Pilot Findings Indicate a Cognitive Behavioral Healthy Lifestyle Intervention for PTSD Improves Sleep and Physical Activity.
Pilot Findings Indicate a Cognitive Behavioral Healthy Lifestyle Intervention for PTSD Improves Sleep and Physical Activity.
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DOI：
10.3390/brainsci13111565
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发表时间：
2023-11-08
期刊：
影响因子：
3.3
通讯作者：
中科院分区：
文献类型：
--
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研究表明，创伤后应激与心血管疾病(CVD)风险之间存在很强的相关性。创伤后应激障碍(PTSD)患者往往比一般人更早地表现出心血管疾病风险升高的模式。制定有效的干预措施以降低创伤后应激障碍的心血管风险的必要性日益明显。本初步研究的目的是检验健康生活方式干预的效果，该干预针对患有创伤后应激障碍的平民成年人中与心血管疾病相关的健康行为(体力活动、睡眠、压力)。参与者被随机分为健康生活方式干预条件或等待名单对照。共有22名妇女完成了方案(每组11名)。平均年龄32岁(SD±14)。在12周干预计划之前和之后对实验组进行评估，对照组在12周后进行评估，包括标准化的睡眠、体力活动和一般压力的自我报告测量。健康生活方式组治疗前睡眠时间增加(平均每晚1.2h)，与对照组差异有统计学意义(P<；0.05；效应大小=1.41)。干预前后体力活动显著增加(7d平均增加115.8分钟)和对照组(7天平均增加4.5min)，但这种影响在小样本(效应量=0.7)中并不显著。这些初步发现表明，健康的生活方式干预是可行的，并可以在目标行为/结果方面产生预期的变化。
Research has indicated strong associations between post-traumatic stress and cardiovascular disease (CVD) risk. Individuals with post-traumatic stress disorder (PTSD) tend to show patterns of elevated CVD risk earlier in life than the general population. The need for developing effective interventions for CVD risk reduction in PTSD is increasingly evident. The purpose of the present pilot study was to examine the effects of a healthy lifestyle intervention that addresses CVD-related heath behaviors (physical activity, sleep, stress) among civilian adults with PTSD. Participants were randomized to the healthy lifestyle intervention condition or a wait-list control. A total of 22 women completed the protocol (11 per group). The mean age was 32 (SD ± 14). Evaluations were conducted before and after the 12-week intervention program in the experimental group, and 12 weeks apart for the control group, and included standardized self-report measures of sleep, physical activity, and general stress. The healthy lifestyle group showed an increase in the amount of sleep pre to post (mean of 1.2 h per night), which was significantly different to the control group, who had no change (p < 0.05; effect size = 1.41). Notable pre to post increases in physical activity were observed between the intervention group (mean increase = 115.8 min over 7 days) and control condition (mean = 4.5 min over 7 days); however, this effect was not significant in the small sample (effect size = 0.70). These preliminary findings suggest that a healthy lifestyle intervention is feasible and can produce desired changes in target behaviors/outcomes.
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