Authors: Louanne W. Davis; Arlene A. Schmid; Joanne K. Daggy; Ziyi Yang · Research
Can Yoga Help Reduce PTSD Symptoms in Veterans and Civilians?
A study explores how yoga may help reduce PTSD symptoms through improved mental well-being and reduced stigma.
Source: Davis, L. W., Schmid, A. A., Daggy, J. K., & Yang, Z. (2023). Mediators of improved PTSD symptoms in veterans and civilians following a yoga program. Acta Neuropsychiatrica, 35, 232-240. https://doi.org/10.1017/neu.2023.5
What you need to know
- Yoga may help reduce PTSD symptoms in veterans and civilians
- Improved mental well-being and reduced stigma appear to be key factors in how yoga helps with PTSD
- More research is needed to fully understand how yoga affects PTSD symptoms
Understanding PTSD and Treatment Challenges
Post-traumatic stress disorder (PTSD) is a mental health condition that can develop after experiencing or witnessing a traumatic event. It can have long-lasting effects on a person’s life, including increased risk of suicide, depression, substance abuse, and relationship problems. While there are effective treatments for PTSD, such as cognitive processing therapy and prolonged exposure therapy, many people still struggle with symptoms even after treatment. Additionally, some people may be hesitant to seek treatment due to stigma or fear that discussing their trauma will make their symptoms worse.
Given these challenges, researchers are exploring alternative approaches to help people with PTSD. One such approach is yoga, which has gained popularity as a complementary treatment for various mental health conditions, including PTSD.
Yoga as a Potential PTSD Treatment
Yoga is a practice that combines physical postures, breathing exercises, and meditation. It aims to connect the body and mind, promoting overall well-being. Some of the potential benefits of yoga include:
- Increased muscle tone and flexibility
- Improved oxygenation of the brain
- Enhanced attention and concentration
- Stress reduction
- Emotional regulation
Previous studies have shown promising results for yoga as a treatment for PTSD symptoms. However, researchers wanted to better understand how yoga might help reduce these symptoms.
The Study: Exploring How Yoga Affects PTSD Symptoms
Researchers conducted a randomized controlled trial to investigate the effects of a 16-week holistic yoga program on PTSD symptoms in veterans and civilians. The study included 141 participants, mostly male veterans with combat-related PTSD.
The researchers were particularly interested in identifying the factors, or mediators, that might explain how yoga helps reduce PTSD symptoms. They looked at several potential mediators, including:
- Interoceptive awareness (the ability to sense and understand bodily sensations)
- Anxiety
- Depression
- Spirituality
- Self-compassion
- Mental well-being
- Stigma
- Sleep quality
Key Findings: Mental Well-being and Reduced Stigma
After analyzing the data, the researchers found two main factors that seemed to explain how yoga helped reduce PTSD symptoms:
Improved mental well-being: Participants who reported better overall mental well-being at the midpoint of the yoga program (8 weeks) were more likely to show reduced PTSD symptoms at the end of the program.
Reduced stigma: Participants who experienced less mental health stigma by the end of the yoga program were more likely to show improvements in their PTSD symptoms.
These findings were consistent whether PTSD symptoms were measured through clinical interviews or self-reported questionnaires.
Understanding the Role of Mental Well-being
The measure of mental well-being used in the study asked participants to rate how often they felt:
- Very nervous
- Calm and peaceful
- Downhearted and blue
- Happy
- So down that nothing could cheer them up
This suggests that yoga may help improve both anxious and depressive moods, leading to an overall improvement in mental well-being. This general improvement in mood and emotional state may, in turn, help reduce PTSD symptoms.
The Importance of Reducing Stigma
The finding that reduced stigma played a role in improving PTSD symptoms is particularly interesting. Stigma related to mental health can be a significant barrier to seeking and benefiting from treatment. The yoga program in this study may have helped reduce stigma in several ways:
Acceptance: The yoga teachers encouraged participants to accept their own abilities and limitations in practicing yoga.
Embodiment: The teachers themselves demonstrated acceptance of all participants, regardless of their skill level or limitations.
Social support: Practicing yoga in a group setting may have provided a sense of community and mutual understanding among participants.
Normalizing mental health challenges: The yoga program’s focus on mental well-being may have helped participants feel more comfortable acknowledging and addressing their mental health.
Limitations and Future Research
While these findings are promising, it’s important to note some limitations of the study:
The majority of participants were male veterans with combat-related PTSD, so the results may not fully apply to civilians or women with PTSD from other types of trauma.
The study relied on self-reported measures, which can be influenced by participants’ perceptions and expectations.
Despite these limitations, the study provides valuable insights into how yoga might help people with PTSD. Future research could explore:
- How yoga affects PTSD symptoms in more diverse populations
- Ways to enhance yoga programs by focusing more explicitly on mental well-being and reducing stigma
- The long-term effects of yoga practice on PTSD symptoms
- How yoga compares to or complements other PTSD treatments
Conclusions
- Yoga shows promise as a complementary treatment for PTSD symptoms in veterans and civilians.
- Improved mental well-being and reduced stigma appear to be key factors in how yoga helps reduce PTSD symptoms.
- Future yoga interventions for PTSD may benefit from placing greater emphasis on overall mental well-being and addressing mental health stigma.
- More research is needed to fully understand how yoga affects PTSD symptoms and to develop the most effective yoga-based interventions for people with PTSD.