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Master Thesis

Intérêts des thérapies cognitivo-comportementales, EMDR et hypnose dans l'état de stress post-traumatique de l'enfant et de l’adolescent

Abstract : Introduction. Recently, ACE (adverse childhood events) studies highlighted the association between childhood traumatism and mental disorders. Since 2013, DSM 5 specifies PTSD (post-traumatic stress disorder) for children including preschools and adolescents in which consequences can be dramatic. Gold standard treatment is psychotherapy. However, more and more different psychotherapies exist some have lack scientific evidences. This paper is a state of the art about 3 well-known therapies for this indication: CBTs (cognitive behavioral therapy), EMDR (Eye movements Desenzitisation and reprocessing) and hypnosis. Method. This study is a narrative-like review among the literature in the thesaurus: NCBI-pubmed, Cairn and Google Scholar. Results. 361 articles including 46 clinical assays were used to sum the historical, psychopathological, neurobiological aspects and clinical efficiency for each therapy. Discussion. CBTs and EMDR were recognized as evidence-based practices and are recommended by the WHO. CBTs, efficient on comorbidities, includes clinical work on parenting and children self-regulation of thoughts-emotion-behaviour. Authors propose to evaluate the protocols, natural and cultural mechanisms of healing to build a toolbox for clinicians. EMDR, more effective on intrusive syndrome and type I traumas, from the age of 4, offers many individual, group or emergency protocols and is moreover a tailor-made therapy. It still has to demonstrate its superiority and faster efficiency. Efficiency of hypnosis is mainly reported from experts’ opinion and so on psychosomatic symptoms and dissociation. Hypnosis can be led by specific imaginary abilities of children. An integrative therapy including evaluated tools would lead to a tailor-made evidences-based practice using the strengths of each kind of therapy.
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https://dumas.ccsd.cnrs.fr/dumas-02863633
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Submitted on : Wednesday, June 10, 2020 - 1:53:12 PM
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Yannick Sidot. Intérêts des thérapies cognitivo-comportementales, EMDR et hypnose dans l'état de stress post-traumatique de l'enfant et de l’adolescent. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02863633⟩

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