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女性退伍军人创伤后应激障碍的运动疗法:一项概念验证研究。

Exercise for PTSD in Women Veterans: A Proof-of-Concept Study.

作者信息

Shivakumar Geetha, Anderson Elizabeth H, Surís Alina M, North Carol S

机构信息

Mental Health, VA North Texas Health Care System, Dallas, TX 75216.

Department of Psychiatry, UT Southwestern Medical Center, Dallas, TX 75390-9070.

出版信息

Mil Med. 2017 Nov;182(11):e1809-e1814. doi: 10.7205/MILMED-D-16-00440.

Abstract

INTRODUCTION

The safety, feasibility, and efficacy of a 12-week structured exercise program targeting post-traumatic stress disorder (PTSD) in women Veterans of childbearing age was tested in a pilot study.

MATERIALS AND METHODS

Thirty-one women Veterans of childbearing age were enrolled in the study, 22 remained eligible after the baseline assessment, and 16 completed the exercise protocol. The exercise program consisted of moderate intensity aerobic exercise (brisk walking), 4 times a week, for 12 weeks. Data were collected on duration, intensity, and side effects. The Clinician Administered PTSD Scale was administered at baseline and at the end of 12 weeks. Weekly assessments provided data on PTSD and depression symptoms, pain, and quality of life.

RESULTS

Both post-traumatic and depressive symptoms improved significantly by the end of study. There were no adverse events related to exercise. A small focus group provided subjective experiences supporting positive effects of exercise on emotion and physical health.

CONCLUSION

The preliminary results of this study suggests that 12 weeks of moderate intensity aerobic exercise may be a promising intervention for PTSD in women Veterans of childbearing potential. Further controlled studies are warranted to determine efficacy of moderate intensity exercise as a treatment modality for this population.

摘要

引言

在一项试点研究中,对一项针对育龄期女性退伍军人创伤后应激障碍(PTSD)的为期12周的结构化运动计划的安全性、可行性和有效性进行了测试。

材料与方法

31名育龄期女性退伍军人参与了该研究,22人在基线评估后仍符合条件,16人完成了运动方案。运动计划包括每周4次、为期12周的中等强度有氧运动(快走)。收集了关于运动持续时间、强度和副作用的数据。在基线和12周结束时使用临床医生管理的PTSD量表进行评估。每周评估提供有关PTSD和抑郁症状、疼痛及生活质量的数据。

结果

到研究结束时,创伤后症状和抑郁症状均有显著改善。没有与运动相关的不良事件。一个小型焦点小组提供了主观体验,支持运动对情绪和身体健康的积极影响。

结论

本研究的初步结果表明,12周的中等强度有氧运动可能是对有生育潜力的女性退伍军人PTSD的一种有前景的干预措施。有必要进行进一步的对照研究,以确定中等强度运动作为该人群治疗方式的有效性。

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