Post-Traumatic Recovery Using the Korpan Salt Mask
Abstract
The aim of this study was to evaluate the therapeutic potential of the Korpan salt therapy mask combined with structured psychotherapeutic support for individuals affected by the war in Ukraine and presenting with symptoms of acute stress disorder, post-traumatic stress disorder, and anxiety. Methods. The study was grounded in an integrative, trauma-informed theoretical model that incorporates psychophysiological, psychological, and clinical approaches. It employed a mixed-methods design with both quantitative and qualitative data collection. The sample comprised 57 participants (27 adults and 30 children, predominantly internally displaced persons) who, over two-weeks, used the Korpan mask daily in combination with psychotherapy encompassing four stages: psychophysiological stabilization, emotional balance regulation, cognitive process restoration, and the development of constructive coping strategies. Quantitative assessment was conducted using the PSQI, HADS-A/D, PTSD Diagnostic Scale, and KM-SABS; qualitative data were obtained through semi- structured interviews and parent questionnaires for children. Results showed statistically significant improvements across all key indicators: an increase in parasympathetic dominance on the KM-SABS (+2.37; p < 0.01; r = 0.56), reductions in PTSD symptom severity (−2.11; p < 0.01; r = 0.65), anxiety (−5.30; p < 0.001; r = 0.68), and PSQI sleep disturbance scores (−3.30; p < 0.01; r = 0.56). Thematic analysis revealed four core recovery themes: physiological stabilization and improved sleep, reduced hyperarousal, enhanced emotional regulation and social interaction, and decreased trauma-related play and avoidance behavior. The synergy of sensory modulation, parasympathetic nervous system activation, and psychotherapy facilitated more rapid reduction of psychophysiological tension, easier engagement in the therapeutic process, and increased emotional resilience. Discussion and Conclusions. The use of the Korpan mask in combination with psychotherapeutic support represents a promising, accessible, and non-invasive tool for supporting mental health in low-resource and humanitarian crisis settings. The findings support the need for further large-scale controlled studies to confirm its effectiveness, explore long-term outcomes, and integrate this approach into multimodal trauma-informed care programs.
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Boland R. J., Verduin M. L. (Eds.). Abridgement of Kaplan Sadock’s synopsis of psychiatry (12th ed.). 2022. Retrieved from Library of Congress: https://lccn.loc.gov/2021038871
Eron K., Kohnert L., Watters A., Logan C., Weisner- Rose M., Mehler P. S. Weighted blanket use: A systematic review. The American Journal of Occupational Therapy. 2020. Vol. 74(2). https://doi.org/10.5014/ajot.2020.037358
Farb N., Daubenmier J., Price C. J., Gard T., Kerr C., Dunn B. D., ... Mehling W. E. Interoception, contemplative practice, and health. Frontiers in psychology. 2015. Vol. 6, 763. https://doi.org/10.3389/fpsyg.2015.00763
Ghasemi F., Beversdorf D. Q., Herman K. C. Stress and stress responses: A narrative literature review from physiological mechanisms to intervention approaches. Journal of Pacific Rim Psychology. 2024. Vol. 18. https://doi.org/10.1177/18344909241289222
Rothberg B. Group Interpersonal Therapy (IPT) for Depression. 2017. https://doi.org/10.1176/appi.ajp.2016.1612139
Gurel N. Z., Wittbrodt M. T., Levantsevych O. M., Huang M., et al. Accrued reductions in heart rate following transcutaneous vagus nerve stimulation during trauma-reminder exposure in PTSD patients: A double-blind randomized controlled trial. Psychosomatic Medicine. 2025. https://doi.org/10.1097/PSY.0000000000000987
Hamamra B., Mahamid F., Bdier D., Atiya M. War-related trauma in narratives of Gazans: challenges, difficulties and survival coping. Cambridge Prisms: Global Mental Health. 2025. Vol. 12, e34. https://doi.org/10.1017/gmh.2025.23
Harward L. K., Lento R. M., Teer A., Samph S., Parmenter M. E., Bonvie J., ... Tanev K. S. Massed treatment of posttraumatic stress disorder, traumatic brain injury, and co- occurring conditions: the Home Base intensive outpatient program for military veterans and service members. Frontiers in Psychiatry. 2024. Vol. 15, 1387186. https://doi.org/10.3389/fpsyt.2024.1387186
Harwood-Gross A., Elias S., Lerner K., Nacasch N., Lawi C., Brom D., Barak A. Veterans’ experiences of somatic experiencing and prolonged exposure therapies for post-traumatic stress disorder: A qualitative analysis. Psychology and Psychotherapy: Theory, Research and Practice. 2025. Vol. 98(1). P. 175–192. https://doi.org/10.1111/papt.12570
Heeke C., O’Donald A., Stammel N., Böttche M. Same same but different? DSM-5 versus ICD-11 PTSD among traumatized refugees in Germany. Journal of Psychosomatic Research. 2020. Vol. 134, 110129. https://doi.org/10.1016/j.jpsychores.2020.110129
World Health Organization. mhGAP intervention guide for mental, neurological and substance use disorders in non-specialized health settings: mental health Gap Action Programme (mhGAP), version 2.0. World Health Organization. (2016. https://iris.who.int/handle/10665/250239
Im B., Keum J., Kim T., Lee K.-i., Koo K.-i. Utilizing real-time heart rate variability during psychological intervention program for complex post-traumatic stress disorder: A case study. Applied Sciences. 2024. Vol. 14(1), 4. https://doi.org/10.3390/app14010004
Jones E., Wessely S. Psychological trauma: A historical perspective. Psychiatry. 2006. Vol. 5(7), 217–220. https://doi.org/10.1053/j.mppsy.2006.04.011
Jones E., Wessely S. A paradigm shift in the conceptualization of psychological trauma in the 20th century. Journal of anxiety disorders. 2007. Vol. 21(2). P. 164–175. https://doi.org/10.1016/j.janxdis.2006.09.009
Kenemore J., Benham G., Charak R., Hernandez Rodriguez J.. Heart rate variability biofeedback as a treatment for military PTSD: A meta- analysis. Military Medicine, 189(e1903–e1909). 2024. https://doi.org/10.1093/milmed/usae003
Kessler R. C., Aguilar-Gaxiola S., Alonso J., Benjet C., Bromet E. J., Cardoso G., ... Koenen K. C. Trauma and PTSD in the WHO world mental health surveys. European journal of psychotraumatology. 2017. Vol. 8(SI5), 1353383. https://doi.org/10.1080/20008198.2017.1353383
Kogut O. O. Psychology of Personal Stress Resistance: Monograph. Kryvyi Rih: Publisher R.A. Kozlov. 2021. https://doi.org/10.31108/1.2021.7.5.11
Lewis C., Roberts N. P., Andrew M., Starling E., Bisson J. I. Psychological therapies for post- traumatic stress disorder in adults: Systematic review and metaanalysis. European journal of psychotraumatology. 2020. Vol. 11(1), 1729633. https://doi.org/10.1080/20008198.2020.1729633
Limaj E., Yaroshenko O. M., Melnychuk N. O., Moskalenko O. V., Chung J. K. The trauma of war: implications for future generations in Ukraine (comparison with the Eastern European countries that were at war at the end of the 20th century). International Journal of Environmental Studies. 2024. Vol. 81(1). P. 111–124. https://doi.org/10.1080/00207233.2023.2267388
Mather M., Thayer J. F. How heart rate variability affects emotion regulation brain networks. Current Opinion in Behavioral Sciences. 2018. Vol. 19. P. 98–105. https://doi.org/10.1016/j.cobeha.2017.12.009
Mitchell J. M., Bogenschutz M., Lilienstein A., Harrison C., Kleiman S., Parker Guilbert K., ... Doblin, R. MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo- controlled phase 3 study. Focus. 2023. Vol. 21(3). P. 315–328. https://doi.org/10.1038/s41591-021-01336-3
Olff M., Amstadter A., Armour C., Birkeland M. S., Bui E., Cloitre M., ... Thoresen S. A decennial review of psychotraumatology: what did we learn and where are we going?. European Journal of Psychotraumatology. 2019. Vol. 10(1), 1672948. https://doi.org/10.1080/20008198.2019.1672948
Papelbaum M., Moreira R.O., Coutinho W., Kupfer R., Zagury L., Freitas S., Appolinário J. C. Depression, Glycemic Control and Type 2 Diabetes. Diabetology Metabolic Syndrome. 2011. Vol. 3(1), 26. https://10.1186/1758-5996-3-26. https://doi.org/10.1186/1758-5996-3-26
Pizzoli S., Marzorati C., Gatti D., Monzani D., Mazzocco K., Pravettoni G. A meta-analysis on heart rate variability biofeedback and depressive symptoms. Scientific Reports. 2021. Vol. 11, 6650. https://doi.org/10.1038/s41598-021-86149-7
Porges S. W. The polyvagal theory: phylogenetic substrates of a social nervous system. International journal of psychophysiology. 2001. Vol. 42(2). P. 123–146. https://doi.org/10.1016/S0167-8760(01)00162-3
Porges S. W. Polyvagal theory: A science of safety. Frontiers in integrative neuroscience. 2022. Vol. 16, 871227. https://doi.org/10.3389/fnint.2022.871227
Problem Management Plus [Управління проблемами Плюс]. Retrieved from World Health Organization website: http://www.who.int/mental_health
Roberts N. P., Kitchiner N. J., Kenardy J., Lewis C. E., Bisson J. I. Early psychological intervention following recent trauma: A systematic review and metaanalysis. European journal of psychotraumatology. 2019. Vol. 10(1), 1695486. https://doi.org/10.1080/20008198.2019.1695486
Scaer R. The body bears the burden: Trauma, dissociation, and disease. Routledge. 2014. https://doi.org/10.4324/9780203081822
Sherin J. E., Nemeroff C. B. Post-traumatic stress disorder: the neurobiological impact of psychological trauma. Dialogues in clinical neuroscience. 2011. Vol. 13(3). P. 263–278. https://doi.org/10.31887/DCNS.2011.13.2/jsherin
Van Den Houte M., Ramakers I., Van Oudenhove L., Van den Bergh O., Bogaerts K. Comparing autonomic nervous system function in patients with functional somatic syndromes, stress- related syndromes and healthy controls. Journal of Psychosomatic Research. 2025. Vol. 189, 112025. https://doi.org/10.1016/j.jpsychores.2024.112025
Van der Kolk B. Posttraumatic stress disorder and the nature of trauma. Dialogues in clinical neuroscience. 2000. Vol. 2(1), 7–22. https://doi.org/10.31887/DCNS.2000.2.1/bvdkolk
Van der Kolk B. A., Pelcovitz D., Roth S., Mandel F. S., McFarlane A., Herman J. L. Dissociation, somatization, and affect dysregulation: the complexity of adaptation of trauma. The American journal of psychiatry. 1996. Vol. 153(SI7). P. 83–93. https://doi.org/10.1176/ajp.153.7.83
Zherdova N., Kostitska I., Drevytska T., Stepura O., Mankovsky B. IDF210037 The association between cognitive functioning and SLC2A1 level in patients with newly diagnosed type 2 diabetes mellitus. Diabetes Research and Clinical Practice. 2022. Vol. 186. https://doi.org/10.1016/j.diabres.2022.109701
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