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

刘洋; 黄英; 陈翰; 韩亚楠; 许辰; 李敏

doi:10.16016/j.2097-0927.202306055

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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

医学心理学 | 更新时间：2026-01-09

- 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
- Effect of TIMBER on post-traumatic stress symptoms in rehabilitation patients with limb dysfunction after accidental trauma
- 陆军军医大学学报 2024年46卷第4期页码：396-封3
- 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：
  
  [李敏，E-mail：limin52267@tmmu.edu.cnLI Min, E-mail: limin52267@tmmu.edu.cn
- 基金信息：
  
  陆军军医大学大学生培育项目(2022XBK22);陆军军医大学军事科研项目(2021XJS11)
- DOI：10.16016/j.2097-0927.202306055
  中图分类号： R395.2;R641;R749.2
- 收稿：2023-06-19，
  
  修回：2023-08-07，
  
  纸质出版：2024-02-28
- 稿件说明：
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刘洋, 黄英, 陈翰, 等. 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[J]. 陆军军医大学学报, 2024,46(4):396-封3.

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.
刘洋, 黄英, 陈翰, 等. 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[J]. 陆军军医大学学报, 2024,46(4):396-封3. DOI： 10.16016/j.2097-0927.202306055.

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

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