By John M. de Castro, Ph.D.
“One of the chapters in my life included a 10-year bout with deep depression. This depression became compounded when I was confronted with loss and grief. I took antidepressants of varying kinds for many years and attempted talk therapy. For me, none of these approaches worked. It was only when I began practicing yoga that I started to see and feel concrete, sustained shifts in my mental patterns, emotions, and internal state of being.” – Monique Minahan
Clinically diagnosed depression is the most common mental illness, affecting over 6% of the population. In general, it involves feelings of sadness, emptiness or hopelessness, irritability or frustration, loss of interest or pleasure in most or all normal activities, sleep disturbances, tiredness and lack of energy, anxiety, agitation, feelings of worthlessness or guilt, fixating on past failures or blaming yourself for things that aren’t your responsibility, suicidal thoughts, suicide attempts or suicide. Needless to say individuals with depression are miserable.
Depression appears to be the result of a change in the nervous system that can generally only be reached with drugs that alter the affected neurochemical systems. But, depression can be difficult to treat. Of patients treated initially with drugs only about a third attained remission of the depression. After repeated and varied treatments including drugs, therapy, exercise etc. only about two thirds of patients attained remission. In, addition, drugs often have troubling side effects and can lose effectiveness over time. In addition, many patients who achieve remission have relapses and recurrences of the depression. So, it is important to investigate alternative treatments for depression.
There are some alternative activities that can be helpful for depression. Regular exercise can improve mood in people with mild to moderate depression. It also may play a supporting role in treating severe depression. Mindful meditation training including yoga practices have also been shown to be viable alternative treatments for depression. They have been shown to be an effective treatment for active depression and for the prevention of its recurrence. They can even be effective in cases where drugs fail. In addition, the combination of exercise with meditation has been shown to be effective for treating depression.
In today’s Research News article “Mindfulness-based yoga intervention for women with depression.” See:
or below, Schuver and Lewis investigate the relative effectiveness of yoga and walking exercise for the treatment of depression. They randomly assigned depressed women to either a 12-week mindfulness based yoga practice or walking exercise. Both treatments were practiced twice a week for 65 minutes for 12 weeks. Measurements of depression and rumination were taken before and after treatment and one-month after the completion of the 12-week practice period.
They found that both treatments produced significant decreases (34% and 38% respectively) in depression that were maintained at follow-up. Both groups also showed significant decreases in rumination but, the yoga group had a significantly greater decrease (30%) than the walking group (19%) at the end of treatment. But, by the one-month follow-up there were no significant differences between the groups. Hence, both treatments successfully improved depression and rumination in the depressed women.
So, it appears that exercise, regardless of whether it’s in the form of yoga or walking relieves depression. In practice, however, depressed people lack energy and it can be quite challenging for them to initiate or keep up an exercise practice. The current study employed a home yoga practice. It is possible that a yoga practice in a group would be more enjoyable and promote adherence to the exercise. More research is needed to investigate this conjecture.
Regardless it is clear that you can get out of the dumps with yoga.
“Yoga gives us an active role in healing. And by slowing down mental chatter through breath work, it helps facilitate self-acceptance. In other words, through practicing yoga, we become quieter and more grounded. Yoga can help perfectionists as well as those who tend to be self-critical or lack self-confidence.” – Janeen Locker.
CMCS – Center for Mindfulness and Contemplative Studies
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Study Summary
Schuver KJ, Lewis BA. Mindfulness-based yoga intervention for women with depression. Complement Ther Med. 2016 Jun;26:85-91. doi: 10.1016/j.ctim.2016.03.003. Epub 2016 Mar 14.
Highlights
- Efficacy of a 12-week yoga intervention, in comparison to a walking group, on mood and rumination among depressed women.
- Participants in both groups demonstrated similar decreases in depressive symptoms from baseline to post-intervention.
- The yoga condition reported significantly lower levels of rumination than the walking group at post-intervention.
Abstract
OBJECTIVES: The purpose of this study was to examine the efficacy of a 12-week mindfulness-based yoga intervention on depressive symptoms and rumination among depressed women.
DESIGN: Prospective, randomized, controlled 12 week intervention pilot study. Depressive symptoms were assessed at baseline, post-intervention (12 weeks), and one-month follow-up.
SETTING: Women with a history of diagnosed depression and currently depressed were randomized to a mindfulness-based yoga condition or a walking control.
INTERVENTIONS: The mindfulness-based yoga intervention consisted of a home-based yoga asana, pranayama and meditation practice with mindfulness education sessions delivered over the telephone. The walking control condition consisted of home-based walking sessions and health education sessions delivered over the phone.
MAIN OUTCOME MEASURES: The Beck Depression Inventory (BDI) and Ruminative Responses Scale (RRS).
RESULTS: Both groups reported decreases in depressive symptoms from baseline to post-intervention, f(1,33)=34.83, p<0.001, and from baseline to one-month follow-up, f(1,33)=37.01, p<0.001. After controlling for baseline, there were no significant between group differences on depression scores at post-intervention and the one-month follow-up assessment. The mindfulness-based yoga condition reported significantly lower levels of rumination than the control condition at post-intervention, after controlling for baseline levels of rumination, f(1,31)=6.23, p<0.01.
CONCLUSIONS: These findings suggest that mindfulness-based yoga may provide tools to manage ruminative thoughts among women with elevated depressive symptoms. Future studies, with larger samples are needed to address the effect of yoga on depression and further explore the impact on rumination.