RNRCTJournal of the American Psychiatric Nurses Association2024

Trauma Center Trauma-Sensitive Yoga Versus Cognitive Processing Therapy for Women Veterans With PTSD Who Experienced Military Sexual Trauma: A Feasibility Study.

Belle Zaccari, Athena D F Sherman, Melinda Higgins and 1 others

PMID 35833676

WHAT IT FOUND

Women veterans randomized to trauma-sensitive yoga or cognitive processing therapy often missed sessions; participants preferred yoga, but this small feasibility study did not test symptom reduction.

Key findings

01Of 42 allocated participants, 31 attended at least one session and 20 completed treatment.

02Treatment completion was 58.8% for TCTSY and 41.7% for CPT, not significantly different.

03No adverse events related to TCTSY were reported.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This was a feasibility study with 41 baseline participants, so it cannot show whether TCTSY or CPT reduced PTSD symptoms. The supplied text does not report results for the primary psychological outcome, PTSD. Recruitment was slow, and waiting nearly 2 months from enrollment to study start contributed to attrition. Seven CPT-assigned participants completed baseline but attended no CPT sessions (29.2%), and one CPT-assigned participant withdrew before baseline. In the second cohort, CPT attrition exceeded 50% within the first two sessions, so that group was discontinued and re-enrolled. Sleep actigraphy data were eliminated because of lack of acceptability and reliable data. The study used group CPT, which the authors note is now considered inferior to individual CPT. The small sample size prevented analysis of demographic and clinical factors related to attrition and adherence. CPT participants could be removed after missing four sessions, but there was no parallel criterion for TCTSY.

Declared interests

The authors declared no potential conflicts of interest. The supplied publication types indicate U.S. government and NIH funding, but the text does not name a specific funder for this feasibility study.

The easy way to misread this

Do not conclude that trauma-sensitive yoga reduces PTSD symptoms or is superior to cognitive processing therapy. This was a small feasibility study, and the supplied text reports attendance, acceptability, and data-collection issues rather than PTSD symptom outcomes.

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