Yoga resilience training to prevent the development of posttraumatic stress disorder in active-duty first responders: A cluster randomized controlled trial.

IF 2.7 2区心理学 Q2 PSYCHIATRY

Psychological trauma : theory, research, practice and policy Pub Date : 2025-07-01 Epub Date: 2024-03-07 DOI:10.1037/tra0001667

Leona Tan, Mark Deady, Olivia Mead, Rebecca M Foright, Eric M Brenneman, Richard A Bryant, Samuel B Harvey

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引用次数: 0

Abstract

Objective: Evidence on effective prevention of posttraumatic stress disorder (PTSD) is sparse, particularly among first responders. This study evaluated the effectiveness of a Tactical Mind-Body Resilience Training program on PTSD symptoms in first responders.

Method: Active-duty first responders (n = 80; M_age = 41.8 years, 82.5% men) were randomized to the intervention group or the waitlist control condition. PTSD symptoms as measured by the PTSD-8 were the primary outcome assessed at postintervention and at 3-month follow-up. Secondary outcomes were cognitive and emotional coping strategies, resilience, somatic symptoms, work performance, and sickness absence.

Results: At postintervention, the intervention group had significantly reduced PTSD symptoms compared to the control group (d = -0.26, difference = -2.52, 95% confidence interval [CI] [-4.93, -0.11], p = .040); however, this difference was attenuated at 3-month follow-up (d = -0.07, difference = -1.41, 95% CI [-3.83, 1.01], p = .248). The intervention group had significant improvements in cognitive reappraisal and resilience at postintervention compared to the control group, which were sustained at 3 months. The remaining secondary outcomes had statistically nonsignificant improvements.

Conclusions: This workplace-delivered intervention shows potential in preventing the development of PTSD in first responders. Further research is needed on maintaining long-term benefits of this training. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

查看原文本刊更多论文

通过瑜伽抗压训练预防现役急救人员患上创伤后应激障碍：分组随机对照试验

目的：有关有效预防创伤后应激障碍（PTSD）的证据很少，尤其是在急救人员中。本研究评估了战术身心复原力训练计划对急救人员创伤后应激障碍症状的影响：现役急救人员（n = 80；年龄 = 41.8 岁，82.5% 为男性）被随机分配到干预组或候补对照组。创伤后应激障碍症状由创伤后应激障碍-8测量，是干预后和3个月随访时评估的主要结果。次要结果包括认知和情绪应对策略、复原力、躯体症状、工作表现和病假：干预后，与对照组相比，干预组的创伤后应激障碍症状明显减少（d = -0.26，差异 = -2.52，95% 置信区间 [CI] [-4.93, -0.11]，p = .040）；但在 3 个月的随访中，这一差异有所减弱（d = -0.07，差异 = -1.41, 95% CI [-3.83, 1.01]，p = .248）。与对照组相比，干预组在干预后的认知再评价和复原力方面有了明显改善，并在 3 个月后得以保持。其余次要结果的改善在统计学上并不显著：结论：这种由工作场所提供的干预在预防第一反应者创伤后应激障碍的发展方面显示出了潜力。关于保持这种训练的长期益处，还需要进一步的研究。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

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来源期刊

Psychological trauma : theory, research, practice and policy Multiple-

CiteScore

11.20

自引率

3.20%

发文量

427

期刊介绍： Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence