Effects of high-intensity interval training on sleep disturbances associated with posttraumatic stress disorder.
exercise
high‐intensity interval training
linear mixed model
posttraumatic stress disorder
sleep disorders
Journal
Journal of sleep research
ISSN: 1365-2869
Titre abrégé: J Sleep Res
Pays: England
ID NLM: 9214441
Informations de publication
Date de publication:
06 Aug 2024
06 Aug 2024
Historique:
revised:
16
06
2024
received:
03
02
2024
accepted:
18
07
2024
medline:
7
8
2024
pubmed:
7
8
2024
entrez:
7
8
2024
Statut:
aheadofprint
Résumé
Sleep disturbances are common in individuals with posttraumatic stress disorder. Exercise interventions are a promising approach in the treatment of sleep disorders, but little is known about the efficacy of exercise interventions for sleep disturbances associated with posttraumatic stress disorder. A total of 40 individuals with posttraumatic stress disorder were randomized to six sessions of either high-intensity interval training or low-to-moderate-intensity training, administered within 12 days. Sleep quality was assessed over 24 days from baseline to post with the Pittsburgh Sleep Quality Index, a sleep log, and a waist-worn actigraphy. Analyses revealed that, regardless of group allocation, Pittsburgh Sleep Quality Index score improved significantly by 2.28 points for high-intensity interval training and 1.70 points for low-to-moderate-intensity training (d = 0.56 for high-intensity interval training; 0.49 for low-to-moderate-intensity training) over time, while there were no significant changes in any sleep log or actigraphy measure. Analysis of a subsample of those affected by clinically significant sleep disturbances (n = 24) revealed a significant time effect with no difference between exercise interventions: Pittsburgh Sleep Quality Index improved significantly by 2.65 points for high-intensity interval training and 2.89 points for low-to-moderate-intensity training (d = 0.53 for high-intensity interval training; 0.88 for low-to-moderate-intensity training), and actigraphy measure of wake after sleep onset was reduced significantly by 14.39 minutes for high-intensity interval training and 6.96 minutes for low-to-moderate-intensity training (d = 0.47 for high-intensity interval training; 0.11 for low-to-moderate-intensity training) from baseline to post. In our pilot study, we found an improvement in sleep quality from pre- to post-assessment. There were no significant differences between exercise groups. Further studies are needed to investigate whether the found time effects reflect the exercise intervention or unrelated factors.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e14299Subventions
Organisme : Friedrich Ebert Foundation
Organisme : Elfriede-Dietrich Foundation
Informations de copyright
© 2024 The Author(s). Journal of Sleep Research published by John Wiley & Sons Ltd on behalf of European Sleep Research Society.
Références
Aili, K., Åström‐Paulsson, S., Stoetzer, U., Svartengren, M., & Hillert, L. (2017). Reliability of actigraphy and subjective sleep measurements in adults: The design of sleep assessments. Journal of Clinical Sleep Medicine, 13(1), 39–47.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM‐5 (Vol. 5). Washington, DC: American Psychiatric Association.
Backhaus, J., Junghanns, K., Broocks, A., Riemann, D., & Hohagen, F. (2002). Test–retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia. Journal of Psychosomatic Research, 53(3), 737–740.
Belleville, G., Guay, S., & Marchand, A. (2011). Persistence of sleep disturbances following cognitive‐behavior therapy for posttraumatic stress disorder. Journal of Psychosomatic Research, 70(4), 318–327.
Björkman, F., & Ekblom, Ö. (2022). Physical exercise as treatment for PTSD: A systematic review and meta‐analysis. Military Medicine, 187(9–10), e1103–e1113.
Buchheit, M., & Laursen, P. B. (2013). High‐intensity interval training, solutions to the programming puzzle: Part I: Cardiopulmonary emphasis. Sports Medicine, 43(5), 313–338.
Buysse, D. J., Reynolds, C. F., III, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213.
Chennaoui, M., Arnal, P. J., Sauvet, F., & Léger, D. (2015). Sleep and exercise: A reciprocal issue? Sleep Medicine Reviews, 20, 59–72.
Cox, R. C., & Olatunji, B. O. (2020). Sleep in the anxiety‐related disorders: A meta‐analysis of subjective and objective research. Sleep Medicine Reviews, 51, 101282.
Cox, R. C., Tuck, B. M., & Olatunji, B. O. (2017). Sleep disturbance in posttraumatic stress disorder: Epiphenomenon or causal factor? Current Psychiatry Reports, 19, 1–10.
Firth, J., Solmi, M., Wootton, R. E., Vancampfort, D., Schuch, F. B., Hoare, E., Gilbody, S., Torous, J., Teasdale, S. B., Jackson, S. E., Smith, L., Eaton, M., Jacka, F. N., Veronese, N., Marx, W., Ashdown‐Franks, G., Siskind, D., Sarris, J., Rosenbaum, S., … Stubbs, B. (2020). A meta‐review of “lifestyle psychiatry”: The role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders. World Psychiatry, 19(3), 360–380.
Franke, G. (2016). Mini‐SCL [German manual of the Mini symptom checklist]. Hogrefe.
Friedmann, F., Hill, H., Santangelo, P., Ebner‐Priemer, U., Neubauer, A. B., Rausch, S., Steil, R., Müller‐Engelmann, M., Lis, S., Fydrich, T., & Priebe, K. (2022). Women with abuse‐related posttraumatic stress disorder sleep more fitfully but just as long as healthy controls: An actigraphic study. Sleep, 45(2).
Germain, A., Buysse, D. J., & Nofzinger, E. (2008). Sleep‐specific mechanisms underlying posttraumatic stress disorder: Integrative review and neurobiological hypotheses. Sleep Medicine Reviews, 12(3), 185–195.
Gillen, J. B., & Gibala, M. J. (2014). Is high‐intensity interval training a time‐efficient exercise strategy to improve health and fitness? Applied Physiology, Nutrition, and Metabolism, 39(3), 409–412.
Gray, M. J., Litz, B. T., Hsu, J. L., & Lombardo, T. W. (2004). Psychometric properties of the life events checklist. Assessment, 11(4), 330–341.
Gröpel, P., Urner, M., Pruessner, J. C., & Quirin, M. (2018). Endurance‐and resistance‐trained men exhibit lower cardiovascular responses to psychosocial stress than untrained men. Frontiers in Psychology, 9, 852.
Hallal, P. C., & Victora, C. G. (2004). Reliability and validity of the international physical activity questionnaire (IPAQ). Medicine and Science in Sports and Exercise, 36(3), 556.
Hoffmann, R., et al. (1997). Sleep logs in sleep research and sleep medicine. Somnologie, 1, 103–109.
Kreft, I. G., & De Leeuw, J. (1998). Introducing multilevel modeling. Sage.
Kühner, C., Bürger, C., Keller, F., & Hautzinger, M. (2007). Reliabilität und validität des revidierten beck‐depressionsinventars (BDI‐II). Der Nervenarzt, 78(6), 651–656.
Lederman, O., Ward, P. B., Firth, J., Maloney, C., Carney, R., Vancampfort, D., Stubbs, B., Kalucy, M., & Rosenbaum, S. (2019). Does exercise improve sleep quality in individuals with mental illness? A systematic review and meta‐analysis. Journal of Psychiatric Research, 109, 96–106.
Lewis, C., Lewis, K., Kitchiner, N., Isaac, S., Jones, I., & Bisson, J. I. (2020). Sleep disturbance in post‐traumatic stress disorder (PTSD): A systematic review and meta‐analysis of actigraphy studies. European Journal of Psychotraumatology, 11(1), 1767349.
Lewis, C., Roberts, N. P., Andrew, M., Starling, E., & Bisson, J. I. (2020). Psychological therapies for post‐traumatic stress disorder in adults: Systematic review and meta‐analysis. European Journal of Psychotraumatology, 11(1), 1729633.
Lichstein, K., Durrence, H. H., Taylor, D. J., Bush, A. J., & Riedel, B. W. (2003). Quantitative criteria for insomnia. Behav Res Ther, 41(4), 427–445.
Martland, R., Mondelli, V., Gaughran, F., & Stubbs, B. (2020). Can high‐intensity interval training improve physical and mental health outcomes? A meta‐review of 33 systematic reviews across the lifespan. Journal of Sports Sciences, 38(4), 430–469.
McGranahan, M. J., & O'Connor, P. J. (2021). Exercise training effects on sleep quality and symptoms of anxiety and depression in post‐traumatic stress disorder: A systematic review and meta‐analysis of randomized control trials. Mental Health and Physical Activity, 20, 100385.
American College of Sports Medicine. (2013). ACSM's guidelines for exercise testing and prescription. Lippincott Williams & Wilkins.
Migueles, J. H., Rowlands, A. V., Huber, F., Sabia, S., & van Hees, V. T. (2019). GGIR: A research community–driven open source R package for generating physical activity and sleep outcomes from multi‐day raw accelerometer data. Journal for the Measurement of Physical Behaviour, 2(3), 188–196.
Min, L., Wang, D., You, Y., Fu, Y., & Ma, X. (2021). Effects of high‐intensity interval training on sleep: A systematic review and meta‐analysis. International Journal of Environmental Research and Public Health, 18(20), 10973.
Müller‐Engelmann, M., Schnyder, U., Dittmann, C., Priebe, K., Bohus, M., Thome, J., Fydrich, T., Pfaltz, M. C., & Steil, R. (2020). Psychometric properties and factor structure of the German version of the clinician‐administered PTSD scale for DSM‐5. Assessment, 27(6), 1128–1138.
Nakazaki, K., Kitamura, S., Motomura, Y., Hida, A., Kamei, Y., Miura, N., & Mishima, K. (2014). Validity of an algorithm for determining sleep/wake states using a new actigraph. Journal of Physiological Anthropology, 33(1), 1–8.
Plag, J., Schmidt‐Hellinger, P., Klippstein, T., Mumm, J. L. M., Wolfarth, B., Petzold, M. B., & Ströhle, A. (2020). Working out the worries: A randomized controlled trial of high intensity interval training in generalized anxiety disorder. Journal of Anxiety Disorders, 76, 102311.
Price, M., & van Stolk‐Cooke, K. (2015). Examination of the interrelations between the factors of PTSD, major depression, and generalized anxiety disorder in a heterogeneous trauma‐exposed sample using DSM 5 criteria. Journal of Affective Disorders, 186, 149–155.
Reljic, D., Lampe, D., Wolf, F., Zopf, Y., Herrmann, H. J., & Fischer, J. (2019). Prevalence and predictors of dropout from high‐intensity interval training in sedentary individuals: A meta‐analysis. Scandinavian Journal of Medicine & Science in Sports, 29(9), 1288–1304.
Rosenbaum, S., Tiedemann, A., Sherrington, C., Curtis, J., & Ward, P. B. (2014). Physical activity interventions for people with mental illness: A systematic review and meta‐analysis. The Journal of Clinical Psychiatry, 75(9), 14465–14974.
Ross, R. J., Ball, W. A., & Morrison, A. R. (1989). Sleep disturbance as the hallmark of posttraumatic stress disorder. American Journal of Psychiatry, 146, 697–707.
Sadeh, A. (2011). The role and validity of actigraphy in sleep medicine: An update. Sleep Medicine Reviews, 15(4), 259–267.
Schoofs, N., Pieper, A., Meyer, K., Herrmann, S., Jäger, A., Wülfing, F., Grummt, M., Wolfarth, B., Ströhle, A., & Priebe, K. (2024). High‐intensity interval training in individuals with posttraumatic stress disorder: A randomized controlled pilot trial. Mental Health and Physical Activity, 26, 100579.
Sheehan, D., Janavs, J., Baker, R., Sheehan, K. H., Knapp, E., & Sheehan, M. (2016). The MINI international neuropsychiatric interview (Version 7.0. 2) for DSM‐5. Harm Research Institute.
Slightam, C., Petrowski, K., Jamison, A. L., Keller, M., Bertram, F., Kim, S., & Roth, W. T. (2018). Assessing sleep quality using self‐report and actigraphy in PTSD. Journal of Sleep Research, 27(3), e12632.
Stiglmayr, C., Schimke, P., Wagner, T., Braakmann, D., Schweiger, U., Sipos, V., Fydrich, T., Schmahl, C., Ebner‐Priemer, U., Kleindienst, N., Bischkopf, J., Auckenthaler, A., & Kienast, T. (2010). Development and psychometric characteristics of the dissociation tension scale. Journal of Personality Assessment, 92(3), 269–277.
Stout, J. W., Beidel, D. C., Alfano, C. A., Mesa, F., Trachik, B., & Neer, S. M. (2017). Sleep disturbances among combat military veterans: A comparative study using subjective and objective sleep assessments. Military Psychology, 29(3), 189–201.
Stringer, W. W. (2021). Mind and body: The exercise connection. Chest, 160(3), 803–804.
Study Randomizer. (2017). Software application. Available at: https://www.studyrandomizer.com
van Hees, V. T., Sabia, S., Anderson, K. N., Denton, S. J., Oliver, J., Catt, M., Abell, J. G., Kivimäki, M., Trenell, M. I., & Singh‐Manoux, A. (2015). A novel, open access method to assess sleep duration using a wrist‐worn accelerometer. PLoS One, 10(11), e0142533.
Wang, F., & Boros, S. (2021). The effect of physical activity on sleep quality: A systematic review. European Journal of Physiotherapy, 23(1), 11–18.
Whitworth, J. W., Craft, L. L., Dunsiger, S. I., & Ciccolo, J. T. (2017). Direct and indirect effects of exercise on posttraumatic stress disorder symptoms: A longitudinal study. General Hospital Psychiatry, 49, 56–62.
Whitworth, J. W., Nosrat, S., SantaBarbara, N. J., & Ciccolo, J. T. (2019). High intensity resistance training improves sleep quality and anxiety in individuals who screen positive for posttraumatic stress disorder: A randomized controlled feasibility trial. Mental Health and Physical Activity, 16, 43–49.
Yang, P.‐Y., Ho, K. H., Chen, H. C., & Chien, M. Y. (2012). Exercise training improves sleep quality in middle‐aged and older adults with sleep problems: A systematic review. Journal of Physiotherapy, 58(3), 157–163.
Zaccari, B., Callahan, M. L., Storzbach, D., McFarlane, N., Hudson, R., & Loftis, J. M. (2020). Yoga for veterans with PTSD: Cognitive functioning, mental health, and salivary cortisol. Psychological Trauma: Theory, Research, Practice, and Policy, 12(8), 913–917.
Zhang, Y., Ren, R., Sanford, L. D., Yang, L., Zhou, J., Zhang, J., Wing, Y. K., Shi, J., Lu, L., & Tang, X. (2019). Sleep in posttraumatic stress disorder: A systematic review and meta‐analysis of polysomnographic findings. Sleep Medicine Reviews, 48, 101210.