{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T09:23:23Z","timestamp":1790760203869,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,7,28]],"date-time":"2015-07-28T00:00:00Z","timestamp":1438041600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Show Chwan Memorial Hospital","award":["RA12042"],"award-info":[{"award-number":["RA12042"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Mental health professionals experiencing work\u2010related stress may experience burn out, leading to a negative impact on their organization and patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to examine the effects of yoga classes on work\u2010related stress, stress adaptation, and autonomic nerve activity among mental health professionals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomized controlled trial was used, which compared the outcomes between the experimental (e.g., yoga program) and the control groups (e.g., no yoga exercise) for 12 weeks. Work\u2010related stress and stress adaptation were assessed before and after the program. Heart rate variability (HRV) was measured at baseline, midpoint through the weekly yoga classes (6 weeks), and postintervention (after 12 weeks of yoga classes).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results showed that the mental health professionals in the yoga group experienced a significant reduction in work\u2010related stress (<jats:italic>t<\/jats:italic> = \u22126.225, <jats:italic>p<\/jats:italic> &lt; .001), and a significant enhancement of stress adaptation (<jats:italic>t<\/jats:italic> = 2.128, <jats:italic>p<\/jats:italic> = .042). Participants in the control group revealed no significant changes. Comparing the mean differences in pre\u2010 and posttest scores between yoga and control groups, we found the yoga group significantly decreased work\u2010related stress (<jats:italic>t<\/jats:italic> = \u22123.216, <jats:italic>p<\/jats:italic> = .002), but there was no significant change in stress adaptation (<jats:italic>p<\/jats:italic> = .084). While controlling for the pretest scores of work\u2010related stress, participants in yoga, but not the control group, revealed a significant increase in autonomic nerve activity at midpoint (6 weeks) test (<jats:italic>t<\/jats:italic> = \u22122.799, <jats:italic>p<\/jats:italic> = .007), and at posttest (12 weeks; <jats:italic>t<\/jats:italic> = \u22122.099, <jats:italic>p<\/jats:italic> = .040).<\/jats:p><\/jats:sec><jats:sec><jats:title>Linking Evidence to Action<\/jats:title><jats:p>Because mental health professionals experienced a reduction in work\u2010related stress and an increase in autonomic nerve activity in a weekly yoga program for 12 weeks, clinicians, administrators, and educators should offer yoga classes as a strategy to help health professionals reduce their work\u2010related stress and balance autonomic nerve activities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/wvn.12097","type":"journal-article","created":{"date-parts":[[2015,7,28]],"date-time":"2015-07-28T18:38:19Z","timestamp":1438108699000},"page":"236-245","source":"Crossref","is-referenced-by-count":74,"title":["Effects of Yoga on Stress, Stress Adaption, and Heart Rate Variability Among Mental Health Professionals\u2014A Randomized Controlled Trial"],"prefix":"10.1111","volume":"12","author":[{"given":"Shu\u2010Ling","family":"Lin","sequence":"first","affiliation":[{"name":"National Chi Nan University, Department of Social Policy and Social Work, Social Worker, Department of Social Work Chang Bing Show Chwan Memorial Hospital  Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ching\u2010Ya","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, Johns Hopkins University, MD Ayurveda and Yoga Teacher and Vice President, Show 101 Royal Health Care Co. Ltd  Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shau\u2010Ping","family":"Shiu","sequence":"additional","affiliation":[{"name":"National Chi Nan University, Department of Social Policy and Social Work, Social Worker, Department of Social Work, Chang Bing Show Chwan Memorial Hospital, Lu\u2010gang, Taiwan, and Instructor, Department of Life and Death, Nanhua University  Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu\u2010Hui","family":"Yeh","sequence":"additional","affiliation":[{"name":"Professor, Department of Nursing, Central Taiwan University of Science and Technology, Taichung, Taiwan, and Professor, Department of Medical Research and Development Changhua Show Chwan Memorial Hospital, Changhua  Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,7,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-38865"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6131.133870"},{"key":"e_1_2_6_4_1","first-page":"46","article-title":"Stress: Beyond burnout","volume":"5","author":"Burnard P.","year":"1991","journal-title":"Nursing Standard"},{"key":"e_1_2_6_5_1","first-page":"37","article-title":"Occupational stressor's and related factors in new nurses in a newly established hospital","volume":"2","author":"Chang H. 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Y.","year":"2013","journal-title":"Journal of Meiho University"},{"key":"e_1_2_6_9_1","first-page":"49","article-title":"A study on effectiveness of yoga for insomnia, low back pain, stress and the physical fitness among nurses","volume":"1","author":"Chung Y. C.","year":"2014","journal-title":"Journal of Health Architecture"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8325.1991.tb00564.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/smi.2583"},{"key":"e_1_2_6_12_1","unstructured":"Knobben S.(2013).A meta\u2010analysis of the effectiveness of yoga on mental health; taking on a dual perspective reflecting the medical and positive perspective of mental health. Doctoral thesis University of Twente the Netherlands. Retrieved fromhttp:\/\/essay.utwente.nl\/63524\/1\/Knobben _S._\u2010_s1135902_(verslag).pdf"},{"key":"e_1_2_6_13_1","unstructured":"Lan Y. J.(2004).The study of job stress and burnout for the medical social workers. 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