Staples (2024)

Low · Non-Randomized Trial (Pilot) · Supportive (Non-Randomized) · n = 26
Quality Index (Adjusted QI) 0.767
0 Low < 0.56 Moderate 0.56–0.77 High ≥ 0.78 1
Study Details
ConditionPTSD (combined KY+CBT)
Clinical domainTrauma & PTSD
PopulationAdults with PTSD (DSM-5 criteria via CAPS-5)
Sample sizen = 26
Country / SettingUSA - Albuquerque, New Mexico area (community recruitment)
Protocol clusterTrauma-Sensitive KY
Duration8 weeks, combined KY+CBT sessions
Control type
ComparatorNone - single group design
Outcomes & Effect Sizes
Primary outcomePTSD symptoms and sleep quality
Scales usedPCL-5 (total + 4 clusters: intrusion, avoidance, arousal/reactivity, negative cognitions/mood); PSQI (total + 7 components); CAPS-5 (screening); LEC-5 (trauma exposure)
Key resultCombined KY+CBT reduced total PTSD by 19.8 points (p<.001); all symptom clusters improved; sleep quality improved by 3.5 points (p<.001); improvements maintained at 2-month follow-up
Effect sizeNot reported in Cohen's d format. Mean changes: PCL-5 total: -19.8 (baseline 50.3→post 30.5); PSQI total: -3.5 (baseline 11.5→post 8.1). All p<.001 to p=.016
Retention24/26 completed post-assessment (92%); 21/26 completed 2-month follow-up (81%)
SafetyNot explicitly reported; no safety concerns mentioned
View PDF
Methodological Summary

Linear mixed models (LMM) accounting for cohort clustering and repeated measures; Sidak correction for pairwise comparisons; power calculation via Monte Carlo simulation; homework compliance tracked (57% yoga, 47% CBT)

KY Protocol Components

PTSD Protocol - 8 weekly 3-hour sessions (half CBT, half KY): KRIYAS/SETS (physical exercises + breathing, by session): • Sessions 1-2: Elementary Adjustment of the Brain (3 exercises × 3 min: 2 coordinate arm movements with breath, 1 static posture) • Sessions 1-3: Kriya to Still Nerves, Shakes, Anxiety and Tension • Sessions 2-5: Shabad Kriya meditation (for sleep improvement) • Sessions 3-4: Gudtkaa Kriya • Sessions 4-6: Creating Internal Balance • Sessions 6-8: Pauri Kriya • Sessions 7-8: Renew Your Nervous System and Build Stamina MEDITATIONS: • Jupiter Finger Chakra Meditation (Sessions 5-6) • Meditation into Being (Sessions 7-8) • Guided deep relaxation: end of Session 1, before last meditation Sessions 2-8 HOMEWORK: Elementary Adjustment of the Brain (15 min daily) - believed to reset brain areas affected by trauma PROTOCOL DETAILS: • Time incrementally increased each session for mastery • All 3 sets and 6 meditations practiced in ≥2 sessions • Developed by Dr. Shanti Shanti Kaur Khalsa, Guru Ram Das Center • Protocol also used in Jindani et al. 2015 studies • Resources: Book "Reclaiming Life after Trauma" (Mintie & Staples, 2018); Videos at integrative-trauma-recovery.com

Quality Item Scores — 1 fail · 2 partial · 3 pass · ★ critical
★A1
2
A2
3
★B1
2
★B2
2
B3
3
B4
3
★B5
3
B6
3
★B7
1
★B8
3
B9
2
★C1
1
JP1
3
Critical fails2
Raw QI0.795
SAF0.965
Adjusted QI0.767
Final ratingLow