Augmenting PTSD treatment with physical activity: study protocol of the APPART study (Augmentation for PTSD with Physical Activity in a Randomized Trial). Issue 1 (31st December 2022)

• Record Type: Journal Article
• Authors: Voorendonk, E.M.; Sanches, S.A.; Tollenaar, M.S.; De Jongh, A.; Van Minnen, A.
• Is Part Of: European journal of psychotraumatology. Volume 13:Issue 1(2022)
• Publication Date: 2022-12-31
• Subjects: Post-traumatic stress disorder -- physical activity -- exercise -- randomized controlled trial -- intensive trauma-focused treatment -- mediators -- prolonged exposure -- EMDR therapy; Trastorno de estrés postraumático -- Actividad física -- Ejercicio -- ensayo controlado aleatorizado -- tratamiento intensivo centrado en el trauma -- Mediadores -- Exposición prolongada -- terapia EMDR; 创伤后应激障碍 -- 身体活动 -- 锻炼 -- 随机对照试验 -- 聚焦创伤强化治疗 -- 中介因素 -- 延长暴露 -- EMDR 治疗; Post-traumatic stress disorder -- Periodicals; Stress Disorders, Post-Traumatic; Post-traumatic stress disorder; Electronic journals; Periodicals; Periodicals; Fulltext; Internet Resources; Periodicals; 616.8521
• DOI: 10.1080/20008198.2021.2016219
• Languages: English
• ISSNs: 2000-8198

Abstract

ABSTRACT: Background: New intensive trauma-focused treatment (TFT) programmes that incorporate physical activity have been developed for people with post-traumatic stress disorder (PTSD). However, the unique contribution of physical activity within these intensive TFT programmes has never been investigated in a controlled manner. Objectives: This randomized controlled trial will investigate the effectiveness of physical activity added to an intensive TFT programme. In addition, the study aims to investigate the underlying mechanisms of the effects of physical activity on the change in PTSD symptoms. Methods: Individuals with PTSD ( N = 120) will be randomly allocated to two conditions: a physical activity or a non-physical active control condition. All participants will receive the same intensive TFT lasting eight days within two consecutive weeks, in which daily prolonged exposure and EMDR therapy sessions, and psycho-education are combined. The amount of physical activity will differ per condition. While the physical activity condition induces daily physical activities with moderate intensity, in the non-physical active control condition no physical activity is prescribed; but instead, a controlled mixture of guided (creative) tasks is performed. The two primary outcome measures are change in PTSD symptoms from pre- to post-treatment and at six months follow-up, measured with the Clinician-Administered PTSD Scale (CAPS-5), and the PTSD Checklist for DSM-5 (PCL-5). Additionally, self-reported sleep problems, depressive symptoms, emotion regulation, dissociation symptoms and anxiety sensitivity will be measured as potential underlying mechanisms. Conclusions: This study will contribute to the research field of augmentation strategies for PTSD treatment by investigating the effectiveness of physical activity added to intensive TFT. Trial registration: This trial is registered in the Netherlands Trial Register (Trial NL9120). HIGHLIGHTS: This study will be the first to determine the effectiveness of physical activity as add-on to an intensive TFT programme, and to investigate the underlying mechanisms of the effects of physical activity on the treatment-related change in PTSD symptoms.