Insomnia in Patients Suffering from Chronic Medical Illnesses: Prevalence and Impact of IAYT

Bista, Suman; Praerna, Bhargav; Kashinath, Metri; Bhargav, Hemant

doi:10.4236/ojemd.2017.710017

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Imitation of postures with multisensory components should be encouraged. Sleep quality enhancement (Suman 2017) Morning yogasana practice should be more helpful in improving night sleep than evening yogasana. All sleep specific practices should be performed on the bed.…”

Section: Clinical Yoga Techniques For Common Psychiatric Disordersmentioning

confidence: 99%

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Yoga and mental health: what every psychiatrist needs to know

2022

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SUMMARY Yoga was developed primarily as a tool for self-mastery and spiritual progress. However, over the past few decades, the therapeutic applications of yoga in mental healthcare have been explored with promising results. This article aims to inform psychiatrists about the clinical usefulness of yoga for mental disorders. We discuss the rationale and latest evidence base for the use of yoga in psychiatric practice, including the neurobiological mechanisms and indications and contraindications for yoga therapy. We suggest practical yoga techniques that can be used as an add-on for managing common psychiatric conditions. Finally, we discuss the setting up and running of yoga clinical services in a tertiary psychiatric hospital in India and explore what can be learnt to facilitate yoga as a therapeutic approach in the Western world.

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Section: Clinical Yoga Techniques For Common Psychiatric Disordersmentioning

confidence: 99%

“…Avoid dynamic yogasana, right-nostril breathing and fast yoga breathing practices in the evening (Suman 2017).…”

Section: Sleep Disordermentioning

confidence: 99%

Yoga and mental health: what every psychiatrist needs to know

2022

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Impact of yoga and physical exercise on psychological wellbeing among substance abusers: a randomized controlled trial

Gaihre¹,

Sasidharan

Bista

et al. 2021

Journal of Complementary and Integrative Medicine

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Objectives Substance use disorder is a pattern of recurrent use of illicit substances that leads to severe psychosocial imbalance and recurrent relapse. The study was to evaluate the efficacy of a yoga-based intervention as an add-on in enhancing psychological wellbeing, compared with physical exercise among substance abusers. Methods In this randomized controlled study, 96 male participants with substance use disorder from a residential rehabilitation treatment center, Kathmandu, Nepal, were randomly allocated into two groups namely the yoga group (n=48, mean age ± SD=25.18 ± 6.43) and the physical exercise group (n=48, mean age ± SD=25.02 ± 5.02). The participants in the yoga group attended the 90 min yoga sessions for 12 weeks (six days per week) whereas the physical exercise group attended exercise sessions for the same duration. Above mentioned interventions were in addition to standard rehabilitation treatment. The study measured the Self-Control, Anxiety, Depression, Sleep parameters, and Mindfulness at the baseline and after 12 weeks of intervention. Results A significant enhancement in self-control was observed in both the yoga (p<0.033, d=0.33) and the exercise group (p<0.038, d=0.32). Yoga group showed significant improvement in mindfulness score (p<0.017, d=0.37), whereas exercise group did not show any significant changes in mindfulness (p<0.169, d=0.21). The depression and anxiety scores reduced significantly in both yoga (p<0.044, d=0.31; p<0.025, d=0.35 resp.) and exercise (p<0.032, d=0.34. p<0.039, d=0.32. resp.) group. Furthermore, significant reduction was seen in sleep disturbance after yoga (p<0.001, d=0.52) and exercise (p<0.001, d=0.78) intervention. The sleep – somnolence score reduced significantly only in yoga group (p<0.020, d=0.36). The magnitude of improvement was higher in the yoga group than physical exercise group on self-control, mindfulness, depression, anxiety and some sleep parameters, however the between group differences could not reach to the level of significance. Conclusions The 12 week yoga intervention did not appear to be significantly more effective than the 12 week physical exercise program on psychological wellbeing in male participants with substance use disorder. However, greater improvement in psychological wellbeing was observed within the yoga group. In future, a multi-centric study with robust design, larger sample size and longer follow-up is required to conform the present results and to find out the difference between the impacts of yoga and physical exercise on psychological wellbeing in substance abusers.

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Effect of nadanusandhana on heart rate variability in individuals with insomnia – A randomized controlled trial

Gokulvani,

Shetty,

Shetty

2024

Yoga Mimamsa

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Background: Insomnia is a common sleep disorder characterized by difficulty initiating or maintaining sleep or sleep that is unrefreshing or of poor quality. It is a serious public health concern where pharmacological insomnia treatments are often only advised for short term. Nadanusandana relaxation can be a safe, simple, and most effective treatment for insomnia as an adjuvant yogic treatment. Aim: The aim of this study was to assess the effect of Nadanusandana relaxation on autonomic variables in patients with insomnia. Settings and Design: A prospective randomized controlled trial conducted on subjects who fulfilled the inclusion criteria were divided equally into two groups. Group 1 along with naturopathy and yogic intervention practiced Nadanusandana relaxation (n = 50) and Group 2 underwent only naturopathic and yogic practices (n = 50). Subjects and Methods: Subjects were assessed for heart rate variability (HRV), blood pressure, and Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) scores before and after treatment. Statistical Analysis Used: SPSS 21.0 was used for statistical analysis. Results: The Nadanusandana relaxation group observed a significant increase in average RR interval, the square root of the mean squared difference between adjacent N-N intervals, the fraction of consecutive RR intervals that differ by more than 50 ms, and high frequency (HF), and a significant decrease in low frequency (LF) and LF/HF ratio was observed in HRV.. A very substantial drop in both the diastolic and systolic blood pressure during blood pressure readings. Sleep quality questionnaire analyzed a significant decrease in ISI score and in PSQI. Conclusion: Nadanusandana relaxation reduces sympathetic tone and shifts sympathovagal balance toward vagal dominance in regular practice. Hence, the result claims that this technique can be effective in reducing sleep disturbances, lowering blood pressure, and improving sleep quality in insomnia.

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Insomnia in Patients Suffering from Chronic Medical Illnesses: Prevalence and Impact of IAYT

Cited by 3 publications

References 14 publications

Yoga and mental health: what every psychiatrist needs to know

Yoga and mental health: what every psychiatrist needs to know

Impact of yoga and physical exercise on psychological wellbeing among substance abusers: a randomized controlled trial

Effect of nadanusandhana on heart rate variability in individuals with insomnia – A randomized controlled trial

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