Veterans Affairs Portland Health Care System.
Department of Psychiatry, Oregon Health & Science University.
Psychol Trauma. 2020 Nov;12(8):913-917. doi: 10.1037/tra0000909. Epub 2020 Aug 10.
Research indicates that cognitive functioning is negatively impacted by exposure to chronic stress due to overactivation of the stress response. Yoga has demonstrated benefits when practiced by individuals diagnosed with posttraumatic stress disorder (PTSD). This quasi-experimental pilot study examined the impact of a yoga intervention on cognitive functioning, symptoms of PTSD, and the biological stress response in Veterans diagnosed with PTSD. Cognitive functioning, self-report measures of mental health symptoms, and salivary cortisol were measured within two weeks prior to beginning and following completion of a 10-week yoga protocol. Veterans with PTSD participated in gender-specific groups of the yoga intervention. Paired t tests and correlational analyses were used to analyze quantitative data. Statistically significant improvements were observed between baseline and postintervention scores on measures of response inhibition, PTSD, depression, sleep, quality of life, and subjective neurocognitive complaints. Positive correlations were found between baseline and postintervention changes in sleep and depression, and between change in cortisol output and a measure of life satisfaction. Statistically significant differences (baseline to postintervention) for other objective measures of cognitive performance and cortisol were not detected. Results provide preliminary support for the practice of yoga to improve cognitive functioning (response inhibition) related to symptoms of PTSD while also improving mental health symptoms, sleep, and quality of life. Positive correlations affirm the role of sleep in mood symptoms and indicate the need for further examination of the role of cortisol in life satisfaction. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
研究表明,由于应激反应过度激活,慢性应激会对认知功能产生负面影响。瑜伽已被证明对创伤后应激障碍(PTSD)患者有益。这项准实验性初步研究调查了瑜伽干预对认知功能、PTSD 症状和 PTSD 退伍军人生物应激反应的影响。在开始和完成 10 周瑜伽方案的两周内,测量了认知功能、心理健康症状的自我报告测量值和唾液皮质醇。患有 PTSD 的退伍军人参加了特定性别的瑜伽干预小组。使用配对 t 检验和相关分析来分析定量数据。在反应抑制、PTSD、抑郁、睡眠、生活质量和主观神经认知主诉的测量中,观察到从基线到干预后的分数有统计学意义的改善。在睡眠和抑郁的基线和干预后变化之间以及皮质醇输出的变化与生活满意度的测量之间发现了正相关。未检测到其他客观认知表现和皮质醇的基线到干预后的统计学显著差异。结果初步支持瑜伽练习改善与 PTSD 症状相关的认知功能(反应抑制),同时改善心理健康症状、睡眠和生活质量。正相关证实了睡眠在情绪症状中的作用,并表明需要进一步研究皮质醇在生活满意度中的作用。(PsycInfo 数据库记录(c)2020 APA,保留所有权利)。