Posttraumatic stress disorder is one of the most common psychiatric disorders with a lifetime prevalence of 7.8%. PTSD is often comorbid with other disorders especially sleep disturbances such as nightmares and insomnia. In fact, sleep disturbances are considered characteristic and predictive of PTSD. The main objective is to identify treatment for insomnia related to PTSD. Both PTSD and insomnia are associated with chronic activation of the sympathetic nervous system or hyperarousal. Yoga, due to its ability to reduce physiological arousal, may significantly reduce insomnia in PTSD patients as well as the severity of PTSD. Preliminary data on yoga for sleep disturbances has shown that yoga reduces primary insomnia. In addition, other studies with PTSD patients have found reduction in PTSD symptoms following yoga interventions. The proposed research is an innovative therapeutic use of yoga as an intervention for people with insomnia and PTSD. There are three specific aims: to evaluate if yoga reduces insomnia by improving subjective sleep quality in PTSD patients;to evaluate if yoga reduces insomnia by improving objective sleep quality in PTSD patients;and to test if this intervention also reduces PTSD symptom severity and relationships with sleep outcomes.
The specific aims will be accomplished using a randomized controlled pilot study of an eight - week yoga treatment for insomnia in PTSD patients. Because yoga has become increasingly practiced and utilized in self-care especially PTSD symptom management, this research training plan is aligned with the NCCAM mission to explore widely used complementary and alternative practices with scientific rigor.

Public Health Relevance

Many people who have experienced trauma develop insomnia related to posttraumatic stress disorder (PTSD). Yoga, a mind-body practice that involves physical stretching, breathing exercises and meditation, helps to reduce negative responses to stress. Thus, yoga may help reduce insomnia related to PTSD.

Agency
National Institute of Health (NIH)
Institute
National Center for Complementary & Alternative Medicine (NCCAM)
Type
Postdoctoral Individual National Research Service Award (F32)
Project #
5F32AT006092-02
Application #
8325804
Study Section
Special Emphasis Panel (ZAT1-PK (14))
Program Officer
Khalsa, Partap Singh
Project Start
2011-08-01
Project End
2014-07-31
Budget Start
2012-08-01
Budget End
2013-07-31
Support Year
2
Fiscal Year
2012
Total Cost
$67,530
Indirect Cost
Name
Brigham and Women's Hospital
Department
Type
DUNS #
030811269
City
Boston
State
MA
Country
United States
Zip Code
02115