Impact of preference for yoga or cognitive behavioral therapy in patients with generalized anxiety disorder on treatment outcomes and engagement

Szuhany, Kristin L.; Adhikari, Samrachana; Chen, Alan; Lubin, Rebecca E.; Jennings, Emma; Rassaby, Madeleine; Eakley, Rachel; Brown, Mackenzie; Suzuki, Rebecca; Barthel, Abigail L.; Rosenfield, David; Hoeppner, Susanne S.; Khalsa, Sat Bir Singh; Bui, Éric; Hofmann, S.; Simon, Naomi M.

doi:10.1016/j.jpsychires.2022.07.008

Cited by 8 publications

(1 citation statement)

References 27 publications

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“…The authors suggest that these findings may be influenced by the predominantly White and well-educated sample, which may limit the generalizability of the results to more diverse populations. Additionally, the specific type of yoga used in the study (Kundalini Yoga) may not represent the effects of other yoga styles, further affecting the generalizability of the findings [28].…”

Section: Physical Exercisementioning

confidence: 99%

An Alternative Approach in the Treatment of Anxiety Disorders: Current Directions

Antos,

Zackiewicz,

Tomaszek

et al. 2024

Preprint

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Anxiety disorders significantly reduce patients' quality of life. Current pharmacological treatments, primarily benzodiazepines and antidepressants, are associated with numerous side effects. Consequently, there is a continual search for alternative methods to traditional therapies that are less burdensome for patients and broaden their therapeutic options. In this review, we examined recent evidence on alternative treatments for anxiety disorders, including physical activity, mindfulness, VR technology, biofeedback, herbal remedies, and transcranial magnetic stimulation (TMS), cryotherapy, hyperbaric therapy, vagus nerve stimulation, MDMA, electroconvulsive therapy (ECT), and eye movement desensitization and reprocessing (EMDR) therapy. Our objective was to determine the role of these selected alternative methods in the treatment of anxiety disorders. Alternative treatments significantly expand the options available to patients and clinicians, with many serving as adjuncts to traditional therapies. Among the methods presented, mindfulness has the most significant therapeutic potential.

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Section: Physical Exercisementioning

confidence: 99%

An Alternative Approach in the Treatment of Anxiety Disorders: Current Directions

Antos,

Zackiewicz,

Tomaszek

et al. 2024

Preprint

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The Effects of Patient Preference on Clinical Outcome, Satisfaction and Adherence Within the Treatment of Anxiety and Depression: A Meta‐Analysis

Eigenhuis,

van Buuren,

Boeschoten

et al. 2024

Clin Psychology and Psychoth

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BackgroundTaking patient preference into consideration has received increased attention in the last decades. We conducted a meta‐analysis to estimate the effects of patient preference on clinical outcome, satisfaction and adherence regarding treatment of depression and anxiety.MethodsPubmed, Embase, PsycINFO and Scopus were searched for (cluster) randomized controlled trials. Twenty‐six randomized controlled clinical trials were included, comprising 3670 participants, examining the effect of patient preference regarding treatment of anxiety and depression on clinical outcome, satisfaction and/or adherence.ResultsNo effect of patient preference was found on clinical outcome [d = 0.06, 95% CI = (−0.03, 0.15), p = 0.16, n = 23 studies]. A small effect of patient preference was found on treatment satisfaction [d = 0.33, 95% CI = (0.08, 0.59), p = 0.01, n = 6 studies] and on treatment adherence [OR = 1.55, 95% CI = (1.28, 1.87), p < 0.001, n = 22 studies].LimitationsPatient preference is a heterogeneous concept, future studies should strive to equalize operationalization of preference. Subgroup analyses within this study should be interpreted with caution because the amount of studies per analysed subgroup was generally low. Most studies included in this meta‐analysis focused on patients with depression. The small number of studies (n = 6) on satisfaction, prevents us from drawing firm conclusions.ConclusionsWhile this meta‐analysis did not find a positive effect of considering patient preference on clinical outcome, it was associated with slightly better treatment satisfaction and adherence. Accommodating preference of patients with anxiety and depression can improve treatment.Trial RegistrationPROSPERO: CRD42020172556

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Comparing 12-Month Outcomes for Group CBT Versus Group CBT Plus Yoga for Depression and Anxiety: a Mixed-Methods Study

O’Shea,

Houston,

Skvarc

et al. 2023

Int J Ment Health Addiction

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Emerging research shows yoga, a body-based mindfulness practice, appears to augment the benefits of transdiagnostic group CBT up to 3-month post-treatment, but less is known about longer-term outcomes. This mixed-methods study reports on 12-month findings of a pragmatic preference trial with adults (N = 59) diagnosed with depression or anxiety. It compares longer-term outcomes between adults who completed either a group CBT program or group CBT with an adjunct therapeutic yoga program. A fixed effects linear mixed model explored symptoms of depression and anxiety (DASS-21) between the groups at 12-month follow-up (CBT alone, n = 13; CBT+Yoga, n = 15). Focus groups and semi-structured interviews were also conducted (n = 20) to identify what practices were maintained at follow-up. At 12-month follow-up, participants in the combined CBT+Yoga group had sustained reductions in anxiety and depression, with significantly superior outcomes when compared to those receiving group CBT alone. Qualitative data suggested that therapeutic yoga enhanced longer-term access to CBT concepts and contributed to overall increases in positive feelings and actions. Therapeutic yoga as an adjunct to group CBT appears to augment the longer-term benefits of CBT with sustained therapeutic benefits at 12 months.

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Impact of preference for yoga or cognitive behavioral therapy in patients with generalized anxiety disorder on treatment outcomes and engagement

Cited by 8 publications

References 27 publications

An Alternative Approach in the Treatment of Anxiety Disorders: Current Directions

An Alternative Approach in the Treatment of Anxiety Disorders: Current Directions

The Effects of Patient Preference on Clinical Outcome, Satisfaction and Adherence Within the Treatment of Anxiety and Depression: A Meta‐Analysis

Comparing 12-Month Outcomes for Group CBT Versus Group CBT Plus Yoga for Depression and Anxiety: a Mixed-Methods Study

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