Background

Cognitive behavioral therapies for posttraumatic stress disorder (PTSD) are evidence-based and effective for many. However, the reach and impact of these interventions are limited. Physical interventions hold potential to bridge a gap in the unmet treatment of trauma and stressor-related disorders.

Method

This systematic review examined 84 studies from four decades of research on physical interventions for trauma and stressor-related disorders to: 1) describe the state of the field and 2) summarize the best available evidence. Reviewed studies were described in terms of measured sample characteristics and assessed outcomes. Treatment effect patterns were analyzed by intervention content and study design.

Results

The majority of studies (68.2%) reported statistically significant reductions in posttraumatic stress symptoms; 40% used a randomized controlled trial (RCT) design. Among RCTs, one performed rigorous, statistically powered analyses in an intention-to-treat sample.

Limitations

High variability in reporting strategies among reviewed studies precludes analysis of variables such as intervention length, frequency, and dropout.

Conclusion

Preliminary evidence for the efficacy of physical interventions for trauma and stressor-related disorders is promising. Larger scale RCTs powered and designed to identify mediators and moderators of these interventions are warranted.

中文翻译：

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物理干预治疗创伤和与压力源有关的疾病：全面的系统评价

背景

创伤后应激障碍（PTSD）的认知行为疗法是基于证据的，并且对许多人有效。但是，这些干预措施的影响范围有限。物理干预有可能弥合未得到满足的创伤和与应激源相关疾病的治疗方面的差距。

方法

这项系统的综述从四十年的创伤和与应激源相关疾病的物理干预研究中检查了84项研究，这些研究包括：1）描述了该领域的现状； 2）总结了最佳的现有证据。根据测得的样品特征和评估的结果描述了已审查的研究。通过干预内容和研究设计来分析治疗效果模式。

结果

大多数研究（68.2％）报告了创伤后应激症状的统计学上显着减少。40％的人使用了随机对照试验（RCT）设计。在RCT中，有一个在意向性治疗样本中进行了严格的，具有统计学依据的分析。

局限性

在审查的研究中，报告策略的高度可变性排除了对变量的分析，例如干预时间，频率和辍学率。

结论

物理干预对创伤和应激相关疾病的功效的初步证据是有希望的。有权使用和设计用于识别这些干预措施的调解人和调解人的大规模RCT是必要的。