Tadpatrikar Ashwini, Sharma Manoj Kumar, Bhargav Hemant, Anand Nitin, Sharma Priyamvada, Sharma Shubham
Department of Clinical Psychology, Service for Healthy Use of Technology Clinic, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Department of Integrative Medicine, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Int J Yoga. 2024 Jan-Apr;17(1):37-45. doi: 10.4103/ijoy.ijoy_187_23. Epub 2024 May 13.
Multimodal approach of psychotherapy has been found to be effective for managing the excessive use of technology. Yoga, a holistic mind-body therapy, has been observed to be a useful adjuvant in managing substance use disorders. Yoga is also known to reduce stress and enhance overall well-being. The aim of this study was to examine whether yoga as an adjuvant treatment to psychotherapy is better than psychotherapy alone in reducing dysfunction and severity due to excessive technology use.
A two-arm randomized controlled prospective study design was followed with assessor blinding and allocation concealment. Thirty consenting young adults (22 males), scoring above 36 on the Internet Addiction Test, were randomly allocated to either: Group A = psychotherapy + yoga or Group B = psychotherapy alone. Both groups received 8 sessions of psychotherapy in the 1 month. In addition, Group A received additional 10 sessions a specific yoga program (by trained professionals). After that, monthly booster sessions (supervised yoga sessions performed with direct one-on-one contact with the yoga therapist) were organized and post-assessment was conducted at 12 weeks. Each subject was assessed using the Internet Addiction Test-Short Form, Internet Gaming Disorder Scale-Short Form, Smartphone Addiction Scale-Short Version, and Kessler Psychological Distress Scale at baseline and after 12 weeks.
As compared to Group B, Group A had significantly reduced Internet use ( = 5.61, = 0.02, η = 0.17), smartphone use ( = 4.76, = 0.03, η = 0.15), psychological distress ( = 7.71, = 0.01, η = 0.22), and weekday use ( = -2.0, = 0.05, η = 0.15) along with enhanced treatment adherence and retention.
Yoga as an adjuvant therapy with multimodal psychological intervention for excessive use of technology was found to be effective. This carries clinical implications for mental health professionals.
多模式心理治疗方法已被证明对管理技术过度使用有效。瑜伽是一种整体身心疗法,已被观察到在管理物质使用障碍方面是一种有用的辅助方法。瑜伽还已知能减轻压力并提高整体幸福感。本研究的目的是检验瑜伽作为心理治疗的辅助治疗在减少因技术过度使用导致的功能障碍和严重程度方面是否比单独的心理治疗更好。
采用双臂随机对照前瞻性研究设计,评估者设盲并实施分配隐藏。30名同意参与的年轻成年人(22名男性),互联网成瘾测试得分高于36分,被随机分配到:A组 = 心理治疗 + 瑜伽或B组 = 单独心理治疗。两组在1个月内均接受8次心理治疗。此外,A组还接受了由训练有素的专业人员提供的另外10次特定瑜伽课程。之后,组织每月一次的强化课程(与瑜伽治疗师直接一对一接触进行的监督瑜伽课程),并在12周时进行后评估。在基线和12周后,使用互联网成瘾测试简表、网络游戏障碍量表简表、智能手机成瘾量表简版和凯斯勒心理困扰量表对每个受试者进行评估。
与B组相比,A组的互联网使用(t = 5.61,p = 0.02,η² = 0.17)、智能手机使用(t = 4.76,p = 0.03,η² = 0.15)、心理困扰(t = 7.71,p = 0.01,η² = 0.22)和平日使用(t = -2.0,p = 0.05,η² = 0.15)均显著减少,同时治疗依从性和保留率提高。
瑜伽作为技术过度使用的多模式心理干预的辅助治疗被发现是有效的。这对心理健康专业人员具有临床意义。