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Do Contemplative Practices Promote Trauma Recovery? A Narrative Review from 2018 to 2023.

Francesca Scafuto, Rossella Mattea Quinto, Graziella Orrù, Alessandro Lazzarelli, Rebecca Ciacchini, Ciro Conversano

Healthcare (Basel, Switzerland) November 7, 2025 Peer reviewed DOI: 10.3390/healthcare13222825 via PubMed

Summary

Contemplative practices, including mindfulness, yoga, and meditation, significantly reduce trauma-related symptoms in both youth and adults. A review of 42 studies found that these practices effectively address issues like reactivity, intrusion, hyperarousal, and negative mood. However, results regarding avoidance symptoms were mixed. The findings support integrating contemplative practices with trauma-focused therapy to enhance emotional awareness and improve self-trust among trauma survivors.

Study at a glance

Design narrative review
Sample size 42
Population young and adult populations experiencing trauma-related symptoms
Key finding Mindfulness emerged as the most investigated practice for supporting trauma recovery among various contemplative practices.

Abstract

Background: Contemplative practices encompass a variety of static and dynamic practices. These practices, by fostering insights, heightened awareness, and a deeper connection to a broader framework of meaning, may play a crucial role in significantly reducing trauma-related symptoms in both young and adult populations. Methods: The current narrative literature review used Scopus and PubMed to search for studies published between January 2018 and August 2023 that examined the effects of contemplative practices, an umbrella term that includes mindfulness-based interventions, yoga, tai chi, qigong, and meditation, on trauma recovery and PTSD symptoms among adults and youths. Results: The literature search identified 281 articles. Forty-two studies met the inclusion criteria and were critically evaluated. Among the various approaches, encompassing stand-alone contemplative practices and combined interventions, mindfulness emerged as the most employed and investigated practice for supporting trauma recovery. Contemplative practices have been shown to effectively reduce various dimensions of traumatic experience, such as reactivity, intrusion, hyperarousal, and negative cognitions and mood. Controversial results were found on avoidance symptoms and physiological parameters. Conclusions: The results give support to the idea of combining contemplative practices with trauma-focused psychotherapeutic interventions to foster a sense of safety and enhance emotional expression and awareness of feelings of fear, shame, guilt, or inferiority while improving metacognitive processes. This, in turn, supports healing the sense of self, restoring a sense of basic trust in self and others, which is often deeply affected in individuals who have experienced trauma.

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