A Pilot Feasibility Trial of Mind–Body Tactical Training for Firefighters: Evaluation of a Yoga-Based Transdiagnostic Program

IF 3.1 2区 心理学 Q2 PSYCHIATRY
Amanda J. Weathers-Meyer, Adam C. Lowe, Shelby J. McGrew, Nolynn E. Sutherland, Celeste M. G. Yann, Robbie A. Beyl, Anka A. Vujanovic
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引用次数: 0

Abstract

Objectives

Firefighters are at heightened risk for chronic occupational stress and exposure to potentially traumatic events. Experiencing potentially traumatic events is a risk factor for various psychiatric symptoms among firefighters, notably posttraumatic stress disorder (PTSD), depression, and anxiety. This study evaluated the feasibility and preliminary effectiveness of yoga to reduce PTSD symptoms, negative affect, and trait anxiety in firefighters.

Methods

A total of 108 trauma-exposed career firefighters (99% male; Mage = 34.55, SD = 8.37) were enrolled in a single-arm 8-week yoga intervention, termed Mind–Body Tactical Training (MBTT). Feasibility was assessed in five domains. Self-report measures were used to evaluate the MBTT intervention’s effectiveness in reducing symptoms of PTSD, negative affect, and trait anxiety. The Intervention Appropriateness Measure was employed to assess acceptability. Attrition, attendance, and intervention costs were used to determine demand, implementation, and practicality, respectively.

Results

Total PTSD (p < 0.001, d = 0.426), negative affect (p = 0.029, d = 0.242), and trait anxiety (p < 0.001, d = 0.327) decreased from pre- to post-intervention. Improvements in trait anxiety were also observed from pre-intervention to follow-up (p = 0.032). The intervention was generally acceptable to participants, had a 6.48% attrition rate, and had an 80.73 ± 18.96% class attendance. The cost of instructors and equipment totaled US$6636.78, equating to a cost per participant per attended class of US$4.76.

Conclusions

The current study provides initial evidence for the feasibility and effectiveness of yoga as a transdiagnostic treatment for firefighters.

Preregistration

This study is not preregistered.

Abstract Image

消防员身心战术训练试点可行性试验:对基于瑜伽的跨诊断计划的评估
目标消防员面临长期职业压力和潜在创伤事件的风险较高。经历潜在创伤事件是消防员出现各种精神症状的风险因素,尤其是创伤后应激障碍(PTSD)、抑郁和焦虑。本研究评估了瑜伽减少消防员创伤后应激障碍症状、负面情绪和特质焦虑的可行性和初步有效性。方法共有 108 名遭受创伤的职业消防员(99% 为男性;Mage = 34.55,SD = 8.37)参加了为期 8 周的单臂瑜伽干预,称为身心战术训练(MBTT)。可行性评估包括五个方面。自我报告测量用于评估 MBTT 干预在减少创伤后应激障碍症状、负面情绪和特质焦虑方面的有效性。干预适宜性测量法用于评估可接受性。结果创伤后应激障碍(p < 0.001,d = 0.426)、负性情绪(p = 0.029,d = 0.242)和特质焦虑(p < 0.001,d = 0.327)从干预前到干预后都有所减轻。从干预前到干预后,特质焦虑也有所改善(p = 0.032)。参与者普遍接受了干预措施,自然减员率为 6.48%,课堂出勤率为 80.73 ± 18.96%。本研究为瑜伽作为消防员跨诊断治疗的可行性和有效性提供了初步证据。
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来源期刊
Mindfulness
Mindfulness Multiple-
CiteScore
6.10
自引率
19.40%
发文量
224
期刊介绍: Mindfulness seeks to advance research, clinical practice, and theory on mindfulness. It is interested in manuscripts from diverse viewpoints, including psychology, psychiatry, medicine, neurobiology, psychoneuroendocrinology, cognitive, behavioral, cultural, philosophy, spirituality, and wisdom traditions. Mindfulness encourages research submissions on the reliability and validity of assessment of mindfulness; clinical uses of mindfulness in psychological distress, psychiatric disorders, and medical conditions; alleviation of personal and societal suffering; the nature and foundations of mindfulness; mechanisms of action; and the use of mindfulness across cultures. The Journal also seeks to promote the use of mindfulness by publishing scholarly papers on the training of clinicians, institutional staff, teachers, parents, and industry personnel in mindful provision of services. Examples of topics include: Mindfulness-based psycho-educational interventions for children with learning, emotional, and behavioral disorders Treating depression and clinical symptoms in patients with chronic heart failure Yoga and mindfulness Cognitive-behavioral mindfulness group therapy interventions Mindfulnessness and emotional regulation difficulties in children Loving-kindness meditation to increase social connectedness Training for parents and children with ADHD Recovery from substance abuse Changing parents’ mindfulness Child management skills Treating childhood anxiety and depression
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