Effectiveness of yoga and educational intervention on disability, anxiety, depression, and pain in people with CLBP

a randomized controlled trial

Goran Kuvacic, Patrizia Fratini, Johnny Padulo, Antonio Dello Iacono, Andrea De Giorgio

Research output: Contribution to journalArticle

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Abstract

Objective 
The current study investigates the effects of an 8-week yoga program with educational intervention compared with an informational pamphlet on disability, anxiety, depression, and pain, in people affected by chronic low back pain (CLBP).
Methods 
Thirty individuals (age 34.2 ± 4.52 yrs) with CLBP were randomly assigned into a Yoga Group (YG, n = 15) and a Pamphlet Group (PG, n = 15). The YG participated in an 8-week (2 days per week) yoga program which included education on spine anatomy/biomechanics and the management of CLBP.
Main outcome measures 
Monitoring response to intervention, the Oswestry Low Back Pain Disability Questionnaire (ODI-I), Zung self-Rating Depression Scale (SDS), Zung Self-Rating Anxiety Scale (SAS) and Numeric Rating Scale for Pain (NRS 0–10) were used to collect data.
Results 
After intervention, the YG showed a significant decrease (p < 0.05) in the mean score in all assessed variables when compared with baseline data. In addition, statistically significant (p < 0.05) differences were observed among groups at the end of intervention in depression, anxiety, and pain, but not in disability.
Conclusions 
The yoga program and education together appear to be effective in reducing depression and anxiety, which can affect perception of pain.
Original languageEnglish
Pages (from-to)262-267
Number of pages6
JournalComplementary Therapies in Clinical Practice
Volume31
Early online date15 Mar 2018
DOIs
Publication statusE-pub ahead of print - 15 Mar 2018
Externally publishedYes

Keywords

  • Psychological factors
  • Emotions
  • Patient-centered
  • Pamphlet

Cite this

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title = "Effectiveness of yoga and educational intervention on disability, anxiety, depression, and pain in people with CLBP: a randomized controlled trial",
abstract = "Objective The current study investigates the effects of an 8-week yoga program with educational intervention compared with an informational pamphlet on disability, anxiety, depression, and pain, in people affected by chronic low back pain (CLBP).Methods Thirty individuals (age 34.2 ± 4.52 yrs) with CLBP were randomly assigned into a Yoga Group (YG, n = 15) and a Pamphlet Group (PG, n = 15). The YG participated in an 8-week (2 days per week) yoga program which included education on spine anatomy/biomechanics and the management of CLBP.Main outcome measures Monitoring response to intervention, the Oswestry Low Back Pain Disability Questionnaire (ODI-I), Zung self-Rating Depression Scale (SDS), Zung Self-Rating Anxiety Scale (SAS) and Numeric Rating Scale for Pain (NRS 0–10) were used to collect data.Results After intervention, the YG showed a significant decrease (p < 0.05) in the mean score in all assessed variables when compared with baseline data. In addition, statistically significant (p < 0.05) differences were observed among groups at the end of intervention in depression, anxiety, and pain, but not in disability.Conclusions The yoga program and education together appear to be effective in reducing depression and anxiety, which can affect perception of pain.",
keywords = "Psychological factors, Emotions, Patient-centered, Pamphlet",
author = "Goran Kuvacic and Patrizia Fratini and Johnny Padulo and {Dello Iacono}, Antonio and {De Giorgio}, Andrea",
year = "2018",
month = "3",
day = "15",
doi = "10.1016/j.ctcp.2018.03.008",
language = "English",
volume = "31",
pages = "262--267",
journal = "Complementary Therapies in Clinical Practice",
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Effectiveness of yoga and educational intervention on disability, anxiety, depression, and pain in people with CLBP : a randomized controlled trial. / Kuvacic, Goran; Fratini, Patrizia; Padulo, Johnny; Dello Iacono, Antonio; De Giorgio, Andrea.

In: Complementary Therapies in Clinical Practice, Vol. 31, 15.03.2018, p. 262-267.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Effectiveness of yoga and educational intervention on disability, anxiety, depression, and pain in people with CLBP

T2 - a randomized controlled trial

AU - Kuvacic, Goran

AU - Fratini, Patrizia

AU - Padulo, Johnny

AU - Dello Iacono, Antonio

AU - De Giorgio, Andrea

PY - 2018/3/15

Y1 - 2018/3/15

N2 - Objective The current study investigates the effects of an 8-week yoga program with educational intervention compared with an informational pamphlet on disability, anxiety, depression, and pain, in people affected by chronic low back pain (CLBP).Methods Thirty individuals (age 34.2 ± 4.52 yrs) with CLBP were randomly assigned into a Yoga Group (YG, n = 15) and a Pamphlet Group (PG, n = 15). The YG participated in an 8-week (2 days per week) yoga program which included education on spine anatomy/biomechanics and the management of CLBP.Main outcome measures Monitoring response to intervention, the Oswestry Low Back Pain Disability Questionnaire (ODI-I), Zung self-Rating Depression Scale (SDS), Zung Self-Rating Anxiety Scale (SAS) and Numeric Rating Scale for Pain (NRS 0–10) were used to collect data.Results After intervention, the YG showed a significant decrease (p < 0.05) in the mean score in all assessed variables when compared with baseline data. In addition, statistically significant (p < 0.05) differences were observed among groups at the end of intervention in depression, anxiety, and pain, but not in disability.Conclusions The yoga program and education together appear to be effective in reducing depression and anxiety, which can affect perception of pain.

AB - Objective The current study investigates the effects of an 8-week yoga program with educational intervention compared with an informational pamphlet on disability, anxiety, depression, and pain, in people affected by chronic low back pain (CLBP).Methods Thirty individuals (age 34.2 ± 4.52 yrs) with CLBP were randomly assigned into a Yoga Group (YG, n = 15) and a Pamphlet Group (PG, n = 15). The YG participated in an 8-week (2 days per week) yoga program which included education on spine anatomy/biomechanics and the management of CLBP.Main outcome measures Monitoring response to intervention, the Oswestry Low Back Pain Disability Questionnaire (ODI-I), Zung self-Rating Depression Scale (SDS), Zung Self-Rating Anxiety Scale (SAS) and Numeric Rating Scale for Pain (NRS 0–10) were used to collect data.Results After intervention, the YG showed a significant decrease (p < 0.05) in the mean score in all assessed variables when compared with baseline data. In addition, statistically significant (p < 0.05) differences were observed among groups at the end of intervention in depression, anxiety, and pain, but not in disability.Conclusions The yoga program and education together appear to be effective in reducing depression and anxiety, which can affect perception of pain.

KW - Psychological factors

KW - Emotions

KW - Patient-centered

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