在创伤后应激障碍的集中创伤集中治疗中增加体育活动:随机对照试验的结果
Eline M Voorendonk1,2, Sarita A Sanches3,4, Marieke S Tollenaar5
1Research Department, PSYTREC, Bilthoven, Netherlands.
Frontiers in psychology
|August 7, 2023
概括
与非身体活动相比,将体育活动添加到集中创伤集中治疗 (TFT) 中并没有显著改善创伤后应激障碍 (PTSD) 的结果. 两组都显示PTSD症状和诊断标准的显著减少.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 创伤后应激障碍 (PTSD) 是一种使人虚弱的疾病,需要有效的治疗.
- 集中创伤集中治疗 (TFT) 已经显示出对PTSD的承诺.
- 身体活动作为PTSD的TFT辅助的作用需要进一步调查.
研究的目的:
- 为了评估添加体力活动 (PA) 强化TFT对PTSD的有效性.
- 为了比较PA加TFT与非物理活动 (nPA)加TFT.
- 评估PTSD症状严重程度和诊断状态的变化.
主要方法:
- 一项随机对照试验,涉及119名患有PTSD的患者.
- 参与者被分配到PA或nPA条件中,两者都被整合到为期8天的密集TFT计划中.
- 主要结局包括临床医生和自我报告的PTSD症状变化,测量了治疗前,治疗后和6个月的随访.
主要成果:
- 在PA和nPA组之间没有发现PTSD症状减少的显著差异.
- 这两种情况都显示了PTSD严重程度的显著下降,影响大小很大.
- 在治疗后的两组中都观察到高水平的PTSD (80-83%) 和复杂PTSD (92-95%) 的缓解率.
结论:
- 强化TFT对于治疗PTSD和复杂PTSD是非常有效的,无论它是否与身体或非身体活动相补充.
- 添加体育活动似乎并没有提高强化TFT治疗PTSD的有效性.
- 这两个治疗臂都导致了显著的临床改善和诊断状态的丧失.
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