Rehabilitation Model for Post-Disaster Post-Traumatic Stress Syndrome: Relaxation-Based Supervised Exercise.

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Disaster Medicine and Public Health Preparedness Pub Date : 2025-05-30 DOI:10.1017/dmp.2025.118

Sabiha Sancaktar, Gizem Ergezen Sahin

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引用次数: 0

Abstract

Objectives: This study aimed to evaluate the effects of relaxation-based exercises on individuals experiencing post-earthquake stress-related symptoms in an earthquake-prone region.

Methods: This randomized, waitlist-controlled, parallel group study included 46 participants with moderate post-traumatic stress levels (Posttraumatic Stress Diagnostic Scale, PDS) and anxiety for over 1 month (Beck Anxiety Inventory, BAI score > 8). Participants were randomly assigned to a relaxation-based exercise group (REG, n = 24) or a waitlist control group (CG, n = 25). The REG received relaxation-based structured, supervised exercises for 4 weeks, while the CG awaited treatment. Assessments included the PDS, BAI, Beck Depression Inventory, Perceived Stress Scale-10, Pittsburgh Sleep Quality Index, and SF-12 Quality of Life Scale at baseline and 4 weeks post-intervention.

Results: Within-group analysis showed significant improvements in anxiety (P = 0.001), depression (P = 0.001), perceived stress (P = 0.001), and sleep quality (P = 0.001) for the REG. The CG showed decreased depression symptoms (P = 0.011) and improved sleep quality (P = 0.012). There were no significant group differences in quality-of-life outcomes (P > 0.05), though REG showed greater improvement in depression and perceived stress scores (P < 0.05).

Conclusions: Relaxation-based exercises can improve sleep quality in individuals experiencing post-earthquake stress, and reduce depression, anxiety, and perceived stress. This approach can be used as a novel rehabilitation model in preventive mental health for the community.

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灾后创伤后应激综合征的康复模型：基于放松的监督运动。

目的：本研究旨在评估基于放松的锻炼对地震易发地区经历震后压力相关症状的个体的影响。方法：本研究采用随机、候补对照、平行组研究，纳入46例中度创伤后应激水平（创伤后应激诊断量表，PDS）和焦虑超过1个月（贝克焦虑量表，BAI评分bb80）的受试者。参与者被随机分配到以放松为基础的运动组（REG, n = 24）或候补对照组（CG, n = 25）。REG组接受为期4周的有组织的放松训练，而CG组则等待治疗。评估包括基线和干预后4周的PDS、BAI、Beck抑郁量表、感知压力量表-10、匹兹堡睡眠质量指数和SF-12生活质量量表。结果：组内分析显示REG在焦虑（P = 0.001）、抑郁（P = 0.001）、感知压力（P = 0.001）和睡眠质量（P = 0.001）方面有显著改善。实验组抑郁症状减轻（P = 0.011），睡眠质量改善（P = 0.012）。组间生活质量无显著差异（P < 0.05），但REG组在抑郁和感知压力评分方面有较大改善（P < 0.05）。结论：基于放松的锻炼可以改善震后应激个体的睡眠质量，减少抑郁、焦虑和感知压力。该方法可作为社区预防性心理健康的一种新型康复模式。

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来源期刊

Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

7.40%

发文量

258

审稿时长

6-12 weeks

期刊介绍： Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.