Symptoms improve after a yoga program designed for PTSD in a randomized controlled trial with veterans and civilians.

Davis, Louanne W.; Schmid, Arlene A.; Daggy, Joanne; Yang, Ziyi; O’Connor, Caitlin; Schalk, Nancy; Ai-Nghia, L; Maric, Danka; Lazarick, Donna L.; Knock, Heidi

doi:10.1037/tra0000564

Cited by 40 publications

(52 citation statements)

References 23 publications

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“…No significant differences in outcomes between the groups were found, leading us to interpret that TCTSY performed similarly to the current gold standard treatment, specifically CPT. These findings are consistent with the literature that supports yoga as an effective clinical intervention for PTSD, 25,44 as well as the literature that established CPT as an effective PTSD treatment. 4,16 The final analysis of this study should provide more definitive results.…”

Section: Discussionsupporting

confidence: 91%

“…The use of a first-line treatment as the control condition in this RCT provides stronger and potentially more clinically relevant implications. Other studies have examined the efficacy of yoga for PTSD compared with wait list control, 45 health education, 30 wellness programs, 44 or other alternative modalities but not with evidence-based therapies. The authors wanted to compare TCTSY with the best evidence gold standard, with the goal of establishing a viable PTSD treatment alternative, given the significant limitations of the current best practices, namely engagement, retention, and initial symptom exacerbation before improvement.…”

Section: Discussionmentioning

confidence: 99%

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Trauma-Sensitive Yoga for Post-Traumatic Stress Disorder in Women Veterans who Experienced Military Sexual Trauma: Interim Results from a Randomized Controlled Trial

Kelly

Haywood

Segell

et al. 2021

The Journal of Alternative and Complementary Medicine

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Objective: To conduct an interim analysis of data collected from an ongoing multisite randomized controlled trial (RCT) assessing the effectiveness of Trauma Center Trauma-Sensitive Yoga (TCTSY) for post-traumatic stress disorder (PTSD) among women veterans with PTSD related to military sexual trauma (MST). The purpose of the interim analysis was to assess outcomes from the primary site, which is geographically, demographically, culturally, and procedurally distinct from the second site.Design: RCT was conducted within a Veterans Administration Health Care System. Data collection included preintervention through 3 months postintervention.Participants: Enrollment for the main site was 152 women. The sample size for the intent-to-treat analysis was 104. The majority were African American (91.3%) with a mean age of 48.46 years.Intervention: The TCTSY intervention (n = 58) was conducted by TCTSY-certified yoga facilitators and consisted of 10 weekly 60-min group sessions. The control intervention, cognitive processing therapy (CPT; n = 46), consisted of 12 90-min weekly group sessions conducted per Veterans Administration protocol by clinicians in the PTSD Clinic.Outcome measures: The Clinician Administered PTSD Scale for DSM-5 (CAPS-5) was used to assess current PTSD diagnosis and symptom severity, including overall PTSD and four symptom clusters. The PTSD checklist for DSM-5 (PCL-5) was used to obtain self-report of PTSD symptom severity, including total score and four symptom clusters.Results: The findings reported here are interim results from one clinical site. For both the CAPS-5 and PCL-5, total scores and all four criterion scores decreased significantly ( p < 0.01) over time in all five multilevel linear models within both TCTSY and CPT groups, without significant differences between groups. There were clinically meaningful improvements seen for both TCTSY and CPT with 51.1%-64.3% of TCTSY subjects and 43.5%-73.7% of CPT decreasing their CAPS-5 scores by 10 points or more. Effect sizes for total symptom severity were large for TCTSY (Cohen's d = 1.10-1.18) and CPT (Cohen's d = 0.90-1.40). Intervention completion was higher in TCTSY (60.3%) than in CPT (34.8%). Symptom improvement occurred earlier for TCTSY (midintervention) than for CPT (2 weeks postintervention).Safety: There were no unanticipated adverse events in this study. Conclusion:The results of this study demonstrate that TCTSY may be an effective treatment for PTSD that yields symptom improvement more quickly, has higher retention than CPT, and has a sustained effect. TCTSY may be an effective alternative to trauma-focused therapy for women veterans with PTSD related to MST.The study is registered in ClinicalTrials.gov (CTR no.: NCT02640690).

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Trauma-Sensitive Yoga for Post-Traumatic Stress Disorder in Women Veterans who Experienced Military Sexual Trauma: Interim Results from a Randomized Controlled Trial

Kelly

Haywood

Segell

et al. 2021

The Journal of Alternative and Complementary Medicine

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“…Besides, this rate increments by 3.3 times in the case of corporal disabilities [11]. Runnals et al (2014) showed that oldsters with better health conditions enjoyed more positive aging perceptions [21]. If oldsters receive health-promoting interventions, they will have more positive perceptions.…”

Section: Discussionmentioning

confidence: 98%

“…In Cheng's (2014) study, the positive aging perceptions had relationships with the growth and promotion of mental and social capacities [21]. Tiller et al (2019) showed that increases in the resilience and adjustment of oldsters with oldness problems positively correlated with body health (r = 0.2) and mental health (r=-0.6) [29], and the enhancement of positive aging perceptions and PPR could increase social adjustment.…”

Section: Discussionmentioning

confidence: 99%

“…Also, a sense of perceived control mediates the relationship between aging perceptions and health conditions. Hence, if interventions in the health domain cannot improve oldsters' health conditions signi cantly, they can make aging perceptions more positive by increasing disease and health-controlling senses [21]. After the intervention, the positive control over the oldness subscale and health changes signi cantly improved, and this perception became more positive.…”

Section: Discussionmentioning

confidence: 99%

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Perception of Aging Modifies Social Adjustment of Iranian Veterans: a Randomised Controlled Trial

Asadollahi¹,

Ghahremani²,

Maghsoudi³

2021

Preprint

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Background: Retirement is a challenge for veterans during their life course. The aim of this study was to investigate the effect of educational intervention on the perception of aging and social adjustment during retirement. Methods: This quasi-experimental study was performed on 100 military retirees in Shiraz, Iran. Data collection tools included a demographic questionnaire, Perception of Aging, and Social Adjustment. The educational intervention used included six training sessions on the subject of mindfulness, physical and psychological changes of aging, health and self-care management, attitudes toward aging, and social and family relationships in old age. Data were collected at the beginning of the study and two months after the intervention and then analyzed using SPSS version 25. Results: The results showed no significant difference between the control and intervention groups in terms of demographic variables, perception of aging, and social adjustment before the educational intervention. However, the perception of aging significantly decreased, and social adjustment increased in the intervention group after the educational intervention. Improving the perception of aging and parents' perceived role can positively affect social adjustment. Multiple regression analysis indicated a predictive model for social adjustment in later life. Conclusions: With increased knowledge of the retirees on self-care, their perceptions of aging and their role in later life improved and predicte social adjustment.

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Yoga vs Cognitive Processing Therapy for Military Sexual Trauma–Related Posttraumatic Stress Disorder

Zaccari,

Higgins,

Haywood

et al. 2023

JAMA Netw Open

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ImportanceFirst-line treatment for posttraumatic stress disorder (PTSD) in the US Department of Veterans Affairs (VA), ie, trauma-focused therapy, while effective, is limited by low treatment initiation, high dropout, and high treatment refraction.ObjectiveTo evaluate the effectiveness of Trauma Center Trauma-Sensitive Yoga (TCTSY) vs first-line cognitive processing therapy (CPT) in women veterans with PTSD related to military sexual trauma (MST) and the hypothesis that PTSD outcomes would differ between the interventions.Design, Setting, and ParticipantsThis multisite randomized clinical trial was conducted from December 1, 2015, to April 30, 2022, within 2 VA health care systems located in the southeast and northwest. Women veterans aged 22 to 71 years with MST-related PTSD were enrolled and randomized to TCTSY or CPT.InterventionsThe TCTSY intervention (Hatha-style yoga focusing on interoception and empowerment) consisted of 10 weekly, 60-minute group sessions, and the CPT intervention (cognitive-based therapy targeting modification of negative posttraumatic thoughts) consisted of 12 weekly, 90-minute group sessions.Main Outcome and MeasuresSociodemographic data were collected via self-report survey. The primary outcome, PTSD symptom severity, was assessed using the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) and PTSD Checklist for DSM-5 (PCL-5). Assessments were conducted at baseline, midintervention, 2 weeks post intervention, and 3 months post intervention.ResultsOf 200 women veterans who consented to participate, the intent-to-treat sample comprised 131 participants (mean [SD] age, 48.2 [11.2] years), with 72 randomized to TCTSY and 59 randomized to CPT. Treatment was completed by 47 participants (65.3%) in the TCTSY group and 27 (45.8%) in the CPT group, a 42.6% higher treatment completion rate in the TCTSY group (P = .03). Both treatment groups improved over time on the CAPS-5 (mean [SD] scores at baseline: 36.73 [8.79] for TCTSY and 35.52 [7.49] for CPT; mean [SD] scores at 3 months: 24.03 [11.55] for TCTSY and 22.15 [13.56]) and the PCL-5 (mean [SD] scores at baseline: 49.62 [12.19] for TCTSY and 48.69 [13.62] for CPT; mean [SD] scores at 3 months: 36.97 [17.74] for TCTSY and 31.76 [12.47]) (P &lt; .001 for time effects). None of the group effects or group-by-time effects were significant. Equivalence analyses of change scores were not significantly different between the TCTSY and CPT groups, and the two one-sided test intervals fell within the equivalence bounds of plus or minus 10 for CAPS-5 for all follow-up time points.Conclusions and RelevanceIn this comparative effectiveness randomized clinical trial, TCTSY was equivalent to CPT in reducing PTSD symptom severity, with both groups improving significantly. The higher treatment completion rate for TCTSY indicates its higher acceptability as an effective and acceptable PTSD treatment for women veterans with PTSD related to MST that could address current VA PTSD treatment limitations.Trial RegistrationClinicalTrials.gov Identifier: NCT02640690

show abstract

Symptoms improve after a yoga program designed for PTSD in a randomized controlled trial with veterans and civilians.

Cited by 40 publications

References 23 publications

Trauma-Sensitive Yoga for Post-Traumatic Stress Disorder in Women Veterans who Experienced Military Sexual Trauma: Interim Results from a Randomized Controlled Trial

Trauma-Sensitive Yoga for Post-Traumatic Stress Disorder in Women Veterans who Experienced Military Sexual Trauma: Interim Results from a Randomized Controlled Trial

Perception of Aging Modifies Social Adjustment of Iranian Veterans: a Randomised Controlled Trial

Yoga vs Cognitive Processing Therapy for Military Sexual Trauma–Related Posttraumatic Stress Disorder

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