{"title":"冲浪疗法对现役和退役澳大利亚国防军成员创伤后应激反应、抑郁和焦虑症状的长期影响--社区环境下的非随机对照纵向研究","authors":"Rusty Moran , Sandro Sperandei , Nicole Peel , Tonia Gray , Arianne Reis","doi":"10.1016/j.mhpa.2024.100629","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Surf therapy programs have demonstrated engagement among military samples, showing promising concurrent short-term reductions in symptoms of posttraumatic stress disorder, major depressive disorder, and generalised anxiety disorder; however, the long-term retained benefits of such programs have not been studied beyond three months.</p></div><div><h3>Methods</h3><p>This nonrandomised controlled longitudinal study recruited current and former Australian Defence Force personnel (<em>N</em> = 116) to examine the effect of a ten-session surf therapy program (<em>n</em> = 88) compared to a control group (no intervention; <em>n</em> = 28). Validated self-assessment measures of post-traumatic stress, depression and anxiety symptoms were recorded at pre and post intervention, and at one month, four months, and seven months follow up.</p></div><div><h3>Results</h3><p>Linear mixed model results reveal statistically significant post-program reductions in symptoms of posttraumatic stress (PCL-M; <em>ß</em> = −11.92, 95% CI [-17.44, −6.36]), depression (MDI; <em>ß</em> = −7.87, 95% CI [-12.35, −3.38]) and anxiety (GAD-7; <em>ß</em> = −4.02, 95% CI [-6.42, −1.57]), which were retained at 7-months follow-up. Clinically significant changes were also observed on all three outcomes. No changes were observed in the control group. Additional statistically significant beneficial effects for each model outcome were recorded for leisure surfing following the program. Most surf therapy participants continued surfing post program, indicating effective lifestyle change.</p></div><div><h3>Conclusions</h3><p>This is the largest quantitative surf therapy study among adults to date, and the first to follow up seven months post program. It confirms previous surf therapy findings of high engagement and transdiagnostic effects, and provides new clinically relevant knowledge by demonstrating retained beneficial effects regardless of continued surfing post program.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100629"},"PeriodicalIF":2.3000,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755296624000553/pdfft?md5=17e42332e38f4f21924a7899d56bbf96&pid=1-s2.0-S1755296624000553-main.pdf","citationCount":"0","resultStr":"{\"title\":\"The long-term effect of surf therapy on posttraumatic stress, depression, and anxiety symptomology among current and former australian defence force members - A nonrandomised controlled longitudinal study in a community setting\",\"authors\":\"Rusty Moran , Sandro Sperandei , Nicole Peel , Tonia Gray , Arianne Reis\",\"doi\":\"10.1016/j.mhpa.2024.100629\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Surf therapy programs have demonstrated engagement among military samples, showing promising concurrent short-term reductions in symptoms of posttraumatic stress disorder, major depressive disorder, and generalised anxiety disorder; however, the long-term retained benefits of such programs have not been studied beyond three months.</p></div><div><h3>Methods</h3><p>This nonrandomised controlled longitudinal study recruited current and former Australian Defence Force personnel (<em>N</em> = 116) to examine the effect of a ten-session surf therapy program (<em>n</em> = 88) compared to a control group (no intervention; <em>n</em> = 28). Validated self-assessment measures of post-traumatic stress, depression and anxiety symptoms were recorded at pre and post intervention, and at one month, four months, and seven months follow up.</p></div><div><h3>Results</h3><p>Linear mixed model results reveal statistically significant post-program reductions in symptoms of posttraumatic stress (PCL-M; <em>ß</em> = −11.92, 95% CI [-17.44, −6.36]), depression (MDI; <em>ß</em> = −7.87, 95% CI [-12.35, −3.38]) and anxiety (GAD-7; <em>ß</em> = −4.02, 95% CI [-6.42, −1.57]), which were retained at 7-months follow-up. Clinically significant changes were also observed on all three outcomes. No changes were observed in the control group. Additional statistically significant beneficial effects for each model outcome were recorded for leisure surfing following the program. Most surf therapy participants continued surfing post program, indicating effective lifestyle change.</p></div><div><h3>Conclusions</h3><p>This is the largest quantitative surf therapy study among adults to date, and the first to follow up seven months post program. It confirms previous surf therapy findings of high engagement and transdiagnostic effects, and provides new clinically relevant knowledge by demonstrating retained beneficial effects regardless of continued surfing post program.</p></div>\",\"PeriodicalId\":51589,\"journal\":{\"name\":\"Mental Health and Physical Activity\",\"volume\":\"27 \",\"pages\":\"Article 100629\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-09-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1755296624000553/pdfft?md5=17e42332e38f4f21924a7899d56bbf96&pid=1-s2.0-S1755296624000553-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Mental Health and Physical Activity\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1755296624000553\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Mental Health and Physical Activity","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1755296624000553","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
背景冲浪治疗计划在军队样本中显示出了参与性，对创伤后应激障碍、重度抑郁障碍和广泛性焦虑障碍的症状显示出了良好的短期并发缓解效果；但是，对此类计划三个月后的长期疗效还没有进行过研究。方法这项非随机对照纵向研究招募了澳大利亚国防军现役和退役人员（116 人），与对照组（无干预；28 人）相比，研究了冲浪治疗计划（88 人）的效果。经过验证的创伤后压力、抑郁和焦虑症状自我评估方法在干预前、干预后以及一个月、四个月和七个月的随访中均有记录。结果线性混合模型结果显示，干预后创伤后应激症状（PCL-M；ß = -11.92，95% CI [-17.44，-6.36]）、抑郁（MDI；ß = -7.87，95% CI [-12.35，-3.38]）和焦虑（GAD-7；ß = -4.02，95% CI [-6.42，-1.57]）均有统计学意义上的显著减轻，并在 7 个月的随访中保持不变。在所有三项结果上也观察到了有临床意义的变化。对照组未观察到任何变化。在项目结束后的休闲冲浪活动中，每个模型结果都出现了统计学意义上的明显有益效果。大多数冲浪疗法参与者在项目结束后继续冲浪，这表明生活方式的改变是有效的。该研究证实了之前冲浪疗法的高参与度和跨诊断效果，并提供了新的临床相关知识，证明了无论是否在项目结束后继续冲浪，冲浪疗法都能保持有益效果。
The long-term effect of surf therapy on posttraumatic stress, depression, and anxiety symptomology among current and former australian defence force members - A nonrandomised controlled longitudinal study in a community setting
Background
Surf therapy programs have demonstrated engagement among military samples, showing promising concurrent short-term reductions in symptoms of posttraumatic stress disorder, major depressive disorder, and generalised anxiety disorder; however, the long-term retained benefits of such programs have not been studied beyond three months.
Methods
This nonrandomised controlled longitudinal study recruited current and former Australian Defence Force personnel (N = 116) to examine the effect of a ten-session surf therapy program (n = 88) compared to a control group (no intervention; n = 28). Validated self-assessment measures of post-traumatic stress, depression and anxiety symptoms were recorded at pre and post intervention, and at one month, four months, and seven months follow up.
Results
Linear mixed model results reveal statistically significant post-program reductions in symptoms of posttraumatic stress (PCL-M; ß = −11.92, 95% CI [-17.44, −6.36]), depression (MDI; ß = −7.87, 95% CI [-12.35, −3.38]) and anxiety (GAD-7; ß = −4.02, 95% CI [-6.42, −1.57]), which were retained at 7-months follow-up. Clinically significant changes were also observed on all three outcomes. No changes were observed in the control group. Additional statistically significant beneficial effects for each model outcome were recorded for leisure surfing following the program. Most surf therapy participants continued surfing post program, indicating effective lifestyle change.
Conclusions
This is the largest quantitative surf therapy study among adults to date, and the first to follow up seven months post program. It confirms previous surf therapy findings of high engagement and transdiagnostic effects, and provides new clinically relevant knowledge by demonstrating retained beneficial effects regardless of continued surfing post program.
期刊介绍：
The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;
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