运动干扰疗法对创伤记忆相关压力的影响:随机、双盲、对照可行性试验

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
Alonso Morales-Rivero, Daniel Crail-Meléndez, Lorena Reyes-Santos, Erik Bisanz, Jeffrey Bisanz, Angel Ruiz-Chow, Monica Maritza Chavarria-Medina
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引用次数: 0

摘要

导言 创伤记忆(TM)是包括创伤后应激障碍(PTSD)在内的应激相关障碍的核心特征。治疗通常比较困难,而且缺乏特定的药物干预措施。我们提出了一种名为运动干扰疗法(MIT)的新型非药物干预方法,作为治疗这些症状的一种有前途的替代方法。 目的 确定 MIT 的可行性,MIT 是一种简短的、通过音频传递的非药物干预方法,利用认知和运动任务来治疗 TM。 方法 我们设计了一项随机双盲试验。来自门诊诊所的 28 名参与者至少接受过一次 TM 治疗,他们将接受 MIT 或渐进式肌肉放松(PMR)治疗。在干预前、干预后 1 周和 1 个月分别采用西班牙文版创伤后应激障碍症状严重程度量表(EGS)、TM 视觉模拟量表(TM-VAS)和生活质量量表(EQ-VAS)。 结果 从基线到测试后,两组参与者在所有测量指标上的平均得分都有所提高。麻省理工学院的参与者在 1 周和 1 个月后的正面得分明显更高(TM-VAS 基线:9.8 ± 0.4;即时:6.0 ± 2.0;即时:6.0 ± 2.0):6.0±2.0;1 周:3.8 ± 3.1 [d = 1.57];1 个月为 2.9 ± 2.8 [d = 1.93])在 TM 导致的痛苦、创伤再体验、焦虑和创伤后应激障碍的综合测量方面的得分均高于 PMR 参与者。 结论 MIT 是治疗 TM 和其他压力相关症状的一种简单、有效、易用的工具。它所需的资源相对较少,可适用于多种情况。研究结果为今后开展更大规模的队列研究和对照研究提供了原则性支持,以提高临床疗效和简短干预研究。 试验注册 ClinicalTrials.gov Identifier:NCT03627078
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Effect of Motor Interference Therapy on Distress Related to Traumatic Memories: A Randomized, Double-Blind, Controlled Feasibility Trial

Effect of Motor Interference Therapy on Distress Related to Traumatic Memories: A Randomized, Double-Blind, Controlled Feasibility Trial

Introduction

Traumatic memories (TM) are a core feature of stress-related disorders, including posttraumatic stress disorder (PTSD). Treatment is often difficult, and specific pharmacological interventions are lacking. We present a novel non-pharmacological intervention called motor interference therapy (MIT) as a promising alternative for these symptoms.

Aims

To determine the feasibility of MIT, a brief, audio-delivered, and non-pharmacological intervention that uses cognitive and motor tasks to treat TM.

Methods

We designed a randomized, double-blind trial. Twenty-eight participants from an outpatient clinic with at least one TM were included to receive either MIT or progressive muscle relaxation (PMR). Spanish versions of the PTSD symptom severity scale (EGS), visual analog scale for TM (TM–VAS), and quality of life (EQ–VAS) were applied prior to intervention, 1 week, and 1 month following intervention.

Results

Mean scores on all measures improved from baseline to posttest for both groups. MIT participants showed significantly more positive scores at 1 week and 1 month (TM–VAS baseline: 9.8 ± 0.4; immediate: 6.0 ± 2.0; 1 week: 3.8 ± 3.1 [d = 1.57]; 1 month 2.9 ± 2.8 [d = 1.93]) than PMR participants on measures of distress due to TM, trauma re-experiencing, anxiety, and a composite measure of PTSD.

Conclusion

MIT is a simple, effective, and easy-to-use tool for treating TM and other stress-related symptoms. It requires relatively few resources and could be adapted to many contexts. The results provide proof-of-principle support for conducting future research with larger cohorts and controls to improve clinical effectiveness and research on brief interventions.

Trial Registration

ClinicalTrials.gov Identifier: NCT03627078

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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