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Using Yoga: SBHC Yoga Practice to Reduce Symptoms in Adolescents with Depression and Anxiety

Using Yoga: SBHC Yoga Practice to Reduce Symptoms in Adolescents with Depression and Anxiety. Anne Derouin, DNP, CPNP Donna Eash, MSW, LCSW. No Disclosures for Anne or Donna. Objectives for today. Learn how yoga was applied at a SBHC Discuss the study and its implications

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Using Yoga: SBHC Yoga Practice to Reduce Symptoms in Adolescents with Depression and Anxiety

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  1. Using Yoga: SBHC Yoga Practice to Reduce Symptoms in Adolescents with Depression and Anxiety Anne Derouin, DNP, CPNP Donna Eash, MSW, LCSW

  2. No Disclosures for Anne or Donna

  3. Objectives for today Learn how yoga was applied at a SBHC Discuss the study and its implications Learn and practice breathing techniques Take basic skills with you to try in your centers, considering how you might “study” the effects Have fun

  4. First, lets Breathe… • Yoga is about mindfulness and breathing • Yoga practice improves balance, peacefulness, calm andself-control • Try breathing…

  5. Why try it in SBHC’s? High school students today face increasingly difficult realities, with issues such as teen pregnancy, violence in schools and at home, a difficult economy and health issues.

  6. Concepts of the study • SHSWC implemented an informal Stress Reduction program through yoga and mindfulness to help some students cope with stress last year. • Based on successful program at Child Behavioral Center for teen substance abusers • In a German study of women with self-reported high stress, there was a significant decrease in perceived stress after a 3 month intensive yoga course (Michalsen et.al., 2005). • Yoga and mindfulness practices have been shown to improve psychological functioning and perceived stress in many other studies. • A group of beginner and advanced yoga practitioners assessed for mindfulness and stress levels showed a significant decrease in stress after yoga practice. (Brisbon & Lowery 2009).

  7. Study constructs • Non-pregnant female participants, aged 14-18 yrs. • One session/week during class time (with parent and teacher consent) • Free • Mental health appointments continued • Pre/post test evaluation using 10 question Perceived Stress Scale (0-40 points possible)

  8. 8 week sessions included: • Lessons One and Two – “Grounding” Each surface of the body makes contact with the earth to get the body grounded • Lesson Three – “Standing” Standing postures to help develop balance, stability and rootedness • Lesson Four – “Wall Work” Stretching up the wall to expand lungs and side body • Lesson Five – “Being Fluid” Developing flexibility in spine • Lesson Six – “Ham String Preparation” Developing flexibility in hamstrings • Lesson Seven  –  ”Breathing” Yogic breathing –had been used throughout sessions • Lesson Eight  –  ”Dancing” Sun Salutation Sequence

  9. Results: • No Statistical difference in stress levels (t-test)** • Tremendous difference among individuals • Identification of stress • Improvement of stress management, breathing, sleeping, self control • Graduation! • Spreading the word about mindfulness and yoga

  10. Discussion How can it be applied to SBHC’s? What are the chances for success? WHO can provide the services? What are the resources?

  11. References Brisbon NM , Lowery GA. Mindfulness and Levels of Stress: A Comparison of Beginner and Advanced Hatha Yoga Practitioners. J Relig Health.  2009 Dec 1. [Epub ahead of print] Michalsen A, Grossman P, Acil A, Langhorst J, Lüdtke R, Esch T, Stefano GB, Dobos GJ. Rapid stress reduction and anxiolysis among distressed women as a consequence of a three-month intensive yoga program. Med SciMonit. 2005 Dec;11(12):CR555-561. Epub 2005 Nov 24. Cohen, S., Kamarck, T., and Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 386-396. Cohen, S. and Williamson, G. Perceived Stress in a Probability Sample of the United States. Spacapan, S. and Oskamp, S. (Eds.) The Social Psychology of Health. Newbury Park, CA: Sage, 1988.

  12. Questions and contact: Anne Derouin: anne.derouin@duke.edu Donna Eash: donna.eash@duke.edu Please let us know if you use breathing/yoga in your practice! Namaste!

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