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Yoga for Depressive Disorder: A Systematic Review and Meta-Analysis.

作者信息

Moosburner Alina, Cramer Holger, Bilc Mirela, Triana Johanna, Anheyer Dennis

机构信息

Institute of General Practice and Interprofessional Care, University Hospital Tübingen, Tübingen, Germany.

Robert Bosch Center for Integrative Medicine and Health, Stuttgart, Germany.

出版信息

Depress Anxiety. 2024 Dec 19;2024:6071055. doi: 10.1155/da/6071055. eCollection 2024.


DOI:10.1155/da/6071055
PMID:40226719
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11919030/
Abstract

The prevalence of depression has been increasing sharply. Given the existing treatment gap and the high prevalence of nonresponders to conventional therapies, the potential of complementary medicine becomes clear. The effect of yoga on depression has already been studied, but its efficacy in manifest depressive disorders remains unclear. To update and evaluate the current state of evidence for yoga as a therapy option for depressive disorders. PubMed/Medline, Cochrane Library, Scopus, PsycINFO, and BASE were searched systematically. Randomized controlled trials (RCTs), including participants with depressive disorders, were eligible. Analyses were conducted for active and passive control groups separately and for subgroups of major depressive disorder (MDD) and mixed samples. The risk of bias was assessed using the Cochrane risk of bias tool 2.0. Primary outcomes were the severity of depression and remission rates, and secondary outcomes were health-related quality of life and adverse events. The quality of evidence was assessed according to Grading of Recommendations, Assessment, Development, and Evaluations (GRADE). Twenty-four studies ( = 1395) were included; of those, 20 studies ( = 1333) were meta-analyzed. Yoga showed a statistically significant short-term effect on depression severity when compared to passive control (standardized mean difference [SMD] = -0.43, 95% confidence interval [CI] = [-0.80; -0.07]) but not when compared to active control (SMD = -0.22, 95% CI  = [-0.67; 0.23]). Regarding remission rates, statistically significant effects were observed when comparing yoga to passive (odds ratio [OR] = 3.20; 95% CI = [1.45; 7.10]) as well as to active control (OR = 2.04; 95% CI = [1.13; 3.69]). No differences on safety outcomes were observed for passive (OR = 1.00, 95% CI = [0.10; 9.98]) as well as for active control (OR  = 0.80, 95% CI = [0.08; 8.09]). The quality of evidence ranged from moderate to very low. Due to the heterogeneity of outcome reporting, no meta-analysis for quality of life was possible. Yoga is an effective therapy approach for reducing depression severity when compared to passive control and obtains higher remission rates when compared to active and passive controls. Quality of evidence is inconsistent, but given the positive risk-benefit ratio of the intervention and the urge for therapy options for depression, yoga should be considered as a possible treatment option, particularly for MDD patients.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41f8/11919030/0318a647753a/DA2024-6071055.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41f8/11919030/c3a4aaeb1fa4/DA2024-6071055.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41f8/11919030/a01b15871c7d/DA2024-6071055.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41f8/11919030/ed1fec483363/DA2024-6071055.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41f8/11919030/0318a647753a/DA2024-6071055.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41f8/11919030/c3a4aaeb1fa4/DA2024-6071055.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41f8/11919030/a01b15871c7d/DA2024-6071055.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41f8/11919030/ed1fec483363/DA2024-6071055.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41f8/11919030/0318a647753a/DA2024-6071055.004.jpg

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本文引用的文献

[1]
Yoga-based interventions may reduce anxiety symptoms in anxiety disorders and depression symptoms in depressive disorders: a systematic review with meta-analysis and meta-regression.

Br J Sports Med. 2023-11

[2]
Effectiveness of yoga for major depressive disorder: A systematic review and meta-analysis.

Front Psychiatry. 2023-3-23

[3]
Mindful yoga intervention as add-on to treatment as usual for young women with major depressive disorder: Results from a randomized controlled trial.

J Consult Clin Psychol. 2022-12

[4]
Trends in U.S. Depression Prevalence From 2015 to 2020: The Widening Treatment Gap.

Am J Prev Med. 2022-11

[5]
Meditation-based lifestyle modification in mild to moderate depression-A randomized controlled trial.

Depress Anxiety. 2022-5

[6]
The global gap in treatment coverage for major depressive disorder in 84 countries from 2000-2019: A systematic review and Bayesian meta-regression analysis.

PLoS Med. 2022-2-15

[7]
Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.

Lancet Psychiatry. 2022-2

[8]
Long-term add-on Yoga therapy offers clinical benefits in major depressive disorder by modulating the complement pathway: A randomized controlled trial.

Asian J Psychiatr. 2021-12

[9]
Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic.

Lancet. 2021-11-6

[10]
Wait-there's evidence for that? Integrative medicine treatments for major depressive disorder.

Int J Psychiatry Med. 2021-9

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