ABSTRACT
This study examined the adherence to and the potential benefit of Kundalini yoga (KY) for post-treatment Lyme disease syndrome (PTLDS). Participants were randomly assigned to 8 weeks of a KY small-group intervention or a waitlist control (WLC). Adherence was measured as attendance at KY group sessions. Primary outcomes assessed pain, pain interference, fatigue, and global health. Secondary outcomes assessed multisystem symptom burden, mood, sleep, physical and social functioning, cognition, and mindfulness. Linear mixed models were used to test changes in outcomes over time as a function of group assignment; intercepts for participants were modeled as random effects. Although the target sample size was 40 participants, the study concluded with 29 participants due to recruitment challenges. No KY participants dropped out of the study, and participants attended 75% of group sessions on average, but WLC retention was poor (57%). Regarding primary outcomes, there was no significant interaction between group and time. Regarding secondary outcomes, there was a significant interaction between group and time for multisystem symptom burden (p < 0.05) and cognition (p < 0.01); KY participants reported improved multisystem symptom burden and cognition over the course of the study compared to WLC participants. To enhance recruitment and retention, future trials may consider expanding geographic access and including supportive procedures for WLC participants. This preliminary study supports the need for a larger study to determine if KY reduces multisystem symptom burden and enhances cognition among people with PTLDS.
ABSTRACT
Previously reported substance abuse interventions incorporating meditation and spiritual approaches are believed to provide their benefit through modulation of both psychological and pyschosocial factors. A 90-day residential group pilot treatment program for substance abuse that incorporated a comprehensive array of yoga, meditation, spiritual and mind-body techniques was conducted in Amritsar, India. Subjects showed improvements on a number of psychological self-report questionnaires including the Behavior and Symptom Identification Scale and the Quality of Recovery Index. Application of comprehensive spiritual lifestyle interventions may prove effective in treating substance abuse, particularly in populations receptive to such approaches.
Subject(s)
Alcoholism/ethnology , Developing Countries , Life Style/ethnology , Patient Admission , Substance Abuse Treatment Centers , Substance-Related Disorders/ethnology , Yoga , Adolescent , Adult , Alcoholism/psychology , Alcoholism/rehabilitation , Combined Modality Therapy , Humans , India , Length of Stay , Male , Meditation , Mental Disorders/ethnology , Mental Disorders/psychology , Mental Disorders/rehabilitation , Outcome and Process Assessment, Health Care , Pilot Projects , Spirituality , Substance-Related Disorders/psychology , Substance-Related Disorders/rehabilitation , Young AdultABSTRACT
OBJECTIVE: This study was designed to quantify and compare the instantaneous heart rate dynamics and cardiopulmonary interactions during sequential performance of three meditation protocols with different breathing patterns. BACKGROUND: We analyzed beat-to-beat heart rate and continuous breathing signals from 10 experienced meditators (4 females; 6 males; mean age 42 years; range 29-55 years) during three traditional interventions: relaxation response, breath of fire, and segmented breathing. RESULTS: Heart rate and respiratory dynamics were generally similar during the relaxation response and segmented breathing. We observed high amplitude, low frequency (approximately 0.05-0.1 Hz) oscillations due to respiratory sinus arrhythmia during both the relaxation response and segmented breathing, along with a significantly (p<0.05) increased coherence between heart rate and breathing during these two maneuvers when compared to baseline. The third technique, breath of fire, was associated with a different pattern of response, marked by a significant increase in mean heart rate with respect to baseline (p<0.01), and a significant decrease in coherence between heart rate and breathing (p<0.05). CONCLUSIONS: These findings suggest that different meditative/breathing protocols may evoke common heart rate effects, as well as specific responses. The results support the concept of a "meditation paradox," since a variety of relaxation and meditative techniques may produce active rather than quiescent cardiac dynamics, associated with prominent low frequency heart rate oscillations or increases in mean resting heart rate. These findings also underscore the need to critically assess traditional frequency domain heart rate variability parameters in making inferences about autonomic alterations during meditation with slow breathing.
