Mindful attention increases and mediates psychological outcomes following mantram repetition practice in veterans with posttraumatic stress disorder.
Bormann JE, Oman D, Walter KH, Johnson BD. · Medical care · 2014 · Secondary analysis of a randomized controlled trial
Original publication · Original publication
Recorded summary
In a 146-veteran trial, adding mantram repetition to usual care increased mindful attention; changes in mindful attention statistically mediated improvements in PTSD symptoms, depression and wellbeing.
Recorded limitations
This is a secondary mechanistic analysis of the underlying trial. Statistical mediation does not prove the causal mechanism, and the comparison did not isolate attention or expectancy effects.
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
- Secondary analysis of a randomized controlled trial
- assessment
- category
- peer-reviewed
- peer Reviewed
- true
- basis
- Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
- sources
https://pubmed.ncbi.nlm.nih.gov/25397817/ · https://doi.org/10.1097/mlr.0000000000000200
- assessed At
- 2026-10-26
- registered Masking Basis
- false
- trust Factor
- score
- 2
- scope
- Paper
- status
- assessed
- randomized Controlled Trial
- true
- blinding
- not-confirmed
- peer Reviewed
- true
- basis
- Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
- sources
https://pubmed.ncbi.nlm.nih.gov/25397817/ · https://doi.org/10.1097/mlr.0000000000000200
- review Scope
- Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
- assessed At
- 2026-10-27
- jadad
- status
- unassessed
- score
- Not recorded
- evidence
- intervention
- Mantram repetition programme
- comparator
- Treatment as usual
- evidence Type
- Clinical or experimental outcomes
- source URLs
https://pubmed.ncbi.nlm.nih.gov/25397817/ · https://doi.org/10.1097/mlr.0000000000000200
- checked At
- 2026-10-26
- review Scope
- Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.
- discovery Sources
https://daytab.com/study/3x2gcvks · https://europepmc.org/article/MED/25397817
- selection Policy
- Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.
- relationship Note
- Secondary publication from the 146-veteran mantram trial
Topics and recorded topic scores
- key
- language:i
- title
- Mantra meditation: cognition, creativity, mental health and cardiovascular outcomes
- collection
- language
- trust Score
- 2
Citation snapshot and identifiers
- id
- pmid-25397817
- doi
- 10.1097/mlr.0000000000000200
- pmid
- 25397817
- citation Snapshot
- count
- 43
- source
- Europe PMC
- retrieved At
- 2026-10-26
- url
- https://europepmc.org/article/MED/25397817
- citations By Collection
- language
- 43
Complete approved library record
- id
- pmid-25397817
- publication Key
- doi:10.1097/mlr.0000000000000200
- aliases
- None recorded
- title
- Mindful attention increases and mediates psychological outcomes following mantram repetition practice in veterans with posttraumatic stress disorder.
- journal
- Medical care
- neurotransmitters
- None recorded
- year
- 2014
- authors
- Bormann JE, Oman D, Walter KH, Johnson BD.
- design
- Secondary analysis of a randomized controlled trial
- identity Conflict
- Not recorded
- doi
- 10.1097/mlr.0000000000000200
- pmid
- 25397817
- urls
https://pubmed.ncbi.nlm.nih.gov/25397817/ · https://doi.org/10.1097/mlr.0000000000000200
- collections
language
- categories
Clinical & self-report
- targets
- None recorded
- priority
- 1
- quotes
- None recorded
- summary
- In a 146-veteran trial, adding mantram repetition to usual care increased mindful attention; changes in mindful attention statistically mediated improvements in PTSD symptoms, depression and wellbeing.
- limitation
- This is a secondary mechanistic analysis of the underlying trial. Statistical mediation does not prove the causal mechanism, and the comparison did not isolate attention or expectancy effects.
- citation Count
- 43
- citation Snapshot
- count
- 43
- source
- Europe PMC
- retrieved At
- 2026-10-26
- url
- https://europepmc.org/article/MED/25397817
- study Design Assessment
- category
- peer-reviewed
- peer Reviewed
- true
- basis
- Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
- sources
https://pubmed.ncbi.nlm.nih.gov/25397817/ · https://doi.org/10.1097/mlr.0000000000000200
- assessed At
- 2026-10-26
- registered Masking Basis
- false
- paper Trust Assessment
- score
- 2
- scope
- Paper
- status
- assessed
- randomized Controlled Trial
- true
- blinding
- not-confirmed
- peer Reviewed
- true
- basis
- Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
- sources
https://pubmed.ncbi.nlm.nih.gov/25397817/ · https://doi.org/10.1097/mlr.0000000000000200
- review Scope
- Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
- assessed At
- 2026-10-27
- citations By Collection
- language
- 43
- topics
- key
- language:i
- title
- Mantra meditation: cognition, creativity, mental health and cardiovascular outcomes
- collection
- language
- trust Score
- 2
- journal Key
- medicalcare
- journal Label
- Medical care
- chapter Entries
- title
- Mindful attention increases and mediates psychological outcomes following mantram repetition practice in veterans with posttraumatic stress disorder.
- journal
- Medical care
- year
- 2014
- authors
- Bormann JE, Oman D, Walter KH, Johnson BD.
- design
- Secondary analysis of a randomized controlled trial
- urls
https://pubmed.ncbi.nlm.nih.gov/25397817/ · https://doi.org/10.1097/mlr.0000000000000200
- doi
- 10.1097/mlr.0000000000000200
- pmid
- 25397817
- targets
- None recorded
- categories
Clinical & self-report
- citation Count
- 43
- citation Snapshot
- count
- 43
- source
- Europe PMC
- retrieved At
- 2026-10-26
- url
- https://europepmc.org/article/MED/25397817
- study Design Assessment
- category
- peer-reviewed
- peer Reviewed
- true
- basis
- Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
- sources
https://pubmed.ncbi.nlm.nih.gov/25397817/ · https://doi.org/10.1097/mlr.0000000000000200
- assessed At
- 2026-10-26
- registered Masking Basis
- false
- evidence
- intervention
- Mantram repetition programme
- comparator
- Treatment as usual
- evidence Type
- Clinical or experimental outcomes
- source URLs
https://pubmed.ncbi.nlm.nih.gov/25397817/ · https://doi.org/10.1097/mlr.0000000000000200
- checked At
- 2026-10-26
- review Scope
- Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.
- discovery Sources
https://daytab.com/study/3x2gcvks · https://europepmc.org/article/MED/25397817
- selection Policy
- Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.
- relationship Note
- Secondary publication from the 146-veteran mantram trial
- id
- language-i-pmid-25397817
- record Id
- pmid-25397817
- quotes
- None recorded
- source Pages
- None recorded
- summary
- In a 146-veteran trial, adding mantram repetition to usual care increased mindful attention; changes in mindful attention statistically mediated improvements in PTSD symptoms, depression and wellbeing.
- limitation
- This is a secondary mechanistic analysis of the underlying trial. Statistical mediation does not prove the causal mechanism, and the comparison did not isolate attention or expectancy effects.
- paper Trust Assessment
- score
- 2
- scope
- Paper
- status
- assessed
- randomized Controlled Trial
- true
- blinding
- not-confirmed
- peer Reviewed
- true
- basis
- Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
- sources
https://pubmed.ncbi.nlm.nih.gov/25397817/ · https://doi.org/10.1097/mlr.0000000000000200
- review Scope
- Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
- assessed At
- 2026-10-27
- publication Key
- doi:10.1097/mlr.0000000000000200
- collection
- language
- chapter Number
- 1
- topic Id
- i
- topic Title
- Mantra meditation: cognition, creativity, mental health and cardiovascular outcomes
- trust Score
- 2
- evidence
- intervention
- Mantram repetition programme
- comparator
- Treatment as usual
- evidence Type
- Clinical or experimental outcomes
- source URLs
https://pubmed.ncbi.nlm.nih.gov/25397817/ · https://doi.org/10.1097/mlr.0000000000000200
- checked At
- 2026-10-26
- review Scope
- Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.
- discovery Sources
https://daytab.com/study/3x2gcvks · https://europepmc.org/article/MED/25397817
- selection Policy
- Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.
- relationship Note
- Secondary publication from the 146-veteran mantram trial
- jadad
- status
- unassessed
- score
- Not recorded
- condition Evidence
- id
- ptsd
- evidence
- field
- curated primary-source summary
- text
- In a 146-veteran trial, adding mantram repetition to usual care increased mindful attention; changes in mindful attention statistically mediated improvements in PTSD symptoms, depression and wellbeing.
- matched Text
- ptsd
- conditions
ptsd
- topic Trust Scores
2
- full Text
- status
- not-indexed
- retrieval Available
- false