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How junior doctors perceive personalised yoga and group exercise in the management of occupational and traumatic stressors.
Taylor, Jennifer; Stratton, Elizabeth; McLean, Loyola; Richards, Bethan; Glozier, Nicholas.
  • Taylor J; Brain and Mind Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia jfis8639@uni.sydney.edu.au.
  • Stratton E; Central Clinical School, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
  • McLean L; Brain and Mind Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
  • Richards B; Central Clinical School, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
  • Glozier N; Brain and Mind Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Postgrad Med J ; 98(1161): e10, 2022 Jul.
Article in English | MEDLINE | ID: covidwho-1909814
ABSTRACT

OBJECTIVES:

Junior doctors are exposed to occupational and traumatic stressors, some of which are inherent to medicine. This can result in burnout, mental ill-health and suicide. Within a crossover pilot study comparing personalised, trauma-informed yoga to group-format exercise, qualitative interviews were conducted to understand the experience of junior doctors and whether such interventions were perceived to help manage these stressors.

METHODS:

Twenty-one doctors, 76% female, were order-randomised to consecutive 8-week yoga and exercise programmes. Fifty-two interviews were recorded before and after each programme.

RESULTS:

Many participants reported being time poor, sleep-affected, frequently stressed and occasionally in physical pain/distress. Major stressor themes were workplace incivility, death/human suffering and shift work with minimal support. Both interventions were acceptable for different reasons. Personalised yoga offered a therapeutic alliance, time to check-in and reduced anxiety/rumination. Group exercise provided energy and social connection. One participant found yoga beneficial following an acute workplace trauma 'It was really eye opening how much I felt my body just needed to detox … I wouldn't have gone to a group fitness the next day … I just wanted to relax and breathe …We still had a big debrief which was great … (but) I almost felt like … I dealt with it physically and emotionally before going into it (P20).'

CONCLUSION:

Junior doctors found both interventions useful for stress management adjunctive to other organisational programmes though for different and complementary reasons, possibly related to delivery mode. Personalised, trauma-informed yoga provided a confidential therapeutic alliance whereas group exercise offered social connection.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Yoga Type of study: Experimental Studies / Qualitative research / Randomized controlled trials Topics: Traditional medicine Limits: Female / Humans / Male Language: English Journal: Postgrad Med J Year: 2022 Document Type: Article Affiliation country: Postgradmedj-2020-139191

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Yoga Type of study: Experimental Studies / Qualitative research / Randomized controlled trials Topics: Traditional medicine Limits: Female / Humans / Male Language: English Journal: Postgrad Med J Year: 2022 Document Type: Article Affiliation country: Postgradmedj-2020-139191