INDIVIDUALIZED YOGA FOR REDUCING DEPRESSION AND ANXIETY, AND IMPROVING WELL-BEING: A RANDOMIZED CONTROLLED TRIAL
INDIVIDUALIZED YOGA FOR REDUCING DEPRESSION AND ANXIETY, AND IMPROVING WELL-BEING: A RANDOMIZED CONTROLLED TRIAL
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DOI：
10.1002/da.22502
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发表时间：
2016-09-01
影响因子：
7.4
通讯作者：
Fahey, Paul
中科院分区：
文献类型：
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作者：
de Manincor, Michael;Bensoussan, Alan;Fahey, Paul
世界范围内，抑郁和焦虑是导致残疾的主要原因。目前的治疗主要是药物和心理治疗。对于不同人群的有效性和适用性问题仍然存在。先前的研究表明，瑜伽对减少抑郁和焦虑有潜在的好处。本研究的目的是调查个体化瑜伽干预的效果。方法101名有抑郁和/或焦虑症状的患者参加了一项随机对照试验，比较了6周瑜伽干预和候补对照。瑜伽是常规治疗的补充。对照组在等候期后进行瑜伽练习。测量方法包括抑郁焦虑压力量表（DASS-21）、Kessler心理困扰量表（K10）、简短健康调查量表（SF12）、积极和消极体验量表（SPANE）、繁荣量表（FS）和康纳-戴维森弹性量表（CD-RISC2）。结果瑜伽组与对照组在抑郁评分降低方面差异有统计学意义（-4.30;95% CI: -7.70, -0.01; P = 0.01; ES - 0.44）。焦虑评分降低的差异无统计学意义（-1.91;95% CI: -4.58, 0.76; P = 0.16）。在总DASS （P = 0.03）、K10、SF12心理健康、SPANE、FS和弹性评分上，瑜伽的偏好也有统计学上的显著差异（P < 0.01）。应激和SF12身体健康评分的差异无统计学意义。在6周的随访中，疗效保持不变。结论瑜伽加常规护理与单独常规护理相比，能有效减轻抑郁症状。对于治疗焦虑的潜在益处，需要进一步的研究。在更广泛的社区中，个性化瑜伽可能对心理健康保健特别有益。
BackgroundDepression and anxiety are leading causes of disability worldwide. Current treatments are primarily pharmaceutical and psychological. Questions remain about effectiveness and suitability for different people. Previous research suggests potential benefits of yoga for reducing depression and anxiety. The aim of this study is to investigate the effects of an individualized yoga intervention.MethodsA sample of 101 people with symptoms of depression and/or anxiety participated in a randomized controlled trial comparing a 6-week yoga intervention with waitlist control. Yoga was additional to usual treatment. The control group was offered the yoga following the waitlist period. Measures included Depression Anxiety Stress Scale (DASS-21), Kessler Psychological Distress Scale (K10), Short-Form Health Survey (SF12), Scale of Positive and Negative Experience (SPANE), Flourishing Scale (FS), and Connor-Davidson Resilience Scale (CD-RISC2).ResultsThere were statistically significant differences between yoga and control groups on reduction of depression scores (-4.30; 95% CI: -7.70, -0.01; P = .01; ES -.44). Differences in reduced anxiety scores were not statistically significant (-1.91; 95% CI: -4.58, 0.76; P = .16). Statistically significant differences in favor of yoga were also found on total DASS (P = .03), K10, SF12 mental health, SPANE, FS, and resilience scores (P < .01 for each). Differences in stress and SF12 physical health scores were not statistically significant. Benefits were maintained at 6-week follow-up.ConclusionYoga plus regular care was effective in reducing symptoms of depression compared with regular care alone. Further investigation is warranted regarding potential benefits in anxiety. Individualized yoga may be particularly beneficial in mental health care in the broader community.