Multimodal exercise programs may improve posttraumatic stress disorders symptoms and quality of life in adults with PTSD: An overview of systematic reviews with meta-analysis.

IF 2.6 3区 医学 Q1 REHABILITATION
Clinical Rehabilitation Pub Date : 2024-05-01 Epub Date: 2024-01-23 DOI:10.1177/02692155231225466
Javier Martinez-Calderon, Olga Villar-Alises, Cristina García-Muñoz, Saul Pineda-Escobar, Javier Matias-Soto
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引用次数: 0

Abstract

Objective: 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.

Data sources: The CINAHL, Embase, PubMed and SPORTDiscus databases were searched from inception to November 16, 2023.

Review methods: 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.

Results: 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.

Conclusion: 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.

多模式锻炼计划可改善创伤后应激障碍症状和创伤后应激障碍成人患者的生活质量:系统综述与荟萃分析。
目的:本综述旨在总结运动、定期体育锻炼或身心锻炼对创伤后应激障碍(PTSD)症状以及与创伤后应激障碍相关的合并症(如抑郁症状)的有效性:数据来源:检索了 CINAHL、Embase、PubMed 和 SPORTDiscus 数据库,检索时间从开始到 2023 年 11 月 16 日:综述方法:对评估运动、定期体育锻炼或身心锻炼的随机临床试验进行系统综述和荟萃分析。对照组和结果测量不受限制。AMSTAR 2 对综述的方法学质量进行了评估。结果:结果:共纳入了 14 篇系统综述,对 23 项不同的随机临床试验进行了元分析。综述之间的重叠率非常高(校正覆盖面积 = 16%)。对创伤后应激障碍症状、抑郁症状、焦虑症状、睡眠质量、药物滥用和生活质量进行了元分析。没有综述对定期体育锻炼的效果进行荟萃分析。总体而言,荟萃分析发现多成分锻炼计划在减少创伤后应激障碍症状和改善生活质量方面可能有积极的效果。此外,荟萃分析对创伤后应激障碍症状的研究结果并不一致,而对抑郁症状的研究则未发现不同组间的差异。最后,在焦虑症状、睡眠质量和药物滥用方面没有得出具体结论:结论:对于患有创伤后应激障碍的成年人来说,多成分锻炼计划可能对改善创伤后应激障碍症状和生活质量有效,而瑜伽可能对抑郁症状无效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical Rehabilitation
Clinical Rehabilitation 医学-康复医学
CiteScore
5.60
自引率
6.70%
发文量
117
审稿时长
4-8 weeks
期刊介绍: Clinical Rehabilitation covering the whole field of disability and rehabilitation, this peer-reviewed journal publishes research and discussion articles and acts as a forum for the international dissemination and exchange of information amongst the large number of professionals involved in rehabilitation. This journal is a member of the Committee on Publication Ethics (COPE)
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