J Psychiatr Pract. 2021 May 5;27(3):212-223. doi: 10.1097/PRA.0000000000000539.
Chronic mood disorders pose an important mental health problem. Individuals with these disorders experience a significant impairment, often fail to seek help, and their illnesses frequently do not respond to treatment. It is therefore important to develop innovative and attractive treatments for these disorders. Mindful yoga represents a promising treatment approach. This pilot study tested the feasibility of a 9-week manualized mindful yoga intervention for patients with chronic mood disorders. Eleven patients receiving standard treatment were recruited to complete a 9-week mindful yoga intervention. Qualitative methods were used to assess patients' experiences of the intervention and quantitative methods were used to assess psychological distress and mechanisms that play a role in chronic mood disorders. Eight patients completed the intervention and rated the overall quality of the intervention with a mean score of 8.8 (range of 8 to 9, using a scale of 1 to 10). All participants reported a reduction in psychological distress and no adverse events. Among the mechanisms that play a role in chronic mood disorders, the most potentially promising effects from the intervention were found for worry, fear of depression and anxiety, rumination, and areas related to body awareness, such as trusting bodily experiences and not distracting from sensations of discomfort. A 9-week mindful yoga intervention appears to be a feasible and attractive treatment when added to treatment as usual for a group of patients with chronic mood disorders. A randomized controlled trial to study the effects of mindful yoga is recommended.
慢性心境障碍是一个重要的心理健康问题。患有这些障碍的个体往往会严重受损，常常无法寻求帮助，而且他们的疾病通常对治疗没有反应。因此，开发针对这些障碍的创新和有吸引力的治疗方法非常重要。正念瑜伽是一种很有前途的治疗方法。本试点研究测试了针对慢性心境障碍患者的 9 周正念瑜伽干预措施的可行性。招募了 11 名接受标准治疗的患者来完成 9 周的正念瑜伽干预。采用定性方法评估患者对干预的体验，采用定量方法评估心理困扰和在慢性心境障碍中起作用的机制。8 名患者完成了干预，并对干预的整体质量进行了评分，平均得分为 8.8（使用 1 到 10 的量表，范围为 8 到 9）。所有参与者都报告心理困扰减轻，且没有不良事件。在与慢性心境障碍相关的机制中，干预最有希望的效果是针对担忧、抑郁和焦虑恐惧、反刍思维，以及与身体意识相关的领域，如信任身体体验，不分散对不适感觉的注意力。正念瑜伽干预在为慢性心境障碍患者提供常规治疗的基础上增加时，似乎是一种可行且有吸引力的治疗方法。建议进行一项随机对照试验来研究正念瑜伽的效果。
