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The psychophysiological response during post-traumatic stress disorder treatment with modular motion-assisted memory desensitisation and reconsolidation (3MDR)
European Journal of Psychotraumatology ( IF 5.783 ) Pub Date : 2021-06-24 , DOI: 10.1080/20008198.2021.1929027
Robert van Deursen 1 , Kate Jones 1 , Neil Kitchiner 2 , Ben Hannigan 1 , Kali Barawi 3 , Jonathan I Bisson 4
Affiliation  

ABSTRACT

Background: Psychophysiological changes are part of post-traumatic stress disorder (PTSD) symptomatology and can signal emotional engagement during psychological treatment.

Objectives: The aim of this study was to explore psychophysiological responses during multi‐modular motion‐assisted memory desensitization and reconsolidation (3MDR) therapy. Increased self-reported distress, substantially increased heart rate (HR) and breathing rate (BR) were expected at the start of therapy and predicted to improve over time. Since physical exercise demands during therapy were low, any large HR or BR responses were considered part of the psychophysiological response.

Methods: This study used pooled data collected during a randomized controlled trial of 3MDR, which demonstrated significant improvement as measured by the Clinician Administered PTSD Scale. Whilst attending therapy, HR and BR data, subjective units of distress (SUD) score and phrases to describe feelings whilst exposed to trauma-related images were collected continuously from 37 UK male military veterans with PTSD.

Results: HR and BR were significantly increased throughout all sessions (p < .01 for both). Whilst HR was raised slightly remaining on average below 100 beats/minute, BR was increased substantially with average values between 40 and 50 breaths/minute. SUD scores were very high during therapy which concurred with the many negative feelings experienced during therapy sessions. Across the course of the treatment, SUD scores (p < .01) and negative feelings were reduced (p < .001), and positive feelings have increased (p < .01) significantly, reflecting improvements in clinicians assessed PTSD symptoms. Across therapy sessions, HR (p = .888) and BR (p = .466) responses did not change.

Conclusions: The strong psychophysiological response alongside high levels of self-reported distress and negative feelings is interpreted as high emotional engagement during therapy. A novel finding was the very significant BR increase throughout recorded sessions. Future PTSD research should include BR response to therapy and explore breathing control as a treatment target.



中文翻译:

用模块化运动辅助记忆脱敏和再巩固(3MDR)治疗创伤后应激障碍期间的心理生理反应

摘要

背景:心理生理变化是创伤后应激障碍 (PTSD) 症状的一部分,可以在心理治疗过程中发出情绪参与的信号。

目的:本研究的目的是探索多模块运动辅助记忆脱敏和再巩固(3MDR)治疗期间的心理生理反应。在治疗开始时预计会增加自我报告的痛苦、大幅增加的心率 (HR) 和呼吸率 (BR),并预计会随着时间的推移而改善。由于治疗期间的体育锻炼需求较低,任何大的 HR 或 BR 反应都被视为心理生理反应的一部分。

方法:本研究使用在 3MDR 随机对照试验期间收集的汇总数据,根据临床医生管理的 PTSD 量表,该试验表明显着改善。在接受治疗的同时,从 37 名患有 PTSD 的英国男性退伍军人中连续收集 HR 和 BR 数据、主观痛苦单位 (SUD) 得分和描述暴露于创伤相关图像时的感受的短语。

结果:HR 和 BR 在所有课程中均显着增加(两者均p < .01)。虽然 HR 略有提高,平均保持在 100 次/分钟以下,但 BR 显着增加,平均值在 40 到 50 次/分钟之间。治疗期间 SUD 分数非常高,这与治疗期间经历的许多负面情绪一致。在整个治疗过程中,SUD 评分 ( p < .01) 和消极情绪降低 ( p < .001),积极情绪显着增加 ( p < .01),这反映了临床医生评估 PTSD 症状的改善。在整个治疗过程中,HR ( p = .888) 和 BR ( p = .466) 反应没有改变。

结论:强烈的心理生理反应以及高水平的自我报告的痛苦和消极情绪被解释为治疗期间的高情绪投入。一个新发现是在记录的会话中非常显着的 BR 增加。未来的 PTSD 研究应包括 BR 对治疗的反应,并探索将呼吸控制作为治疗目标。

更新日期:2021-06-24
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