Medical Journal of Mashhad university of Medical Sciences

Medical Journal of Mashhad university of Medical Sciences

The effect of online yoga and mindfulness training on perceived stress and resilience of young females during the Covid-19 pandemic

Document Type : Research Paper

Authors
Leila Zameni 1
Seyedeh Yasaman Asadi 2
1 Assistant Professor of Motor Behavior, Faculty of Humanities, Sari Branch, Islamic Azad University, Sari, Iran (corresponding Author)
2 Assistant Professor of Physical Education and Sport Sciences, Faculty of Humanities, Sari Branch, Islamic Azad University, Sari, Iran
10.22038/mjms.2022.61864.3624
Abstract
Introduction: The outbreak of Covid-19 is a major health crisis that has changed the lifestyles of many people around the world. There is widespread concern about the impact of Covid-19 and its associated limitations on mental health. The aim of this study was to investigate the effect of online yoga and mindfulness training on perceived stress and resilience of young females during the Covid-19 pandemic.
Methods: The research method was quasi-experimental with a pretest-posttest design with a control group. The sample consisted of 70 young women (27.64 ± 6.45 years) who were selected by convenience sampling and randomly divided into experimental and control groups (35 subjects in each group). The experimental group performed 21 sessions of yoga practice and mindfulness for 21 consecutive days. Both groups were assessed using the Cohen et al. (1983) Perceived Stress and Connor & Davidson (2003) Resilience Scales in both pre-test and post-test. Data were analyzed using SPSS25 with multivariate analysis of covariance at the significant level of P ≥ 0.05.
Results: The results of multivariate analysis of variance showed a significant difference between the post-test scores of the two groups with a decrease in perceived stress and an increase in resilience in the experimental group. However, in the control group, a slight increase and decrease in stress and resilience were observed in the post-test, respectively, which was not significant (P =0.001).
Conclusion: Developing online yoga and mindfulness -based intervention programs seems to help reduce stress and increase resilience in young females in stressful situations.
Keywords
Mindfulness
Yoga
Covid-19
Perceived stress
Resilience
Subjects
  1. Bedford J, Enria D, Giesecke J, Heymann DL, Ihekweazu C, Kobinger G, Lane HC, Memish Z, Oh MD, Schuchat A, Ungchusak K. COVID-19: towards controlling of a pandemic. The lancet. 2020; 395(10229):1015-8.
  2. West R, Michie S, Rubin GJ, Amlôt R. Applying principles of behavior change to reduce SARS-CoV-2 transmission. Nature human behavior. 2020; 4(5):451-9.
  3. Clemente-Suárez VJ, Navarro-Jiménez E, Jimenez M, Hormeño-Holgado A, Martinez-Gonzalez MB, Benitez-Agudelo JC, Perez-Palencia N, Laborde-Cárdenas CC, Tornero-Aguilera JF. Impact of COVID-19 pandemic in public mental health: an extensive narrative review. Sustainability. 2021; 13(6):3221.
  4. Pedrosa AL, Bitencourt L, Fróes AC, Cazumbá ML, Campos RG, de Brito SB, e Silva AC. Emotional, behavioral, and psychological impact of the COVID-19 pandemic. Frontiers in psychology. 2020; 11.
  5. Thompson RS, Strong PV, Fleshner M. Physiological consequences of repeated exposures to conditioned fear. Behavioral Sciences. 2012; 2(2):57-78.
  6. Zhang J, Lu H, Zeng H, Zhang S, Du Q, Jiang T, Du B. The differential psychological distress of populations affected by the COVID-19 pandemic. Brain, behavior, and immunity. 2020; 87:49.
  7. Altena E, Baglioni C, Espie CA, Ellis J, Gavriloff D, Holzinger B, Schlarb A, Frase L, Jernelöv S, Riemann D. Dealing with sleep problems during home confinement due to the COVID‐19 outbreak: Practical recommendations from a task force of the European CBT‐I Academy. Journal of sleep research. 2020; 29(4):e13052.
  8. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The lancet. 2020; 395(10227):912-20.
  9. Kohl 3rd HW, Craig CL, Lambert EV, Inoue S, Alkandari JR, Leetongin G, Kahlmeier S, Lancet Physical Activity Series Working Group. The pandemic of physical inactivity: global action for public health. The lancet. 2012; 380(9838):294-305.
  10. Fiuza-Luces C, Garatachea N, Berger NA, Lucia A. Exercise is the real polypill. Physiology. 2013, 28:330-358.
  11. Martinez-Ferran M, de la Guía-Galipienso F, Sanchis-Gomar F, Pareja-Galeano H. Metabolic impacts of confinement during the COVID-19 pandemic due to modified diet and physical activity habits. Nutrients. 2020; 12(6):1549.
  12. Imboden MT, Harber MP, Whaley MH, Finch WH, Bishop DL, Fleenor BS, Kaminsky LA. The association between the changes in directly measured cardiorespiratory fitness across time and mortality risk. Progress in cardiovascular diseases. 2019; 62(2):157-62.
  13. Jiménez-Pavón D, Carbonell-Baeza A, Lavie CJ. Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: Special focus in older people. Progress in cardiovascular diseases. 2020; 63(3):386.
  14. Plomecka MB, Gobbi S, Neckels R, Radziński P, Skórko B, Lazerri S, Almazidou K, Dedić A, Bakalović A, Hrustić L, Ashraf Z. Mental Health Impact of COVID-19: A global study of risk and resilience factors. MedRxiv. 2020.
  15. Chen P, Mao L, Nassis GP, Harmer P, Ainsworth BE, Li F. Coronavirus disease (COVID-19): The need to maintain regular physical activity while taking precautions. Journal of sport and health science. 2020; 9(2):103.
  16. Feuerstein G. The yoga tradition: Its history, literature, philosophy and practice. SCB Distributors; 2012.
  17. Stephens I. Medical yoga therapy. Children. 2017; 4(2):12.
  18. Gawrysiak MJ, Leong SH, Grassetti SN, Wai M, Shorey RC, Baime MJ. Dimensions of distress tolerance and the moderating effects on mindfulness-based stress reduction. Anxiety, Stress, & Coping. 2016; 29(5):552-60.
  19. Hylander F, Johansson M, Daukantaitė D, Ruggeri K. Yin yoga and mindfulness: a five week randomized controlled study evaluating the effects of the YOMI program on stress and worry. Anxiety, Stress, & Coping. 2017; 30(4):365-78.
  20. Hofmann SG, Sawyer AT, Witt AA, Oh D. The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of consulting and clinical psychology. 2010; 78(2):169.
  21. Upchurch DM, Gill M, Jiang L, Prelip M, Slusser W. Use of mind–body therapies among young adults aged 18–24 years: Findings from the 2012 national health interview survey. Journal of Adolescent Health. 2018; 63(2):227-32.
  22. An K, Salyer J, Brown RE, Kao HF, Starkweather A, Shim I. Salivary biomarkers of chronic psychosocial stress and CVD risks: a systematic review. Biological research for nursing. 2016; 18(3):241-63.
  23. Silva Moreira P, Ferreira S, Couto B, Machado-Sousa M, Fernández M, Raposo-Lima C, Sousa N, Picó-Pérez M, Morgado P. Protective elements of mental health status during the COVID-19 outbreak in the Portuguese population. International Journal of Environmental Research and Public Health. 2021; 18(4):1910.
  24. Deschasaux-Tanguy M, Druesne-Pecollo N, Esseddik Y, de Edelenyi FS, Allès B, Andreeva VA, Baudry J, Charreire H, Deschamps V, Egnell M, Fezeu LK. Diet and physical activity during the coronavirus disease 2019 (COVID-19) lockdown (March–May 2020): results from the French NutriNet-Santé cohort study. The American journal of clinical nutrition. 2021; 113(4):924-38.
  25. Peçanha T, Goessler KF, Roschel H, Gualano B. Social isolation during the COVID-19 pandemic can increase physical inactivity and the global burden of cardiovascular disease. American Journal of Physiology-Heart and Circulatory Physiology. 2020.
  26. Dos Santos CF, Picó-Pérez M, Morgado P. COVID-19 and Mental Health—What Do We Know So Far?. Frontiers in Psychiatry. 2020;11.
  27. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of health and social behavior. 1983; 385-96.
  28. Campbell‐Sills L, Stein MB. Psychometric analysis and refinement of the connor–davidson resilience scale (CD‐RISC): Validation of a 10‐item measure of resilience. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies. 2007; 20(6):1019-28.
  29. Grensman A, Acharya BD, Wändell P, Nilsson GH, Falkenberg T, Sundin Ö, Werner S. Effect of traditional yoga, mindfulness–based cognitive therapy, and cognitive behavioral therapy, on health related quality of life: a randomized controlled trial on patients on sick leave because of burnout. BMC complementary and alternative medicine. 2018;18(1):1-6.
  30. Dadashali S, Rahmati S. Effectiveness of Sahaja-Yoga mindfulness exercises on the reduction of depression, anxiety and stress in women. Research in Mental Health. 2015;9(3):55-64.
  31. Telles S, Naveen KV, Dash M. Yoga reduces symptoms of distress in tsunami survivors in the Andaman Islands. Evidence-based complementary and alternative medicine. 2007;4(4):503-9.
  32. Upadhyay P, Narayanan S, Khera T, Kelly L, Mathur PA, Shanker A, Novack L, Sadhasivam S, Hoffman KA, Pérez-Robles R, Subramaniam B. Perceived stress, resilience, well-being, and COVID 19 response in Isha yoga practitioners compared to matched controls: A research protocol. Contemporary Clinical Trials Communications. 2021; 100788.
  33. Breedvelt JJ, Amanvermez Y, Harrer M, Karyotaki E, Gilbody S, Bockting CL, Cuijpers P, Ebert DD. The effects of meditation, yoga, and mindfulness on depression, anxiety, and stress in tertiary education students: a meta-analysis. Frontiers in psychiatry. 2019; 10:193.
  34. Novaes MM, Palhano-Fontes F, Onias H, Andrade KC, Lobão-Soares B, Arruda-Sanchez T, Kozasa EH, Santaella DF, de Araujo DB. Effects of yoga respiratory practice (Bhastrika pranayama) on anxiety, affect, and brain functional connectivity and activity: a randomized controlled trial. Frontiers in psychiatry. 2020:467.
  35. Van Dijk I, Lucassen PL, Akkermans RP, van Engelen BG, van Weel C, Speckens AE. Effects of mindfulness-based stress reduction on the mental health of clinical clerkship students: a cluster-randomized controlled trial. Academic medicine. 2017; 92(7):1012-21.
  36. Kvillemo P, Brandberg Y, Bränström R. Feasibility and outcomes of an internet-based mindfulness training program: a pilot randomized controlled trial. JMIR mental health. 2016; 3(3):e5457.
  37. Dhabhar FS. Enhancing versus suppressive effects of stress on immune function: implications for immunoprotection and immunopathology. Neuroimmunomodulation. 2009; 16(5):300-17.
  38. Maddux RE, Daukantaité D, Tellhed U. The effects of yoga on stress and psychological health among employees: an 8-and 16-week intervention study. Anxiety, Stress, & Coping. 2018; 31(2):121-34.
  39. Felver JC, Razza R, Morton ML, Clawson AJ, Mannion R. School-based yoga intervention increases adolescent resilience: a pilot trial. Journal of Child & Adolescent Mental Health. 2020; 32(1):1-10.
  40. Tellhed U, Daukantaitė D, Maddux RE, Svensson T, Melander O. Yogic breathing and mindfulness as stress coping mediate positive health outcomes of yoga. Mindfulness. 2019; 10(12):2703-15.
  41. Telles S, Sharma SK, Balkrishna A. Blood pressure and heart rate variability during yoga-based alternate nostril breathing practice and breath awareness. Medical science monitor basic research. 2014; 20:184.
  42. Thirthalli J, Naveen GH, Rao MG, Varambally S, Christopher R, Gangadhar BN. Cortisol and antidepressant effects of yoga. Indian journal of psychiatry. 2013; 55(Suppl 3):S405.
  43. Desikachar TK. The heart of yoga: Developing a personal practice. Simon and Schuster; 1999.
  44. Gunaratana BH. Mindfulness in plain English. ReadHowYouWant. com; 2010.
  45. Morone NE, Lynch CP, Losasso VJ, Liebe K, Greco CM. Mindfulness to reduce psychosocial stress. Mindfulness. 2012; 3(1):22-9.
Medical Journal of Mashhad university of Medical Sciences
Volume 67, Issue 1
March and April 2024
Pages 173-183