Post-traumatic Stress Disorder: A Review of Therapeutic Role of Meditation Interventions

  • Ruwan M. Jayatunge
  • Mieczyslaw PokorskiEmail author
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 1113)


This review is an attempt to provide a comprehensive view of post-traumatic-stress disorder (PTSD) and its therapy, focusing on the use of meditation interventions. PTSD is a multimodal psycho-physiological-behavioral disorder, which calls for the potential usefulness of spiritual therapy. Recent times witness a substantial scientific interest in an alternative mind-to-body psychobehavioral therapy; the exemplary of which is meditation. Meditation is a form of mental exercise that has an extensive, albeit still mostly empiric, therapeutic value. Meditation steadily gains an increasing popularity as a psychobehavioral adjunct to therapy in many areas of medicine and psychology. While the review does not provide a final or conclusive answer on the use of meditation in PTSD treatment we believe the available empirical evidence demonstrates that meditation is associated with overall reduction in PTSD symptoms, and it improves mental and somatic quality of life of PTSD patients. Therefore, studies give a clear cue for a trial of meditation-associated techniques as an adjunct to pharmacotherapy or standalone treatment in otherwise resistant cases of the disease.


Breathing Meditation Mindfulness of breathing Posttraumatic stress disorder Psychobehavioral therapy 



Our thanks go to Rev. Harispaththuwe Ariyawansalankara Thero from Vipassana Meditation Center in Colombo, Sri Lanka; Dr. David R. Leffler, Executive Director of the Center for Advanced Military Science (CAMS) Institute of Science, Technology and Public Policy, Iowa; and Dr. Fred Travis, a post-doc fellow in basic sleep research at the University of California, Davis, CA.

Conflicts of Interest

The authors declare no conflicts of interest in relation to this article.


  1. Arch JJ, Craske MG (2006) Mechanisms of mindfulness: emotion regulation following a focused breathing induction. Behav Res Ther 44:1849–1858PubMedCrossRefGoogle Scholar
  2. Bisson J, Andrew M (2007) Psychological treatment of post-traumatic stress disorder (PTSD). Cochrane Database Syst Rev 3:CD003388Google Scholar
  3. Bollinger AR, Riggs DS, Blake BDD, Ruzek JI (2000) Prevalence of personality disorders among combat veterans with posttraumatic stress disorder. J Trauma Stress 13(2):255–270PubMedCrossRefGoogle Scholar
  4. Breslau N (2002) Epidemiologic studies of trauma, posttraumatic stress disorder, and other psychiatric disorders. Can J Psychiatr 47(10):923–929CrossRefGoogle Scholar
  5. Brown KW, Ryan RM (2003) The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol 84(4):822–848PubMedCrossRefGoogle Scholar
  6. Chhatre S, Metzger DS, Frank I, Boyer J, Thompson E, Nidich S, Montaner LJ, Jayadevappa R (2013) Effects of behavioral stress reduction transcendental meditation intervention in persons with HIV. AIDS Care 25(10):1291–1297PubMedPubMedCentralCrossRefGoogle Scholar
  7. Christelle AI, Ngnoumen T, Langer EJ (2014) Mindfulness meditation for posttraumatic stress disorder. WileyGoogle Scholar
  8. Cipriani A, Williams T, Nikolakopoulou A, Salanti G, Chaimani A, Ipser J, Cowen PJ, Geddes JR, Stein DJ (2017) Comparative efficacy and acceptability of pharmacological treatments for post-traumatic stress disorder in adults: a network meta-analysis. Psychol Med 19:1–10Google Scholar
  9. Cloitre M, Courtois CA, Charuvastra A, Carapezza R, Stolbach BC, Green BL (2011) Treatment of complex PTSD: results of the ISTSS expert clinician survey on best practices. J Trauma Stress 24(6):615–627PubMedCrossRefGoogle Scholar
  10. Davis DM, Hayes JA (2011) What are the benefits of mindfulness? A practice review of psychotherapy-related research. Psychotherapy (Chic) 48(2):198–208CrossRefGoogle Scholar
  11. Deo G, Itagi RK, Thaiyar MS, Kuldeep KK (2015) Effect of anapanasati meditation technique through electrophotonic imaging parameters: a pilot study. Int J Yoga 8(2):117–121PubMedPubMedCentralCrossRefGoogle Scholar
  12. DMS-5 (2013) American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Publishing, Arlington. ISBN 978-0-89042-555-8Google Scholar
  13. Follett V, Palm KM, Pearson AN (2006) Mindfulness and trauma implications for treatment. J Ration Emot Cogn Behav Ther 24(1):45–61CrossRefGoogle Scholar
  14. Freedman SA, Dayan E, Kimelman YB, Weissman H, Eitan R (2015) Early intervention for preventing posttraumatic stress disorder: an Internet-based virtual reality treatment. Eur J Psychotraumatol 6:25608PubMedCrossRefGoogle Scholar
  15. Gates MA, Holowka DW, Vasterling JJ, Keane TM, Marx BP, Rosen RC (2012) Posttraumatic stress disorder in veterans and military personnel: epidemiology, screening, and case recognition. Psychol Serv 9(4):361–382PubMedCrossRefGoogle Scholar
  16. Germer CK, Siegel RD, Fulton PR (2005) Mindfulness and psychotherapy. Guilford Press, New YorkGoogle Scholar
  17. Greenberg N, Brooks S, Dunn R (2015) Latest developments in post-traumatic stress disorder: diagnosis and treatment. Br Med Bull 114(1):147–155PubMedCrossRefGoogle Scholar
  18. Hawkins EJ, Malte CA, Grossbard JR, Saxon AJ (2015) prevalence and trends of concurrent opioid analgesic and benzodiazepine use among veterans affairs patients with post-traumatic stress disorder, 2003–2011. Pain Med 16(10):1943–1954PubMedCrossRefGoogle Scholar
  19. Hinton DE, Ojserkis RA, Jalal B, Peou S, Hofmann SG (2013) Loving-kindness in the treatment of traumatized refugees and minority groups: a typology of mindfulness and the nodal network model of affect and affect regulation. J Clin Psychol 69(8):817–828PubMedCrossRefGoogle Scholar
  20. Hoffart A, Øktedalen T, Langkaas TF (2015) Self-compassion influences PTSD symptoms in the process of change in trauma-focused cognitive-behavioral therapies: a study of within-person processes. Front Psychol 6:1273PubMedPubMedCentralCrossRefGoogle Scholar
  21. Hussain D, Bhushan B (2010) Psychology of meditation and health: present status and future directions. Int J Psychol Psychol Ther 10(3):439–451Google Scholar
  22. Jaycox LH, Ebener P, Damesek L, Becker K (2004) Trauma exposure and retention in adolescent substance abuse treatment. J Trauma Stress 17:113–121PubMedCrossRefGoogle Scholar
  23. Jindani F, Turner N, Khalsa SB (2015) A yoga intervention for posttraumatic stress: a preliminary randomized control trial. Evid Based Complement Alternat Med 2015:351746PubMedPubMedCentralCrossRefGoogle Scholar
  24. Kasamatsu A, Tomio T (1966) An electroencephalographic study on the Zen meditation (Zazen). Psychiatry Clin Neurosci 20(4):315–336CrossRefGoogle Scholar
  25. Keane TM, Wolfe J (1990) Comorbidity in post-traumatic stress disorder: an analysis of community and clinical studies. J Appl Soc Psychol 20:1776–1788CrossRefGoogle Scholar
  26. Kearney DJ, Malte CA, McManus C, Martinez ME, Felleman B, Simpson TL (2013) Loving-kindness meditation for posttraumatic stress disorder: a pilot study. J Trauma Stress 26(4):426–434PubMedCrossRefGoogle Scholar
  27. Kearney DJ, McManus C, Malte CA, Martinez ME, Felleman B, Simpson TL (2014) Loving-kindness meditation and the broaden-and-build theory of positive emotions among veterans with posttraumatic stress disorder. Med Care 52(12 Suppl 5):S32–S38PubMedCrossRefGoogle Scholar
  28. Kessler RC (2000) Posttraumatic stress disorder: the burden to the individual and to society. J Clin Psychiatry 61(Suppl 5):4–12PubMedGoogle Scholar
  29. Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB (1995) Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatr 52(12):1048–1060PubMedCrossRefGoogle Scholar
  30. Kim SH, Schneider SM, Kravitz L, Mermier C, Burge MR (2013) Mind-body practices for posttraumatic stress disorder. J Investig Med 61(5):827–834PubMedPubMedCentralCrossRefGoogle Scholar
  31. Lang AJ, Strauss JL, Bomyea J, Bormann JE, Hickman SD, Good RC, Essex M (2012) The theoretical and empirical basis for meditation as an intervention for PTSD. Behav Modif 36(6):759–786PubMedCrossRefGoogle Scholar
  32. Lansky EP, St Louis EK (2006) Transcendental meditation: a double-edged sword in epilepsy? Epilepsy Behav 9(3):394–400PubMedCrossRefGoogle Scholar
  33. Lesmana CB, Suryani LK, Jensen GD, Tiliopoulos N (2009) A spiritual-hypnosis assisted treatment of children with PTSD after the 2002 Bali terrorist attack. Am J Clin Hypn 52(1):23–34PubMedCrossRefGoogle Scholar
  34. Manocha R (2000) Why meditation. Aust Fam Physician 29(12):1135–1138PubMedGoogle Scholar
  35. McGrath JJ, Saha S, Lim CCW et al (2017) Trauma and psychotic experiences: transnational data from the World Mental Health Survey. Br J Psychiatry 211(6):373–380PubMedPubMedCentralCrossRefGoogle Scholar
  36. Mitchell KS, Dick AM, DiMartino DM, Smith BN, Niles B, Koenen KC, Street A (2014) A pilot study of a randomized controlled trial of yoga as an intervention for PTSD symptoms in women. J Trauma Stress 27:121–128PubMedCrossRefGoogle Scholar
  37. Morasco BJ, Lovejoy TI, Lu M, Turk DC, Lewis L, Dobscha SK (2013) The relationship between PTSD and chronic pain: mediating role of coping strategies and depression. Pain 154(4):609–616PubMedPubMedCentralCrossRefGoogle Scholar
  38. Morris MC, Compas BE, Garber J (2012) Relations among posttraumatic stress disorder, comorbid major depression, and HPA function: a systematic review and meta-analysis. Clin Psychol Rev 32(4):301–315PubMedPubMedCentralCrossRefGoogle Scholar
  39. Orme-Johnson DW, Barnes VA (2014) Effects of the transcendental meditation technique on trait anxiety: a meta-analysis of randomized controlled trials. J Altern Complement Med 20(5):330–341PubMedCrossRefGoogle Scholar
  40. O’Toole SK, Solomon SL, Bergdahl SA (2016) A meta-analysis of hypnotherapeutic techniques in the treatment of PTSD symptoms. J Trauma Stress 29(1):97–100PubMedCrossRefGoogle Scholar
  41. Palyo SA, Beck JG (2005) Post-traumatic stress disorder symptoms, pain, and perceived life control: associations with psychosocial and physical functioning. Pain 117(1–2):121–127PubMedPubMedCentralCrossRefGoogle Scholar
  42. Pokorski M, Suchorzynska A (2018) Psychobehavioral effects of meditation. Adv Exp Med Biol 1023:85–91Google Scholar
  43. Ramage AE, Litz BT, Resick PA, Woolsey MD, Dondanville KA, Young-McCaughan S, Borah AM, Borah EV, Peterson AL, Fox PT, STRONG STAR Consortium (2016) Regional cerebral glucose metabolism differentiates danger- and non-danger-based traumas in post-traumatic stress disorder. Soc Cogn Affect Neurosci 11(2):234–242PubMedCrossRefGoogle Scholar
  44. Ramchand R, Rudavsky R, Grant S, Tanielian T, Jaycox L (2015) Prevalence of, risk factors for, and consequences of posttraumatic stress disorder and other mental health problems in military populations deployed to Iraq and Afghanistan. Curr Psychiatr Rep 17(5):37CrossRefGoogle Scholar
  45. Rees B (2011) Overview of outcome data of potential meditation training for soldier resilience. Mil Med 176(11):1232–1242PubMedCrossRefGoogle Scholar
  46. Rees B, Travis F, Shapiro D, Chant R (2013) Reduction in posttraumatic stress symptoms in Congolese refugees practicing transcendental meditation. J Trauma Stress 26(2):295–298PubMedCrossRefGoogle Scholar
  47. Roberts AL, Agnew-Blais JC, Spiegelman D, Kubzansky LD, Mason SM, Galea S, Hu FB, Rich-Edwards JW, Koenen KC (2015) Posttraumatic stress disorder and incidence of type 2 diabetes mellitus in a sample of women: a 22-year longitudinal study. JAMA Psychiat 72(3):203–210CrossRefGoogle Scholar
  48. Rosenthal JZ, Grosswald S, Ross R, Rosenthal N (2011) Effects of transcendental meditation in veterans of Operation Enduring Freedom and Operation Iraqi Freedom with posttraumatic stress disorder: a pilot study. Mil Med 176(6):626–630PubMedCrossRefGoogle Scholar
  49. Sack M, Hopper JW, Lamprecht F (2004) Low respiratory sinus arrhythmia and prolonged psychophysiological arousal in posttraumatic stress disorder: heart rate dynamics and individual differences in arousal regulation. Biol Psychiatry 55:284–290PubMedCrossRefGoogle Scholar
  50. Schäfer I, Najavits LM (2007) Clinical challenges in the treatment of patients with posttraumatic stress disorder and substance abuse. Curr Opin Psychiatr 20(6):614–618CrossRefGoogle Scholar
  51. Seppälä EM, Nitschke JB, Tudorascu DL, Hayes A, Goldstein MR, Nguyen DT, Perlman D, Davidson RJ (2014) Breathing-based meditation decreases posttraumatic stress disorder symptoms in U.S. military veterans: a randomized controlled longitudinal study. J Trauma Stress 27(4):397–405PubMedCrossRefGoogle Scholar
  52. Sharp TJ, Harvey AG (2001) Chronic pain and posttraumatic stress disorder: mutual maintenance? Clin Psychol Rev 21(6):857–877PubMedCrossRefGoogle Scholar
  53. Shapiro SL, Oman D, Thoresen CE, Plante TG, Flinders T (2008) Cultivating mindfulness: effects on well-being. J Clin Psychol 64(7):840–862Google Scholar
  54. Siegel DJ (2007) The mindful brain: reflection and attunement in the cultivation of well-being. Norton & Company, New YorkGoogle Scholar
  55. Steinberg CA, Eisner DA (2015) Mindfulness-based intervention for veterans with posttraumatic stress disorder. Int J Behav Consult Ther 9(4):11–17Google Scholar
  56. Tanner MA, Travis F, Gaylord-King C, Haaga DA, Grosswald S, Schneider RH (2009) The effects of the transcendental meditation program on mindfulness. J Clin Psychol 65(6):574–589PubMedCrossRefGoogle Scholar
  57. Tellegen A, Atkinson G (1974) Openness to absorbing and self-altering experiences (‘absorption’), a trait related to hypnotic susceptibility. J Abnorm Psychol 83:268–277PubMedCrossRefGoogle Scholar
  58. Travis F, Shear J (2010) Focused attention, open monitoring and automatic self-transcending: categories to organize meditations from Vedic, Buddhist and Chinese traditions. Conscious Cogn 19(4):1110–1118PubMedCrossRefGoogle Scholar
  59. Van Ameringen M, Mancini C, Patterson B, Boyle MH (2008) Post-traumatic stress disorder in Canada. CNS Neurosci Ther 14(3):171–181PubMedCrossRefGoogle Scholar
  60. von Känel R, Hepp U, Kraemer B, Traber R, Keel M, Mica L, Schnyder U (2007) Evidence for low-grade systemic proinflammatory activity in patients with posttraumatic stress disorder. J Psychiatr Res 41(9):744–752CrossRefGoogle Scholar
  61. Walsh R (1999) Essential spirituality: the seven central practices. Wiley, New YorkGoogle Scholar
  62. Walsh R, Shapiro SL (2006) The meeting of meditative disciplines and Western psychology: a mutually enriching dialogue. Am Psychol 61:227–239PubMedCrossRefGoogle Scholar
  63. Williamson V, Stevelink SAM, Greenberg K, Greenberg N (2017) prevalence of mental health disorders in elderly U.S. military veterans: a meta-analysis and systematic review. Am J Geriatr Psychiatr.
  64. Zamorski MA, Bennett RE, Boulos D, Garber BG, Jetly R, Sareen J (2016) The 2013 Canadian forces mental health survey. Can J Psychiatr 61(1 Suppl):10S–25SCrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG  2018

Authors and Affiliations

  1. 1.Registered Psychotherapist in TorontoOntarioCanada
  2. 2.Faculty of PhysiotherapyOpole Medical SchoolOpolePoland

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