Feasibility and impact of a remote moderate-intensity yoga intervention on stress and executive functioning in working adults: a randomized controlled trial

Journal of Behavioral Medicine - Tập 46 - Trang 720-731 - 2023
Madhura Phansikar1, Neha Gothe1, Rosalba Hernandez2, Sandraluz Lara-Cinisomo1, Sean P. Mullen1,3,4,5
1Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, Champaign, USA
2School of Social Work, University of Illinois Urbana-Champaign, Champaign, USA
3Beckman Institute for Advanced Science and Technology, University of Illinois Urbana-Champaign, Champaign, USA
4Center for Social & Behavioral Science, University of Illinois Urbana-Champaign, Champaign, USA
5Informatics Program, University of Illinois Urbana-Champaign, Champaign, USA

Tóm tắt

The feasibility of a moderate-intensity yoga intervention, delivered remotely via supervised and unsupervised sessions, and its psychosocial and cognitive effects have not been thoroughly investigated. This randomized controlled trial assessed feasibility and preliminary efficacy of an 8-week moderate-intensity yoga intervention (3×/week, 50 min) delivered remotely (vs. a waitlist control arm), on stress and cognitive functioning. Participants (n = 86) were low active, full-time working adults (81.40% female; Mage = 41 years) with symptoms of stress. Feasibility was assessed via adherence, enjoyment, and safety; stress and anxiety via self-report questionnaires; and executive functioning via neuropsychological tests. Overall attendance was 75.1%, 100% of participants enjoyed the intervention, and only one adverse event was reported. At follow-up, the yoga group had significantly lower stress and anxiety, and higher accuracy on working memory tasks. Remote moderate intensity yoga practice proved safe, enjoyable, and may reduce stress and improve cognitive functioning. This study was pre-registered on ClinicalTrials.gov (NCT04740229).

Tài liệu tham khảo

Allexandre, D., Bernstein, A. M., Walker, E., Hunter, J., Roizen, M. F., & Morledge, T. J. (2016). A web-based mindfulness stress management program in a corporate call center. Journal of Occupational and Environmental Medicine, 58(3), 254–264. https://doi.org/10.1097/JOM.0000000000000680 American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, AY. https://doi.org/10.1176/APPI.BOOKS.9780890425596.DSM05 Backx, R., Skirrow, C., Dente, P., Barnett, J., & Cormack, F. (2020). Comparing web-based and lab-based cognitive assessment using the Cambridge neuropsychological test automated battery: A within-subjects counterbalanced study. Journal of Medical Internet Research, 22(8), e16792. https://doi.org/10.2196/16792 Calcagnotto, L., Huskey, R., & Kosicki, G. M. (2021). The accuracy and precision of measurement: Tools for validating reaction time stimuli. Computational Communication Research, 3(2), 1–20. https://doi.org/10.5117/CCR2021.2.001.CALC Carraça, E., Encantado, J., Battista, F., Beaulieu, K., Blundell, J., Busetto, L., & Oppert, J.-M. (2021). Effective behavior change techniques to promote physical activity in adults with overweight or obesity: A systematic review and meta-analysis. Obesity Reviews, 22(S4), e13258. https://doi.org/10.1111/OBR.13258 Chisholm, D. M., Collis, M. L., Kulak, L. L., Davenport, W., & Gruber, N. (1975). Physical activity readiness. British Columbia Medical Journal, 17(2), 375–378. Chobe, S., Chobe, M., Metri, K., Patra, S. K., & Nagaratna, R. (2020). Impact of yoga on cognition and mental health among elderly: A systematic review. Complementary Therapies in Medicine, 52, 102421. https://doi.org/10.1016/J.CTIM.2020.102421 Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. https://doi.org/10.2307/2136404 Cowen, V. S., & Adams, T. B. (2005). Physical and perceptual benefits of yoga asana practice: Results of a pilot study. Journal of Bodywork and Movement Therapies, 9(3), 211–219. https://doi.org/10.1016/j.jbmt.2004.08.001 Farb, N. A. S., Segal, Z. V., & Anderson, A. K. (2013). Attentional modulation of primary interoceptive and exteroceptive cortices. Cerebral Cortex, 23(1), 114–126. https://doi.org/10.1093/CERCOR/BHR385 Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/bf03193146 Fox-Fuller, J. T., Ngo, J., Pluim, C. F., Kaplan, R. I., Kim, D. H., Anzai, J. A., ... & Quiroz, Y. T. (2021). Initial investigation of test-retest reliability of home-to-home teleneuropsychological assessment in healthy, English-speaking adults. The Clinical Neuropsychologist, 1–15. Gard, T., Noggle, J. J., Park, C. L., Vago, D. R., & Wilson, A. (2014). Potential self-regulatory mechanisms of yoga for psychological health. Frontiers in Human Neuroscience, 8, 770. https://doi.org/10.3389/fnhum.2014.00770 Golden-Kreutz, D. M., Browne, M. W., Frierson, G. M., & Andersen, B. L. (2004). Assessing stress in cancer patients: A second-order factor analysis model for the perceived stress scale. Assessment, 11(3), 216–223. Gothe, N., & McAuley, E. (2015). Yoga and cognition: A meta-analysis of chronic and acute effects. Psychosomatic Medicine, 77(7), 784–797. https://doi.org/10.1097/PSY.0000000000000218 Goud Kondam, A. (2017). The effect of yoga in improved cognitive functions in medical students: A comparative study. National Journal of Physiology, Pharmacy and Pharmacology, 7(1), 38–42. https://doi.org/10.5455/njppp.2016.6.0718414072016 Hartfiel, N., Burton, C., Rycroft-Malone, J., Clarke, G., Havenhand, J., Khalsa, S. B., & Edwards, R. T. (2012). Yoga for reducing perceived stress and back pain at work. Occupational Medicine, 62(8), 606–612. https://doi.org/10.1093/OCCMED/KQS168 Hoare, E., Stavreski, B., Jennings, G. L., & Kingwell, B. A. (2017). Exploring motivation and barriers to physical activity among active and inactive Australian adults. Sports, 5(3), 47–55. https://doi.org/10.3390/SPORTS5030047 Hodes, R., Insel, T., & Landis, S. (2013). The NIH toolbox: setting a standard for biomedical research. Neurology, 80(11 Supplement 3), S1–S1. https://doi.org/10.1212/WNL.0b013e3182872e90 Hoy, S., Östh, J., Pascoe, M., Kandola, A., & Hallgren, M. (2021). Effects of yoga-based interventions on cognitive function in healthy older adults: A systematic review of randomized controlled trials. Complementary Therapies in Medicine, 58, 102690. https://doi.org/10.1016/J.CTIM.2021.102690 Jasti, N., Bhargav, H., George, S., Varambally, S., & Gangadhar, B. N. (2020). Tele-yoga for stress management: Need of the hour during the COVID-19 pandemic and beyond? Asian Journal of Psychiatry, 54, 102334. https://doi.org/10.1016/J.AJP.2020.102334 Jurca, R., Jackson, A. S., LaMonte, M. J., Morrow, J. R., Blair, S. N., Wareham, N. J., & Laukkanen, R. (2005). Assessing cardiorespiratory fitness without performing exercise testing. American Journal of Preventive Medicine, 29(3), 185–193. https://doi.org/10.1016/j.amepre.2005.06.004 Kawada, T., & Otsuka, T. (2011). Relationship between job stress, occupational position and job satisfaction using a brief job stress questionnaire (BJSQ). Work, 40(4), 393–399. https://doi.org/10.3233/WOR-2011-1251 Kim, J., Gabriel, U., & Gygax, P. (2019). Testing the effectiveness of the internet-based instrument PsyToolkit: A comparison between web-based (PsyToolkit) and lab-based (E-Prime 3.0) measurements of response choice and response time in a complex psycholinguistic task. PLoS ONE, 14(9), e0221802. https://doi.org/10.1371/JOURNAL.PONE.0221802 Larkey, L., Jahnke, R., Etnier, J., & Gonzalez, J. (2009). Meditative movement as a category of exercise: Implications for research. Journal of Physical Activity and Health, 6(2), 230–238. https://doi.org/10.1123/jpah.6.2.230 Luu, K., & Hall, P. A. (2016). Hatha yoga and executive function: A systematic review. The Journal of Alternative and Complementary Medicine, 22(2), 125–133. https://doi.org/10.1089/acm.2014.0091 Maddux, R. E., Daukantaité, D., & Tellhed, U. (2018). The effects of yoga on stress and psychological health among employees: An 8- and 16-week intervention study. Anxiety, Stress and Coping, 31(2), 121–134. https://doi.org/10.1080/10615806.2017.1405261 Massey, W. V., Szarabajko, A., Thalken, J., Perez, D., & Mullen, S. P. (2021). Memories of school recess predict physical activity enjoyment and socioal-emotional well-being in adults. Psychology of Sport and Exercise. https://doi.org/10.1016/j.psychsport.2021.101948 Morone, N. E., & Greco, C. M. (2007). Mind–body interventions for chronic pain in older adults: A structured review. Pain Medicine, 8(4), 359–375. Northey, J. M., Cherbuin, N., Pumpa, K. L., Smee, D. J., & Rattray, B. (2018). Exercise interventions for cognitive function in adults older than 50: A systematic review with meta-analysis. British Journal of Sports Medicine, 52(3), 154–160. https://doi.org/10.1136/BJSPORTS-2016-096587 Park, C. L., Finkelstein-Fox, L., Sacco, S. J., Braun, T. D., & Lazar, S. (2021). How does yoga reduce stress? A clinical trial testing psychological mechanisms. Stress and Health, 37(1), 116–126. https://doi.org/10.1002/SMI.2977 Pascoe, M. C., & Bauer, I. E. (2015). A systematic review of randomised control trials on the effects of yoga on stress measures and mood. Journal of Psychiatric Research, 68, 270–282. https://doi.org/10.1016/j.jpsychires.2015.07.013 Phansikar, M., & Mullen, S. P. (2022). Cognitive and psychosocial effects of an acute sun salutation intervention among adults with stress. Mental Health and Physical Activity, 22, 100431. https://doi.org/10.1016/J.MHPA.2021.100431 Riley, K. E., & Park, C. L. (2015). How does yoga reduce stress? A systematic review of mechanisms of change and guide to future inquiry. Health Psychology Review, 9(3), 379–396. https://doi.org/10.1080/17437199.2014.981778 Ross, A., & Thomas, S. (2010). The health benefits of yoga and exercise: A review of comparison studies. Journal of Alternative and Complementary Medicine, 16(1), 3–12. https://doi.org/10.1089/acm.2009.0044 Spielberger, C. D. (2010). State-trait anxiety inventory. The Corsini Encyclopedia of Psychology. Hoboken: Wiley. Stoet, G. (2010). PsyToolkit: A software package for programming psychological experiments using Linux. Behavior Research Methods, 42(4), 1096–1104. https://doi.org/10.3758/BRM.42.4.1096 Stoet, G. (2017). PsyToolkit: A novel web-based method for running online questionnaires and reaction-time experiments. Teaching of Psychology, 44(1), 24–31. https://doi.org/10.1177/0098628316677643 Taquet, M., Holmes, E. A., & Harrison, P. J. (2021). Depression and anxiety disorders during the COVID-19 pandemic: Knowns and unknowns. The Lancet. https://doi.org/10.1016/S0140-6736(21)02221-2 Wang, C., Li, K., Choudhury, A., & Gaylord, S. (2019). Trends in yoga, Tai Chi, and Qigong use among US adults, 2002–2017. American Journal of Public Health, 109(5), 755–761. https://doi.org/10.2105/AJPH.2019.304998 Wechsler, D. (2008). Wechsler adult intelligence scale-fourth edition - PsycNET (IV). Pearson. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x Zoogman, S., Goldberg, S. B., Vousoura, E., Diamond, M. C., & Miller, L. (2019). Effect of yoga-based interventions for anxiety symptoms: A meta-analysis of randomized controlled trials. Spirituality in Clinical Practice, 6(4), 256.