Effect of TIMBER on post-traumatic stress symptoms in rehabilitation patients with limb dysfunction after accidental trauma

Yang LIU; Ying HUANG; Han CHEN; Yanan HAN; Chen XU; Min LI

doi:10.16016/j.2097-0927.202306055

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Effect of TIMBER on post-traumatic stress symptoms in rehabilitation patients with limb dysfunction after accidental trauma

Medical Psychology | 更新时间：2026-01-09

- Effect of TIMBER on post-traumatic stress symptoms in rehabilitation patients with limb dysfunction after accidental trauma
- Journal of Army Medical University Vol. 46, Issue 4, Pages: 396-封3(2024)
- 作者机构：
  
  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
  2.400038 重庆，陆军军医大学(第三军医大学)第一附属医院康复医学科
- 作者简介：
- 基金信息：
  
  the College Student Cultivation Project of Army Medical University(2022XBK22);the Military Research Project of Army Medical University(2021XJS11)
- DOI：10.16016/j.2097-0927.202306055
  CLC： R395.2;R641;R749.2
- Received：19 June 2023，
  
  Revised：2023-08-07，
  
  Published：28 February 2024
- 稿件说明：
移动端阅览
Yang LIU, Ying HUANG, Han CHEN, et al. Effect of TIMBER on post-traumatic stress symptoms in rehabilitation patients with limb dysfunction after accidental trauma[J]. Journal of Army Medical University, 2024, 46(4): 396-封3.
DOI：

Yang LIU, Ying HUANG, Han CHEN, et al. Effect of TIMBER on post-traumatic stress symptoms in rehabilitation patients with limb dysfunction after accidental trauma[J]. Journal of Army Medical University, 2024, 46(4): 396-封3. DOI： 10.16016/j.2097-0927.202306055.

摘要

目的

探讨基于正念的消退和再巩固创伤干预(trauma interventions using mindfulness based extinction and reconsolidation

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。

方法

采用方便取样的方法

选取2022年3月至2023年5月陆军军医大学第一附属医院康复医学科收治的创伤康复期患者(impact of event scale-revised

IES-R总分≥33分)46例

采用随机数字表法分为干预组和对照组

干预组接受TIMBER干预

对照组进行心理健康相关知识宣教。在干预前(T1)、干预结束时(T2)和干预结束后1个月(T3)使用事件影响量表修订版(IES-R)、医院焦虑抑郁量表(HADS)、睡眠状况自评量表(SRSS)对所有被试进行测量

比较两组患者创伤后应激症状、焦虑症状、抑郁症状和睡眠的变化。

结果

两组患者人口统计学信息及各心理学变量在T1时差异均无统计学意义(

0.05);干预组在T2和T3时的IES-R总分及各维度评分、焦虑、抑郁和睡眠评分显著低于对照组(

0.05);干预组在T2和T3时的IES-R总分及各维度评分、焦虑、抑郁和睡眠评分显著低于T1(

0.01);与T1相比

对照组T2、T3时的回避、闯入2个维度评分及IES-R总分有一定程度降低

差异有统计学意义(

0.05)

而高警觉、焦虑、抑郁和睡眠评分差异无统计学意义(

0.05)。

结论

TIMBER可以显著改善意外创伤肢体功能障碍康复期患者的创伤后应激症状、焦虑抑郁症状及睡眠。

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(

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(

0.01)

and all the scores at T2 and T3 were obviously lower in the intervention group than the control group (

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 (

0.05)

while no such differences were observed in the scores of high alertness

anxiety

depression

and sleep (

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.

关键词

Keywords

references

TANG E H M, BEDFORD L E, YU E Y T, et al . Unintentional injury burden in HongKong: results from a representative population-based survey[J ] . Int J Environ Res Public Health, 2021, 18(16): 8826. DOI: 10.3390/ijerph18168826.

POZZATO I, CRAIG A, GOPINATH B, et al . Biomarkers of autonomic regulation for predicting psychological distress and functional recovery following road traffic injuries: protocol for a prospective cohort study[J ] . BMJ Open, 2019, 9(4): e024391. DOI: 10.1136/bmjopen-2018-024391.

AL JOWF G I, AHMED Z T, REIJNDERS R A, et al . To predict, prevent, and manage post-traumatic stress disorder (PTSD): a review of pathophysiology, treatment, and biomarkers[J ] . Int J Mol Sci, 2023, 24(6): 5238. DOI: 10.3390/ijms24065238.

MORALES-RIVERO A, REYES-SANTOS L, BISANZ E, et al . The effect of motor interference therapy in traumatic memories: a pilot study[J ] . Brain Behav, 2021, 11(2): e01984. DOI: 10.1002/brb3.1984.

FERRARA N C, KWAPIS J L, TRASK S. Memory retrieval, reconsolidation, and extinction: exploring the boundary conditions of post-conditioning cue exposure[J]. Front Synaptic Neurosci, 2023, 15: 1146665. DOI: 10.3389/fnsyn.2023.1146665.

PARKS C M, MOHAWK K D, WERNER L L S, et al . The time window of reconsolidation: a replication[J ] . Psychon Bull Rev, 2022, 29(5): 2008-2013. DOI: 10.3758/s13423-022-02102-3.

SCHROYENS N, BECKERS T, LUYTEN L. Appraising reconsolidation theory and its empirical validation[J]. Psychon Bull Rev, 2023, 30(2): 450-463. DOI: 10.3758/s13423-022-02173-2.

TANG V, TROUGHT K, GICAS K, et al . Targeting the reconsolidation of traumatic memories with electroconvulsive therapy for the treatment of posttraumatic stress disorder[J ] . Biol Psychiatry, 2021, 89(9): S196.DOI: 10.1016/j.biopsych.2021.02.496.

POWERS M B, SMITS J A J, TELCH M J. Disentangling the effects of safety-behavior utilization and safety-behavior availability during exposure-based treatment: a placebo-controlled trial[J]. J Consult Clin Psychol, 2004, 72(3): 448-454. DOI: 10.1037/0022-006x.72.3.448.

SCHILLER D, CAIN C K, CURLEY N G, et al . Evidence for recovery of fear following immediate extinction in rats and humans[J ] . Learn Mem, 2008, 15(6): 394-402. DOI: 10.1101/lm.909208.

PRADHAN B. TIMBER psychotherapy[M]. Switzerland: Springer Nature Switzerland AG, 2019.

PRADHAN B, MITREV L, MOADDELL R, et al . D-Serine is a potential biomarker for clinical response in treatment of post-traumatic stress disorder using (R, S)-ketamine infusion and TIMBER psychotherapy: a pilot study[J ] . Biochim Biophys Acta BBA Proteins Proteom, 2018, 1866(7): 831-839. DOI: 10.1016/j.bbapap.2018.03.006.

WENDLANDT B, CEPPE A, COX C E, et al . The association between patient health status and surrogate decision maker post-traumatic stress disorder symptoms in chronic critical illness[J ] . Ann Am Thorac Soc, 2021, 18(11): 1868-1875. DOI: 10.1513/AnnalsATS.202010-1300OC.

黄国平, 张亚林, 向慧, 等. 事件影响量表-修订版(IES-R)在女性犯人中的信度、效度分析[J]. 中国心理卫生杂志, 2006, 20(1): 28-31. DOI: 10.3321/j.issn:1000-6729.2006.01.008.

HUANG G P, ZHANG Y L, XIANG H, et al . The Chinese version of the impact of event scale-revised: reliability and validity[J ] . Chin Ment Health J, 2006, 20(1): 28-31. DO I: 10.3321/j.issn:1000-6729.2006.01.008.

戴晓阳. 常用心理评估量表手册[M]. 北京: 人民军医出版社, 2015.

DAI X Y. Handbook of commonly used psychological assessment scales[M]. Beijing: People's Military Medical Press, 2015.

李建明. 睡眠状况自评量表(SRSS)简介[J]. 中国健康心理学杂志, 2012, 20(12): 1851.

LI J M. Seff-rating scale of sleep(SRSS)[J]. China J Health Psychol, 2012, 20(12): 1851.

VAN DER VLEGEL M, POLINDER S, TOET H, et al . Anxiety, depression and post-traumatic stress symptoms among injury patients and the association with outcome after injury[J ] . Eur J Psychotraumatol, 2022, 13(1): 2023422. DOI: 10.1080/20008198.2021.2023422.

O'DONNELL M L, CREAMER M, ELLIOTT P, et al . Determinants of quality of life and role-related disability after injury: impact of acute psychological responses[J ] . J Trauma, 2005, 59(6): 1328-1334;discussion 1334-1335. DOI: 10.1097/01.ta.0000197621.94561.4e.

李建荣, 陈志民, 香兴芬. 心理护理联合康复锻炼对骨科患者术后康复的效果分析[J]. 心理月刊, 2022, 17(15): 169-171. DOI: 10.19738/j.cnki.psy.2022.15.055.

LI J R, CHEN Z M, XIANG X F. Analysis of the effect of psychological nursing combined with rehabilitation exercise on postoperative rehabilitation of orthopedic patients[J]. Psychol Mag, 2022, 17 (15): 169-171. DOI: 10.19738/j.cnki.psy.2022.15.055.

PRADHAN B, GRAY R, PARIKH T, et al . Trauma interventions using mindfulness based extinction and reconsolidation (TIMBER Ⓒ ) as monotherapy for chronic PTSD: a pilot study[J ] . Adolesc Psychiatry, 2015, 5(2): 125-131. DOI: 10.2174/221067660502150430155038..

KANSTRUP M, SINGH L, GÖRANSSON K E, et al . Reducing intrusive memories after trauma via a brief cognitive task intervention in the hospital emergency department: an exploratory pilot randomised controlled trial[J ] . Transl Psychiatry, 2021, 11(1): 30. DOI: 10.1038/s41398-020-01124-6..

BOYD J E, LANIUS R A, MCKINNON M C. Mindfulness-based treatments for posttraumatic stress disorder: a review of the treatment literature and neurobiological evidence[J]. J Psychiatry Neurosci, 2018, 43(1): 7-25. DOI: 10.1503/jpn.170021.

刘强, 秦燕. 正念减压训练对交通事故幸存者创伤后应激障碍的干预效果[J]. 第三军医大学学报, 2021, 43(7): 663-669. DOI: 10.16016/j.1000-5404.202009241.

LIU Q, QIN Y. Intervention effects of mindfulness-based stress reduction training on post-traumatic stress disorder in traffic accident survivors[J]. J Third Mil Med Univ, 2021, 43(7): 663-669. DOI: 10.16016/j.1000-5404.202009241.

MOHAMMED W A, PAPPOUS A, SHARMA D. Effect of mindfulness based stress reduction (MBSR) in increasing pain tolerance and improving the mental health of injured athletes[J]. Front Psychol, 2018, 9: 722. DOI: 10.3389/fpsyg.2018.00722.

MARCHAND W R. Neural mechanisms of mindfulness and meditation: evidence from neuroimaging studies[J]. World J Radiol, 2014, 6(7): 471-479. DOI: 10.4329/wjr.v6.i7.471.

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