Bhargav Hemant, Eiman Najla, Jasti Nishitha, More Pooja, Kumar Vinod, Holla Bharath, Arasappa Rashmi, Rao Naren P, Varambally Shivarama, Gangadhar B N, Keshavan Matcheri S
Department of Integrative Medicine, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.
Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.
Front Psychol. 2023 Feb 1;14:1075060. doi: 10.3389/fpsyg.2023.1075060. eCollection 2023.
Yoga philosophy includes the theory of (three mental traits): (signifies a tendency to 'goodness'), (tendency towards 'activity'), and (tendency towards "inertia"). This cross-sectional study aimed to understand the differences in the expression of in patients suffering from major psychiatric disorders ( = 113, 40 females) and age-gender-education-matched healthy controls (HCs; = 113, 40 females). Patients were diagnosed by a psychiatrist using DSM 5 criteria and suffered from the following disorders: depression ( = 30), schizophrenia (SCZ; = 28), obsessive-compulsive disorder (OCD; = 23), anxiety ( = 16), and bipolar affective disorder (BPAD; = 16). were assessed using a validated tool (Vedic Personality Inventory) and symptoms were assessed using standard scales as per the diagnosis. Multi-variate analysis of variance (MANOVA) was used to assess the differences in scores between HCs and patients, and between patients with different diagnoses. A two-tailed Pearson correlation was performed between the and psychometric scales. Results revealed that HCs had significantly higher traits as compared to patients (except those with OCD). Each psychiatric diagnosis also showed a specific configuration: (1) Anxiety disorders and OCD: High , low ; (2) Depression: High , low ; (3) Psychotic disorders (SCZ/BPAD): High , low . Significant positive correlations were observed between traits and anxiety/OC/positive psychotic symptoms, negative psychotic symptoms and traits, and traits and OC symptoms. This finding has clinical implications, both to develop ways of predicting outcomes of psychiatric disorders, as well as to develop psycho-therapeutic and lifestyle interventions targeting the .
瑜伽哲学包括三德（三种心理特质）理论：萨埵（表示趋向“善性”的倾向）、罗阇（趋向“活性”的倾向）和答摩（趋向“惰性”的倾向）。这项横断面研究旨在了解主要精神障碍患者（n = 113，40名女性）与年龄、性别、教育程度匹配的健康对照者（HCs；n = 113，40名女性）在三德表达上的差异。患者由精神科医生根据DSM-5标准进行诊断，患有以下疾病：抑郁症（n = 30）、精神分裂症（SCZ；n = 28）、强迫症（OCD；n = 23）、焦虑症（n = 16）和双相情感障碍（BPAD；n = 16）。使用经过验证的工具（吠陀人格量表）评估三德，根据诊断使用标准量表评估症状。采用多变量方差分析（MANOVA）评估HCs与患者之间以及不同诊断患者之间三德得分的差异。对三德与心理测量量表进行双尾Pearson相关性分析。结果显示，与患者相比（强迫症患者除外），HCs的萨埵特质显著更高。每种精神诊断也显示出特定的三德配置：（1）焦虑症和强迫症：高罗阇，低答摩；（2）抑郁症：高萨埵，低答摩；（3）精神障碍（SCZ/BPAD）：高答摩，低萨埵。在萨埵特质与焦虑/强迫/阳性精神病性症状、阴性精神病性症状与答摩特质以及答摩特质与强迫症状之间观察到显著的正相关。这一发现具有临床意义，既有助于开发预测精神障碍结局的方法，也有助于开发针对三德的心理治疗和生活方式干预措施。
