The Use of Yoga to Manage Stress and Burnout in Healthcare Workers: A Systematic Review

Overview

Journal J Clin Med

Specialty General Medicine

Date 2019 Mar 1

PMID 30813641

Citations 56

Authors

Rosario Andrea Cocchiara

Margherita Peruzzo

Alice Mannocci

Livia Ottolenghi

Paolo Villari

Antonella Polimeni

Fabrizio Guerra

Giuseppe La Torre

Affiliations

Soon will be listed here.

Abstract

The purpose of this systematic review is to analyze and summarize the current knowledge regarding the use of yoga to manage and prevent stress and burnout in healthcare workers. In February 2017, a literature search was conducted using the databases Medline (PubMed) and Scopus. Studies that addressed this topic were included. Eleven articles met the inclusion criteria. Seven studies were clinical trials that analyzed yoga interventions and evaluated effectiveness by gauging stress levels, sleep quality and quality of life. A study on Chinese nurses showed statistical improvement in stress levels following a six-month yoga program (χ2 = 16.449; < 0.001). A population of medical students showed improvement in self-regulation values after an 11-week yoga program (from 3.49 to 3.58; = 0.04) and in self-compassion values (from 2.88 to 3.25; = 0.04). Four of the included articles were observational studies: They described the factors that cause stress in the work environment and highlighted that healthcare workers believe it is possible to benefit from improved physical, emotional and mental health related to yoga activity. According to the literature, yoga appears to be effective in the management of stress in healthcare workers, but it is necessary to implement methodologically relevant studies to attribute significance to such evidence.

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References

Abdollahzade F, Mohammadi F, Dianat I, Asghari E, Asghari-Jafarabadi M, Sokhanvar Z . Working posture and its predictors in hospital operating room nurses. Health Promot Perspect. 2016; 6(1):17-22. PMC: 4847110. DOI: 10.15171/hpp.2016.03. View

Moher D, Liberati A, Tetzlaff J, Altman D . Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009; 151(4):264-9, W64. DOI: 10.7326/0003-4819-151-4-200908180-00135. View

Riley K, Park C, Wilson A, Sabo A, Antoni M, Braun T . Improving physical and mental health in frontline mental health care providers: Yoga-based stress management versus cognitive behavioral stress management. J Workplace Behav Health. 2020; 32(1):26-48. PMC: 7751948. DOI: 10.1080/15555240.2016.1261254. View

de Paiva L, Canario A, de Paiva China E, Goncalves A . Burnout syndrome in health-care professionals in a university hospital. Clinics (Sao Paulo). 2017; 72(5):305-309. PMC: 5439116. DOI: 10.6061/clinics/2017(05)08. View

Chatterjee S, Mondal S . Effect of regular yogic training on growth hormone and dehydroepiandrosterone sulfate as an endocrine marker of aging. Evid Based Complement Alternat Med. 2014; 2014:240581. PMC: 4034508. DOI: 10.1155/2014/240581. View

Wu S, Li H, Zhu W, Lin S, Chai W, Wang X . Effect of work stressors, personal strain, and coping resources on burnout in Chinese medical professionals: a structural equation model. Ind Health. 2012; 50(4):279-87. DOI: 10.2486/indhealth.ms1250. View

Iqbal S, Gupta S, Venkatarao E . Stress, anxiety and depression among medical undergraduate students and their socio-demographic correlates. Indian J Med Res. 2015; 141(3):354-7. PMC: 4442334. DOI: 10.4103/0971-5916.156571. View

Bussing A, Michalsen A, Khalsa S, Telles S, Sherman K . Effects of yoga on mental and physical health: a short summary of reviews. Evid Based Complement Alternat Med. 2012; 2012:165410. PMC: 3447533. DOI: 10.1155/2012/165410. View

Koinis A, Giannou V, Drantaki V, Angelaina S, Stratou E, Saridi M . The Impact of Healthcare Workers Job Environment on Their Mental-emotional Health. Coping Strategies: The Case of a Local General Hospital. Health Psychol Res. 2016; 3(1):1984. PMC: 4768542. DOI: 10.4081/hpr.2015.1984. View

10.

Sulenes K, Freitas J, Justice L, Colgan D, Shean M, Brems C . Underuse of yoga as a referral resource by health professions students. J Altern Complement Med. 2014; 21(1):53-9. DOI: 10.1089/acm.2014.0217. View

11.

Kumar S . Burnout and Doctors: Prevalence, Prevention and Intervention. Healthcare (Basel). 2016; 4(3). PMC: 5041038. DOI: 10.3390/healthcare4030037. View

12.

Mathad M, Pradhan B, Sasidharan R . Effect of Yoga on Psychological Functioning of Nursing Students: A Randomized Wait List Control Trial. J Clin Diagn Res. 2017; 11(5):KC01-KC05. PMC: 5483709. DOI: 10.7860/JCDR/2017/26517.9833. View

13.

Kemper K, Bulla S, Krueger D, Ott M, McCool J, Gardiner P . Nurses' experiences, expectations, and preferences for mind-body practices to reduce stress. BMC Complement Altern Med. 2011; 11:26. PMC: 3084171. DOI: 10.1186/1472-6882-11-26. View

14.

Klatt M, Steinberg B, Duchemin A . Mindfulness in Motion (MIM): An Onsite Mindfulness Based Intervention (MBI) for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement. J Vis Exp. 2015; (101):e52359. PMC: 4545050. DOI: 10.3791/52359. View

15.

Perez G, Haime V, Jackson V, Chittenden E, Mehta D, Park E . Promoting resiliency among palliative care clinicians: stressors, coping strategies, and training needs. J Palliat Med. 2015; 18(4):332-7. DOI: 10.1089/jpm.2014.0221. View

16.

Dwivedi U, Kumari S, Nagendra H . Model of yoga intervention in industrial organizational psychology for counterproductive work behavior. Ind Psychiatry J. 2016; 24(2):119-24. PMC: 4866336. DOI: 10.4103/0972-6748.181730. View

17.

Naik D, Thomas N . Yoga- a potential solution for diabetes & metabolic syndrome. Indian J Med Res. 2015; 141(6):753-6. PMC: 4525399. DOI: 10.4103/0971-5916.160689. View

18.

Maslach C, Schaufeli W, Leiter M . Job burnout. Annu Rev Psychol. 2001; 52:397-422. DOI: 10.1146/annurev.psych.52.1.397. View

19.

Roberts R, Grubb P . The consequences of nursing stress and need for integrated solutions. Rehabil Nurs. 2013; 39(2):62-9. PMC: 4664060. DOI: 10.1002/rnj.97. View

20.

Fang R, Li X . A regular yoga intervention for staff nurse sleep quality and work stress: a randomised controlled trial. J Clin Nurs. 2015; 24(23-24):3374-9. DOI: 10.1111/jocn.12983. View