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Ayurvedic versus conventional dietary and lifestyle counseling for mothers with burnout-syndrome : A randomized controlled pilot study including a qualitative evaluation

Ayurvedic versus conventional dietary and lifestyle counseling for mothers with burnout-syndrome : A randomized controlled pilot study including a qualitative evaluation

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KESSLER, Christian S., Clemens EISENMANN, Frank OBERZAUCHER, Martin FORSTER, Nico STECKHAN, Larissa MEIER, Elmar STAPELFELDT, Andreas MICHALSEN, Michael JEITLER, 2017. Ayurvedic versus conventional dietary and lifestyle counseling for mothers with burnout-syndrome : A randomized controlled pilot study including a qualitative evaluation. In: Complementary Therapies in Medicine. 34, pp. 57-65. ISSN 0965-2299. eISSN 1873-6963. Available under: doi: 10.1016/j.ctim.2017.07.005

@article{Kessler2017-10Ayurv-40792, title={Ayurvedic versus conventional dietary and lifestyle counseling for mothers with burnout-syndrome : A randomized controlled pilot study including a qualitative evaluation}, year={2017}, doi={10.1016/j.ctim.2017.07.005}, volume={34}, issn={0965-2299}, journal={Complementary Therapies in Medicine}, pages={57--65}, author={Kessler, Christian S. and Eisenmann, Clemens and Oberzaucher, Frank and Forster, Martin and Steckhan, Nico and Meier, Larissa and Stapelfeldt, Elmar and Michalsen, Andreas and Jeitler, Michael} }

Stapelfeldt, Elmar Forster, Martin 2017-10 Kessler, Christian S. Kessler, Christian S. Objectives<br />Ayurveda claims to be effective in the treatment of psychosomatic disorders by means of lifestyle and nutritional counseling.<br /><br />Design<br />In a randomized controlled study mothers with burnout were randomized into two groups: Ayurvedic nutritional counseling (according to tradition), and conventional nutritional counseling (following the recommendations of a family doctor). Patients received five counseling sessions over twelve weeks.<br /><br />Main outcome measures<br />Outcomes included levels of burnout, quality of life, sleep, stress, depression/anxiety, and spirituality at three and six months. It also included a qualitative evaluation of the communication processes.<br /><br />Results<br />We randomized thirty four patients; twenty three participants were included in the per protocol analysis. No significant differences were observed between the groups. However, significant and clinically relevant intra-group mean changes for the primary outcome burnout, and secondary outcomes sleep, stress, depression and mental health were only found in the Ayurveda group. The qualitative part of the study identified different conversational styles and counseling techniques between the two study groups. In conventional consultations questions tended to be category bound, while counseling-advice was predominantly admonitory. The Ayurvedic practitioner used open-ended interrogative forms, devices for displaying understanding, and positive re-evaluation more frequently, leading to an overall less asymmetrical interaction.<br /><br />Conclusions<br />We found positive effects for both groups, which however were more pronounced in the Ayurvedic group. The conversational and counseling techniques in the Ayurvedic group offered more opportunities for problem description by patients as well as patient-centered practice and resource-oriented recommendations by the physician. eng Stapelfeldt, Elmar 2017-11-30T09:43:50Z Eisenmann, Clemens Meier, Larissa Forster, Martin 2017-11-30T09:43:50Z Meier, Larissa Michalsen, Andreas Eisenmann, Clemens Steckhan, Nico Oberzaucher, Frank Steckhan, Nico Ayurvedic versus conventional dietary and lifestyle counseling for mothers with burnout-syndrome : A randomized controlled pilot study including a qualitative evaluation Jeitler, Michael Oberzaucher, Frank Jeitler, Michael Michalsen, Andreas

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