Evidence map›Paper›PMID 29805777›Full record

ArticleEuropean journal of psychotraumatology2018

Moving forward in treatment of posttraumatic stress disorder: innovations to exposure-based therapy.

Mirjam J Nijdam, Eric Vermetten

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of psychotraumatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Facts on psychotraumatology.European journal of psychotraumatology · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Mirjam J NijdamArq Psychotrauma Expert Group, Diemen, The Netherlands.
Eric VermettenArq Psychotrauma Expert Group, Diemen, The Netherlands.
Academic Medical Center · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The field of treatment of posttraumatic stress disorder (PTSD) has been a pacesetter for the changing face of psychotherapy, as is illustrated in the introduction of Virtual Reality Exposure Therapy. This paper outlines a novel approach that builds on a cognitive-motor interaction in a virtual interactive environment. It is based on the theory of memory reconsolidation and the embodiment of cognition. The framework we envision allows the patient to 'step into the past' by using forward motion as an essential ingredient to augment the impact of exposure to traumatic events. The behavioural response of approaching that is the exact opposite from the avoidance usually applied by patients and the enhancement of divergent thinking are the most prominent hypothesized mechanisms of action. This can contribute to strengthening of personal efficacy and self-reflection that is generated by high emotional engagement, as well as a sense of accomplishment and enhanced recovery as illustrated by a clinical case example. We argue that innovations with personalized virtual reality and motion need to be further investigated and implemented in current therapy settings.

Indexed as

exercise therapyPosttraumatic stress disorderpsychotherapytherapy process research• The treatment of PTSD can be greatly enhanced by empowering the patient to engage in a multi-modal virtual reality.• The patient is walking (instead of sitting) while being exposed to self-chosen pictures of traumatic hot spots.• This novel approach to treatment of PTSD builds on a cognitive-motor interaction in a virtual interactive environment.• Multimodular Motion-Assisted Memory Desensitization and Reprocessing (3MDR) is based on the theory of memory reconsolidation and the embodiment of cognition.• The patient steps into the past by using forward motion as an essential ingredient to augment the impact of exposure to traumatic events.• Innovations with personalized VR and motion need to be further investigated and implemented in current therapy settings.• These approaches contribute to enhancement of personal efficacy and self-reflectiveness generated by a sense of presence and emotional engagement.treatment outcometreatment resistancevirtual reality treatment

Identifiers

PMID29805777
PMCPMC5965022
OpenAlexW2803262416

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.