The Evaluation of Yoga Interventions for Individuals With Limited Mobility: Pain, Psychological Variables, and Mindfulness

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dc.contributor.advisorKatz, Joel D.
dc.creatorCurtis, Kathryn Joanna Brenda
dc.date.accessioned2018-11-21T13:36:34Z
dc.date.available2018-11-21T13:36:34Z
dc.date.copyright2017-06-09
dc.date.issued2018-11-21
dc.date.updated2018-11-21T13:36:33Z
dc.degree.disciplinePsychology (Functional Area: Clinical Psychology)
dc.degree.levelDoctoral
dc.degree.namePhD - Doctor of Philosophy
dc.description.abstractObjective: The aim of this dissertation was to evaluate specialized yoga interventions for populations with complex chronic health conditions involving chronic pain and limited mobility. Method: Three research trials were conducted at two rehabilitation hospitals in Toronto. In Study 1, participants (N = 10) admitted to Bridgepoint Health were recruited to participate in an 8-week, Hatha yoga program. In Study 2, participants with spinal cord injury (SCI, N = 12) were recruited to participate in an 8-week, Hatha yoga program at the Lyndhurst Centre. In Study 3, participants with SCI (N = 23) were randomized to a 6-week, Iyengar yoga group (IY, n = 11) or to a wait-list control group (WLC, n = 12). Questionnaires on pain, psychological variables, and mindfulness, were collected at two or three points in time. Results: In Study 1, repeated measures ANOVAs revealed a main effect of time for anxiety, self-compassion, and the magnification aspect of pain catastrophizing, such that anxiety and pain catastrophizing decreased and self-compassion increased from pre- to post-intervention. In Study 2, there were no significant changes in the quantitative measures but qualitative analysis of the semi-structured interviews revealed main themes regarding benefits along emotional, mental and physical domains. In Study 3, linear mixed effects growth models were conducted to evaluate main effects of group at T2, controlling for T1 scores. Depression scores were lower and self-compassion scores were higher at T2 in the IY group compared to the WLC group. The two groups were combined and analyzed across time by comparing pre- and post-intervention scores. Main effects of time were found for depression scores, self-compassion, mindfulness (total score and subscale scores for mindful observing and mindful non-reactivity), such that depressive symptoms decreased and self-compassion and the various facets of mindfulness increased from pre- to post-intervention. Discussion: The results from these studies show that a yoga program reduces depressive symptoms and increases self-compassion for individuals with SCI, and may also decrease anxiety and pain catastrophizing, and increase mindfulness for populations experiencing pain and limited mobility.
dc.identifier.urihttp://hdl.handle.net/10315/35452
dc.language.isoen
dc.rightsAuthor owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.
dc.subjectMental health
dc.subject.keywordsLyengar Yoga
dc.subject.keywordsSpinal Cord Injury
dc.subject.keywordsComplex Chronic Conditions and Disability
dc.subject.keywordsMultimorbidity
dc.subject.keywordsDepression
dc.subject.keywordsAnxiety
dc.subject.keywordsPain
dc.subject.keywordsPain Catastrophizing
dc.subject.keywordsMindfulness
dc.subject.keywordsSelf Compassion
dc.subject.keywordsStress
dc.subject.keywordsExperiences with Injustice
dc.subject.keywordsSpiritual Well-Being
dc.subject.keywordsSelf-Efficacy
dc.subject.keywordsFatigue
dc.subject.keywordsPosttraumatic Growth
dc.subject.keywordsResilience
dc.subject.keywordsMental Health
dc.subject.keywordsLimited Mobility
dc.subject.keywordsModified Yoga
dc.subject.keywordsMeditation
dc.subject.keywordsBreathing
dc.subject.keywordsYogic Limbs
dc.subject.keywordsKosha
dc.subject.keywordsKlesha
dc.subject.keywordsGuna
dc.subject.keywordsDosha
dc.subject.keywordsQualitative
dc.subject.keywordsLinear Mixed Effects Growth Models
dc.subject.keywordsHospital
dc.subject.keywordsInpatient
dc.subject.keywordsOutpatient
dc.titleThe Evaluation of Yoga Interventions for Individuals With Limited Mobility: Pain, Psychological Variables, and Mindfulness
dc.typeElectronic Thesis or Dissertation

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