Mechanisms through which exercise reduces symptom severity and/or functional impairment in posttraumatic stress disorder (PTSD): Protocol for a living systematic review of human and non-human studies

Wellcome Open Research, Год журнала: 2025, Номер 8, С. 494 - 494

Опубликована: Апрель 14, 2025

Background Exercise can play an important role in reducing symptom severity and improving functional impairment patients with posttraumatic stress disorder (PTSD). However, the precise mechanisms underpinning effect of exercise PTSD management are not fully understood. This living systematic review aims to synthesize triangulate evidence from non-human human studies gain insight into biopsychosocial through which reduces impairment. Methods Independent searches will be conducted electronic databases identify eligible studies. Two reviewers independently conduct study selection, data extraction, risk bias assessment. We extract outcome variables that act as modifiers or mediators exercise. For studies, include equivalents clusters. primary severity. The secondary outcomes avoidance severity, reexperiencing hyperarousal negative cognitions mood impairment, loss diagnosis, dropout rates. To explain affects interest, we effects relate impact on potential mediating later outcomes. Comparison within-study direct indirect obtained mediation analysis, when reported, provide importance examined mediator. If appropriate, results using meta-analyses. examine total understand better symptoms function (when possible). about association between PTSD-related considered a consensus meeting sufficient is available. Protocol registration PROSPERO-ID: 453615

Язык: Английский

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Functional Limitations Among Responders to the World Trade Center Attacks 14 Years After the Disaster: Implications of Chronic Posttraumatic Stress Disorder

Journal of Traumatic Stress, Год журнала: 2017, Номер 30(5), С. 443 - 452

Опубликована: Окт. 1, 2017

Abstract Posttraumatic stress disorder (PTSD) is associated with self‐reported difficulties navigating the social and physical world may also be risk of functional limitations. The Short Physical Performance Battery (SPPB), an objective assessment, was administered during monitoring exams between January December 2015 to a consecutive sample 1,268 rescue workers, volunteers, other responders who had aided in response, recovery, cleanup efforts at World Trade Center (WTC) New York after September 11, 2011 attacks. Data were linked diagnostic longitudinal data from WTC study. Multivariable analyses used examine predictors Prevalence estimates weighted general responder population revealed relatively high prevalence limitations, SPPB ≤ 9; 16.0%, 95% CI [13.7, 18.4]. Current PTSD twofold increased limitations controlling for predisposing factors, trauma severity, behavioral WTC‐related medical conditions, adjusted ratio (a RR ) = 2.11, [1.48, 3.01]. Exposure ergonomic factors impairments, 1.34 [1.05, 1.70]. Longitudinal results suggest that individuals current experienced baseline B 2.94, SE 1.33, increasing symptom 0.29, 0.10, since 2001. This study identified cross‐sectional relationship worsening symptoms persons eventually demonstrated Results highlight potential role chronic

Язык: Английский

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Trauma exposure, posttraumatic stress, and preventive health behaviours: a systematic review

Health Psychology Review, Год журнала: 2017, Номер 12(1), С. 75 - 109

Опубликована: Авг. 31, 2017

Psychological trauma has implications for many aspects of physical health, including preventive health behaviours (PHBs). However, whether exposure additionally contributes to PHBs above and beyond the effects posttraumatic stress disorder (PTSD) symptoms remains unclear. In this systematic review, 32 studies were analysed characterise: (1) relationships between PHBs, (2) PTSD (3) unique associations independent symptoms, (4) exposure. Findings variable across three examined (physical activity, diet, medical screening) when only or taken into account. Clearer emerged account, demonstrating that is related PHB engagement symptoms. Additionally, shared with activity screening frequency, which not explained by Our review reveals teasing apart on brings greater clarity strength direction these associations.

Язык: Английский

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Trauma-afflicted refugees’ experiences of participating in physical activity and exercise treatment: a qualitative study based on focus group discussions

European journal of psychotraumatology, Год журнала: 2019, Номер 10(1)

Опубликована: Дек. 6, 2019

Background: Refugees with prolonged and repeated experiences of trauma, often in combination post-migration living difficulties, are subjected to severe levels stress stress-related ill health, including post-traumatic disorder (PTSD). Physical activity (PA) is well-established as an effective reliever. However, the effect PA exercise has received scarce attention context PTSD, particularly field refugees' health. Objective: The objective this study was explore experience participation part treatment for trauma-afflicted refugees. Method: An explorative qualitative research design used. Six focus group discussions were conducted 33 female male participants that had group-based treatment. gathered data analysed by content analysis. Results: analysis resulted one over-arching theme reflecting overall a process building resilience. Participants experienced improvements both physical mental health domains. Increased self-awareness self-confidence seen additional important benefits, interruption daily stressors provided sense relief recovery. settings becoming vehicle overcoming social fear isolation, which also carried empowering strength-building impact over participants' family life relationships. Treatment characteristics highly supportive referred basis other positive perceived benefits. Conclusions: result outlines detailed account preferences exercise-based from broad range perspectives. These findings provide starting point future indicate particular need intervention development include real-life participating such treatments.Antecedentes: Los refugiados que presentar experiencias traumáticas prolongadas y repetidas, menudo en combinación con dificultades de vida post migratorias, están sometidos niveles severos estrés mala salud relacionada el estrés, incluido trastorno postraumático (TEPT). La actividad física (PA por sus siglas inglés) es una manera bien establecida efectiva aliviar estrés. Sin embargo, efecto la ejercicio ha recibido escasa atención contexto del TEPT, particularmente campo refugiados.Objetivo: objetivo este estudio fue explorar experiencia participación como parte tratamiento afectados trauma.Método: se utilizó un diseño investigación exploratoria cualitativa. Se condujeron discusiones 6 grupos focales participantes femeninos masculinos habían experimentado ejercicio. datos recolectados fueron analizados análisis contenido cualitativo.Resultados: resultaron temática general reflejaba global los proceso construcción resiliencia. experimentaron mejoría dominios tanto física. El incremento auto-conciencia confianza sí mismo vistos beneficios adicionales importantes, interrupción estresores diarios llevó sentimiento alivio recuperación. setting grupal vehículo para superar miedo aislamiento, lo impacto empoderamiento fortaleza familiar relaciones sociales participantes. Las características experimentadas alto nivel apoyo muchas ocasiones referida base otras positivas percibidos.Conclusiones: resultado destaca relato detallado las preferencias trauma tratamientos basados desde rango amplio perspectivas. Estos hallazgos proveen punto partida futura e indica necesidad desarrollo intervenciones incluir real participar tales tratamientos.背景: 长期, 反复遭受常与移民后生存困境联合发生创伤的难民, 经历着严重的应激及应激相关健康不良, 包括创伤后应激障碍 (PTSD) 。进行体育锻炼 是公认的有效缓解压力的方法。但是, 在创伤后应激障碍的背景下, 尤其是在难民的健康领域, 体育锻炼与运动的效果仍鲜为人知。目标: 本研究旨在探讨参与PA及运动作为对遭受创伤难民治疗的一部分的体验。方法: 使用了探索性定性研究设计。与33位有过团体PA与运动治疗经历的男女参与者进行了六次焦点小组讨论。通过定性内容分析对收集到的数据进行分析。结果: 分析得出的总体主题反映了参与者将PA与运动的整体体验作为培养心理韧性的过程。参与者在躯体和精神健康领域都得到了改善。增强的自我意识和自信心被视为额外的重要好处, 而日常应激源的中断提供了一种缓解和恢复感。治疗组的设定已成为克服社交恐惧感与隔离的工具, 这也给参与者的家庭生活和社会关系带来了赋权和建立力量的影响。体验者认为治疗的特点是具有高度支持性, 且常称其为其他积极体验和可感知健康益处的基础。结论: 本研究的结果概述了遭受创伤难民的详细经历, 也从广泛的视角表达了对PA与运动治疗的偏好。这些发现为该领域的未来研究提供了起点, 并为开发研究和干预措施指明了特定需求, 以涵盖参与此类治疗对现实生活的影响。.

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A Mental Health–Informed Physical Activity Intervention for First Responders and Their Partners Delivered Using Facebook: Mixed Methods Pilot Study

JMIR Formative Research, Год журнала: 2021, Номер 5(4), С. e23432 - e23432

Опубликована: Март 17, 2021

Background First responders (eg, police, firefighters, and paramedics) are at high risk of experiencing poor mental health. Physical activity interventions can help reduce symptoms improve health in this group. More research is needed to evaluate accessible, low-cost methods delivering programs. Social media may be a potential platform for group-based physical interventions. Objective This study aims examine the feasibility acceptability health–informed program first their self-nominated support partners. also assess applying novel multiple time series design explore impact intervention on symptoms, sleep quality, quality life, levels. Methods We co-designed 10-week web-based delivered via private Facebook provided education motivation around different topics weekly goal setting, overcoming barriers exercise, reducing sedentary behavior) participants with Fitbit. A was applied psychological distress levels, acting as own control before intervention. Results In total, 24 (12 12 nominated partners) were recruited, 21 (88%) completed postassessment questionnaires. High observed qualitative interviews. Exploratory analyses revealed significant reductions during Preintervention postintervention analysis showed improvements life (P=.001; Cohen d=0.60); total depression, anxiety, stress scores (P=.047; d=0.35); minutes walking (P=.04; d=0.55). Changes perceived social from family (P=.07; d=0.37), friends (P=.10; d=0.38), (P=.28; d=0.19) not significant. Conclusions The results provide preliminary use deliver Therefore, an adequately powered trial required. Trial Registration Australian New Zealand Clinical Trials Registry (ACTRN): 12618001267246; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12618001267246.

Язык: Английский

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Prophylactic relationship between mental health disorder symptoms and physical activity of Royal Canadian Mounted Police Cadets during the cadet training program

Frontiers in Psychology, Год журнала: 2023, Номер 14

Опубликована: Май 16, 2023

Royal Canadian Mounted Police report experiencing extremely frequent potentially psychologically traumatic events (PPTE). In a recent study, approximately half of participating RCMP screened positive for one or more mental disorders, which is five times the diagnostic proportion general population. Increased reporting health symptoms been linked to PPTE exposures. Programs promoting physical activity may be useful interventions supplement pair with interventions, providing anxiolytic, antidepressant, and stress-buffering effects. The current study was designed assess relationship between behaviors reported disorder cadets during (RCMP) Cadet Training Program (CTP). also examined exercise CTP.

Язык: Английский

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Physical activity, post-traumatic stress disorder, and exposure to torture among asylum seekers in Sweden: a cross-sectional study

BMC Psychiatry, Год журнала: 2021, Номер 21(1)

Опубликована: Сен. 16, 2021

Abstract Background Forced migrant populations have high rates of trauma-related ill health, including post-traumatic stress disorder (PTSD). Physical activity (PA) is well-established as an effective reliever, while insufficient PA associated with adverse effects on both mental and physical health. The aim this study was to examine the prevalence different levels its association PTSD symptom severity, controlled for exposure torture, among asylum seekers in Sweden. Methods A cross-sectional survey study, data from 455 seekers, originating Afghanistan, Eritrea, Iraq, Somalia, Syria, residing at large housing facilities across Level assessed by Exercise Vital Sign categorized as; Inactive, Insufficient PA, Sufficient PA. Prevalence estimates proportions were calculated. Analysis variance conducted determine between measured Harvard Trauma Questionnaire. Multivariable logistic regression analysis performed contribution beyond sex, age, torture. Results About half participants (53.3, 95% CI: 48.6–58.1) met recommendations One third (33.3, 28.7–37.8) insufficiently engaged 13.4% (95% 10.1–16.7) inactive. There a significant difference severity groups ( F (2, 316) = 23.15, p < .001). When controlling found be less compared B 0.297, SE 0.086, .001) Inactive 0.789, 0.104, Conclusions common our findings suggest that more highly lower severity. An increased focus assessment promotion justified discussed particularly pertinent considering much extended time asylum-seeking processes. results support previous evidence potentially important factor context forced migrants’

Язык: Английский

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Physical activity, posttraumatic stress, and gender: A longitudinal study of post-9/11 veterans

Journal of Health Psychology, Год журнала: 2024, Номер 29(13), С. 1576 - 1589

Опубликована: Фев. 23, 2024

Given the importance of physical activity (PA) for both and mental health, present study characterizes post-9/11 veterans' leisure-time PA engagement over time. Further, this examines relationship between posttraumatic stress symptoms (PTSS), as well whether relation differs by gender time since military discharge. This was a secondary analysis 12-month longitudinal observational investigation 410 (39.5% female) veterans. Participants completed self-report questionnaires at baseline 12 months. Over third veterans were not engaging in any weekly significantly decreased subsequent year. The PTSS depended on These results underscore considering discharge when tailoring interventions to support key health habit

Язык: Английский

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Mental health informed physical activity for first responders and their support partner: a protocol for a stepped-wedge evaluation of an online, codesigned intervention

BMJ Open, Год журнала: 2019, Номер 9(9), С. e030668 - e030668

Опубликована: Сен. 1, 2019

First responders (police, fire and ambulance officers) are at a significantly increased risk of experiencing poor mental health, including depression post-traumatic stress disorder. These conditions associated with high rates cardiovascular disease, in part due to low levels physical activity (PA) sedentary behaviour. Using person's social support system may be an effective solution help increase PA improve health outcomes. We will examine the efficacy group-based online intervention increasing first their partners, iteratively codesigned advisors lived experience illness among responders.This study recruit convenience sample self-identified self-selected partners 10-week programme delivered through private Facebook group. deliver education on predetermined topics related diet provide participants tracker (Fitbit). A stepped-wedged design applied compare multiple baselines follow-up phases within subjects. Five cohorts n=20 recruited, each cohort randomised different baseline length. Our primary outcome psychological distress (Kessler-6). Secondary outcomes include feasibility, self-report objective data (Simple Physical Activity Questionnaire Fitbit accelerometry), anxiety (Depression Anxiety Stress Scale-21 items), disorder symptoms (PTSD Checklist for DSM-5), quality life Assessment Quality Life-6 dimensions, sleep (The Pittsburgh Sleep Index), suicidal ideation (Suicidal Ideation Attributes Scale) exercise. The mobile collection platform MetricWire used.Ethical approval was obtained from University New South Wales, Deupty Vice-Chancellor Research, Human Research Ethics Committee 3 June 2019, HC180561. Findings published peer-reviewed journals disseminated national conferences.ACTRN12619000877189.

Язык: Английский

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Cotinine: A Therapy for Memory Extinction in Post-traumatic Stress Disorder

Molecular Neurobiology, Год журнала: 2018, Номер 55(8), С. 6700 - 6711

Опубликована: Янв. 15, 2018

Язык: Английский

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