Trial Outcomes & Findings for Breathing Meditation Intervention for Post Traumatic Stress Disorder (NCT NCT02366403)

NCT ID: NCT02366403

Last Updated: 2022-07-12

Results Overview

Posttraumatic Stress Disorder Checklist-Civilian Version (PCL-C) (Blanchard et al., 1996) is a 17-item self- report scale that assesses PTSD symptom severity in the past month corresponding to DSM-IV criteria for PTSD. Scores range from 17-85 with higher scores reflecting greater severity. We used the civilian version to assess symptoms from both military and non-military trauma.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

85 participants

Primary outcome timeframe

baseline, after treatment (six weeks), one month after treatment, and one year after treatment

Results posted on

2022-07-12

Participant Flow

Participant milestones

Participant milestones
Measure
Sudarshan Kriya Yoga
a standardized meditation program SKY meditation: SKY (Sudarshan Kriya Yoga) meditation is a standardized, manual-based and replicable program that includes relaxation techniques as well as periods of discussion. The format is a 7-day intensive group class (2 1/2 hours/day intensive format) followed by five weeks of sessions twice per week (1hr/session). SKY meditation incorporates several types of breathing exercises involving arousal and attentional control. Initial breathing exercises are calming and focusing. Subsequent breathing exercises are more fully engaging energizing, allowing the practitioner to focus more fully in each moment.
CPT-C
CPT-C (Cognitive Processing Therapy-cognitive only) is a standardized, manual-based treatment consisting of 12, 60-minute sessions which will be given twice per week. Sessions will focusing on specific issues, learning new therapeutic techniques and setting up homework for the following session including real-life application of learned CPT techniques. CPT-C: CPT-C (Cognitive Processing Therapy-cognitive only) is a standardized, manual-based treatment consisting of 12, 60-minute sessions which will be given twice per week. Sessions will focusing on specific issues, learning new therapeutic techniques and setting up homework for the following session including real-life application of learned CPT techniques.
Overall Study
STARTED
41
44
Overall Study
COMPLETED
30
29
Overall Study
NOT COMPLETED
11
15

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Breathing Meditation Intervention for Post Traumatic Stress Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sudarshan Kriya Yoga
n=41 Participants
a standardized meditation program SKY meditation: SKY (Sudarshan Kriya Yoga) meditation is a standardized, manual-based and replicable program that includes relaxation techniques as well as periods of discussion. The format is a 7-day intensive group class (2 1/2 hours/day intensive format) followed by five weeks of sessions twice per week (1hr/session). SKY meditation incorporates several types of breathing exercises involving arousal and attentional control. Initial breathing exercises are calming and focusing. Subsequent breathing exercises are more fully engaging energizing, allowing the practitioner to focus more fully in each moment.
CPT-C
n=44 Participants
CPT-C (Cognitive Processing Therapy-cognitive only) is a standardized, manual-based treatment consisting of 12, 60-minute sessions which will be given twice per week. Sessions will focusing on specific issues, learning new therapeutic techniques and setting up homework for the following session including real-life application of learned CPT techniques. CPT-C: CPT-C (Cognitive Processing Therapy-cognitive only) is a standardized, manual-based treatment consisting of 12, 60-minute sessions which will be given twice per week. Sessions will focusing on specific issues, learning new therapeutic techniques and setting up homework for the following session including real-life application of learned CPT techniques.
Total
n=85 Participants
Total of all reporting groups
Age, Continuous
56.9 years
STANDARD_DEVIATION 13.6 • n=5 Participants
56.2 years
STANDARD_DEVIATION 11.7 • n=7 Participants
56.6 years
STANDARD_DEVIATION 12.7 • n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
3 Participants
n=7 Participants
10 Participants
n=5 Participants
Sex: Female, Male
Male
34 Participants
n=5 Participants
41 Participants
n=7 Participants
75 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
26 Participants
n=5 Participants
31 Participants
n=7 Participants
57 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants
n=5 Participants
9 Participants
n=7 Participants
20 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=5 Participants
5 Participants
n=7 Participants
13 Participants
n=5 Participants
Race (NIH/OMB)
White
23 Participants
n=5 Participants
29 Participants
n=7 Participants
52 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
9 Participants
n=5 Participants
6 Participants
n=7 Participants
15 Participants
n=5 Participants
Region of Enrollment
United States
41 participants
n=5 Participants
44 participants
n=7 Participants
85 participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline, after treatment (six weeks), one month after treatment, and one year after treatment

Posttraumatic Stress Disorder Checklist-Civilian Version (PCL-C) (Blanchard et al., 1996) is a 17-item self- report scale that assesses PTSD symptom severity in the past month corresponding to DSM-IV criteria for PTSD. Scores range from 17-85 with higher scores reflecting greater severity. We used the civilian version to assess symptoms from both military and non-military trauma.

Outcome measures

Outcome measures
Measure
Sudarshan Kriya Yoga
n=41 Participants
a standardized meditation program SKY meditation: SKY (Sudarshan Kriya Yoga) meditation is a standardized, manual-based and replicable program that includes relaxation techniques as well as periods of discussion. The format is a 7-day intensive group class (2 1/2 hours/day intensive format) followed by five weeks of sessions twice per week (1hr/session). SKY meditation incorporates several types of breathing exercises involving arousal and attentional control. Initial breathing exercises are calming and focusing. Subsequent breathing exercises are more fully engaging energizing, allowing the practitioner to focus more fully in each moment.
CPT-C
n=44 Participants
CPT-C (Cognitive Processing Therapy-cognitive only) is a standardized, manual-based treatment consisting of 12, 60-minute sessions which will be given twice per week. Sessions will focusing on specific issues, learning new therapeutic techniques and setting up homework for the following session including real-life application of learned CPT techniques. CPT-C: CPT-C (Cognitive Processing Therapy-cognitive only) is a standardized, manual-based treatment consisting of 12, 60-minute sessions which will be given twice per week. Sessions will focusing on specific issues, learning new therapeutic techniques and setting up homework for the following session including real-life application of learned CPT techniques.
Change in PTSD Checklist (PCL)
change from baseline to end of treatment
-5.6 score on a scale
Standard Deviation 9.5
-6.8 score on a scale
Standard Deviation 11.4
Change in PTSD Checklist (PCL)
change from baseline to one month after treatment
-4.8 score on a scale
Standard Deviation 10.5
-6.8 score on a scale
Standard Deviation 11.9
Change in PTSD Checklist (PCL)
change from baseline to one year after treatment
-4.4 score on a scale
Standard Deviation 11.4
-6.2 score on a scale
Standard Deviation 10.7

SECONDARY outcome

Timeframe: baseline, after treatment (six weeks), one month after treatment, and one year after treatment

The BDI-II scale is a 21-item self-report measure that assesses depression symptom severity. Items are rated on a 4-point scale according to how much the symptom bothered the respondent over the prior two weeks. Scores range from 0-63 with higher scores reflecting greater severity.

Outcome measures

Outcome measures
Measure
Sudarshan Kriya Yoga
n=41 Participants
a standardized meditation program SKY meditation: SKY (Sudarshan Kriya Yoga) meditation is a standardized, manual-based and replicable program that includes relaxation techniques as well as periods of discussion. The format is a 7-day intensive group class (2 1/2 hours/day intensive format) followed by five weeks of sessions twice per week (1hr/session). SKY meditation incorporates several types of breathing exercises involving arousal and attentional control. Initial breathing exercises are calming and focusing. Subsequent breathing exercises are more fully engaging energizing, allowing the practitioner to focus more fully in each moment.
CPT-C
n=44 Participants
CPT-C (Cognitive Processing Therapy-cognitive only) is a standardized, manual-based treatment consisting of 12, 60-minute sessions which will be given twice per week. Sessions will focusing on specific issues, learning new therapeutic techniques and setting up homework for the following session including real-life application of learned CPT techniques. CPT-C: CPT-C (Cognitive Processing Therapy-cognitive only) is a standardized, manual-based treatment consisting of 12, 60-minute sessions which will be given twice per week. Sessions will focusing on specific issues, learning new therapeutic techniques and setting up homework for the following session including real-life application of learned CPT techniques.
Change in Beck Depression Inventory II (BDI-II)
Change from baseline to end of treatment
-6.1 score on a scale
Standard Deviation 6.8
-3.6 score on a scale
Standard Deviation 10.9
Change in Beck Depression Inventory II (BDI-II)
Change from baseline to one month after treatment
-4.7 score on a scale
Standard Deviation 8.7
-2.8 score on a scale
Standard Deviation 11.7
Change in Beck Depression Inventory II (BDI-II)
Change from baseline to one year after treatment
-5.6 score on a scale
Standard Deviation 9.6
-4.5 score on a scale
Standard Deviation 10.0

SECONDARY outcome

Timeframe: baseline, after treatment (six weeks), one month after treatment, and one year after treatment

A 20-item self-report measure assessing positive and negative mood states over "the past few weeks" on a 5-point scale. Scores for positive and negative affect range from 10-50 with higher scores reflecting stronger affect.

Outcome measures

Outcome measures
Measure
Sudarshan Kriya Yoga
n=41 Participants
a standardized meditation program SKY meditation: SKY (Sudarshan Kriya Yoga) meditation is a standardized, manual-based and replicable program that includes relaxation techniques as well as periods of discussion. The format is a 7-day intensive group class (2 1/2 hours/day intensive format) followed by five weeks of sessions twice per week (1hr/session). SKY meditation incorporates several types of breathing exercises involving arousal and attentional control. Initial breathing exercises are calming and focusing. Subsequent breathing exercises are more fully engaging energizing, allowing the practitioner to focus more fully in each moment.
CPT-C
n=44 Participants
CPT-C (Cognitive Processing Therapy-cognitive only) is a standardized, manual-based treatment consisting of 12, 60-minute sessions which will be given twice per week. Sessions will focusing on specific issues, learning new therapeutic techniques and setting up homework for the following session including real-life application of learned CPT techniques. CPT-C: CPT-C (Cognitive Processing Therapy-cognitive only) is a standardized, manual-based treatment consisting of 12, 60-minute sessions which will be given twice per week. Sessions will focusing on specific issues, learning new therapeutic techniques and setting up homework for the following session including real-life application of learned CPT techniques.
Change in Positive and Negative Affect Schedule (PANAS)
PANAS positive: change from baseline to end of treatment
2.5 score on a scale
Standard Deviation 5.8
0.3 score on a scale
Standard Deviation 5.9
Change in Positive and Negative Affect Schedule (PANAS)
PANAS positive: change from baseline to one month after treatment
1.3 score on a scale
Standard Deviation 8.6
-1.3 score on a scale
Standard Deviation 7.1
Change in Positive and Negative Affect Schedule (PANAS)
PANAS positive: change from baseline to one year after treatment
-0.1 score on a scale
Standard Deviation 10.5
0.4 score on a scale
Standard Deviation 7.0
Change in Positive and Negative Affect Schedule (PANAS)
PANAS negative: change from baseline to end of treatment
-3.2 score on a scale
Standard Deviation 4.6
-0.9 score on a scale
Standard Deviation 8.8
Change in Positive and Negative Affect Schedule (PANAS)
PANAS negative: change from baseline to one month after treatment
-2.9 score on a scale
Standard Deviation 6.7
-1.2 score on a scale
Standard Deviation 8.4
Change in Positive and Negative Affect Schedule (PANAS)
PANAS negative: change from baseline to one year after treatment
-1.8 score on a scale
Standard Deviation 8.2
-1.7 score on a scale
Standard Deviation 8.0

Adverse Events

Sudarshan Kriya Yoga

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

CPT-C

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Sudarshan Kriya Yoga
n=41 participants at risk
a standardized meditation program SKY meditation: SKY (Sudarshan Kriya Yoga) meditation is a standardized, manual-based and replicable program that includes relaxation techniques as well as periods of discussion. The format is a 7-day intensive group class (2 1/2 hours/day intensive format) followed by five weeks of sessions twice per week (1hr/session). SKY meditation incorporates several types of breathing exercises involving arousal and attentional control. Initial breathing exercises are calming and focusing. Subsequent breathing exercises are more fully engaging energizing, allowing the practitioner to focus more fully in each moment.
CPT-C
n=44 participants at risk
CPT-C (Cognitive Processing Therapy-cognitive only) is a standardized, manual-based treatment consisting of 12, 60-minute sessions which will be given twice per week. Sessions will focusing on specific issues, learning new therapeutic techniques and setting up homework for the following session including real-life application of learned CPT techniques. CPT-C: CPT-C (Cognitive Processing Therapy-cognitive only) is a standardized, manual-based treatment consisting of 12, 60-minute sessions which will be given twice per week. Sessions will focusing on specific issues, learning new therapeutic techniques and setting up homework for the following session including real-life application of learned CPT techniques.
Psychiatric disorders
Admission to inpatient psychiatry
0.00%
0/41 • baseline to one year posttreatment (i.e. 58 weeks)
Study staff conducted safety evaluations and followed safety protocols whenever a participant endorsed any suicidal or homicidal ideation, including via self report measures.
2.3%
1/44 • Number of events 1 • baseline to one year posttreatment (i.e. 58 weeks)
Study staff conducted safety evaluations and followed safety protocols whenever a participant endorsed any suicidal or homicidal ideation, including via self report measures.

Other adverse events

Other adverse events
Measure
Sudarshan Kriya Yoga
n=41 participants at risk
a standardized meditation program SKY meditation: SKY (Sudarshan Kriya Yoga) meditation is a standardized, manual-based and replicable program that includes relaxation techniques as well as periods of discussion. The format is a 7-day intensive group class (2 1/2 hours/day intensive format) followed by five weeks of sessions twice per week (1hr/session). SKY meditation incorporates several types of breathing exercises involving arousal and attentional control. Initial breathing exercises are calming and focusing. Subsequent breathing exercises are more fully engaging energizing, allowing the practitioner to focus more fully in each moment.
CPT-C
n=44 participants at risk
CPT-C (Cognitive Processing Therapy-cognitive only) is a standardized, manual-based treatment consisting of 12, 60-minute sessions which will be given twice per week. Sessions will focusing on specific issues, learning new therapeutic techniques and setting up homework for the following session including real-life application of learned CPT techniques. CPT-C: CPT-C (Cognitive Processing Therapy-cognitive only) is a standardized, manual-based treatment consisting of 12, 60-minute sessions which will be given twice per week. Sessions will focusing on specific issues, learning new therapeutic techniques and setting up homework for the following session including real-life application of learned CPT techniques.
Psychiatric disorders
Distressed and lost to follow up
0.00%
0/41 • baseline to one year posttreatment (i.e. 58 weeks)
Study staff conducted safety evaluations and followed safety protocols whenever a participant endorsed any suicidal or homicidal ideation, including via self report measures.
2.3%
1/44 • Number of events 1 • baseline to one year posttreatment (i.e. 58 weeks)
Study staff conducted safety evaluations and followed safety protocols whenever a participant endorsed any suicidal or homicidal ideation, including via self report measures.

Additional Information

Peter Bayley, PhD

War Related Illness and Injury Study Center, VA Palo Alto Healthcare System

Phone: 650 493-5000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place