Decreased Emotional Dysregulation Following Multi-Modal Motion-Assisted Memory Desensitization and Reconsolidation Therapy (3MDR): Identifying Possible Driving Factors in Remediation of Treatment-Resistant PTSD

Multi-modal motion-assisted memory desensitization and reconsolidation therapy (3MDR), an interactive, virtual reality-assisted, exposure-based intervention for PTSD, has shown promising results for treatment-resistant posttraumatic stress disorder (TR-PTSD) among military members (MMs) and veterans...

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Autores principales:	Emily Tang, Chelsea Jones, Lorraine Smith-MacDonald, Matthew R. G. Brown, Eric H. G. J. M. Vermetten, Suzette Brémault-Phillips
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	3MDR treatment-resistant PTSD military veterans mental health emotional regulation Medicine R
Acceso en línea:	https://doaj.org/article/b813837bdbe844bf9a68afcb19914367
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spelling	oai:doaj.org-article:b813837bdbe844bf9a68afcb199143672021-11-25T17:52:26ZDecreased Emotional Dysregulation Following Multi-Modal Motion-Assisted Memory Desensitization and Reconsolidation Therapy (3MDR): Identifying Possible Driving Factors in Remediation of Treatment-Resistant PTSD10.3390/ijerph1822122431660-46011661-7827https://doaj.org/article/b813837bdbe844bf9a68afcb199143672021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12243https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Multi-modal motion-assisted memory desensitization and reconsolidation therapy (3MDR), an interactive, virtual reality-assisted, exposure-based intervention for PTSD, has shown promising results for treatment-resistant posttraumatic stress disorder (TR-PTSD) among military members (MMs) and veterans in randomized controlled trials (RCT). Previous research has suggested that emotional regulation (ER) and emotional dysregulation (ED) may be factors which are correlated with symptom severity and maintenance of TR-PTSD. This embedded mixed-methods pilot study (<i>n</i> = 9) sought to explore the impact of 3MDR on ER and ED of MMs and veterans. Difficulties in Emotional Regulation Scale (DERS-18) data were collected at baseline, prior to each session, and at one week, one month, and three months postintervention and analyzed. Qualitative data collected from sessions, debriefs, and follow-up interviews were transcribed and descriptively analyzed. Results demonstrated statistically significant decreases in DERS-18 scores from preintervention to postintervention at each timepoint. Qualitatively, participants perceived improvements in ER within specified DERS-18 domains. We describe how 3MDR’s unique and novel approach addresses ED through cognitive–motor stimulation, narration, divergent thinking, reappraisal of aversive stimuli, dual-task processing, and reconsolidation of traumatic memories. More studies are needed to better understand the underlying neurobiological mechanisms by which 3MDR addresses ER and PTSD.Emily TangChelsea JonesLorraine Smith-MacDonaldMatthew R. G. BrownEric H. G. J. M. VermettenSuzette Brémault-PhillipsMDPI AGarticle3MDRtreatment-resistant PTSDmilitaryveteransmental healthemotional regulationMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12243, p 12243 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	3MDR treatment-resistant PTSD military veterans mental health emotional regulation Medicine R
spellingShingle	3MDR treatment-resistant PTSD military veterans mental health emotional regulation Medicine R Emily Tang Chelsea Jones Lorraine Smith-MacDonald Matthew R. G. Brown Eric H. G. J. M. Vermetten Suzette Brémault-Phillips Decreased Emotional Dysregulation Following Multi-Modal Motion-Assisted Memory Desensitization and Reconsolidation Therapy (3MDR): Identifying Possible Driving Factors in Remediation of Treatment-Resistant PTSD
description	Multi-modal motion-assisted memory desensitization and reconsolidation therapy (3MDR), an interactive, virtual reality-assisted, exposure-based intervention for PTSD, has shown promising results for treatment-resistant posttraumatic stress disorder (TR-PTSD) among military members (MMs) and veterans in randomized controlled trials (RCT). Previous research has suggested that emotional regulation (ER) and emotional dysregulation (ED) may be factors which are correlated with symptom severity and maintenance of TR-PTSD. This embedded mixed-methods pilot study (<i>n</i> = 9) sought to explore the impact of 3MDR on ER and ED of MMs and veterans. Difficulties in Emotional Regulation Scale (DERS-18) data were collected at baseline, prior to each session, and at one week, one month, and three months postintervention and analyzed. Qualitative data collected from sessions, debriefs, and follow-up interviews were transcribed and descriptively analyzed. Results demonstrated statistically significant decreases in DERS-18 scores from preintervention to postintervention at each timepoint. Qualitatively, participants perceived improvements in ER within specified DERS-18 domains. We describe how 3MDR’s unique and novel approach addresses ED through cognitive–motor stimulation, narration, divergent thinking, reappraisal of aversive stimuli, dual-task processing, and reconsolidation of traumatic memories. More studies are needed to better understand the underlying neurobiological mechanisms by which 3MDR addresses ER and PTSD.
format	article
author	Emily Tang Chelsea Jones Lorraine Smith-MacDonald Matthew R. G. Brown Eric H. G. J. M. Vermetten Suzette Brémault-Phillips
author_facet	Emily Tang Chelsea Jones Lorraine Smith-MacDonald Matthew R. G. Brown Eric H. G. J. M. Vermetten Suzette Brémault-Phillips
author_sort	Emily Tang
title	Decreased Emotional Dysregulation Following Multi-Modal Motion-Assisted Memory Desensitization and Reconsolidation Therapy (3MDR): Identifying Possible Driving Factors in Remediation of Treatment-Resistant PTSD
title_short	Decreased Emotional Dysregulation Following Multi-Modal Motion-Assisted Memory Desensitization and Reconsolidation Therapy (3MDR): Identifying Possible Driving Factors in Remediation of Treatment-Resistant PTSD
title_full	Decreased Emotional Dysregulation Following Multi-Modal Motion-Assisted Memory Desensitization and Reconsolidation Therapy (3MDR): Identifying Possible Driving Factors in Remediation of Treatment-Resistant PTSD
title_fullStr	Decreased Emotional Dysregulation Following Multi-Modal Motion-Assisted Memory Desensitization and Reconsolidation Therapy (3MDR): Identifying Possible Driving Factors in Remediation of Treatment-Resistant PTSD
title_full_unstemmed	Decreased Emotional Dysregulation Following Multi-Modal Motion-Assisted Memory Desensitization and Reconsolidation Therapy (3MDR): Identifying Possible Driving Factors in Remediation of Treatment-Resistant PTSD
title_sort	decreased emotional dysregulation following multi-modal motion-assisted memory desensitization and reconsolidation therapy (3mdr): identifying possible driving factors in remediation of treatment-resistant ptsd
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/b813837bdbe844bf9a68afcb19914367
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Decreased Emotional Dysregulation Following Multi-Modal Motion-Assisted Memory Desensitization and Reconsolidation Therapy (3MDR): Identifying Possible Driving Factors in Remediation of Treatment-Resistant PTSD

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