Randomized Controlled Clinical Trial of Yoga in the Treatment of Eating Disorders
Randomized Controlled Clinical Trial of Yoga in the Treatment of Eating Disorders
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DOI：
10.1016/j.jadohealth.2009.08.007
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发表时间：
2010-04-01
影响因子：
7.6
通讯作者：
Brown, Margaret A.
中科院分区：
文献类型：
--
作者：
Carei, T. Rain;Fyfe-Johnson, Amber L.;Brown, Margaret A.
目的：这是一个试点项目，旨在评估个性化的瑜伽治疗对青少年饮食失调的结果接受门诊治疗诊断的饮食失调（神经性厌食症，神经性贪食症，饮食失调，没有另行说明）。方法：共有50名女孩和4名男孩，年龄11-21岁，被随机分配到一个为期8周的试验标准护理与个性化的瑜伽加标准护理。其中，27人随机接受标准治疗，26人接受瑜伽加标准治疗（自然减员：n = 4）。需要标准护理（每隔一周与医生和/或营养师预约一次）以符合伦理准则。在研究结束后，不做瑜伽的一组被提供瑜伽作为保持参与的激励。在基线、试验结束和1个月随访时评估的结果包括进食障碍检查（EDE）、体重指数（BMI）、贝克抑郁量表、状态-特质焦虑量表和食物关注问卷。具体来说，瑜伽组的EDE评分随着时间的推移而下降，而无瑜伽组显示出一些初始下降，但随后在第12周恢复到基线EDE水平。在每次瑜伽练习之前和之后测量食物关注度，并且在所有练习之后显著降低。两组保持目前的BMI水平，并随着时间的推移减少焦虑和抑郁症。结论：个性化瑜伽治疗降低EDE分数在12周，并显着减少食物的关注后立即瑜伽课程。瑜伽治疗对BMI没有负面影响。结果表明，个性化的瑜伽疗法有希望作为标准护理的连续治疗。(C)2010年青少年医学会。All rights reserved.
Purpose: This was a pilot project designed to assess the effect of individualized yoga treatment on eating disorder outcomes among adolescents receiving outpatient care for diagnosed eating disorders (anorexia nervosa, bulimia nervosa, eating disorder not otherwise specified).Methods: A total of 50 girls and 4 boys aged 11-21 years were randomized to an 8-week trial of standard care vs. individualized yoga plus standard care. Of these, 27 were randomized to standard care and 26 to yoga plus standard care (attrition: n = 4). Standard care (every other week physician and/or dietician appointments) was required to meet ethical guidelines. The No Yoga group was offered yoga after study completion as an incentive to maintain participation. Outcomes evaluated at baseline, end of trial, and 1-month follow-up included Eating Disorder Examination (EDE), Body Mass Index (BMI), Beck Depression Inventory, State-Trait Anxiety Inventory, and Food Preoccupation questionnaire.Results: The Yoga group demonstrated greater decreases in eating disorder symptoms. Specifically, the EDE scores decreased over time in the Yoga group, whereas the No Yoga group showed some initial decline but then returned to baseline EDE levels at week 12. Food preoccupation was measured before and after each yoga session, and decreased significantly after all sessions. Both groups maintained current BMI levels and decreased in anxiety and depression over time.Conclusions: Individualized yoga treatment decreased EDE scores at 12 weeks, and significantly reduced food preoccupation immediately after yoga sessions. Yoga treatment did not have a negative effect on BMI. Results suggest that individualized yoga therapy holds promise as adjunctive therapy to standard care. (C) 2010 Society for Adolescent Medicine. All rights reserved.