Potential Long-Term Effects of a Mind-Body Intervention for Women With Major Depressive Disorder: Sustained Mental Health Improvements With a Pilot Yoga Intervention
Potential Long-Term Effects of a Mind-Body Intervention for Women With Major Depressive Disorder: Sustained Mental Health Improvements With a Pilot Yoga Intervention
复制标题
DOI：
10.1016/j.apnu.2014.08.014
复制
发表时间：
2014-12-01
影响因子：
2.3
通讯作者：
Kornstein, Susan
中科院分区：
文献类型：
--
作者：
Kinser, Patricia Anne;Elswick, R. K.;Kornstein, Susan
尽管过去几十年来在药物和心理治疗方面取得了进展，但许多患有严重抑郁障碍(MDD)的患者尽管接受了常规治疗，但仍经历了反复的抑郁发作和持续的抑郁症状。瑜伽是一种身心治疗方式，作为治疗抑郁症的一种可能的辅助疗法，在外行人和研究文献中都受到了关注。尽管前景看好，但最近关于瑜伽对心理健康的积极影响的研究结果有限，因为很少有研究使用标准化的结果衡量标准，而且除了少数研究之外，没有一项研究涉及长期随访。在干预期之后的几个月。我们研究的目标是评估瑜伽干预对患有MDD的女性的可行性、可接受性和效果，使用标准化的结果测量和长期的随访期(干预后1年)。关键的发现是，以前的瑜伽练习具有长期的积极影响，这一点在参与者体验的定性报告以及关于抑郁和沉思分数的定量数据中都有所揭示。虽然研究结果的概括性有限，因为在1年的跟踪评估中样本量非常小，但数据中的趋势表明，接触瑜伽可能会对抑郁、沉思、压力、焦虑和与健康相关的生活质量产生持续的积极影响。无论一个人是否继续练习瑜伽，简单的瑜伽干预似乎都能为个人提供持续的好处。这一点很重要，因为对抑郁症的任何干预，无论是药理学的还是非药理学的，都很少对MDD患者产生如此持久的影响，特别是在停止治疗后。(C)2014 Elsevier Inc.保留所有权利。
Despite pharmacologic and psychotherapeutic advances over the past decades, many individuals with major depressive disorder (MDD) experience recurrent depressive episodes and persistent depressive symptoms despite treatment with the usual care. Yoga is a mind body therapeutic modality that has received attention in both the lay and research literature as a possible adjunctive therapy for depression. Although promising, recent findings about the positive mental health effects of yoga are limited because few studies have used standardized outcome measures and none of them have involved long-term follow-up beyond a few. months after the intervention period. The goal of our research study was to evaluate the feasibility, acceptability, and effects of a yoga intervention for women with MDD using standardized outcome measures and a long follow-up period (1 year after the intervention). The key finding is that previous yoga practice has long-term positive effects, as revealed in both qualitative reports of participants' experiences and in the quantitative data about depression and rumination scores over time. Although generalizability of the study findings is limited because of a very small sample size at the 1-year follow-up assessment, the trends in the data suggest that exposure to yoga may convey a sustained positive effect on depression, ruminations, stress, anxiety, and health-related quality of life. Whether an individual continues with yoga practice, simple exposure to a yoga intervention appears to provide sustained benefits to the individual. This is important because it is rare that any intervention, pharmacologic or non-pharmacologic, for depression conveys such sustained effects for individuals with MDD, particularly after the treatment is discontinued. (c) 2014 Elsevier Inc. All rights reserved.