Effect of Tai Chi on stress, anxiety, and self-perception of happiness: a longitudinal intervention study

Authors

DOI:

https://doi.org/10.14393/BJ-v39n0a2023-66738

Keywords:

Anxiety, Perception, Psychological Stress, Tai Chi, Tai Ji.

Abstract

This intervention follow-up study evaluated anxiety and stress levels and self-perceived happiness of individuals linked to the health field who did not practice Tai Chi and compared these variables before and after practicing this art. One hundred twenty-three participants were subdivided into two groups: G1) Older health professionals (n=41) and G2) Younger pre-university students interested in the health field (n=82). Participants received a 60-minute Tai Chi class. The Perceived Stress Scale (PSS-14) was applied before the practice, and the State-Trait Anxiety Inventory (STAI) and Andrews Face Scale were used before and after the class. Generalized linear models and the Bowker symmetry test were applied for data analysis. 46.3% and 30.5% of participants in G1 and G2 had mild stress levels, and 43.9% and 46.3% had moderate stress levels, respectively. After practicing Tai Chi, both groups presented significantly lower mean anxiety scores. In G1, 31.7% of participants went from moderate to mild anxiety levels after practice, 19.5% from severe to moderate, and 7.3% from severe to mild. In G2, 28.2% of participants went from moderate to mild anxiety levels after practice, 18.3% from severe to moderate, and 6.1% from severe to mild. Furthermore, 100.0% of individuals in G1 and 96.3% in G2 were happy after the class. Tai Chi was effective in reducing anxiety levels and improving self-perceived happiness.

References

ABBOTT, R., and LAVRETSKY, H. Tai Chi and Qigong for the treatment and prevention of mental disorders. Psychiatric Clinics North America. 2013, 36(1), 109-119. https://doi.org/10.1016/j.psc.2013.01.011

ANTUNES, P.C. and FRAGA A.B. Integrative mind-body practices: concept proposal for the field of Traditional and Complementary Medicine. Práticas corporais integrativas: proposta conceitual para o campo das Práticas Integrativas e Complementares em Saúde. Ciencia e Saude Coletiva. 2021, 26(9), 4217-4232. https://doi.org/10.1590/1413-81232021269.14082020

AZEVEDO, R.R., et al. Correlação entre estresse percebido e níveis de atividade física de recepcionistas de academias. Revista Brasileira de Pesquisa em Saúde. 2018, 5(9), 16-19.

BARBOSA, F.E.S., et al. Oferta de Práticas Integrativas e Complementares em Saúde na Estratégia Saúde da Família no Brasil. Cadernos de Saúde Publica. 2019, 36(1), e00208818. doi:10.1590/0102-311X00208818

BRASIL. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Política nacional de práticas integrativas e complementares no SUS : atitude de ampliação de acesso / Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. – 2. ed. – Brasília : Ministério da Saúde, 2015. 96 p.

CALDWELL, K.L., et al. Effects of tai chi chuan on anxiety and sleep quality in young adults: lessons from a randomized controlled feasibility study. Nature Science Sleep. 2016, 8, 305-314. https://doi.org/10.2147/NSS.S117392

CARDONA ARANGO, D., et al. La felicidad como predictor de funcionalidad familiar del adulto mayor en tres ciudades de Colombia. Hacia la Promocio de la Salud. 2019, 24(1), 97-111. https://doi.org/10.17151/hpsal.2019.24.1.9

CHANG, M.Y., et al. Associations between Tai Chi Chung program, anxiety, and cardiovascular risk factors. American Journal Health Promotion. 2013, 28(1), 16-22. https://doi.org/10.4278/ajhp.120720-QUAN-356

COHEN, S., KAMARCK, T. and MERMELSTEIN, R. A global measure of perceived stress. Journal of Health and Social Behavior. 1983, 24(4), 385-396.

FERNANDES, M.A., et al. Prevalência dos transtornos de ansiedade como causa de afastamento de trabalhadores. Revista Brasilseira de Enfermagem. 2018, 71(5), 2213-2220. https://doi.org/10.1590/0034-7167-2017-0953

FIELD T., et al. Tai chi/yoga reduces prenatal depression, anxiety and sleep disturbances. Complementery Therapies in Clinical Practice. 2013, 19(1), 6-10. https://doi.org/10.1016/j.ctcp.2012.10.001

GALLEGO, J., et al. Effect of Mind/ Body Interventions on Levels of Anxiety, Stress and Depression Among Future Primary School Teacher: A Controlled Study. Revista de Psicodidáctica. 2016, 21(1), 87-101. https://doi.org/10.1387/RevPsicodidact.13256

GALVANESE, A.T.C., et al. Contribuições e desafios das práticas corporais e meditativas à promoção da saúde na rede pública de atenção primária do Município de São Paulo, Brasil. Cadernos de Saude Publica. 2017, 33(12), e00122016. https://doi.org/10.1590/0102-311X00122016

JIANG, D., KONG, W. and JIANG, J.J. The Role of Tai Chi in Mental Health Management-Lessons Learned from Clinical Trials. Reviews on Recent Clinical Trials. 2016, 11(4), 324-332. https://doi.org/10.2174/1574887111666160729100829

KANDOLA, A., et al. Moving to Beat Anxiety: Epidemiology and Therapeutic Issues with Physical Activity for Anxiety. Current Psychiatry Reports. 2018, 20(8), 63. https://doi.org/10.1007/s11920-018-0923-x

KONG, J., et al. Treating Depression With Tai Chi: State of the Art and Future Perspectives. Frontiers in Psychiatry. 2019, 10, 237. https://doi.org/10.3389/fpsyt.2019.00237

LAIRD, K.T., et al. Mind-Body Therapies for Late-Life Mental and Cognitive Health. Current Psychiatry Reports. 2018, 20(1), 2. https://doi.org/10.1007/s11920-018-0864-4

LIU, J., et al. The Effects of Tai Chi on Heart Rate Variability in Older Chinese Individuals with Depression. International Journal of Environmental Research and Public Health. 2018, 15(12), 2771. https://doi.org/10.3390/ijerph15122771

MA, C., et al. The impact of group-based Tai chi on health-status outcomes among community-dwelling older adults with hypertension. Heart & Lung. 2018, 47(4), 337-344. https://doi.org/10.1016/j.hrtlng.2018.04.007

MCDOWELL, I. and NEWELL, C. Measuring health. A guide to rating scales and questionnaires. New York: Oxford University Press; 1996, 1-766.

RAWTAER, I., et al. Psychosocial interventions with art, music, Tai Chi and mindfulness for subsyndromal depression and anxiety in older adults: A naturalistic study in Singapore. Asia-Pacific Psychiatry. 2015, 7(3), 240-250. https://doi.org/10.1111/appy.12201

REMES, O., et al. A systematic review of reviews on the prevalence of anxiety disorders in adult populations. Brain and Behavior. 2016, 6(7), e00497. https://doi.org/10.1002/brb3.497

RISKOWSKI, J.L., e ALMEHEYAWI, R. Effects of Tai Chi and Qigong in Children and Adolescents: A Systematic Review of Trials. Adolescent Research Review. 2019, 4 ,73-91. https://doi.org/10.1007/s40894-017-0067-y

SCALCO, D.L., ARAUJO, C.L. and BASTOS, J.L. Autopercepção de Felicidade e Fatores Associados em Adultos de uma Cidade do Sul do Brasil: Estudo de Base Populacional. Psicologia: Reflexão e Crítica. 2011, 24(4), 648-657. https://doi.org/10.1590/S0102-79722011000400004

SHARMA, M. and HAIDER, T. Tai chi as an alternative and complimentary therapy for anxiety: a systematic review. Journal of Evidence-Based Complementary and Alternative Medicine. 2015, 20(2), 143-153. https://doi.org/10.1177/2156587214561327

SIU, P.M., et al. Effects of Tai Chi or Exercise on Sleep in Older Adults With Insomnia: A Randomized Clinical Trial. JAMA Network Open. 2021, 4(2), e2037199. https://doi.org/10.1001/jamanetworkopen.2020.37199

SOUSA, I.M., et al. Práticas integrativas e complementares: oferta e produção de atendimentos no SUS e em municípios selecionados. Cadernos de Saude Publica. 2012, 28(11), 2143-2154. https://doi.org/10.1590/s0102-311x2012001100014

SPIELBERGER, C.D., GORSUCH, R.L. and LUSHENE R.E. Test manual for the State Trait Anxiety Inventory. Palo Alto, California: Consulting Psychologists Press, 1970.

VANNUCI, A., FLANNERY, K.M. and OHANNESSIAN, C.M. Social media use and anxiety in emerging adults. Journal of Affective Disorders. 2017, 207, 163-166. https://doi.org/10.1016/j.jad.2016.08.040

WANG, F., et al. The effects of tai chi on depression, anxiety, and psychological well-being: a systematic review and meta-analysis. International Journal of Behavioral Medicine. 2014, 21(4), 605-617. https://doi.org/10.1007/s12529-013-9351-9

WEGER, M. and SANDI, C. High anxiety trait: A vulnerable phenotype for stress-induced depression. Neuroscience and Biobehavioral Reviews. 2018, 87, 27–37. https://doi.org/10.1016/j.neubiorev.2018.01.012

WEBSTER, C.S., et al. A systematic review of the health benefits of Tai Chi for students in higher education. Preventive Medicine Reports. 2015, 3, 103-112. https://doi.org/10.1016/j.pmedr.2015.12.006

XU, S., BAKER, J.S. and REN, F. The Positive Role of Tai Chi in Responding to the COVID-19 Pandemic. International Journal of Environmental Research and Public Health. 2021, 18(14), 7479. https://doi.org/10.3390/ijerph18147479

YARIBEYGI, H., et al. The impact of stress on body function: A review. EXCLI Journal. 2017, 16, 1057-1072. https://doi.org/10.17179/excli2017-480

YIN, J. and DISHMAN, R.K. The Effect of Tai Chi and Qigong practice on depression and anxiety symptoms: A systematic review and meta-regression analysis of randomized controlled trials. Mental Health and Physical Activity. 2014, 2014(3), 135-146. https://doi.org/10.1016/j.mhpa.2014.08.001

ZHANG, L., et al. A review focused on the psychological effectiveness of tai chi on different populations. Evidence-Based Complementary and Alternative Medicine. 2012, 2012, 678107. https://doi.org/10.1155/2012/678107

ZHENG, S., et al. Protocol: the effect of 12 weeks of Tai Chi practice on anxiety in healthy but stressed people compared to exercise and wait-list comparison groups: a randomized controlled trial. Journal of Acupuncture and Meridian Studies. 2014, 7(3), 159-165. https://doi.org/10.1016/j.jams.2014.01.003

ZHENG, S., et al. The Effects of Twelve Weeks of Tai Chi Practice on Anxiety in Stressed But Healthy People Compared to Exercise and Wait-List Groups-A Randomized Controlled Trial. Journal of Clinical Psychology. 2018, 74(1), 83-92. https://doi.org/10.1002/jclp.22482

ZOU, L., et al. Effects of Mind⁻Body Exercises (Tai Chi/Yoga) on Heart Rate Variability Parameters and Perceived Stress: A Systematic Review with Meta-Analysis of Randomized Controlled Trials. Journal of Clinical Medicine. 2018, 7(11), 404. https://doi.org/10.3390/jcm7110404

ZOU, P., et al. Associations between negative life events and anxiety, depressive, and stress symptoms: A cross-sectional study among Chinese male senior college students. Psychiatry Research. 2018, 270, 26-33. https://doi.org/10.1016/j.psychres.2018.09.019

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Published

2023-05-05

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Health Sciences

How to Cite

Effect of Tai Chi on stress, anxiety, and self-perception of happiness: a longitudinal intervention study. Bioscience Journal [online], 2023. [online], vol. 39, pp. e39079. [Accessed28 April 2025]. DOI 10.14393/BJ-v39n0a2023-66738. Available from: https://seer.ufu.br/index.php/biosciencejournal/article/view/66738.