Departamento de Fisioterapia, Instituto de Biomedicina de Sevilla, IBiS, Universidad de Sevilla, Sevilla, Spain.
CTS 1110: Uncertainty, Mindfulness, Self, and Spirituality (UMSS) Research Group, Andalusia, Spain.
Clin Rehabil. 2024 May;38(5):573-588. doi: 10.1177/02692155231225466. Epub 2024 Jan 23.
This overview of reviews aimed to summarize the effectiveness of exercise, regular physical activity or mind-body exercises on posttraumatic stress disorder (PTSD) symptoms and comorbidities associated with PTSD (e.g. depression symptoms) among individuals without age, gender, race, ethnicity or setting restrictions.
The CINAHL, Embase, PubMed and SPORTDiscus databases were searched from inception to November 16, 2023.
Systematic reviews with meta-analysis of randomized clinical trials evaluating exercise, regular physical activity or mind-body exercises were considered. Control groups and outcome measures were not restricted. AMSTAR 2 assessed the methodological quality of reviews. The overlap between reviews was calculated.
A total of 14 systematic reviews were included meta-analyzing 23 distinct randomized clinical trials. There was a very high overlap between reviews (corrected covered area = 16%). PTSD symptoms, depression symptoms, anxiety symptoms, sleep quality, substance abuse and quality of life were meta-analyzed. No reviews meta-analyzed the effects of regular physical activity. Overall, the meta-analyses found multicomponent exercise programs may have positive results in reducing PTSD symptoms and improving quality of life. In addition, the results of yoga were inconsistent across the meta-analyses for PTSD symptoms, and no differences between groups were found in favor of yoga for depression symptoms. Finally, no specific conclusions could be made about anxiety symptoms, sleep quality and substance abuse.
A multicomponent exercise program may be effective in improving PTSD symptoms and quality of life, whereas yoga may be ineffective for depression symptoms in adults with PTSD.
本综述旨在总结无年龄、性别、种族、民族或环境限制的个体中，运动、规律身体活动或身心锻炼对创伤后应激障碍（PTSD）症状和与 PTSD 相关的共病（如抑郁症状）的有效性。
从创建到 2023 年 11 月 16 日，检索了 CINAHL、Embase、PubMed 和 SPORTDiscus 数据库。
考虑了对运动、规律身体活动或身心锻炼进行评估的随机临床试验的系统评价和荟萃分析。对照组和结局测量不受限制。AMSTAR 2 评估了综述的方法学质量。计算了综述之间的重叠。
共纳入了 14 项系统评价，其中包括 23 项不同的随机临床试验的荟萃分析。综述之间存在高度重叠（校正涵盖面积为 16%）。对 PTSD 症状、抑郁症状、焦虑症状、睡眠质量、物质滥用和生活质量进行了荟萃分析。没有综述对规律身体活动的效果进行荟萃分析。总体而言，荟萃分析发现，多组分运动方案可能对减轻 PTSD 症状和提高生活质量有积极作用。此外，瑜伽对 PTSD 症状的荟萃分析结果不一致，并且没有发现瑜伽对抑郁症状有组间差异。最后，无法针对焦虑症状、睡眠质量和物质滥用得出具体结论。
多组分运动方案可能对改善 PTSD 症状和生活质量有效，而瑜伽对 PTSD 成人的抑郁症状可能无效。
