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临床试验/CTRI/2024/04/066511
CTRI/2024/04/066511尚未招募2 期

Effect of Yoga on Respiratory Rate and Heart Rate Variability in Individuals with Anxiety: An Experimental Study

Dr DY Patil College Of Physiotherapy Pimpri Pune1 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2024年5月10日最近更新:

试验速览

阶段
2 期
状态
尚未招募
发起方
入组人数
60
试验地点
1
主要终点
General Anxiety Disorder Scale

研究概览

简要总结

NEED OF STUDY

•       The global prevalence of anxiety is 33.8% and the prevalence of anxiety in India is 37%. The rising prevalence of anxiety underscores the importance of research aimed at identifying potential protective factors that may mitigate the negative consequences associated with this mental health challenge. It is imperative to integrate and centralize existing knowledge to provide targeted care for a particular and expanding demographic in society. This group requires specialized interview, assessment, and therapeutic skills.

•       Anxiety is increasing in modern world specifically after pandemic. So it is important to recognize and plan anxiety because it affects society in many ways.On certain occasions, the repercussions of anxiety can escalate to severe outcomes, including a propensity for suicide attempts. Regrettably, India holds one of the highest rates of teenage suicide globally, and the incidence of students attempting suicide due to the fear and pressure associated with exams is on the rise

•       The availability of psychopharmacological treatment has increased but the response and tolerability remain unpredictable and inconsistent. While psychotropics agents can be lifesaving, Treatment resistance is a growing problem and there are millions of patients world-wide whose anxiety is not fully resolved despite multiple trails of psychopharmacologic agents. Investigators are performing many researches on yoga and other mindfulness exercises focusing on nonpharmaceutical and noninvasive treatments for anxiety due to adverse side effects of medication treatment and less effective in some circumstances. Thus, the quest demand for nonpharmacological treatment modalities has been increasing.

•       The need for adaptation and the attainment of an optimal work-life balance becomes essential to navigate the daily stresses arising from mounting pressures and expectations. Various physiotherapy approaches are both cost-effective and safe. Importantly, they lack adverse side effects. These approaches actively engage the patient and impart practical skills and insights for application in daily life. Following a thorough physiotherapy observational and/or evaluative assessment, the approaches prioritize functional (mental) aspects and health promotion. In primary care, numerous proficient colleagues may not be adequately equipped to assist individuals with mental health concerns. This limitation is not due to the nature of the illness but rather stems from a lack of knowledge on how to effectively address mental health issues.

•       Defined by the American Psychological Association, anxiety involves persistent intrusive thoughts leading to perpetual worry and tension. It is further characterized by an excessive amount of worry and fear relative to everyday situations, resulting in adverse thoughts and predictions about future events. The repetitive nature of heightened worry and fear contributes to adverse health outcomes.

•       The implementation of yoga as an intervention for anxiety holds the potential to enhance both the physical health and psychological well-being of individuals,                  consequently improving their overall quality of life. Despite its widespread popularity and recognized psychological and physiological benefits, there remains a               lack of comprehensive studies assessing the measurable outcomes of yoga in terms of disease severity, along with a notable absence of follow-up research on                   yoga interventions. Given this context, there is a requirement to investigate the efficacy of yoga for caregivers, with the specific aim of mitigating their anxiety                 levels and enhancing their overall quality of life.

•       Contemporary lifestyles are marked by high levels of stress and anxiety. Researchers are actively conducting numerous studies on yoga and other mindfulness                   practices. The emphasis is on exploring non-pharmaceutical and non-invasive interventions for anxiety, primarily due to the adverse side effects associated with               medication treatments, which are also deemed less effective in certain situations.

•       The well-established understanding is that a higher heart rate (HR) is linked to lower variability in RR-intervals. Consequently, it becomes crucial to adjust heart               rate variability (HRV) for the concurrent heart rate, especially considering the significant changes in heart rate in response to academic stress during examinations.

•       Nevertheless, there is a need for further clarification regarding the mechanisms through which yogic breathing techniques (YBT) engage with the autonomic and              cognitive functions of the human nervous system.

研究设计

研究类型
Interventional
分配方式
Coin toss, Lottery, toss of dice, shuffling cards etc
盲法
Participant Blinded

入排标准

年龄范围
20.00 Year(s) 至 40.00 Year(s)(—)
性别
All

入选标准

  • 1.Recently diagnosed cases of Anxiety by a psychiatrist 2.Screening tool: General Anxiety Disorder scale scoring 5-14 3.Willing participants.

排除标准

  • Individuals who cannot follow command
  • Individuals diagnosed with any other disorder other than anxiety and depression
  • Individuals with any disability who cannot perform any Yogasana, pranayama.

结局指标

主要结局

General Anxiety Disorder Scale

时间窗: 21 days

次要结局

  • respiratory rate(heart rate variability)

研究者

发起方
Dr DY Patil College Of Physiotherapy Pimpri Pune
申办方类型
Research institution and hospital
责任方
Principal Investigator
主要研究者

Sakshi Kacholiya

Dr. D.Y. PATIL College Of Physiotherapy

研究点 (1)

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