Yoga for warriors: An intervention for veterans with comorbid chronic pain and PTSD.
Yoga for warriors: An intervention for veterans with comorbid chronic pain and PTSD.
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DOI：
10.1037/tra0000649
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发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
Meyer BL
中科院分区：
文献类型：
--
作者：
Chopin SM;Sheerin CM;Meyer BL
慢性疼痛和创伤后应激障碍共病在退伍军人中很常见;与单独的每种结局相比，这种共病与严重程度增加和预后不良相关。瑜伽已被证明对慢性疼痛有效，对PTSD也有希望，但瑜伽对共病疼痛/PTSD的治疗尚未得到研究。这份手稿提供了经验支持瑜伽干预共病慢性疼痛/创伤后应激障碍的退伍军人人口。结果是从一个大的，城市退伍军人事务医疗中心共病慢性疼痛/创伤后应激障碍的四年试点瑜伽干预。基于疼痛的恐惧避免模型，该干预措施采用了横断面、开放试验设计，并进行了前后措施。对计划完成者（N = 49;在最初入组的87例患者中，44%的流失率）进行了T检验分析，这些患者主要是非洲裔美国人（69%），男性（61%），平均年龄51.41岁（SD = 11.32）。结果表明，总体PTSD症状的趋势水平降低，如PCL-5（p = 0.02; d = 0.38），认知/情绪（p = 0.03; d = 0.36）和唤醒/反应（p = 0.03; d = 0.35）的负性变化分量表。退伍军人报告参与社会活动的能力显著提高（p <0.001; d = 0.44），运动恐惧症（害怕运动/体力活动，p <0.001; d = 0.85）显著减少。满意度测量范围为1（非常不满意）至4（非常满意），平均评分为3.74（SD = .33）。瑜伽对于患有慢性疼痛和创伤后应激障碍的退伍军人来说是一种可行且有效的干预措施。
Comorbid chronic pain and PTSD is common in veterans; this co-morbidity is associated with increased severity and poorer prognosis when compared to each outcome alone. Yoga has been shown to be effective for chronic pain and promising for PTSD, but yoga for comorbid pain/PTSD has not been examined. This manuscript offers empirical support for a yoga intervention for comorbid chronic pain/PTSD in a veteran population. Results are presented from a four-year pilot yoga intervention for comorbid chronic pain/PTSD at a large, urban Veterans Affairs Medical Center. Based on the Fear Avoidance Model of pain, the intervention used a cross-sectional, open-trial design with pre- and post-measures. T-test analyses were conducted on program completers (N = 49; out of 87 initially enrolled, 44% attrition rate), who were primarily African-American (69%), male (61%), mean age 51.41 (SD = 11.32). Results indicated trend-level reductions in overall PTSD symptoms, as measured by the PCL-5 (p = .02; d = .38), and in subscales of negative alterations of cognitions/mood (p = .03; d = .36) and arousal/reactivity (p = .03; d = .35). Veterans reported significant improvement in ability to participate in social activities (p < .001; d = .44) and significant reductions in kinesiophobia (fear of movement/physical activity, p < .001; d = .85). On a satisfaction measure with a range of 1 (quite dissatisfied) to 4 (extremely satisfied), mean rating was 3.74 (SD = .33). Yoga is a feasible and effective intervention for veterans with comorbid chronic pain and PTSD.
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DOI：
10.1155/2015/351746
发表时间：
2015
期刊：
Evidence-based complementary and alternative medicine : eCAM
影响因子：
--
作者：
Jindani F;Turner N;Khalsa SB
通讯作者：
Khalsa SB
影响因子：
3.3
作者：
Friedman, Matthew J.
通讯作者：
Friedman, Matthew J.
影响因子：
4.7
作者：
Beckham, JC;Crawford, AL;Moore, SD
通讯作者：
Moore, SD
影响因子：
--
作者：
Groessl EJ;Liu L;Schmalzl L;Chang DG;McCarthy A;Chun WI;Sinclair C;Bormann JE
通讯作者：
Bormann JE
DOI：
10.1037/tra0000051
发表时间：
2015-11-01
期刊：
Psychological trauma : theory, research, practice and policy
影响因子：
--
作者：
Johnston, Jennifer M;Minami, Takuya;Khalsa, Sat Bir S
通讯作者：
Khalsa, Sat Bir S