TY  - JOUR
PY  - 2021//
TI  - Moving toward and through trauma: participant experiences of multi-modal motion-assisted memory desensitization and reconsolidation (3MDR)
JO  - Frontiers in psychiatry
A1  - Hamilton, Tristin
A1  - Burback, Lisa
A1  - Smith-MacDonald, Lorraine
A1  - Jones, Chelsea
A1  - Brown, Matthew R. G.
A1  - Mikolas, Cynthia
A1  - Tang, Emily
A1  - O'Toole, Kaitlin
A1  - Vergis, Priyanka
A1  - Merino, Anna
A1  - Weiman, Kyle
A1  - Vermetten, Eric H. G. J. M.
A1  - Brémault-Phillips, Suzette
SP  - e779829
EP  - e779829
VL  - 12
IS  - 
N2  - INTRODUCTION: Military members and Veterans are at risk of developing combat-related, treatment-resistant posttraumatic stress disorder (TR-PTSD) and moral injury (MI). Conventional trauma-focused therapies (TFTs) have shown limited success. Novel interventions including Multi-modal Motion-assisted Memory Desensitization and Reconsolidation therapy (3MDR) may prove successful in treating TR-PTSD. <br><br>OBJECTIVE: To qualitatively study the experiences of Canadian military members and Veterans with TR-PTSD who received the 3MDR intervention. <br><br>METHODS: This study explored qualitative data from a larger mixed-method waitlist control trial testing the efficacy of 3MDR in military members and veterans. Qualitative data were recorded and collected from 3MDR sessions, session debriefings and follow-up interviews up to 6 months post-intervention; the data were then thematically analyzed. <br><br>RESULTS: Three themes emerged from the data: (1) the participants' experiences with 3MDR; (2) perceived outcomes of 3MDR; and (3) keys to successful 3MDR treatment. Participants expressed that 3MDR provided an immersive environment, active engagement and empowerment. The role of the therapist as a coach and "fireteam partner" supports the participants' control over their therapy. The multi-modal nature of 3MDR, combining treadmill-walking toward self-selected trauma imagery with components of multiple conventional TFTs, was key to helping participants engage with and attribute new meaning to the memory of the traumatic experience. <br><br>DISCUSSION: Preliminary thematic analysis of participant experiences of 3MDR indicate that 3MDR has potential as an effective intervention for combat-related TR-PTSD, with significant functional, well-being and relational improvements reported post-intervention. <br><br>CONCLUSION: Military members and Veterans are at risk of developing TR-PTSD, with worse outcomes than in civilians. Further research is needed into 3MDR and its use with other trauma-affected populations.<p />  <p>Language: en</p>
LA  - en
SN  - 1664-0640
UR  - http://dx.doi.org/10.3389/fpsyt.2021.779829
ID  - ref1
ER  -