A Pilot Randomized Controlled Trial of Transcendental Meditation as Treatment for Posttraumatic Stress Disorder in Veterans

Author: Mayer Bellehsen1,2, Valentina Stoycheva1, Barry H Cohen3, Sanford Nidich4
Affiliation:
1 The Unified Behavioral Health Center for Military Veterans and their Families, Northwell Health, Bay Shore, NY, USA.
2 Center for Traumatic Stress Resilience and Recovery, Northwell Health Glen, Oaks, NY.
3 Department of Applied Psychology, Steinhardt School of Culture Education and Human Development, New York University, New York, NY, USA.
4 Center for Social-Emotional Health, Maharishi International University Research Institute, Fairfield, Iowa, USA.
Conference/Journal: J Trauma Stress
Date published: 2021 Mar 18
Other: Special Notes: doi: 10.1002/jts.22665. , Word Count: 235


Preliminary studies have demonstrated the efficacy of Transcendental Meditation (TM) for treating posttraumatic stress disorder (PTSD). The present study extended previous research with a pilot trial of TM as a treatment for PTSD via a single-blinded, randomized controlled design. veterans with PTSD (N = 40) were assigned to a TM intervention or treatment-as-usual (TAU) control group. Participants in the TM group engaged in 16 sessions over 12 weeks, primarily in a 60-min group format. Change in PTSD symptoms, measured via the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) was the primary outcome. Secondary outcomes included self-reported PTSD symptoms, depression, anxiety, sleep difficulties, anger, and quality of life (QoL). Assessments were conducted at baseline and 3-month follow-up. Mean CAPS-5 score decreases were significantly larger for participants in the TM group (M = -11.28, 95% CI [-17.35, -5.20]), compared to the TAU group (M = -1.62, 95% CI [-6.77, 3.52]), p = .012, d = -0.84. At posttest, 50.0% of veterans in the TM group no longer met PTSD diagnostic criteria as compared to 10.0% in the TAU group, p = .007. Adjusted mean changes on self-report measures of PTSD symptoms, depression, anxiety, and sleep difficulties indicated significant reductions in the TM group compared to TAU, ds = .80-1.16. There were no significant group differences regarding anger or QoL. These findings demonstrate the efficacy of TM as a treatment for veterans with PTSD and for comorbid symptoms. Combined with other research, they suggest that TM may be a tolerable, non-trauma-focused PTSD treatment.


PMID: 33734493 DOI: 10.1002/jts.22665

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