Adding physical activity to intensive trauma-focused treatment for post-traumatic stress disorder: results of a randomized controlled trial.
| Autor: | Voorendonk EM; Research Department, PSYTREC, Bilthoven, Netherlands.; Behavioral Science Institute (BSI), Radboud University Nijmegen, Nijmegen, Netherlands., Sanches SA; Phrenos Centre of Expertise for Severe Mental Illness, Utrecht, Netherlands.; Altrecht Institute for Mental Health Care, Utrecht, Netherlands., Tollenaar MS; Institute of Psychology, Department of Clinical Psychology and the Leiden Institute for Brain and Cognition, Leiden University, Leiden, Netherlands., Hoogendoorn EA; Faculty of Science, Leiden University, Leiden, Netherlands., de Jongh A; Research Department, PSYTREC, Bilthoven, Netherlands.; Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, Netherlands.; School of Psychology, Queen's University, Belfast, United Kingdom.; Institute of Health and Society, University of Worcester, Worcester, United Kingdom., van Minnen A; Research Department, PSYTREC, Bilthoven, Netherlands.; Behavioral Science Institute (BSI), Radboud University Nijmegen, Nijmegen, Netherlands. |
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| Jazyk: | angličtina |
| Zdroj: | Frontiers in psychology [Front Psychol] 2023 Jul 20; Vol. 14, pp. 1215250. Date of Electronic Publication: 2023 Jul 20 (Print Publication: 2023). |
| DOI: | 10.3389/fpsyg.2023.1215250 |
| Abstrakt: | Introduction: This randomized controlled trial examined the effectiveness of physical activity added to an intensive trauma-focused treatment (TFT) for post-traumatic stress disorder (PTSD) in comparison to adding non-physical control activities. Methods: A total of 119 patients with PTSD were randomly assigned to a physical activity condition (PA; n = 59) or a non-physical activity control condition (nPA; n = 60). The 8-day intensive TFT programme consisted of daily prolonged exposure, EMDR therapy, and psychoeducation, which was complemented with physical activities versus controlled mixtures of guided (creative) tasks. As a primary outcome, the change in clinician and self-reported PTSD symptoms from pre-to post-treatment and at 6 months follow-up were measured. Results: Intent-to-treat linear mixed-effects models showed no significant differences between the PA and nPA conditions on change in PTSD severity. Clinician and self-reported PTSD symptoms significantly decreased for both conditions, with large effect sizes (e.g., CAPS-5 d Conclusion: Either with additional physical or non-physical activities, intensive TFT is very effective for the treatment of (Complex) PTSD, as reflected by large effect sizes and loss of diagnostic status in both groups. Clinical Trial Registration: Trialregister.nl Identifier: Trial NL9120. Competing Interests: AM receives income from published book chapters on PTSD and from the training of postdoctoral professionals in prolonged exposure. AJ receives income from published books on EMDR therapy and from the training of postdoctoral professionals using this method. AM, AJ, and EV are employed at PSYTREC.The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Voorendonk, Sanches, Tollenaar, Hoogendoorn, de Jongh and van Minnen.) |
| Databáze: | MEDLINE |
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