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首页> 外文期刊>General hospital psychiatry >Direct and indirect effects of exercise on posttraumatic stress disorder symptoms: A longitudinal study
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Direct and indirect effects of exercise on posttraumatic stress disorder symptoms: A longitudinal study

机译：锻炼对术后应激障碍的直接和间接影响症状：纵向研究

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Abstract Objective Emerging evidence suggests that exercise may have beneficial effects on posttraumatic stress disorder (PTSD), and that this relationship may be indirectly affected by sleep, pain, and alcohol/substance use. The present study examined the longitudinal direct and indirect effects of exercise on PTSD symptoms. Method A national sample of 182 individuals, screening positive for PTSD, completed online assessments of PTSD symptoms, exercise behavior, psychological distress, sleep quality, and alcohol/substance use at baseline and three-month follow-up. Results There were direct effects of strenuous intensity exercise on avoidance/numbing (b=?2.18, SE=1.12, p=0.05) and hyperarousal symptoms (b=?1.87, SE=0.82, p=0.03); and direct effects of total exercise on avoidance/numbing symptoms (b=?1.76, SE=0.94, p=0.05). Strenuous intensity exercise was indirectly associated with total PTSD symptoms (ab=?2.53, 95% CI: ?5.72 to ?0.38), avoidance/numbing (ab=?0.99, 95% CI: ?2.43 to ?0.05), and hyperarousal symptoms (ab=?0.78, 95% CI: ?1.88 to ?0.07) through sleep, while total exercise was indirectly associated with total PTSD symptoms through alcohol use (ab=0.32, 95% CI: 0.18–1.42). Conclusion Findings suggest that exercise has a complex, longitudinal, and beneficial association with PTSD symptoms. Future studies should continue to examine this relationship and any direct and indirect effects exercise may have on PTSD and its related conditions.
机译：摘要目的新兴的证据表明，运动可能对错误胁迫障碍（PTSD）具有有益影响，并且这种关系可能间接影响睡眠，疼痛和酒精/物质使用。本研究检测了运动对应激症状的纵向直接和间接影响。方法是182人的国家样本，筛查PTSD阳性，完成了在基线和三个月的后续行动中接受了PTSD症状，运动行为，心理困扰，睡眠质量和酒精/物质使用的在线评估。结果在避免/麻木上的剧烈强度运动有直接影响（b =β2.18，se = 1.12，p = 0.05）和旋转症状（b =Δ1.87，se = 0.82，p = 0.03）;直接锻炼的直接效果在避免/麻木症状上（b = 1.76，se = 0.94，p = 0.05）。剧烈强度锻炼间接相关，与PTSD总症状间接相关（AB = 3.2.53,95％CI：？5.72至0.38），避免/麻木（AB = 0.99,95％CI：？2.43至？0.05）和旋转症状（ab = 0.78,95％CI：？1.88至约0.07）通过睡眠，虽然通过酒精使用间接与PTSD症状间接相关的总锻炼（AB = 0.32,95％CI：0.18-1.42）。结论结果表明，运动具有复杂，纵向和有益的关联与应激障碍症状。未来的研究应继续检查这种关系，任何直接和间接效应运动可能对应激活动和相关条件。

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