Efficacy of yoga for depressed postpartum women: A randomized controlled trial

Buttner, Melissa M.; Brock, Rebecca L.; O’Hara, Michael W.; Stuart, Scott

doi:10.1016/j.ctcp.2015.03.003

Cited by 71 publications

(96 citation statements)

References 151 publications

(340 reference statements)

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“…In a study in which postpartum depressed women were randomly assigned to a yoga or waitlist control group, 16 classes over eight weeks led to a greater decrease in postpartum depression and anxiety and an increase in quality of life [49] According to the authors,78% of the women in the yoga group experienced clinically significant change. In a study that provided Hatha yoga sessions (90 min) prenatally and assessed both prenatal and postpartum depression, the yoga group as opposed to the control group surprisingly experienced less depression during the postpartum but not the prenatal period [50].…”

Section: Comparison Treatment Groupsmentioning

confidence: 95%

Yoga research review

Field

2016

Complementary Therapies in Clinical Practice

155

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Section: Comparison Treatment Groupsmentioning

confidence: 95%

Yoga research review

Field

2016

Complementary Therapies in Clinical Practice

155

View full text Add to dashboard Cite

“…In all RCTs included in these reviews, the primary intervention involved yoga-based postures, breathing exercises, and/or techniques for meditation or relaxation. By the end of 2015, 24 RCTs of yoga for depression [68–91] were identified via systematic reviews, nearly a 5-fold increase from the 5 RCTs initially identified in 2005 by Pilkington et al [61]. …”

Section: Introductionmentioning

confidence: 99%

“…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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“…27 women -including support groups and co-parenting programs -have positive effects on maternal affectivity (Song et al, 2015) and may be even more effective when paired with other types of interventions, such as parenting education or physical programs such as yoga (Buttner et al, 2015).…”

Section: Accepted Manuscriptmentioning

confidence: 99%