Effect of TIMBER on post-traumatic stress symptoms in rehabilitation patients with limb dysfunction after accidental trauma
10.16016/j.2097-0927.202306055
- VernacularTitle:TIMBER对意外创伤肢体功能障碍康复期患者创伤后应激症状的影响
- Author:
Yang LIU
1
;
Ying HUANG
;
Han CHEN
;
Yanan HAN
;
Chen XU
;
Min LI
Author Information
1. 400038 重庆,陆军军医大学(第三军医大学):医学心理系军事心理学教研室
- Keywords:
mindfulness;
extinction and reconsolidation intervention;
post-traumatic stress symptoms;
rehabilitation after traumatic injury
- From:
Journal of Army Medical University
2024;46(4):396-402,封3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the impact of trauma interventions using mindfulness based extinction and reconsolidation(TIMBER)on post-traumatic stress symptoms in rehabilitation patients with limb dysfunction after accidental trauma.Methods Convenient sampling was used to select 46 rehabilitation patients with limb dysfunction after accidental trauma(impact of event scale-revised,IES-R total score ≥33)admitted to Department of Rehabilitation Medicine of the First Affiliated Hospital from March 2022 to May 2023.They were randomly divided into an intervention group(TIMBER intervention)and a control group(health education of knowledge about mental health).IES-R,Hospital Anxiety and Depression Scale(HADS),and Self-Rating Scale of Sleep(SRSS)were employed to survey the participants before(T1),at the end of(T2),and 1 month after intervention(T3).The changes in post-traumatic stress symptoms,anxiety symptoms,depression symptoms,and sleep were compared between the 2 groups of patients.Results There were no statistically differences in demographic information and various psychological variables between the 2 groups at T1(P＞0.05).The intervention group got their total and various dimensional scores of IES-R,and scores of anxiety,depression,and sleep at T2 and T3 significantly decreased when compared with these scores at T1(P＜0.01),and all the scores at T2 and T3 were obviously lower in the intervention group than the control group(P＜0.05).Compared with T1,the avoidance and intrusion scores and total IES-R score were declined in the control group at T2 and T3,with statistical significance(P＜0.05),while no such differences were observed in the scores of high alertness,anxiety,depression,and sleep(P＞0.05).Conclusion TIMBER significantly improves the post-traumatic stress symptoms,anxiety symptoms,depression symptoms,and sleep in rehabilitation patients with limb dysfunction after accidental trauma.
