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yoga is a technique of hope. Indeed, it is a practice that specifically combines postures, breathing technique and a state meditative. The combination of these elements produces multiple effects that are exposed to detailed in the publications of Bessel Van der Kolk (Price et al., 2017; Rhodes, Spinazzola, & van der Kolk, 2016; Van der Kolk, 2014; Van Der Kolk et al., 2014) and whose four main effects are summarized here:
Yoga practice has shown benefits in treating multiple physical or mental disorders (Barnes, Bloom, & Nahin, 2008; Khalsa, 2004; Ross, Friedmann, Bevans, & Thomas, 2013) and has recently been evaluated for PTSD. We identified six randomized controlled studies measuring the effect of yoga in women (mostly) who experienced childhood violence (see table). With the exception of one pilot study (Dick, Niles, Street, Dimartino, & Mitchell, 2014; Mitchell et al., 2014), all studies show a significant reduction in PTSD symptoms compared to the pre-treatment period and compared to the control group (waiting list group). In particular, it was shown that this reduction in symptomatology was comparable to that of other commonly practiced psychotherapies, such as the exposure techniques of Behavioural and Cognitive Therapies or EMDR, and comparable to pharmacological treatments (Van Der Kolk et al., 2014). Prolonged yoga therapy would also significantly improve dissociative symptoms (Price et al., 2017). However, all these studies tested the effect of yoga therapy in isolation, without associating it with conventional and recommended treatments for trauma. However, given the fields of action of the yoga listed above, we think that it could be the ideal tool to prepare (in the pre-treatment phase) the work on traumatic memory. We believe that the combination of yoga therapy and EMDR would work in synergy to reduce complex PTSD and achieve a higher success rate than these individual approaches. In this work, we will use a yoga technique adapted to the treatment of psycho-trauma called "trauma sensitive yoga" (Emerson, 2015).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| yogatherapy-EMDR | Active Comparator | one of the two groups will have yogatherapy treatment and Eye movement desensibilization reprocessing (EMDR) |
|
| waiting list and EMDR | Active Comparator | The other group will have Eye movement desensibilization reprocessing |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 10 Sessions of yogatherapy associate with EMDR | Other | The first group will have Yogatherapy plus EMDR treatment |
|
| Measure | Description | Time Frame |
|---|---|---|
| PCL-5: Scale of post-traumatic stress disorder | PTSD Scale : Evaluation of clinical symptomatology and severity of PTSD | first week |
| PCL-5: Scale of post-traumatic stress disorder | PTSD Scale : Evaluation of clinical symptomatology and severity of PTSD | At twenty week |
| Measure | Description | Time Frame |
|---|---|---|
| CAPS-5: PTSD Scale Administered by Clinician | Evaluation of clinical symptomatology and severity of PTSD Diagnosis of comorbidities | First week |
| CAPS-5: PTSD Scale Administered by Clinician | Evaluation of clinical symptomatology and severity of PTSD Diagnosis of comorbidities |
| Measure | Description | Time Frame |
|---|---|---|
| CGI : Clinical global Impression | Evaluation of overall clinical improvement. | At first week |
| CGI : Clinical global Impression | Evaluation of overall clinical improvement. |
Inclusion Criteria:
. Women
Exclusion Criteria:
Neurological disorders
Only female can participate to this study
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rusheenthira THAVASEELAN, MSC | Contact | 0143093232 | r.thavaseelan@epsve.fr | |
| Youcef BENCHERIF, MSC | Contact | 0143093232 | y.bencherif@epsve.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ch Ville Evrard | Recruiting | Neuilly-sur-Marne | 93330 | France |
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| ID | Term |
|---|---|
| D000067073 | Psychological Trauma |
| ID | Term |
|---|---|
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D057169 | Eye Movement Desensitization Reprocessing |
| ID | Term |
|---|---|
| D003887 | Desensitization, Psychologic |
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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the first group is about EMDR treatment. The second group is about YOGATHERAPY
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| The second group will have EMDR without yogatherapy | Other | the second one will have EMDR treatment |
|
| At ten week |
| CAPS-5: PTSD Scale Administered by Clinician | Evaluation of clinical symptomatology and severity of PTSD Diagnosis of comorbidities | At twenty week |
| At ten week |
| CGI : Clinical global Impression | Evaluation of overall clinical improvement. | At twenty week |
| Center for Psychotherapy and Psychotraumatology | Recruiting | Saint-Denis | 93200 | France |
|