Feasibility and Outcomes of a Psychocardiologic Retreat: A Trauma-Informed Intervention for Cardiovascular Risk...

Cardiovascular disease is increasingly comorbid with trauma and psychological stress, yet psychocardiologic models remain limited.

The aim of this study was to evaluate the feasibility and effects of a novel, trauma-informed, retreat-based intervention on mental and cardiovascular health among adults with a history of trauma.

We conducted a within-subjects pretest-and-posttest study involving 26 participants from an underresourced community. The 3-day retreat integrated trauma recovery sessions with cardiovascular wellness strategies, including guided movement, sound therapy, and peer support. Key outcomes included cardiovascular hemodynamics (central and peripheral blood pressure, augmentation index), posttraumatic stress disorder symptom severity, quality of life, and behavioral health indicators.

At baseline, mean (SD) peripheral systolic blood pressure was 140.0 (19.5) mm Hg, and the mean (SD) posttraumatic stress disorder symptom score was 39.0 (12.5), indicating moderate symptom severity. Post retreat (day 3), participants experienced a significant 34.2% reduction in augmentation index ( P < .001) and a 5.9-mm Hg drop in systolic blood pressure ( P = .05). At the 4-week follow-up (n = 19), augmentation index reductions were sustained, and over half reported improved quality of life. Although average posttraumatic stress disorder scores remained stable, a shift toward lower symptom categories occurred. Participants also showed modest gains in physical activity, diet, and behaviors aligned with the American Heart Association's Life's Essential 8. Participants reported reduced stress, emotional relief, and stronger social connection.

Findings from this study underscore that a trauma-informed, retreat-based intervention may offer a feasible, practical, and scalable approach to addressing both cardiovascular and mental health in high-risk populations.