Examining factors that support resilience is critical to ameliorating the impact of child maltreatment. This paper evaluated existing evidence for the effects of “Eastern Arts” (i.e., meditation, yoga, tai chi, qigong) on resilience (i.e., positive health and socioeconomic outcomes) among maltreated youth. Using a scoping review framework as outlined by Arksey and O’Malley (Int J Soc Res Methodol 8:19–32, 2005), we searched through five peer-reviewed databases, limiting the search to English-language articles, with no limit on time frame of publication. We then used pre-specified six-point inclusion/exclusion criteria to select journal articles for review. The initial literature search returned 330 articles, eight of which met the criteria and were selected for further review. All but one of the studies showed some improvement in the targeted dependent variable for the Eastern Arts intervention group versus the control group/pre-post intervention. Though the number of articles examining Eastern Arts interventions is extremely limited, the majority of studies included in this review showed an improvement in the targeted health outcome. Given the strong theoretical background, positive (though limited) research outcomes, and minimal side effects, further examination of the Eastern Arts for supporting resilience among maltreated youth, and use in the child welfare context, is warranted.
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We also examined the quality of each of the studies included in the review, using the score system set forth by the US Department of Health and Human Services (HHS) in their 2002 report titled: "Systems to Rate the Strength of Scientific Evidence" (Scott 2002). The scoring system is reported in Table 1.
Arch, J. J., & Craske, M. G. (2006). Mechanisms of mindfulness: Emotion regulation following a focused breathing induction. Behaviour Research and Therapy, 44, 1849–1858.
Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32.
Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology, 10(2), 125–143.
Banyard, V. L., Williams, L. M., & Siegel, J. A. (2001). The long-term mental health consequences of child sexual abuse: an exploratory study of the impact of multiple traumas in a sample of women. Journal of Traumatic Stress, 14, 697–715.
Bennett, D. S., Sullivan, M. W., & Lewis, M. (2005). Young children’s adjustment as a function of maltreatment, shame, and anger. Child Maltreatment, 10(4), 311–323.
Berger, D. L., Silver, E. J., & Stein, R. E. K. (2009). Effects of yoga on inner-city children’s well-being: A pilot study. Alternative Therapies in Health and Medicine, 15(5), 36–42.
Birdee, G. S., Yeh, G. Y., Wayne, P. M., Phillips, R. S., Davis, R. B., & Gardiner, P. (2009). Clinical applications of yoga for the pediatric population: A systematic review. Academic Pediatrics, 9, 212–220.
Black, D. S., Milam, J., & Sussman, S. (2009). Sitting-meditation interventions among youth: A review of treatment efficacy. Pediatrics, 124, 532–541.
Bremner, J. D., Vermetten, E., Afzal, N., & Vythilingam, M. (2004). Deficits in verbal declarative memory function in women with childhood sexual abuse-related posttraumatic stress disorder. Journal of Nervous & Mental Disease, 192(10), 643–649.
Brien, S. E., Lorenzetti, D. L., Lewis, S., Kennedy, J., & Ghali, W. A. (2010). Overview of a formal scoping review on health system report cards. Implementation Science, 5, 2.
Brown, R. P., & Gerbarg, P. L. (2009). Yoga breathing, meditation, and longevity. Annals of the New York Academy of Sciences, 1172, 54–62.
Burke, C. A. (2010). Mindfulness-based approaches with children and adolescents: A preliminary review of current research in an emergent field. Journal of Child and Family Studies, 19, 133–144.
Casey, B. J., Somerville, L. H., Gotlib, I. H., Ayduk, O., Franklin, N. T., Askren, M. K., et al. (2011). Behavioral and neural correlates of delay of gratification 40 years later. Proceedings of the National Academy of Science, 108(36), 14998–15003.
Centre for Reviews and Dissemination. (2001). Undertaking Systematic Reviews of Research on Effectiveness: CRD’s Guidance for those Carrying Out or Commissioning Reviews, CRD Report 4 (2nd ed.). University of York: NHS Centre for Reviews and Dissemination.
Cicchetti, D., & Beeghly, M. (1987). Symbolic development in maltreated youngsters: An organizational perspective. New Directions for Child Development, 36, 5–29.
Cicchetti, D., & Cohen, D. J. (2006). Developmental psychopathology: risk, disorder, and adaptation (2nd ed., Vol. 3). Hoboken, NJ: Wiley.
Davis, K., Drey, N., & Gould, D. (2009). What are scoping studies? A review of the nursing literature. International Journal of Nursing Studies, 46, 1386–1400.
De Bellis, M., & Thomas, L. A. (2003). Biologic findings of post-traumatic stress disorder and child maltreatment. Psychiatry Reports, 5(2), 108–117.
Dunn, T. (1987). The practice and spirit of T’ai Chi Chuan. Yoga Journal 62–68.
Elder, C., Nidich, S., Colbert, R., Hagelin, J., Grayshield, L., Oviedo-Lim, D., et al. (2011). Reduced psychological distress in racial and ethnic minority students practicing the transcendental meditation program. Journal of Instructional Psychology, 38(2), 109–116.
Ford, J. D. (2005). Treatment implications of altered affect regulation and information processing following child maltreatment. Psychiatric Annals, 35(5), 410–419.
Gordon, J. S., Staples, J. K., Blyta, A., Bytyqi, M., & Wilson, A. T. (2008). Treatment of posttraumatic stress disorder in post-war Kosovar adolescents using mind-body skills groups: A randomized controlled trial. Journal of Clinical Psychiatry, 69(9), 1383–1392.
Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information and Libraries Journal, 26, 91–108.
Heim, C., Newport, D. J., Heit, S., Graham, Y. P., Wilcox, M., Bonsall, R., et al. (2000). Pituitary-adrenal and automatic responses to stress in women after sexual and physical abuse in childhood. Journal of the American Medical Association, 284(5), 592–597.
Hill, J. M., Vernig, P. M., Lee, J. K., Brown, C., & Orsillo, S. M. (2011). The development of a brief acceptance and mindfulness-based program aimed at reducing sexual revictimization among college women with a history of childhood sexual abuse. Journal of Clinical Psychology, 67(9), 969–980.
Hoffman, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183.
Huttenlocher, P. R. (2002). Neural plasticity: The effects of environment on the development of the cerebral cortex. Cambridge, MA: Harvard University Press.
Kessler, R. C., Demler, O., Frank, R. G., Olfson, M., Pincus, H. A., Walters, E. E., et al. (2005). Prevalence and treatment of mental disorders, 1990 to 2003. New England Journal of Medicine, 352(24), 2515–2523.
Khalsa, S. B. S., Hickey-Schultz, L., Cohen, D., Steiner, N., & Cope, S. (2012). Evaluation of the mental health benefits of yoga in a secondary school: A preliminary randomized controlled trial. Journal of Behavioral Health Services & Research, 39(1), 80–90.
Kim, J., & Cicchetti, D. (2010). Longitudinal pathways linking child maltreatment, emotion regulation, peer relations, and psychopathology. The Journal of Child Psychology and Psychiatry, 51(6), 706–716.
Kimborough, E., Magyari, T., Langenberg, P., Chesney, M., & Berman, B. (2010). Mindfulness intervention for child abuse survivors. Journal of Clinical Psychology, 66(1), 17–33.
Lansford, J. E., Dodge, K. A., Pettit, G. S., Bates, J. E., Crozier, J., & Kaplow, J. (2002). A 12-year prospective study of the long-term effects of early child physical maltreatment on psychological, behavioral, and academic problems in adolescence. Archives of Pediatrics and Adolescent Medicine, 156, 824–830.
Lazarus, R. S., Averill, J. R., & Opton, E. M, Jr. (1970). Towards a cognitive theory of emotion. In M. B. Arnold (Ed.), Feelings and emotions (pp. 207–232). New York, NY: Academic Press.
Levac, D., Colquhoun, H., & O’Brien, K. K. (2010). Scoping studies: Advancing the methodology. Implementation Science, 5, 69–78.
Li, S.-C., Brehmer, Y., Shing, Y. L., Werkle-Bergner, M., & Lindenberger, U. (2006). Neuromodulation of associative and organizational plasticity across the life span: Empirical evidence and neurocomputational modeling. Neuroscience and Biobehavioral Reviews, 30(6), 775–790.
Marmar, C. R., Foy, D., Kagan, B., & Pynoos, R. S. (1994). An integrated approach for treating posttraumatic stress. In R. S. Pynoos (Ed.), Posttraumatic stress disorder: A clinical review (pp. 99–132). Lutherville, MD: Sidran Press.
Maughan, A., & Cicchetti, D. (2002). Impact of child maltreatment and interadult violence on children’s emotion regulation abilities and socioemotional adjustment. Child Development, 73(5), 1525–1542.
Mays, N., Roberts, E., & Popay, J. (2001). Synthesising research evidence. In N. Fulop, P. Allen, A. Clarke, & N. Black (Eds.), Studying the organisation and delivery of health services: Research methods (pp. 188–220). London: Routledge.
McCrory, E. J., De Brito, S. A., Kelly, P. A., Bird, G., Sebastian, C. L., Mechelli, A., et al. (2013). Amygdala activation in maltreated children during pre-attentive emotional processing. British Journal of Psychiatry, 202(4), 269–276.
McCrory, E., De Brito, S. A., & Viding, E. (2011). The impact of childhood maltreatment: A review of neurobiological and genetic factors. Frontiers in Psychiatry, 2(48), 1–14.
Moffitt, T. E., Arseneault, L., Belsky, D., Dickson, N., Hancox, R. J., Harrington, H., et al. (2010). A gradient of childhood self-control predicts health, wealth, and public safety. Proceedings of the National Academy of Sciences, 108(7), 2693–2698.
Monshat, K., Khong, B., Hassed, C., Vella-Brodrick, D., Norrish, J., Burns, J., & Herman, H. (2013). A conscious control over life and my emotions: Mindfulness practice and healthy young people. A qualitative study. Journal of Adolescent Health, 52(5), 572–577.
Nedeljkovic, M., Ausfeld-Hafter, B., Streitberger, R. S., & Wirtz, P. H. (2012). Taiji practice attenuates psychobiological stress reactivity—A randomized controlled trial in healthy subjects. Psychoneuroendocrinology, 37, 1171–1180.
Ochsner, K. N., & Gross, J. J. (2005). The cognitive control of emotion. Trends in Cognitive Sciences, 9, 242–249.
Pace, T. W. W., Negi, L. T., Dodson-Lavelle, B., Ozawa-de Silva, B., Reddy, S. D., Cole, S. P., et al. (2012). Engagement with cognitively-based compassion training is associated with reduced salivary C-reactive protein from before to after training in foster care program adolescents. Psychoneuroendocrinology, 9(73), 1797–1808.
Posadzki, P., Parekh, S., & Glass, N. (2009). Yoga and Qi Gong in the psychological prevention of mental health disorders: A conceptual synthesis. Chinese Journal of Integrative Medicine, 16, 80–86.
Salmon, P., Lush, E., Jablonski, M., & Sephton, S. E. (2009). Yoga and mindfulness: Clinical aspects of an ancient mind/body practice. Cognitive and Behavioral Practice, 16, 59–72.
Scott, H. S. (2002). Systems to rate the strength of scientific evidence. Washington DC: Department of Health and Human Services.
Shea, A., Walsh, C., MacMillan, H., & Steiner, M. (2005). Child maltreatment and HPA axis dysregulation: Relationship to major depressive disorder and posttraumatic stress disorder in females. Psychoneuroendocrinology, 30(2), 162–178.
Shields, A., & Cicchetti, D. (1998). Reactive aggression among maltreated children: The contributions of attention and emotion dysregulation. Journal of Clinical Child Psychology, 27(4), 381–395.
Shoda, Y., Mischel, W., & Peake, P. K. (1990). Predicting adolescent cognitive and self-regulatory competencies from preschool delay of gratification: Identifying diagnostic conditions. Developmental Psychology, 26(6), 978–986.
Spinazzola, J., Rhodes, A. M., Emerson, D., Earle, E., & Monroe, K. (2011). Application of yoga in residential treatment of traumatized youth. Journal of the American Psychiatric Nurses Association, 17(6), 431–444.
Staples, J. K., Atti, J. A. A., & Gordon, J. S. (2011). Mind–body skills groups for posttraumatic stress disorder and depression symptoms in Palestinian children and adolescents in Gaza. International Journal of Stress Management, 18(3), 246–262.
Terjestam, Y., Jouper, J., & Johansson, C. (2010). Effects of scheduled qigong exercise on pupil’s well-being, self-image, distress, and stress. The Journal of Alternative and Complementary Medicine, 16(9), 939–944.
Thompson, R. A. (1994). The development of emotion regulation: Biological and behavioral considerations. Monographs for the Society for Research in Child Development, 59(2/3), 25–52.
Tolin, D. F., & Foa, E. B. (2006). Sex differences in trauma and posttraumatic stress disorder: A quantitative review of 25 years of research. Psychological Bulletin, 132, 959–992.
Toneatto, T., & Nguyen, L. (2007). Does mindfulness meditation improve anxiety and mood symptoms? A review of the controlled research. Journal of Psychiatry, 52(4), 260–266.
Van der Kolk, B. A. (2003). The neurobiology of childhood trauma and abuse. Child and Adolescent Psychiatric Clinics of North America, 12, 293–317.
Wekerle, C., Waechter, R., Leung, E., & Leonard, M. (2007). Adolescence: A window of opportunity for positive change in mental health. First Peoples Child & Family Review, 3(2), 8–16.
Whiffen, V., & Macintosh, H. (2005). Mediators of the link between childhood sexual abuse and emotional distress: A critical review. Trauma, Violence, & Abuse, 6, 24–39.
Widom, C. S. (1999). Posttraumatic stress disorder in abused and neglected children grown up. American Journal of Psychiatry, 156, 1223–1229.
Williams, J., & Nelson-Gardell, D. (2012). Predicting resilience in sexually abused adolescents. Child Abuse and Neglect, 36, 53–63.
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Waechter, R.L., Wekerle, C. Promoting Resilience Among Maltreated Youth Using Meditation, Yoga, Tai Chi and Qigong: A Scoping Review of the Literature. Child Adolesc Soc Work J 32, 17–31 (2015). https://doi.org/10.1007/s10560-014-0356-2