Patients' Expectations of Yoga and Associated Therapies Influence Treatment Outcome: A Convenience Sampling Pre-Post Study from India.

Q3 Medicine
Shirley Telles, Savita Agnihotri, Sachin Kumar Sharma, Acharya Balkrishna
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Abstract

An association between expectations of treatment and treatment outcome has been reported for conventional medical and surgical treatments. However, this association has not been described for yoga therapy. The present study recruited patients (154 males and 145 females, n = 299; age 48.8 ± 14.7 years) who had been admitted to a residential wellness center, most commonly with diseases of the musculoskeletal system or connective tissue; endocrine, nutritional, or metabolic diseases; and digestive system disorders (all based on ICD-11). Assessments included: (1) expectations of yoga and associated therapies at baseline using two questionnaires (Treatment Expectation Questionnaire and Expectation for Treatment Scale); and (2) treatment outcome at baseline and after 7 days of yoga and associated therapies using the Physical Health Questionnaire and Global Perceived Effect scale. The intervention included yoga and additional therapies (e.g., hydrotherapy and ayurveda for approximately 40% of the time). Multivariable regression analyses (controlled for variation due to age, gender, education, and baseline Physical Health Questionnaire scores) demonstrated that expectations of (1) positive outcomes of all aspects of treatment significantly predicted better overall perceived effect of treatment; (2) symptom resolution (positive expectations) significantly predicted higher total Physical Health Questionnaire scores, with better digestion; and (3) low adverse outcomes significantly predicted better sleep. The findings support the premise that higher positive expectations and lower negative expectations of yoga therapy predict better treatment outcomes. These findings suggest that people should be well-informed about the reported benefits and the less-frequent negative outcomes of yoga therapy so that their expectations may be positive yet realistic, optimally influencing treatment outcomes.

患者对瑜伽及相关疗法的期望影响治疗效果:印度的一项便利抽样前后期研究。
据报道,传统的内科和外科治疗与治疗效果之间存在关联。然而,瑜伽疗法却未曾出现过这种关联。本研究招募了入住健康中心的患者(男性 154 人,女性 145 人,n = 299;年龄 48.8 ± 14.7 岁),他们最常见的疾病是肌肉骨骼系统或结缔组织疾病;内分泌、营养或代谢疾病;以及消化系统疾病(均基于 ICD-11)。评估内容包括(1) 使用两份问卷(治疗期望问卷和治疗期望量表)了解基线时对瑜伽和相关疗法的期望;(2) 使用身体健康问卷和全球感知效果量表了解基线时和瑜伽及相关疗法 7 天后的治疗效果。干预措施包括瑜伽和其他疗法(如水疗和阿育吠陀疗法,约占 40%)。多变量回归分析(控制了年龄、性别、教育程度和身体健康问卷基线得分的变化)表明:(1)对治疗所有方面的积极结果的预期显著预示着更好的整体治疗感知效果;(2)症状解决(积极预期)显著预示着更高的身体健康问卷总分,以及更好的消化;(3)低不良结果显著预示着更好的睡眠。研究结果表明,对瑜伽疗法的积极期望越高、消极期望越低,治疗效果越好。这些研究结果表明,人们应该充分了解瑜伽疗法的益处和较少出现的负面结果,这样他们的期望才会积极而现实,从而对治疗结果产生最佳影响。
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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