Effectiveness of Raja Yoga Meditation on Depression, Anxiety and Stress in Females with Premenstrual Syndrome
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DOI Number: 10.5958/2320-608X.2019.00020.9 Effectiveness of Raja Yoga Meditation on Depression, Anxiety and Stress in Females with Premenstrual Syndrome Eda Syamala1, Priya Roy,2 Kumar Sai Sailesh,3 Jabir P K4, Madhusudhan U5, Mukkadan JK5 1Associate Professor, Department of Physiology, Patnam Mahender Reddy Institute of Medical Sciences, Telangana, India, 2Associate Professor, KIMS, Karad, Maharashtra, India, 3Assistant Professor & HOD (I/C), Department of Physiology, Vishnu Dental College, Bhimavaram, West Godavari District, Andhra Pradesh 4Assistant Professor, Department of Physiology, Vishnu Dental College, Vishnupur, Bhimavaram, West Godavari District, Andhra Pradesh, India, 5Research Director, Little Medical Research Centre, Angamaly, Kerala, India ABSTRACT The current study was undertaken to observe the effectiveness of Raja Yoga Meditation on depression, anxiety and stress in females with premenstrual syndrome. In the present study, a total of 8 participants were recruited and the participants served as self-controls. After recording the baseline values in premenstrual period (7 days before menstruation) of menstrual cycle, participants were trained Raja yoga meditation for a week days and then they have practiced for once in a day for six days in a week for 8 weeks under the supervision of a trainer. Post-intervention values were recorded after 8 weeks during premenstrual period. The following criteria were used in the selection of the participants. Results were presented in table no 1 and 2. Table no 1 present’s demographic data of the participants and table no 2 present’s depression, anxiety and stress scores before and after the intervention. There was a significant decrease in the scores of depression, anxiety and stress followed by the meditation (P<0.05). The study provides further evidence for the beneficial effects of practicing Raja yoga meditation in the management of stress. We recommend detailed studies in this area with more parameters and also recommend practicing the meditation in the regular life style. Keywords: Raja yoga meditation, Depression, Anxiety, Stress. INTRODUCTION focus is more on isometric exercise and stretching than 3 Yoga’ is derived from the Sanskrit root ‘Yuj’ which on aerobic fitness. Raja Yoga meditation is a form of includes meanings of binding to and joining to.1 Yoga meditation that is accessible to people of all backgrounds. is a practical discipline incorporating a wide variety of It is a meditation without rituals or mantras and can be practices whose goal is the development of a state of practiced anywhere at any time. Raja Yoga meditation mental and physical health, well-being, inner harmony is practiced with ‘open eyes’, which makes this method and ultimately “ a union of the human individual with of meditation versatile, simple and easy to practice. the universal and transcendent existence”.2 . It includes Meditation is a state of being in that place just beyond the practice of meditation, regulation of respiration with every day consciousness, which is where spiritual a variety of breathing exercises, and the practice of a empowerment begins. Spiritual awareness gives the number of physical exercises and postures, in which the power to choose good and positive thoughts over those which are negative and wasteful.4 Studies show benefits of short-term and long-term brahmakumaris raja yoga Corresponding author: meditation on physiological variables including blood DR. G Sai Sailesh Kumar Ph.D (Medical)., MACS., pressure.5 Assistant Professor & Head of the Department ( I/C) Department of Physiology, Vishnu Dental College, Premenstrual syndrome (PMS) and premenstrual Vishnupur, Bhimavaram, West Godavari District, dysphoric disorder are contributed by hormonal Andhrapradesh.534 202. Phone: 9061076459 fluctuations during the menstrual cycle.6 although email:[email protected] evidence for a hormonal abnormality has not been International Journal of Physiology, January-March 2019, Vol. 7, No. 1 91 established, the symptoms of the premenstrual under the supervision of a trainer. Post-intervention disorders are related to the production of progesterone. values were recorded after 8 weeks during premenstrual It was reported that the symptoms of PMS are due to period. The following criteria were used in the selection GABArgic and the serotonergic systems. Metabolites of of the participants. progesterone bind to gamma-aminobutyric acid (GABA) receptor of brain and decreases central GABA-mediated Inclusion criteria inhibition. The progestogens also thought to adversely Healthy females with PMS (PMS will be screened affect the GABAergic system. The lowering of serotonin by using PMS questionnaire)12 can give rise to PMS-like symptoms and serotonergic functioning seems to be deficient by some methods of Having regular menstrual cycles from 28 to 34 days estimating serotonergic activity in the brain; agents that Willing participants with in the age group of 18-24 augment serotonin are efficacious and are as effective even if administered only in the luteal phase. However, Exclusion criteria similar to the affective disorders, PMS is ultimately not likely to be related to the dysregulation of individual The participants with any physical problem neurotransmitters. Brain imaging studies have begun (musculoskeletal), psychiatric illness, or on medication to shed light on the complex brain circuitry underlying including contraceptives will be excluded from the study affect and behavior and may help to explicate the intricate Unwilling participants. neurophysiological foundation of the syndrome.7 Rajayoga meditation Neuroimaging studies have shown that meditation results in an activation of the prefrontal cortex, activation Rajayoga meditation is a meditation course which is of the thalamus and the inhibitory thalamic reticular trained by Rajayoga Education and Research Foundation nucleus and a resultant functional differentiation of Brahma Kumaris World Spiritual University of the parietal lobe.8 The factors decreasing anxiety (BKWSU).13 The participants were trained the raja during meditation are increased parasympathetic yoga meditation by an expert for a week days and then activity, decreased locus ceruleus firing with decreased they started practicing the same for 8 weeks under the noradrenaline, increased GABAergic drive and supervision of the expert.13 increased serotonin and decreased levels of the stress Assessment of depression, anxiety and stress hormone cortisol.9 Studies have shown beneficial effects of rajyoga meditation on anxiety and depression.10,11 Depression, anxiety and stress were assessed by Medications for premenstrual syndromes are not fully using DASS 42 questionnaire which consists of 42-items curative for many patients. Meditation like raja yoga to measure negative emotional states.14 meditation can be considered as an adjuvant therapy in patients suffering from premenstrual syndrome. The Data analysis current study was undertaken to observe the effectiveness Data were analyzed by IBM SPSS Statistics for of Raja Yoga Meditation on depression, anxiety and Windows, IBM Corp. Armonk, NY: Statistical tests used stress in females with premenstrual syndrome. are student t test. P <0.05 was considered statistically significant. MATERIALS AND METHOD The present experimental study was conducted at Ethical Consideration: The present study was Department of Research, Little Flower Medical Research approved by the institutional ethical committee of Little Centre, Angamaly. In the present study, a total of 8 Flower Medical Research Centre, Angamaly. participants were recruited and the participants served as self-controls. After recording the baseline values in RESULTS premenstrual period (7 days before menstruation) of Results were presented in table no 1 and 2. Table menstrual cycle, participants were trained Raja yoga no 1 present’s demographic data of the participants and meditation for a week days and then they have practiced table no 2 present’s depression, anxiety and stress scores for once in a day for six days in a week for 8 weeks before and after the intervention. There was a significant 92 International Journal of Physiology, January-March 2019, Vol. 7, No. 1 decrease in the scores of depression, anxiety and stress followed by the meditation (P<0.05). Table no 1: Demographic data of the participants S.No Parameter Mean ± SD 1 Age (years) 20±2 2 Height (cms) 164.71±3.77 3 Weight (kg) 46±8.41 Table no 2: Depression, anxiety, stress scores of the participants before and after the Raja yoga Meditation S.No Parameter Pre intervention score Post intervention score P value 1 Depression 18.26±6.66 12.72±2.8 0.0478* 2 Anxiety 20.62±4.11 16.48±1.24 0.0163* 3 Stress 26.71±5.82 20.17±3.62 0.0173* DISCUSSION of PMS, is a complex experience that affects mood and The main goal of the research was to establish behavior, and can modify thought patterns leading to whether Raja Yoga is effective in treating Depression activation of different brain regions during cognitive and anxiety among women with PMS. There was tasks. 20 substantial difference in the pre-study and the post – study of depression, anxiety and stress levels. The study One study demonstrated that women with PMS proved that Raja Yoga would be effective in treating participating in a short-term yoga exercise in the luteal Depression among women who have PMS. Researchers phase felt better and had improved attention.19 Another conducted a pilot study to investigate the effects of study demonstrated that the mean