Complementary therapies in clinical practice · 2026
Online yoga for depression and anxiety symptoms in female cancer survivors: a mixed-methods feasibility study comparing group and individual delivery.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Gonzalez Maria, Grant Suzanne, de Manincor Michael, Lacey Judith, Sarris Jerome
Аннотация
BACKGROUND: and Purpose: Depression and anxiety are common among women cancer survivors and negatively affect quality of life and recovery. While yoga is recommended as a supportive intervention, evidence for online yoga (particularly comparing group and individual delivery formats and targeting clinically elevated distress) is limited. This study evaluated the feasibility, acceptability, and exploratory changes in outcomes of a 6-week online yoga intervention comparing group-based and individualized yoga for women with breast or gynecological cancers experiencing elevated depression and/or anxiety symptoms.
MATERIALS AND METHODS: Thirty participants were randomized to group or individual sessions delivered via Zoom by a yoga therapist. The intervention consisted of weekly 60-min live sessions and supplementary pre-recorded practices. Feasibility metrics included recruitment rates (≥50% consent), session adherence (≥60% attending half the yoga sessions), and follow-up completion (≥60%). Depression, anxiety, overall health, stress, fatigue and quality of life were assessed at baseline, 4 weeks, and 6 weeks, complemented by post-intervention qualitative interviews analyzed via reflexive thematic analysis.
RESULTS: The intervention met all feasibility thresholds in the overall sample. Depression and anxiety scores, measured using the Hospital Anxiety and Depression Scale (HADS), showed significant improvements over the intervention period in the overall sample for depression (difference -0.4; 95% confidence interval -0.2 to -0.6; p = 0.002) and anxiety (difference -0.7; 95% confidence interval -0.4 to -1.0; p < 0.001). There were no significant differences between the group and individual formats for these outcomes. Additionally, significant improvements were observed across all secondary outcomes in the total sample. Qualitative themes highlighted participants' positive experiences, noting the intervention's accessibility, perceived benefits, and overall acceptability.
CONCLUSION: In this preliminary feasibility study, online yoga (whether in group or individual format) was feasible, well-accepted, and showed potential for improving mental health outcomes. Future randomized controlled trials are warranted to confirm online efficacy and optimized implementation in supportive care.
MATERIALS AND METHODS: Thirty participants were randomized to group or individual sessions delivered via Zoom by a yoga therapist. The intervention consisted of weekly 60-min live sessions and supplementary pre-recorded practices. Feasibility metrics included recruitment rates (≥50% consent), session adherence (≥60% attending half the yoga sessions), and follow-up completion (≥60%). Depression, anxiety, overall health, stress, fatigue and quality of life were assessed at baseline, 4 weeks, and 6 weeks, complemented by post-intervention qualitative interviews analyzed via reflexive thematic analysis.
RESULTS: The intervention met all feasibility thresholds in the overall sample. Depression and anxiety scores, measured using the Hospital Anxiety and Depression Scale (HADS), showed significant improvements over the intervention period in the overall sample for depression (difference -0.4; 95% confidence interval -0.2 to -0.6; p = 0.002) and anxiety (difference -0.7; 95% confidence interval -0.4 to -1.0; p < 0.001). There were no significant differences between the group and individual formats for these outcomes. Additionally, significant improvements were observed across all secondary outcomes in the total sample. Qualitative themes highlighted participants' positive experiences, noting the intervention's accessibility, perceived benefits, and overall acceptability.
CONCLUSION: In this preliminary feasibility study, online yoga (whether in group or individual format) was feasible, well-accepted, and showed potential for improving mental health outcomes. Future randomized controlled trials are warranted to confirm online efficacy and optimized implementation in supportive care.