U.S. veterans are at increased risk of developing post-traumatic stress disorder (PTSD). Prior studies suggest a benefit of mindfulness-based stress reduction (MBSR) for PTSD, but the mechanisms through which MBSR reduces PTSD symptoms and improves functional status have received limited empirical inquiry. This study used a qualitative approach to better understand how training in mindfulness affects veterans with PTSD.
Design:
Qualitative study using semistructured in-depth interviews following participation in an MBSR intervention.
Setting:
Outpatient.
Intervention:
Eight-week MBSR program.
Outcome measure:
Participants' narratives of their experiences from participation in the program.
Results:
Interviews were completed with 15 veterans. Analyses identified six core aspects of participants' MBSR experience related to PTSD: dealing with the past, staying in the present, acceptance of adversity, breathing through stress, relaxation, and openness to self and others. Participants described specific aspects of a holistic mindfulness experience, which appeared to activate introspection and curiosity about their PTSD symptoms. Veterans with PTSD described a number of pathways by which mindfulness practice may help to ameliorate PTSD.
Conclusions:
MBSR holds promise as a nontrauma-focused approach to help veterans with PTSD.
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