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Gepubliceerd in: Mindfulness 1/2012

01-03-2012 | ORIGINAL PAPER

The Effects of Qigong on Reducing Stress and Anxiety and Enhancing Body–Mind Well-being

Auteurs: Yvonne W. Y. Chow, Allen Dorcas, Andrew M. H. Siu

Gepubliceerd in: Mindfulness | Uitgave 1/2012

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Abstract

Stress-related comorbid illnesses such as depression, anxiety disorders, hypertension, and heart disease are responsible for considerable disability worldwide. Using a combination of psychological and physiological approaches, the intent of this study was to investigate whether practicing qigong helps to reduce stress and anxiety, thus enhancing body–mind well-being. A randomized controlled clinical trial was conducted. Thirty-four healthy middle-aged adults participated in an 8-week qigong program. Their outcomes were compared with 31 matched subjects in the wait list control group. The outcome measures included measures of mood states (Depression Anxiety Stress Scales–21 (DASS-21)), quality of life (ChQOL), and physiological measures of stress (salivary cortisol level and blood pressure). GLM was used to analyze the data of the two groups collected in the 1st, 4th, 8th, and 12th weeks. In week 8, the treatment group had significant reduction in cortisol level and blood pressure when compared with the control group. In week 12, the qigong group had significant positive changes in the DASS-21 scales, the ChQOL scales, cortisol level, and blood pressure when compared with the control group. In general, the qigong group enjoyed better quality of life, had more positive affect, lower cortisol levels and blood pressure than the control group. The present findings support that qigong has a positive effect on reducing stress and anxiety and enhancing body–mind well-being. In this study, we restructured a traditional qigong exercise into a systematic workout structure and demonstrated its positive impact on mood regulation as illustrated by both psychological and physiological measures.
Literatuur
go back to reference Berger, B. G., & Owen, D. R. (1988). Stress reduction and mood enhancement in four exercise modes: swimming, body conditioning, Hatha yoga, and fencing. Research Quarterly for Exercise and Sport, 59(2), 148–159. Berger, B. G., & Owen, D. R. (1988). Stress reduction and mood enhancement in four exercise modes: swimming, body conditioning, Hatha yoga, and fencing. Research Quarterly for Exercise and Sport, 59(2), 148–159.
go back to reference Brown, T. A., Chorpita, B. F., Korotitsch, W., & Barlow, D. H. (1997). Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behaviour Research and Therapy, 35, 79–89.PubMedCrossRef Brown, T. A., Chorpita, B. F., Korotitsch, W., & Barlow, D. H. (1997). Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behaviour Research and Therapy, 35, 79–89.PubMedCrossRef
go back to reference Cheung, K. S. (2009). The elementary principles of qigong [in Chinese]. Hong Kong: HKU School of Professional and Continuing Education. Cheung, K. S. (2009). The elementary principles of qigong [in Chinese]. Hong Kong: HKU School of Professional and Continuing Education.
go back to reference Cheung, B. M. Y., Lo, J. L. F., Fong, D. Y. T., Chan, M. Y., Wong, S. H. T., Wong, V. C. W., et al. (2005). Randomized controlled trial of qigong in the treatment of mild essential hypertension. Journal of Human Hypertension, 19, 697–704.PubMedCrossRef Cheung, B. M. Y., Lo, J. L. F., Fong, D. Y. T., Chan, M. Y., Wong, S. H. T., Wong, V. C. W., et al. (2005). Randomized controlled trial of qigong in the treatment of mild essential hypertension. Journal of Human Hypertension, 19, 697–704.PubMedCrossRef
go back to reference Cohen, K. S. (1997). The way of qigong: the art and science of Chinese energy healing. New York: Ballantine Books. Cohen, K. S. (1997). The way of qigong: the art and science of Chinese energy healing. New York: Ballantine Books.
go back to reference Croog, S. H., Levine, S., Testa, M. A., Brown, B., Bulpitt, C. J., Jenkins, C. D., et al. (1986). The effects of antihypertensive therapy on the quality of life. New England Journal of Medicine, 314, 1657–1664.PubMedCrossRef Croog, S. H., Levine, S., Testa, M. A., Brown, B., Bulpitt, C. J., Jenkins, C. D., et al. (1986). The effects of antihypertensive therapy on the quality of life. New England Journal of Medicine, 314, 1657–1664.PubMedCrossRef
go back to reference Du, Z. Y., Zhang, J. Z., Li, X. G., & Dai, X. M. (1992). Cardiovascular effects of different qigong [in Chinese]. Chinese Journal of Sports Medicine, 11(1), 32–35. Du, Z. Y., Zhang, J. Z., Li, X. G., & Dai, X. M. (1992). Cardiovascular effects of different qigong [in Chinese]. Chinese Journal of Sports Medicine, 11(1), 32–35.
go back to reference Engel, G. L. (1980). The clinical application of the biopsychosocial model. American Journal of Psychiatry, 137, 525. Engel, G. L. (1980). The clinical application of the biopsychosocial model. American Journal of Psychiatry, 137, 525.
go back to reference Fang, L., & Schinke, S. P. (2007). Complementary alternative medicine use among Chinese Americans: findings from a community mental health service population. Psychiatric Services, 58(3), 402–404.PubMedCrossRef Fang, L., & Schinke, S. P. (2007). Complementary alternative medicine use among Chinese Americans: findings from a community mental health service population. Psychiatric Services, 58(3), 402–404.PubMedCrossRef
go back to reference Forge, R. L. (2005). Aligning mind and body: exploring the disciplines of mindful exercise. ACMS’S Health & Fitness Journal, 9(5), 7–14.CrossRef Forge, R. L. (2005). Aligning mind and body: exploring the disciplines of mindful exercise. ACMS’S Health & Fitness Journal, 9(5), 7–14.CrossRef
go back to reference Griffith, J. M., Hasley, J. P., Liu, H., Severn, D. G., Conner, L. H., & Adler, L. E. (2008). Qigong stress reduction in hospital staff. Journal of Alternative and Complementary Medicine, 14(8), 939–945.CrossRef Griffith, J. M., Hasley, J. P., Liu, H., Severn, D. G., Conner, L. H., & Adler, L. E. (2008). Qigong stress reduction in hospital staff. Journal of Alternative and Complementary Medicine, 14(8), 939–945.CrossRef
go back to reference Haslam, C., Brown, S., Atkinson, S., & Haslam, R. (2003). Patients’ experiences of medication for anxiety and depression: effects on working life. Family Practice, 21, 204–212.CrossRef Haslam, C., Brown, S., Atkinson, S., & Haslam, R. (2003). Patients’ experiences of medication for anxiety and depression: effects on working life. Family Practice, 21, 204–212.CrossRef
go back to reference He, H. Z., Li, D. L., Xi, W. B., & Zhang, C. L. (1999). A “stress meter” assessment of the degree of relaxation in qigong versus non-qigong meditation. Frontier Perspectives, 8(1), 37–42. He, H. Z., Li, D. L., Xi, W. B., & Zhang, C. L. (1999). A “stress meter” assessment of the degree of relaxation in qigong versus non-qigong meditation. Frontier Perspectives, 8(1), 37–42.
go back to reference Hong, S. H., Tao, Z., Han, L. T., Yue, Q. A., Xu, S. Z., Zhang, G. X., et al. (1990). A synthetic study of qigong on the internal effects of human [in Chinese]. Acta Academiae Medicinae Weifang, 12(2), 1–4. Hong, S. H., Tao, Z., Han, L. T., Yue, Q. A., Xu, S. Z., Zhang, G. X., et al. (1990). A synthetic study of qigong on the internal effects of human [in Chinese]. Acta Academiae Medicinae Weifang, 12(2), 1–4.
go back to reference Hu, B. J., & Liu, H. F. (2008). The effect of Baduanjin on the physical and psychological health of university students [in Chinese]. Journal Of Mudanjiang Medical College, 29(1), 89–91. Hu, B. J., & Liu, H. F. (2008). The effect of Baduanjin on the physical and psychological health of university students [in Chinese]. Journal Of Mudanjiang Medical College, 29(1), 89–91.
go back to reference Hui, P. N., Wan, M., Chan, W. K., & Yung, P. M. B. (2006). An evaluation of two behavioral rehabilitation programs, qigong versus progressive relaxation, in improving the quality of life in cardiac patients. Journal of Alternative & Complementary Medicine, 12(4), 373–378.CrossRef Hui, P. N., Wan, M., Chan, W. K., & Yung, P. M. B. (2006). An evaluation of two behavioral rehabilitation programs, qigong versus progressive relaxation, in improving the quality of life in cardiac patients. Journal of Alternative & Complementary Medicine, 12(4), 373–378.CrossRef
go back to reference Johansson, M., & Hassmén, P. (2008). Acute psychological responses to Qigong exercise of varying durations. American Journal of Chinese Medicine, 36(3), 449–458.PubMedCrossRef Johansson, M., & Hassmén, P. (2008). Acute psychological responses to Qigong exercise of varying durations. American Journal of Chinese Medicine, 36(3), 449–458.PubMedCrossRef
go back to reference Jones, B. M. (2001). Changes in cytokine production in healthy subjects practicing Guolin qigong: a pilot study. BMC Complementary and Alternative Medicine, 1(1), 8.PubMedCrossRef Jones, B. M. (2001). Changes in cytokine production in healthy subjects practicing Guolin qigong: a pilot study. BMC Complementary and Alternative Medicine, 1(1), 8.PubMedCrossRef
go back to reference Lan, C., Chou, S. W., Chen, S. Y., Lai, J. S., & Wong, M. K. (2004). The aerobic capacity and ventilatory efficiency during exercise in qigong and tai chi chuan practitioners. American Journal of Chinese Medicine, 32(1), 141–150.PubMedCrossRef Lan, C., Chou, S. W., Chen, S. Y., Lai, J. S., & Wong, M. K. (2004). The aerobic capacity and ventilatory efficiency during exercise in qigong and tai chi chuan practitioners. American Journal of Chinese Medicine, 32(1), 141–150.PubMedCrossRef
go back to reference Lee, M. S., Ryu, H., & Chung, H. T. (2000). Stress management by psychosomatic training: effects of ChunDoSunBup Qi-training on symptoms of stress: a cross-sectional study. Stress Medicine, 16, 161–166.CrossRef Lee, M. S., Ryu, H., & Chung, H. T. (2000). Stress management by psychosomatic training: effects of ChunDoSunBup Qi-training on symptoms of stress: a cross-sectional study. Stress Medicine, 16, 161–166.CrossRef
go back to reference Lee, M. S., Huh, H. J., Hong, S. S., Jang, H. S., Ryu, H., Lee, H. S., et al. (2001). Psychoneuroimmunological effects of Qi-therapy: preliminary study on the changes of level of anxiety, mood, cortisol and melatonin and cellular function of neutrophil and natural killer cells. Stress and Health, 17, 17–24.CrossRef Lee, M. S., Huh, H. J., Hong, S. S., Jang, H. S., Ryu, H., Lee, H. S., et al. (2001). Psychoneuroimmunological effects of Qi-therapy: preliminary study on the changes of level of anxiety, mood, cortisol and melatonin and cellular function of neutrophil and natural killer cells. Stress and Health, 17, 17–24.CrossRef
go back to reference Lee, M. S., Huh, H. J., Jeong, S. M., Lee, H. S., Ryu, H., Park, J. H., et al. (2003a). Effects of Qigong on immune cells. American Journal of Chinese Medicine, 31(2), 327–335.PubMedCrossRef Lee, M. S., Huh, H. J., Jeong, S. M., Lee, H. S., Ryu, H., Park, J. H., et al. (2003a). Effects of Qigong on immune cells. American Journal of Chinese Medicine, 31(2), 327–335.PubMedCrossRef
go back to reference Lee, M. S., Lee, M. S., Kim, H. J., & Moon, S. R. (2003b). Qigong reduced blood pressure and catecholamine levels of patients with essential hypertension. International Journal of Neuroscience, 113, 1691–1701.PubMedCrossRef Lee, M. S., Lee, M. S., Kim, H. J., & Moon, S. R. (2003b). Qigong reduced blood pressure and catecholamine levels of patients with essential hypertension. International Journal of Neuroscience, 113, 1691–1701.PubMedCrossRef
go back to reference Lee, M. S., Kang, C. W., Lim, H. J., & Lee, M. S. (2004a). Effects of qi-training on anxiety and plasma concentrations of cortisol, ACTH, and aldosterone: a randomized placebo-controlled pilot study. Stress and Health, 20, 243–248.CrossRef Lee, M. S., Kang, C. W., Lim, H. J., & Lee, M. S. (2004a). Effects of qi-training on anxiety and plasma concentrations of cortisol, ACTH, and aldosterone: a randomized placebo-controlled pilot study. Stress and Health, 20, 243–248.CrossRef
go back to reference Lee, M. S., Lim, H.-J., & Lee, M. S. (2004b). Impact of qigong exercise on self-efficacy and other cognitive perceptual variables in patients with essential hypertension. Journal of Alternative & Complementary Medicine, 10, 675–680. Lee, M. S., Lim, H.-J., & Lee, M. S. (2004b). Impact of qigong exercise on self-efficacy and other cognitive perceptual variables in patients with essential hypertension. Journal of Alternative & Complementary Medicine, 10, 675–680.
go back to reference Lehrer, P. M., Woolfolk, R. L., & Sime, W. E. (Eds.). (2007). Principles and practice of stress management (3rd ed.). New York: The Guilford Press. Lehrer, P. M., Woolfolk, R. L., & Sime, W. E. (Eds.). (2007). Principles and practice of stress management (3rd ed.). New York: The Guilford Press.
go back to reference Ning, Y. (Ed.). (1990). Zhong Guo Dan Dai Qigong Jing Lun (The essence of modern qigong in China). Beijing: People’s Sports Education Press [in Chinese]. Ning, Y. (Ed.). (1990). Zhong Guo Dan Dai Qigong Jing Lun (The essence of modern qigong in China). Beijing: People’s Sports Education Press [in Chinese].
go back to reference Lovibond, S. H., & Lovibond, P. F. (1995). The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the Beck depression and anxiety inventories. Behaviour Research and Therapy, 33(3), 335–343.PubMedCrossRef Lovibond, S. H., & Lovibond, P. F. (1995). The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the Beck depression and anxiety inventories. Behaviour Research and Therapy, 33(3), 335–343.PubMedCrossRef
go back to reference Olfson, M., Shea, S., Feder, A., Fuentes, M., Nomura, Y., Gameroff, M., et al. (2000). Prevalence of anxiety, depression, and substance use disorders in an urban general medicine practice. Archives of Family Medicine, 9, 876–883.PubMedCrossRef Olfson, M., Shea, S., Feder, A., Fuentes, M., Nomura, Y., Gameroff, M., et al. (2000). Prevalence of anxiety, depression, and substance use disorders in an urban general medicine practice. Archives of Family Medicine, 9, 876–883.PubMedCrossRef
go back to reference Ormel, J., VonKorff, M., Ustun, T. B., Pini, S., Korten, A., & Oldehinkel, T. (1994). Common mental disorders and disability across cultures. Results from the WHO Collaborative Study on Psychological Problems in General Health Care. Journal of the American Medical Association, 272, 1741–1748.PubMedCrossRef Ormel, J., VonKorff, M., Ustun, T. B., Pini, S., Korten, A., & Oldehinkel, T. (1994). Common mental disorders and disability across cultures. Results from the WHO Collaborative Study on Psychological Problems in General Health Care. Journal of the American Medical Association, 272, 1741–1748.PubMedCrossRef
go back to reference Pandya, D. (1988). Psychological stress, emotional behaviour and coronary heart disease. Comprehensive Therapy, 24, 265–271. Pandya, D. (1988). Psychological stress, emotional behaviour and coronary heart disease. Comprehensive Therapy, 24, 265–271.
go back to reference Pavek, R.R. (1988). Effects of qigong on psychosomatic and other emotionally rooted disorders. Proceedings of First World Conference of Academic Exchange on Medical Qigong, Beijing, China, p.150 Pavek, R.R. (1988). Effects of qigong on psychosomatic and other emotionally rooted disorders. Proceedings of First World Conference of Academic Exchange on Medical Qigong, Beijing, China, p.150
go back to reference Qu, X., & Xu, Q. Z. (1992). The impact of qigong on learning and memory [in Chinese]. Jilin Medical Information, 6, 40–41. Qu, X., & Xu, Q. Z. (1992). The impact of qigong on learning and memory [in Chinese]. Jilin Medical Information, 6, 40–41.
go back to reference Riad-Fahmy, D., Read, G. F., Walker, R. F., & Griffiths, K. (1982). Steroids in saliva for assessing endocrine function. Endocrine Research, 3, 367–395.CrossRef Riad-Fahmy, D., Read, G. F., Walker, R. F., & Griffiths, K. (1982). Steroids in saliva for assessing endocrine function. Endocrine Research, 3, 367–395.CrossRef
go back to reference Scully, D., Kremer, J., Meade, M. M., Graham, R., & Dudgeon, K. (1998). Physical exercise and psychological well being: a critical review. British Journal of Sports Medicine, 32, 111–120.PubMedCrossRef Scully, D., Kremer, J., Meade, M. M., Graham, R., & Dudgeon, K. (1998). Physical exercise and psychological well being: a critical review. British Journal of Sports Medicine, 32, 111–120.PubMedCrossRef
go back to reference Shan, H., Yan, H., Sheng, H., & Hu, S. (1989). A preliminary evaluation on Chinese qigong treatment of anxiety. Proceedings of the Second International Conference on Qigong, Xian, China, p.165 Shan, H., Yan, H., Sheng, H., & Hu, S. (1989). A preliminary evaluation on Chinese qigong treatment of anxiety. Proceedings of the Second International Conference on Qigong, Xian, China, p.165
go back to reference Stahl, S. M., & Hauger, R. L. (1994). Stress: an overview of the literature with emphasis on job-related strain and intervention. Advances in Therapy, 11, 110–119.PubMed Stahl, S. M., & Hauger, R. L. (1994). Stress: an overview of the literature with emphasis on job-related strain and intervention. Advances in Therapy, 11, 110–119.PubMed
go back to reference Tan, L., & Tian, Y. P. (2008). A thought on yoga—a retrospective view on Chinese qigong [in Chinese] (pp. 4–12). Beidaihe: XianDai Yangsheng. Tan, L., & Tian, Y. P. (2008). A thought on yoga—a retrospective view on Chinese qigong [in Chinese] (pp. 4–12). Beidaihe: XianDai Yangsheng.
go back to reference Thomas, S., Reading, J., & Shephard, R. J. (1992). Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Canadian Journal of Sports Science, 17, 338–345. Thomas, S., Reading, J., & Shephard, R. J. (1992). Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Canadian Journal of Sports Science, 17, 338–345.
go back to reference Tsang, H. W. H., Fung, K. M. T., Chan, A. S. M., Lee, G., & Chan, F. (2006). Effect of a qigong exercise programme on elderly with depression. International Journal of Geriatric Psychiatry, 21, 890–897.PubMedCrossRef Tsang, H. W. H., Fung, K. M. T., Chan, A. S. M., Lee, G., & Chan, F. (2006). Effect of a qigong exercise programme on elderly with depression. International Journal of Geriatric Psychiatry, 21, 890–897.PubMedCrossRef
go back to reference U. S. Census Bureau (2005). U.S. Census Bureau population estimates by demographic characteristics. Table 2: Annual estimates of the population by selected age groups and sex for the United States: April 1, 2000 to July 1, 2004 (NC-EST2004-02). Population Division, U.S. Census Bureau Release. Retrieved from: http://www.census.gov/popest/national/asrh/ Accessed 9 Oct 2008. U. S. Census Bureau (2005). U.S. Census Bureau population estimates by demographic characteristics. Table 2: Annual estimates of the population by selected age groups and sex for the United States: April 1, 2000 to July 1, 2004 (NC-EST2004-02). Population Division, U.S. Census Bureau Release. Retrieved from: http://​www.​census.​gov/​popest/​national/​asrh/​ Accessed 9 Oct 2008.
go back to reference Wang, R. F., Hong, S. H., Tao, Z., Zhang, C. H., Su, G. L., Chen, J. W., et al. (1990). A preliminary study on rheoencephalogram after exercising qigong in a short time [in Chinese]. Acta Academiae Medicinae Weifang, 12(2), 11–13. Wang, R. F., Hong, S. H., Tao, Z., Zhang, C. H., Su, G. L., Chen, J. W., et al. (1990). A preliminary study on rheoencephalogram after exercising qigong in a short time [in Chinese]. Acta Academiae Medicinae Weifang, 12(2), 11–13.
go back to reference World Health Organization [WHO]. (2001). Basic documents (43rd ed.). Geneva: World Health Organization. World Health Organization [WHO]. (2001). Basic documents (43rd ed.). Geneva: World Health Organization.
go back to reference Yong, I. S., & Lee, M. S. (2005). Qi therapy (external qigong) for chronic fatigue syndrome: case studies. American Journal of Chinese Medicine, 33(1), 139–141.CrossRef Yong, I. S., & Lee, M. S. (2005). Qi therapy (external qigong) for chronic fatigue syndrome: case studies. American Journal of Chinese Medicine, 33(1), 139–141.CrossRef
go back to reference Zeng, S. L. (2004). A study of the regulative body in qigong. Guoli Gaoxiong Haiyang Keda Xuebao, 19, 123–142. Zeng, S. L. (2004). A study of the regulative body in qigong. Guoli Gaoxiong Haiyang Keda Xuebao, 19, 123–142.
go back to reference Zhang, G. F., Fu, C. F., & Zhao, R. F. (1990). The dual-directional regulation of qigong on cardiovascular function [in Chinese]. Heilongjiang Medicine and Pharmacy, 13(4), 324–325. Zhang, G. F., Fu, C. F., & Zhao, R. F. (1990). The dual-directional regulation of qigong on cardiovascular function [in Chinese]. Heilongjiang Medicine and Pharmacy, 13(4), 324–325.
go back to reference Zhao, L., Liu, F. B., Leung, K. F., Chan, K., & Fang, J. (2006). Reliability and validity of the Chinese quality of life instrument. Chinese Journal of Clinical Rehabilitation, 10(8), 1–3. Zhao, L., Liu, F. B., Leung, K. F., Chan, K., & Fang, J. (2006). Reliability and validity of the Chinese quality of life instrument. Chinese Journal of Clinical Rehabilitation, 10(8), 1–3.
go back to reference Zikmund, V. (2003). Health, well-being, and the quality of life: some psychosomatic reflections. Neuroendocrinology Letters, 24(6), 401–403.PubMed Zikmund, V. (2003). Health, well-being, and the quality of life: some psychosomatic reflections. Neuroendocrinology Letters, 24(6), 401–403.PubMed
Metagegevens
Titel
The Effects of Qigong on Reducing Stress and Anxiety and Enhancing Body–Mind Well-being
Auteurs
Yvonne W. Y. Chow
Allen Dorcas
Andrew M. H. Siu
Publicatiedatum
01-03-2012
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 1/2012
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-011-0080-3

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