School of Psychology, Deakin University, Geelong, Victoria, Australia.
School of Health and Social Development, Deakin University, Burwood, Victoria, Australia.
Psychol Psychother. 2021 Dec;94(4):1015-1035. doi: 10.1111/papt.12343. Epub 2021 Apr 8.
Cognitive behaviour therapy (CBT) is recommended for treating anxiety and depression, demonstrating good efficacy and moderate rates of engagement. To further improve outcomes and access to evidence-based treatments, researchers have sought to enhance CBT protocols with mindfulness-based approaches, such as yoga. This study aimed to examine whether yoga is an acceptable and complementary adjunct to CBT through exploring the lived experiences of adults with anxiety and depression who engaged in an adjunct therapeutic yoga programme alongside group CBT.
Single-group qualitative design with post-intervention and follow-up timepoints.
Thirty-six adults with anxiety and depression self-selected into a therapeutic yoga programme as an adjunct to group CBT. Qualitative interviews were conducted with 27 participants immediately after the eight-week programme and again three months later. Thematic analysis was used to identify common themes from the lived experiences.
Three primary themes, with nine subthemes, were identified which reflect the experiences of the combined therapies, the complementary elements, and process of engagement over time. The adjunct yoga programme was highly acceptable to adults with anxiety and depression, enhancing engagement and perceived outcomes. Yoga was identified as providing a unique combination of elements that complemented processes of CBT, such as behavioural activation and thought disputation. Yoga practices represented mental health self-management tools that are accessible and available as relapse prevention strategies.
Therapeutic yoga warrants consideration as an adjunct treatment for anxiety and depression as it offers unique and complementary elements to CBT and can enhance engagement and perceived clinical outcomes.
Adults with anxiety and depression experienced a therapeutic yoga programme as a suitable and appealing adjunct that enhanced engagement with psychological treatment. Yoga offers a unique combination of elements, including a values system, body-based mindfulness practices, and breathing techniques, that complement CBT processes, such as behavioural activation, awareness of maladaptive patterns, and thought disputation. A therapeutic yoga programme provides adults with anxiety and depression with an accessible and sustainable mental health self-management tool. Therapeutic yoga can be considered for integration to models of mental health service provision to enhance engagement and clinical outcomes for adults with anxiety and depression.
认知行为疗法（CBT）被推荐用于治疗焦虑和抑郁，疗效良好，参与率中等。为了进一步提高治疗效果和提供基于证据的治疗方法，研究人员试图通过将正念为基础的方法（如瑜伽）融入 CBT 来增强 CBT 方案。本研究旨在通过探索接受团体 CBT 联合辅助治疗瑜伽方案的焦虑和抑郁成年人的生活体验，来检验瑜伽是否是 CBT 的一种可接受和补充的辅助手段。
具有干预后和随访时间点的单组定性设计。
36 名患有焦虑和抑郁的成年人自行选择参加团体 CBT 联合治疗的瑜伽项目。对 27 名参与者在八周项目结束后立即进行定性访谈，并在三个月后再次进行访谈。使用主题分析从生活体验中识别出共同的主题。
确定了三个主要主题，九个子主题，反映了联合治疗、互补元素和随时间推移的参与过程的体验。辅助瑜伽项目对患有焦虑和抑郁的成年人非常容易接受，增强了参与度和感知效果。瑜伽被确定为提供了与 CBT 互补的独特元素组合，例如行为激活和思维辩论。瑜伽练习代表了心理健康自我管理工具，既容易获得，又可以作为预防复发的策略。
治疗性瑜伽值得考虑作为焦虑和抑郁的辅助治疗方法，因为它为 CBT 提供了独特而互补的元素，并可以增强参与度和感知的临床效果。
患有焦虑和抑郁的成年人体验到瑜伽项目作为一种合适且吸引人的辅助手段，增强了对心理治疗的参与度。瑜伽提供了独特的元素组合，包括价值观体系、基于身体的正念实践和呼吸技术，这些元素与 CBT 过程相辅相成，例如行为激活、对不良模式的意识和思维辩论。瑜伽项目为患有焦虑和抑郁的成年人提供了一种易于获得和可持续的心理健康自我管理工具。治疗性瑜伽可以考虑纳入心理健康服务提供模式，以提高患有焦虑和抑郁的成年人的参与度和临床效果。
