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一项为期12周的瑜伽疗法项目对临终关怀院老年女性囚犯心理健康状况的影响。

Effect of a 12-week yoga therapy program on mental health status in elderly women inmates of a hospice.

作者信息

Ramanathan Meena, Bhavanani Ananda Balayogi, Trakroo Madanmohan

机构信息

Centre for Yoga Therapy, Education and Research, Sri Balaji Vidyapeeth University, MGMCRI Campus, Puducherry, India.

CYTER and Department of Physiology, Sri Balaji Vidyapeeth University, MGMCRI Campus, Puducherry, India.

出版信息

Int J Yoga. 2017 Jan-Apr;10(1):24-28. doi: 10.4103/0973-6131.186156.

Abstract

AIM AND OBJECTIVES

This study was undertaken to evaluate the effectiveness of yoga on the mental health status of elderly women inmates residing in a hospice in Puducherry.

MATERIALS AND METHODS

Forty elderly women were randomly divided into yoga and wait-listed control group. A yoga therapy program of 60 min was given twice a week for 12 weeks. This protocol was specially designed for senior citizens, keeping in mind their health status and physical limitations that included simple warm-up and breath-body movement coordination practices (jathis and kriyas), static stretching postures (asanas), breathing techniques (pranayamas), and relaxation. Hamilton anxiety scale for measuring anxiety, Hamilton rating scale for depression, and Rosenberg self-esteem scale to measure self-esteem were administered to both groups before and after the 12-week study period. Data were assessed for normality, and appropriate parametric and nonparametric statistical methods were applied for intra- and inter-group comparisons.

RESULTS

Overall, intra- and inter-group comparison of prepost data showed statistically significant ( < 0.001) differences for all three parameters. There was an overall improvement in the scores indicating decreased levels of depression and anxiety coupled with an increase in the level of self-esteem after the yoga therapy program.

DISCUSSION

The influence of yoga in the reduction of depression and anxiety scores and improvement in self-esteem scores in elderly women subjects is evident from this study. As reported in earlier studies, this may be attributed to changes in central neurotransmitters such as gamma-aminobutyric-acid coupled with increased parasympathetic tone and decreased sympatho-adrenal activity.

CONCLUSION

It is recommended that yoga should be a part of health-care facilities for elderly as it can enhance the quality of life by improving their overall mental health status. It could provide a healthy and positive alternative from depressing negative thoughts, and give them a sense of purpose and hope.

摘要

目的与目标

本研究旨在评估瑜伽对居住在本地治里一家临终关怀机构的老年女性囚犯心理健康状况的有效性。

材料与方法

40名老年女性被随机分为瑜伽组和候补对照组。每周进行两次60分钟的瑜伽治疗课程,共持续12周。该方案是专门为老年人设计的,考虑到了他们的健康状况和身体限制,包括简单的热身和呼吸 - 身体运动协调练习(jathis和kriyas)、静态伸展姿势(体式)、呼吸技巧(调息法)以及放松练习。在为期12周的研究期前后,对两组均使用汉密尔顿焦虑量表测量焦虑程度、汉密尔顿抑郁量表评估抑郁状况以及罗森伯格自尊量表衡量自尊水平。对数据进行正态性评估,并应用适当的参数和非参数统计方法进行组内和组间比较。

结果

总体而言,组内和组间前后数据比较显示,所有三个参数均存在统计学显著差异(<0.001)。瑜伽治疗方案后,各项得分总体有所改善,表明抑郁和焦虑水平降低,自尊水平提高。

讨论

本研究表明,瑜伽对老年女性受试者抑郁和焦虑得分的降低以及自尊得分的提高具有明显影响。正如早期研究报道的那样,这可能归因于中枢神经递质如γ-氨基丁酸的变化,以及副交感神经张力增加和交感 - 肾上腺活动减少。

结论

建议将瑜伽纳入老年人的医疗保健设施中,因为它可以通过改善老年人的整体心理健康状况来提高生活质量。它可以提供一种健康积极的方式,替代消极抑郁的想法,给他们一种目标感和希望。

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