Trauma-informed yoga (online) for positive mental health: A pilot study

Elsevier

Available online 24 September 2022

Advances in Integrative MedicineAbstractObjective

This aim of the study was to explore the effectiveness of an online trauma-informed yoga program to increase positive mental health and reduce stress in the general population.

Design

This was a mixed-methods prospective intervention study with an active traumainformed yoga group and a wait-listed control group.

Methods

Thirty participants were recruited from an organisation based in the United Kingdom.The active intervention was a once weekly pre-recorded TIY video class (approximately one-hour) for 10 weeks. The control group were wait-listed. The primary outcome was a comparison between the active and control groups postintervention on the positive mental health scale. Secondary outcomes were the difference between groups over various related scales. ANCOVA was used in the analysis to respectively control for baseline levels of the outcomes.

Results

A non-significant increase in PMH ( b = 2.44, p = 0.16), mindfulness ( b = 6.35, p = 0.07) and resilience ( b = 4.08, p = 0.15 and a significant increase in selfcompassion ( b = 2.53, p = 0.04) were demonstrated, while perceived stress increased non-significantly ( b = 1.51, p = 0.56) and empowerment was reduced non-significantly ( b = -0.25, p = 0.29) for the active group compared with controls.

Conclusions

Consistent trends over multiple outcomes demonstrated positive effects of TIY on PMH, mindfulness, resilience, and a significant improvement in self-compassion. Limitations of a small study include an increased risk of failing to reject the null hypothesis when it is false. A larger trial is warranted to demonstrate the effects of TIY more conclusively in positive mental health.

Section snippetsBackground

Stress is defined as an experience resulting from a real or imaginary threat [1]. It can impact an individual’s mental [2], cognitive [3], physical [4] and moral [5] health via numerous physiological reactions. Stress is associated with major causes of death: cardiovascular disease [6], cancer [7], lung disease [8], [9], accidents [10], cirrhosis [11] and suicide [12]. Research has demonstrated causal associations with other chronic disease processes including autoimmune diseases [13], [14],

Research Design

The study was designed as a mixed-methods prospective intervention study with two parallel groups: an active TIY group and a control group, which was a wait-listed group.

Study protocol

Study participants were emailed a link to an online survey, hosted in Qualtrics (qualtrics.com), pre-and-post the 10-week TIY program. As this study coincided with the COVID-19 pandemic, study participants in the active group were also required to access a website that had been created to enable weekly pre-recorded videos of

Participant characteristics

Thirty participants (22 females; 8 males) were randomly allocated into a wait-listed control and an active group. The flow of participants through the study is shown in Fig. 1. The mean age for participants in the wait-listed control group was 47 years (M= 47.0; SD= 9.4) and for the active group was 48.2 years (M = 48.2; SD = 8.8). There was a lower proportion of males compared to females within both groups: the wait-listed control group consisted of 33.3% males and 66.7% females; the active

Discussion

The results from this pilot study demonstrate consistent data trends for the impact of TIY on PMH, mindfulness, and resilience. A significant difference between the groups was demonstrated for self-compassion. There were no such data trends observed in stress and empowerment. These preliminary findings contribute towards our understanding of TIY and its effect on PMH, mindfulness, resilience, and self-compassion.

The results of the study suggest that TIY may help build self-compassion skills.

Conclusions

This prospective intervention study has demonstrated the potential for a 10-week TIY program for improving self-compassion in general populations who are experiencing work and personal life stress. There were also consistent trends over multiple outcomes for a positive effect of TIY on PMH, mindfulness and resilience. A larger trial is now required to conclusively demonstrate these consistent data trends.

Ethical Statement for Solid State Ionics

Hereby, I TRACEY MULVIHILL consciously assure that for the manuscript TRAUMA-INFORMED YOGA (ONLINE) FOR POSITIVE MENTAL HEALTH: A PILOT STUDY the following is fulfilled:

1)

This material is the authors' own original work, which has not been previously published elsewhere.

2)

The paper is not currently being considered for publication elsewhere.

3)

The paper reflects the authors' own research and analysis in a truthful and complete manner.

4)

The paper properly credits the meaningful contributions of co-authors

Funding

This research did not receive any grant from funding agencies in the public, commercial, or not-for-profit sectors.

CRediT authorship contribution statement

Tracey Mulvihill: conceptualisation, formal analysis, investigation, writing - original draft and visualisation, Sandra Grace: conceptualisation, formal analysis, supervision, writing –reviewing and editing, supervision, Joanne Bradbury: conceptualisation, formal analysis, supervision, writing – reviewing and editing, supervision, Frances Doran: conceptualisation, formal analysis, supervision, writing – reviewing and editing, supervision.

Authors note

The authors have no conflicts of interest.

Uncited references

[58], [68], [73], [74]

Declaration of Competing Interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Acknowledgements

All authors are thankful to the individuals who enrolled in the study.

References (74)S. Lee et al.Long-term physical health consequences of financial and marital stress in middle-aged couples

J Marriage Fam

(2021)

B.J. Griffin et al.Moral injury: An integrative review

J Trauma Stress

(2019)

D. Tawseef et al.Psychosocial stress and cardiovascular disease

Curr. Treat. Options Cardiovasc. Med.

(2019)

B. Mravec et al.Stress and cancer. Part I: Mechanisms mediating the effect of stressors on cancer

J Neuroimmunol.

(2020)

A. Al-Hussainy et al.Consequences of maternal psychological stress during pregnancy for the risk of asthma in the offspring

Scand. J. Immunol.

(2021)

M. Barnthouse et al.The impact of environmental chronic and toxic stress on asthma

Clin. Rev. Allergy Immunol.

(2019)

T. Laukkala et al.Pilot post-traumatic stress disorder and fatal aviation accidents: A descriptive study

APAHF

(2018)

S. Zhang et al.Impact of chronic psychological stress on non-alcoholic fatty liver disease

Int. J. Clin. Exp.

(2019)

E.B. Duprey et al.Child maltreatment, recent stressful life events, and suicide ideation: A test of the stress sensitivity hypothesis

Child Abuse Negl

(2021)

S.C. Segerstrom et al.Psychological stress and the human immune system: A meta-analytic study of 30 years of inquiry

Psychol. Bull.

(2004)

M. FaresjöThe link between psychological stress and autoimmune response in children

Crit. Rev. Immunol.

(2015)

K.J. Polinski et al.Perceived stress and inflammatory arthritis a prospective investigation in the studies of the aetiologies of rheumatoid arthritis cohort

Arthritis Care Res.

(2020)

M.P. Guerreiro et al.Development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease

BMC Med.

(2021)

K.V. Guruprakash et al.A study of relationship between perceived stress, coping pattern, burnout & general psychopathology among the postgraduate medical students

Ind. Psychiatry J.

(2018)

H. Cramer et al.Yoga for depression: A systematic review and meta-analysis

Depress. Anxiety

(2013)

S. PhillipsYoga, Karma, and Rebirth: A Brief History and Philosophy

(2009)

T. Oosterbroek et al.The experience of Trauma Centre-Trauma Sensitive Yoga training on professional practice of mental health professional and yoga instructors

Complement. Ther. Clin. Pract.

(2021)

B.A. van der Kolk et al.Yoga as an adjunctive treatment for PTSD

J. Clin. Psychiatry

(2014)

J. West et al.Trauma Sensitive Yoga as a complementary treatment for posttraumatic stress disorder: A qualitative descriptive analysis

Int. J. Stress Manag.

(2017)

D. Emerson et al.Overcoming Trauma through Yoga: Reclaiming Your Body

(2011)

L. Justice et al.Considerations for trauma-informed yoga

Int J Yoga Therap.

(2018)

U. Kelly et al.Trauma-sensitive yoga for post-traumatic stress disorder in women veterans who experience military sexual trauma: Interim results from a randomized control study

J. Altern. Complement. Med.

(2021)

H.R. Trompetter et al.Why does positive mental health buffer against psychopathology? An exploratory study on self-compassion as a resilience mechanism and adaptive emotion regulation strategy

Cogn. Behav. Ther.

(2017)

C.L.M. Keyes et al.Optimizing well-being: The empirical encounter of two traditions

J. Pers. Soc. Psychol.

(2002)

K.J. Aroian et al.Resilience, stress, and depression among Russian Immigrants to Israel

West. J. Nurs. Res.

(2000)

B.L. Fredrikson et al.Positive emotions trigger upward spirals toward emotional wellbeing

Psychol. Sci.

(2002)

C.T. Gloria et al.Relationships among positive emotions, coping, Resilience and mental health

Stress Health

(2014)

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