VA Central Western Massachusetts, 421 N. Main St., Leeds, MA, 01053, United States; West Springfield, MA Vet Center, 95 Ashley Ave., West Springfield, MA, 01089-1352, United States; Centers for Behavioral and Preventive Medicine, The Miriam Hospital, 196 Richmond St., Providence, RI, 02903, United States(1); Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Box G-BH, 700 Butler Drive, Providence, RI, 02906, United States.
Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Box G-BH, 700 Butler Drive, Providence, RI, 02906, United States; Psychosocial Research, Butler Hospital, 345 Blackstone Blvd., Providence, RI, 02906, United States.
Complement Ther Med. 2021 Jun;59:102729. doi: 10.1016/j.ctim.2021.102729. Epub 2021 May 6.
Up to 70% of women service members in the United States report military sexual trauma (MST); many develop post-traumatic stress disorder (PTSD) and co-occurring disorders. Trauma-informed yoga (TIY) is suggested to improve psychiatric symptoms and shown feasible and acceptable in emerging research, yet no work has evaluated TIY in MST survivors. The current quality improvement project aimed to examine TIY's feasibility, acceptability, and perceived effects in the context of MST.
Collective case series (N = 7).
New England Vet Center.
Extant TIY program (Mindful Yoga Therapy) adapted for Veteran women with MST in concurrent psychotherapy.
Attrition and attendance; qualitative exit interview; validated self-report measure of negative affect pre/post each yoga class, and symptom severity assessments and surveys before (T1; Time 1) and after the yoga program (T2; Time 2).
Feasibility was demonstrated and women reported TIY was acceptable. In qualitative interviews, women reported improved symptom severity, diet, exercise, alcohol use, sleep, and pain; reduced medication use; and themes related to stress reduction, mindfulness, and self-compassion. Regarding quantitative change, results suggest acute reductions in negative affect following yoga sessions across participants, as well as improved affect dysregulation, shame, and mindfulness T1 to T2.
TIY is both feasible and acceptable to Veteran women MST survivors in one specific Vet Center, with perceived behavioral health benefits. Results suggest TIY may target psychosocial mechanisms implicated in health behavior change (stress reduction, mindfulness, affect regulation, shame). Formal research should be conducted to confirm these QI project results.
高达 70%的美国女性军人报告曾遭受军事性创伤（MST）；许多人患有创伤后应激障碍（PTSD）和并发障碍。创伤知情瑜伽（TIY）被认为可以改善精神症状，并在新兴研究中显示出可行性和可接受性，但尚无研究评估 MST 幸存者的 TIY。本质量改进项目旨在研究 TIY 在 MST 背景下的可行性、可接受性和感知效果。
集体病例系列（N=7）。
新英格兰 Vet 中心。
适应于有 MST 的女性退伍军人的现有 TIY 计划（正念瑜伽疗法），同时进行心理治疗。
流失率和出勤率；定性退出访谈；在每次瑜伽课前和课后使用经过验证的自我报告负面情绪量表进行测量，以及在瑜伽项目前（T1；时间 1）和后（T2；时间 2）进行症状严重程度评估和调查。
证明了可行性，并且女性报告 TIY 是可以接受的。在定性访谈中，女性报告症状严重程度、饮食、运动、饮酒、睡眠和疼痛得到改善；药物使用减少；以及与减轻压力、正念和自我同情相关的主题。关于定量变化，结果表明，所有参与者在瑜伽课程后负面情绪都有急性降低，并且 T1 到 T2 时情绪调节、羞耻和正念都得到改善。
在一个特定的 Vet 中心，TIY 对经历过军事性创伤的女性退伍军人 MST 幸存者来说既可行又可接受，并且具有感知到的行为健康益处。结果表明，TIY 可能针对与健康行为改变（减轻压力、正念、情绪调节、羞耻）相关的心理社会机制。应进行正式研究来证实这些 QI 项目的结果。
