Assessing the Effectiveness of Yoga as a Complementary and Alternative Treatment for Post-Traumatic Stress Disorder: A Review and Synthesis
Abstract
OBJECTIVES: Posttraumatic stress disorder (PTSD) is a debilitating condition that affects many who have experienced trauma. In addition to skills-focused treatments, exposure-based treatments, cognitive therapy, combination treatments, and EMDR, a number of alternative treatments for PTSD have emerged in recent years. The search for alternative treatments is justified based on the empirical observation that a large percentage of individuals fail to benefit optimally from existing treatments (e.g., between 30 and 60). Moreover, current studies often utilize stringent inclusion criteria (e.g., absence of comorbid disorders), raising the likelihood that results will not generalize to many individuals currently experiencing PTSD. The primary objective of the current paper was to explore the effects of one type of alternative treatment: yoga. DESIGN: A comprehensive review of the literature was conducted targeting research examining yoga postures and PTSD. Seven randomized controlled trials (RCTs) were identified and reviewed, and effect sizes were computed for the post-test assessments. RESULTS: Cohen's d for each study ranged (in absolute value) from a low of -0.06 to a high of 1.42 (average weighted d across studies was 0.48; 95% CI: 0.26, 0.69). CONCLUSIONS: Putative mechanisms of action for the possible beneficial effects of yoga for PTSD-related symptomatology and clinical implications are discussed.
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There is often a need for alternative therapies that complement traditional psychotherapy for individuals who have experienced significant trauma and/or abuse.
“For individuals who have experienced significant trauma and/or abuse, there is often a need for alternative therapies that complement traditional psychotherapy”
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Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369 · see citing works
The development of a Clinician-Administered PTSD Scale
Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., & Keane, T. M. (1995) · Journal of Traumatic Stress · doi:10.1002/jts.2490080106 · Cited by 5,024 · see citing works
Psychometric properties of the PTSD checklist (PCL)
Blanchard, E. B., Jones-Alexander, J., Buckley, T. C., & Forneris, C. A. (1996) · Behaviour Research and Therapy · doi:10.1016/0005-7967(96)00033-2 · Cited by 3,997 · see citing works
Penedo, F. J., & Dahn, J. R. (2005) · Current Opinion in Psychiatry · doi:10.1097/00001504-200503000-00013 · Cited by 2,851 · see citing works
Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997) · Psychological Assessment · doi:10.1037/1040-3590.9.4.445 · Cited by 2,709 · see citing works
Lipsey, M. W., & Wilson, D. B. (1993) · American Psychologist · doi:10.1037/0003-066x.48.12.1181 · Cited by 2,033 · see citing works
A Multidimensional Meta-Analysis of Psychotherapy for PTSD
Bradley, R., Greene, J., Russ, E., Dutra, L., & Westen, D. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.2.214 · Cited by 1,938 · see citing works
Resnick, H. S., Kilpatrick, D. G., Dansky, B. S., Saunders, B. E., & Best, C. L. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.61.6.984 · Cited by 1,868 · see citing works
Resnick, H. S., Kilpatrick, D. G., Dansky, B. S., Saunders, B. E., & al, E. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.61.6.984 · Cited by 1,868 · see citing works
The Primary Care PTSD screen (PC-PTSD): development and operating characteristics
Prins, A., Ouimette, P., Kimerling, R., Camerond, R. P., Hugelshofer, D. S., Shaw-Hegwer, J., Thrailkill, A., Gusman, F. D., & Sheikh, J. I. (2004) · Primary Care Psychiatry · doi:10.1185/135525703125002360 · Cited by 1,390 · see citing works
The Body Keeps the Score: Memory and the Evolving Psychobiology of Posttraumatic Stress
van der Kolk, B. A. (1994) · Harvard Review of Psychiatry · doi:10.3109/10673229409017088 · Cited by 1,367 · see citing works
The Health Benefits of Yoga and Exercise: A Review of Comparison Studies
Ross, A. C., & Thomas, S. A. (2010) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2009.0044 · Cited by 971 · see citing works
Dissociation, somatization, and affect dysregulation: the complexity of adaptation of trauma
van der Kolk, B. A., Pelcovitz, D., Roth, S., Mandel, F. S., McFARLANE, A. C., & Herman, J. L. (1996) · American Journal of Psychiatry · doi:10.1176/ajp.153.7.83 · Cited by 886 · see citing works
Clinical Handbook of Psychological Disorders: A Step-by-Step Treatment Manual
Barnaby, B. (2015) · Occupational Medicine · doi:10.1093/occmed/kqv128 · Cited by 816 · see citing works
Cramer, H., Lauche, R., Langhorst, J., & Dobos, G. (2013) · Depression and Anxiety · doi:10.1002/da.22166 · Cited by 708 · see citing works
Effects of Yoga on Mental and Physical Health: A Short Summary of Reviews
Büssing, A., Michalsen, A., Khalsa, S. B. S., Telles, S., & Sherman, K. J. (2012) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2012/165410 · Cited by 488 · see citing works
Yoga as an Adjunctive Treatment for Posttraumatic Stress Disorder: A Randomized Controlled Trial
van der Kolk, B. A., Stone, L., West, J., Rhodes, A., Emerson, D., Suvak, M., & Spinazzola, J. (2014) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.13m08561 · Cited by 389 · cited 5× · see citing works
“This is bolstered by results from one of the studies in the current review, in which participants assigned to the TSY condition experienced significantly greater symptom reduction when compared with those in a women’s education group.(11) It has been postulated that due to alterations in cognitive functioning at the t…”
InfluentialPeritraumatic and Persistent Dissociation in the Presumed Etiology of PTSD
Briere, J., Scott, C. R., & Weathers, F. W. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.12.2295 · Cited by 281 · see citing works
Yoga and heart rate variability: a comprehensive review of the literature
Cohen, M., & Tyagi, A. (2016) · International Journal of Yoga · doi:10.4103/0973-6131.183712 · Cited by 269 · see citing works
Measuring Dimensions of Body Connection: Body Awareness and Bodily Dissociation
Price, C. J., & Thompson, E. A. (2007) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2007.0537 · Cited by 230 · see citing works
Cortisol and antidepressant effects of yoga
Thirthalli, J., Naveen, G., Rao, M., Varambally, S. S., Christopher, R., & Gangadhar, B. N. (2013) · Indian Journal of Psychiatry · doi:10.4103/0019-5545.116315 · Cited by 179 · see citing works
A Pilot Study of a Randomized Controlled Trial of Yoga as an Intervention for PTSD Symptoms in Women
Mitchell, K. S., Dick, A. M., DiMartino, D. M., Smith, B. N., Niles, B. L., Koenen, K. C., & Street, A. E. (2014) · Journal of Traumatic Stress · doi:10.1002/jts.21903 · Cited by 168 · see citing works
Integrating DBT-based techniques and concepts to facilitate exposure treatment for PTSD
Becker, C. B., & Zayfert, C. (2001) · Cognitive and Behavioral Practice · doi:10.1016/s1077-7229(01)80017-1 · Cited by 138 · see citing works
Kim, S. H., Schneider, S. M., Bevans, M., Kravitz, L., Mermier, C., Qualls, C., & Burge, M. R. (2013) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2012-3742 · Cited by 135 · see citing works
Dick, A. M., Niles, B. L., Street, A. E., DiMartino, D. M., & Mitchell, K. S. (2014) · Journal of Clinical Psychology · doi:10.1002/jclp.22104 · Cited by 112 · see citing works
Harned, M. S., Jackson, S. C., Comtois, K. A., & Linehan, M. M. (2010) · Journal of Traumatic Stress · doi:10.1002/jts.20553 · Cited by 112 · see citing works
A Yoga Intervention for Posttraumatic Stress: A Preliminary Randomized Control Trial
Jindani, F., Turner, N. E., & Khalsa, S. B. S. (2015) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2015/351746 · Cited by 93 · see citing works
Not Trauma Alone: Therapy for Child Abuse Survivors in Family and Social Context
Gold, S. N. (2000) · Medical Entomology and Zoology · Cited by 85 · see citing works
J.Carter, J., L.Gerbarg, P., Brown, R., Ware, R., & Katzman, M. (2013) · Journal of Traumatic Stress Disorders & Treatment · doi:10.4172/2324-8947.1000108 · Cited by 84 · see citing works
Þórðardóttir, K., Guðmundsdóttir, R., Zoëga, H., Valdimarsdóttir, U. A., & Guðmundsdóttir, B. (2014) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2014.01.008 · Cited by 37 · see citing works
Quiñones, N., Maquet, Y. G., Vélez, D. M. A., & López, M. A. (2015) · International Journal of Yoga Therapy · doi:10.17761/1531-2054-25.1.89 · Cited by 37 · see citing works
Positive antidepressant effects of generic yoga in depressive out-patients: A comparative study
Gangadhar, B. N., Naveen, G., Rao, M., Thirthalli, J., & Varambally, S. S. (2013) · Indian Journal of Psychiatry · doi:10.4103/0019-5545.116312 · Cited by 35 · see citing works
Physical exercise and mental health
Szabadi, E. (1988) · BMJ · doi:10.1136/bmj.296.6623.659-a · Cited by 17 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Modern postural yoga as a mental health promoting tool: A systematic review
Domingues, R. B. (2018) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2018.03.002 · Cited by 79 · see citing works
Trauma-informed approaches to physical activity: A scoping study
Darroch, F., Roett, C., Varcoe, C., Oliffe, J. L., & Montaner, G. G. (2020) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2020.101224 · Cited by 59 · see citing works
Davis, L. W., Schmid, A. A., Daggy, J. K., Yang, Z., O'Connor, C. E., Schalk, N., Do, A.-N. L., Maric, D., Lazarick, D., & Knock, H. (2020) · Psychological Trauma: Theory, Research, Practice, and Policy · doi:10.1037/tra0000564 · Cited by 56 · see citing works
Zaccari, B., Higgins, M. K., Haywood, T. N., Patel, M. N., Emerson, D. J., Hubbard, K., Loftis, J. M., & Kelly, U. A. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.44862 · Cited by 28 · see citing works
Can mindfulness-based interventions reduce PTSD symptoms? An umbrella review
Jovanović, B., & Garfin, D. R. (2024) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2024.102859 · Cited by 22 · see citing works
Management of post-traumatic stress disorder symptoms by yoga: an overview
Laplaud, N., Perrochon, A., Gallou‐Guyot, M., Moens, M., Goudman, L., David, R., Rigoard, P., & Billot, M. (2023) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-023-04074-w · Cited by 23 · see citing works
Zaccari, B., Sherman, A. D. F., Febres‐Cordero, S., Higgins, M. K., & Kelly, U. A. (2022) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2022.102850 · Cited by 17 · see citing works
The Eight Limbs of Yoga can be Maintained in a Veteran Friendly Yoga Program
Schmid, A. A., Sternke, E. A., Do, A.-N., Schalk, N. L., Starnino, V. R., & Davis, L. W. (2021) · International Journal of Yoga · doi:10.4103/ijoy.ijoy_106_20 · Cited by 15 · see citing works
Role of yoga in managing the consequences of work stress—a review
Harini, K. N., & Nilkantham, S. (2022) · Health Promotion International · doi:10.1093/heapro/daac038 · Cited by 9 · see citing works
Practicing Hatha-Yoga, Sense of Coherence and Sense of Agency. Neurophenomenological Approach.
Gwiaździński, P., Fedyk, O., Krawczyk, M., & Szymański, M. (2017) · PubMed · Cited by 4 · see citing works
Psychotherapeutic yoga demonstrates immediate positive effects.
Gerber, M. M., Kilmer, E. D., & Callahan, J. L. (2018) · Practice Innovations · doi:10.1037/pri0000074 · Cited by 4 · see citing works
Franceschi, L., Small, N., Goldsby, T., Goldsby, M., Padamada, S., Ziegler, M. G., & Mills, P. J. (2024) · Global Advances in Integrative Medicine and Health · doi:10.1177/27536130241278970 · Cited by 3 · see citing works
“…who have experienced signi fi cant trauma and/or abuse, there is often a need for alternative therapies that complement traditional psychotherapy, 15,16 as traditional psychotherapy alone can show limitations such as moderate effect sizes as well as a lack of generalizability and endpoint…”
BackgroundBonano-Broussard, D., Simmons, R., & Ager, R. D. (2023) · Social Work in Mental Health · doi:10.1080/15332985.2023.2201366 · Cited by 2 · see citing works
Sinnott, S. M., Laumann, L. E., Gnall, K. E., Park, C. L., Wu, Y., Raja, M., Khawand, A., & Pescatello, L. S. (2026) · Journal of Traumatic Stress · doi:10.1002/jts.70040 · Cited by 2 · see citing works
Yoga as a Treatment for Depression
Nyer, M., Roberg, R., Nauphal, M., & Streeter, C. C. (2018) · Springer eBooks · doi:10.1007/978-3-319-97241-1_17 · Cited by 2 · see citing works
Exercise as a Prescription for Mental Health
Nelson, V. R., & Asif, I. M. (2020) · Springer eBooks · doi:10.1007/978-3-030-44754-0_22 · Cited by 2 · see citing works
Bruneau-Bhérer, R., Tremblay, S., Matte-Landry, A., Pépin, C., & Collin‐Vézina, D. (2020) · International Journal of Child and Adolescent Resilience · doi:10.7202/1072596ar
López, M., Fasciglione, M. P., Gillet, S. R., Zabaletta, V., & López, H. (2021) · Xihmai · doi:10.37646/xihmai.v16i31.516
Adverse childhood experiences and yoga: An integrative approach for healing
Taghavi, I., & Kia‐Keating, M. (2021) · PsycEXTRA Dataset · doi:10.1037/e505462022-001
Yoganın Kronik Bel Ağrısı Üzerine Etkisi
Öztürk, G. Y., & Başhan, İ. (2023) · Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi · doi:10.31020/mutftd.1284263
Weathers-Meyer, A., Lowe, A. C., McGrew, S. J., Sutherland, N. E., Yann, C. M. G., Beyl, R. A., & Vujanovic, A. A. (2024) · Mindfulness · doi:10.1007/s12671-024-02419-1
Sun, S., Singer, A., Ganesh, N., Feder, A., Byma, L., Wang, L., McClenton, M., Galfalvy, H., & Haghighi, F. G. (2024) · Military Medicine · doi:10.1093/milmed/usae547
Impact of Yoga on Mental Well-Being
Gerber, M. (2018) · doi:10.12794/metadc1248451
A COMPREHENSIVE REVIEW OF NEUROBIOLOGICAL MECHANISMS DRIVING THE EFFECTS OF YOGA ON MENTAL HEALTH
Singh, V. (2024) · ShodhKosh Journal of Visual and Performing Arts · doi:10.29121/shodhkosh.v5.i3.2024.5246
Trauma Adapted Yoga as an Adjunct to Psychiatric Treatment on an Adolescent Inpatient Unit
Chung, T., Duquette, J. S., Zhang‐James, Y., Hagen, K., Biedrzycki, J., Cote, J. R., Nepal, M., Carbone, S., & Khoury, N. M. (2026) · Clinical Child Psychology and Psychiatry · doi:10.1177/13591045261424539
- Authors
- Sciarrino, N. A., DeLucia, C., O'Brien, K., & McAdams, K.
- Affiliations
- Nova Southeastern University (US)
- College of Psychology, Nova Southeastern University, Fort Lauderdale, FL.
- St. Edward's University (US)
- Corresponding author
- Sciarrino, Nicole A.
- ORCID
- Sciarrino, Nicole A.
- Venue
- The Journal of Alternative and Complementary Medicine
- Publisher
- SAGE Publications
- Published
- 2017-10
- Volume
- 23
- Issue
- 10
- Pages
- 747-755
- ISSN
- 1075-5535 (ISSN-L)
- 1557-7708
- OpenAlex
- W2735894209
- Cited by
- 24
- References
- 32
- Citations by year
- 2026: 2 · 2024: 5 · 2023: 4 · 2022: 2 · 2021: 2 · 2020: 4 · 2018: 4 · 2017: 1
- FWCI
- 0.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Alternative and Complementary Medicine (publishedVersion)
- PubMed (publishedVersion)
- NSUWorks (Nova Southeastern University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- yoga, post-traumatic stress disorder, complementary and alternative medicine, asanas, treatment effectiveness, trauma, mechanism of action, posttraumatic stress symptoms
- MeSH terms
- Humans, Stress Disorders, Post-Traumatic, Yoga
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