Tai Chi may benefit veterans with PTSD
Written by Honor Whiteman
Published: Monday 5 December 2016

Around 7 to 8 percent of Americans will experience post-traumatic stress disorder in their lifetime, and the condition is even more common among veterans, affecting around 23 percent of those involved in recent conflicts. According to a new study, the ancient Chinese exercise Tai Chi could help veterans manage symptoms of post-traumatic stress.


Researchers say Tai Chi may be beneficial for veterans who have PTSD.

Study co-author Barbara Niles, Ph.D., assistant professor of psychiatry at Boston University School of Medicine in Massachusetts, and colleagues recently reported their findings in BMJ Open.

Post-traumatic stress disorder (PTSD) is a mental health condition that can arise after experiencing or witnessing a shocking or frightening event.

Because veterans have been exposed to highly traumatic events more often than the general population, their rates of PTSD are much higher. According to the U.S. Department of Veterans Affairs, around 30 percent of veterans who served in the Vietnam War have experienced PTSD at some point in their lives.

Symptoms of PTSD include flashbacks of the traumatic event, nightmares, negative emotions, and avoidance of situations that trigger memories of the event. Some individuals may also experience anxiety, depression, physical symptoms - such as chronic pain - and alcohol or drug abuse.

Treatment for PTSD often includes a combination of medication and behavioral therapy. However, these treatments are not always effective.

Now, Niles and colleagues say Tai Chi has the potential to offer significant benefits for veterans with PTSD.

Veterans enrolled to four weekly Tai Chi sessions

Originating from China, Tai Chi is a gentle form of exercise that incorporates slow movements, breathing, and meditation.

Previous studies have documented the numerous health benefits of Tai Chi, which include improved muscle strength, increased energy, reduced inflammation, and better heart health.

Research has also associated Tai Chi with better mental health, such as reduced anxiety and depression.

According to Niles and team, few studies have investigated whether Tai Chi might help individuals with PTSD, although research has demonstrated the benefits of other mind-body practices - such as yoga - for the disorder.

With this in mind, the researchers enrolled 17 veterans - 11 males and 6 females - with symptoms of PTSD to take part in an introductory Tai Chi program, which involved four once-weekly sessions over 4 weeks.

Each session involved a warm-up - including a self-massage and a review of Tai Chi principles - Tai Chi movement, and breathing and relaxation. During the 4-week period, subjects were also encouraged to practice Tai Chi at home for at least 30 minutes daily.

After the final Tai Chi session, each veteran completed a questionnaire that asked them how satisfied they were with the Tai Chi program, whether they would like to take part in future Tai Chi programs, and whether they felt it helped manage their issues.

Positive findings should spur additional research

The vast majority of veterans - 93.8 percent - said they were mostly or very satisfied with the introductory Tai Chi program and would rate the program as "excellent" or "good."

Importantly, 68.8 percent of the veterans said that the Tai Chi program "helped them deal more effectively with their problems," and all subjects said they would take part in Tai Chi again if offered.

The researchers note that the study sample size was small, and some of the participants only reported mild symptoms of PTSD, meaning their results may not apply to larger populations of veterans with the disorder.

Still, the team says the results provide "evidence for the feasibility of enrolling and engaging veterans with symptoms of PTSD in a Tai Chi exercise program," adding:

"Veterans were very satisfied with their Tai Chi experience and they indicated both willingness and a preference for additional sessions. Given these positive findings, additional research is needed to empirically evaluate Tai Chi as a treatment for symptoms of PTSD."

Read how Tai Chi may boost health and well-being for people with cardiovascular disease.
Here's the abstract on the BMJ site:
BMJ Open 2016;6:e012464 doi:10.1136/bmjopen-2016-012464
Complementary medicine
Feasibility, qualitative findings and satisfaction of a brief Tai Chi mind–body programme for veterans with post-traumatic stress symptoms
Barbara L Niles 1, DeAnna L Mori 2, Craig P Polizzi 3, Anica Pless Kaiser 1, Annie M Ledoux 3, Chenchen Wang 4

+ Author Affiliations
1 National Center for PTSD, VA Boston Healthcare System and Boston University School of Medicine, Boston, Massachusetts, USA
2 VA Boston Healthcare System and Boston University School of Medicine, Boston, Massachusetts, USA
3 National Center for PTSD and VA Boston Healthcare System, Boston, Massachusetts, USA
4 Division of Rheumatology, Center for Integrative Medicine, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts, USA

Correspondence to
Dr Barbara L Niles; Barbara.Niles@va.gov
Received 29 April 2016
Revised 10 August 2016
Accepted 4 October 2016
Published 29 November 2016

Abstract
Objective To examine feasibility, qualitative feedback and satisfaction associated with a 4-session introduction to Tai Chi for veterans with post-traumatic stress symptoms.

Design We observed and reported recruitment and retention rates, participant characteristics, adherence, and satisfaction across 2 cohorts. We also examined qualitative feedback provided by questionnaires, focus groups and individual interviews.

Main outcome measures Rates of recruitment and retention, focus group and individual feedback interviews, self-reported satisfaction.

Participants 17 veterans with post-traumatic stress symptoms.

Results Almost 90% (17/19) of those eligible following the telephone screen enrolled in the programme. Three-quarters (76.4%) of the participants attended at least 3 of the 4 Tai Chi sessions. Qualitative data analysis revealed themes indicating favourable impressions of the Tai Chi sessions. In addition, participants reported feeling very engaged during the sessions, and found Tai Chi to be helpful for managing distressing symptoms (ie, intrusive thoughts, concentration difficulties, physiological arousal). Participants also reported high satisfaction: 93.8% endorsed being very or mostly satisfied with the programme. All participants (100%) indicated that they would like to participate in future Tai Chi programmes and would recommend it to a friend.

Conclusions Tai Chi appears to be feasible and safe for veterans with symptoms of post-traumatic stress disorder (PTSD), is perceived to be beneficial and is associated with high rates of satisfaction. This study highlights the need for future investigation of Tai Chi as a novel intervention to address symptoms of PTSD.