Effects of mindfulness yoga versus conventional stretching and resistance training exercises on psychological distress in people with Parkinson's disease: a randomized controlled trial
Refereed conference paper presented and published in conference proceedings


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摘要Introduction:Psychological distress, which is prevalent among people with Parkinson’s disease (PD),aggravates their motor symptoms, thereby leads to increased disability, high healthcare burden, and poor health-related quality of life (HRQOL). This study aimed to compare the effects of mindfulness yoga versus stretching and resistance training exercises(SRTE) on psychological, physical, and spiritual wellbeing, and HRQOL among people with mild-to-moderate PD.
Methods:A community-based, single-blind, randomized trial was conducted. A total of 138 people with idiopathic PD(H&Y stage I–III) were recruited and randomized into yoga(n=71) or SRTE(n=67) groups. For 8 weeks, the interventional group received a weekly 90-min session of mindfulness yoga, while control group received a weekly 60-min session of SRTE. Outcome measures included psychological distress in terms of anxiety and depression, severity of motor symptoms, mobility,spiritual wellbeing in terms of affliction and equanimity, and HRQOL. Assessments were done at baseline, immediate(T1) and three-month(T2) after the completion of intervention. Results:The mean age of participants was 63.7 years, nearly half were male and the majority suffered from moderate PD. The participation rate was 86.8% with an adherence of 78.3%.Both groups appeared to reduce motor symptoms. The generalized estimating equations analyses revealed yoga group generally had significant improvement in various outcomes than control group; particularly,on anxiety(time by gr oup i n t e r a c t i o n , T1:β= –1.79, p=0. 0 0 1 ; T 2 :β= – 1.97,p<0.001),depression(T1:β=–3.05,p<0.001;T2:β=– 2.64,p<0.001),perceived affliction(T1:β=–0.87,p<0.001;T2:β=- 0.75,p<0.001),perceived equanimity(T1:β=1.14,p<0.001;T2:β=– 1.11,p<0.001) and HRQOL(T1:β=-2.48,p<0.001;T2:β=– 2.55,p<0.001).
Conclusions:The mindfulness yoga programme was well received in patients with mild-to-moderate PD. Yoga demonstrated addtional benefits of improved psychological wellbeing, sipritual wellbeing and HRQOL,when compared to conventional SRTE. Considering that PD is chronic in nature, rehabilitation programmes should not just to improve physical, but also their psychological wellbeing.
著者Kwok JYY, Kwan JCY, Auyeung M, Mok VCT, Lau KY, Chan HYL
會議名稱15th International Congress of Behavioral Medicine
會議開始日14.11.2018
會議完結日17.11.2018
會議地點Santiago
會議國家/地區智利共和國
會議論文集題名INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE
系列標題15th International Congress of Behavioral Medicine
叢書冊次O39.3
出版作品名稱INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE
出版年份2018
月份10
卷號25
期次Suppl 1
出版社Springer
頁次S200 - S201
國際標準期刊號1070-5503
電子國際標準期刊號1532-7558
語言英式英語
Web of Science 學科類別Psychology, Clinical;Psychology

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