2026-09-24T17:28:04Zhttps://digital.library.adelaide.edu.au/server/oai/request

oai:digital.library.adelaide.edu.au:2440/1369772022-12-01T03:54:02Zcom_2440_14759col_2440_14760

Rasmussen, Philippa Schultz, Tim Proeve, Michael Snaith, Nicole Anne School of Nursing 2021 https://hdl.handle.net/2440/136977 Background: There is growing interest in yoga as an adjunct in the treatment of anxiety and depression for people with a chronic psychosis or mood-based diagnosis. Aim: To design and evaluate the acceptability and feasibility of a yoga intervention as an adjunct treatment for consumers with a chronic mental health condition, and self-reported anxiety and/or depression. Methods: A multiphase mixed method research design was utilised over four phases. Findings of Phases 1, 2 and 3 were used to guide the development of Phase 4. Phase 1. Literature review and model development: The literature on potential biological, physiological and psychological mechanisms of change facilitated by yoga for anxiety and depression was reviewed, and a yoga mental health model developed. Phase 2. Yoga practice in the community: A survey of South Australian yoga teachers (n=24) and students (n=181) was undertaken, with questions regarding demographics, yoga practice, mindfulness, self-compassion, depression and anxiety; and implications for designing a yoga intervention for mental health consumers. Phase 3. Stakeholder consultation: Focus groups were held with mental health consumers (n=8) and clinicians (n=13), and interviews with yoga teachers (n=5), from October 2016-April 2017. Participants were asked about the feasibility and appropriateness of a range of yoga practice features to be tested as a yoga intervention for consumers of a mental health service. Phase 4: Develop and pilot a yoga intervention: A mixed method Randomised Control Trial, which involved a 10-week yoga-based intervention (n=10) and a waitlist control group (n=8), was undertaken with consumers of a mental health service, from May-October 2018. Pre- and post-mindfulness and mental health measures were collected, and a focus group was facilitated. There was a high dropout rate from the program (10 of 18). Results: In Phase 1, the yoga mental health model suggested that the influence of yoga on the physiological and psychological systems may lead to a reduction in anxiety and depression. Phase 2 results showed a positive correlation with mindfulness and self-compassion, and negative correlation with depression, anxiety, and stress scores with months of practice. Phase 3 consultation identified the following themes: that mental health understanding and experience of teachers is important; and creating a safe space, environmental design and yoga practice elements. In the Phase 4 pilot randomised controlled trial, there were no differences in outcome measures pre-compared to -post or to three months for the intervention or control group. The focus group identified the following themes: mental health benefits, lifestyle changes, yoga practice recommendations and future directions. Discussion: The development of the yoga mental health model to explain the proposed mental health outcomes of yoga, is a valuable tool for future research and health care services. Survey findings were consistent with other research, showing a positive correlation of yoga experience, practice frequency, and meditation with mindfulness and lower depression and anxiety scores. Consultation results including the importance of yoga teachers’ mental health understanding and experience, and specific yoga practice components and environmental features, are largely consistent with trauma-informed yoga research, and can inform the health care service and future research. The pilot study demonstrated a strong acceptability of yoga-based interventions in this small sample, which is consistent with the growing research evidence. Conclusion: Findings of this research project indicate a high level of acceptability for yoga- based interventions in this small sample of consumers, but future research is needed on its effectiveness. Thesis (Ph.D.) -- University of Adelaide, School of Nursing, 2021 en Yoga, mindfulness, mental health nursing, anxiety, depression, pilot study Developing and piloting a trauma-informed yoga intervention for anxiety and depression in consumers with a chronic psychosis or mood-based disorder Thesis This electronic version is made publicly available by the University of Adelaide in accordance with its open access policy for student theses. Copyright in this thesis remains with the author. This thesis may incorporate third party material which has been used by the author pursuant to Fair Dealing exceptions. If you are the owner of any included third party copyright material you wish to be removed from this electronic version, please complete the take down form located at: http://www.adelaide.edu.au/legalsopen.access