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How does yoga reduce stress? A clinical trial testing psychological mechanisms.

Stress and health : journal of the International Society for the Investigation of Stress
February 1, 2021
Crystal L Park et al. (5 authors)
Clinical TrialJournal ArticleHuman StudyClinical
Study Details

Study Goal

The researchers aimed to identify psychosocial mechanisms (including mindfulness) through which yoga reduces stress.

Results Summary

The study found that mindfulness increased from baseline to post-intervention and was strongly associated with reductions in perceived stress and stress reactivity. Self-compassion was the only mechanism that did not show significant improvement.

Population

42 participants (62% female, 64% White) in a yoga program for stress reduction.

Effective Dosage

Not specified

Duration

12 weeks

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
yoga interventions
decrease
stress
-
-
can reduce
#1
yoga program for stress reduction
decrease
stress reactivity
Forty-two participants (62% female; 64% White)
-
decreased
#2
yoga program for stress reduction
increase
mindfulness
Forty-two participants (62% female; 64% White)
-
increased
#3
yoga program for stress reduction
increase
interoceptive awareness
Forty-two participants (62% female; 64% White)
-
increased
#4
yoga program for stress reduction
increase
spiritual well-being
Forty-two participants (62% female; 64% White)
-
increased
#5
yoga program for stress reduction
increase
self-control
Forty-two participants (62% female; 64% White)
-
increased
#6
yoga program for stress reduction
increase
psychosocial resources
Forty-two participants (62% female; 64% White)
-
increased
#7
yoga program for stress reduction
decrease
both measures of stress
Forty-two participants (62% female; 64% White)
all p's < 0.05
increases in each mechanism were strongly associated with decreases
#8
yoga program for stress reduction
decrease
perceived stress
Forty-two participants (62% female; 64% White)
all p's < 0.05
increases in each mechanism were strongly associated with decreases
#9
yoga interventions targeting these resources
decrease
stress reduction effects
-
-
may show stronger
#10
Abstract

Yoga interventions can reduce stress, but the mechanisms underlying that stress reduction remain largely unidentified. Understanding how yoga works is essential to optimizing interventions. The present study tested five potential psychosocial mechanisms (increased mindfulness, interoceptive awareness, spiritual well-being, self-compassion and self-control) that have been proposed to explain yoga's impact on stress. Forty-two participants (62% female; 64% White) in a yoga program for stress reduction completed surveys at baseline (T1), mid-intervention (T2) and post-intervention (12 weeks; T3). We measured two aspects of stress, perceived stress and stress reactivity. Changes were assessed with paired t-tests; associations between changes in mechanisms were tested in residual change models. Only stress reactivity decreased, on average, from T1 to T3. Except for self-compassion, all psychosocial mechanisms increased from T1 to T3, with minimal changes from T2 to T3. Except for self-control, increases in each mechanism were strongly associated with decreases in both measures of stress between T1 and T2 and decreases in perceived stress from T1 to T3 (all p's < 0.05). Increased psychosocial resources are associated with stress reduction. Yoga interventions targeting these resources may show stronger stress reduction effects. Future research should test these linkages more rigorously using active comparison groups and larger samples.

Medical Subject Headings (MeSH)
FemaleHumansMaleStress, PsychologicalYoga
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality68/10
Citation Metrics
Total Citations23
Citations/Year5.8
Relative Citation Ratio3.08
NIH Percentile85.5%
Research Impact Scores
APT Score0.95
Weight Score2.38
Normalized Score0.64
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