Effectiveness of add-on yoga in reducing the symptoms of obsessive compulsive disorder (OCD): A randomized controlled trial

IF 3.8 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry Pub Date : 2024-07-14 DOI:10.1016/j.ajp.2024.104156

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引用次数: 0

Abstract

Background

The standard treatments for Obsessive Compulsive Disorder (OCD) have been pharmacological and psychotherapeutic, with preliminary evidence for yoga as an intervention.

Aim

To test the short-term effects of a validated yoga intervention as an adjunct to medication in patients with OCD.

Settings and design

The study included patients diagnosed with OCD attending a tertiary psychiatry hospital in south India using a Randomized Controlled Trial (RCT) design.

Methods

The study included 50 patients with OCD who were randomized into yoga group (n=25) and waitlist control group (n=25). All patients continued medication during the period of study. 42 subjects (Yoga=20, waitlist control=22) completed the study period of 4 weeks. Patients in the yoga group received 10 supervised sessions of a validated yoga module for OCD and continued home practice for next 20 days. Patients were rated on the Yale Brown Obsessive Compulsive Scale, Hamilton Anxiety Rating Scale, Hamilton Depression Rating Scale and Brown Assessment of Beliefs Scale at baseline and end of 4th week by raters who were blind to group status. For qualitative assessment, subjects were interviewed individually till data saturation was reached (n=11).

Results

Patients randomized to yoga showed significant improvement in Obsessions (p-<0.001) (η2–1.3), Compulsions (p-0.007) (η2–0.8), Anxiety (p-0.002) (η2–1.0) and Depression (0.003) (η2–0.9) scores compared to patients in the waitlist control group. Qualitative results showed that yoga was efficacious in improving physical, mental, and overall health.

Conclusion

Yoga-based intervention as an adjunct to medication was effective in reducing symptoms in outpatients with OCD over 4 weeks.

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附加瑜伽对减轻强迫症（OCD）症状的效果：随机对照试验

背景强迫症（OCD）的标准治疗方法一直是药物治疗和心理治疗，但瑜伽作为一种干预方法已有初步证据。目的测试经验证的瑜伽干预方法作为药物治疗辅助手段对强迫症患者的短期效果。方法该研究包括 50 名强迫症患者，他们被随机分为瑜伽组（25 人）和候补对照组（25 人）。所有患者在研究期间均继续接受药物治疗。42名受试者（瑜伽组=20人，候补对照组=22人）完成了为期4周的研究。瑜伽组患者接受了 10 次经过验证的强迫症瑜伽模块指导课程，并在接下来的 20 天内继续在家练习。在基线和第 4 周结束时，由对组别情况保密的评分员对患者进行耶鲁-布朗强迫症量表、汉密尔顿焦虑评分量表、汉密尔顿抑郁评分量表和布朗信念评估量表的评分。结果与候补对照组相比，随机接受瑜伽治疗的患者在强迫症（p-<0.001）（η2-1.3）、强迫症（p-0.007）（η2-0.8）、焦虑症（p-0.002）（η2-1.0）和抑郁症（0.003）（η2-0.9）评分方面均有显著改善。定性结果显示，瑜伽能有效改善患者的身体、精神和整体健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asian journal of psychiatry Medicine-Psychiatry and Mental Health

CiteScore

12.70

自引率

5.30%

发文量

297

审稿时长

35 days

期刊介绍： The Asian Journal of Psychiatry serves as a comprehensive resource for psychiatrists, mental health clinicians, neurologists, physicians, mental health students, and policymakers. Its goal is to facilitate the exchange of research findings and clinical practices between Asia and the global community. The journal focuses on psychiatric research relevant to Asia, covering preclinical, clinical, service system, and policy development topics. It also highlights the socio-cultural diversity of the region in relation to mental health.