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创伤敏感瑜伽干预与女性创伤后应激和抑郁结局:系统评价和随机对照试验分析。

Trauma-Sensitive Yoga Interventions and Posttraumatic Stress and Depression Outcomes Among Women: A Systematic Review and Analysis of Randomized Control Trials.

机构信息

Department of Sociology, Anthropology, & Criminology, University of Northern Iowa, Cedar Falls, Iowa.

Department of Social Work, University of Northern Iowa, Cedar Falls, Iowa.

出版信息

Int J Yoga Therap. 2021 Jan 1;31(1). doi: 10.17761/2021-D-20-00005.

Abstract

Research shows that most people experience at least one traumatic event in their lifetimes, and between 6% and 8% of those with a history of trauma will develop posttraumatic stress disorder (PTSD) and/or related mental health conditions. Women face a greater threat of trauma exposure and have a higher risk of PTSD and depression than men. Trauma-Sensitive Yoga (TSY), a body-based adjunctive therapy, has shown potential in several studies as an effective method for reducing PTSD and depression symptoms. However, existing research and systematic reviews vary widely in their methodological rigor and comparison samples. Thus, in this systematic review we examined the effectiveness of TSY among women with a history of trauma and depression who had participated in randomized control trials with clear control and experimental groups. Findings in fixed- and mixed-effects meta-analysis models suggest marginally significant to no effects of TSY on PTSD and depression outcomes. Our systematic review highlights critical questions and significant gaps in the existing literature about the rationale and best practices of TSY intervention duration.

摘要

研究表明,大多数人在一生中至少会经历一次创伤性事件,而有创伤史的人中,有 6%到 8%会发展为创伤后应激障碍(PTSD)和/或相关的心理健康问题。女性面临更大的创伤暴露威胁,患 PTSD 和抑郁症的风险高于男性。创伤敏感瑜伽(TSY)是一种基于身体的辅助治疗方法,在几项研究中显示出了作为一种有效降低 PTSD 和抑郁症状的方法的潜力。然而,现有的研究和系统评价在方法严谨性和比较样本方面差异很大。因此,在这项系统评价中,我们研究了在参加过有明确对照组和实验组的随机对照试验的、有创伤和抑郁史的女性中,TSY 的有效性。固定效应和混合效应荟萃分析模型的结果表明,TSY 对 PTSD 和抑郁结果的影响略有显著或无显著影响。我们的系统评价强调了现有文献中关于 TSY 干预持续时间的基本原理和最佳实践的关键问题和重大差距。

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