Effect of Add-On Yoga on Cognitive Functions among Substance Abusers in a Residential Therapeutic Center: Randomized Comparative Study.

BACKGROUND

Chronic vulnerability characterizes substance abuse disorder with consequent relapse. The process of abstinence depends on cognitive recovery. Hence, behavioral intervention should account for cognitive dimension of substance abusers. Recent studies highlight yoga-based intervention as a promising add-on therapy for treating and preventing addictive behaviors.

PURPOSE

The study aimed to evaluate the efficacy of a yoga-based intervention as an add-on in enhancing cognitive functions, compared with physical exercise to newly admitted substance abusers seeking an inpatient treatment program.

METHODS

The study was a single-blind, randomized, comparative design that included 96 male participants, between 18 and 40 years in a residential rehabilitation treatment unit. Partakers in the yoga or physical exercise group received supervised daily training for 12 weeks, in addition to standard rehabilitation treatment. Raters blind to the study assessed the patients on digit span task, cancellation test, and Stroop tests at the baseline and following 12 weeks of intervention.

RESULTS

A significant enhancement in digit forward (yoga - < 0.0005, d = 0.81; exercise - < 0.0005, d = 0.73), digit backward (yoga - < 0.0005, d = 0.88; exercise - 0.0005, d = 0.58), and letter cancellation test scores (yoga - < 0.0005, d = 1.31; exercise - < 0.0005, d = 1.4) were observed in both the yoga and the exercise groups. Stroop word and color task scores were seen significantly higher following yoga ( 0.005, d = 0.74; 0.005, d = 1.13) and exercise ( 0.0005, d = 0.62; 0.0005, d = 0.61). Furthermore, Stroop color-word test showed significant enhancement after yoga ( 0.0005, d = 1.10) and exercise ( 0.0005, d = 0.42), with degree of variation higher in the yoga group.

CONCLUSION

Our results suggest that the add-on yoga or exercise-based intervention show enhancement of cognitive functions. These findings provide the utility of yoga and exercise-based intervention in improving cognitive functions among substance abusers. Furthermore, rigorous trials are needed to explore the potential long-term effects of these procedures.