Effects of Qigong in patients with burnout: A randomized controlled trial

Stenlund, Thérese; Birgander, Lisbeth Slunga; Lindahl, Bernt; Nilsson, Leif; Ahlgren, Christina

doi:10.2340/16501977-0417

Cited by 40 publications

(43 citation statements)

References 32 publications

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“…These studies were conducted in Hong Kong [28–30, 35–37], Sweden [34], and Mainland China [31–33, 38, 39], respectively. Ten of them were published in peer-review journals with full texts and the remaining two were unpublished master theses [33, 39].…”

Section: Resultsmentioning

confidence: 99%

The Effect of Qigong on Depressive and Anxiety Symptoms: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Wang

Chan

Ho³

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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Objective. To evaluate clinical trial evidence of the effectiveness of qigong exercise on depressive and anxiety symptoms. Methods. Thirteen databases were searched from their respective inception through December 2012. Relevant randomized controlled trials (RCTs) were included. Effects of qigong across trials were pooled. Standardized mean differences (SMDs) were calculated for the pooled effects. Heterogeneity was assessed using the I 2 test. Study quality was evaluated using the Wayne Checklist. Results. Twelve RCTs met the inclusion criteria. The results of meta-analyses suggested a beneficial effect of qigong exercise on depressive symptoms when compared to waiting-list controls or usual care only (SMD = −0.75; 95% CI, −1.44 to −0.06), group newspaper reading (SMD = −1.24; 95% CI, −1.64 to −0.84), and walking or conventional exercise (SMD = −0.52; 95% CI, −0.85 to −0.19), which might be comparable to that of cognitive-behavioral therapy (P = 0.54). Available evidence did not suggest a beneficial effect of qigong exercise on anxiety symptoms. Conclusion. Qigong may be potentially beneficial for management of depressive symptoms, but the results should be interpreted with caution due to the limited number of RCTs and associated methodological weaknesses. Further rigorously designed RCTs are warranted.

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Section: Resultsmentioning

confidence: 99%

The Effect of Qigong on Depressive and Anxiety Symptoms: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Wang

Chan

Ho³

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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“…Two studies showed that Qigong was as effective as physical exercise [27, 28]. Three studies did not find a significant difference between the Qigong intervention and the control group [29–31]. …”

Section: Resultsmentioning

confidence: 99%

“…Of the ten studies, five conducted intention-to-treat (ITT) statistical analyses, two conducted completers analyses [25, 29], and one performed both ITT and completer analyses [31]. Two studies did not report the details of their data analysis methods [13, 23].…”

Section: Resultsmentioning

confidence: 99%

Effects of Qigong on Depression: A Systemic Review

Choi

Inamori

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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Physical exercises and relaxation have been found to be beneficial for depression. However, there is little evidence on the use of Qigong, a mind-body practice integrating gentle exercise and relaxation, in the management of depression. The aim of this paper is to evaluate the effects of Qigong on depression. The paper examined clinical trials measuring the effect of Qigong on depression within six large-scale medical research databases (PubMed, Medline, ProQuest, Science Direct, EMBASE, and PsycInfo) till October 2011. Key words “Qigong,” “depression,” and “mood” were used. Ten studies were identified as original randomized controlled trial (RCT) studies investigating the effect of Qigong on depression as primary (n = 2) or secondary outcome (n = 8). Four studies reported positive results of the Qigong treatment on depression; two reported that Qigong effect on depression was as effective as physical exercise. One study reported that Qigong was comparable to a conventional rehabilitation program, but the remaining three studies found no benefits of Qigong on depression. While the evidence suggests the potential effects of Qigong in the treatment of depression, the review of the literature shows inconclusive results. Further research using rigorous study designs is necessary to investigate the effectiveness of Qigong in depression.

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“…Affirmative responses were followed-up by the physician in a structured interview form conforming to the criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Revision, for the diagnostic assessment of mood and anxiety disorders (DSM-IV) [23]. These criteria have been previously described in several studies and are highly related to clinical burnout [22,24,25]. …”

Section: Methodsmentioning

confidence: 99%

Construct validity of the psychological general well being index (PGWBI) in a sample of patients undergoing treatment for stress-related exhaustion: a rasch analysis

Lundgren‐Nilsson

Jonsdottir

Ahlborg

et al. 2013

Health Qual Life Outcomes

104

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PurposeThe Psychological General Well Being Index (PGWBI) is a widely used scale across many conditions. Over time issues have been raised about the dimensional structure of the scale, and it has not yet been subjected to scrutiny by modern Psychometric approaches. The current study thus evaluates the PGWBI with Rasch- and factor analysis.MethodsConsecutive patients recruited to a tertiary stress clinic were administered the PGBWI as part of routine clinical assessment at baseline and three months. Data from the scale was subjected to Factor Analyses and to Rasch analysis. In both cases adjustments for local independence violations were allowed.Results179 patients were recruited, with a mean age of 43 years, and of whom 70% were female. An initial Confirmatory Factor Analysis (CFA) with baseline data failed, but the modification indices also indicated considerable levels of local dependency requiring errors to be correlated. An EFA highlighted positive and negative effect domains. Rasch analysis confirmed that fit of data to the model was influenced by local dependency, and that in practice if the items from the six underlying domains were treated as six ‘super’ items, the scale was shown to measure one dominant construct of well being. An interval scale transformation was therefore possible. A significant improvement in well-being was observed over a three month period.ConclusionThe PGWBI scale has satisfactory internal construct validity when tested with modern psychometric techniques, using data obtained from patients treated for stress-related exhaustion. The instrument has qualities that make it suitable also for monitoring well-being during interventions for stress-related exhaustion/clinical burnout.

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Effects of Qigong in patients with burnout: A randomized controlled trial

Abstract: In this study, a Qigong intervention twice a week for 12 weeks had no additional effect beyond basic care for patients with burnout.

Cited by 40 publications

References 32 publications

The Effect of Qigong on Depressive and Anxiety Symptoms: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

The Effect of Qigong on Depressive and Anxiety Symptoms: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Effects of Qigong on Depression: A Systemic Review

Construct validity of the psychological general well being index (PGWBI) in a sample of patients undergoing treatment for stress-related exhaustion: a rasch analysis

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