Published: 2018-01-24

Is yoga an effective modality of stress reduction within medical population; a qualitative study within MBBS students of BRD medical college, Gorakhpur

Vikash K. Tiwari, Vinay Singh, Devesh Kumar, Mahim Mittal, A. B. Asthana


Background: Stress is very common in medical professionals. Stress begins in the first year of medical school and increases with subsequent years of medical life. Stress decreases overall performance and had a multitude of health-related adverse effect. Yoga has been tried as a stress reduction technique in different populations. In present study yoga was performed in the 1st year MBBS students and impact on stress reduction was studied using PSS-10 stress scale.

Methods: Study groups, yoga and control contained 26 and 27 subjects respectively. The yoga group practiced selected yogic asana, pranayama, and yoga nidra 1hour daily 6days a week for 3months. Control group kept in touch and allowed their usual activity as before. The PSS-10 scale used to measure the level of stress in both groups pre and post study.

Results: There was a highly significant reduction in the PSS-10 Score (stress level) in the yoga group (P Value <0.0001) but there was no significant change in the PSS-10 Score of control group (P Value = 0.2930).

Conclusions: Yoga is an effective modality of stress reduction technique in 1st year medical students. Therefore, yoga should be introduced as a part of the curricula in the first year of medical school. This may be taken as the 1st step in implantation of healthy lifestyle in future health care providers.


Medical students, PSS-10, Stress, Yoga

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Cohen S, Deverts DJ, Miller GE. Psychological Stress and Disease. JAMA. 2007;298(14):1685-7.

Schneiderman N, Ironson G, Siegel SD. Stress and Health: Psychological, Behavioral, and Biological Determinants. Annu Rev Clin Psychol. 2005;1:607-28.

Brooks SK, Gerada C, Chalder T. Review of literature on the mental health of doctors: Are specialist services needed?. J Mental Health. 2011;20(2):146-56.

Sharma N, Bhargava M, Chahar BK, Parakh R, Mishra AK, Sharma D. Perceived stress and coping strategies amongst undergraduate Indian medical students. Indo Ame J Pharma Res. 2014;4(06):2785-90.

Malathi A, Damodaran A. Stress due to exam in medical students-Role of Yoga. Indian J Physiol Pharmacol. 1999;43(2):218-24.

Bansal R, Gupta M, Agarwal B, Sharma S. Impact of short term yoga intervention on mental well-being of medical students posted in Community Medicine: A pilot study. Ind J Community Med. 2013;38(2):105-8.

Telles S, Bhat R. Yoga. Physiology and Application in therapy and rehabilitation. In: Tandon OP, Tripathi Y, editors. Best and Taylor's physiological basis of medical practice. 13th ed. Gurgaon: Lippincott Williams and Wilkins;2012.

Woodyard C. Exploring the therapeutic effects of Yoga and its ability to increase quality of life. Int J Yoga. 2011;4(2):49-52.

Ramdev S. Pranayama rahashya. 2nd ed. Haridwar: Divya prakashan;2009.

Saraswati SS. Asana pranayama mudra bandh. 4th ed. Munger:Yoga publication trust;2012.

Iyengar BKS. Light on Yoga. Noida: Harpers Collins;2014.

Iyengar BKS. Light on Pranayama. India: Harpers Element;2014.

Tandon OP, Tripathi Y. Best and Taylor’s physiological basis of medical practice. 13th ed. Gurgaon: Wolter Kluver (India) Pvt Ltd;2012.

Bijlani RL, Manjunatha S. Understanding Medical Physiology: A Textbook for Medical Students. India: Jaypee Brothers Publishers;2010.

Lin SL, Huang CY, Shiu SP, Yeh SH. Effects of Yoga on Stress, Stress Adaption, and Heart Rate Variability Among Mental Health Professionals--A Randomized Controlled Trial. Worldviews Evid Based Nurs. 2015;12(4):236-45.

Oron G, Allnutt E, Lackman T, Sokal-Arnon T, Holzer H, Takefman J. A prospective study using Hatha Yoga for stress reduction among women waiting for IVF treatment. Reprod Biomed Online. 2015;30(5):542-8.

Serpa JG, Taylor SL, Tillisch K. Mindfulness-based stress reduction (MBSR) reduces anxiety, depression, and suicidal ideation in veterans. Med Care. 2014;52(12 Suppl 5):S19-24.

Gard T, Brach N, Hölzel BK, Noggle JJ, Conboy LA, Lazar SW. Effects of a yoga-based intervention for young adults on quality of life and perceived stress: The potential mediating roles of mindfulness and self-compassion. J Positive Psychol. 2012;7(3):165-75.

Messripour M, Shohreh S. Psycho-biological correlation of yoga exercise in young Iranian women. J Neurosci Behavioural Heal. 2012;4(2):13-4.

Brown RP, Gerbarg PL. Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: part I-neurophysiologic model. J Alternative Complementary Med. 2005;11(1):189-201.