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Mindful Attention Increases and Mediates Psychological Outcomes Following Mantram Repetition Practice in Veterans With Posttraumatic Stress Disorder

Bibliographic Data

ID9102858
AuthorsJill E Bormann (0000-0002-5183-4115, University of San Diego), Doug Oman (0000-0002-5906-0820, Berkeley Public Health Division), Kristen H Walter (0000-0002-2464-2716), Brian D Johnson (0000-0003-4404-0365, University of San Diego)
Year2014
Volume52
IssueSupplement 5
PagesS13-S18
Publication date2014-12-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000200
PMID25397817
OpenAlexW2022867113
LanguageEN
Citations received6
References cited27

BACKGROUND: Several evidence-based treatments are available to veterans diagnosed with posttraumatic stress disorder (PTSD). However, not all veterans benefit from these treatments or prefer to engage in them. OBJECTIVES: The current study explored whether (1) a mantram repetition program (MRP) increased mindful attention among veterans with PTSD, (2) mindful attention mediated reduced PTSD symptom severity and enhanced psychological well-being, and (3) improvement in mindful attention was due to the frequency of mantram repetition practice. RESEARCH DESIGN: Data from a randomized controlled trial comparing MRP plus treatment as usual (MRP+TAU) or TAU were analyzed using hierarchical linear models. SUBJECTS: A total of 146 veterans with PTSD from military-related trauma were recruited from a Veterans Affairs outpatient PTSD clinic (71 MRP+TAU; 75 TAU). MEASURES: The Clinician Administered PTSD Scale (CAPS), PTSD Checklist (PCL), the Brief Symptom Inventory-18 depression subscale, Health Survey SF-12v2, and Mindfulness Attention Awareness Scale (MAAS) were used. Frequency of mantram repetition practice was measured using wrist-worn counters and daily logs. RESULTS: Intent-to-treat analyses indicated greater increases in mindful attention, as measured by the MAAS, for MRP+TAU as compared with TAU participants (P<0.01). Mindful attention gains mediated previously reported treatment effects on reduced PTSD symptoms (using both CAPS and PCL), reduced depression, and improved psychological well-being. Frequency of mantram repetition practice in turn mediated increased mindful attention. CONCLUSIONS: The MRP intervention and specifically, mantram practice, improved mindful attention in veterans with PTSD, yielding improved overall psychological well-being. MRP may be a beneficial adjunct to usual care in veterans with PTSD

Checklist · Depression (economics) · Mindfulness · Posttraumatic stress · Psychiatry · Randomized controlled trial · Repetition (rhetorical device) · Veterans Affairs · Acupuncture Treatment Research Studies · Clinical Psychology · Medicine · Mindfulness and Compassion Interventions · Pain Management and Placebo Effect · Psychology

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Citations per year0.75
Citation span2018 - 2025 (8)
Highly citedNo

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