The therapeutic potential of exercise in post-traumatic stress disorder and its underlying mechanisms: A living systematic review of human and non-human studies
Wellcome Open Research,
Год журнала:
2025,
Номер
9, С. 720 - 720
Опубликована: Апрель 7, 2025
Background
Exercise
for
post-traumatic
stress
disorder
(PTSD)
is
a
potentially
effective
adjunct
to
psychotherapy.
However,
the
biopsychosocial
mechanisms
of
exercise
are
not
well
understood.
This
co-produced
living
systematic
review
synthesizes
evidence
from
human
and
non-human
studies.
Methods
We
Included
controlled
studies
involving
searches
multiple
electronic
databases
(until
31.10.23).
Records
were
screened,
extracted,
assessed
risk
bias,
reconciled
by
two
independent
reviewers.
The
primary
outcome
was
PTSD
symptom
severity,
while
outcomes
interest
included
freezing
behaviour,
fear
memory,
generalization,
startle
response,
locomotion.
Data
synthesised
with
random-effects
meta-analysis.
Results
Eleven
met
eligibility
criteria.
Overall,
associated
severity
improvement
compared
control
(standardized
mean
difference
[SMD]
-0.08,
95%
confidence
interval
[CI]
-0.24
0.07;
8
studies,
one
at
low
bias).
High-intensity
reduced
symptoms
scores
more
than
moderate-intensity
exercise.
There
insufficient
data
examine
effects
on
functional
impairment,
clusters,
remission.
Only
three
all
high
examined
inconclusive
results.
in
behavioural
outcomes,
including
locomotor
activity
(SMD
1.30,
CI
0.74
1.87,
14
studies),
changes
several
neurobiological
markers,
increase
brain-derived
neurotrophic
factor
1.79,
0.56
3.01).
Conclusions
While
provide
compelling
beneficial
exercise,
trials
do
not.
Evidence
suggest
that
might
levels
factor,
enhance
cognitive
appraisal,
improve
perceived
exertion.
paucity
effectiveness
action
underscore
need
rigorous
trials.
Registration
protocol
registered
PROSPERO
(ID:453615;
22.08.2023).
Язык: Английский