Amanda J. Weathers-Meyer, Adam C. Lowe, Shelby J. McGrew, Nolynn E. Sutherland, Celeste M. G. Yann, Robbie A. Beyl, Anka A. Vujanovic
{"title":"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","authors":"Amanda J. Weathers-Meyer, Adam C. Lowe, Shelby J. McGrew, Nolynn E. Sutherland, Celeste M. G. Yann, Robbie A. Beyl, Anka A. Vujanovic","doi":"10.1007/s12671-024-02419-1","DOIUrl":null,"url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>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.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A total of 108 trauma-exposed career firefighters (99% male; <i>M</i><sub>age</sub> = 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.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Total PTSD (<i>p</i> < 0.001, <i>d</i> = 0.426), negative affect (<i>p</i> = 0.029, <i>d</i> = 0.242), and trait anxiety (<i>p</i> < 0.001, <i>d</i> = 0.327) decreased from pre- to post-intervention. Improvements in trait anxiety were also observed from pre-intervention to follow-up (<i>p</i> = 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.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>The current study provides initial evidence for the feasibility and effectiveness of yoga as a transdiagnostic treatment for firefighters.</p><h3 data-test=\"abstract-sub-heading\">Preregistration</h3><p>This study is not preregistered.</p>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"55 1","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Pilot Feasibility Trial of Mind–Body Tactical Training for Firefighters: Evaluation of a Yoga-Based Transdiagnostic Program\",\"authors\":\"Amanda J. Weathers-Meyer, Adam C. Lowe, Shelby J. McGrew, Nolynn E. Sutherland, Celeste M. G. Yann, Robbie A. Beyl, Anka A. Vujanovic\",\"doi\":\"10.1007/s12671-024-02419-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<h3 data-test=\\\"abstract-sub-heading\\\">Objectives</h3><p>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.</p><h3 data-test=\\\"abstract-sub-heading\\\">Methods</h3><p>A total of 108 trauma-exposed career firefighters (99% male; <i>M</i><sub>age</sub> = 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.</p><h3 data-test=\\\"abstract-sub-heading\\\">Results</h3><p>Total PTSD (<i>p</i> < 0.001, <i>d</i> = 0.426), negative affect (<i>p</i> = 0.029, <i>d</i> = 0.242), and trait anxiety (<i>p</i> < 0.001, <i>d</i> = 0.327) decreased from pre- to post-intervention. Improvements in trait anxiety were also observed from pre-intervention to follow-up (<i>p</i> = 0.032). The intervention was generally acceptable to participants, had a 6.48% attrition rate, and had an 80.73 ± 18.96% class attendance. 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A Pilot Feasibility Trial of Mind–Body Tactical Training for Firefighters: Evaluation of a Yoga-Based Transdiagnostic Program
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.
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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