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Objectives: This study compares the anxiolytic effects of a yoga program and supportive therapy in breast cancer outpatients undergoing conventional treatment at a cancer centre. Methods: Ninety-eight stage 11 and III breast cancer outpatients were randomly assigned to receive yoga (n = 45) or brief supportive therapy (n = 53) prior to their primary treatment i.e., surgery. Only those subjects who received surgery followed by adjuvant radiotherapy and six cycles of chemotherapy were chosen for analysis following intervention (yoga, n = 18, control, n = 20). Intervention consisted of yoga sessions tasting 60 min daily while the control group was imparted supportive therapy during their hospital visits as a part of routine care. Assessments included Speitberger's State Trait Anxiety Inventory and symptom checklist. Assessments were done at baseline, after surgery, before, during, and after radiotherapy and chemotherapy. Results: A GLM-repeated measures ANOVA showed overall decrease in both self-reported state anxiety (p < 0.001) and trait anxiety (p = 0.005) in yoga group as compared to controls. There was a positive correlation between anxiety states and traits with symptom severity and distress during conventional treatment intervals. Conclusion: The results suggest that yoga can be used for managing treatment-related symptoms and anxiety in breast cancer outpatients. (C) 2008 Published by Elsevier Ltd.
Objectives: This study compares the anxiolytic effects of a yoga program and supportive therapy in breast cancer outpatients undergoing conventional treatment at a cancer centre. Methods: Ninety-eight stage 11 and III breast cancer outpatients were randomly assigned to receive yoga (n = 45) or brief supportive therapy (n = 53) prior to their primary treatment i.e., surgery. Only those subjects who received surgery followed by adjuvant radiotherapy and six cycles of chemotherapy were chosen for analysis following intervention (yoga, n = 18, control, n = 20). Intervention consisted of yoga sessions tasting 60 min daily while the control group was imparted supportive therapy during their hospital visits as a part of routine care. Assessments included Speitberger's State Trait Anxiety Inventory and symptom checklist. Assessments were done at baseline, after surgery, before, during, and after radiotherapy and chemotherapy. Results: A GLM-repeated measures ANOVA showed overall decrease in both self-reported state anxiety (p < 0.001) and trait anxiety (p = 0.005) in yoga group as compared to controls. There was a positive correlation between anxiety states and traits with symptom severity and distress during conventional treatment intervals. Conclusion: The results suggest that yoga can be used for managing treatment-related symptoms and anxiety in breast cancer outpatients. (C) 2008 Published by Elsevier Ltd.
Context: Attention deficit-hyperactivity disorder (ADHD) is one of the most common neurodevelopmental disorders. Stimulant medication is frequently used in management, with significant adverse effects. There is a growing interest in complementary treatments like yoga. Aims: To study the effects of yoga as a complementary therapy in children with moderate to severe ADHD. Settings and Design: The study was performed on children (consent was taken from parents) admitted in a child psychiatry unit using an open-label exploratory study. Materials and Methods: Children between 5 and 16 years of age diagnosed with ADHD and co-operative for yoga were included. Subjects with other serious psychiatric and medical illnesses were excluded. The participants were given yoga training daily during their in-patient stay. They were rated on Conners' abbreviated rating scale - (CARS), ADHD-rating scale-IV (ADHD - RS IV) and clinical global impression (CGI)-Severity, at the beginning of study, at discharge and subsequently at the end of 1st, 2nd and 3rd month by a research associate not involved in yoga instruction. Paired t-test was employed to compare the means of scores between baseline and follow-ups. Results: A total of 9 children (8 males, 1 female) were recruited into the study. All, but one were on medications. An average of 8 yoga training sessions was given to subjects. They were able to learn yoga reasonably well. There was a significant improvement in the ADHD symptoms as assessed on CARS (P-0.014), ADHD-RS IV (P=0.021) and CGI-S scales (P=0.004) at the time of discharge. Conclusions: Yoga training for therapy is feasible and can be used as an add-on therapy for ADHD.
Yoga is a traditional life-style practice used for spiritual reasons. However, the physical components like the asanas and pranayaamas have demonstrated physiological and therapeutic effects. There is evidence for Yoga as being a potent antidepressant that matches with drugs. In depressive disorder, yoga 'corrects' an underlying cognitive physiology. In schizophrenia patients, yoga has benefits as an add-on intervention in pharmacologically stabilized subjects. The effects are particularly notable on negative symptoms. Yoga also helps to correct social cognition. Yoga can be introduced early in the treatment of psychosis with some benefits. Elevation of oxytocin may be a mechanism of yoga effects in schizophrenia. Certain components of yoga have demonstrated neurobiological effects similar to those of vagal stimulation, indicating this (indirect or autogenous vagal stimulation) as a possible mechanism of its action. It is time, psychiatrists exploited the benefits if yoga for a comprehensive care in their patients.