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Sudarshan Kriya Yoga breathing and a meditation program for burnout among physicians a randomized clinical trial

dc.contributor.coauthorKorkmaz, Asli
dc.contributor.coauthorBernhardsen, Guro Pauck
dc.contributor.coauthorCirit, Burcu
dc.contributor.coauthorKayan, Hale
dc.contributor.coauthorBicmen, Huelya
dc.contributor.coauthorTahra, Muratcan
dc.contributor.coauthorSuner, Asli
dc.contributor.coauthorLehto, Soili Marianne
dc.contributor.coauthorSag, Duygu
dc.contributor.coauthorSaatcioglu, Fahri
dc.contributor.departmentKUH (Koç University Hospital)
dc.contributor.kuauthorSüzer, Gayem Köprücü
dc.contributor.schoolcollegeinstituteKUH (KOÇ UNIVERSITY HOSPITAL)
dc.date.accessioned2024-12-29T09:38:13Z
dc.date.issued2024
dc.description.abstractImportance Physicians are exposed to high stress and strain that results in burnout, which affects them, their families, their patients, and the entire health care system; thus, there is an urgent need to develop methods to increase the resiliency of physicians. Sudarshan Kriya Yoga (SKY) is a comprehensive yoga breathing and meditation-based program that is a potential approach to mitigate physician burnout. Objective To determine whether SKY can reduce psychological distress and improve wellness in physicians. Design, Setting, and Participants This randomized clinical trial assessed the potential efficacy of SKY compared with a stress management education (SME) training as control. This study was conducted online from November 11, 2021, to March 14, 2022, and included physicians from Turkey, Germany, and Dubai. Both the SKY and the SME control groups received 1.5 hours of training for 3 consecutive days via a group video conference call. Participants were physicians willing to do some form of relaxation exercise everyday for 2 months. Exclusion criteria included presence of major illness and maintaining a regular mind-body program practice. Statistical analysis took place from March to November 2023. InterventionsParticipants were randomly assigned 1:1 into 2 groups-the SKY group or the SME (control) group-using a computer algorithm. After the 3-day instruction period, the participants in the SKY group practiced for approximately 30 minutes per day on their own and participated in a weekly 1-hour, group-based online follow-up practice. After the 3-day instruction period, participants in the SME group reviewed and applied the notes from stress management education training at their initiative and had a weekly 1-hour group-based online follow-up session. Main Outcomes and Measures The primary outcomes were stress and depression (measured by the 42-item Depression, Anxiety, and Stress Scale [DASS-42]) and insomnia measured by the Regensburg Insomnia Scale (RIS) with primary end point at 8 weeks. Secondary outcomes included anxiety (DASS-42); optimism (Life Orientation Test-Revised [LOT-R]); professional fulfillment, work exhaustion, interpersonal disengagement, and overall burnout (Professional Fulfillment Index [PFI]); and self-reported professional errors (Self-Reported Professional Error Questionnaire). Results This study included 129 participants (SME, 63 participants [48.9%]; SKY, 66 participants [51.1%]; 115 females [89.2%]; 14 males [10.8%]; mean [SD] age, 46.2 [9.0] years). Compared with the SME control group, participants in the SKY group had significantly decreased stress on the DASS-42 at posttraining (difference, -6.8 points; 95% CI, -9.6 to -4.1 points; P = .006) and at postintervention (difference, -6.0 points; 95% CI, -8.8 to -3.3 points; P = .03), significantly decreased depression at posttraining (difference, -5.7 points; 95% CI, -8.6 to -2.8 points; P < .001) and postintervention (difference, -5.4 points; 95% CI, -8.3 to -2.5 points; P < .001), and significantly decreased anxiety at postintervention. In addition, there was a significant decrease in insomnia from baseline to postintervention in the SKY group (difference, -0.3 points; 95% CI, -2.3 to 1.7 points; P = .01). The SKY group also showed significantly increased professional fulfillment as well as significant decreases in work exhaustion, interpersonal disengagement, and burnout. There was no effect on self-reported medical errors. Conclusions and Relevance In this randomized clinical trial, physicians who regularly practiced SKY throughout a 2-month period experienced improvements in wellness and decreased burnout. These data suggest that SKY may be an effective, practical, and safe strategy to increase wellness and mitigate burnout in physicians.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue1
dc.description.openaccessgold, Green Published
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume7
dc.identifier.doi10.1001/jamanetworkopen.2023.53978
dc.identifier.issn2574-3805
dc.identifier.quartileQ1
dc.identifier.scopus2-s2.0-85183735826
dc.identifier.urihttps://doi.org/10.1001/jamanetworkopen.2023.53978
dc.identifier.urihttps://hdl.handle.net/20.500.14288/22608
dc.identifier.wos1156345500004
dc.keywordsBurnout, psychological
dc.keywordsFemale
dc.keywordsHumans
dc.keywordsMale
dc.keywordsMeditation
dc.keywordsMiddle aged
dc.keywordsRespiration
dc.keywordsSleep initiation and maintenance disorders
dc.keywordsYoga
dc.language.isoeng
dc.publisherAmerican Medical Association
dc.relation.ispartofJAMA Network Open
dc.subjectMedicine
dc.titleSudarshan Kriya Yoga breathing and a meditation program for burnout among physicians a randomized clinical trial
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorSüzer, Gayem Köprücü
local.publication.orgunit1KUH (KOÇ UNIVERSITY HOSPITAL)
local.publication.orgunit2KUH (Koç University Hospital)
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relation.isParentOrgUnitOfPublication055775c9-9efe-43ec-814f-f6d771fa6dee
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