Effectiveness of an Extended Yoga Treatment for Women with Chronic Posttraumatic Stress Disorder

Price, Maggi; Spinazzola, Joseph; Musicaro, Regina; Turner, Jon; Suvak, Michael K.; Emerson, David J.; Kolk, Bessel van der

doi:10.1089/acm.2015.0266

Cited by 57 publications

(51 citation statements)

References 50 publications

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“…The practice of yoga, with emphases on interoceptive and exteroceptive sensory-motor experience, has an intimate link with autonomic state regulation (Sullivan et al, 2018). There is growing evidence that yoga reduces PTSD symptoms (van der Kolk et al, 2014;Price et al, 2017) and may have benefits for treating functional GI disorders in adolescents and adults (for a systematic review see Schumann et al, 2016).…”

Section: Therapies Utilizing Tactile Vocal and Interoceptive Modamentioning

confidence: 99%

Traumatic stress and the autonomic brain‐gut connection in development: Polyvagal Theory as an integrative framework for psychosocial and gastrointestinal pathology

Kołacz

Kovacic

Porges

2019

Developmental Psychobiology

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A range of psychiatric disorders such as anxiety, depression, and post‐traumatic stress disorder frequently co‐occur with functional gastrointestinal (GI) disorders. Risk of these pathologies is particularly high in those with a history of trauma, abuse, and chronic stress. These scientific findings and rising awareness within the healthcare profession give rise to a need for an integrative framework to understand the developmental mechanisms that give rise to these observations. In this paper, we introduce a plausible explanatory framework, based on the Polyvagal Theory (Porges, Psychophysiology, 32, 301–318, 1995; Porges, International Journal of Psychophysiology, 42, 123–146, 2001; Porges, Biological Psychology, 74, 116–143, 2007), which describes how evolution impacted the structure and function of the autonomic nervous system (ANS). The Polyvagal Theory provides organizing principles for understanding the development of adaptive diversity in homeostatic, threat‐response, and psychosocial functions that contribute to pathology. Using these principles, we outline possible mechanisms that promote and maintain socioemotional and GI dysfunction and review their implications for therapeutic targets.

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Section: Therapies Utilizing Tactile Vocal and Interoceptive Modamentioning

confidence: 99%

Traumatic stress and the autonomic brain‐gut connection in development: Polyvagal Theory as an integrative framework for psychosocial and gastrointestinal pathology

Kołacz

Kovacic

Porges

2019

Developmental Psychobiology

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“…The selected studies included both civilian participants and veterans as well as both men and women. A total of 11 studies involved a form of yoga (Carter et al, 2013;Descilo et al, 2009;Jindani, Turner, & Khalsa, 2015;McCarthy et al, 2017;Mitchell et al, 2014;Price et al, 2017;Seppälä et al, 2014;Staples, Hamilton, & Uddo, 2013;Thordardottir, Gudmundsdottir, Zoega, Valdimarsdottir, & Gudmundsdottir, 2014;Van der Kolk et al, 2014;Walker & Pacik, 2017), whereas the other studies involved a variety of other BMOIs. The control conditions were waitlist (Carter et al, Rosenbaum, Sherrington, & Tiedemann, 2014).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The control conditions were waitlist (Carter et al, Rosenbaum, Sherrington, & Tiedemann, 2014). One study compared a massage condition to massage and body-oriented therapy (Price, 2005), and seven studies were single-group studies without a control condition (Collinge, Kahn, & Soltysik, 2012;Gordon, Staples, He, & Atti, 2016;Manger & Motta, 2005;McCarthy et al, 2017;Price et al, 2017;Staples et al, 2013;Walker & Pacik, 2017). Outcome measures were self-report measures for PTSD symptomatology as well as PTSD measures collected during clinical interviews; one study used a clinician-administered measure of complex traumatic stress (Kaiser et al, 2010).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…All controlled studies except one (Descilo et al, 2009) met the latter criterion. Problems with regard to incomplete outcome data were solved satisfactorily in all controlled studies and most of the single-group studies, except for the study by Price et al (2017), which had a small sample size and an unexplained high dropout percentage, and the study by Manger and Motta (2005), in which the missing outcome data were directly related to the nature of the intervention and may have influenced the study results. In only 12 studies, follow-up data after at least 1-month posttest were gathered.…”

Section: Risk Of Bias Within Studiesmentioning

confidence: 99%

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Body‐ and Movement‐Oriented Interventions for Posttraumatic Stress Disorder: A Systematic Review and Meta‐Analysis

Kamp

Scheffers

Hatzmann

et al. 2019

Journal of Traumatic Stress

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To assess the efficacy of body-and movement-oriented interventions (BMOIs) in traumatized adults with posttraumatic stress disorder (PTSD), we conducted a systematic review and meta-analysis of pertinent literature. Four bibliographical databases (PsycINFO, Ovid MEDLINE(R), EMBASE, and the Cochrane Central Register of Controlled Trials) were searched using keywords and text words for trials on BMOIs addressing PTSD. The search included articles published between October 2005 and August 2017. Studies were included if participants were adults suffering from PTSD, if BMOIs were the therapeutic strategy under investigation, and if a psychometrically evaluated standardized outcome measure for PTSD was used. No limitations for control conditions were applied. Hedges' g was computed as the effect size (ES) for the treatment versus control condition. The meta-analysis included 15 studies, which resulted in a mean ES of g = 0.85, 95% CI [0.31, 1.39], with very high heterogeneity, I 2 = 91%. After removing one study as outlier, a mean effect size of g = 0.56, 95% CI [0.29, 0.82] (i.e., medium effect), still with considerable heterogeneity, I 2 = 57%, was found. BMOIs seem to be effective in reducing symptoms of PTSD, but more research is needed to identify working mechanisms and to determine which types of intervention are most effective for various subgroups of patients.Posttraumatic stress disorder (PTSD) is a chronic and debilitating disorder characterized by symptoms of reexperiencing, avoidance, emotional numbing, and hyperarousal as a consequence of one or more traumatizing experiences (American Psychiatric Association [APA], 2013). The disorder is associated with suicidal ideation and behavior (Ying et al., 2015;Youssef et al., 2013), as well as high rates of comorbid psychiatric disorders, including mood and anxiety disorders, somatoform disorders, and substance use disorders (Jacobi et al., 2004;Yehuda et al., 2015). Additionally, PTSD is associated with medical comorbidities (such as cardiovascular, respiratory, musculoskeletal, neurological, and gastrointestinal disorders), chronic pain and inflammation, diabetes, and metabolic syndrome (Gupta, 2013;Yehuda et al., 2015).

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“…Each year, those who practice yoga represent a progressively larger proportion of the population [7][8][9]. Further, yoga is increasingly used to enhance outcomes for those with mental health challenges including Post Traumatic Stress Disorder [5,[9][10][11][12]. As celebrated in both academic and popular press, yoga-for-trauma classes are being offered in urban, high poverty areas; in high risk, risk poverty schools; for veterans; and within substance use and mental health rehabilitations centers [3,6,13].…”

Section: Introductionmentioning

confidence: 99%

Trauma-Informed Yoga: An Embodied, Cognitive-Relational Framework

Cook‐Cottone¹,

LaVigne²,

Guyker³

et al. 2017

IJCAM

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Effectiveness of an Extended Yoga Treatment for Women with Chronic Posttraumatic Stress Disorder

Cited by 57 publications

References 50 publications

Traumatic stress and the autonomic brain‐gut connection in development: Polyvagal Theory as an integrative framework for psychosocial and gastrointestinal pathology

Traumatic stress and the autonomic brain‐gut connection in development: Polyvagal Theory as an integrative framework for psychosocial and gastrointestinal pathology

Body‐ and Movement‐Oriented Interventions for Posttraumatic Stress Disorder: A Systematic Review and Meta‐Analysis

Trauma-Informed Yoga: An Embodied, Cognitive-Relational Framework

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