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This study wants to demonstrate the effectiveness of combining a positive memory with "recommended" therapy based on EMDR in reducing the disturbance that patients with complex psychotrauma may experience. The positive memory will be called "benevolent memory" (SB) or "less worse memory" (SMP).
This is an interventional study, prospective, exploratory, comparative, randomized, controlled versus reference treatment protocol, open.
Patients will be seen 16 times for the purposes of the study. They will be hospitalized during therapy. Discharge from hospitalization occurs during follow-up depending on the patient's condition.
They will be evaluated over a period of 4 to 6 weeks between the start (Day 0 = Week 1) and the end of treatment (visit week 12). These visits will coincide with treatment sessions with the EMDR ± SB / SMP protocol, as part of the support of their complex psychotrauma. At the end of treatment, the patient will be evaluated during follow-up visits at Month 1, Month 3 and Month 6.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| protocol EMDR + SB / SMP protocol (adjusted) | Experimental | Association of a positive memory with the "recommended" therapy based on EMDR. |
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| protocol EMDR (standard). | Active Comparator | "recommended" therapy based on EMDR. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Scale SUD | Other | Subjective Units of Distress Scale ou Subjective Units of Disturbance Scale is a scale of subjective appreciation of emotions |
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| Measure | Description | Time Frame |
|---|---|---|
| Effectiveness of the combination of SB and / or PMS with EMDR technique on reducing the disturbance experienced by patients with complex psychotrauma. | Percentage of patients with a 50% reduction in the SUD score(44/5000 measured by the SUD scale ranging from 0 to 10) at the end of the 3rd "active" EMDR session compared to the pre-treatment score of the 1st "active" session | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Disturbance felt | The % of patients responding to therapy (with SUD scores = 0 and VOC = 7) at M1, M3 and M6 will be compared between the 2 groups by a Cochran-Mantel-Haenszel test. | 6 months |
| Level of dissociation |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinique d'Yveline | Vieille-Église-en-Yvelines | France |
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| VOC scale | Other | The VOC (Validity Of Cognition) scale is a scale of value given to cognition. |
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| DES II scale | Other | The Dissociative Experiences Scale (DES), which is translated as the Dissociative Experiences Scale, is a self-questionnaire to assess the frequency of various dissociative symptoms in the patient's daily life. |
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The change in the level of dissociation by the DES II scale (score from 0 to 100) after therapy will be compared between the 2 groups by an analysis of covariance with adjustment for the score at inclusion;
| 6 months |