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The Use of Mindfulness and Acupuncture in the American Military

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Abstract

This chapter examines the stresses inherent to working within the US military, the human body’s reaction to these stresses, solutions used within the US military to address the problem of stresses (both conventional resilience-building programs as well as complementary and integrative health (CIH) approaches. We finish with recommendations for future leaders based on our findings. Stress is a major component of work and life. Military members are particularly affected by stress, given the potential exposure to combat environments. Traditional allopathic treatment options for service members suffering from stress have shown mostly limited benefits. More service members and Americans in general are practicing and/or participating in CIH modalities, such as meditation, yoga, and acupuncture. We identified evidence which strongly suggests that these modalities can help service members reduce acute and chronic stress, develop greater resilience, and enhance performance to meet the continuing demands of national security and defense. High-stress job participants who have benefited from these techniques include explosive ordnance disposal technicians, infantry members, and fighter pilots. Based on our findings, we recommend that (1) leaders should promote evidence-based CIH practices we have identified as first-line options for stress reduction, (2) teach these practices preventatively in military training schools, (3) deploy mindfulness-trained behavioral health providers to members’ job sites, and (4) develop business practices to offer workload credits to behavioral health providers participating in these innovative prevention practices. While CIH practices may not be useful for all service members, evidence suggests that a large population of military members can benefit from them.

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References

  • Acupuncture: EBM Guidelines (2014, February 7). Acupuncture. Retrieved from http://www.essentialevidenceplus.com/content/ebmg_ebm/393

  • Air Force Fitness and Sports Programs (2014). Air Force Instruction 34–266. Retrieved from http://static.e-publishing.af.mil/production/1/af_a1/publication/afi34-266/afi34-266.pdf

  • Allais, G., Romoli, M., Rolando, S., Airola, G., Gabellari, I. C., Allais, R., & Benedetto, C. (2011). Ear acupuncture in the treatment of migraine attacks: A randomized trial on the efficacy of appropriate versus inappropriate acupoints. Neurological Sciences, 32, 173–175.

    Article  Google Scholar 

  • American Psychological Association. (2016). Stress in America: The impact of discrimination. Stress in America Survey. Retrieved from http://www.apa.org/news/press/releases/stress/2015/impact-of-discrimination.pdf

  • Banks, K., Newman, E., & Saleem, J. (2015). An overview of the research on mindfulness-based interventions for treating symptoms of posttraumatic stress disorder: A systematic review. Journal of Clinical Psychology, 71, 935–963.

    Article  PubMed  Google Scholar 

  • Bates, M. J., Bowles, S. V., Hammermeister, J., Stokes, C., Pinder, E., Moore, M., … Burbelo, G. (2010). Psychological fitness. Military Medicine, 175, 21–38.

    Article  Google Scholar 

  • Bellanti, D., Boyd, C. Khorsan, R., Smith, K., Elfenbaum, P., York, A., … Crawford, C. (2016). Biopsychosocial training programs for the self-management of emotional stress: A systematic review of randomized clinical trials. Retrieved from http://www.samueli.org/wp-content/uploads/2017/02/CRIMM-Final-Report-26SEP16.pdf

  • Benson, H., Beary, J. H., & Carol, M. P. (1974). The relaxation response. Psychiatry, 37, 37–46.

    Article  Google Scholar 

  • Benson, H., Dryer, T., & Hartley, L. H. (1978). Decreased VO2 consumption during exercise with elicitation of the relaxation response. Journal of Human Stress, 4, 38–42.

    Article  PubMed  Google Scholar 

  • Benson, H., Greenwood, M. M., & Klemchuk, H. (1975). The relaxation response: Psychophysiologic aspects and clinical applications. International Journal of Psychiatry in Medicine, 6, 87–98.

    Article  PubMed  Google Scholar 

  • Benson, H., & Proctor, W. (2010). Relaxation revolution: The science and genetics of mind body healing. New York: Simon and Schuster.

    Google Scholar 

  • Berman, B. M., Lao, L., Langenberg, P., Lee, W. L., Gilpin, A. M., & Hochberg, M. C. (2004). Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee: A randomized, controlled trial. Annals of Internal Medicine, 14, 901–910.

    Article  Google Scholar 

  • Bernstein, A. M., Kobs, A., Bar, J., Fay, S., Doyle, J., Golubic, M., & Roizen, M. F. (2015). Yoga for stress management among intensive care unit staff: A pilot study. Alternative & Complementary Therapies, 21, 111–115. https://doi.org/10.1089/act.2015.28999.amb

    Article  Google Scholar 

  • Bhasin, M. K., Dusek, J. A., Chang, B. H., Joseph, M. G., Denninger, J. W., Fricchione, G. L., … Liberermann, T. A. (2013). Relaxation response induces temoporal transciptome changes in energy metabolism, insulin secretion and inflammatory pathways. Public Library of Science One. https://doi.org/10.1371/journal.pone.0062817

  • Bob, P., Zimmerman, E. M., Hamilton, E. A., Sheftel, J. G., Bajo, S. D., Raboch, J., … Konopka, L. M. (2012). Conscious attention, meditation, and bilateral information transfer. Clinical EEG and Neuroscience, 44, 39–43.

    Article  PubMed  Google Scholar 

  • Bonadies, V. (2004). A yoga therapy program for AIDS-related pain and anxiety: Implications for therapeutic recreation. Therapeutic Recreation Journal, 38, 148–166.

    Google Scholar 

  • Bowles, S. V., Pollock, L. D., Moore, M., Wadsworth, S. M., Cato, C., Dekle, J. W., … Bates, M. J. (2015). Total force fitness: The military family fitness model. Military Medicine, 180, 246–258.

    Article  PubMed  Google Scholar 

  • Brefcynski-Lewis, J. A., Lutz, A., Schaefer, H. S., Levinson, D. B., & Davidson, R. J. (2007). Neural correlates of attentional expertise in long-term meditation practitioners. Proceedings of the National Academy of Sciences, 104, 11483–11488.

    Article  Google Scholar 

  • CareerCast.com. (2014). The most stressful jobs of 2014. In Career Cast. Retrieved from http://www.careercast.com/jobs-rated/most-stressful-jobs-2014

  • CareerCast.com. (2015). The most stressful jobs of 2015. In Career Cast. Retrieved from http://www.careercast.com/jobs-rated/most-stressful-jobs-2015

  • CareerCast.com. (2016). The most stressful jobs of 2016. In CareerCast. Retrieved from http://www.careercast.com/jobs-rated/most-stressful-jobs-2016.

  • Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31, 23–33.

    Article  PubMed  Google Scholar 

  • Ceccherelli, F., Tortora, P., Nassimbeni, C., Casale, R., Gagliardi, G., & Giron, G. (2006). The therapeutic efficacy of somatic acupuncture is not increased by auriculotherapy: A randomized, blind control study in cervical myofascial pain. Complementary Therapies in Medicine, 14, 47–52.

    Article  PubMed  Google Scholar 

  • Chairman of the Joint Chiefs of Staff Instruction (2011). Chairman’s total force fitness framework. CJCSI 3405.01. 1 September 2011. Retrieved from http://www.dtic.mil/cjcs_directives/cdata/unlimit/3405_01.pdf

  • Charney, D. S. (2004). Psychobiological mechanisms of resilience and vulnerability. American Journal of Psychiatry, 161, 195–216. Retrieved from: https://ils.unc.edu/bmh/neoref/this.dir.unneeded/schizophrenia/review/tmp/426.pdf

    Article  PubMed  Google Scholar 

  • Chen, K. M., Fan, J. T., Wang, H. H., Wu, S. J., Li, C. H., & Lin, H. S. (2010). Silver yoga exercises improved physical fitness of transitional frail elders. Nursing Research, 59, 364–370.

    Article  PubMed  Google Scholar 

  • Chou, R., & Huffman, L. H. (2007). Nonpharmacologic therapies for acute and chronic low back pain: A review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Annals of Internal Medicine, 147, 492–504.

    Article  PubMed  Google Scholar 

  • Chung, S., Brooks, M. M., Rai, M., Balk, J. L., & Raie, S. (2012). Effect of Sahaja yoga meditation on quality of life, anxiety and blood pressure control. The Journal of Alternative and Complementary Medicine, 18, 589–596. https://doi.org/10.1089/acm.2011.0038

    Article  PubMed  Google Scholar 

  • Clarke, T. C., Black, L. I., Stussman, B. J., Barnes, P. M., & Nahin, R. L. (2015). Trends in the use of complementary health approaches among adults: United States, 2002–2012. National Health Statistics Reports, 79, 1–16.

    Google Scholar 

  • Coeytaux, R. R., McDuffie, J., Goode, A., Cassel, S., Porter, W. D., Sharma, P., & Williams, J. W. W., Jr. (2014). Evidence map of yoga for high-impact conditions affecting veterans. VA-Evidence-Based Synthesis Program Project, #09-010. Washington (DC): Department of Veterans Affairs.

    Google Scholar 

  • Crawford, C., Wallerstedt, D. B., Khorsan, R., Clausen, S. S., Jonas, W. B., & Walter, J. A. G. (2013). A systematic review of biopsychosocial training programs for the self-management of emotional stress: Potential applications for the military. Evidence Based Complementary Alternative Medicine, 2013, 1–23.

    Article  Google Scholar 

  • Dale, L. P., Mattison, A. M., Greening, K., Galen, G., Neace, W. P., & Matacin, M. L. (2009). Yoga workshop impacts psychological functioning and mood of women with self-reported history of eating disorders. Eating Disorders, 17, 422–434. https://doi.org/10.1080/10640260903210222

    Article  Google Scholar 

  • De Kloet, E. R., Joëls, M., & Holsboer, F. (2005). Stress and the brain: From adaptation to disease. Nature Reviews Neuroscience, 6, 463–475.

    Article  PubMed  Google Scholar 

  • Defense Casualty Analysis System. (2017). Conflict casualties. Retrieved March 3, 2017 from: https://www.dmdc.osd.mil/dcas/pages/report_sum_reason.xhtml

  • Dusek, J. A., Out, H. H., Wohlhueter, A. L., Bhasin, M., Zerbini, L. F., Joseph, M. G., … Libermann, T. A. (2008). Genomic counter-stress changes induced by the relaxation response. Public Library of Science One, 3(7), e2576.

    PubMed  PubMed Central  Google Scholar 

  • Engel, C. C., Cordova, E. H., Benedek, D. M., Liu, X., Gore, K. L., Goertz, C., … Ursano, R. J. (2014). Randomized effectiveness trial of a brief course of acupuncture for posttraumatic stress disorder. Medical Care, 52, S57–S64.

    Article  PubMed  Google Scholar 

  • Furlan, A. D., Van Tulder, M. W., Cherkin, D. C., Tsukayama, H., Lao, L., Koes, B. W., & Berman, B. M. (2005). Acupuncture and dry-needling for low back pain. Cochrane Database Systematic Reviews, 1. https://doi.org/10.1002/14651858.CD001351.pub2

  • Gassaway, J. B., & Christopherson, C. (2014). Performance Improvement Program (PIP) training. Psynopsis: Canadian Psychological Association Magazine, 36, 49–51.

    Google Scholar 

  • Gironda, R. J., Clark, M. E., Massengale, J. P., & Walker, R. L. (2006). Pain among veterans of operations enduring freedom and Iraqi freedom. Pain Medicine, 7(4), 339–343.

    Google Scholar 

  • Goyal, M., Singh, S., Sibinga, E. M. S., Gould, N. F., Rowland-Seymour, A., Sharma, R., … Haythornthwaite, J. A. (2014). Meditation programs for psychological stress and well-being: A systematic review and meta-analysis. Journal of the American Medical Association Internal Medicine, 174, 357–368. https://doi.org/10.1001/jamainternmed.2013.13018

    PubMed  PubMed Central  Google Scholar 

  • Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39, 281–291.

    Article  PubMed  Google Scholar 

  • Heffner, K. L., Crean, H. F., & Kemp, J. E. (2016). Meditation programs for veterans with posttraumatic stress disorder: Aggregate findings from a multi-site evaluation. Psychological Trauma: Theory, Research, Practice, And Policy, 8, 365–374.

    Article  Google Scholar 

  • Hempel, S., Taylor, S. L., Marshall, N. J., Miake-Lye, I. M., Beroes, J. M., Shanman, R., Solloway, M. R., & Skelle, P. G. (2014). Evidence map of mindfulness. VA-Evidence-Based Synthesis Program Project, #05–226. Washington, DC: Department of Veterans Affairs.

    Google Scholar 

  • Hempel, S, Taylor SL, Solloway MR, Miake-Lye IM, Beroes JM, Shanman R, Booth MJ, Siroka AM, & Shekelle PG (2014a). Evidence map of acupuncture. Evidence-Based Synthesis Program Reports. Washington, DC: Department of Veterans Affairs.

    Google Scholar 

  • Hempel, S., Taylor, S. L., Solloway, M. R., Miake-Lye, I. M., Beroes, J. M., Shanman, R., & Shekelle, P. G. (2014b). Evidence map of Tai chi. VA-Evidence-Based Synthesis Program Project, #05-226. Washington, DC: Department of Veterans Affairs.

    Google Scholar 

  • Hinman, R. S., McCrory, P., Pirotta, M., Relf, I., Forbes, A., Crossley, K. M., … Bennell, K. L. (2014). Acupuncture for chronic knee pain: A randomized clinical trial. Journal of the American Medical Association, 312, 1313–1322.

    Article  PubMed  Google Scholar 

  • Hoge, C. W., Auchterlonie, J. L., & Milliken, C. S. (2006). Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq and Afghanistan. Journal of the American Medical Association, 259, 1023–1032. https://doi.org/10.1001/jama.295.9.1023

    Article  Google Scholar 

  • Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351, 13–22.

    Article  PubMed  Google Scholar 

  • Hollifield, M., Sinclair-Lian, N., Warner, T. D., & Hammerschlag, R. (2007). Acupuncture for posttraumatic stress disorder: A randomized controlled pilot trial. The Journal of Nervous and Mental Disease, 195, 504–513.

    Article  PubMed  Google Scholar 

  • Hölzel, B. K., Lazar, S. W., Gar, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6, 537–559.

    Article  PubMed  Google Scholar 

  • Integrative Health and Wellness Program, Washington D.C. VA Medical Center (2016). Weekly group schedule as of July 21, 2016. Retrieved from http://www.washingtondc.va.gov/Wellness/IHW_Schedule_for_web.pdf

  • Jacobson, I. G., White, M. R., Smith, T. C., Smith, B., Wells, T. S., Gackstetter, G. D., & Boyko, E. J. (2009). Self-reported health symptoms and conditions among complementary and alternative medicine users in a large military cohort. Annals of Epidemiology, 19, 613–622.

    Article  PubMed  Google Scholar 

  • Janelle, C. M., & Hatfield, B. D. (2008). Visual attention and brain processes that underlie expert performance: Implications for sport and military psychology. Military Psychology, 20, S39–S69.

    Article  Google Scholar 

  • Jazaieri, H., McGonigal, K., Jinpa, T., Doty, J., Gross, J., & Goldin, P. (2014). A randomized controlled trial of compassion cultivation training: Effects on mindfulness, affect, and emotion regulation. Motivation and Emotion, 38, 23–35.

    Article  Google Scholar 

  • Jha, A. P., Krompinger, J., & Baime, M. J. (2007). Mindfulness training modifies subsystems of attention. Cognitive, Affective and Behavioral Neuroscience, 7, 109–119.

    Article  PubMed  Google Scholar 

  • Jha, A. P., Morrison, A. B., Dainer-Best, J., Parker, S., Rostrub, N., & Stanley, E. A. (2015). Minds “at attention”: Mindfulness training curbs attentional lapses in military cohorts. PloS One. https://doi.org/10.1371/journal.pone.0116889

  • John, P. J., Sharma, N., Sharma, C. M., & Kankane, A. (2007). Effectiveness of yoga therapy in the treatment of migraine without aura: A randomized controlled trial. Headache: The Journal of Head and Face Pain, 47, 654–661. https://doi.org/10.1111/j.1526-4610.2007.00789.x

    Article  Google Scholar 

  • Johnson, D. C., Thorn, N. H., Stanley, E. A., Simmons, A. N., Shih, P. B., Thompson, W. K., … Paulus, M. P. (2014). Modifying resilience mechanisms in at-risk individuals: A controlled study of mindfulness training in Marines preparing for deployment. American Journal of Psychiatry, 171, 844–853.

    Article  PubMed  PubMed Central  Google Scholar 

  • Johnston, J. M., Minami, T., Greenwald, D., Li, C., Reinhardt, K., & Khalsa, S. S. (2015). Yoga for military service personnel with PTSD: A single arm study. Psychological Trauma: Theory, Research, Practice, and Policy, 7, 555–562.

    Article  Google Scholar 

  • Karlamangla, A. S., Singer, B. H., McEwen, B. S., Rowe, J. W., & Seeman, T. E. (2002). Allostatic load as a predictor of functional decline: MacArthur studies of successful aging. Journal of Clinical Epidemiology, 55, 696–710.

    Article  PubMed  Google Scholar 

  • Khalsa, S. B. S. (2004a). Treatment of chronic insomnia with yoga: A preliminary study with sleep-wake diaries. Applied Psychophysiology and Biofeedback, 29, 269–278. https://doi.org/10.1007/s10484-004-0387-0

    Article  PubMed  Google Scholar 

  • Khalsa, S. B. S. (2004b). Yoga as a therapeutic intervention: A bibliometric analysis of published research studies. Indian Journal of Physiological Pharmacology, 48, 269–285.

    Google Scholar 

  • Khusid, M. A. (2015). Clinical indications for acupuncture in chronic post-traumatic headache management. Military Medicine, 180, 132–136.

    Article  PubMed  Google Scholar 

  • Khusid, M. A., & Vythilingam, M. (2016a). The emerging role of mindfulness meditation as effective self-management strategy, Part 1: Clinical implications for depression, post-traumatic stress disorder, and anxiety. Military Medicine, 181, 961–968.

    Article  PubMed  Google Scholar 

  • Khusid, M. A., & Vythilingam, M. (2016b). The emerging role of mindfulness meditation as effective self-management strategy, Part 2: Clinical implications for chronic pain, substance misuse, and insomnia. Military Medicine, 181, 969–975.

    Article  PubMed  Google Scholar 

  • Kim, Y. D., Heo, I., Shin, B. C., Crawford, C., Kang, H. W., & Lim, J. H. (2013). Acupuncture for posttraumatic stress disorder: A systematic review of randomized controlled trials and prospective clinical trials. Evidence-based Complementary and Alternative Medicine, 2013, 1–11.

    Google Scholar 

  • Lang, A. J., Strauss, J. L., Bomyea, J., Bormann, J. E., Hickman, S. D., Good, R. C., & Essex, M. (2012). The theoretical and empirical basis for meditation as an intervention for PTSD. Behavior Modification, 36, 759–786. https://doi.org/10.1177/0145445512441200

    Article  PubMed  Google Scholar 

  • Lavallee, D., Kremer, J., Moran, A. P., & Williams, M. (2004). Sport psychology: Contemporary themes. New York: Palgrave MacMillan.

    Google Scholar 

  • Lazarus, R. S., & Folkman, S. (1986). Cognitive theories of stress and the issue of circularity. In M. H. Appley & R. Trumbull (Eds.), Dynamics of stress. Physiological, psychological, and social perspectives (pp. 63–80). New York: Plenum.

    Google Scholar 

  • Lee, C., Crawford, C., & Schoomaker, E. (2014). Movement therapies for self-management of chronic pain symptoms. Pain Medicine, 15, S40–S53.

    Article  PubMed  Google Scholar 

  • McEwen, B. S. (1999). Stress and hippocampal plasticity. Annual Review of Neuroscience, 22, 105–122.

    Article  PubMed  Google Scholar 

  • McEwen, B. S. (2007). Physiology and neurobiology of stress and adaptation: Central role of the brain. Physiological Reviews, 87, 873–904.

    Article  PubMed  Google Scholar 

  • McRae, K., Ciesielski, B., & Gross, J. J. (2012). Unpacking cognitive reappraisal: Goals, tactics, and outcomes. Emotion, 12, 250–255.

    Article  PubMed  Google Scholar 

  • Mental Health Advisory Team 9. (2013). Mental health advisory team 9 [MHAT-9]: Operation Enduring Freedom (OEF) 2013 – Afghanistan. Retrieved from http://armymedicine.mil/Pages/Reports.aspx

  • Millegan, J., Morrison, T., Bhakta, J., & Ram, V. (2014). Mind body medicine in the care of a U.S. Marine with chronic pain: A case report. Military Medicine, 179. http://militarymedicine.amsus.org/doi/full/10.7205/MILMED-D-14-00130

  • Millegan, J., Ram V., Bhakta J. P., Brown A., Weits G., Hess L. (2016). Integrating mind body medicine into the military healthcare delivery system. Poster session presented at the meeting of the American Psychological Association, Denver, CO.

    Google Scholar 

  • Morgan, C. A., Southwick, S., Hazlett, G., Rasmusson, A., Hoyt, G., Zimolo, Z., & Charney, D. (2004). Relationships among plasma dehydroepiandrosterone sulfate and cortisol levels, symptoms of dissociation, and objective performance in humans exposed to acute stress. Archives of General Psychiatry, 61, 819–825.

    Article  PubMed  Google Scholar 

  • Mullen, M. (2010). On total force fitness in war and peace. Military Medicine, 175, 1–2.

    Article  Google Scholar 

  • Nassif, T. H., Chapman, J. C., Sandbrink, F., Norris, D. O., Soltes, K. L., Reinhard, M. J., & Blackman, M. (2015). Mindfulness meditation and chronic pain management in Iraq and Afghanistan veterans with traumatic brain injury: A pilot study. Military Behavioral Health, 4, 82–89.

    Article  Google Scholar 

  • National Center for Complementary and Integrative Health. (2016) Tai Chi and Qi Gong: In Depth (NCCIH Publication No. D322). Retrieved from https://nccih.nih.gov/health/taichi/introduction.htm#hed1https://nccih.nih.gov/health/taichi/introduction.htm-hed1

  • Naval Medical Center San Diego. (2016). Mind body medicine. Retrieved from http://www.med.navy.mil/sites/nmcsd/Pages/Care/Mind-Body-Medicine.aspx

  • Navy and Marine Corps Public Promotion and Wellness Department (NMCPHC). (n.d.) RelaxRelax. Retrieved from http://www.med.navy.mil/sites/nmcphc/health-promotion/psychological-emotional-wellbeing/relax-relax/pages/index.html

  • Niemtzow, R. C. (2007). Battlefield acupuncture. Medical Acupuncture, 19. https://doi.org/10.1089/acu.2007.0603

  • NIH Consensus Development Panel on Acupuncture. (1998). Acupuncture. Journal of the American Medical Association., 280, 1518–1524.

    Article  Google Scholar 

  • Nosaka, M., & Okamura, H. (2015). A single session of an integrated yoga program as a stress management tool for school employees: Comparison of daily practice and nondaily practice of a yoga therapy program. The Journal of Alternative and Complementary Medicine, 21, 444–449.

    Article  PubMed  Google Scholar 

  • Office of The Army Surgeon General (2010). Pain management task force final report (Report no. 650–0145-00 A). Retrieved from http://www.regenesisbio.com/pdfs/journal/pain_management_task_force_report.pdf.

  • Ortner, C. N. M., Kilner, S. J., & Zelazo, P. D. (2007). Mindfulness meditation and reduced emotional interference on a cognitive task. Motivation and Emotion, 31, 271.

    Article  Google Scholar 

  • Park, C. (2013). Mind-body CAM interventions: Current status and considerations for integration into clinical health psychology. Journal of Clinical Psychology, 69, 45–63. https://doi.org/10.1002/jclp.21910

    Article  PubMed  Google Scholar 

  • Park, E., Traeger, L., Vranceanu, A. M., Scult, M., Lerner, J. A., Benson, H., … Fricchione, G. L. (2013). The development of a patient-centered program based on the relaxation response: The relaxation response resiliency program (3RP). Psychosomatics, 54, 165–174.

    Article  PubMed  Google Scholar 

  • Qaseem, A., Wilt, T. J., McLean, R. M., & Forciea, M. A. (2017). Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the american college of physicians noninvasive treatments for acute, subacute, and chronic low back pain. Annals of Internal Medicine, 166, 214–241.

    Google Scholar 

  • Rao, M. R., Nagarathna, R., Nagendra, H. R., Gopinath, K. S., Srinath, B. S., Ravi, B. D., … Nalini, R. (2007). Effects of an integrated yoga programme on chemotherapy-induced nausea and emesis in breast cancer patients. European Journal of Cancer Care, 16, 462–474.

    Article  Google Scholar 

  • Rao, M. R., Raghuram, N., Nagendra, H. R., Gopinath, K. S., Srinath, B. S., Diwakar, R. B., … Varambally, S. (2009). Anxiolytic effects of a yoga program in early breast cancer patients undergoing conventional treatment: A randomized controlled trial. Complementary Therapies in Medicine, 17, 1–8.

    Article  PubMed  Google Scholar 

  • Rao, R. M., Raghuram, N., Nagendra, H. R., Usharani, M. R., Gopinath, K. S., Diwakar, R. B., … Rao, N. (2015). Effects of an integrated yoga program on self-reported depression scores in breast cancer patients undergoing conventional treatment: A randomized controlled trial. Indian Journal of Palliative Care, 21, 174.

    Article  PubMed  PubMed Central  Google Scholar 

  • Samuelson, M., Foret, M., Baim, M., Lerner, J., Fricchione, G., Benson, H., … Yeung, A. (2010). Exploring the effective of a comprehensive mind-body intervention for medical symptom relief. The Journal of Alternative and Complementary Medicine, 16, 187–192.

    Article  PubMed  Google Scholar 

  • Sandvik, A. M., Bartone, P. T., Hystad, W. W., Phillips, T. M., Thayer, J. F., & Johnsen, B. H. (2013).Psychological hardiness predicts neuroimmunological responses to stress. Psychology, Health & Medicine, 18, 705–713.

    Google Scholar 

  • Schell, T. L., & Marshall, G. N. (2008). Survey of individuals previously deployed for OEF/OIF. In T. Tanielian & L. H. Jaycox (Eds.), Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery (pp. 87–115). Santa Monica, CA: RAND Center for Military Health Policy Research.

    Google Scholar 

  • Schmeltzer, S. N., Herman, J. P., & Sah, R. (2016). Neuropeptide Y (NPY) and posttraumatic stress disorder (PTSD): A translational update. Experimental Neurology, 284, 196–210.

    Article  PubMed  Google Scholar 

  • Sharma, M. (2014). Yoga as an alternative and complementary approach for stress management: A systematic review. Journal of Evidence-Based Complementary & Alternative Medicine, 19, 59–67. https://doi.org/10.1177/2156587213503344

    Article  Google Scholar 

  • Sharp, M., Fear, N. T., Rona, R. J., Wessely, S., Greenberg, N., Jones, N., & Goodwin, L. (2015). Stigma as a barrier to seeking health care among military personnel with mental health problems. Epidemiologic Reviews, 37, 144–162.

    Article  PubMed  Google Scholar 

  • Silverthorne, C., Khalsa, S. B., Gueth, R., DeAvilla, N., & Pansini, J. (2012). Respiratory, physical, and psychological benefits of breath-focused yoga for adults with severe traumatic brain injury (TBI): A brief pilot study report. International Journal of Yoga Therapy, 22, 47–52.

    Google Scholar 

  • Stankovic, L. (2011). Transforming trauma: A qualitative feasibility study of integrative restoration (iRest) yoga Nidra on combat-related post-traumatic stress disorder. International Journal of Yoga Therapy, 21, 23–37.

    Google Scholar 

  • Staples, J. K., Hamilton, M. F., & Uddo, M. (2013). A yoga program for the symptoms of post-traumatic stress disorder in veterans. Military Medicine, 178, 854–860. https://doi.org/10.7205/MILMED-D-12-00536

    Article  PubMed  Google Scholar 

  • Stoller, C. C., Greuel, J. H., Cimini, L. S., Fowler, M. S., & Koomar, J. A. (2012). Effects of sensory-enhanced yoga on symptoms of combat stress in deployed military personnel. American Journal of Occupational Therapy, 66, 59–68. https://doi.org/10.5014/ajot.2012.001230

    Article  PubMed  Google Scholar 

  • Substance Abuse and Mental Health Services Administration. (2014). Veterans and military families. Retrieved from http://www.samhsa.gov/veterans-military-families

  • Tafet, G. E., & Bernardini, R. (2003). Psychoneuroendocrinological links between chronic stress and depression. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 27, 893–903.

    Article  PubMed  Google Scholar 

  • Toblin, R. L., Quartana, P. J., Riviere, L. A., Walper, K. C., & Hoge, C. W. (2014). Chronic pain and opioid use in US soldiers after combat deployment. Journal of the American Medical Association, 174, 1400–1401.

    Google Scholar 

  • Tran, M. D., Holly, R. G., Lashbrook, J., & Amsterdam, E. A. (2001). Effects of hatha yoga practice on the health-related aspects of physical fitness. Preventative Cardiology, 4, 165–170.

    Article  Google Scholar 

  • Trinh, K., Graham, N., Irnich, D., Cameron, I. D., & Forget, M. (2016). Acupuncture for neck disorders (review). Cochrane Database of Systematic Reviews, 5, Art. No: CD004870. https://doi.org/10.1002/14651858.CD004870.pub4

    Google Scholar 

  • U.S. Department of Veterans Affairs. (2014). VA initiative shows early promise in reducing use of opioids for chronic pain. Retrieved from https://www.va.gov/opa/pressrel/pressrelease.cfm?id=2529

  • U.S. Department of Veterans Affairs. (2016). How common is PTSD? In PTSD: National center for PTSD. Retrieved from: http://www.ptsd.va.gov/public/PTSD-overview/basics/how-common-is-ptsd.asp

  • Vadiraja, H. S., Raghavendra, R. M., Nagarathna, R., Nagendra, H. R., Rekha, M., Vanitha, N., … Kumar, V. (2009). Effects of a yoga program on cortisol rhythm and mood states in early breast cancer patients undergoing adjuvant radiotherapy: A randomized controlled trial. Integrative Cancer Therapies, 8, 37–46.

    Article  PubMed  Google Scholar 

  • Van Leeuwen, S., Singer, W., & Melloni, L. (2012). Meditation increases the depth of information processing and improves the allocation of attention in space. Frontiers in Human Neuroscience, 6, 1–16.

    Google Scholar 

  • Vedamurthachar, A., Janakiramaiah, N., Hegde, J. M., Shetty, T. K., Subbakrishna, D. K., Sureshbabu, S. V., & Gangadhar, B. N. (2006). Antidepressant efficacy and hormonal effects of Sudarshana Kriya Yoga (SKY) in alcohol dependent individuals. Journal of Affective Disorders, 94, 249–253. https://doi.org/10.1016/j.jad.2006.04.025

    Article  PubMed  Google Scholar 

  • Vickers, A. J., Cronin, A. M., Maschino, A. C., Lewith, G., MacPherson, H., Foster, N. E., … & Acupuncture Trialists’ Collaboration. (2012). Acupuncture for chronic pain: Individual patient data meta-analysis. Archives of Internal Medicine, 172, 1444–1453.

    Google Scholar 

  • Vickers, A. J., Cronin, A. M., Maschino, A. C., Lewith, G., Macpherson, H., Victor, N., … Linde, K. (2010). Individual patient data meta-analysis of acupuncture for chronic pain: Protocol of the Acupuncture Trialists’ Collaboration. Trials, 11, 90.

    Article  PubMed  PubMed Central  Google Scholar 

  • Vickers, A. J., Rees, R. W., Zollman, C. E., McCarney, R., Smith, C. M., Ellis, N., … Van Haselen, R. (2004). Acupuncture for chronic headache in primary care: Large, pragmatic, randomized trial. British Medical Journal, 328, 744. https://doi.org/10.1136/bmj.38029.421863.EB

    Article  PubMed  PubMed Central  Google Scholar 

  • Wallace, R. K., Benson, H., & Wilson, A. F. (1971). A wakeful hypometabolic physiologic state. American Journal of Physiology, 221, 795–799.

    PubMed  Google Scholar 

  • Ward, P., Farrow, D., Harris, K. R., Williams, A. M., Eccles, D. W., & Ericsson, K. A. (2008). Training perceptual-cognitive skills: Can sport psychology research inform military decision training? Military Psychology, 20(suppl.1), S71–S102. https://doi.org/10.1080/08995600701804814

    Article  Google Scholar 

  • Yehuda, R., Brand, S., & Yang, R. (2006). Plasma neuropeptide Y concentrations in combat exposed veterans: Relationship to trauma exposure, recovery from PTSD, and coping. Biological Psychiatry, 59, 660–663.

    Article  PubMed  Google Scholar 

  • Yehuda, R., Pratchett, L. C., Elmes, M. W., Lehrner, A., Daskalakis, N. P., Koch, E., … Bierer, L. M. (2014). Glucocorticoid-related predictors and correlates of post-traumatic stress disorder treatment response in combat veterans. Interface Focus, 4, 20140048.

    Google Scholar 

  • Zeidan, F., Johnson, S. K., Diamond, B. J., David, Z., & Goolkasian, P. (2010). Mindfulness meditation improves cognition: Evidence of brief mental training. Consciousness and Cognition, 19, 597–605.

    Article  PubMed  Google Scholar 

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Bowles, S.V. et al. (2017). The Use of Mindfulness and Acupuncture in the American Military. In: Bowles, S., Bartone, P. (eds) Handbook of Military Psychology. Springer, Cham. https://doi.org/10.1007/978-3-319-66192-6_13

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