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Paris MEM: a study protocol for an effectiveness and efficiency trial on the treatment of traumatic stress in France after the 2015–16 terrorist attacks

Identifieur interne : 000823 ( Main/Exploration ); précédent : 000822; suivant : 000824

Paris MEM: a study protocol for an effectiveness and efficiency trial on the treatment of traumatic stress in France after the 2015–16 terrorist attacks

Auteurs : A. Brunet [Canada] ; A. Ayrolles [France] ; L. Gambotti [France] ; R. Maatoug [France] ; C. Estellat [France] ; M. Descamps [France] ; N. Girault [France] ; K. Kalalou ; G. Abgrall [France] ; F. Ducrocq [France] ; G. Vaiva [France] ; N. Jaafari [France] ; M. Krebs [France] ; E. Castaigne [France] ; I. Hanafy ; M. Benoit [France] ; S. Mouchabac [France] ; M. Cabie [France] ; O. Guillin [France] ; F. Hodeib [France] ; I. Durand-Zaleski [France] ; B. Millet [France]

Source :

RBID : Hal:hal-02378997

Descripteurs français

English descriptors

Abstract

BACKGROUND:The Paris and Nice terrorist attacks affected a thousand of trauma victims and first-line responders. Because there were concerns that this might represent the first of several attacks, there was a need to quickly enhance the local capacities to treat a large number of individuals suffering from trauma-related disorders. Since Reconsolidation Therapy (RT) is brief, relatively easy to learn, well tolerated and effective, it appeared as the ideal first-line treatment to teach to clinicians in this context.METHODS:This study protocol is a two-arm non-randomized, multicenter controlled trial, comparing RT to treatment as usual for the treatment of trauma-related disorders. RT consists of actively recalling one's traumatic event under the influence of the ß-blocker propranolol, once a week, for 10-25 min with a therapist, over 6 consecutive weeks. This protocol evaluates the feasibility, effectiveness, and cost-utility of implementing RT as part of a large multi-center (N = 400) pragmatic trial with a one-year follow-up.DISCUSSION:Paris MEM is the largest trial to date assessing the efficiency of RT in the aftermath of a large-scale man-made disaster. RT could possibly reinforce the therapeutic arsenal for the treatment of patients suffering from trauma-related disorders, not only for communities in western countries but also worldwide for terror- or disaster-stricken communities.


Url:
DOI: 10.1186/s12888-019-2283-4


Affiliations:


Links toward previous steps (curation, corpus...)


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<title xml:lang="en">Paris MEM: a study protocol for an effectiveness and efficiency trial on the treatment of traumatic stress in France after the 2015–16 terrorist attacks</title>
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<name sortKey="Durand Zaleski, I" sort="Durand Zaleski, I" uniqKey="Durand Zaleski I" first="I." last="Durand-Zaleski">I. Durand-Zaleski</name>
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<author>
<name sortKey="Millet, B" sort="Millet, B" uniqKey="Millet B" first="B." last="Millet">B. Millet</name>
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<orgName>Service de Psychiatrie adulte [CHU Pitié-Salpêtrière]</orgName>
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<orgName>Assistance publique - Hôpitaux de Paris (AP-HP)</orgName>
<orgName type="acronym">APHP</orgName>
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<address>
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</address>
</desc>
</org>
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<org type="institution" xml:id="struct-353778" status="VALID">
<orgName>CHU Pitié-Salpêtrière [APHP]</orgName>
<desc>
<address>
<addrLine>47-83 Boulevard de l'Hôpital, 75013 Paris</addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.aphp.fr/contenu/hopital-universitaire-pitie-salpetriere-0</ref>
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</org>
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<country>France</country>
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</analytic>
<idno type="DOI">10.1186/s12888-019-2283-4</idno>
<series>
<title level="j">BMC Psychiatry</title>
<idno type="ISSN">1471-244X</idno>
<imprint>
<date type="datePub">2019-12</date>
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<keywords scheme="mix" xml:lang="en">
<term>Cost-effectiveness trial</term>
<term>Post-traumatic stress disorder (PTSD)</term>
<term>Reconsolidation</term>
<term>Terrorism</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Terrorisme</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">
<p>BACKGROUND:The Paris and Nice terrorist attacks affected a thousand of trauma victims and first-line responders. Because there were concerns that this might represent the first of several attacks, there was a need to quickly enhance the local capacities to treat a large number of individuals suffering from trauma-related disorders. Since Reconsolidation Therapy (RT) is brief, relatively easy to learn, well tolerated and effective, it appeared as the ideal first-line treatment to teach to clinicians in this context.METHODS:This study protocol is a two-arm non-randomized, multicenter controlled trial, comparing RT to treatment as usual for the treatment of trauma-related disorders. RT consists of actively recalling one's traumatic event under the influence of the ß-blocker propranolol, once a week, for 10-25 min with a therapist, over 6 consecutive weeks. This protocol evaluates the feasibility, effectiveness, and cost-utility of implementing RT as part of a large multi-center (N = 400) pragmatic trial with a one-year follow-up.DISCUSSION:Paris MEM is the largest trial to date assessing the efficiency of RT in the aftermath of a large-scale man-made disaster. RT could possibly reinforce the therapeutic arsenal for the treatment of patients suffering from trauma-related disorders, not only for communities in western countries but also worldwide for terror- or disaster-stricken communities.</p>
</div>
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<list>
<country>
<li>Canada</li>
<li>France</li>
</country>
<region>
<li>Nouvelle-Aquitaine</li>
<li>Poitou-Charentes</li>
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<li>Université de Poitiers</li>
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<name sortKey="Descamps, M" sort="Descamps, M" uniqKey="Descamps M" first="M." last="Descamps">M. Descamps</name>
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<name sortKey="Krebs, M" sort="Krebs, M" uniqKey="Krebs M" first="M." last="Krebs">M. Krebs</name>
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<name sortKey="Vaiva, G" sort="Vaiva, G" uniqKey="Vaiva G" first="G." last="Vaiva">G. Vaiva</name>
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