Evidence map›Paper›PMID 29510704›Full record

Trial reportBMC complementary and alternative medicine2018

Effect of traditional yoga, mindfulness-based cognitive therapy, and cognitive behavioral therapy, on health related quality of life: a randomized controlled trial on patients on sick leave because of burnout.

Astrid Grensman, Bikash Dev Acharya, Per Wändell, Gunnar H Nilsson, Torkel Falkenberg, Örjan Sundin, Sigbritt Werner

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC complementary and alternative medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
7.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01168661 nacompletednot on this map

Yoga, Mindfulness and Cognitive Psychotherapy as Treatment for Stress and Burnout

TypeinterventionalSponsorKarolinska InstitutetRan2007 to 2010Enrolled90ConditionsStress, Psychological, Burnout, Professional, Anxiety, DepressionArmsYoga, Mindfulness based cog psychotherapy, Cognitive psychotherapy
NCT05237336 nacompletednot on this mapstarted 2022, after this paper: background citation

Integrating Psychology of the Soul With Mindfulness-Based Cognitive Therapy for Singapore's Malay Muslims With Psychological Distress: A Mixed-Method Study for Effectiveness and Experience

TypeinterventionalSponsorInternational Islamic University MalaysiaRan2022 to 2023Enrolled80ConditionsPsychological DistressArmsMindfulness-based Cognitive Therapy, Counselling as usual
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 78 citations in OpenAlex.

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  9. Compassion Fatigue in Emergency Medicine: Current Perspectives.Open access emergency medicine : OAEM · 2024
    Review
  10. Review
  11. A Scoping Review of the Influence of Mindfulness on Men's Sexual Activity.International journal of environmental research and public health · 2023
    Article
  12. Article
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  19. Yoga as a Therapy for Irritable Bowel Syndrome.Digestive diseases and sciences · 2020
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Astrid GrensmanDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Alfred Nobels allé 23, 141 83, Stockholm, Sweden. astrid.grensman@ki.se.ORCID http://orcid.org/0000-0002-4437-670X
Bikash Dev AcharyaDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Alfred Nobels allé 23, 141 83, Stockholm, Sweden.
Per WändellDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Alfred Nobels allé 23, 141 83, Stockholm, Sweden.
Gunnar H NilssonDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Alfred Nobels allé 23, 141 83, Stockholm, Sweden.
Torkel FalkenbergDepartment of Neurobiology Care Sciences and Society, Division of Nursing, Research Group Integrative Care, Karolinska Institutet, Stockholm, Sweden.
Örjan SundinFaculty of Human Sciences, Department of Social Sciences, Mid Sweden University, Östersund, Sweden.
Sigbritt WernerDepartment of Medicine, Karolinska Institutet, Stockholm, Sweden.
Karolinska Institutet · SEMid Sweden University · SE

Funding

Stockholms Läns Landsting 2003-5
6 · The paper itself

Abstract

backgroundTo explore if health related quality of life(HRQoL) increased after traditional yoga(TY), mindfulness based cognitive therapy(MBCT), or cognitive behavioral therapy(CBT), in patients on sick leave because of burnout.

methodsRandomized controlled trial, blinded, in ninety-four primary health care patients, block randomized to TY, MBCT or CBT (active control) between September 2007 and November 2009. Patients were living in the Stockholm metropolitan area, Sweden, were aged 18-65 years and were on 50%-100% sick leave. A group treatment for 20 weeks, three hours per week, with homework four hours per week. HRQoL was measured by the SWED-QUAL questionnaire, comprising 67 items grouped into 13 subscales, each with a separate index, and scores from 0 (worse) to 100 (best). SWED-QUAL covers aspects of physical and emotional well-being, cognitive function, sleep, general health and social and sexual functioning. Statistics: Wilcoxon's rank sum and Wilcoxon's sign rank tests, Bonett-Price for medians and confidence intervals, and Cohen's D.

resultsTwenty-six patients in the TY (21 women), and 27 patients in both the MBCT (24 women) and in the CBT (25 women), were analyzed. Ten subscales in TY and seven subscales in MBCT and CBT showed improvements, p < 0.05, in several of the main domains affected in burnout, e.g. emotional well-being, physical well-being, cognitive function and sleep. The median improvement ranged from 0 to 27 points in TY, from 4 to 25 points in CBT and from 0 to 25 points in MBCT. The effect size was mainly medium or large. Comparison of treatments showed no statistical differences, but better effect (small) of both TY and MBCT compared to CBT. When comparing the effect of TY and MBCT, both showed a better effect (small) in two subscales each.

conclusionsA 20 week group treatment with TY, CBT or MBCT had equal effects on HRQoL, and particularly on main domains affected in burnout. This indicates that TY, MBCT and CBT can be used as both treatment and prevention, to improve HRQoL in patients on sick leave because of burnout, reducing the risk of future morbidity.

trial registrationJuly 22, 2012, retrospectively registered. ClinicalTrails.gov NCT01168661 .

fundingStockholm County Council, grant 2003-5.

Indexed as

Cognitive Behavioral TherapyYogaAdultAgedEmotionsFemaleHumansMaleMiddle AgedMindfulnessOccupational StressQuality of LifeSick LeaveSurveys and QuestionnairesTreatment OutcomeYoung AdultBurnoutCognitive behavioral therapyExhaustion syndromeIntegrative medicineMind-body therapiesMindfulness-based cognitive therapyRandomized controlled trialStress-related disorderTraditional yogaWork-related stress

Identifiers

PMID29510704
PMCPMC5839058
OpenAlexW2801045295

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.