James-Palmer Aurora, Anderson Ellen Z, Zucker Lori, Kofman Yana, Daneault Jean-Francois
Department of Rehabilitation and Movement Sciences, Rutgers University, Newark, NJ, United States.
The Yoga Way Therapy Center, Morristown, NJ, United States.
Front Pediatr. 2020 Mar 13;8:78. doi: 10.3389/fped.2020.00078. eCollection 2020.
The purpose of this review is to evaluate the implementation and effectiveness of yoga for the reduction of symptoms of anxiety and depression in youth. To our knowledge, there are no systematic reviews to date looking at the reduction of symptoms of both anxiety and depression. Numerous scientific databases were searched up to November 2018 for experimental studies assessing changes in symptoms of anxiety and/or depression in youths following yoga interventions. Quality and level of evidence were assessed, and information was synthesized across studies. Twenty-seven studies involving youth with varying health statuses were reviewed. Intervention characteristics varied greatly across studies revealing multiple factors that may impact intervention efficacy, however 70% of the studies overall showed improvements. For studies assessing anxiety and depression, 58% showed reductions in both symptoms, while 25% showed reductions in anxiety only. Additionally, 70% of studies assessing anxiety alone showed improvements and 40% of studies only assessing depression showed improvements. The studies reviewed, while of weak to moderate methodological quality, showed that yoga, defined by the practice of postures, generally leads to some reductions in anxiety and depression in youth regardless of health status and intervention characteristics.
本综述的目的是评估瑜伽在减轻青少年焦虑和抑郁症状方面的实施情况及效果。据我们所知，迄今为止尚无系统综述探讨同时减轻焦虑和抑郁症状的情况。截至2018年11月，检索了众多科学数据库，以查找评估瑜伽干预后青少年焦虑和/或抑郁症状变化的实验研究。对证据的质量和水平进行了评估，并对各项研究的信息进行了综合分析。审查了27项涉及不同健康状况青少年的研究。各研究的干预特征差异很大，揭示了可能影响干预效果的多个因素，然而总体上70%的研究显示有改善。对于评估焦虑和抑郁的研究，58%的研究显示两种症状均减轻，而25%的研究仅显示焦虑症状减轻。此外，70%仅评估焦虑的研究显示有改善，40%仅评估抑郁的研究显示有改善。所审查的研究虽然方法学质量较弱至中等，但表明由体式练习所定义的瑜伽，总体上会使青少年的焦虑和抑郁有所减轻，无论其健康状况和干预特征如何。
