Faculty of Medicine, University of New South Wales, Kensington, New South Wales, Australia.
Early Psychosis Program, Bondi Junction Community Mental Health Centre, South Eastern Sydney Local Health District, New South Wales, Australia.
Early Interv Psychiatry. 2022 Sep;16(9):1036-1042. doi: 10.1111/eip.13264. Epub 2022 Feb 1.
To determine the acceptability and safety of a mindfulness informed yoga intervention as adjunct to usual care for young people with early psychosis.
People aged 16-25 years attending a community-based specialist early psychosis clinic were invited to participate in a 12-week yoga intervention. The intervention consisted of 1-h weekly classes of mindfulness informed yoga. Acceptability was measured by uptake, attendance and participants' satisfaction. Safety was measured by incidence of physical injury, participants' level of comfort, distress and anxiety during the sessions, and the following mental health outcomes: positive and negative psychotic, depression, anxiety and stress symptoms, sleep quality and functioning.
Of those who consented to the study, 80% (12) participated and on average attended 4.4 yoga classes. There were no physical injuries and participants reported minimal distress and anxiety. Post-intervention, there was a significant reduction in anxiety symptoms and an improvement in function.
Mindfulness-based yoga interventions are both acceptable and safe as an intervention for youth with early psychosis. Though numbers were small, the study shows promise for yoga as a potentially useful intervention. Importantly, there was no deterioration in mental health outcomes. A larger trial evaluating clinical effectiveness is now timely.
确定正念瑜伽干预作为辅助常规治疗对早期精神病患者的可接受性和安全性。
邀请年龄在 16-25 岁之间、在社区为基础的专业早期精神病诊所就诊的年轻人参加为期 12 周的瑜伽干预。该干预措施包括每周 1 小时的正念瑜伽课程。通过参与率、出勤率和参与者的满意度来衡量可接受性。通过物理损伤发生率、参与者在课程中的舒适度、困扰和焦虑程度以及以下心理健康结果来衡量安全性:阳性和阴性精神病症状、抑郁、焦虑和压力症状、睡眠质量和功能。
在同意参加研究的人中,80%(12 人)参与了研究,平均参加了 4.4 节瑜伽课。没有发生身体损伤,参与者报告的困扰和焦虑程度最小。干预后,焦虑症状显著减轻,功能得到改善。
正念瑜伽干预对早期精神病患者是一种可接受且安全的干预措施。尽管人数较少,但该研究表明瑜伽具有潜在的益处。重要的是,心理健康结果没有恶化。现在及时进行评估临床效果的更大规模试验是适时的。