Zhu Lin, Li Long, Li Xiao-Zhi, Wang Lin
School of Wushu and Art, Nanjing Sport Institute, Nanjing, China.
Department of Physical Education, Southeast University, Nanjing, China.
Front Psychol. 2022 Jan 18;12:738211. doi: 10.3389/fpsyg.2021.738211. eCollection 2021.
OBJECTIVES: This study aims to systematically analyze the effects of mind-body exercises on post-traumatic stress disorder (PTSD) symptoms, depression, and anxiety in patients with PTSD. Furthermore, it intends to provide scientific evidence-based exercise prescriptions. METHODS: Chinese (i.e., China National Knowledge Infrastructure, VIP Database for Chinese Technical Periodicals, and Wanfang) and English (i.e., Web of Science, PubMed, the Cochrane Library, and EMBASE) databases were used as data sources to search for studies on the effects of mind-body exercises on symptoms associated with patients with PTSD from January 1980 to November 2020. After a rigorous screening, 16 eligible randomized controlled trials (RCTs) were included in the meta-analysis. RESULTS: Mind-body exercises exerted a significant effect on PTSD symptoms [standard mean difference (SMD) = -0.41, 95% confidence interval (CI) -0.64 to -0.19, < 0.001], depression (SMD = -0.35, 95% CI: -0.55 to -0.15, < 0.001), and anxiety (SMD = -0.31, 95% CI: -0.74 to -0.12, < 0.001) among patients with PTSD. Subgroup analysis demonstrated that 60-150 min per session for 8-16 weeks of mindfulness was more effective in improving symptoms in patients with PTSD under 45 years of age compared with other subgroups. For depression, 150-180 min of yoga exercises once per week was effective. For anxiety, the frequency, timing, duration, and type of mind-body exercises that are most effective in relieving anxiety in patients with PTSD cannot be determined at this time due to the limited number of eligible RCTs. CONCLUSIONS: Mind-body exercises were found to be significantly effective in improving PTSD symptoms, depression, and anxiety in patients with PTSD. Therefore, they can be used as an adjunct to intervention for symptoms of patients with PTSD. However, this conclusion requires further confirmation through additional scientific and objective RCTs. SYSTEMATIC REVIEW REGISTRATION: Unique Identifier: INPLASY2020120072.
目的:本研究旨在系统分析身心锻炼对创伤后应激障碍(PTSD)患者的创伤后应激障碍症状、抑郁和焦虑的影响。此外,旨在提供基于科学证据的运动处方。 方法:以中文数据库(即中国知网、维普中文科技期刊数据库和万方数据库)和英文数据库(即科学引文索引、医学期刊数据库、考克兰图书馆和荷兰医学文摘数据库)为数据源,检索1980年1月至2020年11月期间关于身心锻炼对PTSD患者相关症状影响的研究。经过严格筛选,16项符合条件的随机对照试验(RCT)被纳入荟萃分析。 结果:身心锻炼对PTSD患者的创伤后应激障碍症状[标准均数差(SMD)=-0.41,95%置信区间(CI)为-0.64至-0.19,P<0.001]、抑郁(SMD=-0.35,95%CI:-0.55至-0.15,P<0.001)和焦虑(SMD=-0.31,95%CI:-0.74至-0.12,P<0.001)均有显著影响。亚组分析表明,与其他亚组相比,正念训练每次60 - 150分钟、共8 - 16周,对改善45岁以下PTSD患者的症状更有效。对于抑郁,每周进行一次150 - 180分钟的瑜伽锻炼有效。对于焦虑,由于符合条件的RCT数量有限,目前尚无法确定对缓解PTSD患者焦虑最有效的身心锻炼的频率、时间、持续时间和类型。 结论:发现身心锻炼对改善PTSD患者的创伤后应激障碍症状、抑郁和焦虑有显著效果。因此,它们可作为PTSD患者症状干预的辅助手段。然而,这一结论需要通过更多科学客观的RCT进一步证实。 系统评价注册:唯一标识符:INPLASY2020120072。
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