Viann N. Nguyen-Feng’s research while affiliated with University of Minnesota Duluth and other places

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Publications (55)


Ways of Knowing and Being: Qualitative Study of Indigenous Perspectives on Trauma-Sensitive Yoga
  • Article

December 2024

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2 Reads

THE MIND - Bulletin on Mind-Body Medicine Research

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Viann Nguyen-Feng

Experiences with One-to-One Trauma Center Trauma-Sensitive Yoga Sessions: Consensual Qualitative Research

November 2024

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5 Reads

International Journal of Yoga Therapy

Trauma Center Trauma-Sensitive Yoga (TCTSY) is an evidence-based yoga intervention that has been used as an effective adjunct treatment for posttraumatic stress disorder (PTSD). Previous research has focused on TCTSY offered in group settings. The present study examined experiences of individuals practicing TCTSY one-to-one (i.e., one client, one TCTSY facilitator). Study aims were to: (1) learn about participants’ experiences with and reasons for attending one-to-one TCTSY; (2) describe and compare participants’ experiences between group and one-to-one yoga settings; (3) explore participants’ perceptions of the impacts of TCTSY on their trauma healing; and (4) document participants’ intentions for continued one-to-one TCTSY use. Semistructured interviews were offered to participants at completion of a longitudinal observational study of one-to-one TCTSY; 4 of the 10 participants agreed to be interviewed. Interviewees were located in the United States and self-reported experiencing childhood trauma and a current PTSD diagnosis. Following the consensual qualitative research method, domains were initially created deductively by the team. Adjustments, as well as categories and core ideas, were created inductively. Results indicated that participants: (1) preferred one-to-one over groups because of perceived safety and comfort; (2) had positive experiences with TCTSY; (3) perceived biopsychosocial benefits from the practice and described using TCTSY principles outside of sessions; and (4) intended to practice indefinitely. This study provided insight to the lived experiences of participants who use TCTSY as complementary care. Yoga facilitators and clinical trauma care providers are recommended to collaborate to offer one-to-one somatic-based approaches to create more access options for trauma healing.


Experiences with One-to-One Trauma Center Trauma-Sensitive Yoga Sessions: Consensual Qualitative Research

November 2024

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9 Reads

Trauma Center Trauma-Sensitive Yoga (TCTSY) is an evidence-based yoga intervention that has been used as an effective adjunct treatment for posttraumatic stress disorder (PTSD). Previous research has focused on TCTSY offered in group settings. The present study examined experiences of individuals practicing TCTSY one-to-one (i.e., one client, one TCTSY facilitator). Study aims were to: (1) learn about participants’ experiences with and reasons for attending one-to-one TCTSY; (2) describe and compare participants’ experiences between group and one-to-one yoga settings; (3) explore participants’ perceptions of the impacts of TCTSY on their trauma healing; and (4) document participants’ intentions for continued one-to-one TCTSY use. Semistructured interviews were offered to participants at completion of a longitudinal observational study of one-to-one TCTSY; 4 of the 10 participants agreed to be interviewed. Interviewees were located in the United States and self-reported experiencing childhood trauma and a current PTSD diagnosis. Following the consensual qualitative research method, domains were initially created deductively by the team. Adjustments, as well as categories and core ideas, were created inductively. Results indicated that participants: (1) preferred one-to-one over groups because of perceived safety and comfort; (2) had positive experiences with TCTSY; (3) perceived biopsychosocial benefits from the practice and described using TCTSY principles outside of sessions; and (4) intended to practice indefinitely. This study provided insight to the lived experiences of participants who use TCTSY as complementary care. Yoga facilitators and clinical trauma care providers are recommended to collaborate to offer one-to-one somatic-based approaches to create more access options for trauma healing.




Effects of One-to-One Trauma Center Trauma-Sensitive Yoga Sessions on Psychological Symptoms and Interoception over 6 Months

September 2024

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23 Reads

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1 Citation

International Journal of Yoga Therapy

Posttraumatic stress disorder (PTSD) is a serious health condition that adversely affects the mind and body. Current first-line treatment for PTSD tends to focus on the mind and overlook the impacts of trauma on the body. Trauma Center Trauma-Sensitive Yoga (TCTSY) is an evidence-based adjunctive therapy for complex trauma and PTSD that uses a body-based approach to trauma healing. Although designed to be used in group or individual contexts, previous studies have focused only on TCTSY facilitated in groups. The present study examined the effects of one-to-one TCTSY (i.e., one participant receiving TCTSY services, not in a group TCTSY context) on anxiety, depression, posttraumatic stress, interoception, substance use, and sleep over time. Using an observational approach, all certified TCTSY facilitators received the study invitation to share with clients who were enrolled in one-to-one TCTSY services. Ten clients participated in the study across four countries (women n = 8; mean age 44.80 ± 11.91; PTSD diagnosis n = 9). Clients completed Qualtrics surveys at TCTSY sessions in June-December 2022. Linear mixed-model analyses found that anxiety, depression, posttraumatic stress symptoms, attention regulation, self-regulation, and body listening significantly improved over time. There were no significant changes in sleep or substance use from pre-to post-study. TCTSY is a somatic approach for managing trauma symptoms and enhancing interoceptive awareness. Extensions of the present study are warranted to further understand the effects of one-to-one TCTSY for trauma care. Dietrich et al. Int J Yoga Therapy 2024(34).


Effects of One-to-One Trauma Center Trauma-Sensitive Yoga Sessions on Psychological Symptoms and Interoception over 6 Months

September 2024

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9 Reads

Posttraumatic stress disorder (PTSD) is a serious health condition that adversely affects the mind and body. Current first-line treatment for PTSD tends to focus on the mind and overlook the impacts of trauma on the body. Trauma Center Trauma-Sensitive Yoga (TCTSY) is an evidence-based adjunctive therapy for complex trauma and PTSD that uses a body-based approach to trauma healing. Although designed to be used in group or individual contexts, previous studies have focused only on TCTSY facilitated in groups. The present study examined the effects of one-to-one TCTSY (i.e., one participant receiving TCTSY services, not in a group TCTSY context) on anxiety, depression, posttraumatic stress, interoception, substance use, and sleep over time. Using an observational approach, all certified TCTSY facilitators received the study invitation to share with clients who were enrolled in one-to-one TCTSY services. Ten clients participated in the study across four countries (women n = 8; mean age 44.80 ± 11.91; PTSD diagnosis n = 9). Clients completed Qualtrics surveys at TCTSY sessions in June–December 2022. Linear mixed-model analyses found that anxiety, depression, posttraumatic stress symptoms, attention regulation, self-regulation, and body listening significantly improved over time. There were no significant changes in sleep or substance use from pre- to post-study. TCTSY is a somatic approach for managing trauma symptoms and enhancing interoceptive awareness. Extensions of the present study are warranted to further understand the effects of one-to-one TCTSY for trauma care.


Mixed-Method Examination of Early Maladaptive Schemas and Coping Among Children at a Child Advocacy Center
  • Article
  • Publisher preview available

August 2024

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13 Reads

Psychological Trauma Theory Research Practice and Policy

Objective: The present study examined (a) the presence of early maladaptive schemas and coping responses in children who have experienced maltreatment, (b) the relationship between early maladaptive schemas and coping responses, and (c) how qualitative findings compare to previous theoretical structures in quantitative studies. Method: There were 100 participants (Mage = 10.72 years, SD = 3.35; 64 girls, 30 boys, six transgender/nonbinary), with 70% identifying as White. Data were collected in collaboration with a community child advocacy center through forensic interviews in cases of reported child abuse. Early maladaptive schemas were assessed using an adapted version of the Dusseldorf Illustrated Schema Questionnaire for Children. Coping responses were assessed using the COPE Inventory. Information about individual and abuse factors was gathered from case reports. Child advocacy center staff completed the measures based on information obtained during forensic interviews. Results: All assessed early maladaptive schemas were endorsed in this sample; children reported an ability to adapt through the use of socially supported and self-sufficient coping responses. Hierarchical cluster analysis examining word similarity within coded texts demonstrated that subjugation and self-sacrifice were most strongly related. Conclusion: This mixed-method study integrating children’s voices contributes a new perspective on early maladaptive schemas and coping responses that can provide education to multidisciplinary teams involved in forensic interviews. However, limits to generalizability must be considered given that the sample was derived from one region in the U.S. Midwest.

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Yoga and Mindfulness Training for Professional Baseball Players: A Narrative Study on Perspectives and Practices

August 2024

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29 Reads

International Journal of Yoga Therapy

Mindfulness-related practices (e.g., yoga) appear aligned with the field of athletic performance in developing sport-related capacities such as attention regulation, volition, perception, and coping. The purpose of the present narrative study was to explore the experiences of professional baseball players who interacted with the ideas and practices of mindfulness presented in classes featuring yoga and Mindfulness-Acceptance-Commitment (MAC). Participants were seven Minor League Baseball players who learned mindfulness practices in off-season instructional classes and then completed semi-structured episodic interviews on how their mindfulness practices were perceived and utilized in training and competition during the baseball season. Data were analyzed using the three-dimensional space approach to examine participants' subjective accounts of experience, behavior, environmental conditions, and external events. Individual narratives were re-storied and themed. Results indicated various themes across settings, from players' experiences in the yoga/MAC classes (effect of breath regulation on coping strategies; self-awareness and the mind-body connection), on the baseball field (confidence and self-efficacy; self-regulation; resilience and positive coping strategies), and off the baseball field (everyday life and activities; stigma of mental training). Overall, participants appeared to be accepting of mindfulness integrated into their training and provided perspectives supporting the benefits of yoga/MAC classes. This study has research and practice implications in incorporating yoga and mindfulness-based practices in athletic performance among young professional athletes.


Mixed-Method Examination of Early Maladaptive Schemas and Coping Among Children at a Child Advocacy Center

July 2024

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5 Reads

Objective: The present study examined: (1) the presence of early maladaptive schemas and coping responses in children who have experienced maltreatment, (2) the relationship between early maladaptive schemas and coping responses, and (3) how qualitative findings compare to previous theoretical structures in quantitative studies. Method: There were 100 participants (Mage = 10.72 years, SD = 3.35; 64 girls, 30 boys, 6 transgender/nonbinary), with 70% identifying as White. Data were collected in collaboration with a community child advocacy center through forensic interviews in cases of reported child abuse. Early maladaptive schemas were assessed using an adapted version of Dusseldorf Illustrated Schema Questionnaire for Children. Coping responses were assessed using the COPE Inventory. Information about individual and abuse factors were gathered from case reports. Child advocacy center staff completed the measures based on information obtained during forensic interviews. Results: All assessed early maladaptive schemas were endorsed in this sample; children reported an ability to adapt through the use of socially-supported and self-sufficient coping responses. Hierarchical cluster analysis examining word similarity within coded texts demonstrated that subjugation and self-sacrifice were most strongly related. Conclusion: This mixed-method study integrating children’s voices contributes a new perspective on early maladaptive schemas and coping responses that can provide education to multidisciplinary teams involved in forensic interviews. However, limits to generalizability must be considered given that the sample was derived from one region in the U.S. Midwest.


Citations (27)


... Participants completed online surveys via Qualtrics as part of a longitudinal one-to-one TCTSY observational study. 56 ose poststudy surveys provided information about the subset of the sample who participated in the optional exit interviews in regard to participant demographics, trauma exposure, PTSD symptoms, and background experiences with trauma care. ...

Reference:

Experiences with One-to-One Trauma Center Trauma-Sensitive Yoga Sessions: Consensual Qualitative Research
Effects of One-to-One Trauma Center Trauma-Sensitive Yoga Sessions on Psychological Symptoms and Interoception over 6 Months
  • Citing Article
  • September 2024

International Journal of Yoga Therapy

... Given that all participants in our study endorsed childhood trauma and current PTSD diagnoses, these results, particularly the descriptions of usual TCTSY sessions and likes/dislikes, can provide descriptive information that may inform decisions to try trauma-sensitive yoga. Mental health providers and trauma-sensitive yoga facilitators can collaborate to offer holistic trauma care within the community via integrated treatment plans (e.g., use of yoga skills, such as breathing or stretching, as grounding or coping strategies during psychotherapy); co-facilitation of yoga and psychoeducational groups 75 ; offer workshops about the effects of trauma and role of yoga in mind-body healing; and establish of referral lists (e.g., yoga facilitators can provide clients with a list of local mental health services, if needed, and psychotherapists can provide clients with information for yoga facilitators who specialize in trauma-sensitive yoga). ...

Peer Support Groups Integrated with Trauma-Sensitive Yoga for Women Survivors of Sexual Violence: A Feasibility Study and Qualitative Examination
  • Citing Article
  • February 2024

International Journal of Yoga Therapy

... al, 2011;Woodyard, 2011). Yoga means the union of mind, body, and soul which is practised to attain body and mind fitness (Gaiswinkler and Unterrainer, 2016). It involves physical activity with a mental focus on self-awareness, breathing patterns, and the flow of energy that enables the practitioner to overcome nervousness, anxiety and discontent (Sundstrom et. al, 2023). The founding father of modern yoga, Patanjali described it as a procedure of quietening the alterations of mind (Cramer et al, 2017). The basic nature of yoga is monitoring mental modifications thus indicating the importance it ascribes to spiritual and intellectual well-being (Siegel et. al, 2009). ...

Evaluation of Online Adaptive Yoga for Psychological Well-Being in Adults With Disabilities

Rehabilitation Psychology

... These previous active PMRT phases are essential and are typically administered face-to-face by a psychotherapist or a health operator trained to conduct the PMRT. By considering the effective results of web-based interventions in reducing stress among college students [24] and the relevant advantages that online therapy can offer (eg, saving costs related to attending psychotherapy sessions, allowing a partial self-management of part of the relaxation training), we assumed that assessing the efficacy of PMRT in alternative settings may facilitate the administration of treatment when the implementation of the standard procedure is not possible. ...

Randomized Controlled Trials Assessing Efficacy of Brief Web-Based Stress Management Interventions for College Students During the COVID Pandemic

Journal of Counseling Psychology

... This is the first study to our knowledge that assesses the relations between perceived racism and PTS in the context of pandemic stressors within a youth sample. Consistent with findings in adult samples (Williams et al., 2021;Zhou et al., 2022), both pandemic exposure and discrimination had discrete contributions to increased risk for PTS, and discrimination was a distinctive risk factor for participants of color providing further evidence that the lived experience of the COVID-19 pandemic presents a greater burden for REM populations. ...

Racism, Posttraumatic Stress Symptoms, and Racial Disparity in the U.S. COVID-19 Syndemic

Behavioral Medicine

... In 2021, more than 60% of college students met the criteria for at least one mental health concern, and three-quarters of students reported periodic moderate to severe psychological distress (4). Colleges saw a 66% increase in depression and higher stress levels during the pandemic compared to pre-pandemic times (5). If left untreated, the consequences of poor mental health can extend into adulthood-thus impairing physical health as well, and limit ones' opportunities toward a fulfilling life (6). ...

US college student mental health and COVID-19: Comparing pre-pandemic and pandemic timepoints
  • Citing Article
  • November 2021

Journal of American College Health

... Along with being a widespread global health crisis, the COVID-19 pandemic introduced myriad challenges distinctive to parents and families with children including restrictive protocols regarding pregnancy, delivery, and postpartum care, parenting challenges leading to changes in satisfaction with and quality of parenting, and an overall increase in stress and worry related to child-rearing (Brown et al., 2020;Chu et al., 2021;Olhaberry et al., 2022;Racine et al., 2022;Roos et al., 2021;Taubum-Ben-Ari et al., 2021;Wamser-Nanney et al., 2021;Weeland et al., 2021). Moreover, parents involved in the child welfare system struggled immensely during lockdown as the transition to virtual platforms constricted their ability to bond with their children, create working relationships with their case workers, and access services needed to facilitate family reunification (Goldberg et al., 2021;Oehme et al., 2021;Singer & Brodzinsky, 2020). ...

Parenting Amidst COVID-19: Pandemic-Related Stressors, Inequities, and Treatment Utilization and Perceptions

Couple and Family Psychology Research and Practice

... AAs may be experiencing heightened COVID-related collective racism during COVID. Only a few studies have examined the impact of COVID-related collective racism on mental health, finding the expected association with increased mental health symptoms [35,40,41]. However, no study, to our knowledge, has specifically examined the impact of COVID-related collective racism on the mental or physical health of AAs. ...

Racism, Posttraumatic Stress Symptoms, and Racial Disparity in the U.S. COVID-19 Syndemic

... 34,35 In contrast to these positive findings, a study of college students who completed a popular self-report measure of childhood maltreatment (the Childhood Trauma Questionnaire-short form) 36 found that while childhood maltreatment (including abuse and neglect) were associated with poorer sleep quality, they were not related to sleep-onset latency. 37 On the whole, there appears to be building evidence for the impact of ACEs on subsequent insomnia in adulthood. However, in addition to further establishing this relationship, researchers have emphasized the need to identify mechanisms that would explain this association and potentially serve as targets for intervention. ...

Relations Among Daily Stressors, Childhood Maltreatment, and Sleep in College Students

Journal of Counseling Psychology

... It places a priority on establishing a safe and empowering environment, providing practices aimed at healing the impact of trauma on emotions and the body, while also enhancing awareness of internal sensations (Emerson, 2015;Rhodes et al., 2016). Evidence supports the effective use of TIY for individuals exposed to trauma (Nguyen-Feng et al., 2020;Ong, 2021), including those who have experienced DV (Beranbaum & D'Andrea, 2023;van der Kolk et al., 2014), as well as vulnerable population (Tibbitts et al., 2021). In a systematic review of ten studies examining yoga interventions for survivors of interpersonal violence, researchers concluded that yoga holds promise as a viable intervention, improving health outcomes, fostering personal development, and complementing conventional psychological therapy methods (Kappas Mazzio et al., 2021). ...

Moderators of Treatment Efficacy in a Randomized Controlled Trial of Trauma-Sensitive Yoga as an Adjunctive Treatment for Posttraumatic Stress Disorder

Psychological Trauma Theory Research Practice and Policy