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

Abstract

BackgroundTo explore if health related quality of life(HRQoL) increased after traditional yoga(TY), mindfulness based cognitive therapy(MBCT), or cognitive behavioral therapy(CBT), in patients on sick leave because of burnout.MethodsRandomized controlled trial, blinded, in ninety-four primary health care patients, block randomized to TY, MBCT or CBT (active control) between September 2007 and November 2009. Patients were living in the Stockholm metropolitan area, Sweden, were aged 18–65 years and were on 50%–100% sick leave. A group treatment for 20 weeks, three hours per week, with homework four hours per week. HRQoL was measured by the SWED-QUAL questionnaire, comprising 67 items grouped into 13 subscales, each with a separate index, and scores from 0 (worse) to 100 (best). SWED-QUAL covers aspects of physical and emotional well-being, cognitive function, sleep, general health and social and sexual functioning. Statistics: Wilcoxon’s rank sum and Wilcoxon’s sign rank tests, Bonett-Price for medians and confidence intervals, and Cohen’s D.ResultsTwenty-six patients in the TY (21 women), and 27 patients in both the MBCT (24 women) and in the CBT (25 women), were analyzed. Ten subscales in TY and seven subscales in MBCT and CBT showed improvements, p < 0.05, in several of the main domains affected in burnout, e.g. emotional well-being, physical well-being, cognitive function and sleep. The median improvement ranged from 0 to 27 points in TY, from 4 to 25 points in CBT and from 0 to 25 points in MBCT. The effect size was mainly medium or large. Comparison of treatments showed no statistical differences, but better effect (small) of both TY and MBCT compared to CBT. When comparing the effect of TY and MBCT, both showed a better effect (small) in two subscales each.ConclusionsA 20 week group treatment with TY, CBT or MBCT had equal effects on HRQoL, and particularly on main domains affected in burnout. This indicates that TY, MBCT and CBT can be used as both treatment and prevention, to improve HRQoL in patients on sick leave because of burnout, reducing the risk of future morbidity.Trial registrationJuly 22, 2012, retrospectively registered. ClinicalTrails.gov NCT01168661. Funding: Stockholm County Council, grant 2003–5.

Effect of Mindfulness-based Cognitive Therapy on Substance Dependence Intensity and Cognitive Emotion Regulation in Patients Under Methadone Maintenance Treatment

“…The obtained data suggested that MBCT reduced the severity of substance dependence in the experimental group, compared to the controls. These findings are consistent with those of Grensman et al, (2018), Segal ZV & Teasdale (2018), van der Velden (2015), , Herman et al, (2017), Shulman et al, (2018), andSpijkerman, Pots, &Bohlmeijer (2016).…”

“…In explaining the above-mentioned findings, mindfulness is a method that humans use to save themselves from the daily living sufferings and pains (Grensman et al, 2018). Therefore, mindfulness and act in the present time moderate the effect of bio-emotional sensitivities caused by substance abuse on apparent behavior through the person's relationship with these experiences.…”

Human Problems: Sick Role Behavior Among Chronic Disease Sufferers and Various Treatment Models to Increase It

“…In a journal, Grensman et al (2018) reported a research using CBT on 25 women using seven CBT subscales that showed an increase from 4 to 25 points so that CBT could be used as a treatment and prevention for individuals affected by a disease in behavior to improve the quality of their lives related to health (Grensman et al, 2018). In the journal, Salomonsson et al (2017) explain that CBT has a large effect on patients suffering from an illness to determine their behavior in choosing health care (Salomonsson et al, 2017).…”

Evaluating a group-based Yoga of Stress Resilience programme: a pragmatic before–after interventional study protocol

“…Worldwide, mental health illnesses, burnout and other conditions related to stress, are on the rise. 1 Burnout is characterised by emotional depletion or loss of motivation that results from prolonged exposure to chronic emotional and interpersonal stressors on the job. 2 Women between the ages of 18-49 years old are most commonly diagnosed with burnout; however, men are increasingly being diagnosed with the condition.…”