Yoga-based Mindfulness Training as an Intervention for the Reduction of Symptoms of Anxiety and Depression in Children and Adolescents with Type 1 Diabetes

Jahandarpour, Sara; Sobhani, Mohammad Reza

doi:10.18502/ijdo.v14i2.9452

Volume 14, Issue 2 (5-2022) IJDO 2022, 14(2): 87-94 | Back to browse issues page

‎ 10.18502/ijdo.v14i2.9452

‎ 20.1001.1.20086792.2022.14.2.6.3

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Jahandarpour S, Sobhani M R. Yoga-based Mindfulness Training as an Intervention for the Reduction of Symptoms of Anxiety and Depression in Children and Adolescents with Type 1 Diabetes. IJDO 2022; 14 (2) :87-94
URL: http://ijdo.ssu.ac.ir/article-1-705-en.html

Yoga-based Mindfulness Training as an Intervention for the Reduction of Symptoms of Anxiety and Depression in Children and Adolescents with Type 1 Diabetes

Sara Jahandarpour ^*

, Mohammad Reza Sobhani

M.Sc. in Clinical Psychology, Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran.

Abstract: (1299 Views)

Objective: Yoga has also been implemented in healthcare institutions to manage disease-sequelae, including pain, anxiety, depression, fatigue, and insomnia. In this study, we aimed to evaluate the effect of Yoga-based mindfulness training on anxiety and depression in adolescents with type 1 diabetes (T1D) at clinics of the Shiraz University of Medical Science.
Materials and Methods: This study was conducted via a quasi-experimental method pretest-posttest design on 10-17 years old subjects with T1D, Shiraz, Iran, in 2019-2020. Twenty patients were randomized to the education group (n=10) and the control group (n=10). Data collection tools included the depression, anxiety, and stress scale (DASS-21). The group training intervention was done for the experimental group (ten weeks, 45 minutes every week) without training for the control group. Three months after the training, two groups filled questionnaires. Data were analyzed by multivariate analysis of covariance (MANCOVA) using SPSS- 22 software.
Results: The findings revealed a significant reduction in the mean anxiety level of patients in the intervention group before and after intervention (P< 0.05). Furthermore, following group training, there was a significant change in the mean of depression and stress among the patients in the intervention group (P< 0.05).
Conclusion: Yoga-based mindfulness training was found to improve depression and anxiety in T1DM adolescents. As a consequence, including training sessions in the appropriate care plans would be advantageous.

Keywords: Yoga training, Anxiety, Depression, Stress

Full-Text [PDF 224 kb] (474 Downloads)

Type of Study: Research | Subject: Special
Received: 2022/01/2 | Accepted: 2022/03/28 | Published: 2022/05/20

References

1. Ahmadi S, Tabibi Z, Mashhadi A, Eshraghi P, Faroughi F, Ahmadi P. Effectiveness of group cognitive-behavioral therapy on anxiety, depression and glycemic control in children with type 1 diabetes. International Journal of Pediatrics. 2014;2(3.1):165-71.

2. Knychala MA, Jorge ML, Muniz CK, Faria PN, Jorge PT. High-risk alcohol use and anxiety and depression symptoms in adolescents and adults with type 1 diabetes mellitus: a cross-sectional study. Diabetology & Metabolic Syndrome. 2015;7(1):1-8. [DOI:10.1186/s13098-015-0020-9]

3. Edraki M, Rambod M, Molazem Z. The effect of coping skills training on depression, anxiety, stress, and self-efficacy in adolescents with diabetes: a randomized controlled trial. International journal of community based nursing and midwifery. 2018;6(4):324.

4. Rahmani F, Valizadeh S, Ghogazadeh M, Bagheriyeh F. Self-care agency and quality of life among Iranian adolescents with diabetes mellitus type 1. Nursing Practice Today. 2018;5(1):256-63.

5. Nguyen LA, Pouwer F, Lodder P, Hartman E, Winterdijk P, Aanstoot HJ, et al. Depression and anxiety in adolescents with type 1 diabetes and their parents. Pediatric Research. 2022;91(1):188-96. [DOI:10.1038/s41390-021-01392-y]

6. Rostami S, Naseri M, Dashtbozorgi B, Zarea K, Riaahi Qhahfarrokhi K, Haghighizadeh MH. Effects of group training on depression and anxiety among patients with type i diabetes: a randomized clinical trial. International Journal of Pediatrics. 2016;4(5):1777-86.

7. Hadiyan M. Effectiveness of Acceptance & Commitment Therapy (ACT) on separation anxiety disorders in children with type 1 diabetes. Razi Journal of Medical Sciences. 2018;24(164):21-34. (in Persian)

8. Đorić A, Stevanović D, Knez R. Anxiety and depressive disorders in children and adolescents suffering from diabetes mellitus. Medicina Fluminensis: Medicina Fluminensis. 2018;54(2):166-76. [DOI:10.21860/medflum2018_198208]

9. Herzer M, Vesco A, Ingerski LM, Dolan LM, Hood KK. Explaining the family conflict-glycemic control link through psychological variables in adolescents with type 1 diabetes. Journal of behavioral medicine. 2011;34(4):268-74. [DOI:10.1007/s10865-010-9307-3]

10. Shomaker LB, Bruggink S, Pivarunas B, Skoranski A, Foss J, Chaffin E, et al. Pilot randomized controlled trial of a mindfulness-based group intervention in adolescent girls at risk for type 2 diabetes with depressive symptoms. Complementary therapies in medicine. 2017;32:66-74. [DOI:10.1016/j.ctim.2017.04.003]

11. Varambally S, Gangadhar BN. Yoga and Traditional Healing Methods in Mental Health. Mental Health and Illness in the Rural World. 2020:297-326. [DOI:10.1007/978-981-10-2345-3_20]

12. Rosen R. Yoga: history and philosophy in the West. InYoga Therapy .2015 :25-35. Routledge. [DOI:10.4324/9781315746296-10]

13. Bischoff LL, Otto AK, Hold C, Wollesen B. The effect of physical activity interventions on occupational stress for health personnel: A systematic review. International journal of nursing studies. 2019;97:94-104. [DOI:10.1016/j.ijnurstu.2019.06.002]

14. Cocchiara RA, Peruzzo M, Mannocci A, Ottolenghi L, Villari P, Polimeni A, et al. The use of yoga to manage stress and burnout in healthcare workers: a systematic review. Journal of clinical medicine. 2019;8(3):284. [DOI:10.3390/jcm8030284]

15. Elstad T, Ulleberg P, Klonteig S, Hisdal J, Dyrdal GM, Bjorndal A. The effects of yoga on student mental health: a randomised controlled trial. Health psychology and behavioral medicine. 2020;8(1):573-86. [DOI:10.1080/21642850.2020.1843466]

16. La Torre G, Raffone A, Peruzzo M, Calabrese L, Cocchiara RA, D'Egidio V, et al. Yoga and mindfulness as a tool for influencing affectivity, anxiety, mental health, and stress among healthcare workers: results of a single-arm clinical trial. Journal of Clinical Medicine. 2020 ;9(4):1037. [DOI:10.3390/jcm9041037]

17. Sathyanarayanan G, Vengadavaradan A, Bharadwaj B. Role of yoga and mindfulness in severe mental illnesses: A narrative review. International journal of yoga. 2019;12(1):3. [DOI:10.4103/ijoy.IJOY_65_17]

18. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy. 1995;33(3):335-43. [DOI:10.1016/0005-7967(94)00075-U]

19. Hunt M, Al-Braiki F, Dailey S, Russell R, Simon K. Mindfulness training, yoga, or both? Dismantling the active components of a mindfulness-based stress reduction intervention. Mindfulness. 2018;9(2):512-20. [DOI:10.1007/s12671-017-0793-z]

20. Lovibond SH, Lovibond PF. Manual for the depression anxiety stress scales. Psychology Foundation of Australia; 1996. [DOI:10.1037/t01004-000]

21. Edraki M, Rambod M. Psychological predictors of resilience in parents of insulin-dependent children and adolescents. International journal of community based nursing and midwifery. 2018;6(3):239-49.

22. Lack S, Brown R, Kinser PA. An integrative review of yoga and mindfulness-based approaches for children and adolescents with asthma. Journal of pediatric nursing. 2020 ;52:76-8. [DOI:10.1016/j.pedn.2020.03.006]

23. Chimiklis AL, Dahl V, Spears AP, Goss K, Fogarty K, Chacko A. Yoga, mindfulness, and meditation interventions for youth with ADHD: Systematic review and meta-analysis. Journal of Child and Family Studies. 2018;27(10):3155-68. [DOI:10.1007/s10826-018-1148-7]

24. Varma C, Raju P. Yoga Therapy In Pediatrics. Education in Medicine Journal. 2012;3(6):1-4.

25. Campbel M, Martin S. Exploring yoga as a sensory based intervention for children with sensory processing difficulties: A systematic literature review. MOJ Yoga and Physical Therapy. 2017;2:1-8. [DOI:10.15406/mojypt.2017.02.00028]

26. Britton WB, Lepp NE, Niles HF, Rocha T, Fisher NE, Gold JS. A randomized controlled pilot trial of classroom-based mindfulness meditation compared to an active control condition in sixth-grade children. Journal of School Psychology. 2014;52(3):263-78. [DOI:10.1016/j.jsp.2014.03.002]

27. AG GS, Subramanya P, Mahadevan B. Effect of yoga on adolescents' beliefs about aggression and alternatives. International Journal of Medicine and Public Health. 2017;7(3)166-171. [DOI:10.5530/ijmedph.2017.3.34]

28. Gallego J, Aguilar-Parra JM, Cangas AJ, Langer ÁI, Mañas I. Effect of a mindfulness program on stress, anxiety and depression in university students. The Spanish journal of psychology. 2014;17: E109. [DOI:10.1017/sjp.2014.102]

29. Sattari Y, Kafashzadeh M. The Effect of Mindfulness Method on Test Anxiety of Middle School Girl Students in Saveh. Journal of instruction and Evaluation. 2015;31(4):25-36. (in Persian)

30. Mahmoud RV, Ahadi H, Kajbaf MB, Neshatdoost HT. The Effect of Mindfulness-based Intervention with Children on Test Anxiety.Middle Eastern Journal of Disability Studies. 2017;7:1-9. (in Persian)