Evidence map›Paper›PMID 21874605›Full record

Trial reportInternational journal of behavioral medicine2012

Spiritual wellbeing mediates PTSD change in veterans with military-related PTSD.

Jill E Bormann, Lin Liu, Steven R Thorp, Ariel J Lang

Erratum issued Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International journal of behavioral medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT00120627 (Efficacy of Mantram Repetition on PTSD Symptoms in Veterans), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00120627 nacompletednot on this map

Efficacy of Mantram Repetition on PTSD Symptoms in Veterans

TypeinterventionalSponsorUS Department of Veterans AffairsRan2005 to 2010Enrolled146ConditionsStress Disorders, Post TraumaticArmsMantram Repetition Program (MRP) plus Usual Care, Usual care consisting of medication and case management
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Moral injury prevention and intervention.European journal of psychotraumatology · 2025
    Review
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  8. Article
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  15. Mind-body practices for posttraumatic stress disorder.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2013
    Review
  16. Article
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Jill E BormannCenter of Excellence for Stress and Mental Health (CESAMH), Veterans Affairs San Diego Healthcare System (VASDHS), San Diego, CA 92161, USA. jill.bormann@va.gov
Lin Liu
Steven R Thorp
Ariel J Lang
VA San Diego Healthcare System · USSan Diego State University · USUniversity of California, San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA portable practice of repeating a mantram-a sacred word or phrase-has been shown to reduce the severity of posttraumatic stress disorder (PTSD) symptoms in veterans with military trauma. It is thought that the intervention re-directs attention and initiates relaxation to decrease symptom severity, but there may be other mechanisms that may contribute to this improvement. PURPOSE: We tested the hypothesis that increases in existential spiritual wellbeing (ESWB) would mediate reductions in self-reported PTSD symptoms following a group mantram intervention.

methodVeterans diagnosed with PTSD from war-related trauma completed 6 weeks of case management plus a group mantram intervention (n = 66) as part of a randomized trial. Measures included PTSD Checklist (PCL) and Functional Assessment of Chronic Illness Therapy-Spiritual Wellbeing. Path analysis was conducted on those who completed treatment to assess ESWB as a possible mediator of change in PCL from baseline to post-treatment.

resultsA significant indirect effect, -2.24, 95% CI (-4.17, -1.05) of the mantram intervention on PCL change was found. The path from the mantram intervention to ESWB change was significant and positive (B = 4.89, p < 0.0001), and the path from ESWB change to PCL change was significant and negative (B = -0.46, p = 0.001), thus supporting the hypothesis.

conclusionsFindings suggest that one contributing mechanism that partially explains how the mantram intervention reduces PTSD symptom severity in veterans may be by increasing levels of ESWB.

Indexed as

SpiritualityAdultAgedAged, 80 and overCombat DisordersFemaleHumansMaleMiddle AgedPsychotherapy, GroupSeverity of Illness IndexStress Disorders, Post-TraumaticTreatment OutcomeVeterans

Identifiers

PMID21874605
OpenAlexW1992392534

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.