Participant Experiences from a Randomized Controlled Trial of Heated Yoga for Depression.

Q3 Medicine
Maren B Nyer, Grace A Ding, Richard J Norton, Megha V Nagaswami, Sylvie Tuchman, Lauren B Fisher, Lindsey B Hopkins, Naoise Mac Giollabhui, Jill Koontz, Ashley E Mason, Cristina Cusin, Simmie Foster, Albert Yeung, Felipe A Jain, Chloe E C Sorensen, Chris Streeter, Karen K Miller, Maurizio Fava, Lisa Uebelacker, David Mischoulon
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引用次数: 0

Abstract

Despite decades of research on yoga and depression, subjective experiences of participants in these studies have rarely been reported, and never in individuals receiving heated yoga for depression. We examined patient-reported qualitative findings from an 8-week randomized controlled trial of heated yoga for depression. Eighty medically healthy participants with moderate-to-severe depression were randomized to 8 weeks of at least twice-weekly heated yoga classes, derived from Bikram yoga, or a waitlist control. Fifty-seven participants received a clinician-administered exit interview at intervention completion/study withdrawal. The exit interview assessed: (1) how participants felt immediately following the heated yoga sessions (acute effects), (2) what they liked or found helpful about heated yoga over the 8-week intervention (positive effects), and (3) what they disliked/did not find helpful over the 8-week intervention (negative effects). Qualitative data were analyzed using thematic analysis. Acute improvements in depressive symptoms (i.e., immediately following yoga) were the most commonly reported (n = 44, 77.2%), followed by overall positive effects on depressive symptoms (i.e., over the course of the 8-week intervention; n = 33, 57.9%), including improvements in sleep (n = 10, 17.5%), energy (n = 13, 22.8%), mood (n = 18, 31.6%), motivation (n = 2, 3.5%), and concentration/decision-making (n = 5, 8.8%). Overall negative effects (i.e., over the course of the 8-week intervention) included dislike of various aspects of the intervention (n = 19, 33.3%), such as instruction (n = 7, 12.3%), difficulty (n = 7, 12.3%), repetitiveness (n = 3, 5.3%), class length (n = 2, 3.5%), and boredom (n = 7, 12.3%). Most participants reported both overall positive and negative effects (n = 37, 64.9%). Of the rest, 19 (33.3%) reported only overall positive effects, and 1 (1.8%) reported only overall negative effects. Most participant experiences were positive. Negative effects were less common and primarily involved dislike of different aspects of the heated yoga. The findings support strong acceptability and subjective improvement in depressive symptoms in depressed individuals.

治疗抑郁症的加热瑜伽随机对照试验的参与者体验。
尽管有关瑜伽和抑郁症的研究已有数十年之久,但这些研究中参与者的主观体验却鲜有报道,而且从未报道过接受加热瑜伽治疗抑郁症的患者的主观体验。我们研究了一项为期 8 周的加热瑜伽治疗抑郁症随机对照试验中患者报告的定性研究结果。80 名患有中度至重度抑郁症的健康参与者被随机分配到为期 8 周、每周至少两次的高温瑜伽课程(源自比克拉姆瑜伽)或候补对照组。57 名参与者在干预完成/退出研究时接受了由临床医生主持的退出访谈。退出访谈评估了:(1) 热身瑜伽课程结束后参与者的即时感受(急性效应);(2) 在为期 8 周的干预过程中,他们喜欢或认为热身瑜伽有帮助的地方(积极效应);(3) 在为期 8 周的干预过程中,他们不喜欢/认为没有帮助的地方(消极效应)。定性数据采用主题分析法进行分析。最常见的报告是抑郁症状的急性改善(即,刚练完瑜伽时)(n = 44,77.2%),其次是对抑郁症状的整体积极影响(即,在 8 周的干预过程中)、其次是对抑郁症状的总体积极影响(即在为期 8 周的干预过程中;人数 = 33,占 57.9%),包括睡眠改善(人数 = 10,占 17.5%)、精力改善(人数 = 13,占 22.8%)、情绪改善(人数 = 18,占 31.6%)、动力改善(人数 = 2,占 3.5%)以及注意力集中/决策能力改善(人数 = 5,占 8.8%)。总体负面影响(即在 8 周的干预过程中)包括不喜欢干预的各个方面(19 人,33.3%),如教学(7 人,12.3%)、难度(7 人,12.3%)、重复性(3 人,5.3%)、课时(2 人,3.5%)和无聊(7 人,12.3%)。大多数参与者既报告了总体的积极影响,也报告了消极影响(37 人,占 64.9%)。其余参与者中,19 人(33.3%)只报告了总体的积极影响,1 人(1.8%)只报告了总体的消极影响。大多数参与者的体验都是积极的。负面影响较少,主要是不喜欢加热瑜伽的不同方面。研究结果支持抑郁症患者的强烈接受性和抑郁症状的主观改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International journal of yoga therapy
International journal of yoga therapy Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
20
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