Examining mechanisms of change in a yoga intervention for women: the influence of mindfulness, psychological flexibility, and emotion regulation on PTSD symptoms

Dick, Alexandra M.; Niles, Barbara L.; Street, Amy E.; DiMartino, Dawn M.; Mitchell, Karen S.

doi:10.1002/jclp.22104

Cited by 112Posttraumatic Stress Disorder ResearchMindfulness and Compassion InterventionsPsychotherapy Techniques and Applications

Examining mechanisms of change in a yoga intervention for women: the influence of mindfulness, psychological flexibility, and emotion regulation on PTSD symptoms

Dick, Alexandra M., Niles, Barbara L., Street, Amy E., DiMartino, Dawn M., Mitchell, Karen S.·2014·Journal of Clinical Psychology

DOI 10.1002/jclp.22104

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Abstract

OBJECTIVE: This study explored possible mechanisms through which symptoms of posttraumatic stress disorder (PTSD) were reduced in a randomized controlled trial comparing the effect of a yoga intervention with an assessment control. METHOD: We examined whether changes in psychological flexibility, mindfulness, and emotion regulation strategies (expressive suppression and reappraisal) were associated with posttreatment PTSD symptoms for 38 women with Diagnostic and Statistical Manual of Mental Disorders Fourth Edition full or subthreshold PTSD. RESULTS: Hierarchical linear regression models revealed that expressive suppression significantly decreased for the yoga group relative to the assessment control. Psychological flexibility increased significantly for the control but not yoga group. However, increases in psychological flexibility were associated with decreases in PTSD symptoms for the yoga but not control group. CONCLUSION: Preliminary findings suggest that yoga may reduce expressive suppression and may improve PTSD symptoms by increasing psychological flexibility. More research is needed to replicate and extend these findings.

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The ERQ expressive suppression subscale has previously been shown to be impacted by yoga in PTSD patients.
“The ERQ expressive suppression subscale has previously been shown to be impacted by yoga in PTSD patients [21]”
From A randomized controlled trial of yoga vs nonaerobic exercise for veterans with PTSD: Understanding efficacy, mechanisms of change, and mode of delivery (2021) · cites this paper as [21]

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A Pilot Study of a Randomized Controlled Trial of Yoga as an Intervention for PTSD Symptoms in Women
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Original Research Yoga as an Adjunctive Treatment for Posttraumatic Stress Disorder: A Randomized Controlled Trial
Emerson, D., Suvak, M. K., & Spinazzola, J. (2015)
Psychological Flexibility and Set-Shifting Among Veterans Participating in a Yoga Program: A Pilot Study
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Authors: Dick, A. M., Niles, B. L., Street, A. E., DiMartino, D. M., & Mitchell, K. S.
Affiliations: Suffolk University (US)
Boston University (US)
Simmons University (US)
Corresponding author: Mitchell, Karen S.
ORCID: Niles, Barbara L.
Street, Amy E.
Mitchell, Karen S.
Venue: Journal of Clinical Psychology
Publisher: Wiley
Published: 2014-05-28
Volume: 70
Issue: 12
Pages: 1170-1182
ISSN: 0021-9762 (ISSN-L)
DOI: 10.1002/jclp.22104
OpenAlex: W1895531188
Cited by: 112
References: 57
Citations by year: 2026: 6 · 2025: 9 · 2024: 8 · 2023: 13 · 2022: 13 · 2021: 9 · 2020: 10 · 2019: 8 · 2018: 13 · 2017: 10 · 2016: 7 · 2015: 6
FWCI: 9.00
Type: journal article
Language: en
Open access: closed
Licence: doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 461 d)
Locations: Journal of Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: yoga intervention, post-traumatic stress disorder, mechanisms of change, mindfulness, psychological flexibility, emotion regulation, expressive suppression, cognitive reappraisal, women, subthreshold PTSD
MeSH terms: Adaptation, Psychological, Adolescent, Adult, Aged, Emotions, Female, Humans, Middle Aged, Surveys and Questionnaires, Stress Disorders, Post-Traumatic, United States, United States Department of Veterans Affairs, Yoga, Linear Models, Women's Health, Young Adult, Mindfulness

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Examining mechanisms of change in a yoga intervention for women: the influence of mindfulness, psychological flexibility, and emotion regulation on PTSD symptoms

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