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      Hatha yoga is more effective in improving kinesiophobia and subjective well-being when combined with self-compassion meditation in people with CLBP: a randomized control trial

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          Abstract

          Objective

          The present study aims to examine whether combining hatha yoga practice with self-compassion meditation could influence kinesiophobia, emotions, perceived stress, and perceived disability among individuals with chronic low back pain when compared with hatha yoga alone.

          Methods

          The randomized controlled study included 70 participants with chronic low back pain (CLBP) who were randomly assigned to a Hatha yoga group (HY; n = 35) or a Hatha yoga group plus self-compassion meditation (HYSCM; n = 35). Participants followed a protocol for 8 weeks, and the assessments were carried out before and after the intervention, with a follow-up evaluation conducted after one month. The participants completed the PANAS, PSS, TSK, and RMQ questionnaires. A Generalized Estimating Equation was used to explore the effect of interventions.

          Results

          Both HY and HYSCM groups improved kinesiophobia, perceived disability, and stress at the follow-up. However, the HYSCM group shown a more significant reduction in kinesiophobia compared to the HY group. Moreover, significant improvement in positive affect and a reduction in negative affect over time in the HYSCM group were observed.

          Conclusion

          Hatha yoga practice when combined with self-compassion meditation led to extra benefits by exhibiting a prolonged effect, especially on kinesiophobia positive and negative effects.

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          Most cited references73

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          G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences

          G*Power (Erdfelder, Faul, & Buchner, 1996) was designed as a general stand-alone power analysis program for statistical tests commonly used in social and behavioral research. G*Power 3 is a major extension of, and improvement over, the previous versions. It runs on widely used computer platforms (i.e., Windows XP, Windows Vista, and Mac OS X 10.4) and covers many different statistical tests of the t, F, and chi2 test families. In addition, it includes power analyses for z tests and some exact tests. G*Power 3 provides improved effect size calculators and graphic options, supports both distribution-based and design-based input modes, and offers all types of power analyses in which users might be interested. Like its predecessors, G*Power 3 is free.
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            Progressive statistics for studies in sports medicine and exercise science.

            Statistical guidelines and expert statements are now available to assist in the analysis and reporting of studies in some biomedical disciplines. We present here a more progressive resource for sample-based studies, meta-analyses, and case studies in sports medicine and exercise science. We offer forthright advice on the following controversial or novel issues: using precision of estimation for inferences about population effects in preference to null-hypothesis testing, which is inadequate for assessing clinical or practical importance; justifying sample size via acceptable precision or confidence for clinical decisions rather than via adequate power for statistical significance; showing SD rather than SEM, to better communicate the magnitude of differences in means and nonuniformity of error; avoiding purely nonparametric analyses, which cannot provide inferences about magnitude and are unnecessary; using regression statistics in validity studies, in preference to the impractical and biased limits of agreement; making greater use of qualitative methods to enrich sample-based quantitative projects; and seeking ethics approval for public access to the depersonalized raw data of a study, to address the need for more scrutiny of research and better meta-analyses. Advice on less contentious issues includes the following: using covariates in linear models to adjust for confounders, to account for individual differences, and to identify potential mechanisms of an effect; using log transformation to deal with nonuniformity of effects and error; identifying and deleting outliers; presenting descriptive, effect, and inferential statistics in appropriate formats; and contending with bias arising from problems with sampling, assignment, blinding, measurement error, and researchers' prejudices. This article should advance the field by stimulating debate, promoting innovative approaches, and serving as a useful checklist for authors, reviewers, and editors.
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              Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013

              Up-to-date evidence about levels and trends in disease and injury incidence, prevalence, and years lived with disability (YLDs) is an essential input into global, regional, and national health policies. In the Global Burden of Disease Study 2013 (GBD 2013), we estimated these quantities for acute and chronic diseases and injuries for 188 countries between 1990 and 2013.
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                Author and article information

                Contributors
                URI : http://loop.frontiersin.org/people/111627/overviewRole: Role: Role: Role: Role: Role: Role: Role: Role:
                Role: Role: Role:
                Role: Role: Role: Role:
                URI : http://loop.frontiersin.org/people/1054887/overviewRole: Role: Role: Role:
                URI : http://loop.frontiersin.org/people/69944/overviewRole:
                URI : http://loop.frontiersin.org/people/437947/overviewRole: Role: Role: Role: Role: Role: Role:
                Journal
                Front Psychol
                Front Psychol
                Front. Psychol.
                Frontiers in Psychology
                Frontiers Media S.A.
                1664-1078
                20 November 2023
                2023
                : 14
                : 1272919
                Affiliations
                [1] 1Faculty of Psychology, eCampus University , Novedrate, Italy
                [2] 2Klinikos Center for Psychodiagnostics and Psychotherapy , Rome, Italy
                [3] 3Department of Applied Clinical Sciences and Biotechnology, University of L’Aquila , L’Aquila, Italy
                [4] 4Laboratory for Industrial and Applied Mathematics, Department of Mathematics and Statistics, Faculty of Science, York University , Toronto, ON, Canada
                [5] 5Faculty of Kinesiology, University of Split , Split, Croatia
                Author notes

                Edited by: Andrea Poli, University of Pisa, Italy

                Reviewed by: Sonia Lorente, Autonomous University of Barcelona, Spain; Małgorzata Grabara, Jerzy Kukuczka Academy of Physical Education in Katowice, Poland; Wanli Xu, University of Connecticut, United States

                *Correspondence: Valerio Bonavolontà, valerio.bonavolonta@ 123456univaq.it
                Article
                10.3389/fpsyg.2023.1272919
                10694472
                38054176
                23c2a1db-1ae4-4c5d-8785-c092b36fc704
                Copyright © 2023 De Giorgio, Angilletta, Matteo, Bonavolontà, Bragazzi and Kuvačić.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 04 August 2023
                : 26 October 2023
                Page count
                Figures: 3, Tables: 3, Equations: 0, References: 73, Pages: 12, Words: 8247
                Funding
                The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.
                Categories
                Psychology
                Original Research
                Custom metadata
                Psychology for Clinical Settings

                Clinical Psychology & Psychiatry
                emotions,fear of movement,spine,psychological factors,chronic low back pain

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