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The purpose of this study is to examine the efficacy of exercise in comparison to wellness education to determine if they can improve the effects of prolonged exposure therapy (PE) in reducing symptoms of anxiety associated with Post-traumatic Stress Disorder (PTSD). In addition, the two strategies (i.e., exercise and wellness education) will be compared in terms of improvements in sleep as well as levels of brain-derived neurotrophic factor (BDNF). BDNF is a protein that helps to support the survival of existing neurons and stimulate the growth new neurons and synapses. BDNF is important to learning and memory in general and therefore may be associated with the learning and memory as it relates to PE and corresponding symptom PTSD improvement.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prolonged Exposure + Exercise | Experimental |
| |
| Prolonged Exposure + Wellness Intervention | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Prolonged Exposure | Behavioral | 75-90 minute weekly psychotherapy sessions x 12 weeks, focused on gradually confronting distressing trauma-related memories and reminders |
|
| Measure | Description | Time Frame |
|---|---|---|
| PTSD Symptoms | Self-report measure that assesses PTSD Symptoms. Will be assessed at each visit throughout the 3 month protocol. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Sleep Quality | Sleep measure that will be assessed twice (at the beginning and end of the 3 month protocol). | 3 months |
| BDNF (by blood sample) | Small blood sample taken twice (at the beginning and end of the 3 month protocol). |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Southern Methodist University | Dallas | Texas | 75206 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25706090 | Derived | Powers MB, Medina JL, Burns S, Kauffman BY, Monfils M, Asmundson GJ, Diamond A, McIntyre C, Smits JA. Exercise Augmentation of Exposure Therapy for PTSD: Rationale and Pilot Efficacy Data. Cogn Behav Ther. 2015;44(4):314-27. doi: 10.1080/16506073.2015.1012740. Epub 2015 Feb 23. |
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| ID | Term |
|---|---|
| D013313 | Stress Disorders, Post-Traumatic |
| D001008 | Anxiety Disorders |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Exercise | Behavioral | 30 minutes of moderate-intensity treadmill exercise prior to the Prolonged Exposure |
|
| Wellness Intervention | Behavioral | 30 minutes of wellness education prior to Prolonged Exposure |
|
| 3 months |
| General Mood and Anxiety Symptoms | Self-report measure that assesses mood and anxiety. Will be assessed at each visit throughout the 3 month protocol. | 3 months |