Brémault-Phillips Suzette, Bright Katherine, Allen Katie, Kim Judy, Mouallem Sarah, Strybosch Lily, Vermetten Eric, R Sevigny Phillip
Department of Occupational Therapy, University of Alberta, Faculty of Rehabilitation Medicine, Edmonton, Alberta, Canada.
Mount Royal University, Faculty of Health, Community, and Education, School of Nursing and Midwifery, Calgary, Alberta, Canada.
Psychiatry Clin Psychopharmacol. 2025 Aug 11;35(Suppl 1):S168-S175. doi: 10.5152/pcp.2025.241034.
The well-being of postpartum mothers can be significantly affected by posttraumatic stress disorder (PTSD) and grief. Success with standard PTSD interventions for this population has been inconsistent. Multi-modal motion-assisted memory desensitization and reconsolidation therapy (3MDR) is an intervention that has been studied favorably with military and veteran populations with PTSD and related conditions. Minimal research is available, however, regarding its application in the civilian population. This case report investigates the use of 3MDR in facilitating trauma and grief processing and reducing PTSD symptoms in a 35-year-old postpartum mother with treatment-resistant PTSD and grief undergoing 3MDR. Qualitative data collected throughout the 3MDR intervention and at the 3-, 6-, and 10-month follow-ups were thematically analyzed. The participant reported feeling increased control over her life after 3MDR and reduced adverse reactions to normally distressing events. During the follow-up sessions, the overarching trauma process was one of peeling back layers of her experiences. The following 3 themes emerged: gaining control in chaos, shifting from an ideal to a real perspective, overcoming trauma and moving forward in life. This case report suggests that 3MDR's immersive, motion-assisted, patient-centered psychotherapeutic approach and strong therapeutic relationship facilitated unique trauma and grief processing, empowering meaningful progress where prior interventions had failed.
产后母亲的幸福感会受到创伤后应激障碍（PTSD）和悲伤情绪的显著影响。针对这一群体的标准PTSD干预措施效果并不一致。多模式运动辅助记忆脱敏与再巩固疗法（3MDR）是一种已在患有PTSD及相关病症的军人和退伍军人中得到良好研究的干预方法。然而，关于其在平民群体中的应用研究极少。本病例报告调查了3MDR在一名35岁患有难治性PTSD和悲伤情绪的产后母亲身上的应用，该母亲正在接受3MDR治疗以促进创伤和悲伤情绪的处理并减轻PTSD症状。对在整个3MDR干预过程中以及在3个月、6个月和10个月随访时收集的定性数据进行了主题分析。参与者报告称，在接受3MDR治疗后，她感觉对自己的生活有了更多掌控，对通常令人痛苦的事件的不良反应也有所减少。在随访过程中，总体创伤过程是一个逐渐揭开她经历层面的过程。出现了以下三个主题：在混乱中获得掌控、从理想视角转变为现实视角、克服创伤并在生活中向前迈进。本病例报告表明，3MDR沉浸式、运动辅助、以患者为中心的心理治疗方法以及强大的治疗关系促进了独特的创伤和悲伤情绪处理，在先前干预失败的情况下实现了有意义的进展。
