Psychological Flexibility and Set-Shifting Among Veterans Participating in a Yoga Program: A Pilot Study.
Identifieur interne : 000746 ( Main/Curation ); précédent : 000745; suivant : 000747Psychological Flexibility and Set-Shifting Among Veterans Participating in a Yoga Program: A Pilot Study.
Auteurs : Timothy Avery [États-Unis] ; Christine Blasey [États-Unis] ; Craig Rosen [États-Unis] ; Peter Bayley [États-Unis]Source :
- Military medicine [ 1930-613X ] ; 2018.
Descripteurs français
- KwdFr :
- Adaptation psychologique (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Anciens combattants (psychologie), Autorapport (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Projets pilotes (MeSH), Stress psychologique (psychologie), Stress psychologique (thérapie), Troubles de stress post-traumatique (psychologie), Troubles de stress post-traumatique (thérapie), Yoga (psychologie).
- MESH :
English descriptors
- KwdEn :
- Adaptation, Psychological (MeSH), Adult (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pilot Projects (MeSH), Self Report (MeSH), Stress Disorders, Post-Traumatic (psychology), Stress Disorders, Post-Traumatic (therapy), Stress, Psychological (psychology), Stress, Psychological (therapy), Veterans (psychology), Yoga (psychology).
- MESH :
- psychology : Stress Disorders, Post-Traumatic, Stress, Psychological, Veterans, Yoga.
- therapy : Stress Disorders, Post-Traumatic, Stress, Psychological.
- Adaptation, Psychological, Adult, Female, Humans, Male, Middle Aged, Pilot Projects, Self Report.
Abstract
Introduction
Trauma-focused psychotherapies do not meet the needs of all veterans. Yoga shows some potential in reducing stress and perhaps even PTSD in veterans, although little is understood about the mechanisms of action. This study identifies preliminary correlates of change in PTSD and perceived stress for veterans participating in yoga.
Materials and methods
Nine veterans (seven males and two females) were recruited from an existing clinical yoga program and observed over 16 wk. Severity of PTSD symptoms (PCL-5) and perceived stress (PSS-10) were collected at baseline and weeks 4, 6, 8, and 16. Psychological flexibility (AAQ-II) and set-shifting (ratio of trail making test A to B) were collected at baseline and at week 6. Subjects attended yoga sessions freely, ranging from 1 to 23 classes over the 16 weeks. The Stanford University Institutional Review Board approved this research protocol.
Results
Self-reported PTSD symptoms significantly reduced while perceived stress did not. Lower baseline set-shifting predicted greater improvements in PTSD between baseline and 4 weeks; early improvements in set-shifting predicted overall reduction in PTSD. Greater psychological flexibility was associated with lower PTSD and perceived stress; more yoga practice, before and during the study, was associated with greater psychological flexibility. Other predictors were not supported.
Conclusions
In a small uncontrolled sample, psychological flexibility and set-shifting predicted changes in PTSD symptoms in veterans participating in a clinical yoga program, which supports findings from prior research. Future research should include an active comparison group and record frequency of yoga practiced outside formal sessions.
DOI: 10.1093/milmed/usy045
PubMed: 29590487
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Injury Study Center, VA Palo Alto Heath Care System, U.S. Department of Veterans Affairs, 3801 Miranda Avenue, Palo Alto</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Stanford University, Department of Psychiatry and Behavioral Sciences, 401 Quarry Road, Stanford, CA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Stanford University, Department of Psychiatry and Behavioral Sciences, 401 Quarry Road, Stanford</wicri:cityArea></affiliation></author><author><name sortKey="Blasey, Christine" sort="Blasey, Christine" uniqKey="Blasey C" first="Christine" last="Blasey">Christine Blasey</name><affiliation wicri:level="2"><nlm:affiliation>Stanford University, Department of Psychiatry and Behavioral Sciences, 401 Quarry Road, Stanford, CA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region 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type="state">Californie</region></placeName><wicri:cityArea>National Center for PTSD, U.S. Department of Veterans Affairs, 795 Willow Road, Menlo Park</wicri:cityArea></affiliation></author><author><name sortKey="Bayley, Peter" sort="Bayley, Peter" uniqKey="Bayley P" first="Peter" last="Bayley">Peter Bayley</name><affiliation wicri:level="2"><nlm:affiliation>War Related Illness and Injury Study Center, VA Palo Alto Heath Care System, U.S. Department of Veterans Affairs, 3801 Miranda Avenue, Palo Alto, CA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>War Related Illness and Injury Study Center, VA Palo Alto Heath Care System, U.S. Department of Veterans Affairs, 3801 Miranda Avenue, Palo Alto</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Stanford University, Department of Psychiatry and Behavioral Sciences, 401 Quarry Road, Stanford, CA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Stanford University, Department of Psychiatry and Behavioral Sciences, 401 Quarry Road, Stanford</wicri:cityArea></affiliation></author></analytic><series><title level="j">Military medicine</title><idno type="eISSN">1930-613X</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptation, Psychological (MeSH)</term><term>Adult (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pilot Projects (MeSH)</term><term>Self Report (MeSH)</term><term>Stress Disorders, Post-Traumatic (psychology)</term><term>Stress Disorders, Post-Traumatic (therapy)</term><term>Stress, Psychological (psychology)</term><term>Stress, Psychological (therapy)</term><term>Veterans (psychology)</term><term>Yoga (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adaptation psychologique (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Anciens combattants (psychologie)</term><term>Autorapport (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Projets pilotes (MeSH)</term><term>Stress psychologique (psychologie)</term><term>Stress psychologique (thérapie)</term><term>Troubles de stress post-traumatique (psychologie)</term><term>Troubles de stress post-traumatique (thérapie)</term><term>Yoga (psychologie)</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Anciens combattants</term><term>Stress psychologique</term><term>Troubles de stress post-traumatique</term><term>Yoga</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Stress Disorders, Post-Traumatic</term><term>Stress, Psychological</term><term>Veterans</term><term>Yoga</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Stress Disorders, Post-Traumatic</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Stress psychologique</term><term>Troubles de stress post-traumatique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adaptation, Psychological</term><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pilot Projects</term><term>Self Report</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adaptation psychologique</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autorapport</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Projets pilotes</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Introduction</b></p><p>Trauma-focused psychotherapies do not meet the needs of all veterans. Yoga shows some potential in reducing stress and perhaps even PTSD in veterans, although little is understood about the mechanisms of action. This study identifies preliminary correlates of change in PTSD and perceived stress for veterans participating in yoga.</p></div><div type="abstract" xml:lang="en"><p><b>Materials and methods</b></p><p>Nine veterans (seven males and two females) were recruited from an existing clinical yoga program and observed over 16 wk. Severity of PTSD symptoms (PCL-5) and perceived stress (PSS-10) were collected at baseline and weeks 4, 6, 8, and 16. Psychological flexibility (AAQ-II) and set-shifting (ratio of trail making test A to B) were collected at baseline and at week 6. Subjects attended yoga sessions freely, ranging from 1 to 23 classes over the 16 weeks. The Stanford University Institutional Review Board approved this research protocol.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>Self-reported PTSD symptoms significantly reduced while perceived stress did not. Lower baseline set-shifting predicted greater improvements in PTSD between baseline and 4 weeks; early improvements in set-shifting predicted overall reduction in PTSD. Greater psychological flexibility was associated with lower PTSD and perceived stress; more yoga practice, before and during the study, was associated with greater psychological flexibility. Other predictors were not supported.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusions</b></p><p>In a small uncontrolled sample, psychological flexibility and set-shifting predicted changes in PTSD symptoms in veterans participating in a clinical yoga program, which supports findings from prior research. Future research should include an active comparison group and record frequency of yoga practiced outside formal sessions.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29590487</PMID><DateCompleted><Year>2019</Year><Month>06</Month><Day>17</Day></DateCompleted><DateRevised><Year>2019</Year><Month>06</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1930-613X</ISSN><JournalIssue CitedMedium="Internet"><Volume>183</Volume><Issue>11-12</Issue><PubDate><Year>2018</Year><Month>11</Month><Day>01</Day></PubDate></JournalIssue><Title>Military medicine</Title><ISOAbbreviation>Mil Med</ISOAbbreviation></Journal><ArticleTitle>Psychological Flexibility and Set-Shifting Among Veterans Participating in a Yoga Program: A Pilot Study.</ArticleTitle><Pagination><MedlinePgn>e359-e363</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/milmed/usy045</ELocationID><Abstract><AbstractText Label="Introduction">Trauma-focused psychotherapies do not meet the needs of all veterans. Yoga shows some potential in reducing stress and perhaps even PTSD in veterans, although little is understood about the mechanisms of action. This study identifies preliminary correlates of change in PTSD and perceived stress for veterans participating in yoga.</AbstractText><AbstractText Label="Materials and methods">Nine veterans (seven males and two females) were recruited from an existing clinical yoga program and observed over 16 wk. Severity of PTSD symptoms (PCL-5) and perceived stress (PSS-10) were collected at baseline and weeks 4, 6, 8, and 16. Psychological flexibility (AAQ-II) and set-shifting (ratio of trail making test A to B) were collected at baseline and at week 6. Subjects attended yoga sessions freely, ranging from 1 to 23 classes over the 16 weeks. The Stanford University Institutional Review Board approved this research protocol.</AbstractText><AbstractText Label="Results">Self-reported PTSD symptoms significantly reduced while perceived stress did not. Lower baseline set-shifting predicted greater improvements in PTSD between baseline and 4 weeks; early improvements in set-shifting predicted overall reduction in PTSD. Greater psychological flexibility was associated with lower PTSD and perceived stress; more yoga practice, before and during the study, was associated with greater psychological flexibility. Other predictors were not supported.</AbstractText><AbstractText Label="Conclusions">In a small uncontrolled sample, psychological flexibility and set-shifting predicted changes in PTSD symptoms in veterans participating in a clinical yoga program, which supports findings from prior research. Future research should include an active comparison group and record frequency of yoga practiced outside formal sessions.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Avery</LastName><ForeName>Timothy</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>War Related Illness and Injury Study Center, VA Palo Alto Heath Care System, U.S. Department of Veterans Affairs, 3801 Miranda Avenue, Palo Alto, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Stanford University, Department of Psychiatry and Behavioral Sciences, 401 Quarry Road, Stanford, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Blasey</LastName><ForeName>Christine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Stanford University, Department of Psychiatry and Behavioral Sciences, 401 Quarry Road, Stanford, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rosen</LastName><ForeName>Craig</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Stanford University, Department of Psychiatry and Behavioral Sciences, 401 Quarry Road, Stanford, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>National Center for PTSD, U.S. Department of Veterans Affairs, 795 Willow Road, Menlo Park, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bayley</LastName><ForeName>Peter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>War Related Illness and Injury Study Center, VA Palo Alto Heath Care System, U.S. Department of Veterans Affairs, 3801 Miranda Avenue, Palo Alto, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Stanford University, Department of Psychiatry and Behavioral Sciences, 401 Quarry Road, Stanford, CA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013486">Research Support, U.S. Gov't, Non-P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Mil Med</MedlineTA><NlmUniqueID>2984771R</NlmUniqueID><ISSNLinking>0026-4075</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000223" MajorTopicYN="Y">Adaptation, Psychological</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057566" MajorTopicYN="N">Self Report</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013313" MajorTopicYN="N">Stress Disorders, Post-Traumatic</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014728" MajorTopicYN="N">Veterans</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015013" MajorTopicYN="N">Yoga</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>12</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>3</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>6</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>3</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29590487</ArticleId><ArticleId IdType="pii">4954110</ArticleId><ArticleId IdType="doi">10.1093/milmed/usy045</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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