Brinsley Jacinta, Schuch Felipe, Lederman Oscar, Girard Danielle, Smout Matthew, Immink Maarten A, Stubbs Brendon, Firth Joseph, Davison Kade, Rosenbaum Simon
Alliance for Research in Exercise, Nutrition and Activity, University of South Australia: Allied Health and Human Performance, Adelaide, South Australia, Australia
Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, Brazil.
Br J Sports Med. 2021 Sep;55(17):992-1000. doi: 10.1136/bjsports-2019-101242. Epub 2020 May 18.
To assess whether physically active yoga is superior to waitlist control, treatment as usual and attention control in alleviating depressive symptoms in people with a diagnosed mental disorder recognised by the Diagnostic and Statistical Manual of Mental Disorders (DSM).
Systematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Data were obtained from online databases (MEDLINE, EMBASE, PsychINFO, CENTRAL, EMCARE, PEDro). The search and collection of eligible studies was conducted up to 14 May 2019 (PROSPERO registration No CRD42018090441).
We included randomised controlled trials with a yoga intervention comprising ≥50% physical activity in adults with a recognised diagnosed mental disorder according to DSM-3, 4 or 5.
19 studies were included in the review (1080 participants) and 13 studies were included in the meta-analysis (632 participants). Disorders of depression, post-traumatic stress, schizophrenia, anxiety, alcohol dependence and bipolar were included. Yoga showed greater reductions in depressive symptoms than waitlist, treatment as usual and attention control (standardised mean difference=0.41; 95% CI -0.65 to -0.17; p<0.001). Greater reductions in depressive symptoms were associated with higher frequency of yoga sessions per week (β=-0.44, p<0.01).
评估在减轻被《精神疾病诊断与统计手册》（DSM）认可的已确诊精神障碍患者的抑郁症状方面，积极的瑜伽练习是否优于候补对照、常规治疗和注意力控制。
遵循系统评价与荟萃分析的首选报告项目（PRISMA）指南进行系统评价和荟萃分析。
数据取自在线数据库（MEDLINE、EMBASE、PsychINFO、CENTRAL、EMCARE、PEDro）。截至2019年5月14日进行了符合条件研究的检索和收集（PROSPERO注册号CRD42018090441）。
我们纳入了针对根据DSM - 3、4或5确诊的患有公认精神障碍的成年人的随机对照试验，这些试验中的瑜伽干预包含≥50%的身体活动。
该评价纳入了19项研究（1080名参与者），荟萃分析纳入了13项研究（632名参与者）。纳入的疾病包括抑郁症、创伤后应激障碍、精神分裂症、焦虑症、酒精依赖和双相情感障碍。与候补对照、常规治疗和注意力控制相比，瑜伽在减轻抑郁症状方面效果更显著（标准化平均差 = 0.41；95%置信区间 - 0.65至 - 0.17；p < 0.001）。抑郁症状的更大减轻与每周瑜伽课程的更高频率相关（β = - 0.44，p < 0.01）。
