Kumar Suriya, Subramaniam Eswaran, Bhavanani Ananda Balayogi, Sarkar Sukanto, Balasundaram Sivaprakash
Department of Psychiatry, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth (Deemed to be University), Puducherry, India.
Centre for Yoga Therapy Education and Research, Sri Balaji Vidyapeeth (Deemed to be University), Puducherry, India.
Indian J Psychiatry. 2019 Nov-Dec;61(6):592-597. doi: 10.4103/psychiatry.IndianJPsychiatry_173_19.
Depression causes significant burden both to the individual and to society, and its treatment by antidepressants has various disadvantages. There is preliminary evidence that adds on yoga therapy improves depression by impacting the neurotransmitters involved in the regulation of mood, motivation, and pleasure. Our study aimed to find the effect of adjunctive yoga therapy on outcome of depression and comorbid anxiety.
A randomized controlled study involving patients with major depressive disorder ( = 80) were allocated to two groups, one received standard therapy (antidepressants and counseling) and the other received adjunct yoga therapy along with standard therapy. Ratings of depression and anxiety were done using Montgomery-Asberg Depression Rating Scale and Hospital Anxiety and Depression Scale at baseline, 10 and 30 day. Clinical Global Impression (CGI) Scale was applied at baseline and 30 day to view the severity of illness and clinical improvement.
By the 30 day, individuals in the yoga group had significantly lower scores of depression, anxiety, and CGI scores, in comparison to the control group. The individuals in the yoga group had a significant fall in depression scores and significant clinical improvement, compared to the control group, from baseline to 30 day and 10 to 30 day. In addition, the individuals in the yoga group had a significant fall in anxiety scores from baseline to 10 day.
Anxiety starts to improve with short-term yoga sessions, while long-term yoga therapy is likely to be beneficial in the treatment of depression.
抑郁症给个人和社会都带来了沉重负担,而使用抗抑郁药治疗存在诸多弊端。有初步证据表明,辅助瑜伽疗法通过影响参与情绪、动机和愉悦调节的神经递质来改善抑郁症。我们的研究旨在探讨辅助瑜伽疗法对抑郁症及共病焦虑症治疗效果的影响。
一项随机对照研究,纳入80例重度抑郁症患者,分为两组,一组接受标准治疗(抗抑郁药和心理咨询),另一组在标准治疗基础上接受辅助瑜伽疗法。在基线、第10天和第30天,使用蒙哥马利-艾斯伯格抑郁评定量表和医院焦虑抑郁量表对抑郁和焦虑进行评分。在基线和第30天应用临床总体印象(CGI)量表来评估疾病严重程度和临床改善情况。
到第30天时,与对照组相比,瑜伽组患者的抑郁、焦虑和CGI评分显著更低。与对照组相比,瑜伽组患者从基线到第30天以及从第10天到第30天,抑郁评分显著下降,临床改善显著。此外,瑜伽组患者从基线到第10天焦虑评分显著下降。
短期瑜伽课程可使焦虑开始改善,而长期瑜伽疗法可能对抑郁症治疗有益。