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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
44
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.
Bitlis Eren Universty
Bitlis, Bitlis /merkez, Turkey (Türkiye)
PTSD Checklist (PCL-5) questionnaire
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.
Time frame: Change from baseline at 6 weeks
Depression Anxiety and Stress Scale-21 (DASS-21)
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.
Time frame: Change from baseline at 6 weeks
Pittsburgh Sleep Quality Index (PSQI)
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.
Time frame: Change from baseline at 6 weeks
Fatigue Severity Scale (FSS)
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.
Time frame: Change from baseline at 6 weeks
Short Form-36 (SF-36) questionnaire
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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.
Time frame: Change from baseline at 6 weeks