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A 12‐week integrative exercise program improves self‐reported mindfulness and interoceptive awareness in war veterans with posttraumatic stress symptoms

Wolf Mehling, Margaret A Chesney, Thomas J. Metzler, Lizabeth A. Goldstein, Shira Maguen, Chris Geronimo, Gary Agcaoili, Deborah E. Barnes, Jennifer A. Hlavin, Thomas C. Neylan

Journal of Clinical Psychology October 27, 2017 DOI: 10.1002/jclp.22549 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 47
Population War veterans with posttraumatic stress disorder (PTSD)
Duration 12-week intervention
Measures Five-Facet Mindfulness Questionnaire (Non-Reactivity), Multidimensional Assessment of Interoceptive Awareness (Body Listening, Self-Regulation)
Topics Meditation PTSD
Citations 130
Key findings In war veterans with PTSD, a 12-week integrative exercise program combining aerobic and resistance exercise with mindfulness-based principles and yoga produced large improvements in mindfulness non-reactivity (d = .85) and interoceptive body listening (d = .80) and self-regulation (d = 1.05) compared with a waitlist.

Abstract

Objective: Innovative approaches to the treatment of war-related posttraumatic stress disorder (PTSD) are needed. We report on secondary psychological outcomes of a randomized controlled trial of integrative exercise (IE) using aerobic and resistance exercise with mindfulness-based principles and yoga. We expected-in parallel to observed improvements in PTSD intensity and quality of life-improvements in mindfulness, interoceptive bodily awareness, and positive states of mind.

Method: A total of 47 war veterans with PTSD were randomized to 12-week IE versus waitlist. Changes in mindfulness, interoceptive awareness, and states of mind were assessed by self-report standard measures.

Results: Large effect sizes for the intervention were observed on Five-Facet Mindfulness Questionnaire Non-Reactivity (d = .85), Multidimensional Assessment of Interoceptive Awareness Body Listening (d = .80), and Self-Regulation (d = 1.05).

Conclusion: In a randomized controlled trial of a 12-week IE program for war veterans with PTSD, we saw significant improvements in mindfulness, interoceptive bodily awareness, and positive states of mind compared to a waitlist.

Comparable studies

Other randomized controlled trials on PTSD, most cited first.

Study Year Design Participants
MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo-controlled phase 3 study. Patients with severe PTSD, including those with comorbidities such as dissociation,... 2021 Randomized controlled trial n = 90
The safety and efficacy of {+/-}3,4-methylenedioxymethamphetamine-assisted psychotherapy in subjects with chronic, treatment-resistant posttraumatic stress disorder: the first randomized controlled pilot study. Patients with chronic post-traumatic stress disorder refractory to both psychotherapy... 2010 Randomized controlled trial n = 20
Efficacy of Intravenous Ketamine for Treatment of Chronic Posttraumatic Stress Disorder Patients with chronic PTSD related to a range of trauma exposures 2014 Randomized controlled trial n = 41
3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy for post-traumatic stress disorder in military veterans, firefighters, and police officers: a randomised, double-blind, dose-response, phase 2 clinical trial. Military veterans and first responders aged 18 or older with chronic PTSD lasting 6... 2018 Randomized, double-blind, dose-response, phase 2 clinical trial n = 26
A randomized, controlled pilot study of MDMA (±3,4-Methylenedioxymethamphetamine)-assisted psychotherapy for treatment of resistant, chronic Post-Traumatic Stress Disorder (PTSD) Patients with treatment-resistant PTSD 2012 Randomized controlled trial n = 12

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