Effects of Trauma-Informed Yoga on Coping with Stress, Mental Well-Being, Body Image, and Emotion Regulation in Performing Arts Students: A Pilot Randomized Controlled Study

Trauma-Informed Yoga in Performing Arts Students

Authors

DOI:

https://doi.org/10.63175/tjts.73

Keywords:

Trauma-Informed Yoga, Coping With Stress, Mental Well-Being, Emotion Regulation

Abstract

Background: Traumatic experiences may negatively affect stress coping, emotion regulation, and psychological well-being. Trauma-informed approaches emphasise safety, autonomy, and the prevention of re-traumatisation, and trauma-informed yoga has emerged as a body-based intervention supporting self-regulation. Students enrolled in conservatory and performing arts programs may be particularly vulnerable to stress, as the body functions both as a tool of expression and as a subject of continuous evaluation. This study examined the effects of a trauma-informed yoga intervention on stress coping, mental well-being, body image, and difficulties in emotion regulation.

Methods: This pilot experimental study used a pretest–posttest control-group design. Participants were 29 university students (intervention n = 12; control n = 17). The intervention group received a structured trauma-informed yoga program delivered online for three weeks, five days per week. The control group received no intervention. Data were collected using self-report measures, and nonparametric analyses were conducted due to the small sample size.

Results: Baseline scores did not differ significantly between groups. Posttest results showed significantly higher coping scores in the intervention group compared with the control group, with a large effect size. Change-score analyses indicated a significant improvement in coping. Mental well-being improved significantly within the intervention group; however, between-group differences were not statistically significant. No significant changes were observed in body image or difficulties in emotion regulation.

Conclusion: Trauma-informed yoga may be a promising supportive intervention to improve stress coping and enhance mental well-being among performing arts students. Further studies with larger samples and longer follow-up periods are needed.

References

1. Herman JL. Trauma and Recovery. New York, NY: Basic Books; 2015.

2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: American Psychiatric Publishing; 2013.

3. Substance Abuse and Mental Health Services Administration (SAMHSA). SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. Rockville, MD: SAMHSA; 2014.

4. Substance Abuse and Mental Health Services Administration (SAMHSA). Trauma-informed care in behavioral health services. Treatment Improvement Protocol (TIP) Series 57. Rockville, MD: SAMHSA; 2014.

5. Emerson D, Hopper E. Overcoming Trauma Through Yoga: Reclaiming Your Body. Berkeley, CA: North Atlantic Books; 2012.

6. Spinazzola J, Rhodes AM, Emerson D, Earle E, Monroe K. Application of yoga in trauma treatment: a conceptual overview. J Am Psychiatr Nurses Assoc. 2011;17(6):431–444.

7. Porges SW. The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-Regulation. New York, NY: W.W. Norton & Company; 2011.

8. Streeter CC, Gerbarg PL, Saper RB, Ciraulo DA, Brown RP. Effects of yoga on the autonomic nervous system, gamma-aminobutyric acid, and allostasis in epilepsy, depression, and post-traumatic stress disorder. Med Hypotheses. 2012;78(5):571–579.

9. Gothe NP, McAuley E. Yoga and cognition: a meta-analysis of chronic and acute effects. Psychosom Med. 2015;77(7):784–797.

10. Breedvelt JJF, Amanvermez Y, Harrer M, Karyotaki E, Gilbody S, Bockting CLH, Cuijpers P, Ebert DDE. The effects of meditation, yoga, and mindfulness on depression, anxiety, and stress in tertiary education students: A meta-analysis. Front Psychiatry. 2019;10:193. doi:10.3389/fpsyt.2019.00193.

11. Galante J, Friedrich C, Dawson AF, Modrego-Alarcón M, Gebbing P, Delgado-Suárez I, Gupta R, Dean L, Dalgleish T, White IR, Jones PB. Mindfulness-based programmes for mental health promotion in adults in nonclinical settings: A systematic review and meta-analysis of randomised controlled trials. PLoS Med. 2021;18(1):e1003481. doi:10.1371/journal.pmed.1003481.

12. Dawson AF, Brown WW, Anderson J, Datta B, Donald JN, Hong K, Allan S, Mole TB, Jones PB, Galante J. Mindfulness-based interventions for university students: A systematic review and meta-analysis of randomised controlled trials. Appl Psychol Health Well Being. 2020;12(2):384–410. doi:10.1111/aphw.12188.

13. Kenny DT, Ackermann BJ. Performance-related anxiety in musicians: a review of the literature. Med Probl Perform Art. 2015;30(3):115–123.

14. Burin AB, Osório FL. Music performance anxiety: a critical review of etiological factors, coping strategies and treatment. Rev Bras Psiquiatr. 2017;39(3):255–263.

15. Tennant R, Hiller L, Fishwick R, Platt S, Joseph S, Weich S, et al. The Warwick–Edinburgh Mental Well-being Scale (WEMWBS): development and UK validation. Health Qual Life Outcomes. 2007;5:63.

16. Cash TF, Fleming EC. The impact of body image experiences: development of the Body Image Quality of Life Inventory. Int J Eat Disord. 2002;31(4):455–460.

17. Bjureberg J, Ljótsson B, Tull MT, Hedman E, Sahlin H, Lundh LG, et al. Development and validation of a brief version of the Difficulties in Emotion Regulation Scale: the DERS-16. J Psychopathol Behav Assess. 2016;38(2):284–296.

18. Carver CS. You want to measure coping, but your protocol’s too long: consider the Brief COPE. Int J Behav Med. 1997;4(1):92–100.

19. Pascoe MC, Thompson DR, Ski CF. Yoga, mindfulness-based stress reduction and stress-related physiological measures: a meta-analysis. Psychoneuroendocrinology. 2017;86:152–168.

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Published

30.09.2026

How to Cite

Güner, P., & Başak, N. T. (2026). Effects of Trauma-Informed Yoga on Coping with Stress, Mental Well-Being, Body Image, and Emotion Regulation in Performing Arts Students: A Pilot Randomized Controlled Study: Trauma-Informed Yoga in Performing Arts Students. Turkish Journal of Traumatic Stress, 2(3), 150–158. https://doi.org/10.63175/tjts.73