05 - Understanding Individuals’ Subjective Experiences of Negative Symptoms of Schizophrenia

Butcher, Isabelle; Haddock, Gillian; Berry, Katherine

doi:10.26226/morressier.5d1a038457558b317a140e27

Cited by 1 publication

(2 citation statements)

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“…The need for complementary therapies in the treatment of SSD is evident as cognitive dysfunctions and NS are not effectively targeted by current treatment while being experienced as enduring and persistent symptoms by people with SSD (34). Severe NS can impede participation, yet YoGI shows potential to adjust to and affect some of the five constructs of NS; blunted affect, diminished speech, anhedonia, social withdrawal, and lack of motivation (7).…”

Section: How Yoga Affects Symptom Representationmentioning

confidence: 99%

“…Meta-analyses from the following year obtain similar results, concluding that mind-body therapies, including Yoga, can improve NS, yet effects are small (32) to moderate (33) and display high heterogeneity. But even small effects might be of clinical relevance because NS pose a great subjective burden to people with SSD who describe the experience of losing concentration and motivation, withdrawal, and numbness feelings as disabling and persistent (34). A more recent meta-analysis showed moderate positive effects of mind-body exercises, including Yoga, on PS, NS, as well as depression in patients with schizophrenia (35).…”

Section: Introductionmentioning

confidence: 99%

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Yoga-Based Group Intervention for In-patients With Schizophrenia Spectrum Disorders—A Qualitative Approach

et al. 2021

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Background: Yoga may pose a promising complementary therapy in the multimodal treatment of in-patients with schizophrenia spectrum disorders (SSD). However, to date, no studies have qualitatively examined in-patients' with SSD experiences of Yoga as well as their perceptions of its limitations and benefits as a treatment component. This qualitative study aimed to explore for the first time the mechanisms and processes of Yoga-based Group Intervention (YoGI) for in-patients with SSD in Germany by asking for their subjective experiences. Findings could serve as a preliminary basis for developing an effective and evidence-based YoGI manual tailored to this patient group.Materials and Methods: In total, 25 semi-structured interviews were conducted directly after YoGI, for which responses were either noted down by hand or audio-recorded. The interview guide was pilot-tested and consisted of 14 questions to explore the personal articulated experiences of participation in YoGI from in-patients with SSD. Positive, negative, depressive, and anxiety symptoms were assessed during a diagnostic interview and through questionnaires. The interview data was transcribed, coded by two independent researchers, and analysed using an inductive thematic approach. The research team collaboratively discussed emerging categories to reduce redundancy and form meaningful themes and subthemes.Results: The analysis revealed seven main themes. YoGI was perceived as feasible and focusing on individual adaptation, captured by the theme inclusivity. Nevertheless, participants encountered challenges; thus, physical limitations need to be considered. While practising together, participants experienced interconnectedness and developed a mindful stance as they accepted their limitations and adapted exercises with self-compassion. Patients described that following the flow of the asanas required physical persistence, which ultimately led many participants to experience confidence and relaxation. YoGI affected symptom representation as heightened awareness led participants to notice impeding as well as improved symptoms.Conclusion: YoGI showed various promising effects on in-patients with SSD. Future research should examine to what extent these effects can be sustained and how the mindful approach during YoGI can be transferred to areas outside the Yoga class. Furthermore, a randomised controlled trial could investigate the effectiveness of a manualised YoGI.

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Section: How Yoga Affects Symptom Representationmentioning

confidence: 99%