Bellfjord Madeleine, Grimby-Ekman Anna, Larsson Maria E H
Region Västra Götaland, Department of Rehabilitation, Närhälsan Clinic in Primary Care, Gibraltarg, Gothenburg, Sweden.
School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
PLoS One. 2024 Jun 13;19(6):e0300756. doi: 10.1371/journal.pone.0300756. eCollection 2024.
The purpose of this study was to compare the effect of MediYoga as a group treatment to conventional treatment provided by a physiotherapist for people with perceived stress-related symptoms.
Randomized controlled trial.
Primary care rehabilitation, Gothenburg Sweden.
Fifty-five patients with stress-related symptoms were invited to participate. Nine patients declined, and a total of 46 patients aged 26-70 years (mean 47), 44 women and two men were randomized, 23 to the MediYoga group and 23 to the physiotherapy treatment as usual group.
The MediYoga group performed MediYoga for one hour a week during an 8-week period. The control group received physiotherapy treatment as usual.
Data were mainly collected by self-reported questionnaires. For primary outcome the Swedish version of the Perceived Stress Scale (PSS) was used. Secondary outcomes were the Hospital Anxiety and Depression Scale (HADS), EuroQol-5D (EQ-5D) and EuroQol-Visual Analog Scale (EQ-VAS). Thoracic excursion was the only physical measurement. Mixed effect model was used for analyse.
For the primary outcome PSS, there was a close to statistically significant group effect over time advantaging MediYoga over physiotherapy (P = 0.06). For secondary outcomes, the group effect over time was statistically significant in HADS anxiety (P = 0.01) and EQ-VAS (P = 0.03). There was a group trend over time advantaging MediYoga in HADS depression (P = 0.08).
Despite a large dropout in both groups, MediYoga can be recommended as a treatment option for people suffering from stress-related symptoms.
Registered in: ClinicalTrials.gov NCT02907138.
本研究旨在比较冥想瑜伽作为一种团体治疗方法与物理治疗师提供的传统治疗方法对有感知到的压力相关症状的人群的效果。
随机对照试验。
瑞典哥德堡的初级保健康复机构。
邀请了55名有压力相关症状的患者参与。9名患者拒绝，共有46名年龄在26 - 70岁（平均47岁）的患者被随机分组，其中44名女性和2名男性，23名被分到冥想瑜伽组，23名被分到常规物理治疗组。
冥想瑜伽组在8周时间内每周进行1小时的冥想瑜伽。对照组接受常规物理治疗。
数据主要通过自我报告问卷收集。主要结局使用瑞典版的感知压力量表（PSS）。次要结局包括医院焦虑抑郁量表（HADS）、欧洲五维度健康量表（EQ - 5D）和欧洲五维度健康视觉模拟量表（EQ - VAS）。胸廓活动度是唯一的身体测量指标。采用混合效应模型进行分析。
对于主要结局PSS，随着时间推移，冥想瑜伽组相对于物理治疗组有接近统计学显著性的组间效应优势（P = 0.06）。对于次要结局，随着时间推移，组间效应在HADS焦虑量表（P = 0.01）和EQ - VAS（P = 0.03）上具有统计学显著性。在HADS抑郁量表上，随着时间推移，冥想瑜伽组有组间趋势优势（P = 0.08）。
尽管两组都有大量失访，但冥想瑜伽可被推荐为患有压力相关症状人群的一种治疗选择。
在ClinicalTrials.gov上注册，注册号为NCT02907138。
