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Titre : | Can Yoga or Physical Therapy for Chronic Low Back Pain Improve Depression and Anxiety Among Adults From a Racially Diverse, Low-Income Community? A Secondary Analysis of a Randomized Controlled Trial (2021) |
Auteurs : | Christopher Joyce ; Eric J. Roseen ; Julie J. Keysor ; Douglas K. Gross ; Larry Culpepper ; Robert B. Saper |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 6, 2021) |
Article en page(s) : | p. 1049-1058 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.01.072 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Anxiété ; Dépression ; Lombalgie ; Réadaptation ; Techniques de physiothérapie ; Yoga |
Résumé : |
Objective
To determine and compare the effect of yoga, physical therapy (PT), and education on depressive and anxious symptoms in patients with chronic low back pain (CLBP). Design Secondary analysis of a randomized controlled trial. Setting Academic safety net hospital and 7 community health centers. Participants A total of 320 adults with CLBP. Intervention Yoga classes, PT sessions, or an educational book. Outcome Measure Depression and anxiety were measured using the Patient Health Questionnaire and Generalized Anxiety Disorder 7-item Scale, respectively, at baseline, 12, and 52 weeks. We identified baseline and midtreatment (6-wk) factors associated with clinically meaningful improvements in depressive (≥3 points) or anxious (≥2 points) symptoms at 12 weeks. Results Participants (female=64%; mean age, 46.0±10.7 years) were predominantly non-White (82%), low-income ( Conclusions In our secondary analysis we found that depression and anxiety, common in this sample of underserved adults with CLBP, may improve modestly with PT and yoga. However, effects were not superior to education. Improvements in pain and function are associated with a decrease in depressive symptoms. More research is needed to optimize the integration of physical and psychological well-being in PT and yoga. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321001404#! |