对于患有创伤后应激障碍的退伍军人来说,集体综合炼与恢复课程:一种随机临床试验
Thomas C Neylan1,2,3,4,5, Laura A Muratore6,7,8, Chanda L Williams6,8,9
1San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA. Thomas.Neylan@ucsf.edu.
BMC psychiatry
|February 28, 2025
概括
这项研究发现,无论是团体炼还是精神教育都没有显著改善创伤后应激障碍 (PTSD) 的退伍军人的生活质量. 这两种干预措施都适度地减少了PTSD症状严重程度.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 运动科学 运动科学
背景情况:
- 创伤后应激障碍 (PTSD) 显著影响退伍军人的生活质量.
- 没有随机试验比较运动干预与PTSD活跃对照.
- 现有的PTSD治疗方法的有效性和可访问性各不相同.
研究的目的:
- 评估组整合性炼 (IE) 与精神教育对照 (康复班,REC) 相比在改善PTSD退伍军人的生活质量和减少症状严重性的有效性.
- 调查治疗反应的潜在调节者,例如会话出席率.
主要方法:
- 一项随机临床试验,涉及84名退伍军人,他们被诊断患有当前PTSD或中度PTSD症状 (CAPS-5得分≥23).
- 参与者被随机分配到整合性炼 (IE) 或恢复类 (REC).
- IE将健身练习与正念的身体/呼吸意识相结合;REC提供了心理教育.
主要成果:
- 在两组中都没有观察到WHOQOL心理领域的显著前后差异.
- 两组IE和REC都显示了CAPS-5PTSD症状总得分的适度降低 (p < .001),两组之间没有显著差异.
- 在IE远程子样本中,更高的会议出席率与PTSD症状严重程度 (p = .036) 和心理生活质量 (p = .014) 的更大改善有关.
结论:
- 综合性炼和精神教育在减少退伍军人中PTSD症状严重程度方面表现出相似的适度有效性.
- 在这项试验中,这两种干预都没有显著改善心理生活质量.
- 进一步研究炼坚持和炼干预PTSD的具体组成部分的影响是有必要的.
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