TABLE 1.
Studies of Mind-body Interventions in Patients with PTSD
Author Year Study Site | Study Design | Mean age (SD) Gender (%) | Intervention Time Frame Sample Size | PTSD Outcomes, Magnitude of Symptom Change |
---|---|---|---|---|
Descilo et al.7 2010 U.S. | NRS | Adult | Yoga breathing | 60% decrease in PTSD symptom severity at weeks 6, 24 |
30.8 | 5 weeks | |||
Female (85) | N = 183 | ΔPCL-17 = -42.5 | ||
Staples et al.8 2011 Gaza | NRS | Age | Mind-body skills | Significant effect of time for PTSD subscales. |
13.3 | 5 weeks | |||
Female (37) | N = 129 | ΔCPSS = 16.8 | ||
Telles et al.26 2010 India | RCT | Adult | Yoga | No significant changes in the HRV. |
31.5 (7.5) | 1 week, 60 min daily | |||
Male (100) | N = 22 | ΔpNN50 = 7.83 | ||
Stankovic L.27 2011 U.S. | NRS | Adult | Meditation (iRest) | Subjective rating of permanence of positive symptom changes = 3.27 out of 1 (temporary) to 5 (permanent). |
61 | 8 weeks, 40-min weekly | |||
Not specified | ||||
N = 16 | ||||
Watson et al.24 1997 U.S. | RCT | Adult | Relaxation, breathing, biofeedback | Moderate effect of relaxation, but not breathing and/or biofeedback in PTSD treatment. |
45.6 | ||||
Male (100) | 10 sessions | |||
N = 90 | ΔPTSD-I = -0.4 | |||
Branstrom et al.25 2011 Sweden | RCT | Adult | MBSR | No significant changes in overall PTSD symptoms but avoidance. |
51.8 (9.86) | 8 sessions, 2-h weekly | |||
Female (99) | N = 71 | ΔIES = -6.42 at 6-month follow-up | ||
Bormann et al.9 2011 US | RCT | Adult | Mantram | Significant PTSD symptom reduction. |
56.1 (9.60) | 6 sessions, 90-min weekly | |||
Male (97) | N = 136 | ΔPCL-C = -6.3 | ||
Catani et al.10 2009 Sri Lanka | RCT | Children | Meditation-relaxation | Significant PTSD symptom reduction |
11.95 | 2 weeks, 6 sessions | |||
Male (54.8) | N = 31 | ΔUPID = -23.99 at wk2 | ||
Gordon et al.11 2004 Kosovo | NRS | Adolescents | Mind-body skills | Significant PTSD symptom reduction at posttest. |
Pilot | 16-19 (88%) | 6 weeks | ||
Male (54) | N = 139 | ΔPTSD-RI = -2.2 | ||
Gordon et al.12 2008 Kosovo | RCT | Adolescents | Mind-body skills | Significant decrease in PTSD symptom severity. |
16.3 | 6 weeks, twice weekly | |||
Female (62) | N = 82 | ΔHTQ = -0.5, -0.4 at wks 6, 12 | ||
Grodin et al.13 2008 U.S. | OBS Case study | Adult (Foreign patients) | Taichi and Qigong >1 year | Decreased re-experiencing, flashbacks, anxiety, and stress Increased equanimity Improved pain Soothing effect. |
Age = 23, 30, 44, 47 | N = 4 | |||
Male (75) | ||||
Waelde et al.14 2004 U.S. | NRS | Adult | Meditation | Significant decrease in PTSD symptom and stress coping. |
49 (11) | 8 weeks, daily 30 min | |||
Female (85) | N = 20 | ΔPCL-S = -6.03 | ||
Brooks and Scarano28 1985 U.S. | RT | Adults | Meditation | Significant decrease in symptoms of post-Vietnam stress disorder the intervention group. |
33.3 | 3 months | |||
Male (100) | N = 18 | |||
ΔPVSD = -3.90 | ||||
Kimbrough et al.15 2010 U.S. | NRS | Adult | MBSR | PTSD symptom severity improved by 31% after 8-week MBSR. |
45 (10.8) | 8 weeks | |||
Female (89) | N = 27 | ΔPCL-C = -14.5 | ||
Rosenthal etal.16 2011 U.S. | NRS | Adult | Meditation | Significant improvement in PTSD symptom severity. ΔCAPS = -31.4 |
41.5 (16.6) | 8 weeks, 20 minutes, twice a day | |||
Male (100) | ΔPCL-M = -24.00 | |||
N=5 | ||||
Kearney et al.17 2012 U.S. | NRS | Adult | MBSR | Significant improvement in PTSD symptom severity. |
51(10.6) | 8 weeks | |||
Male (75) | N = 92 | ΔPCL-C = -9 |
Data are shown as mean (SD) for quantitative variables and mean (%) for gender.
Abbreviations: NRS, prospective nonrandomized studies; RCT, randomized controlled trial; OBS, observational non-controlled study; RT, randomized-noncontrolled trial; MBSR, mindfulness-based stress reduction; PCL-C, PTSD Checklist-Civilian Version; CPSS, Child PTSD Symptom Scale; HRV, heart rate variability; pNN50, the percentage of successive normal cardiac interbeat intervals greater than 50 msec; IES, Impact of Event Scale; UPID, UCLA PTSD Index for DSM-IV; PTSD-RI, PTSD Reaction Index; HTQ, Harvard Trauma Questionnaire; PCL-S, PTSD Checklist-Specific Version; PVSD, Post-Vietnam Stress Disorder; CAPS, the Clinician Administered PTSD Scale; PCL-M, PTSD Checklist-Military Version.