Evidence map›Paper›PMID 40416511›Full record

ArticleWellcome open research2023

Mechanisms through which exercise reduces symptom severity and/or functional impairment in posttraumatic stress disorder (PTSD): Protocol for a living systematic review of human and non-human studies.

Simonne Wright, Toshi A Furukawa, Malcolm Macleod, Ouma Simple, Olufisayo Elugbadebo, Virginia Chiocchia, Claire Friedrich, Edoardo G Ostinelli, Jennifer Potts, Fiona J Ramage and 8 more

Abstract read
In one paragraph

Article in Wellcome open research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Simonne WrightSouth African Medical Council Unit on the Genomics of Brain Disorders, Department of Psychiatry, Stellenbosch University, Stellenbosch, Western Cape, 7500, South Africa.ORCID https://orcid.org/0000-0003-3295-256X
Toshi A FurukawaDepartment of Health Promotion and Human Behavior, Graduate School of Medicine / School of Public Health, Kyoto University, Kyoto, Kyoto Prefecture, 606-8303, Japan.ORCID https://orcid.org/0000-0003-2159-3776
Malcolm MacleodCentre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, Scotland, EH8 9YL, UK.ORCID https://orcid.org/0000-0001-9187-9839
Ouma SimpleSchool of Medicine, College of Health Sciences, Makerere University, Kampala, Central Region, 8HQG+FPF, Uganda.ORCID https://orcid.org/0000-0002-4510-6736
Olufisayo ElugbadeboCollege of Medicine, University of Ibadan, Ibadan, Oyo, 200132, Nigeria.ORCID https://orcid.org/0000-0003-3221-1323
Virginia ChiocchiaInstitute of Social and Preventive Medicine, University of Bern, Bern, Canton of Bern, 3012, Switzerland.ORCID https://orcid.org/0000-0002-6196-3308
Claire FriedrichOxford Precision Psychiatry Lab, NIHR Oxford Health Biomedical Research Centre, University of Oxford, Oxford, England, OX3 7JX, UK.ORCID https://orcid.org/0000-0002-5841-4324
Edoardo G OstinelliOxford Precision Psychiatry Lab, NIHR Oxford Health Biomedical Research Centre, University of Oxford, Oxford, England, OX3 7JX, UK.ORCID https://orcid.org/0000-0002-8717-0832
Jennifer PottsOxford Precision Psychiatry Lab, NIHR Oxford Health Biomedical Research Centre, University of Oxford, Oxford, England, OX3 7JX, UK.
Fiona J RamageCentre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, Scotland, EH8 9YL, UK.ORCID https://orcid.org/0000-0002-4855-7911
Spyridon SiafisDepartment of Psychiatry and Psychotherapy, School of Medicine, Technical University of Munich, Munich, Bavaria, 81675, Germany.ORCID https://orcid.org/0000-0001-8264-2039
Claire StainsfieldEPPI Centre, Social Research Institute, University College London, London, England, WC1H 0NS, UK.
Francesca TinsdeallCentre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, Scotland, EH8 9YL, UK.ORCID https://orcid.org/0009-0008-9248-2954
James ThomasEPPI Centre, Social Research Institute, University College London, London, England, WC1H 0NS, UK.ORCID https://orcid.org/0000-0003-4805-4190
Andrea CiprianiOxford Precision Psychiatry Lab, NIHR Oxford Health Biomedical Research Centre, University of Oxford, Oxford, England, OX3 7JX, UK.
Georgia SalantiInstitute of Social and Preventive Medicine, University of Bern, Bern, Canton of Bern, 3012, Switzerland.
Soraya SeedatSouth African Medical Council Unit on the Genomics of Brain Disorders, Department of Psychiatry, Stellenbosch University, Stellenbosch, Western Cape, 7500, South Africa.
GALENOS team

Funding

Wellcome Trust
6 · The paper itself

Abstract

Background: Exercise can play an important role in reducing symptom severity and improving functional impairment in patients with posttraumatic stress disorder (PTSD). However, the precise mechanisms underpinning the effect of exercise in PTSD management are not fully understood. This living systematic review aims to synthesize and triangulate the evidence from non-human and human studies to gain insight into the biopsychosocial mechanisms through which exercise reduces symptom severity and functional impairment. Methods: Independent searches will be conducted in electronic databases to identify eligible studies. Two reviewers will independently conduct the study selection, data extraction, and risk of bias assessment. We will extract outcome data and variables that can act as effect modifiers or as mediators of the effect of exercise. For the non-human studies, outcome data will include the non-human equivalents of PTSD symptom clusters. For human studies, the primary outcome will be PTSD symptom severity. The secondary outcomes will be avoidance symptom severity, reexperiencing symptom severity, hyperarousal symptom severity, negative cognitions and mood severity, functional impairment, loss of PTSD diagnosis, and dropout rates.To explain the biopsychosocial mechanisms through which exercise affects the outcome of interest, we will extract effects that relate to the impact of exercise on potential mediating variables and the effect of the later outcomes. Comparison of within-study direct and indirect effects obtained from mediation analysis, when reported, will provide insight into the importance of the examined mediator.If appropriate, we will synthesize study results using meta-analyses. We will examine potential effect modifiers of the total exercise effect to understand better the impact of exercise on PTSD symptoms and function impairment (when possible). The evidence about the potential mediators of the association between exercise and PTSD-related outcomes will be considered in a consensus meeting when sufficient evidence is available. Protocol registration: PROSPERO-ID: 453615.

Indexed as

emotion regulationexerciseextinction learningGALENOSmemory regulationPTSD

Identifiers

PMID40416511
PMCPMC12102654

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.