Post COVID-19 Condition, Somatic Symptom Disorder
Conditions
Keywords
Yoga breathing intervention, dysfunctional breathing, MR-Spectroscopy
Brief summary
From a clinical perspective, we find that many patients with Post COVID condition suffer from severe and debilitating shortness of breath, while routine pulmonary investigations fail to find the cause of the problems experienced. If dyspnea is associated with palpitations, dizziness or anxiety, patients are commonly diagnosed with dysfunctional breathing. From a psychosomatic perspective, the symptom of dysfunctional breathing can be classified as a functional symptom under the umbrella term of somatic symptom disorder. Therefore, Yoga interventions with special emphasis on breath-guided relaxation are a promising approach. We aim to investigate the psycho-somatic and somato-psychic pathophysiology on a morphological, psychological, functional and biological basis underlying the symptom of dysfunctional breathing. Furthermore, we plan to investigate the mechanism of Yoga intervention on the mental and somatic symptom burden of participants with Post COVID condition. Then, we aim to compare the impact of Yoga on other groups - healthy individuals, patients with chronic obstructive lung disease (COPD), as well as those with somatic symptom disorder. As a control intervention to Yoga guided breathing exercises a social contact group will be used.
Interventions
BEHAVIORALyoga
yoga breathing techniques for dysfunctional breathing
BEHAVIORALsocial contact
social contact as active comparator
Sponsors
Medical University Innsbruck
Study design
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
BASIC_SCIENCE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Inclusion criteria for participants with Post COVID condition 1. Eligible patients will be recruited at the Respiratory Outpatient Clinic (Medical University Innsbruck, Internal Medicine II) from the PRECISE registry or from other participating clinics at Medical University Innsbruck and via local advertisement. 2. Persistent respiratory symptoms for 3 months after infection (mMRC dyspnea score ≥ 1). 3. Absence of obstructive or restrictive lung disease or unilateral diaphragmatic paresis. 4. Medical history with symptoms compatible with DB as assessed by the physician AND Nijmegen cut-off score of \>23 or reduced MIP. The last two conditions were chosen to provide a readily accessible and objectifiable entry criterion at the inclusion visit. 5. Age \>= 18 years, \< 50 years. 6. Sufficient knowledge of German language for interaction during Yoga and completion of questionnaires. Inclusion criteria for participants with COPD 1. Eligible patients will be recruited at the Respiratory Outpatient Clinic (Medical University Innsbruck). 2. A postbronchodilator FEV1/FVC ratio less than 0,7 obtained in functional pulmonary testing is required fo diagnosis of COPD (Global Initiative for Chronic Obstructive Lung Disease (GOLD) Science Committee, 2022). 3. Persistent respiratory symptoms for 3 months (mMRC≥ 1). 4. Absence of unilateral diaphragmatic paresis. 5. Medical history with symptoms compatible with DB as assessed by the physician AND Nijmegen cut-off score of \>23 or reduced MIP. The last two conditions were chosen to provide a readily accessible and objectifiable entry criterion at the inclusion visit. 6. Age \>= 18 years, \< 50 years 7. Sufficient knowledge of German language for interaction during Yoga and completion of questionnaires Inclusion criteria for participants with somatic symptom disorder 1. Eligible patients will be recruited at University Hospital for Psychiatry I and II, Medical University Innsbruck) and via local advertisement. 2. Screening positive for somatic symptoms disorder with the following scores: SSD-12 ≥ 23, SSS-8 ≥ 9. 3. Persistent respiratory symptoms for 3 months after infection (mMRC≥ 1). 4. Absence of obstructive or restrictive lung disease or unilateral diaphragmatic paresis. 5. Absence of medical history with symptoms compatible with DB as assessed by the physician AND Nijmegen cut-off score of \>23 or reduced MIP. The last two conditions were chosen to provide a readily accessible and objectifiable entry criterion at the inclusion visit. 6. Age \>= 18 years, \< 50 years. 7. Sufficient knowledge of German language for interaction during Yoga and completion of questionnaires. Inclusion criteria for healthy participants 1. Eligible participants will be recruited via local advertisement. 2. Absence of significant active mental or somatic disorders 3. Absence of persistent respiratory symptoms (mMRC\< 1). 4. Absence of obstructive or restrictive lung disease or unilateral diaphragmatic paresis. 5. Absence of medical history with symptoms compatible with DB as assessed by the physician AND Nijmegen questionnaire and MIP within normal limits.. 6. Age \>= 18 years, \< 50 years. 7. Sufficient knowledge of German language for interaction during Yoga and completion of questionnaires.
Exclusion criteria
*
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| brain imaging | 10 weeks | 31P MRI |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| comparison with control groups | 10 weeks | resting state functional MRI (rs-MRI),diaphragmatic function in spirometry and MRI, laboratory analyses, autonomic testing, questionnaires |
Countries
Austria
Contacts
Primary ContactPhilipp Alexander Nelles
Backup ContactElke Ruth Gizewski, Prof. Dr.
Outcome results
None listed