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高强度运动治疗创伤后应激障碍和抑郁症:对持久自由行动和伊拉克自由行动退伍军人进行海洋疗法的可行性研究。

High-intensity sports for posttraumatic stress disorder and depression: feasibility study of ocean therapy with veterans of Operation Enduring Freedom and Operation Iraqi Freedom.

作者信息

Rogers Carly M, Mallinson Trudy, Peppers Dominique

机构信息

Carly M. Rogers, OTD, OTR/L, is Director of Programs, Jimmy Miller Memorial Foundation, Manhattan Beach, CA. At the time of the study, she was OTD Candidate, Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, and Occupational Therapist, Physical Medicine and Rehabilitation Services, VA Greater Los Angeles Healthcare System, Los Angeles, CA.

Trudy Mallinson, PhD, OTR/L, FAOTA, NZROT, is Visiting Associate Professor, School of Medicine and Health Sciences, The George Washington University, Washington, DC. At the time of the study, she was Assistant Professor, Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.

出版信息

Am J Occup Ther. 2014 Jul-Aug;68(4):395-404. doi: 10.5014/ajot.2014.011221.

DOI:10.5014/ajot.2014.011221
PMID:25005502
Abstract

In this study, we conducted a pretest-posttest investigation of a sports-oriented occupational therapy intervention using surfing in an experiential, skills-based program to support veterans with symptoms of posttraumatic stress disorder (PTSD) in their transition to civilian life. The purpose of this feasibility study was to evaluate the intervention for attendance rates and retention in the program provided in 5 sessions over 5 wk. Fourteen veterans from a specialty postdeployment clinic at a Veterans Affairs hospital were enrolled; 11 completed the study, and 10 attended ≥3 sessions. Participants reported clinically meaningful improvement in PTSD symptom severity (PTSD Checklist-Military Version, Wilcoxon signed rank Z = 2.5, p = .01) and in depressive symptoms (Major Depression Inventory, Wilcoxon signed rank Z = 2.05, p = .04). The results of this small, uncontrolled study suggest that a sports-oriented occupational therapy intervention has potential as a feasible adjunct intervention for veterans seeking mental health treatment for symptoms of PTSD.

摘要

在本研究中,我们对一项以运动为导向的职业治疗干预措施进行了前后测调查。该干预措施是在一个基于体验和技能的项目中运用冲浪,以帮助患有创伤后应激障碍(PTSD)症状的退伍军人向平民生活过渡。这项可行性研究的目的是评估该干预措施在为期5周的5次课程中所提供项目的出勤率和留存率。从一家退伍军人事务医院的专科部署后诊所招募了14名退伍军人;11人完成了研究,其中10人参加了≥3次课程。参与者报告称,PTSD症状严重程度(PTSD检查表 - 军事版,Wilcoxon符号秩和检验Z = 2.5,p = 0.01)和抑郁症状(重度抑郁量表,Wilcoxon符号秩和检验Z = 2.05,p = 0.04)有了具有临床意义的改善。这项小型的非对照研究结果表明,以运动为导向的职业治疗干预措施有可能作为一种可行的辅助干预措施,用于为有PTSD症状寻求心理健康治疗的退伍军人。

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