Post-traumatic Stress Disorder
Conditions
Keywords
post-traumatic stress disorder, progressive muscle relaxation training
Brief summary
This randomized controlled trial aims to investigate the efficacy of Progressive Muscle Relaxation Training (PMRT) in individuals who developed Post-Traumatic Stress Disorder (PTSD) following the February 6 Kahramanmaraş earthquake.
Detailed description
Post-traumatic stress disorder (PTSD) is an often devastating psychiatric condition that can occur in people who experience or witness a traumatic event.The estimated lifetime prevalence of PTSD is reported to be 6.8%.While trauma-focused psychotherapy is generally the first-line treatment in PTSD management, pharmacological treatments (selective serotonin reuptake inhibitors) are recommended in second-line treatment.Additionally, various physiotherapy and rehabilitation approaches such as aerobic, respiratory, relaxation, stretching, balance and strengthening exercises can also be used.Progressive muscle relaxation training increases parasympathetic nervous system activity. This is said to reduce anxiety and stress levels and improve sleep quality, resulting in physical and mental relaxation.
Interventions
Progressive muscle relaxation training will be performed twice a week, each session lasting 20-30 minutes, for a total of 12 sessions over 6 weeks.
Sponsors
Bitlis Eren University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The individuals will be divided into two groups: PMRT and Control groups using block randomization.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Individuals affected by the February 6 Kahramanmaraş earthquake. * Those diagnosed with Post-Traumatic Stress Disorder (PTSD) according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria or with a score of 47 or above on the Post-Traumatic Stress Disorder Checklist (PCL-5). * Aged 18-65 will be included.
Exclusion criteria
* Individuals affected by disaster types other than the February 6 Kahramanmaraş earthquake (such as war, flood, landslide, etc.)" * Individuals with uncontrolled comorbidities accompanying PTSD (such as diabetes or hypertension) * serious psychological disorders (such as dementia, psychosis/manic episodes) * musculoskeletal conditions that would interfere with exercise training * received PMRT training within the last year * pregnant * have substance abuse * have communication difficulties, and are unable to use technology for telerehabilitation will not be included in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PTSD Checklist (PCL-5) questionnaire | Change from baseline at 6 weeks | This is a 20-question questionnaire, valid and reliable in Turkish, that assesses PTSD symptoms as defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Questions are scored from 0 to 4, and the total score ranges from 0 to 80. A score of 47 or higher indicates the presence of PTSD. |
| Depression Anxiety and Stress Scale-21 (DASS-21) | Change from baseline at 6 weeks | It assesses an individual's condition over the past week. It is a 21-question survey consisting of three subscales: depression, anxiety, and stress. A high score on the scale indicates the presence and severity of depression, anxiety, and stress. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pittsburgh Sleep Quality Index (PSQI) | Change from baseline at 6 weeks | It is a 19-item index, valid and reliable in Turkish, that assesses individuals' sleep quality and disturbances over the past month. The index's 18 scored questions consist of seven components: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, sleeping pill use, and daytime dysfunction. Each component is scored on a 0-3 scale, with a total score ranging from 0 to 21. A total PSQI score greater than 5 indicates inadequate sleep quality, while scores of 6-10 indicate poor sleep, and scores of 11 or higher indicate long-term sleep disturbance. |
| Fatigue Severity Scale (FSS) | Change from baseline at 6 weeks | It is a nine-item scale, valid and reliable in Turkish, that assesses individuals' fatigue levels. Individuals score each item on a scale of 1 to 7 (1 = completely disagree, 7 = completely agree). The total scale score ranges from 0 to 63, with scores of 36 and above indicating severe fatigue. |
| Short Form-36 (SF-36) questionnaire | Change from baseline at 6 weeks | It is a valid and reliable questionnaire in Turkish that assesses individuals' quality of life. It consists of 36 questions. The total score ranges from 0 to 100, with higher scores indicating a better quality of life. |
Countries
Turkey (Türkiye)
Outcome results
None listed