AUTHOR=Walter Kristen H. , Otis Nicholas P. , Hose Michal Kalli , Ober Kathleen M. , Glassman Lisa H. TITLE=The effectiveness of the National Veterans Summer Sports Clinic for veterans with probable posttraumatic stress disorder JOURNAL=Frontiers in Psychology VOLUME=Volume 14 - 2023 YEAR=2023 URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2023.1207633 DOI=10.3389/fpsyg.2023.1207633 ISSN=1664-1078 ABSTRACT=Introduction: Recreational and adaptive sports programs may be beneficial therapeutic interventions for improving psychological outcomes among veterans and service members with posttraumatic stress disorder (PTSD) because they provide opportunities for exercise, socialization, respite, and time outdoors. Although there are an increasing number of sports programs for veterans and service members with PTSD, data evaluating the outcomes of such programs are limited. Materials and Methods: The sample included 74 U.S. veterans who participated in the National Veterans Summer Sports Clinic (NVSSC), an annual, week-long adaptive sports program in San Diego, California.Participants were categorized into two subgroups: those who met criteria for probable PTSD using the PTSD Checklist for DSM-5 (n = 20) and those who did not (n = 54). Participants completed selfreport assessments before and after each daily activity, before and after the program, and 3 months following program completion. Results: Over the course of NVSSC program participation, the diagnostic subgroups (probable PTSD vs. no PTSD) did not significantly differ on changes in depression, positive affect, negative affect, or insomnia. Compared to those without PTSD, veterans with PTSD experienced greater reduction in generalized anxiety during the program (MD = −3.07, p = .034). Veterans with PTSD also experienced significant improvements in PTSD symptoms at postprogram (MD = −23.76, p < .001). For both groups, significant benefits were shown during the program but rebounded by the 3-month follow-up. Over the course of each daily activity, positive affect (MD = 2.71, p < .001) and depression/anxiety scores significantly decreased (MD = −0.75, p < .001), with no differences between PTSD diagnostic groups across time (ps = .714 and .961, respectively