International journal of yoga therapy最新文献

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Coping and Adapting to Climate Change in Australia: Yoga Perspectives. 澳大利亚应对和适应气候变化:瑜伽视角。
International journal of yoga therapy Pub Date : 2022-01-01 DOI: 10.17761/2022-D-22-00016
Tricia David, Jena Buchan, Johanna Nalau
{"title":"Coping and Adapting to Climate Change in Australia: Yoga Perspectives.","authors":"Tricia David,&nbsp;Jena Buchan,&nbsp;Johanna Nalau","doi":"10.17761/2022-D-22-00016","DOIUrl":"https://doi.org/10.17761/2022-D-22-00016","url":null,"abstract":"<p><p>Scientists caution against ignoring human-induced climate change and related health repercussions, with a growing body of literature highlighting the mental health effects of climate change and the importance of understanding coping and adaptation strategies. Less is known, however, about sustainable personal practices fortifying mental health in the context of climate change. The present study sought to investigate how long-term yoga practitioners (yoga therapists or yoga teachers) in Australia with a lived experience of climate change-related events are coping and adapting. The aim was to better understand participants' reports of climate change-related experiences and how yoga influences their mental health and choices in the face of climate change. Eleven in-depth telephone interviews were conducted and analyzed using an interpretive phenomenological methodology. Participants reported that their ongoing relationship with yoga influences how they cope with climate change-related stressors and their being-in-the-world, and how concern for all life bolsters their responses to climate change. The results illustrate the part yoga may play in supporting long-term practitioners to prepare for, cope with, and respond to climate change events and impacts. Offering inclusive, interdisciplinary yoga therapy and community-based networks fostering ethical living and response flexibility may prove beneficial not only for the mental health and coping ability of participants, but for the planet.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40709531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Yoga on the Stress, Anxiety, and Depression of COVID-19-Positive Patients: A Quasi-Randomized Controlled Study. 瑜伽对covid -19阳性患者压力、焦虑和抑郁的影响:一项准随机对照研究
International journal of yoga therapy Pub Date : 2022-01-01 DOI: 10.17761/2022-D-22-00013
Nitesh Sharma, Pooja Swami Sahni, Uma Shankar Sharma, Jyoti Kumar, Rahul Garg
{"title":"Effect of Yoga on the Stress, Anxiety, and Depression of COVID-19-Positive Patients: A Quasi-Randomized Controlled Study.","authors":"Nitesh Sharma,&nbsp;Pooja Swami Sahni,&nbsp;Uma Shankar Sharma,&nbsp;Jyoti Kumar,&nbsp;Rahul Garg","doi":"10.17761/2022-D-22-00013","DOIUrl":"https://doi.org/10.17761/2022-D-22-00013","url":null,"abstract":"<p><p>The spread of COVID-19 has resulted in reports of increase in stress, anxiety, and depression across society, especially in people who have tested positive for COVID-19, which affects their mental health and well-being. This article reports a quasi-randomized controlled study conducted in the COVID wards of a hospital to examine the efficacy of add-on yoga intervention in reducing stress, anxiety, and depression in COVID-affected patients under quarantine. The peripheral capillary oxygen saturation level and heart rate of the COVID-19-affected patients were also measured. A total of 62 COVID-19-positive patients participated in the study. The participants were randomized into a control group (n = 31), which received conventional medical treatment alone, and a yoga intervention group (n = 31), which received 50 minutes of yoga intervention along with the conventional medical treatment. Standardized Hospital Anxiety and Depression Scale, Generalized Anxiety Disorder-7 Item, Patient Health Questionnaire-9, and Perceived Stress Scale were administered at the beginning and end of the quarantine period. A significant decrease in stress, anxiety, and depression was observed in the patients who undertook the add-on yoga intervention. There was also a significant decrease in anxiety in the control group, but the intervention group had a larger decrease compared to the control group. Further significant improvements in oxygen saturation and heart rate levels were observed in the group of patients who were practicing yoga, but no significant improvement was observed in the control group. Findings of this study suggest that yoga intervention can be an effective add-on practice in reducing stress, anxiety, and depression levels of COVID-19 patients.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40533957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
The Yoga Instructor Beliefs Scales Epistemic (YIBS-E) and Pedagogic (YIBS-P): Development and Initial Assessment of the Factor Structure. 瑜伽教练认知信念量表(YIBS-E)和教学信念量表(YIBS-P):因素结构的发展和初步评估。
International journal of yoga therapy Pub Date : 2022-01-01 DOI: 10.17761/2022-D-21-00040
Tegan Jemma Reeves, Leigh Harrell-Williams, Sat Bir Singh Khalsa, Christian E Mueller, Erik Groessl
{"title":"The Yoga Instructor Beliefs Scales Epistemic (YIBS-E) and Pedagogic (YIBS-P): Development and Initial Assessment of the Factor Structure.","authors":"Tegan Jemma Reeves,&nbsp;Leigh Harrell-Williams,&nbsp;Sat Bir Singh Khalsa,&nbsp;Christian E Mueller,&nbsp;Erik Groessl","doi":"10.17761/2022-D-21-00040","DOIUrl":"https://doi.org/10.17761/2022-D-21-00040","url":null,"abstract":"<p><p>Yoga is a multidimensional and heterogeneous mind-body practice led by a therapist or teacher (e.g., yoga instructor). Although they constitute an integral part of delivery, content, and curriculum, factors that influence yoga instructors' choices have yet to be explored. Using a mixed methods sequential design for development of an instrument that identifies measurable epistemic (YIBS-E) and pedagogic (YIBS-P) beliefs, the Yoga Instructor Beliefs Scale (YIBS) reports validity evidence from four distinct phases. Phase I presents qualitative findings from literature-informed semistructured interviews to give a comprehensive construct model of yoga instructor beliefs from diverse styles/ schools/lineages of yoga (nine content-specific clusters). In Phase II, focus group panels of experts evaluated construct novelty and importance of themes, resulting in a pool of potential questionnaire items. Phase III employed cognitive interviews to assess the perceived meaning and clarity of using the preliminary YIBS items. Phase IV included exploratory factor analysis and correlational analyses using 204 yoga instructor responses, suggesting a 44-item instrument with distinct epistemic (Experiential, Energetic, Systems-Based, Affectual, Mindful, and Physical) and pedagogic (Curricular Integration, Student Awareness, Accessibility, and Differentiated Instruction) factors (YIBS- E α = 0.90, YIBS-P α = 0.85). Measurable belief constructs can inform research on individual yoga instructor differences that may influence curriculum content choices and delivery. The purpose of this instrument is to enable research linking instructor beliefs to the presence of various components of a yoga program and to contextualize defining qualities of yoga programs. Long-term use of this instrument should enable in-depth analyses such as mediation or moderation of yoga instructor beliefs on intervention components/content or outcomes.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40516020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Yoga and Couple Relationship Satisfaction: The Synergy Between Mindfulness and Emotional Intelligence. 瑜伽和夫妻关系满意度:正念和情商之间的协同作用。
International journal of yoga therapy Pub Date : 2022-01-01 DOI: 10.17761/2022-D-21-00049
Nadine Galloway, Alexis Foulstone, Janine Lurie
{"title":"Yoga and Couple Relationship Satisfaction: The Synergy Between Mindfulness and Emotional Intelligence.","authors":"Nadine Galloway,&nbsp;Alexis Foulstone,&nbsp;Janine Lurie","doi":"10.17761/2022-D-21-00049","DOIUrl":"https://doi.org/10.17761/2022-D-21-00049","url":null,"abstract":"<p><p>Couple relationship satisfaction is an important predictor of physical and mental health. Despite this, currently offered interventions for distressed couples are not always effective. The present cross-sectional online survey design examined how yoga practice, mindfulness, and emotional intelligence interrelate when predicting relationship satisfaction. The study consisted of 128 heterosexual married or cohabiting Australian adults (mean age 29.7 ± 9.3) who practice yoga. Supporting the hypothesis, a serial mediation analysis revealed that time spent practicing yoga had a positive influence on relationship satisfaction through mindfulness, and then through emotional intelligence (b = 0.005, 95% CI 0.001 to 0.009). The findings also showed a direct effect of time spent practicing yoga on relationship satisfaction; however, there was no support for the individual mediating effects of mindfulness and emotional intelligence on the association between time spent practicing yoga and relationship satisfaction. The current findings suggest that yoga may be an effective and easily implemented approach to improving mindfulness and enhancing emotional intelligence, as well as heterosexual couples' relationship satisfaction.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":"32 2022","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10863280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Editorial. 社论。
International journal of yoga therapy Pub Date : 2022-01-01 DOI: 10.17761/2168-5835-32.1.Article18
{"title":"Editorial.","authors":"","doi":"10.17761/2168-5835-32.1.Article18","DOIUrl":"https://doi.org/10.17761/2168-5835-32.1.Article18","url":null,"abstract":"","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":"32 2022","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9182740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Randomized Pilot Study of Online Hatha Yoga for Physical and Psychological Symptoms Among Survivors of Allogenic Bone Marrow Transplant. 在线哈达瑜伽治疗同种异体骨髓移植幸存者身体和心理症状的随机试点研究
International journal of yoga therapy Pub Date : 2022-01-01 DOI: 10.17761/2022-D-21-00047
Ryan Eckert, Jennifer Huberty, Jonathan Kurka, Breanne Laird, Ruben Mesa, Jeanne Palmer
{"title":"A Randomized Pilot Study of Online Hatha Yoga for Physical and Psychological Symptoms Among Survivors of Allogenic Bone Marrow Transplant.","authors":"Ryan Eckert,&nbsp;Jennifer Huberty,&nbsp;Jonathan Kurka,&nbsp;Breanne Laird,&nbsp;Ruben Mesa,&nbsp;Jeanne Palmer","doi":"10.17761/2022-D-21-00047","DOIUrl":"https://doi.org/10.17761/2022-D-21-00047","url":null,"abstract":"<p><p>Bone marrow transplant (BMT) is a curative procedure for patients with hematological malignancies, hemoglobinopathies, and errors of inborn metabolism. Survivors are not without symptom burden. The purpose of this study was to assess the feasibility of a 12-week online yoga intervention compared to an educational control group in survivors of allogenic BMT. Participants were recruited nationally. Consenting participants were assigned to online yoga or a podcast control. Yoga and control group participants were instructed to complete 12 weeks of 60 minutes/week of online yoga and podcasts, respectively. Study participants were asked to complete online questionnaires at baseline (wk 0), midpoint (wk 6), postintervention (wk 12), and follow-up (wk 20). Feasibility benchmarks included > 70% satisfied with intervention and > 70% intending to continue participating in online yoga (acceptability); > 70% of participants achieving > 42 minutes/week of online yoga (demand); > 70% completing all four questionnaires (practicality); and at least small effect sizes of the intervention on Lee Symptom Score, physical function, fatigue, anxiety, sleep disturbance, social functioning, pain interference, depression, and quality of life as compared to control group (limited efficacy). Seventy-two participants consented and enrolled in the study (yoga group n = 33; podcast group n = 39). Of the yoga group participants, 54.5% (n = 19) completed the postintervention questionnaire, with 73.7% (n = 14) indicating they were satisfied/very satisfied and 15.8% (n = 3) likely/very likely to continue online yoga. Yoga participation averaged 31.98 minutes/week across 12 weeks. Both groups experienced a significant improvement in the Lee Symptom Score (6.2%-8.7% improvement from baseline) and depressive symptoms (5.3%-6.6% improvement from baseline). The yoga group experienced a significant reduction in pain (6.1% from baseline), and the podcast group experienced a significant reduction in fatigue (6.4% improvement from baseline). Online yoga was not found to be feasible to deliver to this population of survivors of BMT. However, there was satisfaction with online yoga among the majority of survivors of BMT, and beneficial effects were experienced in the yoga group on Lee Symptom Score, depressive symptoms, and pain. Future research is needed to enhance our understanding of barriers to online yoga participation for survivors of BMT and to determine its efficacy.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40668877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Longitudinal Factorial Invariance of a Brief Measure of Affect and Calm Focus. 情感与平静焦点的纵向因子不变性。
International journal of yoga therapy Pub Date : 2022-01-01 DOI: 10.17761/2022-D-20-00002
Hanjoe Kim, Kimberly D Smoots, Patrick Sajovec, Syed Rizvi, Gulden Esat, Bradley H Smith
{"title":"Longitudinal Factorial Invariance of a Brief Measure of Affect and Calm Focus.","authors":"Hanjoe Kim,&nbsp;Kimberly D Smoots,&nbsp;Patrick Sajovec,&nbsp;Syed Rizvi,&nbsp;Gulden Esat,&nbsp;Bradley H Smith","doi":"10.17761/2022-D-20-00002","DOIUrl":"https://doi.org/10.17761/2022-D-20-00002","url":null,"abstract":"<p><p>Mindfulness-based practices for school-aged children are increasingly common in the United States. Positive and negative affect are theoretically and empirically associated with school outcomes, and these constructs are likely to be impacted by school-based mindfulness practices. Furthermore, mindful states, such as being calm and focused, targeted by mindfulness-based practices are a potential causal mechanism to improve learning and behavior. This study describes a test of longitudinal factorial invariance for a brief measure of affect states plus a state of calm focus that is appropriate for use in mindfulness intervention studies with elementary school-aged children. Data were collected from 97 fourth-grade students in an urban elementary school that was about 46% Hispanic and 44% White. Students listened to one of six different conditions each day for 24 school days: There were four individual mindfulness modules (cross-connect, pause buttons, belly breathing, and mindful minute), one condition that included all four of the modules together, and one condition that was a control activity (a grade-appropriate story presented via audiorecording). Students provided self-report of positive and negative emotions plus calm focus immediately before and after the presentation of the audio. Results showed high levels of internal consistency for the scales, low correlations between scales, and factorial invariance in the pre- and post-test design for five of the six conditions. These findings support the use of this measure in studies with older elementary school students. Future studies should further document construct validity through external validation of the scales.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39641122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Therapeutic Yoga for the Management of Chronic Nonspecific Neck Pain: Current Evidence and Mechanisms. 治疗性瑜伽治疗慢性非特异性颈部疼痛:目前的证据和机制。
International journal of yoga therapy Pub Date : 2022-01-01 DOI: 10.17761/2022-D-21-00007
Abhinav Mohan, Steven Tijmes, Ashwin Mehta, J. Cohen
{"title":"Therapeutic Yoga for the Management of Chronic Nonspecific Neck Pain: Current Evidence and Mechanisms.","authors":"Abhinav Mohan, Steven Tijmes, Ashwin Mehta, J. Cohen","doi":"10.17761/2022-D-21-00007","DOIUrl":"https://doi.org/10.17761/2022-D-21-00007","url":null,"abstract":"Chronic nonspecific neck pain (CNNP), which is neck pain in the absence of attributable structural and neurological findings, is often challenging for medical and rehabilitation professionals to treat. Conventional treatments such as medications and physical therapy often fail to provide lasting relief, which leads patients to pursue complementary therapies such as yoga. This review discusses the evidence from nine studies, including four randomized controlled trials, which suggests that a supervised yoga program may decrease pain intensity, disability, and mood symptoms in adults with CNNP. Cervical range of motion and quality of life (both physical and mental) may also improve with yoga intervention, although this is less consistent across studies. Evidence of yoga's superiority to other exercise-based practices such as pilates was conflicting. Adverse effects of yoga, such as exacerbation of neck pain, were relatively uncommon, minor, and often transient. This article also comprehensively reviews the pathophysiology of CNNP, therapeutic mechanisms of yoga, and limitations in the evidence (including risk-of-bias assessment). Future studies should attempt to: (1) compare the effectiveness of different lineages of yoga for individuals with CNNP, (2) determine the optimal length and duration of these yoga interventions, (3) better characterize the physical and psychological mechanisms of yoga, (4) compare yoga to other exercise- and mindfulness-based practices, (5) evaluate the effect of yoga on sleep in the CNNP population, and (6) explore the applicability/efficacy of virtual yoga instruction.","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44709396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Effect of Yoga on Motor Skills and Self-Esteem in Kindergarten Children: A Randomized Controlled Trial. 瑜伽对幼儿园儿童运动技能和自尊的影响:一项随机对照试验。
International journal of yoga therapy Pub Date : 2022-01-01 DOI: 10.17761/2022-D-21-00060
Sana Jarraya, Mohamed Jarraya, Saber Nouira
{"title":"Effect of Yoga on Motor Skills and Self-Esteem in Kindergarten Children: A Randomized Controlled Trial.","authors":"Sana Jarraya,&nbsp;Mohamed Jarraya,&nbsp;Saber Nouira","doi":"10.17761/2022-D-21-00060","DOIUrl":"https://doi.org/10.17761/2022-D-21-00060","url":null,"abstract":"<p><p>The present randomized controlled trial examines the effects of yoga, as opposed to general physical education (PE) and passive controls, on the motor skills and self-esteem of Tunisian kindergarten children. Fifty-four children (24 females, 30 males; age 5.2 ± 0.6 years; weight 17.8 ± 2.3 kg; height 103.1 ± 5.0 cm; BMI 17.26 ± 0.46 kg/m2) were randomly divided into three groups of 18 (yoga, PE, and controls), and blindly administered the Eurofit physical fitness test battery and the Rosenberg Self-Esteem Scale prior to and after 12 weeks. During this period, the yoga and PE groups attended two weekly yoga and PE sessions of 30 minutes each, respectively. At T0, no significant differences between the groups were observed (p > 0.660). Repeated-measures analysis of variance associated yoga with higher levels of motor skills (p < 0.05; effect size for arm strength [ηp2] = 0.17, leg strength [ηp2] = 0.17, flexibility [ηp2] = 0.33; speed [ηp2] = 0.61, and balance [ηp2] = 0.19) and global self-esteem in comparison to the PE and control groups (p < 0.001; ηp2 = 0.42). Twelve weeks of kindergarten-based yoga appears to improve self-esteem and motor skills in 5-year-old children. The yoga intervention as a school routine seems to enhance development, health, and the well-being of children.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40413460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mediational Analysis of Yoga's Effect on Chronic Low-Back Pain in Veterans: What Factors Really Matter? 瑜伽对退伍军人慢性腰痛影响的中介分析:哪些因素真正重要?
International journal of yoga therapy Pub Date : 2022-01-01 DOI: 10.17761/2022-D-21-00020
Adhana McCarthy, Lin Liu, Erik Groessl
{"title":"Mediational Analysis of Yoga's Effect on Chronic Low-Back Pain in Veterans: What Factors Really Matter?","authors":"Adhana McCarthy,&nbsp;Lin Liu,&nbsp;Erik Groessl","doi":"10.17761/2022-D-21-00020","DOIUrl":"https://doi.org/10.17761/2022-D-21-00020","url":null,"abstract":"<p><p>Considerable evidence supports yoga as a treatment for chronic low-back pain (CLBP), yet more research is needed on the mechanisms of yoga. Yoga may be particularly helpful for military veteran populations, where there is a high prevalence of CLBP due to intensive training requirements. Our objective was to examine possible mechanisms by which yoga reduced disability in a clinical trial of yoga for veterans with CLBP. Using data from a prior randomized controlled trial, we used mediation analysis to examine factors that may mediate or influence the effects of yoga on disability over time. The 12-week yoga intervention study measured outcomes at baseline, 6 weeks, 12 weeks, and 6 months. Fatigue and pain were the variables that met all statistical criteria for mediation of the effect of yoga on disability. The total effect of yoga on disability was significant (β = -2.28; 95% CI -3.93 to -0.64), and this consisted of a direct effect of yoga (β = -1.40; 95% CI -3.02 to 0.25) and a statistically significant indirect effect (β = -0.88, 95% CI -1.91 to -0.15) that was mediated by pain and fatigue. The indirect effect accounted for 38% of yoga's effect on back-pain disability. Fatigue and pain were not significant as individual mediators. The other mediators-self-efficacy, spinal range of motion, grip strength, core strength, and balance-did not meet published criteria for mediation. Our results suggest that in veterans with CLBP, yoga may reduce pain and fatigue and contribute to reductions in disability. Although pain may be an expected precursor of disability, the finding that fatigue mediates the relationship between a mind-body intervention like yoga and disability appears novel. Fatigue should be measured more widely in yoga research and considered when designing interventions for specific populations such as military veterans with chronic pain.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40580468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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