Efficacy of the Mantram Repetition Program for Insomnia in Veterans With Posttraumatic Stress Disorder

Beck, Danielle; Holt, Lindsay Cosco; Burkard, Joseph; Andrews, Taylor; Li, Lin; Heppner, Pia; Bormann, Jill E.

doi:10.1097/ans.0000000000000144

Cited by 18 publications

(12 citation statements)

References 30 publications

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“…MRP+TAU led to significant improvements in PTSD symptoms; the strongest observed effects were on symptoms of hyperarousal (Bormann, Thorp, Wetherell, Golshan, & Lang, 2013). The MRP also has been associated with moderate-to-large reductions in insomnia with concurrent reductions in PTSD symptoms in veterans (Beck et al, 2017;Bormann et al, 2018). These findings are consistent with previous work that suggests that mantra-based meditation practices are associated with reduced physiological arousal (Lang et al, 2012).…”

Section: 以高唤起为靶点：针对美国退伍军人创伤后应激障碍的念诵疗法supporting

confidence: 86%

Targeting hyperarousal: Mantram Repetition Program for PTSD in US veterans

Crawford

Talkovsky

Bormann

et al. 2019

European Journal of Psychotraumatology

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Background: Hyperarousal appears to play an important role in the development and maintenance of posttraumatic stress disorder (PTSD) symptoms, but current evidencebased treatments appear to address this symptom type less effectively than the other symptom clusters. The Mantram Repetition Program (MRP) is a meditation-based intervention that has previously been shown to improve symptoms of posttraumatic stress disorder (PTSD) and may be especially helpful for hyperarousal. If MRP is an effective tool for decreasing this often treatment-resistant symptom cluster, it may become an important clinical tool. Objective: The goal of this secondary analysis was to examine the effect of the MRP on hyperarousal and other PTSD symptom clusters and to examine hyperarousal as a mediator of treatment response. Method: Secondary analyses were conducted on data from a randomized controlled trial in which Veterans with PTSD (n = 173) were assigned to the MRP or a non-specific psychotherapy control and assessed pre-treatment, post-treatment and 8 weeks after treatment completion. The impact of the interventions on PTSD symptom clusters was examined, and time-lagged hierarchical linear modelling was applied to examine alternative mediation models. Results: All PTSD symptom clusters improved in both treatments. MRP led to greater reductions in hyperarousal at post-treatment (Hedge's g = 0.57) and follow-up (Hedge's g = 0.52), and in numbing at post-treatment (Hedge's g = 0.47). Hyperarousal mediated reductions in the composite of the other PTSD symptom clusters. Although the reverse model was significant as well, the effect was weaker in this direction. Conclusion: Interventions focused on the management of hyperarousal may play an important role in recovery from PTSD. The MRP appears efficacious in reducing hyperarousal, and thereby impacting other PTSD symptom clusters, as one pathway to facilitating recovery.

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Section: 以高唤起为靶点：针对美国退伍军人创伤后应激障碍的念诵疗法supporting

confidence: 86%

Targeting hyperarousal: Mantram Repetition Program for PTSD in US veterans

Crawford

Talkovsky

Bormann

et al. 2019

European Journal of Psychotraumatology

Self Cite

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“…For instance, Marshall et al., (2018) used Tai‐Chi combined with low‐intensity exercises in the workplace and found promising results. Other spiritual interventions have been found in the literature such as repeating of mantra (MRP) (Beck et al., 2017) and body–mind–spirit integrative intervention (I‐BMS) (Ji et al., 2017). Notwithstanding, these interventions have not yet been implemented and evaluated at workplace.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of spiritual interventions in the workplace for work‐related health outcomes: A systematic review and meta‐analysis

et al. 2021

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Aim To investigate the effectiveness of spiritual interventions in the workplace for different health outcomes through the use of a meta‐analysis of randomized controlled trials. Background Most studies including spirituality in the workplace investigated it at the organisational/business level, while giving a secondary value to the well‐being and quality of life of the workers. Methods Systematic review and meta‐analysis carried out on the following databases: SCOPUS, PubMed and Web of Science. Spiritual interventions investigating work‐related health outcomes were included. Then, meta‐analyses were conducted. Results From a total of 2,832 studies, 7 articles were included in the systematic review and 6 in the meta‐analysis. Spiritual interventions, as compared to controls, improved the health outcomes of the workers (standard mean difference (SMD), −1.42; 95% CI, −1.98, −0.86; p < .001; I2 = 96%). Subanalyses revealed that yoga was an effective intervention and that stress was reduced by these interventions. Conclusion Spiritual interventions in the workplace seem to be effective in improving workers’ health. Nevertheless, the high heterogeneity and limited number of studies may hinder more robust conclusions at the moment. Implications for nursing management The use of spiritual interventions should be considered in workplaces in order to reduce the stress and other negative outcomes.

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“…Mind–body interventions include Emotional Freedom Technique (EFT), TM, and brief mindful awareness exercises. The EFT uses acupressure points and cognitive behavioral therapy techniques for daily stress reduction, 43 , 44 and TM, a form of silent mantra meditation wherein the teacher gives the student a Sanskrit mantra to think continuously during meditation, is a widely used strategy effective for reducing daily stress and stress-related disorders comorbid with suicidal behaviors and predictors in veterans, including elevated cortisol levels, 45 hypertension, 46 PTSD, 47–49 depression, 45 , 50 , 51 and insomnia. 52 …”

Section: Methodsmentioning

confidence: 99%

Effectiveness of Complementary and Integrative Approaches in Promoting Engagement and Overall Wellness Toward Suicide Prevention in Veterans

Vitale

Byma

Sun

et al. 2021

The Journal of Alternative and Complementary Medicine

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Objective: Suicide is a major public health problem, specifically among U.S. veterans, who do not consistently engage in mental health services, often citing stigma as a barrier. Complementary and Integrative Health (CIH) interventions are promising alternatives in promoting patient engagement and further, they may play a critical role in transitioning people into mental health care. Toward this goal, the Resilience and Wellness Center (RWC) was developed to break through the stigma barrier by addressing risk factors of suicide through multimodal CIH interventions via cohort design, promoting social connectedness and accountability among participants. Design: This is a program evaluation study at a large urban VA medical center, where assessments were evaluated from pre- to post-program completion to determine the effectiveness of an intensive multimodal CIH 4-week group outpatient intervention for suicide prevention. Outcome measures: Primary outcomes measured included group connectedness, severity of depression and hopelessness symptoms, suicidal ideation, sleep quality, and diet. Secondary outcomes included measures of post-traumatic stress disorder (PTSD), generalized anxiety severity stress/coping skills, pain, and fatigue. Results: The RWC showed high participant engagement, with an 84%–95% attendance engagement rate depending on suicide risk history. Data from 15 cohorts ( N = 126) demonstrate favorable outcomes associated with participation in this comprehensive program, as evidenced by a reduction in suicidal ideation, depression, and hopelessness, but not sleep quality and diet. In addition, in a subset of veterans with a history of suicidal ideation or attempt, significant improvements were noted in pain, PTSD/anxiety symptoms, and stress coping measures. Conclusions: The RWC shows that an intensive complement of CIH interventions is associated with a significant improvement with high veteran engagement. Findings from this program evaluation study can be used to aid health care systems and their providers in determining whether or not to utilize such multimodal CIH integrated interventions as an effective treatment for at-risk populations as a part of suicide prevention efforts.

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Efficacy of the Mantram Repetition Program for Insomnia in Veterans With Posttraumatic Stress Disorder

Cited by 18 publications

References 30 publications

Targeting hyperarousal: Mantram Repetition Program for PTSD in US veterans

Targeting hyperarousal: Mantram Repetition Program for PTSD in US veterans

The effectiveness of spiritual interventions in the workplace for work‐related health outcomes: A systematic review and meta‐analysis

Effectiveness of Complementary and Integrative Approaches in Promoting Engagement and Overall Wellness Toward Suicide Prevention in Veterans

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