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RECONNECT 锻炼计划对新南威尔士州警察患有创伤后应激障碍或心理伤害的开放性试验。

An open trial of the RECONNECT exercise program for NSW Police Officers with posttraumatic stress disorder or psychological injury.

机构信息

School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.

Black Dog Institute, University of New South Wales, Sydney, NSW, Australia.

出版信息

Health Promot J Austr. 2022 Jan;33(1):28-33. doi: 10.1002/hpja.406. Epub 2020 Sep 18.

Abstract

OBJECTIVE

Posttraumatic stress disorder (PTSD) and psychological injuries are debilitating health problems facing police officers. There is increasing interest in the role of exercise as an intervention. We aimed to determine the preliminary effectiveness of the RECONNECT exercise program for NSW Police Officers experiencing PTSD or psychological injury.

METHODS

An open trial was conducted between 2016 and 2017 across three NSW sites. RECONNECT consisted of twice weekly, supervised exercise sessions for three months. Outcomes were assessed at baseline, week 6 and week 12 (intervention completion) and included PTSD symptoms, depression, anxiety and stress, insomnia severity and alcohol use. Data were analysed using linear mixed models.

RESULTS

In total, n = 60 Officers were consecutively referred to the program (35% female, mean age 42.0 ± 8.9 years). The majority had a clinical diagnosis of PTSD (n = 48, 80%). A clinically significant reduction in PTSD (Cohen's d = 0.96), depression (d = 0.71), anxiety (d = 0.55) and stress (d = 0.69) symptoms was found from baseline to week 12. Drop-out and lost to follow-up was high. Higher baseline PTSD severity was associated with an increased likelihood to complete postintervention assessment.

CONCLUSIONS

RECONNECT appears to be effective in reducing symptoms of PTSD. Exercise may be an effective component of PTSD treatment.

摘要

目的

创伤后应激障碍(PTSD)和心理伤害是警察面临的严重健康问题。越来越多的人关注运动作为干预手段的作用。我们旨在确定 RECONNECT 锻炼计划对经历 PTSD 或心理伤害的新南威尔士州警察的初步有效性。

方法

2016 年至 2017 年在新南威尔士州的三个地点进行了一项开放试验。RECONNECT 包括三个月内每周两次、由监督的锻炼课程。在基线、第 6 周和第 12 周(干预完成)评估结果,包括 PTSD 症状、抑郁、焦虑和压力、失眠严重程度和饮酒情况。使用线性混合模型进行数据分析。

结果

共有 60 名警官连续被推荐参加该计划(女性占 35%,平均年龄 42.0 ± 8.9 岁)。大多数人有 PTSD 的临床诊断(n = 48,80%)。从基线到第 12 周,PTSD(Cohen's d = 0.96)、抑郁(d = 0.71)、焦虑(d = 0.55)和压力(d = 0.69)症状显著减轻。脱落和随访丢失率很高。较高的基线 PTSD 严重程度与完成干预后评估的可能性增加有关。

结论

RECONNECT 似乎能有效减轻 PTSD 症状。运动可能是 PTSD 治疗的有效组成部分。

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