Effect of Yoga-based breathing practices on depression, anxiety, stress, and fear of COVID-19 positive hospitalized patients: A randomized controlled trial

Background: COVID-19 infection has an impact on the mental state of patients and requires attention to mental health care. Objective: The aim of this study is to assess the effect of Yoga-based breathing practices on the mental state of patients with COVID-19. Material and methods: A randomized cont...

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Main Authors: Sunil Singh Yadav, Apar Avinash Saoji, Sangeeth Somanadhapai, Nand lal Yadav, Junu Upadhyay, Niraj Nayan Rishi, Rita Thapa
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Journal of Ayurveda and Integrative Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0975947624000123
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author Sunil Singh Yadav
Apar Avinash Saoji
Sangeeth Somanadhapai
Nand lal Yadav
Junu Upadhyay
Niraj Nayan Rishi
Rita Thapa
author_facet Sunil Singh Yadav
Apar Avinash Saoji
Sangeeth Somanadhapai
Nand lal Yadav
Junu Upadhyay
Niraj Nayan Rishi
Rita Thapa
author_sort Sunil Singh Yadav
collection DOAJ
description Background: COVID-19 infection has an impact on the mental state of patients and requires attention to mental health care. Objective: The aim of this study is to assess the effect of Yoga-based breathing practices on the mental state of patients with COVID-19. Material and methods: A randomized controlled trial was conducted with63 patients (male=46) who were RT-PCR positive for COVID-19 and hospitalized with asymptomatic (RT-PCR positive but no symptoms), mild (febrile, body ache, pharyngitis, nonproductive cough), and moderate (SpO2< 92%) symptoms assigned in the yoga (n=32) and control group (n=31). The study was conducted at Atharva Multispecialty Hospital and Research Center, North India. The yoga group received Yoga-based breathing practices twice a day for ten days in addition to conventional care, and the control group was advised not to do the practice. The Depression Anxiety and Stress scale (DASS-21) and fear of COVID-19 were assessed at baseline and after 10 days. Repeated measures ANOVA with Bonferroni correction was used to assess between and within subjects' effects. Results: The experimental group had better scores for depression, anxiety, stress, total DASS scores, and fear of COVID-19 (p<0.001) when compared with the control group. Within the group, analyses demonstrated improved scores in all domains in the yoga group (p<0.001) by the end of the intervention. In contrast, the control group improved only in stress scores (p=0.002), total DASS scores (p=0.012), and fear of COVID-19 (p=0.039). There are no adverse effects seen with Yoga-based breathing practices in these patients. Conclusion: Yoga-based breathing practices have been found to have positive impact on mental health among COVID-19-positive patients during hospitalization. Trial registry number ctri: CTRI/2022/03/041071 Clinical Trials-Registry in India.
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spelling doaj.art-2f8d43c90e0b48cd80661deb7f286bca2024-03-26T04:26:32ZengElsevierJournal of Ayurveda and Integrative Medicine0975-94762024-03-01152100897Effect of Yoga-based breathing practices on depression, anxiety, stress, and fear of COVID-19 positive hospitalized patients: A randomized controlled trialSunil Singh Yadav0Apar Avinash Saoji1Sangeeth Somanadhapai2Nand lal Yadav3Junu Upadhyay4Niraj Nayan Rishi5Rita Thapa6Swami Vivekananda Yoga Anusandhana Samsthana, Bengaluru, India; Faculty of Naturopathy and Yogic Sciences, SGT University, Gurgaon, India; Corresponding author. Faculty of Naturopathy and Yogic Sciences, SGT University, Gurgaon, India.Swami Vivekananda Yoga Anusandhana Samsthana, Bengaluru, IndiaFaculty of Naturopathy and Yogic Sciences, SGT University, Gurgaon, IndiaDepartment of AYUSH Balrampur Hospital, Lucknow, IndiaSwami Vivekananda Yoga Anusandhana Samsthana, Bengaluru, IndiaMaharishi Aurobindo Subharti College and Hospital of Naturopathy and Yogic Sciences, Swami Vivekanand Subharti University, Meerut, IndiaMaharishi Aurobindo Subharti College and Hospital of Naturopathy and Yogic Sciences, Swami Vivekanand Subharti University, Meerut, IndiaBackground: COVID-19 infection has an impact on the mental state of patients and requires attention to mental health care. Objective: The aim of this study is to assess the effect of Yoga-based breathing practices on the mental state of patients with COVID-19. Material and methods: A randomized controlled trial was conducted with63 patients (male=46) who were RT-PCR positive for COVID-19 and hospitalized with asymptomatic (RT-PCR positive but no symptoms), mild (febrile, body ache, pharyngitis, nonproductive cough), and moderate (SpO2< 92%) symptoms assigned in the yoga (n=32) and control group (n=31). The study was conducted at Atharva Multispecialty Hospital and Research Center, North India. The yoga group received Yoga-based breathing practices twice a day for ten days in addition to conventional care, and the control group was advised not to do the practice. The Depression Anxiety and Stress scale (DASS-21) and fear of COVID-19 were assessed at baseline and after 10 days. Repeated measures ANOVA with Bonferroni correction was used to assess between and within subjects' effects. Results: The experimental group had better scores for depression, anxiety, stress, total DASS scores, and fear of COVID-19 (p<0.001) when compared with the control group. Within the group, analyses demonstrated improved scores in all domains in the yoga group (p<0.001) by the end of the intervention. In contrast, the control group improved only in stress scores (p=0.002), total DASS scores (p=0.012), and fear of COVID-19 (p=0.039). There are no adverse effects seen with Yoga-based breathing practices in these patients. Conclusion: Yoga-based breathing practices have been found to have positive impact on mental health among COVID-19-positive patients during hospitalization. Trial registry number ctri: CTRI/2022/03/041071 Clinical Trials-Registry in India.http://www.sciencedirect.com/science/article/pii/S0975947624000123YogaBreathing practicesStressCOVID-19Randomized controlled trial
spellingShingle Sunil Singh Yadav
Apar Avinash Saoji
Sangeeth Somanadhapai
Nand lal Yadav
Junu Upadhyay
Niraj Nayan Rishi
Rita Thapa
Effect of Yoga-based breathing practices on depression, anxiety, stress, and fear of COVID-19 positive hospitalized patients: A randomized controlled trial
Journal of Ayurveda and Integrative Medicine
Yoga
Breathing practices
Stress
COVID-19
Randomized controlled trial
title Effect of Yoga-based breathing practices on depression, anxiety, stress, and fear of COVID-19 positive hospitalized patients: A randomized controlled trial
title_full Effect of Yoga-based breathing practices on depression, anxiety, stress, and fear of COVID-19 positive hospitalized patients: A randomized controlled trial
title_fullStr Effect of Yoga-based breathing practices on depression, anxiety, stress, and fear of COVID-19 positive hospitalized patients: A randomized controlled trial
title_full_unstemmed Effect of Yoga-based breathing practices on depression, anxiety, stress, and fear of COVID-19 positive hospitalized patients: A randomized controlled trial
title_short Effect of Yoga-based breathing practices on depression, anxiety, stress, and fear of COVID-19 positive hospitalized patients: A randomized controlled trial
title_sort effect of yoga based breathing practices on depression anxiety stress and fear of covid 19 positive hospitalized patients a randomized controlled trial
topic Yoga
Breathing practices
Stress
COVID-19
Randomized controlled trial
url http://www.sciencedirect.com/science/article/pii/S0975947624000123
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