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本文引用的文献

1
The brain-body disconnect: A somatic sensory basis for trauma-related disorders.大脑与身体的脱节:创伤相关障碍的躯体感觉基础。
Front Neurosci. 2022 Nov 21;16:1015749. doi: 10.3389/fnins.2022.1015749. eCollection 2022.
2
Augmenting trauma-focused psychotherapy for post-traumatic stress disorder with brief aerobic exercise in Australia: a randomised clinical trial.在澳大利亚,用短暂的有氧运动增强创伤后应激障碍的创伤聚焦型心理疗法:一项随机临床试验。
Lancet Psychiatry. 2023 Jan;10(1):21-29. doi: 10.1016/S2215-0366(22)00368-6. Epub 2022 Nov 24.
3
Combining Trauma Script Exposure With rTMS to Reduce Symptoms of Post-Traumatic Stress Disorder: Randomized Controlled Trial.创伤脚本暴露联合 rTMS 治疗创伤后应激障碍症状的随机对照试验。
Neuromodulation. 2022 Jun;25(4):549-557. doi: 10.1111/ner.13505. Epub 2021 Aug 17.
4
Functional outcomes from psychotherapy for people with posttraumatic stress disorder: A meta-analysis.创伤后应激障碍患者心理治疗的功能结局:荟萃分析。
J Anxiety Disord. 2022 Jun;89:102576. doi: 10.1016/j.janxdis.2022.102576. Epub 2022 May 10.
5
Trauma-focused psychotherapies for post-traumatic stress disorder: A systematic review and network meta-analysis.创伤聚焦心理疗法治疗创伤后应激障碍:系统评价和网络荟萃分析。
Acta Psychiatr Scand. 2022 Feb;145(2):132-155. doi: 10.1111/acps.13366. Epub 2021 Sep 17.
6
MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo-controlled phase 3 study.MDMA 辅助治疗严重 PTSD:一项随机、双盲、安慰剂对照的 3 期研究。
Nat Med. 2021 Jun;27(6):1025-1033. doi: 10.1038/s41591-021-01336-3. Epub 2021 May 10.
7
Traumatic memory reactivation with or without propranolol for PTSD and comorbid MD symptoms: a randomised clinical trial.伴有或不伴有普萘洛尔的创伤性记忆再激活治疗 PTSD 及共病 MD 症状的随机临床试验
Neuropsychopharmacology. 2021 Aug;46(9):1643-1649. doi: 10.1038/s41386-021-00984-w. Epub 2021 Feb 21.
8
Sexual symptoms in post-traumatic stress disorder following childhood sexual abuse: a network analysis.创伤后应激障碍患者童年期性虐待后的性症状:网络分析。
Psychol Med. 2022 Jan;52(1):90-101. doi: 10.1017/S0033291720001750. Epub 2020 Jun 10.
9
A Pilot RCT of A Body-Oriented Group Therapy For Complex Trauma Survivors: An Adaptation of Sensorimotor Psychotherapy.一项针对复杂创伤幸存者的躯体导向团体治疗的初步随机对照试验:感觉运动心理疗法的改编版。
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10
Changes in Dosing and Dose Timing of D-Cycloserine Explain Its Apparent Declining Efficacy for Augmenting Exposure Therapy for Anxiety-related Disorders: An Individual Participant-data Meta-analysis.D-环丝氨酸给药剂量和时间的变化解释了其增强焦虑相关障碍暴露疗法的疗效似乎逐渐下降的原因:一项个体参与者数据的荟萃分析。
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辅助性心理运动创伤暴露疗法治疗创伤后应激障碍:病例系列

Adjunct psychomotor trauma exposure in the treatment of post-traumatic stress disorder: a case series.

作者信息

Guépin Claire, Duhem Stéphane, Gaud Nicolas, Warembourg Frédérique, Vaiva Guillaume, Leroy Arnaud

机构信息

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.

出版信息

Eur J Psychotraumatol. 2025 Dec;16(1):2480889. doi: 10.1080/20008066.2025.2480889. Epub 2025 Apr 4.

DOI:10.1080/20008066.2025.2480889
PMID:40183188
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11980199/
Abstract

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.

摘要

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。