Health Consequences Research Articles

The mental health consequences of COVID-19 on a sample of health professions students: a mixed methods study

Objective: To assess and examine how the COVID-19 pandemic may have impacted the mental health of a sample of health professions students (HPS) using an explanatory sequential mixed-methods design. Participants: Participants included 41 HPS enrolled in a co-curricular interprofessional education (IPE) program. Measurements: Measures included the CES-D scale, PSS scale, and the GAD scale. Qualitative description was used to explore the experiences of these HPS. Results: The HPS explained that fear of acquiring COVID-19, transmitting the virus to loved ones, and dying as a result of the disease negatively influenced their mental health. The HPS revealed that there were some beneficial outcomes resulting from the pandemic, including the strengthening of family bonds and the cultivation of resiliency. Conclusions: The pandemic has had a negative impact on the mental health of these HPS. It is essential that these students receive support for their mental health in order to provide optimal care to the population they serve.

Assessing the Causal Relationship between Waterpipe Smoking and Bladder Cancer.

Rates of waterpipe use increase with very little data reporting any potential health consequences. The current study, a large case-control study, of 4,194 patients from Iran denotes an elevated risk of bladder cancer in exclusive waterpipe smokers compared with non-users. Additional studies are needed to further understand the risk waterpipe smoking has on bladder cancer. See related article by Hadji et al., p. 509.

Spatial distribution and policy implications of the exhaust emissions of two-stroke motorcycle taxis: a case study of southwestern state in Nigeria

Two-stroke motorcycles emit harmful exhaust fumes because of incomplete combustion. Although they constitute the main fleet of motorcycle taxis in sub-Saharan Africa, monitoring, spatial assessment, and regulation are weak, leaving dire health consequences in cities. This study collected motorcycle raw exhaust emissions of 1,950 two-stroke petrol-driven motorcycle taxis, otherwise called okada, in Ogun State, Nigeria, using an idle mode test approach under 10 minutes and employed correlations, hierarchical multiple linear regression models, and spatial analysis. It was found that carbon monoxide (CO) and hydrocarbons (HC) were the most highly concentrated, and the latter were beyond allowable limits. The concentration of CO was found to be at the minimum of 0.00 % and the highest being at 6.40% (an average of 1.05%), while the HC concentration was reported at the minimum of 18.00 ppm and the highest at 15446 ppm (an average of 3560 ppm). Notably, Kriging interpolation analysis indicated that cumulative effects due to the clustering and operations of motorcycle taxis could increase these concentrations over time, extending their long-term impacts. Given the severe effects of these emissions on health and the wider environment, a DPSIR policy framework is proposed to regulate two-stroke motorcycle taxis in sub-Saharan Africa.

The feigned annoyance and frustration test to activate the sympathoadrenal medullary system

When perceived as threatening, social interactions have been shown to trigger the sympathoadrenal medullary system as well as the hypothalamic-pituitary-adrenal axis resulting in a physiologic stress response. The allostatic load placed on human health and physiology in the context of acute and chronic stress can have profound health consequences. The purpose of this study was to develop a protocol for a lab-based stress stimulus using social-evaluative threat. While several valid, stress-stimulating protocols exist, we sought to develop one that triggered a physiologic response, did not require significant lab resources, and could be completed in around 10 min. We included 53 participants (29 men and 24 women) and exposed them to a modified version of the Stroop Color-Word Interference Task during which the participants were made to feel they were performing the task poorly while the lead researcher feigned annoyance and frustration. After exposure to this Feigned Annoyance and Frustration (FAF) Test, both the men and women in this study demonstrated a statistically significant and clinically meaningful increase in subjective stress on the visual analog scale. Additionally, the men in this study demonstrated a statistically significant increase in heart rate and salivary α-amylase concentrations after exposure to the test. The women in this study did not demonstrate a statistically significant increase in the physiologic stress biomarkers. This protocol for the FAF Test shows promise to researchers with limited time and resources who are interested in experimentally activating the sympathoadrenal medullary system.

The potential unintended consequences of Mental Health Act reforms in England and Wales on people with intellectual disability and/or autism: commentary, McKinnon et al.

The potential unintended consequences of Mental Health Act reforms in England and Wales on people with intellectual disability and/or autism: commentary, McKinnon et al.

How we survived: older adults’ adjustment to the lockdowns due to the COVID-19 pandemic

AbstractOlder adults were found to be the most susceptible group to suffer the physical health consequences of a COVID-19 infection and were considered vulnerable to the negative effects of the lockdowns due to the COVID-19 pandemic, yet unlike many young adults did not generally experience an increased rate of mental health problems. Our study explored the strategies older adults in Portugal deployed during the mandatory lockdowns in 2020 and 2021. Qualitative interview data were collected with 22 older adults in relatively good health (aged between 66 and 92 years old; 36% women). Three main themes were identified via thematic analysis: (1) Finding things to do and activities that can protect me; (2) Identifying how my thoughts can protect me; and (3) Counting myself lucky – me and my home advantages. Some of the thematic strategies identified by older adults to manage pandemic and lockdown-related stresses related to meaning-centered coping could be further developed via cognitive behavioral therapies of the third wave.

The influence of shift work: A bibliometric analysis of research progress and frontiers on health effects

ABSTRACT Shift work has been found to disrupt the circadian system, leading to negative health effects. The objective of this study was to assess the progress and frontiers in research on the health-related influence of shift work. The study analyzed 3,696 data points from Web of Science, using the bibliometric software CiteSpace to visualize and analyze the field. The results showed a steady increase in annual publications, particularly in the last 5 years, with a rapid increase in publications from China. The United States contributed the most to the number of publications and worldwide collaborations. The most prolific institution and author were the Brigham and Women’s Hospital and Professor Bjorn Bjorvatn, respectively. The Journal of Chronobiology International ranked at the top and focused primarily on shift worker research. In the first decade of study, the primary focus was on the associations between shift work and cardiovascular disease and metabolic disorders. Over time, research on the health effects of shift work has expanded to include cancer and mental health, with subsequent studies investigating molecular mechanisms. This study provides a comprehensive and intuitive analysis of the negative health impacts of shift work. It highlights existing research hotspots and provides a roadmap for future studies. Further research is needed to explore the adverse health consequences and related mechanisms of shift work exposure, as well as interventions to mitigate its health effects.

A behaviour change intervention to reduce sedentary behaviour in chronic obstructive pulmonary disease: a qualitative study

ObjectivesTo document the experiences of people with chronic obstructive pulmonary disease (COPD) who underwent a behaviour change intervention to reduce sedentary behaviour (SB) in a clinical trial. Design and participantsQualitative study using semi-structured interviews to explore perspectives of the behaviour change intervention and specific intervention components in people with stable COPD on the waitlist for pulmonary rehabilitation. SettingThree outpatient pulmonary rehabilitation programmes in Sydney, Australia. InterventionsThe six-week behaviour change intervention with once weekly contact with a physiotherapist aimed to reduce SB by replacing it with light-intensity physical activity (PA) and by breaking up prolonged SB. Main outcome measuresOf 30 participants who completed the behaviour change intervention, interviews were conducted with 13 participants and analysed using the ‘capability, opportunity, motivation, behaviour (COM-B)’ framework of behaviour change. ResultsIntervention components regarded as most helpful by participants were verbal education on health consequences on SB, goal setting, and self-monitoring of, and feedback on, step count using activity trackers. There was a clear preference during goal setting to increase PA rather than to reduce SB. Physical limitations and enjoyment of SB were the most reported barriers to reducing SB. ConclusionsGoal setting, verbal education, and self-monitoring of, and feedback on step count, were viewed positively by people with COPD and may show promise for reducing SB and increasing PA based on individual preference. Contribution of the paper•When given the choice, most people with stable COPD undergoing a behaviour change intervention preferred to increase their physical activity levels rather than reduce sedentary behaviour, which challenges previous assumptions that reducing sedentary behaviour is more feasible for people with COPD than increasing physical activity.•The behaviour change intervention improved the confidence and motivation of people with stable COPD to reduce their sedentary behaviour but did not alter their physical limitations or enjoyment of sedentary behaviour, which were perceived as barriers to change.•Goal setting, verbal education, and self-monitoring of, and feedback on, step count using activity trackers were identified as the most helpful strategies for changing sedentary behaviour and physical activity in people with stable COPD.

Association of nightmares with cardio-cerebrovascular disease, hypertension and hyperlipidemia in older adults: A population-based cross-sectional study

ObjectiveThis cross-sectional study investigated the relationship of nightmares with cardio-cerebrovascular disease (CVD), hypertension and hyperlipidemia which are major preceding diseases of CVD in older adults. MethodsParticipants (n = 2824; mean age 63.6 ± 6.6 years, females 49.3%) completed the Disturbing Dream and Nightmare Severity Index (DDNSI), which was used to divide the sample into either the Nightmare or Non-Nightmare group (cut-off score ≥ 10). Demographic information, history of CVD (cerebrovascular disease, myocardial infarction, congestive heart failure, coronary artery disease, and arrhythmia), hypertension, hyperlipidemia, and self-report questionnaires about stress (Perceived Stress Scale), depression (Beck Depression Inventory), sleep quality (Pittsburgh Sleep Quality Index), and insomnia symptoms were also collected. ResultsAmong the sample, 379 participants (13.4%) reported experiencing nightmares more than once a year, and 73 participants (2.6%) were classified as having nightmare disorder based on DDNSI scores (≥10). 11.3% of participants (n = 319) reported having more than one CVD. Approximately half of the participants reported a history of hypertension (52.1%, n = 1471) and hyperlipidemia (47.7%, n = 1346). Logistic regression analysis indicated the Nightmare group was 2.04 times at higher risk for hyperlipidemia (OR = 2.04, 95% CI 1.22–3.40, p = .006) after controlling for covariates compared to the Non-Nightmare group. Although non-significant, there was a trend toward a higher risk of hypertension in the Nightmare group (OR = 1.67, 95% CI 0.99–2.84, p = .056). ConclusionsResults of this study indicate frequent nightmares in older adults may be associated with hyperlipidemia, which are risk factors for CVD. Further studies are needed to explore nightmares' directionality and health consequences in an aging population.

The Relationship of the Traumatic Birth Perception of Women with Birth Memories and Recall.

A traumatic childbirth experience can have both short- and long-term health and well-being consequences for the woman and her family. If a woman experiences traumatic childbirth and retains negative memories for a long time, this may impact her future childbirth experience, mother-infant bonding and breastfeeding problems, and her relationship with other family members. The research was conducted to evaluate the relationship between women's traumatic birth perception and birth memory and recall. This descriptive study was conducted at Erzurum Research Hospital between August 16 and October 2021. Two hundred sixty women who met the inclusion criteria were included in the study sample. The personal information protocol, "Traumatic Childbirth Perception Scale," and "Birth Memories and Recall Questionnaire" were used to collect data. The participants' mean age was 30.13 ± 5.85, and 43.4% had their first birth. Of the participants, 45% had one living child, 72.9% had a planned pregnancy, and 62.8% had a normal birth. Whereas more than a third of women in the study perceived childbirth and childbirth processes as moderately traumatic, another third had a high and very high perception. The birth memories and recall mean scores of the mothers within the scope of the study were 81.09 ± 22.69. According to the study results, it was determined that women's birth memories and recall were negatively affected as their traumatic childbirth perceptions increased. It is possible to reduce traumatic childbirth perception with the continuous care and support provided by midwives during childbirth. Improving women's traumatic childbirth perception will also positively impact women's long-term memories of childbirth experience.

Iraq's Meth Crisis: Prioritizing Research to Combat Suicidal Ideation

As dedicated readers of Al-Kindy College Medical Journal, we are writing to highlight a critical and profoundly concerning matter that requires urgent research attention: the alarming surge in suicidal ideation among users of Iraqi crystal methamphetamine. Expert psychiatrists at Baghdad Medical City and Ibn-Rushd Psychiatry Teaching Hospital have observed this worrisome trend. In tandem, previous studies regarding suicidal ideation among Iraqi medical students have revealed an unexpectedly high prevalence (64.9%). The escalating global trend in amphetamine-type stimulant (ATS) abuse and the distinct challenges posed by crystal meth addiction necessitate comprehensive investigation into the resultant psychological toll.According to the World Drug Report 2022, amphetamines' popularity and use, including methamphetamine, have surged globally, ranking as the second most commonly abused illicit substance after cannabis. This rise in ATS abuse has not spared Iraq, where illicit methamphetamine and captagon use have dramatically increased, notably in Al-Basrah governorate. The transition from opioid-related overdose deaths to the abuse of stimulants like methamphetamine signifies the urgency for novel strategies to monitor and combat this growing public health concern. As methamphetamine misuse becomes more prevalent, it is imperative to prioritize research that explores the mental health consequences of its abuse.

IJCM_61A: Prevalence of Domestic Violence Among Married Women in urban and rural field practice area of RIMS, Raichur

Background: Domestic violence (DV), being a widespread public health issue affecting women globally, is still being neglected and women remain silent sufferers and suffer from physical, mental, sexual and reproductive health consequences which further affects well-being of her family. It also leads to increased risk of child abuse. Women being considered as weaker sex, gender bias and male dominance resulted in mistreating women and victimizing them and remains unreported in many areas. Objective: To estimate prevalence of domestic violence among married women. €¢ To compare prevalence of domestic violence in urban and rural areas. €¢ To find out factors associated with prevalence of domestic violence. Methodology: Cross sectional study, 3 months duration in married women residing in field practice areas of RIMS, Raichur. Least prevalence found in a study having 28%. Using the formula N = Z2pq/ d2 sample size calculated as 257. Almost population of UHTC, RHTC and PHC are similar, equal number of samples (86) taken from all 3 areas. Community consent obtained from representatives, Home visits were made, informed oral consent obtained, face to face interview done using pre-designed, pre-tested questionnaire. Statistical analysis done using SPSS, means and standard deviations calculated. Chi square test used to calculate the associations. Results: Prevalence of DV is 33.3% and 16% of them are currently experiencing domestic violence. 36.4% of rural participants have experienced DV compared to 21.2% in urban participants & these differences were statistically significant as indicated by p value of 0.037. Factors such as religion, caste, type of family, education of female, spousal education, spousal occupation, alcohol consumption by husband, smoking habit of husband, history of parental abuse in spousal family, etc.. are associated with domestic violence. Conclusion: We conclude that domestic violence is mostly done by husband followed by mother-in-law and most common solution offered was to advice husband.

Nonhormone therapies for vasomotor symptom management.

Vasomotor symptoms (VMS) are associated with adverse health consequences and can cause significant morbidity for postmenopausal women. Although hormone therapy remains the gold standard of VMS treatment in menopausal women, some women have contraindications to or may choose not to take hormone therapy. This article provides an up-to-date overview of the current evidence-based nonhormone therapies available for managing VMS. Evidence supporting various treatment options is reviewed, including lifestyle interventions, mind-body therapies, procedures, pharmacologic agents, and emerging therapies, such as neurokinin-receptor antagonists. The efficacy, safety, and clinical use of these treatments are detailed, offering insights for clinicians to make informed decisions in menopausal VMS management.

How does Stigma Affect the Mental Health and Overall Well-Being of Individuals with Physical Disabilities? What is the Difference Cross Country (China and America)

This study examines the understudied issue of stigma and how it affects people with physical impairments' mental health and overall well-being in China and America. The study investigates how stigma is felt and internalized and how it impacts the mental health of people with physical limitations. The influence of cultural norms and social perspectives on impairments on mental health outcomes and stigma experiences in these two different cultural contexts is also investigated. The intersectionality theory is used in the study to comprehend how many facets of identity, including disability, interact and influence stigma experiences and mental health consequences. It acknowledges the nuanced role that identity dynamics and group classifications play in shaping stigma experiences in both China and the United States. Utilizing surveys and semi-structured interviews, the study technique combines quantitative and qualitative methodologies to capture a thorough picture of stigma, physical disability, and mental health in both nations. Considerations for sampling guarantee variety and an adequate sample size. To evaluate stigma and mental health, the study uses standardized measurements emphasizing coping skills and social support. Research instruments are culturally appropriated and translated to ensure they are pertinent for Chinese and American participants. The complicated link between stigma and mental health across cultural contexts is explored through data analysis, which includes statistical assessment and thematic analysis. This study advances theoretical knowledge by shedding light on the intricate relationship between stigma, physical impairment, and mental health. It broadens the corpus of research in stigma studies and offers cross-cultural insights into how social perspectives and cultural norms affect stigma experiences. The study has practical ramifications for mental health professionals and legislators, providing culturally informed therapies and raising awareness of the stigma associated with disabilities. In the end, this study offers the foundation for creating more inclusive communities and enhancing the quality of life for people with physical impairments in various cultural contexts.

Predicting DSM-5 PTSD symptomatology 6 months to 2 years after burn: The role of early psychological risk factors

BackgroundMajor burn injuries may have long-term mental health consequences, such as posttraumatic stress disorder (PTSD). This study extended prior work to investigate DSM-5 PTSD symptoms at 6 months, 1 year, and 2 years post-burn as well as the contribution of two sets of early psychological risk factors to DSM-5 PTSD symptoms: Established PTSD risk factors (prior adjustment problems, past trauma, perception of life threat, peritraumatic emotions and dissociation) and theory-derived cognitive factors (negative appraisals of the trauma and its sequelae, memory disorganization, trauma-related rumination, and thought suppression). MethodThe current study recruited a sample of 118 adult burn patients (75.4% men, mean age 41.8, mean TBSA 18.3%) consecutively admitted to a large regional burn center in Northern Taiwan, who were assessed at 6, 12, and 24 months following their burn injury. ResultsA total of 11.0%, 5.9%, and 7.6% met probable DSM-5 PTSD at 6 months, 1 year, and 2 years post-burn, respectively. The rates rose to 15.3%, 10.2%, and 11.0% using the cutoff method. After controlling for covariates, the regression model with theory-derived cognitive factors explained an additional significant 15.9%, 17.2%, and 17.7% of the variance in DSM-5 PTSD symptoms at 6 months, 1 year, and 2 years post-burn, respectively. In contrast, the regression model with established PTSD risk factors explained an additional significant 7.2%, 14.4%, and 10.5% of the variance in DSM-5 PTSD symptoms at 6 months, 1 year, and 2 years post-burn, respectively. Of all predictors, negative appraisals of intrusions was consistently and strongly predictive of DSM-5 PTSD symptomatology post-burn across time, followed by prior depression. ConclusionsThe results underscore the role of early cognitive risk factors in the development and persistence of DSM-5 PTSD symptomatology following burn injury.

A Multifunctional Nanozyme Integrating Antioxidant, Antimicrobial and Pro-Vascularity for Skin Wound Management.

Skin wounds are a prevalent issue that can have severe health consequences if not treated correctly. Nanozymes offer a promising therapeutic approach for the treatment of skin wounds, owing to their advantages in regulating redox homeostasis to reduce oxidative damage and kill bacteria. These properties make them an effective treatment option for skin wounds. However, most of current nanozymes lack the capability to simultaneously address inflammation, oxidative stress, and bacterial infection during the wound healing process. There is still great potential for nanozymes to increase their therapeutic functional diversity and efficacy. Herein, copper-doped hollow mesopores cerium oxide (Cu-HMCe) nanozymes with multifunctional of antioxidant, antimicrobial and pro-vascularity is successfully prepared. Cu-HMCe can be efficiently prepared through a simple and rapid solution method and displays sound physiological stability. The biocompatibility, pro-angiogenic, antimicrobial, and antioxidant properties of Cu-HMCe were assessed. Moreover, a full-thickness skin defect infection model was utilized to investigate the wound healing capacity, as well as anti-inflammatory and pro-angiogenic properties of nanozymes in vivo. Both in vitro and in vivo experiments have substantiated Cu-HMCe's remarkable biocompatibility. Moreover, Cu-HMCe possesses potent antioxidant enzyme-like catalytic activity, effectively clearing DPPH radicals (with a scavenging rate of 80%), hydroxyl radicals, and reactive oxygen species. Additionally, Cu-HMCe exhibits excellent antimicrobial and pro-angiogenic properties, with over 70% inhibition of both E. coli and S. aureus. These properties collectively promote wound healing, and the wound treated with Cu-HMCe achieved a closure rate of over 90% on the 14th day. The results indicate that multifunctional Cu-HMCe with antioxidant, antimicrobial, and pro-angiogenic properties was successfully prepared and exhibited remarkable efficacy in promoting wound healing. This nanozymes providing a promising strategy for skin repair.

IJCM_353A: Association between Intimate Partner Violence and Substance Use : A Narrative Review

Background: Exposure to intimate partner violence can have lasting mental and physical health consequences and often goes unreported because lack of accessibility or awareness about assured care points for the victims of the same. Substance use can be a risk factor for both perpetrating IPV and being a victim of IPV. Community health-care facilities can prove to be a valuable care point for identifying victims of IPV if the available literature supports the hypothesis that substance use disorders are an important associated factor for IPV. Objective: To identify the substance use correlates of Intimate Partner Violence against women Methodology: A review of the available literature was done covering a period from 2000-2020 in English language across Google Scholar and PubMed. Primary studies and secondary analysis studies about association of IPV against females with substance use disorders were included. The review included both quantitative (cross-sectional, longitudinal) and qualitative articles. Results: After full text reading, 27 articles met screening criteria. The prevalence of intimate partner violence among females when their partner had a history of substance use ranged from 20.9 %to 90%. Substance use which included alcohol, tobacco, heroin, khat and other recreational drugs were consistently related to intimate partner violence. IPV involved emotional, physical and sexual violence. It was found that many victims of IPV turn to substance use or have a history of the same. Conclusion: There is a relation between substance use and intimate partner violence. This can prove to be beneficial in directing future efforts towards the development of policies and awareness regarding identification and integrated treatments for co-occurring partner violence and substance use disorders.

Comprehensive Review on the Relationship between Duct Cleanliness and Airborne Contaminants

This study investigates the relationship between Indoor Air Quality (IAQ) and air duct cleanliness, addressing the rising concern for human well-being. Airborne contaminants like dust, mold, and bacteria are identified as significant threats to IAQ, with potential health consequences. The study will also explore the several established safety and health guidelines and duct characteristics that influenced IAQ. Consequently, the primary research goal is to examine the relationship between duct cleanliness and airborne contaminants in the building environment and determine whether air duct cleaning effectively reduces these contaminants. By thoroughly reviewing studies and established standards, we examine IAQ contaminants and explore the effects of duct cleaning, along with its potential health advantages. Findings emphasize duct cleaning's potential to enhance IAQ, reduce exposure to pollutants, and its importance for building owners, facility managers, and stakeholders in safeguarding occupants' health and comfort.

IJCM_94A: Risk Factors for Short Birth Intervals in women: A Case-Control Study from a Tertiary Health Care facility in Central India

Background: The interval between successive pregnancies, commonly referred to as the birth interval, plays a crucial role in maternal and child health outcomes. Optimal birth spacing is associated with improved maternal nutritional status, reduced risks of adverse pregnancy outcomes, and enhanced child survival. Conversely, short birth intervals, defined as intervals less than 24 months between two consecutive live births, have been linked to an increased likelihood of adverse maternal and child health consequences. Through a comprehensive examination of the contextualized risk factors, we aim to provide evidence that can guide healthcare practitioners, policymakers, and public health professionals in their efforts to improve maternal and child health outcomes in Central India. Objective: To determine risk factors for short birth interval among women in the tertiary health care centre of Central India. Methodology: A hospital-based unmatched case-control study was employed on 45 cases and 45 controls. Cases were women who gave birth within the last 6 months and with at least two consecutive alive births with a birth interval of less than 33 months. Controls were women who gave birth within the last 6 months and had a birth interval between 33 to 59 months between two successive live births. The data was collected by predesigned and pretested semi structured questionnaire from selected respondents. Results: Some important risk factors identified in the present study were age less than 30 years, use of contraception and shorter duration of breastfeeding. Conclusion: Encouraging postpartum family planning and effective breastfeeding will go a long way to reduce the prevalence of short birth interval and its consequences on maternal, neonatal and child health

Adverse childhood experiences and yoga as "a practice of liberation".

The long-term negative health consequences of adverse childhood experiences (ACEs) pose a significant public health concern. Effective and engaging interventions that simultaneously address physical, mental, and socio-emotional health and mitigate the negative sequelae related to ACEs are needed. Promising evidence points to the impact of yoga and mindfulness on physiological and emotional health outcomes. Yet, little is known about those who have experienced multiple ACEs and their perspectives on the influence of yoga and mindfulness on their lives. The current study examines the phenomenological experiences of adults with high ACEs who engage in yoga practice. Twelve adults participated in in-depth, semistructured interviews. These included nine cisgender women, two cisgender men, and one gender nonbinary individual; 66.8% White, 16.6% multiracial, 8.3% Black/African American, and 8.3% Asian American/Pacific Islander. Participants were aged 20-63 years and endorsed four or more ACEs. They practiced yoga at least once a week for at least 6 months. Themes that emerged included: healing from trauma-related symptoms, integration of the whole self in mind-body practice, corrective experiences through yoga and mindfulness, and healing beyond talk therapy. Individuals with ACEs may experience yoga as a potentially valuable method for promoting healing through an integrative approach. (PsycInfo Database Record (c) 2024 APA, all rights reserved).