Jha Monika, Dumbala Sowjanya, Gulati Kankan, Bhargav Hemant, Arasappa Rashmi, Varambally Shivarama, Gangadhar B N, Desai Geetha
Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
Department of Integrative Medicine, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
Int J Yoga. 2021 Sep-Dec;14(3):206-212. doi: 10.4103/ijoy.IJOY_125_20. Epub 2021 Nov 22.
Yoga practices have been found to be useful in chronic pain conditions but studies focussing specifically on somatoform pain disorders (SPDs) are limited.
Current study aims to develop and test the feasibility of a yoga program for patients with SPDs.
Athorough search of traditional and contemporary literature was performed with the objective of formulating a yoga program for reducing chronic non-specific pain and associated psychological distress. Content validity of the program was then determined by taking the opinion of 18 yoga experts (who had >5 years of experience in treating mental health disorders) using content validation ratio (CVR) through Lawshe's formula. The feasibility of the module was tested on 10 subjects diagnosed with SPDs as per the International Classification of Diseases (ICD) -10 criteria using standard scales.
In the finalized module, 70.83% (34 out of 48 items) of the practices were retained along with the modifications as suggested by the experts. Two practices were not found to be feasible ( and ) and hence were removed from the final module. A significant reduction in pain severity was observed in the subjects after practising the yoga module for 2 weeks. The content validity index for the whole module (average of all CVRs) was 0.55.
Ayoga module was developed for SPD. The content validity of the module was found to be good. The module was found safe and potentially useful for reducing pain severity in patients with SPD. Future studies should test the efficacy of the developed program through a randomized controlled clinical trial.
已发现瑜伽练习对慢性疼痛状况有用,但专门针对躯体形式疼痛障碍(SPD)的研究有限。
当前研究旨在为SPD患者制定并测试一项瑜伽计划的可行性。
对传统和当代文献进行全面检索,目的是制定一项减轻慢性非特异性疼痛及相关心理困扰的瑜伽计划。然后通过使用劳希公式的内容效度比(CVR)征求18位瑜伽专家(在治疗精神健康障碍方面有超过5年经验)的意见,确定该计划的内容效度。根据国际疾病分类(ICD)-10标准,使用标准量表对10名被诊断为SPD的受试者测试该模块的可行性。
在最终确定的模块中,70.83%(48项中的34项)练习被保留,并按照专家建议进行了修改。发现两项练习不可行(和),因此从最终模块中删除。在练习瑜伽模块2周后,观察到受试者的疼痛严重程度显著降低。整个模块的内容效度指数(所有CVR的平均值)为0.55。
为SPD制定了一个瑜伽模块。发现该模块的内容效度良好。发现该模块对减轻SPD患者的疼痛严重程度安全且可能有用。未来的研究应通过随机对照临床试验测试所制定计划的疗效。