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Effects of yoga on quality of life, fatigue, and dynamic balance in individuals with schizophrenia: a single blind randomized controlled trial

Yıl 2022, , 12 - 19, 29.04.2022
https://doi.org/10.15437/jetr.705155

Öz

Purpose: Physical exercising is a reliable method to improve clinical symptoms, the quality of life and depressive symptoms in people with schizophrenia. The aim of this study is to examine the effect of yoga on the quality of life, fatigue and dynamic balance in people with schizophrenia.
Methods: Thirty-two outpatient individuals aged 18-65 years, diagnosed with schizophrenia by psychiatrist were included in the study. The individuals were randomly divided into two groups: yoga and control groups. Yoga was applied to the yoga group two times a week for a total of 12 weeks by a physiotherapist trained and experienced in yoga. The individuals were evaluated by researcher who does not know which group the participants are from at beginning and the end of 12 weeks. The fatigue severity was evaluated with the Fatigue Severity Scale, the quality of life was evaluated with the World Health Organization Quality of Life Scale-BREF Turkish version, balance and functional mobility were evaluated with the Timed up and Go Test.
Results: The mean ages of yoga and control groups were as 38.11±12.46 and 41.53±11.44 years respectively. As result of statistical analysis, there was a difference in the physical health parameter of the quality of life between the groups before and after treatment (p<0.05). When the groups were compared within themselves, a significant positive change was observed in the yoga group in terms of balance values (p<0.05).
Conclusion: It was determined that yoga improved dynamic balance in people with schizophrenia, and increased their physical health, which is a sub-parameter of life quality.

Kaynakça

  • 1. Cetin M. Research and Clinical Practice of Biological Psychiatry, Schizophrenia. 3rd edition. Istanbul: Kure Publishing Group; 2005.1-99.
  • 2. Çetin M. Şizofreni tedavisi: geçmişi, bugünü ve geleceği. Bulletin of Clinical Psychopharmacology. 2015;25:95-99.
  • 3. Vera-Garcia E, Mayoral-Cleries F, Vancampfort D, et al. A systematic review of the benefits of physical therapy within a multidisciplinary care approach for people with schizophrenia: An update. Psychiatry Res. 2015;229:828-839.
  • 4. Broderick J, Crumlish N, Waugh A, Vancampfor D. Yoga versus non-standard care for schizophrenia. Cochrane Database Syst Rev. 2017;28:9
  • 5. Kimhy D, Vakhrusheva J, Bartels MN, et al. The impact of aerobic exercise on brain-derived neurotrophic factor and neurocognition in individuals with schizophrenia: a single-blind, randomized clinical trial. Schizophr Bull. 2015;41:859-868.
  • 6. Duman RS. Neurotrophic factors and regulation of mood: role of exercise, diet and metabolism, Neurobiol Aging. 2005;26:88-93.
  • 7. Critchley HD, Corfield D, Chandler M, et al. Cerebral correlates of autonomic cardiovascular arousal: a functional neuroimaging investigation in humans. The J Physiol. 2000;523:259-270.
  • 8. Wipfli BM, Rethorst CD, Landers DM. The anxiolytic effects of exercise: a meta-analysis of randomized trials and dose-response analysis. J Sport Exerc Psychol. 2008;30:392-410.
  • 9. Holley J, Crone D, Tyson P, et al. The effects of physical activity on psychological wellbeing for those with schizophrenia: A systematic review. Br J Clin Psychol. 2011;50:84-105.
  • 10. Dauwan M, Begemann MJ, Heringa SM, et al. Exercise improves clinical symptoms, quality of life, global functioning, and depression in schizophrenia: Asystematic review and meta-analysis. Schizophr Bull. 2016;42:588-99.
  • 11. Rocha KKF., Ribeiro AM, Rocha KCF et al. Improvement in physiological and psychological parameters after 6 months of Yoga practice. Conscious Cogn. 2012;21:843-850.
  • 12. Ross A, Ma S. The health benefits of Yoga and exercise: A review of comparison studies. J Altern Complem Med.2010;16:3-12.
  • 13. Altuntuğ K, Ege E. Kanıta dayalı rehberleriyle tamamlayıcı ve destekleyici uygulamalar: Yoga. Ankara; Akademisyen Tıp Kitabevi; 2015.
  • 14. Field T. Yoga clinical research review. Complement Ther Clin Pract.2011;17:23-27.
  • 15. Durstine JL, Moore GE, Painter PL. American College of Sports Medicine. ACMS's exercise management for persons with chronic diseases and disabilities. Champaign, IL. Human Kinetics;2016.
  • 16. Duraiswamy G, Thirthalli J, Nagendra HR, et al. Yoga therapy as an add‐on treatment in the management of patients with schizophrenia–a randomized controlled trial. Acta Psychiatr Scand.2007: 226-232.
  • 17. Armutlu K, Korkmaz NÇ, Keser İ, et al. The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. Int J Rehabil Res.2007;30:81-85.
  • 18. Eser SY, Fidaner H, Fidaner C, et al. Yaşam kalitesinin ölçülmesi, WHOQOL-100 ve WHOQOL-BREF. 3P Dergisi. 1999;7:5-13.
  • 19. Lin MR, Hwang HF, Hu MH, et al. Psychometric comparisons of the Timed up and go, one-leg stand, functional reach, and Tinetti balance measures in community-dwelling older people. J Am Geriatr Soc. 2004;52:1343-1348.
  • 20. Greenwood BN, Fleshner M. Exercise, stress resistance, and central serotonergic systems. Exerc Sport Sci Rev. 2011; 39:140-149.
  • 21. Mammen G, Faulkner G. Physical activity and the prevention of depression: a systematic review of prospective studies. Am J Prev Med. 2013;45:649-657.
  • 22. Farhat SL, Hochard C, Orens S, et al. Psychoeducationnal therapeutic group program for schizophrenic patients, based on nutritional balance and pleasure, using cognitive functions: A pilot study. Encephale. 2016;42:410-414.
  • 23. Li Y, Cao XL, Zhong BL, et al. Smoking in male patients with schizophrenia in China: A meta-analysis. Drug Alcohol Depend. 2016;162:146-153.
  • 24. Zschucke E, Gaudlitz K, Ströhle A. Exercise and physical activity in mental disorders: clinical and experimental evidence. J Prev Med Public Health. 2013;46:12-21.
  • 25. Kavak F, Ünal S, Yılmaz E. Şizofreni hastalarında gevşeme egzersizi ve müzik terapinin psikolojik belirtiler ve depresyon düzeyine etkisi. Integr Tıp Derg 2015;3:116-117.
  • 26. Atılgan E, Tarakcı D, Polat B, et al. Sağlıklı kadınlarda Yoga temelli egzersizlerin esneklik, yaşam kalitesi, fiziksel aktivite ve depresyon üzerine etkilerinin araştırılması. J Exerc Rehabil. 2015;2:41-46.
  • 27. Baş Arslan U, Livanelioğlu A. Hatha Yoganın ve kalistenik egzersizlerin statik denge üzerindeki etkileri.J Sport Sci. 2003;14:83-91.
  • 28. Govindaraj R,Varambally S, Rao NP, Venkatasubramanian G, Gangadhar BN. Does yoga have a role in schizophrenia management? Curr Psychiat Rep. 2020;22:78.
  • 29. Ikai S, Uchida H, Suzuki T, et al. Effects of yoga therapy on postural stability in patients with schizophrenia-spectrum disorders: A single-blind randomized controlled trial. J Psychiatr Res 2013;47:1744-1750.
  • 30. Dodell-Feder D, Gates A, Anthony D, et al. Yoga for schizophrenia: A review of efficacy and neurobiology. Curr Behav Neurosci Rep. 2017:4;209-220.
  • 31. Kavak F, Ekinci M. The effect of yoga on functional recovery level in schizophrenic patients. Arch Psychiatr Nurs. 2016;30:761-767.
  • 32. Paikkatt B, Singh AR. Efficacy of yoga therapy on subjective well-being and basic living skills of patients having chronic schiophrenia. Ind Psychiatry J. 2012;21:12-14.
  • 33. Behere RV, Arasappa R, Jagannathan A, et al. Effect of yoga therapy on facial emotion recognition deficits, symptoms and functioning in patients with schizophrenia. Acta Psychiatr Scand.2011;123:147-153.
  • 34. Gangadhar BN, Varambally S. Yoga as therapy in psychiatric disorders: past, present, and future. Biofeedback.2011;39:60-63.
  • 35. Vancampfort D, Vansteelandt K, Scheewe T, et al. Yoga in schizophrenia: a systematic review of randomised controlled trials. Acta Psychiatr Scand. 2012:126:12-20.

Şizofrenili bireylerde yoganın yaşam kalitesi, yorgunluk ve dinamik dengeye etkileri: tek kör randomize kontrollü çalışma

Yıl 2022, , 12 - 19, 29.04.2022
https://doi.org/10.15437/jetr.705155

Öz

Amaç: Fiziksel egzersiz, şizofrenili bireylerde klinik semptomları, yaşam kalitesini ve depresif semptomları iyileştirmek için güvenilir bir yöntemidir. Bu çalışmanın amacı şizofrenili bireylerde yoganın yaşam kalitesi, yorgunluk ve dinamik denge üzerindeki etkisini incelemektir.
Yöntem: Psikiyatrist tarafından şizofreni tanısı alan,18-65 yaş aralığında 32 poliklinik hastası çalışmaya dahil edildi. Bireyler yoga ve kontrol grupları olmak üzere rastgele iki gruba ayrıldı. Yoga grubuna, yoga konusunda eğitimli ve deneyimli bir fizyoterapist tarafından toplam 12 hafta boyunca haftada 2 kez yoga uygulandı. Bireyler 12 haftanın başında ve sonunda grupların dağılımını bilmeyen araştırmacı tarafından değerlendirildi. Yorgunluk şiddeti, Yorgunluk Şiddeti Ölçeği; yaşam kalitesi, Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği-BREF Türkçe versiyonu; denge ve fonksiyonel hareketlilik Zamanlı Kalk ve Yürü Testi ile değerlendirildi.
Bulgular: Yoga ve kontrol grubunun yaş ortalaması sırasıyla 38,1±12,5 ve 41,5±11,4 yıldı. İstatistiksel analizler sonucunda tedavi öncesi ve sonrası gruplar arasında yaşam kalitesi fiziksel sağlık parametrelerinde bir fark vardı (p<0,05). Gruplar kendi içlerinde karşılaştırıldığında, yoga grubunda dengede anlamlı bir pozitif değişiklik gözlendi (p<0,05).
Sonuç: Yoganın şizofrenili bireylerde, dinamik dengeyi geliştirdiği ve yaşam kalitesinin alt parametresi olan fiziksel sağlığın arttırdığı ortaya koyuldu.

Kaynakça

  • 1. Cetin M. Research and Clinical Practice of Biological Psychiatry, Schizophrenia. 3rd edition. Istanbul: Kure Publishing Group; 2005.1-99.
  • 2. Çetin M. Şizofreni tedavisi: geçmişi, bugünü ve geleceği. Bulletin of Clinical Psychopharmacology. 2015;25:95-99.
  • 3. Vera-Garcia E, Mayoral-Cleries F, Vancampfort D, et al. A systematic review of the benefits of physical therapy within a multidisciplinary care approach for people with schizophrenia: An update. Psychiatry Res. 2015;229:828-839.
  • 4. Broderick J, Crumlish N, Waugh A, Vancampfor D. Yoga versus non-standard care for schizophrenia. Cochrane Database Syst Rev. 2017;28:9
  • 5. Kimhy D, Vakhrusheva J, Bartels MN, et al. The impact of aerobic exercise on brain-derived neurotrophic factor and neurocognition in individuals with schizophrenia: a single-blind, randomized clinical trial. Schizophr Bull. 2015;41:859-868.
  • 6. Duman RS. Neurotrophic factors and regulation of mood: role of exercise, diet and metabolism, Neurobiol Aging. 2005;26:88-93.
  • 7. Critchley HD, Corfield D, Chandler M, et al. Cerebral correlates of autonomic cardiovascular arousal: a functional neuroimaging investigation in humans. The J Physiol. 2000;523:259-270.
  • 8. Wipfli BM, Rethorst CD, Landers DM. The anxiolytic effects of exercise: a meta-analysis of randomized trials and dose-response analysis. J Sport Exerc Psychol. 2008;30:392-410.
  • 9. Holley J, Crone D, Tyson P, et al. The effects of physical activity on psychological wellbeing for those with schizophrenia: A systematic review. Br J Clin Psychol. 2011;50:84-105.
  • 10. Dauwan M, Begemann MJ, Heringa SM, et al. Exercise improves clinical symptoms, quality of life, global functioning, and depression in schizophrenia: Asystematic review and meta-analysis. Schizophr Bull. 2016;42:588-99.
  • 11. Rocha KKF., Ribeiro AM, Rocha KCF et al. Improvement in physiological and psychological parameters after 6 months of Yoga practice. Conscious Cogn. 2012;21:843-850.
  • 12. Ross A, Ma S. The health benefits of Yoga and exercise: A review of comparison studies. J Altern Complem Med.2010;16:3-12.
  • 13. Altuntuğ K, Ege E. Kanıta dayalı rehberleriyle tamamlayıcı ve destekleyici uygulamalar: Yoga. Ankara; Akademisyen Tıp Kitabevi; 2015.
  • 14. Field T. Yoga clinical research review. Complement Ther Clin Pract.2011;17:23-27.
  • 15. Durstine JL, Moore GE, Painter PL. American College of Sports Medicine. ACMS's exercise management for persons with chronic diseases and disabilities. Champaign, IL. Human Kinetics;2016.
  • 16. Duraiswamy G, Thirthalli J, Nagendra HR, et al. Yoga therapy as an add‐on treatment in the management of patients with schizophrenia–a randomized controlled trial. Acta Psychiatr Scand.2007: 226-232.
  • 17. Armutlu K, Korkmaz NÇ, Keser İ, et al. The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. Int J Rehabil Res.2007;30:81-85.
  • 18. Eser SY, Fidaner H, Fidaner C, et al. Yaşam kalitesinin ölçülmesi, WHOQOL-100 ve WHOQOL-BREF. 3P Dergisi. 1999;7:5-13.
  • 19. Lin MR, Hwang HF, Hu MH, et al. Psychometric comparisons of the Timed up and go, one-leg stand, functional reach, and Tinetti balance measures in community-dwelling older people. J Am Geriatr Soc. 2004;52:1343-1348.
  • 20. Greenwood BN, Fleshner M. Exercise, stress resistance, and central serotonergic systems. Exerc Sport Sci Rev. 2011; 39:140-149.
  • 21. Mammen G, Faulkner G. Physical activity and the prevention of depression: a systematic review of prospective studies. Am J Prev Med. 2013;45:649-657.
  • 22. Farhat SL, Hochard C, Orens S, et al. Psychoeducationnal therapeutic group program for schizophrenic patients, based on nutritional balance and pleasure, using cognitive functions: A pilot study. Encephale. 2016;42:410-414.
  • 23. Li Y, Cao XL, Zhong BL, et al. Smoking in male patients with schizophrenia in China: A meta-analysis. Drug Alcohol Depend. 2016;162:146-153.
  • 24. Zschucke E, Gaudlitz K, Ströhle A. Exercise and physical activity in mental disorders: clinical and experimental evidence. J Prev Med Public Health. 2013;46:12-21.
  • 25. Kavak F, Ünal S, Yılmaz E. Şizofreni hastalarında gevşeme egzersizi ve müzik terapinin psikolojik belirtiler ve depresyon düzeyine etkisi. Integr Tıp Derg 2015;3:116-117.
  • 26. Atılgan E, Tarakcı D, Polat B, et al. Sağlıklı kadınlarda Yoga temelli egzersizlerin esneklik, yaşam kalitesi, fiziksel aktivite ve depresyon üzerine etkilerinin araştırılması. J Exerc Rehabil. 2015;2:41-46.
  • 27. Baş Arslan U, Livanelioğlu A. Hatha Yoganın ve kalistenik egzersizlerin statik denge üzerindeki etkileri.J Sport Sci. 2003;14:83-91.
  • 28. Govindaraj R,Varambally S, Rao NP, Venkatasubramanian G, Gangadhar BN. Does yoga have a role in schizophrenia management? Curr Psychiat Rep. 2020;22:78.
  • 29. Ikai S, Uchida H, Suzuki T, et al. Effects of yoga therapy on postural stability in patients with schizophrenia-spectrum disorders: A single-blind randomized controlled trial. J Psychiatr Res 2013;47:1744-1750.
  • 30. Dodell-Feder D, Gates A, Anthony D, et al. Yoga for schizophrenia: A review of efficacy and neurobiology. Curr Behav Neurosci Rep. 2017:4;209-220.
  • 31. Kavak F, Ekinci M. The effect of yoga on functional recovery level in schizophrenic patients. Arch Psychiatr Nurs. 2016;30:761-767.
  • 32. Paikkatt B, Singh AR. Efficacy of yoga therapy on subjective well-being and basic living skills of patients having chronic schiophrenia. Ind Psychiatry J. 2012;21:12-14.
  • 33. Behere RV, Arasappa R, Jagannathan A, et al. Effect of yoga therapy on facial emotion recognition deficits, symptoms and functioning in patients with schizophrenia. Acta Psychiatr Scand.2011;123:147-153.
  • 34. Gangadhar BN, Varambally S. Yoga as therapy in psychiatric disorders: past, present, and future. Biofeedback.2011;39:60-63.
  • 35. Vancampfort D, Vansteelandt K, Scheewe T, et al. Yoga in schizophrenia: a systematic review of randomised controlled trials. Acta Psychiatr Scand. 2012:126:12-20.
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Meral Sertel 0000-0002-7575-9762

Sabiha Bezgin 0000-0002-8459-8956

Fatih Kurtoğlu Bu kişi benim 0000-0002-0692-5317

H. Hande Kılıçarlan Şahin Bu kişi benim 0000-0003-2679-6425

Yayımlanma Tarihi 29 Nisan 2022
Gönderilme Tarihi 17 Mart 2020
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

Vancouver Sertel M, Bezgin S, Kurtoğlu F, Kılıçarlan Şahin HH. Effects of yoga on quality of life, fatigue, and dynamic balance in individuals with schizophrenia: a single blind randomized controlled trial. JETR. 2022;9(1):12-9.