Mind-Body Interventions for Anxiety Disorders: A Review of the Evidence Base for Mental Health Practitioners

Bandealy, Shaheja S.; Sheth, Nima; Matuella, Samantha K.; Chaikind, Jeremy; Oliva, Isabelle A.; Philip, Samantha R.; Jones, Paul M.; Hoge, Elizabeth A.

doi:10.1176/appi.focus.20200042

Cited by 10 publications

(5 citation statements)

References 104 publications

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“…In PCOS, recent studies in animal models and patient populations have shown that therapeutic interventions can influence DNA methylation and phenotypic changes in tissues affected by the disease [ 26 , 27 ], raising the possibility of therapeutic interventions Recently, there has been a resurgence of interest in traditional mind–body therapeutic practices as psychological interventions for various chronic medical conditions [ 28 ]. Mind–body interventions (MBI) are a group of diverse techniques that focus on the interactions between mind, brain, body, and behavior and aim to reduce stress and increase acceptance through long-term personality changes [ 29 ]. Some of them include an active physical component [ 30 ], while others focus mainly on meditation and relaxation techniques [ 31 , 32 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Mindfulness-Based Therapy on Clinical Symptoms and DNA Methylation in Patients with Polycystic Ovary Syndrome and High Metabolic Risk

Dema

Paska

Kouter

et al. 2023

CIMB

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Polycystic ovary syndrome (PCOS) is an endocrine and metabolic disorder affecting women of reproductive age. Research has shown that epigenetic alterations such as DNA methylation may play a role in the development and progression of abnormal ovarian function and metabolic disorders in PCOS. Studies have identified specific genes (related with insulin signaling and steroid hormone metabolism) that are methylated in women with PCOS. DNA methylation appears to respond to various interventions aimed at altering health and lifestyle factors. We tested the efficacy of a mindfulness-based stress reduction program (MBSR) in PCOS patients. We examined its effects on anthropometric measurements, mental health and wellbeing, and alterations in DNA methylation in peripheral blood. MBSR was associated with a reduction in body mass index, waist circumference and blood glucose level, an improvement in subjectively perceived general health, emotional role limitation, and levels of pain, as well as mindfulness-like traits. MBSR reduced the expression of anxious symptomatology and subjectively perceived stress. Methylation changes were observed in four genes: COMT, FST, FKBP51, and MAOA. We conclude that MBSR may be a useful supplementary therapy to mitigate the deleterious effects of PCOS on mental health.

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Section: Introductionmentioning

confidence: 99%

Effects of Mindfulness-Based Therapy on Clinical Symptoms and DNA Methylation in Patients with Polycystic Ovary Syndrome and High Metabolic Risk

Dema

Paska

Kouter

et al. 2023

CIMB

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“…48 Mind-body interventions such as yoga and mindful meditation are a group of various techniques focusing on mindfulness and paying attention to one's thoughts and physical sensations with the aim of reducing stress and increasing acceptance. 49 A RCT in Greece explored the impact of an 8-week mindfulness stress management program on measures of depression and anxiety in women with PCOS. The 23 women randomized to the intervention group were noted to have significant reductions in depressive symptoms as measured by the Depression Anxiety and Stress Scale (DASS21) compared to the 15 women in the control group (mean: 17.2 AE 10.0 vs. 4.3 AE 3.3, p ¼ 0.011) along with reductions in salivary cortisol levels (p ¼ 0.001), with no significant changes observed between intervention and control groups for anxiety.…”

Section: Psychosocial Interventionsmentioning

confidence: 99%

Considerations in the Treatment of Depression and Anxiety in Women with PCOS

Alur-Gupta,

Dokras

2023

Semin Reprod Med

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Women with polycystic ovary syndrome (PCOS) are known to be at a greater risk of depression and anxiety. What is less clear is whether existing treatments for PCOS are effective in managing this increased risk and what the optimal approach to treatment is. In this review, currently available interventions are explored including lifestyle modifications, oral contraceptives, insulin sensitizing agents, psychosocial interventions and psychiatric medications. While data are often conflicting, lifestyle interventions, and cognitive behavioral therapy (CBT) appear most promising in reducing depression and anxiety symptoms in this population. There is an urgent need for large prospective studies to fill gaps in the literature.

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“…A rapidly growing field of evidence supports the potential for mind-body interventions to improve various factors of well-being associated with obesity (e.g., stress, anxiety, sleep, emotional eating) [22][23][24], including weight loss and body composition outcomes [25][26][27]. One such modality of a mind-body intervention is Meditative Movement (MM).…”

Section: Introductionmentioning

confidence: 99%

Well-being predictors of body composition and associated behavioral risk factors in midlife/older women participating in a meditative movement intervention: an exploratory analysis

James,

Larkey,

Goldsmith

et al. 2023

J. Clin. Trans. Sci.

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Introduction: Greater than 40% of women are obese, a key risk factor for cardiometabolic, neurocognitive disease, mood disorders, and certain cancers. Obesity and unfavorable body composition can compromise physical and psychological health and well-being. Preliminary evidence demonstrates Meditative Movement (i.e., Tai Chi Easy) improves health outcomes and body composition among midlife/older women. This single-group pilot study explored relationships between well-being predictors related to body composition and associated behavioral risk factors in midlife/older women pre-to-post Tai Chi Easy intervention. Methods: Eligible women 45–75 years old, participated in once-weekly 30-minute Tai Chi Easy classes over 8-weeks. Pre/post-intervention data included self-report surveys and on-site body composition. Multivariate linear regression models were fitted with putative predictor variables having correlations p-values of 0.20 or less with sleep quality and eating behaviors. Results: Participants (N = 36) (M age = 53.7) were White (80.4%) and attended ≥ 4 years of college (70.6%). Analyses resulted in one independent variable per model as a predictor of the dependent variables of sleep quality and emotional eating. Results indicated: (1) stress explained 13.4% sleep quality variance (F (2, 20) = 2.71, p = 0.09) and (2) self-compassion explained 42.1% emotional eating variance (F (2, 31) = 12.54, p < .01). Conclusion: Findings suggest stress and self-compassion partially explain variance in the dependent variables of sleep quality and emotional eating, both associated behavioral risk factors of body composition. Additional research may guide interventions to test efficacy and examine mediators to improve well-being predictors, body composition, and associated behavioral risk factors among midlife/older women.

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Mind-Body Interventions for Anxiety Disorders: A Review of the Evidence Base for Mental Health Practitioners

Cited by 10 publications

References 104 publications

Effects of Mindfulness-Based Therapy on Clinical Symptoms and DNA Methylation in Patients with Polycystic Ovary Syndrome and High Metabolic Risk

Effects of Mindfulness-Based Therapy on Clinical Symptoms and DNA Methylation in Patients with Polycystic Ovary Syndrome and High Metabolic Risk

Considerations in the Treatment of Depression and Anxiety in Women with PCOS

Well-being predictors of body composition and associated behavioral risk factors in midlife/older women participating in a meditative movement intervention: an exploratory analysis

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