Abstract

The authors confirm that all ongoing and related trials for this intervention are registered. The studies reported in this manuscript are registered as clinical trials at ISRCTN: Pilot ID- ISRCTN15325073 RCT ID- ISRCTN59395217.

Highlights

  • Post-traumatic stress disorder (PTSD: DSM-5 [1]) is a disabling psychological condition comprising four main sets of symptoms: re-experiencing, hyperarousal, avoidance and negative changes in thoughts and mood

  • The present paper reports upon the rationale, development and evaluation of a supplemental outdoor recreational experience approach to reach UK military veterans with PTSD

  • In the UK, the term ‘military veteran’ applies to anyone person “who has performed military service for at least one day and drawn a day’s pay” [45; pg. 2]; all our participants had served in the military for considerably longer (mean length of 11 years (SD 6.12))

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Summary

Introduction

Post-traumatic stress disorder (PTSD: DSM-5 [1]) is a disabling psychological condition comprising four main sets of symptoms: re-experiencing, hyperarousal, avoidance and negative changes in thoughts and mood. Re-experiencing refers to intrusive thoughts or images, flashbacks and/or nightmares. People with PTSD tend to cope by avoidance of situations and social interactions and have difficulty in regulating emotions. Phobia, anger, violent behaviour and family discord are often associated with combat-related PTSD [2]. PTSD is frequently comorbid with other mental health problems such as depression, anxiety, substance abuse and suicidal ideation [3, 4]. PTSD may become a chronically disabling condition associated with impaired occupational, relational and social functioning [5]

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