Effect of integrated yoga on anxiety, depression &amp; well being in normal pregnancy

Maharana, Satyapriya; Nagarathna, Raghuram; Padmalatha, Venkatram; Nagendra, Hongasandra Ramarao

doi:10.1016/j.ctcp.2013.06.003

Cited by 101 publications

(170 citation statements)

References 54 publications

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“…Among pregnant women with subclinical symptom levels of depression or anxiety, yoga has been found to decrease symptoms of anxiety in two randomized controlled trials and to decrease symptoms of depression in one trial [35,41]. Similar results have been reported among women with elevated symptom levels of depression.…”

Section: Yoga As An Intervention For Antenatal Depression and Anxietysupporting

confidence: 63%

A randomized controlled trial of yoga for pregnant women with symptoms of depression and anxiety

Davis

Goodman

Leiferman

et al. 2015

Complementary Therapies in Clinical Practice

101

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Section: Yoga As An Intervention For Antenatal Depression and Anxietysupporting

confidence: 63%

A randomized controlled trial of yoga for pregnant women with symptoms of depression and anxiety

Davis

Goodman

Leiferman

et al. 2015

Complementary Therapies in Clinical Practice

101

View full text Add to dashboard Cite

“…Prior to recruitment, we calculated that a sample size of 20 participants in each intervention group, even with 25% attrition, would still provide 80% power to detect a between-group effect size of d = 1.0, using an independent samples t-test with two-tailed alpha = 0.05. Anti-depressant effect sizes of this magnitude were found in prior yoga RCTs with small samples [70,73,81,86]. …”

Section: Methodsmentioning

confidence: 67%

“…Individual trials have tended toward small sample sizes and selective study populations—such as prenatal women, psychiatric inpatients, young adults, or community seniors—raising questions about generalizability of findings to the wider population with depression. From study to study, baseline symptoms of participants varied considerably: in some trials, participants were healthy with no significant mood symptoms [76,79,86,88]; in other trials, participants reported elevated depressive symptoms but had no diagnosed depressive disorders [73,77,80,82,91,92]; in yet other trials, participants were diagnosed with either major depression or dysthymia [78,81,83–85,87,89,93]; and finally, in a few trials, participants were diagnosed with only major depression [69–72,74,90]. While some trials specifically evaluated yoga as an adjunct to conventional depression care [68,69,74,90], others allowed some degree of co-intervention with conventional care in an unsystematic manner, confounding potential mood effects of yoga [78,81,83–85,87,92,93].…”

Section: Introductionmentioning

confidence: 99%

Treating major depression with yoga: A prospective, randomized, controlled pilot trial

et al. 2017

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BackgroundConventional pharmacotherapies and psychotherapies for major depression are associated with limited adherence to care and relatively low remission rates. Yoga may offer an alternative treatment option, but rigorous studies are few. This randomized controlled trial with blinded outcome assessors examined an 8-week hatha yoga intervention as mono-therapy for mild-to-moderate major depression.MethodsInvestigators recruited 38 adults in San Francisco meeting criteria for major depression of mild-to-moderate severity, per structured psychiatric interview and scores of 14–28 on Beck Depression Inventory-II (BDI). At screening, individuals engaged in psychotherapy, antidepressant pharmacotherapy, herbal or nutraceutical mood therapies, or mind-body practices were excluded. Participants were 68% female, with mean age 43.4 years (SD = 14.8, range = 22–72), and mean BDI score 22.4 (SD = 4.5). Twenty participants were randomized to 90-minute hatha yoga practice groups twice weekly for 8 weeks. Eighteen participants were randomized to 90-minute attention control education groups twice weekly for 8 weeks. Certified yoga instructors delivered both interventions at a university clinic. Primary outcome was depression severity, measured by BDI scores every 2 weeks from baseline to 8 weeks. Secondary outcomes were self-efficacy and self-esteem, measured by scores on the General Self-Efficacy Scale (GSES) and Rosenberg Self-Esteem Scale (RSES) at baseline and at 8 weeks.ResultsIn intent-to-treat analysis, yoga participants exhibited significantly greater 8-week decline in BDI scores than controls (p-value = 0.034). In sub-analyses of participants completing final 8-week measures, yoga participants were more likely to achieve remission, defined per final BDI score ≤ 9 (p-value = 0.018). Effect size of yoga in reducing BDI scores was large, per Cohen’s d = -0.96 [95%CI, -1.81 to -0.12]. Intervention groups did not differ significantly in 8-week change scores for either the GSES or RSES.ConclusionIn adults with mild-to-moderate major depression, an 8-week hatha yoga intervention resulted in statistically and clinically significant reductions in depression severity.Trial registrationClinicalTrials.gov NCT01210651

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“…Overall, there was ‘very low’ quality evidence from eight RCTs (n=1785) regarding the association between prenatal exercise and prenatal state anxiety symptoms 36. The quality of evidence was downgraded from ‘high’ to ‘very low’ because of serious risk of bias, serious imprecision and serious indirectness of the intervention.…”

Section: Resultsmentioning

confidence: 99%

Impact of prenatal exercise on both prenatal and postnatal anxiety and depressive symptoms: a systematic review and meta-analysis

et al. 2018

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ObjectiveTo examine the influence of prenatal exercise on depression and anxiety during pregnancy and the postpartum period.DesignSystematic review with random effects meta-analysis and meta-regression.Data sourcesOnline databases were searched up to 6 January 2017.Study eligibility criteriaStudies of all designs were included (except case studies) if they were published in English, Spanish or French and contained information on the Population (pregnant women without contraindication to exercise), Intervention (subjective or objective measures of frequency, intensity, duration, volume or type of exercise), Comparator (no exercise or different frequency, intensity, duration, volume and type of exercise) and Outcome (prenatal or postnatal depression or anxiety).ResultsA total of 52 studies (n=131 406) were included. ‘Moderate’ quality evidence from randomised controlled trials (RCTs) revealed that exercise-only interventions, but not exercise+cointerventions, reduced the severity of prenatal depressive symptoms (13 RCTs, n=1076; standardised mean difference: −0.38, 95% CI −0.51 to –0.25, I2=10%) and the odds of prenatal depression by 67% (5 RCTs, n=683; OR: 0.33, 95% CI 0.21 to 0.53, I2=0%) compared with no exercise. Prenatal exercise did not alter the odds of postpartum depression or the severity of depressive symptoms, nor anxiety or anxiety symptoms during or following pregnancy. To achieve at least a moderate effect size in the reduction of the severity of prenatal depressive symptoms, pregnant women needed to accumulate at least 644 MET-min/week of exercise (eg, 150 min of moderate intensity exercise, such as brisk walking, water aerobics, stationary cycling, resistance training).Summary/ConclusionsPrenatal exercise reduced the odds and severity of prenatal depression.

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Effect of integrated yoga on anxiety, depression & well being in normal pregnancy

Cited by 101 publications

References 54 publications

A randomized controlled trial of yoga for pregnant women with symptoms of depression and anxiety

A randomized controlled trial of yoga for pregnant women with symptoms of depression and anxiety

Treating major depression with yoga: A prospective, randomized, controlled pilot trial

Impact of prenatal exercise on both prenatal and postnatal anxiety and depressive symptoms: a systematic review and meta-analysis

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