Editorial Type:
Article Category: Research Article
| Online Publication Date: 26 Sept 2008
Using Integrative Yoga Therapeutics in the Treatment of Comorbid Anxiety and Depression
Using Integrative Yoga Therapeutics in the Treatment of Comorbid Anxiety and Depression
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Page Range: 87 – 95
This article describes the symptoms, causes, and treatments for anxiety, depression, and comorbid anxiety and depression. It provides strategies for addressing the hyper-arousal or hypo-arousal of the nervous system that is commonly associated with anxiety and depression. It explores research and theory on Yoga's potential for addressing comorbid anxiety and depression, and also discusses the specific approach of the Center for Integrative Yoga Therapeutics, a Yoga therapy center in Boston that specializes in the treatment of Yoga therapy for anxiety, depression, chronic pain disorders, and physical issues such as spinal anomalies or injuries. The described Yoga therapy approach includes a combination of prânâyâma (breathing practices) and Restorative Yoga, a practice of prone or supine postures that is designed to facilitate the relaxation response.
Keywords: Yoga; depression; anxiety; prânâyâma; psychotherapy; Restorative Yoga
Greenberg PE, Sisitsky T, Kessler RC, Finkelstein SN, Berndt ER, Davidson JR, Ballenger JC, Fyer AJ. The economic burden of anxiety disorders in the 1990s. Journal of Clinical Psychiatry. 1999 Jul;60(7):427-35.
National Institutes of Health, Anxiety Webpage. Available at: www.nih.gov www.nih.gov
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition– Text Revision. Washington D.C.: Author; 2000:209-227.
National Institutes of Health, Depression Webpage. Available at www.nih.gov www.nih.gov
Regier DA, Rae DS, Narrow WE, Kaelber CT, Schatzberg AF. Prevalence of anxiety disorders and their comorbidity with mood and addictive disorders. British Journal of Psychiatry Supplement. 1998;(34):24-8.
Kaufman J, Charney D. Comorbidity of mood and anxiety disorders. Journal of Depression and Anxiety. 2000;12 Suppl 1:69-76.
Nelson, JC. Anxious Depression and Response to Treatment. American Journal of Psychiatry. 2008:March;165(3):297-99.
Shapiro D, Cook IA, Davydov DM, Ottaviani C, Leuchter AF, Abrams M. Yoga as a Complementary Treatment of Depression: Effects of Traits and Moods on Treatment Outcome. Evidence-based Complementary and Alternative Medicine. 2007 Dec; 4(4): 493-502.
Manzoni GM, Pagnini F, Castelnuovo G, Molinari E. Relaxation training for anxiety: a ten-years systematic review with meta-analysis. BMC Psychiatry. 2008 Jun 2;8:41.
Lazar SW, Bush G, Gollub RL, et al. Functional brain mapping of the relaxation response and meditation. Neuroreport. 2000;11(7):1581-1585.
Teasdale JD, Segal ZV, Williams JMG, et al. Prevention of relapse/recurrence in major depression by Mindfulness-Based Cognitive Therapy. Journal of Consulting and Clinical Psychology. 2000;68(4): 615-23.
Miller JJ, Fletcher K, Kabat-Zinn J. Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. General Hospital Psychiatry. 1995 May;17(3):192-200.
Beck AT, Clark DA. Scientific Foundations of Cognitive Theory and Therapy for Depression. New York, NY: John Wiley & Sons, Inc.; 1999.
Goleman D. Social Intelligence. New York, NY: Bantam Books; 2006.
Fu Y, Neugebauer V. Differential mechanisms of CRF1 and CRF2 receptor functions in the amygdala in pain-related synaptic facilitation and behavior. Journal of Neuroscience. 2008 Apr;28(15):3861-76.
Hamlin AS, McNally GP, Osborne PB. Induction of c-Fos and zif268 in the nociceptive amygdala parallel abstinence hyperalgesia in rats briefly exposed to morphine. Neuropharmacology. 2007 Aug;53(2):330-43.
Nierenberg AA, Ostacher MJ, Huffman JC, Ametrano RM, Fava M, Perlis RH. A brief review of antidepressant efficacy, effectiveness, indications, and usage for major depressive disorder. Journal of Occupational and Environmental Medicine. 2008 Apr;50(4):428-36.
Gupta N, Khera S, Vempati RP, Sharma R, Bijlani RL. Effect of Yoga based lifestyle intervention on state and trait anxiety. Indian Journal of Physiology and Pharmacology. 2006 Jan-Mar;50(1):41-7.
Lavey R, Sherman T, Mueser KT, Osborne DD, Currier M, Wolfe R. The effects of Yoga on mood in psychiatric inpatients. Psychiatric Rehabilitation Journal. 2005 Spring;28(4):399-402.
Streeter CC, Jensen JE, Perlmutter RM, Cabral HJ, Tian H, Terhune DB, Ciraulo DA, Renshaw PF. Yoga âsana sessions increase brain GABA levels: a pilot study. Journal of Alternative and Complementary Medicine. 2007 May;13(4):419-26.
Barlow DH, Allen LB, Choate ML. Toward a unified treatment for emotional disorders. Behavioral Therapy. 2004;35:205-230.
Lad V. Textbook of Ayurveda, Volume 2. Albuquerque, NM:The Ayurvedic Press; 2002, p. 173.
Danhauer SC, Tooze JA, Farmer DF, Campbell CR, McQuellon RP, Barrett R, Miller BE. Restorative Yoga for women with ovarian or breast cancer: findings from a pilot study. Journal of the Society for Integrative Oncology. 2008 Spring;6(2):47-58.
Brown RP, Gerbarg PL. Sudarshan Kriya Yogic breathing in the treatment of stress, anxiety, and depression. Part II--clinical applications and guidelines. Journal of Alternative and Complementary Medicine. 2005 Aug;11(4):711-7.
Porges SW. Vagal tone: a physiologic marker of stress vulnerability. Pediatrics. 1992 Sep;90(3 Pt 2):498-504.
Rosen, R. The Yoga of Breath: A step-by-step guide to prânâyâma. Boston, MA: Shambhala Publications, Inc.; 2002.
Support for these choices of prânâyâma techniques can be found in such eminent yogic texts as the Yoga Sutrâs, Hatha Yoga Pradipika, and Light on Prânâyâma (BKS Iyengar).