Effect of Integrated Yoga as an add-on therapy in adults with clinical depression - A randomized controlled trial.
Anu James Vibin, Niharika Niharika, Varun Valliappan, Pasang Lamo, Niranjan Parajuli, Mansingh Jat, Sudha Lama, Aman Agarwal, Rajesh Sagar, Gautam Sharma
The International journal of social psychiatry June 1, 2024 DOI: 10.1177/00207640231223431 via PubMed
Summary
AI-generated from the abstractAdding an Integrated Yoga Module (IYM) to standard care plus yogic education on lifestyle modification (YELM) reduces depression symptoms and improves resilience and physical quality of life more than standard care plus YELM alone in adults with clinical depression. In an 8-week randomized trial at a single Indian hospital, the yoga group showed a 6.7-point greater drop on the Beck Depression Inventory and small gains in resilience and physical health, but no significant change in self-compassion or negative emotions. The findings suggest yoga as an adjunct can enhance conventional treatment for depression.
Study at a glance
| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Population | Adults aged 18 to 64 with clinical depression at a tertiary care hospital in India |
| Intervention | Integrated Yoga Module |
| Duration | 8-week intervention |
| Topics | Meditation |
| Keywords | Yoga Clinical depression Resilience Self-compassion |
| Citations | 2 |
| Key finding | The Integrated Yoga Module added to standard care with yogic education significantly reduced depression symptoms and improved resilience and physical health compared to standard care with yogic education alone. |
Abstract
Depression is a leading cause of disability and the conventional management has several limitations. Recent studies demonstrated the benefits of yoga in psychological disorders. To evaluate the efficacy of the Integrated Yoga Module (IYM) to standard care with added yogic education on lifestyle modification (YELM) in patients with clinical depression. A PROBE trial was conducted at a single tertiary care hospital in India. Adults aged 18 to 64 with clinical depression were randomized to either an IYM or an active control group using a computer-generated mixed block randomization sequence. Both groups received YELM in addition to standard care and the intervention group practiced IYM, for 8 weeks. The primary outcome was the reduction in depression symptoms assessed using the Beck Depression Inventory (BDI-II), and secondary outcomes involved self-compassion, brief resilience, positive and negative experiences, and quality of life, evaluated at 8 weeks. The mean ± SD age of participants was 32.2 ± 10.0 and 54.3% were females. The IYM group showed statistically significant improvements in BDI-II scores β = -6.7 (95% CI [-10.8, -2.5]; p = .001), resilience β = 0.4 (95% CI [0.02, 0.80]; p = .037), physical health domain of WHOQOL - BREF β = 10.1 (95% CI [0.7, 19.5]; p = .035) and negative emotions (SPANE-N) β = 2.8 (95% CI [0.1, 5.4]; p = .037). However, no significant differences were found in SCS-SF β = -0.3 (95% CI [-0.7, 0.0]; p = .053). IYM as an adjunct is superior to conventional medical management in reducing symptoms and improving positive psychological resources in clinical depression.