Program in Exercise Science, Department of Physical Therapy, Marquette University, Milwaukee, Wisc.
Department of Psychology, Marquette University, Milwaukee, Wisc.
Int J Yoga Therap. 2024 Sep 1;34(2024). doi: 10.17761/2024-D-23-00082.
Posttraumatic stress disorder (PTSD) is a burdensome disorder associated with lower quality of life and increased morbidity and mortality. Veterans are particularly at risk for PTSD resulting from experiencing traumatic events during military service. Current treatments for PTSD often fail to remediate symptoms and are associated with high dropout rates; therefore, complementary and integrative health approaches, such as yoga, are being considered to treat PTSD-related symptoms. The present study investigated the feasibility of a 12-week, 1-hour/week, in-person, trauma-informed mindful resilience yoga intervention for improving PTSD symptom severity and secondary psychological outcomes (e.g., physical and mental health, sleep, mindfulness, and self-efficacy), physiological health-related fitness outcomes (e.g., body composition and muscular strength), and physical activity outcomes (e.g., accelerometry) in a sample of veterans with PTSD. Results demonstrated the intervention to be feasible, with 12 participants (9 male, 3 female; mean age 50.3) completing the program (10 participants completed ≥ 75% of the 12 sessions). Statistically significant improvement was demonstrated in the "nonjudging of inner experience" aspect of mindfulness (p = 0.005, d = 1.280). Although not considered statistically significant (p > 0.008), the majority of outcomes demonstrated trending improvement from pre- to postintervention, with small to large Cohen's d effect sizes. The novelty of this study is represented by the trending improvements in physiological health-related fitness outcomes, with lean mass and handgrip strength demonstrating small effect sizes (d = 0.243 and d = 0.267, respectively). Our results extend the existing literature on the feasibility and potential effectiveness of yoga as a complementary or integrative therapy for PTSD in the veteran population.
创伤后应激障碍（PTSD）是一种负担沉重的疾病，与生活质量降低以及发病率和死亡率升高有关。退伍军人在经历军旅生涯中的创伤性事件后，尤其容易患上 PTSD。目前 PTSD 的治疗方法往往无法缓解症状，且与高辍学率有关；因此，人们正在考虑采用瑜伽等补充和综合健康方法来治疗与 PTSD 相关的症状。本研究调查了为期 12 周、每周 1 小时、面对面、以创伤为中心的正念韧性瑜伽干预方案治疗 PTSD 患者的 PTSD 症状严重程度和次要心理结果（例如，身心健康、睡眠、正念和自我效能）、与生理健康相关的体能结果（例如，身体成分和肌肉力量）以及身体活动结果（例如，加速度计）的可行性。结果表明，该干预措施切实可行，有 12 名参与者（9 名男性，3 名女性；平均年龄 50.3 岁）完成了该方案（10 名参与者完成了 12 次课程中的≥75%）。正念的“不评判内在体验”方面表现出统计学上的显著改善（p = 0.005，d = 1.280）。尽管没有达到统计学意义（p > 0.008），但大多数结果在干预前后都表现出趋势性改善，具有从小到中等的 Cohen's d 效应量。本研究的新颖之处在于与生理健康相关的体能结果的趋势性改善，其中瘦体重和手握力显示出较小的效应量（d = 0.243 和 d = 0.267）。我们的研究结果扩展了关于瑜伽作为退伍军人 PTSD 的补充或综合治疗方法的可行性和潜在有效性的现有文献。
