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综合瑜伽作为惊恐障碍标准护理辅助疗法的效果:一项随机对照试验研究。

Effect of Integrated Yoga as an Adjuvant to Standard Care for Panic Disorder: A Randomized Control Trial Study.

作者信息

Yadla Vishwa Sree, Nj Patil, Kamarthy Prabhakar, Matti Mohan Reddy

机构信息

Department of Integrative Medicine, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, IND.

Department of Yoga, Center for Integrative Medicine and Research (CIMR), Manipal, IND.

出版信息

Cureus. 2024 Jan 31;16(1):e53286. doi: 10.7759/cureus.53286. eCollection 2024 Jan.

Abstract

BACKGROUND

Individuals wrestling with panic disorder (PD) know all too well its debilitating impact. Sudden, intense fear episodes disrupt lives and erode well-being. Fortunately, integrating complementary therapies like yoga with standard treatment offers a glimmer of hope for improved outcomes. Yoga's unique blend of physical postures (asanas), breathing exercises (pranayama), and meditative practices holds promise for mitigating anxiety and fostering a sense of inner peace, potentially making it a valuable tool in the fight against panic disorder.

METHODS AND MATERIALS

This study investigated the effect of yoga as an adjuvant to standard care for panic disorder. Sixty-four panic disorder patients of both genders previously diagnosed with panic disorder according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria were randomly assigned to the yoga group (n = 32) and the control group. The yoga group participated in integrated yoga sessions lasting 60 minutes, five days a week, for 12 weeks. Both groups received standard care. Pre- and post-intervention data were collected for HAM-A and WHOQOL-BREF.

RESULTS

The yoga group exhibited a significant reduction in HAM-A scores (Pre: 49.13 ± 4.55, Post: 13.53 ± 5.54, p < 0.001) with a substantial effect size of 7.02. Quality of life significantly improved across all domains (physical, psychological, social, and environmental) in the yoga group (p < 0.001), demonstrating effect sizes ranging from 4.11 to 4.57. Control group participants also experienced improvements, though less pronounced. Between-group comparisons revealed significant differences in anxiety reduction (p = 0.042) and quality of life enhancement (p < 0.001), favouring the yoga group.

CONCLUSION

The results suggest that yoga can be a valuable complementary or alternative approach to traditional treatments for anxiety disorders.

摘要

背景

与惊恐障碍(PD)作斗争的个体深知其带来的衰弱影响。突然发作的强烈恐惧会扰乱生活并损害幸福感。幸运的是,将瑜伽等辅助疗法与标准治疗相结合为改善治疗效果带来了一线希望。瑜伽独特地融合了体式(asanas)、呼吸练习(pranayama)和冥想练习,有望减轻焦虑并培养内心的平静感,这可能使其成为对抗惊恐障碍的宝贵工具。

方法与材料

本研究调查了瑜伽作为惊恐障碍标准治疗辅助手段的效果。根据《精神疾病诊断与统计手册》(DSM - 5)标准,64名先前被诊断为惊恐障碍的男女患者被随机分为瑜伽组(n = 32)和对照组。瑜伽组每周参加5天、每次持续60分钟的综合瑜伽课程,共12周。两组均接受标准治疗。在干预前后收集汉密尔顿焦虑量表(HAM - A)和世界卫生组织生活质量简表(WHOQOL - BREF)的数据。

结果

瑜伽组的HAM - A评分显著降低(干预前:49.13 ± 4.55,干预后:13.53 ± 5.54,p < 0.001),效应量高达7.02。瑜伽组在所有领域(身体、心理、社会和环境)的生活质量均显著改善(p < 0.001),效应量在4.11至4.57之间。对照组参与者也有改善,不过不太明显。组间比较显示,在焦虑减轻(p = 0.042)和生活质量提高(p < 0.001)方面存在显著差异,瑜伽组更具优势。

结论

结果表明,瑜伽可以成为焦虑症传统治疗的一种有价值的辅助或替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f79/10905419/a419ec4d10de/cureus-0016-00000053286-i01.jpg

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