"We really need this": Trauma-informed yoga for Veteran women with a history of military sexual trauma

被引:18
作者
Braun, Tosca D. [1 ,2 ,3 ,4 ]
Uebelacker, Lisa A. [4 ,5 ]
Ward, Mariana [6 ]
Holzhauer, Cathryn Glanton [1 ,7 ]
McCallister, Kelly [2 ]
Abrantes, Ana [4 ,8 ]
机构
[1] VA Cent Western Massachusetts, 421 N Main St, Leeds, MA 01053 USA
[2] MA Vet Ctr, 95 Ashley Ave, West Springfield, MA 01089 USA
[3] Miriam Hosp, Ctr Behav & Prevent Med, 196 Richmond St, Providence, RI 02903 USA
[4] Brown Univ, Dept Psychiat & Human Behav, Alpert Med Sch, Box G-BH,700 Butler Dr, Providence, RI 02906 USA
[5] Butler Hosp, Psychosocial Res, 345 Blackstone Blvd, Providence, RI 02906 USA
[6] Sloan Kettering Inst, Mem Sloan Kettering, 1275 York Ave, New York, NY 10065 USA
[7] Univ Massachusetts, Dept Psychiat, Sch Med, 55 Lake Ave, North Worcester, MA 01655 USA
[8] Butler Hosp, Behav Med & Addict Res, 345 Blackstone Blvd, Providence, RI 02906 USA
基金
美国国家卫生研究院;
关键词
Women; Veterans; Military sexual trauma; PTSD; Yoga; Mindfulness; FACET MINDFULNESS QUESTIONNAIRE; POSTTRAUMATIC-STRESS-DISORDER; NEGATIVE AFFECT; SENSITIVE YOGA; DATA SATURATION; GROUP-THERAPY; HATHA YOGA; SYMPTOMS; ASSAULT; SHAME;
D O I
10.1016/j.ctim.2021.102729
中图分类号
R [医药、卫生];
学科分类号
10 ;
摘要
Objectives: Up to 70% of women service members in the United States report military sexual trauma (MST); many develop post-traumatic stress disorder (PTSD) and co-occurring disorders. Trauma-informed yoga (TIY) is suggested to improve psychiatric symptoms and shown feasible and acceptable in emerging research, yet no work has evaluated TIY in MST survivors. The current quality improvement project aimed to examine TIY's feasibility, acceptability, and perceived effects in the context of MST. Design: Collective case series (N = 7). Setting: New England Vet Center. Interventions: Extant TIY program (Mindful Yoga Therapy) adapted for Veteran women with MST in concurrent psychotherapy. Main outcome measures: Attrition and attendance; qualitative exit interview; validated self-report measure of negative affect pre/post each yoga class, and symptom severity assessments and surveys before (T1; Time 1) and after the yoga program (T2; Time 2). Results: Feasibility was demonstrated and women reported TIY was acceptable. In qualitative interviews, women reported improved symptom severity, diet, exercise, alcohol use, sleep, and pain; reduced medication use; and themes related to stress reduction, mindfulness, and self-compassion. Regarding quantitative change, results suggest acute reductions in negative affect following yoga sessions across participants, as well as improved affect dysregulation, shame, and mindfulness T1 to T2. Conclusions: TIY is both feasible and acceptable to Veteran women MST survivors in one specific Vet Center, with perceived behavioral health benefits. Results suggest TIY may target psychosocial mechanisms implicated in health behavior change (stress reduction, mindfulness, affect regulation, shame). Formal research should be conducted to confirm these QI project results.
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页数:11
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