关键词: complementary therapies hamilton-anxiety rating scale holistic intervention mental health mindfulness panic disorder well-being who quality of life – bref yoga

来  源:   DOI:10.7759/cureus.53286   PDF(Pubmed)

Abstract:
BACKGROUND: Individuals wrestling with panic disorder (PD) know all too well its debilitating impact. Sudden, intense fear episodes disrupt lives and erode well-being. Fortunately, integrating complementary therapies like yoga with standard treatment offers a glimmer of hope for improved outcomes. Yoga\'s unique blend of physical postures (asanas), breathing exercises (pranayama), and meditative practices holds promise for mitigating anxiety and fostering a sense of inner peace, potentially making it a valuable tool in the fight against panic disorder.
METHODS: This study investigated the effect of yoga as an adjuvant to standard care for panic disorder. Sixty-four panic disorder patients of both genders previously diagnosed with panic disorder according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria were randomly assigned to the yoga group (n = 32) and the control group. The yoga group participated in integrated yoga sessions lasting 60 minutes, five days a week, for 12 weeks. Both groups received standard care. Pre- and post-intervention data were collected for HAM-A and WHOQOL-BREF.
RESULTS: The yoga group exhibited a significant reduction in HAM-A scores (Pre: 49.13 ± 4.55, Post: 13.53 ± 5.54, p < 0.001) with a substantial effect size of 7.02. Quality of life significantly improved across all domains (physical, psychological, social, and environmental) in the yoga group (p < 0.001), demonstrating effect sizes ranging from 4.11 to 4.57. Control group participants also experienced improvements, though less pronounced. Between-group comparisons revealed significant differences in anxiety reduction (p = 0.042) and quality of life enhancement (p < 0.001), favouring the yoga group.
CONCLUSIONS: The results suggest that yoga can be a valuable complementary or alternative approach to traditional treatments for anxiety disorders.
摘要:
背景:与恐慌症(PD)搏斗的人非常清楚其衰弱的影响。突然,强烈的恐惧事件扰乱了生活,侵蚀了幸福。幸运的是,将瑜伽等补充疗法与标准治疗相结合,为改善结果提供了一线希望。瑜伽独特的身体姿势混合(体式),呼吸练习(调息),冥想练习有望减轻焦虑和培养内心的平静感,可能使其成为对抗恐慌症的有价值的工具。
方法:本研究调查了瑜伽作为惊恐障碍标准护理的佐剂的效果。根据精神障碍诊断和统计手册(DSM-5)标准,先前被诊断为恐慌症的64名两种性别的恐慌症患者被随机分配到瑜伽组(n=32)和对照组。瑜伽小组参加了长达60分钟的综合瑜伽课程,一周五天,12周。两组均接受标准护理。收集HAM-A和WHOQOL-BREF的干预前后数据。
结果:瑜伽组HAM-A评分显著降低(Pre:49.13±4.55,Post:13.53±5.54,p<0.001),显著效应大小为7.02。生活质量在所有领域(物理,心理,社会,和环境)在瑜伽组中(p<0.001),演示效果大小范围从4.11到4.57。对照组参与者也经历了改善,虽然不太明显。组间比较显示,在焦虑减轻(p=0.042)和生活质量提高(p<0.001)方面存在显着差异。喜欢瑜伽组。
结论:结果表明,瑜伽可以成为焦虑症传统治疗方法的一种有价值的补充或替代方法。
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