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Meditation Several studies have evaluated different meditative practices.A recent randomized controlled trial found that a six-week group intervention that provided training in mantram repetition (silent repetition of a spiritually meaningful word) in conjunction with treatment as usual (medication and case management) had a small to moderate effect on PTSD symptoms among Veterans with chronic PTSD as compared to treatment as usual alone.
(17) Relaxation Results are somewhat variable regarding the impact of relaxation on PTSD symptoms.It is difficult to interpret the observed benefits in the mantram repetition group as due only to the intervention because there was no control for the nonspecific treatment effects, such as additional clinical contact, of the group-based mantram repetition intervention (15). (2012) found that an eight-week mindfulness intervention was superior to psychoeducation, both delivered by telehealth.Those in the mindfulness condition showed greater improvement in PTSD symptoms, but these improvements were not sustained after treatment ended.Yoga One small RCT compared an adjunctive, 12-session yoga intervention to an assessment control in a sample of Veteran and civilian women (25).Although there were significant decreases in PTSD symptoms (specifically re-experiencing and hyperarousal symptoms) in both groups, there were no between-group differences.The current empirical evidence for different CAM modalities in PTSD is described below.
This is not an exhaustive list of potential applications of CAM in PTSD.Please visit The National Center for Complementary and Alternative Medicine (NCCAM) for a complete overview of CAM interventions.Some conventional therapies for PTSD (e.g., cognitive behavioral therapies [CBT]) include elements that are consistent with CAM approaches.It is limited to those CAM modalities that have been tested in controlled studies in patients with PTSD.For each modality, treatment effects on PTSD symptoms and key limitations are summarized.Of note, five of the six studies examined in that review were conducted in China, where acupuncture is a mainstream treatment.