Yoga for veterans with PTSD: Cognitive functioning, mental health, and salivary cortisol.

Yoga for veterans with PTSD: Cognitive functioning, mental health, and salivary cortisol.
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DOI:
10.1037/tra0000909
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发表时间:
2020-11
期刊:
Psychological trauma : theory, research, practice and policy
影响因子:
--
通讯作者:
Loftis JM
Loftis JM
中科院分区:
其他
文献类型:
--
作者:
Zaccari B;Callahan ML;Storzbach D;McFarlane N;Hudson R;Loftis JM

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研究表明,由于压力反应过度激活,认知功能会受到慢性压力的负面影响。事实证明,被诊断患有创伤后应激障碍 (PTSD) 的人练习瑜伽有好处。这项准实验性试点研究考察了瑜伽干预对认知功能、创伤后应激障碍症状以及被诊断患有创伤后应激障碍的退伍军人的生物应激反应的影响。在为期 10 周的瑜伽方案开始前和完成后两周内测量认知功能、心理健康症状的自我报告测量和唾液皮质醇。患有创伤后应激障碍 (PTSD) 的退伍军人参加了针对特定性别的瑜伽干预小组。使用配对t检验和相关分析来分析定量数据。在反应抑制、创伤后应激障碍、抑郁、睡眠、生活质量和主观神经认知投诉的测量方面,基线和干预后评分之间观察到统计学上的显着改善。研究发现,睡眠和抑郁的基线变化和干预后变化之间,以及皮质醇输出变化和生活满意度指标之间都存在正相关。没有检测到认知表现和皮质醇的其他客观测量的统计学显着差异(基线到干预后)。结果为瑜伽练习改善与 PTSD 症状相关的认知功能(反应抑制)提供了初步支持,同时还改善了心理健康症状、睡眠和生活质量。正相关肯定了睡眠在情绪症状中的作用,并表明需要进一步检查皮质醇在生活满意度中的作用。
Research indicates that cognitive functioning is negatively impacted by exposure to chronic stress due to overactivation of the stress response. Yoga has demonstrated benefits when practiced by individuals diagnosed with posttraumatic stress disorder (PTSD). This quasi-experimental pilot study examined the impact of a yoga intervention on cognitive functioning, symptoms of PTSD, and the biological stress response in Veterans diagnosed with PTSD. Cognitive functioning, self-report measures of mental health symptoms, and salivary cortisol were measured within two weeks prior to beginning and following completion of a 10-week yoga protocol. Veterans with PTSD participated in gender-specific groups of the yoga intervention. Paired t tests and correlational analyses were used to analyze quantitative data. Statistically significant improvements were observed between baseline and postintervention scores on measures of response inhibition, PTSD, depression, sleep, quality of life, and subjective neurocognitive complaints. Positive correlations were found between baseline and postintervention changes in sleep and depression, and between change in cortisol output and a measure of life satisfaction. Statistically significant differences (baseline to postintervention) for other objective measures of cognitive performance and cortisol were not detected. Results provide preliminary support for the practice of yoga to improve cognitive functioning (response inhibition) related to symptoms of PTSD while also improving mental health symptoms, sleep, and quality of life. Positive correlations affirm the role of sleep in mood symptoms and indicate the need for further examination of the role of cortisol in life satisfaction.
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