Objective: The aim of the study was to determine whether mindfulness-based stretching and deep breathing exercise (MBX) normalizes cortisol levels and reduces PTSD symptom severity among individuals with subclinical features of PTSD. Design and Setting: A randomized controlled trial was conducted at the University of New Mexico Health Sciences Center. Participants: Twenty-nine nurses (28 female) aged 45– 66 years participated in the study. Intervention: Sixty-minute MBX sessions were conducted semiweekly for 8 weeks. Main Outcome Measures: Serum cortisol was measured, and the PTSD Checklist–Civilian version (PCL-C) was performed at baseline and weeks 4, 8, and 16.Results: Twenty-nine participants completed the study procedures, 22 (79%) with PTSD symptoms (MBX, n ϭ 11; control, n ϭ 11), and 7 (21%) without PTSD (BASE group). Eight-week outcomes for the MBX group were superior to those for the control group (mean difference for PCL-C scores, Ϫ13.6; 95% confidence interval [CI], Ϫ25.6, Ϫ1.6; P ϭ .01; mean difference for serum cortisol, 5.8; 95% CI, 0.83, 10.8; P ϭ .01). No significant differences were identified between groups in any other items. The changes in the MBX group were maintained at the 16-week follow-up (P ϭ .85 for PCL-C; P ϭ .21 for cortisol). Our data show that improved PTSD scores were associated with normalization of cortisol levels (P Ͻ .05). Conclusions: The results suggest that MBX appears to reduce the prevalence of PTSD-like symptoms in individuals exhibiting subclinical features of PTSD. (J Clin Endocrinol Metab 98: 2984 –2992, 2013)