Effects of body-oriented yoga: a RCT study for patients with major depressive disorder

Bieber, Miriam; Görgülü, Esra; Schmidt, Daniela; Zabel, K. Michael; Etyemez, Semra; Friedrichs, Benedikt; Prvulovic, David; Reif, Andreas; Oertel, Viola

doi:10.1007/s00406-021-01277-5

Cited by 16 publications

(22 citation statements)

References 59 publications

(79 reference statements)

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“…Overall, changes in emotions require longer-term treatments [36]. This finding is consistent with the reports of Bieber et al (2021) [48], who also reported improvements in depression symptoms, but not in positive or negative emotions, after psychotherapy. Also, the analysis of treatment processes in an effort to open the black box of imagery-based cognitive therapy by the hermeneutic method revealed that processes such as triggering motivation to try, becoming aware of negative thoughts and emotions, being kind to oneself, coping with negative thoughts, formation of positive emotions, reducing negative emotions, and acquiring a better feeling about others played a role in the patient"s changes.…”

Section: Discussionsupporting

confidence: 87%

Imagery-based Cognitive Therapy for Patients with Persistent Depressive Disorder: A Hermeneutic Single-Case Efficacy Design

Arabnejad

Bagheri²,

Askarizadeh³

2022

PCNM

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Background: Persistent depression is a chronic and refractory disorder associated with many mental comorbidities. The effects of traditional cognitive therapy, which is the most common treatment for depression, have been negligible. Objectives:The aim of this study was to assess the effectiveness of imagery-based cognitive therapy in patients with persistent depressive disorder. Methods: The Hermeneutic Single-Case Efficacy Design (HSCED) was used in this study. This quantitativequalitative method is an alternative to randomized controlled clinical trials and is used to assess the effectiveness of new therapies in a new group of patients. The case was a 30-year-old man who participated in 13 treatment sessions. The Beck Depression Inventory (BDI-II), Cornell Dysthymia Rating Scale (CDRS), Positive and Negative Affect Scale (PANAS), Rosenberg Self-esteem Scale (RSE), and Brief Core Schema Scales (BCSS) were used to collect quantitative data. Helpful Aspects of Therapy (HAT), the Change Interview (CI), and Therapist Session Notes Questionnaire (TSNQ) were used to gather qualitative data. The data were analyzed by the hermeneutic method and based on 56 criteria of Bohart. Results: Quantitative findings showed that depression symptoms, positive & negative self-beliefs, and positive & negative self-esteem had significant alterations. Regarding qualitative data and treatment efficacy, according to the 56 criteria of Bohart, there was at least 81% confidence denoting a change in the patient and 75% confidence relating this change to the treatment. Conclusion:The results indicated that the patient had a positive experience with imagery cognitive therapy that not only alleviated depression symptoms but also improved the lack of self-esteem, which is one of the important signs of persistent depression according to the DSM-5 criteria. However, because this method had no effects on positive & negative core beliefs about others, it is recommended to concomitantly use complementary methods such as Cognitive Behavioral System Analysis Psychotherapy (CBASP), which is a method used to improve interpersonal relationships.

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Section: Discussionsupporting

confidence: 87%

Imagery-based Cognitive Therapy for Patients with Persistent Depressive Disorder: A Hermeneutic Single-Case Efficacy Design

Arabnejad

Bagheri²,

Askarizadeh³

2022

PCNM

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“…The age of participants ranged between 19 and 76 years old. Fifty-six studies (1510 participants) examined the effects of AE [ 34 , 36 – 38 , 57 – 59 , 61 , 64 , 66 , 67 , 69 – 72 , 74 – 78 , 85 , 86 , 88 – 96 , 98 , 101 , 102 , 106 , 107 , 109 , 111 , 112 , 114 , 118 , 121 , 122 , 124 , 136 – 138 , 141 , 147 , 150 , 155 – 158 , 160 , 164 ], while 9 studies (161 participants) evaluated RE [ 57 , 60 , 63 , 70 , 122 , 125 , 134 , 149 , 166 ], 49 studies (1530 participants) evaluated MBE [ 35 , 43 , 62 , 73 , 79 – 84 , 87 , 93 , 97 , 99 , 100 , 103 – 105 , 110 , 115 – 117 , 119 , 120 , ...…”

Section: Resultsmentioning

confidence: 99%

“…A total of 36 studies directly investigated the treatment effects on mental health symptoms of AE vs. control condition [ 34 , 36 , 58 , 59 , 61 , 64 , 67 , 69 , 71 , 72 , 74 – 77 , 85 , 86 , 88 – 91 , 94 – 96 , 98 , 101 , 106 , 107 , 112 , 114 , 118 , 121 , 124 , 137 , 156 , 158 , 160 ], while 36 studies evaluated MBE vs. the control [ 35 , 43 , 62 , 73 , 79 – 84 , 87 , 97 , 99 , 100 , 103 – 105 , 110 , 115 – 117 , 119 , 120 , 123 , 126 – 131 , 142 , 144 , 152 , 153 , 161 , 162 ], 5 studies evaluated RE vs. the control [ 60 , 63 , 125 , 134 , 149 ], 9 studies evaluated ME vs. the control [ 39 , 65 , 108 , 113 , ...…”

Section: Resultsmentioning

confidence: 99%

“…A total of 30 studies directly examined the efficacy on depressive symptoms of AE vs. control condition [ 34 , 36 , 58 , 59 , 61 , 64 , 67 , 69 , 71 , 72 , 74 – 77 , 85 , 86 , 88 – 91 , 94 – 96 , 98 , 101 , 106 , 107 , 112 , 114 , 118 ], while 2 studies evaluated RE versus the control [ 60 , 63 ], 22 studies evaluated MBE versus the control [ 35 , 62 , 73 , 79 – 84 , 87 , 97 , 99 , 100 , 103 – 105 , 110 , 115 – 117 , 119 , 120 ], 4 studies evaluated ME versus the control [ 39 , 65 , 108 , 113 ], 1 study evaluated stretching versus the control [ 68 ], 2 studies evaluated AE versus RE [ 57 , 70 ], 1 study evaluated AE versus MBE [ 93 ], 6 studies evaluated AE versus stretching [ 37 , 66 , 78 , 92 , 109 , 111 ], and 2 studies evaluated AE versus others [ 38 , 102 ] (Fig. 3 b).…”

Section: Resultsmentioning

confidence: 99%

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Comparative Effectiveness of Multiple Exercise Interventions in the Treatment of Mental Health Disorders: A Systematic Review and Network Meta-Analysis

Wong

Lei

et al. 2022

Sports Med - Open

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Background The efficacy of exercise interventions in the treatment of mental health disorders is well known, but research is lacking on the most efficient exercise type for specific mental health disorders. Objective The present study aimed to compare and rank the effectiveness of various exercise types in the treatment of mental health disorders. Methods The PubMed, Web of Science, PsycINFO, SPORTDiscus, CINAHL databases, and the Cochrane Central Register of Controlled Trials as well as Google Scholar were searched up to December 2021. We performed pairwise and network meta-analyses as well as meta-regression analyses for mental health disorders in general and each type of mental health disorder, with alterations in symptom severity as the primary outcome. Results A total of 6456 participants from 117 randomized controlled trials were surveyed. The multimodal exercise (71%) had the highest probability of being the most efficient exercise for relieving depressive symptoms. While resistance exercise (60%) was more likely to be the most effective treatment for anxiety disorder, patients with post-traumatic stress disorder (PTSD) benefited more from mind–body exercise (52%). Furthermore, resistance exercise (31%) and multimodal exercise (37%) had more beneficial effects in the treatment of the positive and negative symptoms of schizophrenia, respectively. The length of intervention and exercise frequency independently moderated the effects of mind–body exercise on depressive (coefficient = 0.14, p = .03) and negative schizophrenia (coefficient = 0.96, p = .04) symptoms. Conclusion Multimodal exercise ranked best for treating depressive and negative schizophrenic symptoms, while resistance exercise seemed to be more beneficial for those with anxiety-related and positive schizophrenic symptoms. Mind–body exercise was recommended as the most promising exercise type in the treatment of PTSD. However, the findings should be treated with caution due to potential risk of bias in at least one dimension of assessment and low-to-moderate certainty of evidence. Trial Registration This systematic review was registered in the PROSPERO international prospective register of systematic reviews (CRD42022310237).

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“…15 Furthermore, 14 studies reported multiple measures of depression for each participant. 25,28,35,39,65,76,96,99,113,114,119,135,138,154 For each of these studies, the measure-specific effect sizes were averaged to obtain one combined effect size per study as recommended in the literature. 15 The variance of the combined effect size for these studies increases as the within-subject correlation between different measures of depression, r 2 , increases.…”

Section: Statistical Proceduresmentioning

confidence: 99%

The benefits of yoga as an intervention for depression: a meta–analysis

Rhoads¹,

Grevstad²,

Kirkland³

et al. 2023

IJCAM

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Depression is a major societal issue that affects a large proportion of the population. Yoga has been introduced as a viable alternative approach to reduce symptoms. While prior studies have used meta–analysis to examine the benefits of yoga for depression, these studies incorporated a small number of studies and were limited in their ability to conduct a sub–group analysis. The purpose of this study was to quantify the effect size of yoga in the treatment of depression. Inclusion criteria included experimental, quasi–experimental, and feasibility studies that examined yoga with physical postures (asanas) as a treatment for depression. Nine moderator variables were examined including type of yoga, components of yoga (i.e., breathing, meditation, or relaxation), experience of yoga instructor, depression diagnosis, type of comparison group, research design, and length of treatment. Risk of bias was assessed using the Jadad instrument. Electronic databases were used to identify studies, and the search concluded on January 31st, 2022. A total of 152 studies (150 articles) met the inclusion criteria in this meta–analysis with 8210 participants assessed. The overall weighted effect size of yoga for treatment of depression was Hedges’ g = 0.55 (95% CI 0.44–0.65), demonstrating a medium effect. Meta–regression and subgroup analyses found larger effect sizes as the amount of yoga practiced increased, when relaxation was practiced, and when participants had been clinically diagnosed with depression. Funnel plot and trim–and–fill procedure found little evidence of publication bias and the fail–safe number was 21783. These results demonstrate that yoga is an effective integrative approach in the treatment of depression. This study was limited by the methodological quality of the individual studies that make up the larger analysis, including participants who were not blind to the procedure and a failure to report withdrawals and dropouts.

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Effects of body-oriented yoga: a RCT study for patients with major depressive disorder

Cited by 16 publications

References 59 publications

Imagery-based Cognitive Therapy for Patients with Persistent Depressive Disorder: A Hermeneutic Single-Case Efficacy Design

Imagery-based Cognitive Therapy for Patients with Persistent Depressive Disorder: A Hermeneutic Single-Case Efficacy Design

Comparative Effectiveness of Multiple Exercise Interventions in the Treatment of Mental Health Disorders: A Systematic Review and Network Meta-Analysis

The benefits of yoga as an intervention for depression: a meta–analysis

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