Davis Lauren, Aylward Alexandra
Montana State University, 115 Reid Hall, Bozeman, MT 59717 USA.
J Child Adolesc Trauma. 2022 Dec 1;16(3):1-14. doi: 10.1007/s40653-022-00496-9.
Given the prevalence of childhood trauma in rural Montana, this project is intended to help mitigate stressors that may contribute to poor behavioral and mental health in high school-aged children, which may be exacerbated by the collective trauma of the COVID-19 pandemic. The immediate goal was to measure physical and mental health outcomes in adolescents resulting from a remotely delivered trauma-informed yoga intervention designed to foster positive youth development. Our study builds on the successes from an initial feasibility pilot study one year prior in order to evaluate a more robust intervention comparing experimental and control group outcomes. Students at a small, rural high school in Montana volunteered to participate in a 6-week, twice-weekly trauma-informed yoga intervention in their physical education class. Validated survey measures, including the PHQ-A, GAD-7, and ACE-Q instruments, were utilized to measure mental health outcomes pre- vs. post-intervention. Salivary cortisol levels were also measured pre-, mid-, and post-intervention. Statistically significant declines in cortisol levels and improvements in sleep duration were noted when comparing experimental vs. control groups. Noteworthy declines in depression and anxiety levels were also seen when comparing the treatment to control groups. Descriptive differences between the control and experimental groups illustrate the mental health benefits of reduced anxiety and depressive symptoms in rural adolescents resulting from a remotely delivered trauma-informed yoga intervention. Our study holds the potential for a long-term public health impact in reducing adolescent rates of anxiety and depression while mitigating trauma in geographically isolated settings. Trial Registration: ClinicalTrials.gov identifier: NCT04664855.
鉴于蒙大拿州农村地区儿童期创伤的普遍性，本项目旨在帮助减轻可能导致高中年龄段儿童行为和心理健康不佳的压力源，而新冠疫情造成的集体创伤可能会加剧这些压力源。近期目标是衡量一种远程提供的、以创伤为导向的瑜伽干预措施对青少年身心健康产生的影响，该干预措施旨在促进青少年积极发展。我们的研究基于前一年初步可行性试点研究的成功经验，以评估一项更有力的干预措施，比较实验组和对照组的结果。蒙大拿州一所农村小型高中的学生自愿在体育课上参加为期6周、每周两次的以创伤为导向的瑜伽干预。采用经过验证的调查量表，包括患者健康问卷青少年版（PHQ-A）、广泛性焦虑障碍量表（GAD-7）和童年期不良经历问卷（ACE-Q），来衡量干预前后的心理健康状况。还在干预前、干预中期和干预后测量唾液皮质醇水平。比较实验组和对照组时，发现皮质醇水平有统计学意义的下降，睡眠时间有所改善。比较治疗组和对照组时，抑郁和焦虑水平也有显著下降。对照组和实验组之间的描述性差异表明，远程提供的以创伤为导向的瑜伽干预对农村青少年有减轻焦虑和抑郁症状的心理健康益处。我们的研究有可能对公共卫生产生长期影响，降低青少年焦虑和抑郁发生率，同时减轻地理上孤立地区的创伤。试验注册：美国国立医学图书馆临床试验注册中心标识符：NCT04664855。
