ArticleThe South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa2019
High physical activity is associated with post-traumatic stress disorder among individuals aged 15 years and older in South Africa.
Article in The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- National and regional prevalence of posttraumatic stress disorder in sub-Saharan Africa: A systematic review and meta-analysis.PLoS medicine · 2020Pooled it
- Movement behaviors and posttraumatic stress disorder during the COVID-19 pandemic: A retrospective study of Chinese university students.Journal of exercise science and fitness · 2022Article
- A Concise Occupational Mental Health Screening Tool for South African Workplaces.Frontiers in psychology · 2022Article
- Tobacco use and associated mental symptoms and health risk behaviours amongst individuals 15 years or older in South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2020Article
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Authors and funding
2 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSome research seems to suggest that physical activity (PA) was beneficial for post-traumatic stress disorder (PTSD).
aimThis study examined the association between levels of PA and PTSD among individuals 15 years and above in South Africa.
settingCommunity-based survey sample representative of the national population in South Africa.
methodsIn all, 15 201 individuals (mean age 36.9 years) responded to the cross-sectional South African National Health and Nutrition Examination Survey (SANHANES-1) in 2012.
resultsOne in five (20.1%) of participants reported exposure to at least one traumatic event in a lifetime, and 2.1% were classified as having a PTSD, 7.9% fulfilled PTSD re-experiencing criteria, 3.0% PTSD avoidance criteria and 4.3% PTSD hyperarousal criteria. Almost half (48.1%) of respondents had low PA, 17.4% moderate PA and 34.5% high PA. In logistic regression analysis, adjusted for age, sex, population group, employment status, residence status, number of trauma types, problem drinking, current tobacco use, sleep problems and depressive symptoms, high PA was associated with PTSD (odds ratio [OR] = 1.75, confidence interval [CI] = 1.11-2.75), PTSD re-experiencing symptom criteria (OR = 1.43, CI = 1.09-1.86) and PTSD avoidance symptom criteria (OR = 1.74, CI = 1.18-2.59), but high PA was not associated with PTSD hyperarousal symptom criteria. In generalised structural equation modelling, total trauma events had a positive direct and indirect effect on PTSD mediated by high PA, and high PA had a positive indirect effect on PTSD, mediated by psychological distress and problem drinking.
conclusionAfter controlling for relevant covariates, high PA was associated with increased PTSD symptomatology.
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