Complementary Therapies in Clinical Practice最新文献

{"title":"Can mat Pilates improve quality of life components in breast cancer survivors receiving hormone therapy? A randomized controlled trial","authors":"Josefina Bertoli ,&nbsp;Antonio Cleilson Nobre Bandeira ,&nbsp;Cíntia de la Rocha Freitas ,&nbsp;Ismael Forte Freitas Júnior","doi":"10.1016/j.ctcp.2025.101972","DOIUrl":"10.1016/j.ctcp.2025.101972","url":null,"abstract":"<div><h3>Background</h3><div>Short and long-term breast cancer treatment side-effects allied with the increase of sedentary behavior, affect quality of life (QoL). Nonetheless, regular physical exercise appears to ameliorate breast cancer survivor (BCS) QoL components.</div></div><div><h3>Purpose</h3><div>to analyze the effect of 24 weeks of mat Pilates (3 times/week, 60 min session) in BCS receiving hormone therapy on QoL components.</div></div><div><h3>Materials and methods</h3><div>43 participants were randomized according to hormone therapy (Tamoxifen (TMX) or Aromatase Inhibitors (AIs)) in the Pilates group (PG) and control group (CG). The QoL data was collected through SF-36, EORT-30, and 23 questionnaires. The evaluations occurred at baseline (T1), at week 12 (T2), and week 24 (T3) of the intervention. The generalized estimating equations model was used with the Bonferroni post hoc test (p &lt; 0.05).</div></div><div><h3>Results</h3><div>The SF-36 showed that CG improved physical limitations at T2 compared to T1 (p = 0.032). The Pilates group enhanced emotional aspects compared to CG at T3 (0.009), social aspects at T3 compared to its baseline (p = 0.023), and mental health at T3 compared to CG (p = 0.026). The specific breast cancer questionnaires (EORT-30 and 23) did not show differences throughout the intervention.</div></div><div><h3>Conclusions</h3><div>Only the SF-36 showed enhancement for PG QoL components. The EORT-30 and 23 domains are directly related to the side effect treatments, which could influence the outcomes.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101972"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Farm-based therapy: An innovative treatment approach for children, adolescents and young adults","authors":"Megan Moran ,&nbsp;Chelsea Brown ,&nbsp;Antonietta Alvarez Hernandez ,&nbsp;Ingrid R. Hsu ,&nbsp;Sarah Douglas ,&nbsp;Louisa G. Sylvia","doi":"10.1016/j.ctcp.2025.101967","DOIUrl":"10.1016/j.ctcp.2025.101967","url":null,"abstract":"<div><h3>Purpose</h3><div>To describe the rationale and components of Farm-based Therapy (FBT) as well as examine its preliminary efficacy.</div></div><div><h3>Methods</h3><div>FBT consists of five empirically supported components, or hands-on experience, sustainability, the life cycle, community, and mindfulness, that were developed in collaboration with clients, their caregivers, and clinicians. We explored the preliminary efficacy of FBT for improving anxiety and mood in new clients, and their parents, using the Revised Child Anxiety and Depression Scale (RCADS).</div></div><div><h3>Results</h3><div>We found that participants (N = 45) reported that their overall depression and anxiety (i.e., total RCADS score) improved after three months of FBT as well as the following RCADS subscales: social phobia, general anxiety, and obsessive and compulsive disorder, but not on separation anxiety, panic disorder, and low mood subscales. Parents reported that their children, or clients of FBT, improved on overall depression and anxiety (i.e., total RCADS score) as well as all subscales of the RCADS with the exception of separation anxiety.</div></div><div><h3>Conclusion</h3><div>Our preliminary findings suggest that FBT may be an effective treatment for depression and anxiety and especially for social phobia, general anxiety, and obsessive and compulsive disorder. Future studies are needed to replicate these findings in larger samples, with longer follow-up and compared to other active treatments.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101967"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of different probiotic regimens for allergic rhinitis: A network meta-analysis","authors":"Chang Lu ,&nbsp;Yuan Gao ,&nbsp;Siyue Dong ,&nbsp;Yaoyao Sun ,&nbsp;Mingjuan Sun ,&nbsp;Xinle Han ,&nbsp;Bo Li ,&nbsp;Changyi Li ,&nbsp;Yajun Zhang ,&nbsp;Minhui Li","doi":"10.1016/j.ctcp.2025.101954","DOIUrl":"10.1016/j.ctcp.2025.101954","url":null,"abstract":"<div><h3>Background</h3><div>To evaluate the efficacy of different probiotic species in the treatment of Allergic rhinitis (AR), we used network meta-analysis (NMA), which provides a foundation for evidence-based therapeutic selection.</div></div><div><h3>Methods</h3><div>Nine databases were searched from their inception until April 30, 2024. Stata 17.0 and Review Manager 5.4 were used to conduct the NMA. The main outcomes included total nasal symptom score (TNSS), Rhinitis Quality of Life (RQLQ) global scores, total and specific IgE levels, blood eosinophil count, efficacy rate, and adverse events.</div></div><div><h3>Results</h3><div>31 randomized controlled trials (RCTs) were included, involving 2544 patients with AR. In the NMA, in terms of reducing TNSS: Saccharomyces &gt; Mix &gt; Bifidobacterium &gt; <em>Enterococcus faecalis</em> &gt; Lactobacillus &gt; Bacillus &gt; conventional therapy; in terms of reducing RQLQ: Mix &gt; Lactobacillus &gt; <em>Enterococcus faecalis</em> &gt; conventional therapy; in terms of reducing Total IgE: Mix &gt; Bifidobacterium &gt; Lactobacillus &gt; Tetragenococcus halophilus &gt; conventional therapy; in terms of reducing Special IgE: Mix &gt; conventional therapy &gt; Bifidobacterium &gt; Lactobacillus &gt; Leuconostoc; in terms of reducing blood eosinophil count: Lactobacillus &gt; conventional therapy &gt; Mix; in terms of improving the efficacy rate: Saccharomyces &gt; Mix &gt; conventional therapy. No serious adverse events were reported regarding safety.</div></div><div><h3>Conclusion</h3><div>Probiotic mixtures may be the most effective in reducing RQLQ, Total IgE, and Special IgE; Saccharomyces may be the most efficacious in reducing TNSS and improving the efficacy rate; and Lactobacillus may be the most effective in reducing blood eosinophil count. Overall, probiotic mixtures demonstrated better combined efficacy.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101954"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recreational older ballet dancers adapt faster to repeated standing-slips than older non-dancers","authors":"Caroline Simpkins,&nbsp;Feng Yang","doi":"10.1016/j.ctcp.2025.101950","DOIUrl":"10.1016/j.ctcp.2025.101950","url":null,"abstract":"<div><h3>Background</h3><div>Falls are a global health concern facing older adults. Ballet emphasizes postural control, coordination, and leg muscle strength. Previous work indicated young professional ballet dancers adapt more effectively to repeated standing-slips than non-dancers as evidenced by better reactive improvements in dynamic gait stability and step latency. However, it remains unknown if older ballet dancers would show a quicker motor learning process than non-dancers. This study tested how older recreational ballet dancers adapt to five repeated standing-slip perturbations compared to non-dancers.</div></div><div><h3>Materials and methods</h3><div>Twenty older recreational dancers and 23 age- and sex-matched non-dancers experienced five unexpected slips while standing on a treadmill. The primary outcome was the slip-faller rate. Secondary outcomes included the percent change from first to last slip in kinematic measurements: dynamic gait stability, recovery stepping (step latency, duration, length), and trunk angle.</div></div><div><h3>Results</h3><div>Dancers showed a faster reduction in the slip-faller rate from the first to last standing-slip compared to the non-dancers (<em>p</em> = 0.004). The dancers improved dynamic gait stability at the recovery step touchdown more than the non-dancers (<em>p</em> = 0.002). The dancers increased their step duration (<em>p</em> = 0.006) more than the non-dancers across the five standing-slips, and dancers exhibited better improvement in trunk angle at recovery touchdown (<em>p</em> = 0.028).</div></div><div><h3>Conclusions</h3><div>Older ballet dancers adapt faster to repeated standing-slips and can improve their slip-faller rate more quickly compared to non-dancers. Dancers also improve their step duration and trunk angle as related to balance loss recovery, which may be attributed to their ballet practice.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101950"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“I am not pain, I have pain”: A pilot study examining iRest yoga nidra as a mind-body intervention for persistent pain","authors":"Meg Barber ,&nbsp;Subhadra Evans ,&nbsp;Rosie Marks ,&nbsp;Jo Sheedy ,&nbsp;Richard Miller ,&nbsp;Stephanie Lopez ,&nbsp;Melissa O'Shea","doi":"10.1016/j.ctcp.2025.101955","DOIUrl":"10.1016/j.ctcp.2025.101955","url":null,"abstract":"<div><h3>Purpose</h3><div>This pilot study was the first of its kind to examine the experiences of people with persistent pain engaging in a six-week iRest for Pain group program as part of multidisciplinary pain care.</div></div><div><h3>Method</h3><div>The present study used a qualitative, phenomenological design and reflexive thematic analysis to gain an understanding of the firsthand experience of patients who participated in the iRest for Pain group program. This program was offered in a specialist outpatient pain management service within a regional public hospital in Victoria, Australia.</div></div><div><h3>Results</h3><div>Participants reported they experienced iRest Yoga Nidra as personal and therapeutic, that the practice facilitated deep relaxation and restoration; for some participants trauma reprocessing and integration; improved pain self-management and self-efficacy, as well as dis-identification from persisting pain as personal identity. Additionally, some participants reported motivation and confidence to use iRest instead of medication, to reduce dependence on opioid medications.</div></div><div><h3>Conclusion</h3><div>The iRest for Pain group program presents a personally therapeutic and innovative mind-body intervention, which could be offered at various phases from primary to tertiary specialised pain care.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101955"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of different traditional Chinese medicine injections in patients with diabetic lower extremity arterial disease: A Bayesian network meta-analysis","authors":"Rong Zhu ,&nbsp;Shuxun Yan ,&nbsp;Ruixia Zhao ,&nbsp;Rongrong Zhang ,&nbsp;Mingyi Shao ,&nbsp;Haibin Yu ,&nbsp;Yu Fu","doi":"10.1016/j.ctcp.2025.101936","DOIUrl":"10.1016/j.ctcp.2025.101936","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Numerous studies have demonstrated the effectiveness of Chinese medicine injections (CMIs) in treating diabetic lower extremity arterial disease (Dia-LEAD). However, with the variety of CMIs available, it has become challenging to determine the optimal choice for Dia-LEAD patients. This study aims to compare and rank the efficacy of CMIs for Dia-LEAD to provide references and evidence for clinicians in optimising drug selection.</div></div><div><h3>Methods</h3><div>We conducted a comprehensive search for randomised controlled trials (RCTs) of CMIs for treating Dia-LEAD, which included the China National Knowledge Infrastructure (CNKI), Wanfang, China Weipu Science and Technology Journal Database (VIP), Chinese Biomedical Literature Database (CBM), PubMed, the Cochrane Library, Embase, and Web of Science, covering inception to 15 October 2023. We used the Cochrane Risk of Bias Tool 2.0 to assess bias risk, and RevMan 5.4.1, GeMTC, STATA 13.0, and R 4.2.1 for statistical analysis and visualization of the network meta-analysis.</div></div><div><h3>Results</h3><div>We analysed 38 studies with 12 CMIs. Compared with other interventions, Shuxuening injection (SXN) + conventional treatment (CT) was superior in terms of the total effective rate (surface under the cumulative ranking (SUCRA) 86.2 %). Danshen injection (DS) + CT ranked first in improving the ankle-brachial index (ABI) (SUCRA 95.1 %) and dorsalis pedis artery blood flow (DPABF) (SUCRA 88.8 %). Danhong injection (DH) + CT showed the highest probability of effectiveness in improving the plasma viscosity (SUCRA 91.6 %). Chuanxiongqin injection (CXQ) + CT yielded favourable results in regulating fibrinogen levels (SUCRA 77.1 %). Furthermore, no significant differences in adverse reactions were detected between the treatment and control groups.</div></div><div><h3>Conclusion</h3><div>The study demonstrated that CMIs have potential as a complementary therapy for treating Dia-LEAD, and it supports the positive effects of combining CMIs with <span>CT</span> on a number of outcome indicators. Especially when it comes to improving the haemodynamics indices and the haemorheology indices, DS in combination with CT may be a more effective intervention. However, further confirmation in more rigorous, high-quality, and multicentre RCTs is needed to strengthen the validity and generalisability of the results.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101936"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142981007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare professionals’ attitudes to animal assisted activity with dogs in paediatric care","authors":"M. Lindstrom Nilsson,&nbsp;K. Enskar,&nbsp;G. Engvall,&nbsp;A. Edner,&nbsp;E.-L. Funkquist","doi":"10.1016/j.ctcp.2025.101952","DOIUrl":"10.1016/j.ctcp.2025.101952","url":null,"abstract":"<div><h3>Background</h3><div>Hospitalization for children often involves stress induced by fear and pain. Complementary therapies, such as Animal Assisted Activities (AAA) with dogs, can alleviate the hospital experience.</div></div><div><h3>Purpose</h3><div>The first aim of this study was to initiate the development of an instrument that measures healthcare professionals’ attitudes toward complementary therapy, specifically dogs in AAA. The second aim was to elucidate the emerging effects of introducing dogs to children in healthcare settings, as reported by healthcare professionals.</div></div><div><h3>Materials and methods</h3><div>A questionnaire covering demographics, rating attitudes, and allergy and hygiene risks, followed by open-ended questions, was completed by 61 healthcare professionals (HCPs). Quantitative data were analysed statistically, while qualitative data underwent content analysis.</div></div><div><h3>Results</h3><div>The Attitude Instrument of Complementary Therapy (AICT) included 7 items and was evaluated using exploratory factor analysis. Healthcare professionals had a median score of 25 (range 18–28), high scores indicating a more positive attitude. However, 36 % of the HCPs perceived a risk of allergies, and this group had a significantly lower median score, 22 versus 26. Open-ended answers were analysed into four categories: “<em>Dogs could positively affect children in hospital”, “Dogs may pose a risk of allergies in children”, “Dogs might be frightening for children”</em> and <em>“Dogs can affect healthcare professionals’ working situation”.</em></div></div><div><h3>Conclusion</h3><div>The AICT can serve as a valuable tool for investigating HCPs’ attitudes to dogs in AAA as complementary therapies. Professionals view dogs as beneficial for hospitalized children, but attitudes toward dogs working in paediatric care can be influenced by concerns about risks such as allergies.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101952"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Optimal Tai Chi forms in alleviating knee pain among Hispanic people with knee osteoarthritis: A case series","authors":"Feng Yang ,&nbsp;Kyriakos Markides ,&nbsp;Timothy A. Reistetter ,&nbsp;Alison A. Moore ,&nbsp;Wei Liu","doi":"10.1016/j.ctcp.2025.101961","DOIUrl":"10.1016/j.ctcp.2025.101961","url":null,"abstract":"<div><h3>Background</h3><div>Despite the similar knee osteoarthritis (KOA) prevalence among races and ethnicities, Hispanic patients with KOA are 30%–40 % less likely to receive treatments compared with their White counterparts. Tai Chi (TC) could be an accessible and affordable intervention for Hispanic individuals with KOA. This case series explored the effect of four optimal TC forms (OTC) on reducing KOA pain in Hispanic individuals.</div></div><div><h3>Methods</h3><div>Seven Hispanic adults with mild to moderate KOA were recruited. Their knee pain level during walking was evaluated before and after a two-week OTC training using the Visual Analog Scale and compared between assessments.</div></div><div><h3>Results</h3><div>The 2-week OTC training course was well received by our participants. The training reduced pain with a large effect size (4.14 ± 1.21 vs. 1.29 ± 1.70 cm, <em>p</em> &lt; 0.027, Wilcoxon's <em>r</em> = -0.833).</div></div><div><h3>Conclusion</h3><div>Our pilot results suggested that the 2-week, 4-form-based OTC program can significantly reduce the knee pain in Hispanic people with KOA. Our OTC program appears to be about 20% more effective in reducing knee pain than the existing TC-based program, which uses 10 TC forms over 12 weeks (1.27 vs. 1.06 in Hedge's <em>g</em>). The findings implied that the OTC program could be a promising alternative paradigm for Hispanic people with KOA to lower their pain. This case series could provide vital information for the design and execution of future large-scale and rigorous clinical trials to further test the effects of the OTC program in altering pain for Hispanic people with KOA.</div></div><div><h3>Clinicaltrials gov registration id</h3><div><strong>NCT03621631</strong>.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101961"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in body awareness in yoga interventions: A systematic review","authors":"Camille L. Garnsey,&nbsp;Katherine E. Gnall,&nbsp;Erika K. Osherow,&nbsp;Crystal L. Park","doi":"10.1016/j.ctcp.2025.101977","DOIUrl":"10.1016/j.ctcp.2025.101977","url":null,"abstract":"<div><h3>Background&amp; purpose</h3><div>Research increasingly highlights associations between body awareness and health. Yoga has been described as enhancing body awareness. The goal of this systematic review is to examine changes in body awareness subsequent to yoga interventions.</div></div><div><h3>Methods</h3><div>A systematic search of PubMed, PsycINFO, Scopus, and CINAHL was conducted from database inception to September 2024. English language intervention studies evaluating the effect of yoga interventions on body awareness were included.</div></div><div><h3>Results</h3><div>Thirty-three studies met inclusion criteria. Eighteen (72 %) of the 25 studies that reported the results of within-group tests found significant increases in body awareness at some point following the yoga intervention. Three-quarters (76 %) of the 21 studies that examined differences in body awareness between a yoga group and a control group reported significant differences in favor of yoga. Studies that reported changes in body awareness did not systematically differ from those that did not in terms of the sample size or population , the type of control or comparison group used, or the duration and design of the yoga intervention. Studies that assessed body awareness as a multi-dimensional construct more consistently reported changes in body awareness.</div></div><div><h3>Discussion</h3><div>Results from this review are mixed, but there is evidence trending towards suggesting that yoga improves body awareness. Recommendations for future research include developing greater consensus on the conceptualization/measurement of body awareness in yoga interventions and conducting more rigorous trials with larger sample sizes and active comparison groups.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101977"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of mindfulness yoga during pregnancy on psychological and pregnancy outcomes in multiparous women of advanced maternal age","authors":"Feifan Lu ,&nbsp;Zhizhi Deng ,&nbsp;Xinxin Ji ,&nbsp;Tian Li ,&nbsp;Weihao Yang ,&nbsp;Guimei Li ,&nbsp;Xia Li","doi":"10.1016/j.ctcp.2025.101962","DOIUrl":"10.1016/j.ctcp.2025.101962","url":null,"abstract":"<div><h3>Background</h3><div>Multiparous women of advanced maternal age are more susceptible to psychological stress.</div></div><div><h3>Objective</h3><div>This study examined the impact of mindfulness yoga on psychological well-being (anxiety and sleep quality) and pregnancy outcomes (Apgar scores and adverse perinatal events) in aging multiparous women.</div></div><div><h3>Study design</h3><div>Participants meeting the criteria were randomly assigned to a control or a mindfulness yoga intervention group. The Chinese version of the Childbirth Attitudes Questionnaire, the Chinese version of the Pregnancy-Related Anxiety Questionnaire, and the Self-Rating Scale of Sleep were utilized to assess fear of childbirth, anxiety levels, and sleep quality, respectively. Maternal and neonatal outcomes, including vaginal delivery rates, labor analgesic use, duration of labor, postpartum bleeding volume, fetal anomaly rates, and Apgar scores, were analyzed.</div></div><div><h3>Results</h3><div>A total of 148 multiparous women of advanced maternal age participated in the study. No significant differences in baseline characteristics were observed between the two groups. Participants in the mindfulness yoga group exhibited significantly lower scores on the C-CAQ, PRAQ, and SRSS scales compared to those in the control group. Additionally, higher vaginal delivery rates, reduced analgesic use, and shorter durations across all three stages of labor were observed in the mindfulness yoga group, contributing to an overall reduction in total labor duration. Neonatal outcomes demonstrated notable differences, with higher Apgar scores and lower incidences of adverse perinatal events in the mindfulness yoga group.</div></div><div><h3>Conclusion</h3><div>Engagement in mindfulness yoga during pregnancy may contribute to improved psychological well-being and enhanced pregnancy outcomes in older multiparous women.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"59 ","pages":"Article 101962"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143471173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}