动创伤暴露治疗的PTSD患者的病例。数据是从法国北部精神创伤区域中心接受辅助性心理运动暴露治疗的受试者的临床记录中回顾性收集的。在治疗前和治疗后一个月使用PCL-5报告精神创伤的严重程度。所有参与者的PCL-5评分从基线时的（45.6±11.6）降至治疗结束时的（16.6±10.1）（<0.001）。辅助性心理运动暴露疗法是一种有前景的PTSD治疗工具。未来有必要进行高质量的随机对照试验。
