Adding physical activity to intensive trauma-focused treatment for post-traumatic stress disorder: results of a randomized controlled trial
IntroductionThis 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.MethodsA total of 119 patients with PTSD were randomly a...
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| Format: | Article |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1215250/full |
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| author | Eline M. Voorendonk Eline M. Voorendonk Sarita A. Sanches Sarita A. Sanches Marieke S. Tollenaar Elisabeth A. Hoogendoorn Ad de Jongh Ad de Jongh Ad de Jongh Ad de Jongh Agnes van Minnen Agnes van Minnen |
| author_facet | Eline M. Voorendonk Eline M. Voorendonk Sarita A. Sanches Sarita A. Sanches Marieke S. Tollenaar Elisabeth A. Hoogendoorn Ad de Jongh Ad de Jongh Ad de Jongh Ad de Jongh Agnes van Minnen Agnes van Minnen |
| author_sort | Eline M. Voorendonk |
| collection | DOAJ |
| description | IntroductionThis 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.MethodsA 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.ResultsIntent-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 dpre-post = 2.28). At post-treatment, 80.0% in the PA, and 82.7% in the nPA condition no longer met the diagnostic criteria for PTSD. Regarding the loss of Complex PTSD diagnoses this was 92.5% and 95.0%, respectively.ConclusionEither 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 registrationTrialregister.nl Identifier: Trial NL9120. |
| first_indexed | 2024-03-12T22:44:13Z |
| format | Article |
| id | doaj.art-72ea6ee47be14c9d83450b6613bd3d11 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-03-12T22:44:13Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-72ea6ee47be14c9d83450b6613bd3d112023-07-21T08:00:38ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-07-011410.3389/fpsyg.2023.12152501215250Adding physical activity to intensive trauma-focused treatment for post-traumatic stress disorder: results of a randomized controlled trialEline M. Voorendonk0Eline M. Voorendonk1Sarita A. Sanches2Sarita A. Sanches3Marieke S. Tollenaar4Elisabeth A. Hoogendoorn5Ad de Jongh6Ad de Jongh7Ad de Jongh8Ad de Jongh9Agnes van Minnen10Agnes van Minnen11Research Department, PSYTREC, Bilthoven, NetherlandsBehavioral Science Institute (BSI), Radboud University Nijmegen, Nijmegen, NetherlandsPhrenos Centre of Expertise for Severe Mental Illness, Utrecht, NetherlandsAltrecht Institute for Mental Health Care, Utrecht, NetherlandsInstitute of Psychology, Department of Clinical Psychology and the Leiden Institute for Brain and Cognition, Leiden University, Leiden, NetherlandsFaculty of Science, Leiden University, Leiden, NetherlandsResearch Department, PSYTREC, Bilthoven, NetherlandsAcademic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, NetherlandsSchool of Psychology, Queen’s University, Belfast, United KingdomInstitute of Health and Society, University of Worcester, Worcester, United KingdomResearch Department, PSYTREC, Bilthoven, NetherlandsBehavioral Science Institute (BSI), Radboud University Nijmegen, Nijmegen, NetherlandsIntroductionThis 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.MethodsA 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.ResultsIntent-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 dpre-post = 2.28). At post-treatment, 80.0% in the PA, and 82.7% in the nPA condition no longer met the diagnostic criteria for PTSD. Regarding the loss of Complex PTSD diagnoses this was 92.5% and 95.0%, respectively.ConclusionEither 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 registrationTrialregister.nl Identifier: Trial NL9120.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1215250/fullpost-traumatic stress disorderintensive trauma-focused therapyphysical activityrandomized controlled trialclinician-administered PTSD scalePTSD checklist for DSM-5 |
| spellingShingle | Eline M. Voorendonk Eline M. Voorendonk Sarita A. Sanches Sarita A. Sanches Marieke S. Tollenaar Elisabeth A. Hoogendoorn Ad de Jongh Ad de Jongh Ad de Jongh Ad de Jongh Agnes van Minnen Agnes van Minnen Adding physical activity to intensive trauma-focused treatment for post-traumatic stress disorder: results of a randomized controlled trial Frontiers in Psychology post-traumatic stress disorder intensive trauma-focused therapy physical activity randomized controlled trial clinician-administered PTSD scale PTSD checklist for DSM-5 |
| title | Adding physical activity to intensive trauma-focused treatment for post-traumatic stress disorder: results of a randomized controlled trial |
| title_full | Adding physical activity to intensive trauma-focused treatment for post-traumatic stress disorder: results of a randomized controlled trial |
| title_fullStr | Adding physical activity to intensive trauma-focused treatment for post-traumatic stress disorder: results of a randomized controlled trial |
| title_full_unstemmed | Adding physical activity to intensive trauma-focused treatment for post-traumatic stress disorder: results of a randomized controlled trial |
| title_short | Adding physical activity to intensive trauma-focused treatment for post-traumatic stress disorder: results of a randomized controlled trial |
| title_sort | adding physical activity to intensive trauma focused treatment for post traumatic stress disorder results of a randomized controlled trial |
| topic | post-traumatic stress disorder intensive trauma-focused therapy physical activity randomized controlled trial clinician-administered PTSD scale PTSD checklist for DSM-5 |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1215250/full |
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