对创伤后应激障碍的以身体和运动为导向的干预措施:更新的系统审查和元分析
Minke M van de Kamp1, Mia Scheffers2, Claudia Emck1
1Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, the Netherlands.
Journal of traumatic stress
|September 13, 2023
概括
面向身体和运动的干预措施 (BMOI) 在减少创伤后应激障碍 (PTSD) 症状和改善抑郁和睡眠等二次结果方面表现出有效性. 然而,需要更多高质量的研究来证实这些发现.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 创伤研究 创伤研究
背景情况:
- 创伤后应激障碍 (PTSD) 对成年人产生重大影响,需要有效的治疗干预.
- 面向身体和运动的干预 (BMOI) 提供了一种独特的方法来解决PTSD症状.
- 之前的元分析表明BMOI的潜在益处,促使进行了更新的审查.
研究的目的:
- 对于患有PTSD的成年人来说,对BMOI的有效性进行更新的元分析.
- 评估BMOI对PTSD症状和二次结果的影响:抑郁症状,睡眠障碍和整体感知意识.
- 评估现有研究BMOI治疗PTSD的质量.
主要方法:
- 在四个数据库中使用BMOI和PTSD的关键词进行了系统的文献搜索.
- 如果这些研究包含了患有PTSD的成年参与者,BMOI作为治疗方法,比较设计和标准化的PTSD结果措施,则将这些研究纳入.
- 总共有29项研究被纳入了这一更新的元分析,自2019年审查以来,包含了14项新研究.
主要成果:
- 对29项研究的元分析表明,BMOI在降低PTSD症状方面具有显著的效果大小 (Hedges' g = 0.50),尽管具有很高的异质性 (I2 = 89%).
- 二级结局结果显示了积极的影响:对抑郁症状的Hedges'g = 0.37,对睡眠质量的Hedges'g = 0.62.
- 间接感知意识显示出非显著的效果大小 (Hedges' g = -0.10).
- 在大多数研究中,偏差风险分析揭示了大多数研究中的担忧,只有一个研究具有较低的偏差风险.
结论:
- 对于患有PTSD的人来说,BMOI显示出作为一种有价值的治疗选择的希望.
- 目前对PTSD中BMOI的证据基础受到缺乏高质量的研究的限制.
- 未来的研究应该优先考虑严格的研究设计,适当的控制条件和长期后续评估.
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