Trauma-sensitive yoga as an adjunct mental health treatment in group therapy for survivors of domestic violence: a feasibility study.
Clark CJ; Lewis-Dmello A; Anders D; Parsons A; Nguyen-Feng V; Henn L; Emerson D · Complementary therapies in clinical practice · 2014 · Nonrandomized sequential-group controlled feasibility study
Original publication · Original publication · Original publication
Recorded summary
Feasibility and acceptability evidence with nonrandomized allocation; treatment efficacy remains undetermined.
Recorded limitations
Availability allocation, sequential cohorts, small sample, attrition and inconsistent PTSD measurement across time.
Evidence and provenance
Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.
Study design and assessment
- design
- Nonrandomized sequential-group controlled feasibility study
- assessment
- category
- nonrandomized-or-unestablished
- is Randomized Controlled Trial
- false
- basis
- Methods explicitly state availability sampling; two12-week groups conducted sequentially.
- sources
https://pubmed.ncbi.nlm.nih.gov/25129883/ · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC4215954/unicode
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- sources
https://pubmed.ncbi.nlm.nih.gov/25129883/ · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC4215954/unicode
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- Attempted by using the name mind-body exercises; success not assessed.
- providers
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- analysts
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- rating Scale
- library-trust-factor/1-3
- jadad
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- evidence
- evidence Type
- Nonrandomized sequential-group controlled feasibility study
- intervention
- Trauma-sensitive yoga appended to psychotherapy; optional modifications and no hands-on assists 30–40 minutes weekly for 12 weeks. Total sessions 135 minutes versus 120 minutes control; psychotherapy shortened 15 minutes.
- comparator
- Sequential usual group psychotherapy cohort
- sample
- 17 enrolled (8 yoga/9 control);12 completed; outcomes and reactions analyzed for at most16 because one response set was unusable.
- measurement
- Feasibility; Anxiety, depression and PTSD
- timing
- 12 weeks
- trial Id
- relationship Note
- Survivor-focused mind–body intervention. Do not extrapolate to children, perpetrators, or prevention of violence.
- measured Genes
- None recorded
- pathways
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- source Access
- level
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- source URLs
https://pubmed.ncbi.nlm.nih.gov/25129883/ · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC4215954/unicode
- retrieved At
- 2026-10-30T08:28:43.779847+00:00
- outcomes
- name
- Feasibility
- result
- 85%of eligible women enrolled; six per arm completed.
- follow Up
- 12 weeks
- effect Estimate
- Not recorded
- uncertainty
- not established from accessed source
- primary Status
- not established from accessed source
- name
- Anxiety, depression and PTSD
- result
- Outcomes were descriptive; study was not powered for between-group efficacy. PTSD instrument changed atweek 4.
- follow Up
- 12 weeks
- effect Estimate
- Not recorded
- uncertainty
- No randomized treatment effect can be inferred.
- primary Status
- not established from accessed source
- quality
- risk Of Bias
- Nonrandom availability allocation; sequential cohorts; small sample; descriptive outcomes; PTSD measure changed after baseline.
- attrition
- Six completed per arm:2/8 yoga and 3/9 control dropped out. One participant provided unusable post-intake questionnaires, leaving maximum 16 for outcomes/reactions.
- confounding
- Sequential cohorts and selection; yoga group had15 minutes less psychotherapy and 15 minutes more total session time.
- adverse Findings
- Session-level harm checks reported no physical/emotional harm. Half found questionnaires emotionally difficult; less than one-quarter rated emotions intense. Incomplete follow-up limits reassurance.
- transfer Limits
- Aftercare clients who completed16 weeks of prior therapy; pregnancy and conditions preventing mild exercise excluded.
- jadad
- not applicable
- masking Roles
- participants
- Attempted by using the name mind-body exercises; success not assessed.
- providers
- Therapist/instructor delivered known conditions; provider masking not claimed.
- assessors
- not established from accessed source
- analysts
- not established from accessed source
- population
- relation
- direct
- population
- Adult women survivors
- exposure Evidence
- Explicit intimate partner or domestic violence in eligibility or report.
- rationale
- Survivor-focused mind–body intervention.
- transfer Limit
- Do not extrapolate to children, perpetrators, or prevention of violence.
Topics and recorded topic scores
- key
- language:domestic-family-violence
- title
- Domestic & Family Violence
- collection
- language
- trust Score
- 2
Citation snapshot and identifiers
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Complete approved library record
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- approved By
- Ben Korbel
- approved At
- 2026-11-01
- assessment
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- claim Check
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- sources
https://pubmed.ncbi.nlm.nih.gov/25129883/
- applied Proposals
methods-mindbody/proposed-fields.json
- method
- AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
- limitations
Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.
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- title
- Trauma-sensitive yoga as an adjunct mental health treatment in group therapy for survivors of domestic violence: a feasibility study.
- journal
- Complementary therapies in clinical practice
- neurotransmitters
- None recorded
- year
- 2014
- authors
- Clark CJ; Lewis-Dmello A; Anders D; Parsons A; Nguyen-Feng V; Henn L; Emerson D
- design
- Nonrandomized sequential-group controlled feasibility study
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- 10.1016/j.ctcp.2014.04.003
- pmid
- 25129883
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https://doi.org/10.1016/j.ctcp.2014.04.003 · https://pubmed.ncbi.nlm.nih.gov/25129883/ · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC4215954/unicode
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- Feasibility and acceptability evidence with nonrandomized allocation; treatment efficacy remains undetermined.
- limitation
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https://pubmed.ncbi.nlm.nih.gov/25129883/ · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC4215954/unicode
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- Trauma-sensitive yoga as an adjunct mental health treatment in group therapy for survivors of domestic violence: a feasibility study.
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https://doi.org/10.1016/j.ctcp.2014.04.003 · https://pubmed.ncbi.nlm.nih.gov/25129883/ · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC4215954/unicode
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- Nonrandomized sequential-group controlled feasibility study
- intervention
- Trauma-sensitive yoga appended to psychotherapy; optional modifications and no hands-on assists 30–40 minutes weekly for 12 weeks. Total sessions 135 minutes versus 120 minutes control; psychotherapy shortened 15 minutes.
- comparator
- Sequential usual group psychotherapy cohort
- sample
- 17 enrolled (8 yoga/9 control);12 completed; outcomes and reactions analyzed for at most16 because one response set was unusable.
- measurement
- Feasibility; Anxiety, depression and PTSD
- timing
- 12 weeks
- trial Id
- relationship Note
- Survivor-focused mind–body intervention. Do not extrapolate to children, perpetrators, or prevention of violence.
- measured Genes
- None recorded
- pathways
- None recorded
- source Access
- level
- full-text
- source URLs
https://pubmed.ncbi.nlm.nih.gov/25129883/ · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC4215954/unicode
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- outcomes
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- follow Up
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- primary Status
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- name
- Anxiety, depression and PTSD
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- Outcomes were descriptive; study was not powered for between-group efficacy. PTSD instrument changed atweek 4.
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- primary Status
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- confounding
- Sequential cohorts and selection; yoga group had15 minutes less psychotherapy and 15 minutes more total session time.
- adverse Findings
- Session-level harm checks reported no physical/emotional harm. Half found questionnaires emotionally difficult; less than one-quarter rated emotions intense. Incomplete follow-up limits reassurance.
- transfer Limits
- Aftercare clients who completed16 weeks of prior therapy; pregnancy and conditions preventing mild exercise excluded.
- jadad
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- participants
- Attempted by using the name mind-body exercises; success not assessed.
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- assessors
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- analysts
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- population
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https://pubmed.ncbi.nlm.nih.gov/25129883/ · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC4215954/unicode
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- sources
https://pubmed.ncbi.nlm.nih.gov/25129883/
- applied Proposals
methods-mindbody/proposed-fields.json
- method
- AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
- limitations
Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.
- assessment Record
- id
- dv-mindbody-25129883
- title
- Trauma-sensitive yoga as an adjunct mental health treatment in group therapy for survivors of domestic violence: a feasibility study.
- authors
Clark CJ · Lewis-Dmello A · Anders D · Parsons A · Nguyen-Feng V · Henn L · Emerson D
- year
- 2014
- journal
- Complementary therapies in clinical practice
- doi
- 10.1016/j.ctcp.2014.04.003
- pmid
- 25129883
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- Trauma-sensitive yoga adjunct
- publication Type
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- study Family Id
- Clark-NguyenFeng-adjunct-yoga-program
- family Linkage Uncertain
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- relevance
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- Adult women survivors
- exposure Evidence
- Explicit intimate partner or domestic violence in eligibility or report.
- rationale
- Survivor-focused mind–body intervention.
- transfer Limit
- Do not extrapolate to children, perpetrators, or prevention of violence.
- age
- groups
adult
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- youth Scope
- Adult aftercare participants only.
- country
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- setting
- Domestic Abuse Project, Minneapolis; aftercare group psychotherapy
- sample Size
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- description
- 17 enrolled (8 yoga/9 control);12 completed; outcomes and reactions analyzed for at most16 because one response set was unusable.
- intervention
- description
- Trauma-sensitive yoga appended to psychotherapy; optional modifications and no hands-on assists
- dose
- 30–40 minutes weekly for 12 weeks. Total sessions 135 minutes versus 120 minutes control; psychotherapy shortened 15 minutes.
- provider
- Certified yoga instructor trained in trauma-sensitive yoga; same therapist led both psychotherapy groups
- comparator
- Sequential usual group psychotherapy cohort
- outcomes
- name
- Feasibility
- result
- 85%of eligible women enrolled; six per arm completed.
- follow Up
- 12 weeks
- effect Estimate
- Not recorded
- uncertainty
- not established from accessed source
- primary Status
- not established from accessed source
- name
- Anxiety, depression and PTSD
- result
- Outcomes were descriptive; study was not powered for between-group efficacy. PTSD instrument changed atweek 4.
- follow Up
- 12 weeks
- effect Estimate
- Not recorded
- uncertainty
- No randomized treatment effect can be inferred.
- primary Status
- not established from accessed source
- finding
- Feasibility and acceptability evidence with nonrandomized allocation; treatment efficacy remains undetermined.
- limitation
- Availability allocation, sequential cohorts, small sample, attrition and inconsistent PTSD measurement across time.
- design
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- Nonrandomized sequential-group controlled feasibility study
- randomization Evidence
- Methods explicitly state availability sampling; two12-week groups conducted sequentially.
- masking
- participants
- Attempted by using the name mind-body exercises; success not assessed.
- providers
- Therapist/instructor delivered known conditions; provider masking not claimed.
- assessors
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- analysts
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- crosses
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- cross Rationale
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- quality
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- attrition
- Six completed per arm:2/8 yoga and 3/9 control dropped out. One participant provided unusable post-intake questionnaires, leaving maximum 16 for outcomes/reactions.
- confounding
- Sequential cohorts and selection; yoga group had15 minutes less psychotherapy and 15 minutes more total session time.
- adverse Findings
- Session-level harm checks reported no physical/emotional harm. Half found questionnaires emotionally difficult; less than one-quarter rated emotions intense. Incomplete follow-up limits reassurance.
- transfer Limits
- Aftercare clients who completed16 weeks of prior therapy; pregnancy and conditions preventing mild exercise excluded.
- jadad
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https://pubmed.ncbi.nlm.nih.gov/25129883/ · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC4215954/unicode
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Full PMC text encountered a browser challenge. Possible companion Nguyen-Feng 2019; family link awaiting confirmation. · Grouped conservatively as a likely shared service program; exact cohort overlap remains unverified. · This paper explicitly mentions an ancillary therapist-perspective study accompanying the pilot. It strengthens, but does not by itself conclusively identify, the proposed Clark/Nguyen-Feng program linkage. · No new trial or publication added.
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- review Readiness
- ready-with-access-limits
- finding
- Feasibility evidence; efficacy and allocation method not established from abstract.
- limitation
- Very small controlled feasibility study with attrition.
- adverse Findings
- No harm reported by respondents; incomplete follow-up limits reassurance.
- crosses
- 0
- access
- abstract
- action
- supplement
- hold Current Revision
- false
- cross Verification On Hold
- false
- new Evidence
- Full methods describe allocation according to availability into sequential groups, not verified randomization. Five of 17 participants were lost and the PTSD instrument changed.
- revised Interpretation
- Retain feasibility-only interpretation and zero trial crosses. No efficacy conclusion follows from this very small nonrandom comparison.
- required Before Approval
- No new hold on the conservative finding; review the clarified allocation/measurement limitations.
- source URLs
https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC4215954/unicode
- source Location
- Methods and feasibility results
- assessment Changed
- false
- human Approval
- false
- publication Recommendation
- status
- recommended-summary
- reason
- Suitable as a qualified research-library summary at the stated source-access level. This is not a conclusion that the intervention is effective or safe.
- scope
- Research summary only; no treatment recommendation
- human Release Approval
- false
- editorial Audit
- auditor
- Codex (AI)
- completed At
- 2026-10-31T05:11:05.655793+00:00
- prior Content Hash
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- prior Revision
- r1-ae229a688eab
- prior Source
- frozen-120
- source Verification
- id
- dv-mindbody-25129883
- doi
- 10.1016/j.ctcp.2014.04.003
- pmid
- 25129883
- fresh Metadata
- Europe PMC core
- metadata Retrieved
- true
- metadata SHA256
- 0436a82b34e76471f7d9c26a02f6391ef4673478d4e3ac8acabb9d6677485ac8
- claim Check
- Headline finding/design/limitations compared with indexed abstract or accessible primary evidence; retained methods amendments separately adjudicated.
- sources
https://pubmed.ncbi.nlm.nih.gov/25129883/
- applied Proposals
methods-mindbody/proposed-fields.json
- method
- AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
- limitations
Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.
- study Design Assessment
- category
- nonrandomized-or-unestablished
- is Randomized Controlled Trial
- false
- basis
- Methods explicitly state availability sampling; two12-week groups conducted sequentially.
- sources
https://pubmed.ncbi.nlm.nih.gov/25129883/ · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC4215954/unicode
- review Scope
- full-text
- paper Trust Assessment
- scope
- Paper
- status
- assessed
- score
- 1
- randomized Controlled Trial
- false
- peer Reviewed
- true
- blinding
- not-applicable
- basis
- No randomization. Calling exercises mind-body was an attempted participant masking strategy, not proof of successful blinding.
- sources
https://pubmed.ncbi.nlm.nih.gov/25129883/ · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC4215954/unicode
- review Scope
- full-text
- human Approval
- false
- display Crosses
- 0
- masking Roles
- participants
- Attempted by using the name mind-body exercises; success not assessed.
- providers
- Therapist/instructor delivered known conditions; provider masking not claimed.
- assessors
- not established from accessed source
- analysts
- not established from accessed source
- jadad
- status
- not-applicable
- score
- Not recorded
- evidence
- population
- relation
- direct
- population
- Adult women survivors
- exposure Evidence
- Explicit intimate partner or domestic violence in eligibility or report.
- rationale
- Survivor-focused mind–body intervention.
- transfer Limit
- Do not extrapolate to children, perpetrators, or prevention of violence.
- intervention
- description
- Trauma-sensitive yoga appended to psychotherapy; optional modifications and no hands-on assists
- dose
- 30–40 minutes weekly for 12 weeks. Total sessions 135 minutes versus 120 minutes control; psychotherapy shortened 15 minutes.
- provider
- Certified yoga instructor trained in trauma-sensitive yoga; same therapist led both psychotherapy groups
- comparator
- Sequential usual group psychotherapy cohort
- outcomes
- name
- Feasibility
- result
- 85%of eligible women enrolled; six per arm completed.
- follow Up
- 12 weeks
- effect Estimate
- Not recorded
- uncertainty
- not established from accessed source
- primary Status
- not established from accessed source
- name
- Anxiety, depression and PTSD
- result
- Outcomes were descriptive; study was not powered for between-group efficacy. PTSD instrument changed atweek 4.
- follow Up
- 12 weeks
- effect Estimate
- Not recorded
- uncertainty
- No randomized treatment effect can be inferred.
- primary Status
- not established from accessed source
- access
- level
- full-text
- source URLs
https://pubmed.ncbi.nlm.nih.gov/25129883/ · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC4215954/unicode
- retrieved At
- 2026-10-30T08:28:43.779847+00:00
- citation Snapshot
- count
- Not recorded
- source
- Not recorded
- retrieved At
- Not recorded
- status
- not-assessed
- provenance
- Discovered by AI
- content Hash
- f57e81ec3549f901bbebb9f2a8550fcbb128b9dc3b05f4ed7b77f5c66363b001
- revision
- audit-r2-f57e81ec3549
- archive Entries
- None recorded
- collection
- language
- chapter Number
- 5
- topic Id
- domestic-family-violence
- topic Title
- Domestic & Family Violence
- trust Score
- 2
- evidence
- evidence Type
- Nonrandomized sequential-group controlled feasibility study
- intervention
- Trauma-sensitive yoga appended to psychotherapy; optional modifications and no hands-on assists 30–40 minutes weekly for 12 weeks. Total sessions 135 minutes versus 120 minutes control; psychotherapy shortened 15 minutes.
- comparator
- Sequential usual group psychotherapy cohort
- sample
- 17 enrolled (8 yoga/9 control);12 completed; outcomes and reactions analyzed for at most16 because one response set was unusable.
- measurement
- Feasibility; Anxiety, depression and PTSD
- timing
- 12 weeks
- trial Id
- relationship Note
- Survivor-focused mind–body intervention. Do not extrapolate to children, perpetrators, or prevention of violence.
- measured Genes
- None recorded
- pathways
- None recorded
- source Access
- level
- full-text
- source URLs
https://pubmed.ncbi.nlm.nih.gov/25129883/ · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC4215954/unicode
- retrieved At
- 2026-10-30T08:28:43.779847+00:00
- outcomes
- name
- Feasibility
- result
- 85%of eligible women enrolled; six per arm completed.
- follow Up
- 12 weeks
- effect Estimate
- Not recorded
- uncertainty
- not established from accessed source
- primary Status
- not established from accessed source
- name
- Anxiety, depression and PTSD
- result
- Outcomes were descriptive; study was not powered for between-group efficacy. PTSD instrument changed atweek 4.
- follow Up
- 12 weeks
- effect Estimate
- Not recorded
- uncertainty
- No randomized treatment effect can be inferred.
- primary Status
- not established from accessed source
- quality
- risk Of Bias
- Nonrandom availability allocation; sequential cohorts; small sample; descriptive outcomes; PTSD measure changed after baseline.
- attrition
- Six completed per arm:2/8 yoga and 3/9 control dropped out. One participant provided unusable post-intake questionnaires, leaving maximum 16 for outcomes/reactions.
- confounding
- Sequential cohorts and selection; yoga group had15 minutes less psychotherapy and 15 minutes more total session time.
- adverse Findings
- Session-level harm checks reported no physical/emotional harm. Half found questionnaires emotionally difficult; less than one-quarter rated emotions intense. Incomplete follow-up limits reassurance.
- transfer Limits
- Aftercare clients who completed16 weeks of prior therapy; pregnancy and conditions preventing mild exercise excluded.
- jadad
- not applicable
- masking Roles
- participants
- Attempted by using the name mind-body exercises; success not assessed.
- providers
- Therapist/instructor delivered known conditions; provider masking not claimed.
- assessors
- not established from accessed source
- analysts
- not established from accessed source
- population
- relation
- direct
- population
- Adult women survivors
- exposure Evidence
- Explicit intimate partner or domestic violence in eligibility or report.
- rationale
- Survivor-focused mind–body intervention.
- transfer Limit
- Do not extrapolate to children, perpetrators, or prevention of violence.
- jadad
- status
- not-applicable
- score
- Not recorded
- condition Evidence
- id
- anxiety
- evidence
- field
- outcomes
- text
- Feasibility | Anxiety, depression and PTSD
- matched Text
- Anxiety
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- id
- ptsd
- evidence
- field
- outcomes
- text
- Feasibility | Anxiety, depression and PTSD
- matched Text
- PTSD
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- id
- depression
- evidence
- field
- outcomes
- text
- Feasibility | Anxiety, depression and PTSD
- matched Text
- depression
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- conditions
anxiety · ptsd · depression
- topic Trust Scores
2
- full Text
- status
- not-indexed
- retrieval Available
- false