Allene Camille, Durand Florence, Negre Guillaume, De Vallois-Moquet Marie, Gerber Gersende-Indira, Dupasquier Aurélien, Roland Varenka, Hirou Léa, Coupey-Bolloré Ombline, Vigne Samantha, François Stéphanie, Moulier Virginie, Ateb Sarra, Kalalou Khalid, Januel Dominique
Centre de recherche clinique, établissement public de santé Ville-Evrard, Neuilly-sur-Marne, France.
Centre de psychothérapie et psychotraumatologie, établissement public de santé Ville-Evrard, Saint-Denis, France.
Eur J Psychotraumatol. 2025 Dec;16(1):2530917. doi: 10.1080/20008066.2025.2530917. Epub 2025 Aug 20.
Yoga, a mind-body practice that enhances emotional regulation and self-awareness, may be an effective stabilisation tool for trauma-focused therapy, particularly for patients with childhood abuse-related posttraumatic stress disorder (CA-PTSD), who exhibit strong avoidance strategies. This study aimed to test the efficacy of group yoga sessions followed by individual EMDR sessions on PTSD symptoms. Secondary objectives included evaluating the efficacy of this combined treatment on the most common associated comorbidities, and measuring the adherence and effectiveness of EMDR sessions. 32 adult women with CA-PTSD were randomly assigned to either a Yoga + EMDR group (10 weekly yoga sessions followed by 10 weekly EMDR sessions) or a Wait + EMDR group (12 weeks of waiting followed by 10 weekly EMDR sessions). Assessments were conducted at baseline, week 12, and week 24, primarily using validated self-report questionnaires. While PTSD symptoms and most comorbidities showed no significant group differences, the Yoga + EMDR group exhibited significant improvements in anxiety and emotional dysregulation, fewer dropouts, and more effective EMDR sessions compared to the Wait + EMDR group. The study faced a limitation as the overall therapy duration extended beyond the protocol, rapidly preventing new recruitments. Yoga preceding EMDR shows promise in enhancing emotion regulation and EMDR effectiveness for CA-PTSD patients.
瑜伽是一种身心练习方法，可增强情绪调节能力和自我意识，它可能是创伤聚焦疗法的一种有效稳定工具，尤其对于患有童年虐待相关创伤后应激障碍（CA-PTSD）且表现出强烈回避策略的患者。本研究旨在测试先进行团体瑜伽课程再进行个体眼动脱敏再处理（EMDR）治疗对创伤后应激障碍症状的疗效。次要目标包括评估这种联合治疗对最常见相关共病的疗效，以及测量眼动脱敏再处理治疗的依从性和有效性。32名患有CA-PTSD的成年女性被随机分配到瑜伽+眼动脱敏再处理组（每周进行10次瑜伽课程，随后每周进行10次眼动脱敏再处理治疗）或等待+眼动脱敏再处理组（等待12周，随后每周进行10次眼动脱敏再处理治疗）。评估在基线、第12周和第24周进行，主要使用经过验证的自我报告问卷。虽然创伤后应激障碍症状和大多数共病在两组之间没有显著差异，但与等待+眼动脱敏再处理组相比，瑜伽+眼动脱敏再处理组在焦虑和情绪失调方面有显著改善，退出治疗的人数更少，眼动脱敏再处理治疗更有效。该研究存在一个局限性，即总体治疗时间超出了方案规定，迅速导致无法招募新患者。在眼动脱敏再处理治疗之前进行瑜伽对于增强CA-PTSD患者的情绪调节能力和眼动脱敏再处理治疗效果显示出前景。
