Testing the role of aerobic exercise in the treatment of posttraumatic stress disorder (PTSD) symptoms in U.S. active duty military personnel: a pilot study.

Autor: Young-McCaughan S; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.; Research and Development Service, South Texas Veterans Health Care System, San Antonio, TX, USA., Peterson AL; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.; Research and Development Service, South Texas Veterans Health Care System, San Antonio, TX, USA.; Department of Psychology, University of Texas at San Antonio, San Antonio, TX, USA., Mintz J; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.; Research and Development Service, South Texas Veterans Health Care System, San Antonio, TX, USA., Hale WJ; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.; Department of Psychology, University of Texas at San Antonio, San Antonio, TX, USA., Dondanville KA; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA., Borah EV; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.; Steve Hicks School of Social Work, the University of Texas at Austin, Austin, TX, USA., Blount TH; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA., Blankenship AE; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA., Fina BA; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA., Hall-Clark BN; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA., Hernandez AM; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.; Valiant Mental Health PLLC, San Antonio, TX, USA., Jacoby VM; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA., Malach SL; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.; Department of Primary Care, Joint Base San Antonio - Fort Sam Houston, TX, USA., Williams JM; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.; Department of Psychology/Neuropsychology, TIRR Memorial Hermann Hospital, Houston, TX, USA., Compton KE; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA., Bingham MO; Department of Nursing, Brooke Army Medical Center, Joint Base San Antonio - Fort Sam Houston, TX, USA., Vriend CA; Department of Behavioral Health, Brooke Army Medical Center, Joint Base San Antonio - Fort Sam Houston, TX, USA., Inman AW; Department of Behavioral Health, Brooke Army Medical Center, Joint Base San Antonio - Fort Sam Houston, TX, USA., Brundige A; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.; Research and Development Service, South Texas Veterans Health Care System, San Antonio, TX, USA., Arzola SM; The Geneva Foundation, Tacoma, WA, USA., Lapiz-Bluhm MD; School of Nursing, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA., Williamson DE; Department of Psychiatry and Behavioral Sciences, Duke Health, Durham, NC, USA.; Durham VA Medical Center, Durham, NC, USA., Litz BT; Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston, MA, USA.; Department of Psychiatry and Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA., Hembree EA; Department of Psychiatry, University of Pennsylvania, PA, USA., Roache JD; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.; Research and Development Service, South Texas Veterans Health Care System, San Antonio, TX, USA., Taylor DJ; Department of Psychology, University of Arizona, Tucson, AZ, USA., Pruiksma KE; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.; Research and Development Service, South Texas Veterans Health Care System, San Antonio, TX, USA., Borah AM; Department of Behavioral Health, Carl R. Darnall Army Medical Center, Fort Hood, TX, USA.; Department of Behavioral Medicine and Health Services, Central Texas Veterans Health Care System, Temple, TX, USA., Yarvis JS; Department of Behavioral Health, Carl R. Darnall Army Medical Center, Fort Hood, TX, USA.; Department of Social Work, Texas A&M University - Central Texas, Killeen, TX, USA.
Jazyk: angličtina
Zdroj: Cognitive behaviour therapy [Cogn Behav Ther] 2022 Jul; Vol. 51 (4), pp. 309-325. Date of Electronic Publication: 2022 Jan 10.
DOI: 10.1080/16506073.2021.2001689
Abstrakt: The purpose of this pilot study was to determine if the efficacy of imaginal exposure for symptoms of posttraumatic stress disorder (PTSD) could be improved by adding aerobic exercise. We hypothesized that aerobic exercise would enhance the efficacy of exposure therapy. Active duty service members with clinically significant symptoms of posttraumatic stress (PTSD Checklist-Stressor-Specific Version, [PCL-S], ≥25) were randomized into one of four conditions: exercise only; imaginal exposure only; imaginal exposure plus exercise; no exercise/no exposure therapy (control). Participants ( N = 72) were primarily male, Army, noncommissioned officers ranging in age from 22 to 52. PTSD symptom severity decreased over time ( p < .0001); however, there were no significant differences between the experimental conditions. The prediction that imaginal exposure augmented with aerobic exercise would be superior to either imaginal exposure alone or aerobic exercise alone was not supported, suggesting that engaging in exercise and imaginal exposure simultaneously may not be any better than engaging in either activity alone. A better understanding of individually administered and combined exercise and exposure therapy interventions for PTSD is warranted.
Databáze: MEDLINE
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