This randomized clinical on-line study examines whether whether a daily practice of meditation or Kundalini Yoga with anxiety reduction training leads to a greater reduction in anxiety than anxiety reduction training alone.
The individual and societal costs of the COVID-19 pandemic are wide-ranging. Based on past
epidemics and on emerging data, anxiety and depression rates will increase, along with anger,
grief, somatic complaints, and post-traumatic stress. Coping skills will be challenged,
particularly as anxiety, uncertainty, and personal loss increase.
While anxiety is a healthy response to danger, excessive anxiety can be debilitating and
impair our coping skills. Illness anxiety may also increase given concerns about infection
risks to self and others.
This randomized on-line study is for individuals with anxiety and distress triggered by
COVID-19 who have not yet been infected with the novel corona virus. .
The primary study goal is to examine the extent to which anxiety can be reduced through the
use of on-line training programs. All participants will receive Anxiety Reduction Training
using cognitive-behavioral methods known to be helpful in reducing stress, anxiety,
depression, and insomnia. In addition, two-thirds of participants will be randomly assigned
to receive training in either Kundalini Yoga (KY) or mindfulness meditation. The
investigators will assess the degree to which each of these training programs lead to reduced
stress, improved well-being, decreased multisystem symptoms, enhanced mood, and reduced
cognitive complaints. Participants will complete self-report assessments at 2-week intervals
during the 8 weeks of the acute phase of the study and then again 3- and 6-months later.
The current study may reveal that addressing emergent anxiety early through online
self-guided treatment approaches can lead to improved short- and long-term outcome. Findings
from this study may reveal that these inexpensive easily disseminated on-line programs can be
helpful to enhance coping and improve mental health in the context of large-scale public
health crises.
Behavioral: Anxiety Reduction Training
Educational material will be provided every two weeks that address different aspects of anxiety and cognitive-behavioral approaches to reduce anxiety and stress.
Behavioral: Kundalini Yoga and Anxiety Reduction Training
Daily practice of Kundalini Yoga (light stretching, breathing exercises, and meditation) guided by on-line video instruction, as well as the biweekly anxiety reduction psychoeducation.
Behavioral: Meditation and Anxiety Reduction Training
Daily practice of meditation (muscle relaxation, breathing, and meditation) guided by on-line video instruction, as well as the biweekly anxiety reduction psychoeducation.
Inclusion Criteria:
1. Heightened anxiety triggered or exacerbated by COVID-19
2. Anxiety it least mild-moderate in severity
3. English speaking and living in the United States
4. Access to a smart phone, tablet, or computer with internet
5. Able to read and understand English
Exclusion Criteria:
1. Individuals with severe depression or substance abuse
2. Individuals with a current or past history of psychosis, bipolar disorder, or PTSD.
3. Individuals with physical disability that might make study participation difficult.
4. Individuals with an unstable medical illness or a history of cardiac disease
5. Individuals with a current daily practice of meditation or Kundalini yoga
6. Individuals with confirmed or suspected COVID-19
7. Individuals who are currently pregnant or anticipate being pregnant during study
ProofPilot (Virtual Study: https://proofpilot.com/covid-anxiety/)
New York, New York, United States
Columbia University Department of Psychiatry
New York, New York, United States
Brian A Fallon, MD, Principal Investigator
Columbia University