Cited by 14Mindfulness and Compassion InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesTreatment of Major Depression

Yoga v Health Education for Attentional Processes Relevant to Major Depressive Disorder

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West, Jessica L., Tremont, Geoffrey, Miller, Ivan W., Uebelacker, Lisa A.·2021·Mindfulness

Abstract

Objectives Research has shown that yoga may be an effective adjunctive treatment for persistent depression, the benefits of which may accumulate over time. The objectives of this study were to evaluate the following in a sample of persistently depressed individuals: whether yoga increases mindfulness and whether yoga attenuates rumination. Rumination and mindfulness both represent attentional processes relevant for onset and maintenance of depressive episodes.Methods One-hundred-ten individuals who were persistently depressed despite ongoing use of pharmacological treatment were recruited into an RCT comparing yoga with a health education class. Mindfulness and rumination were assessed at baseline and across 3 time points during the ten-week intervention.Results Findings demonstrate that, compared to health education, yoga was associated with higher mean levels of the observe facet of mindfulness relative to the control group during the intervention period (p =.004, d =0.38), and that yoga was associated with a faster rate of increase in levels of acting with awareness over the intervention period (p= .03, f 2 =0.027). There were no differences between intervention groups with respect to rumination.Conclusions Results suggest a small effect of yoga on components of mindfulness during a 10-week intervention period. Previous research suggests that continued assessment after the initial 10 weeks may reveal continued improvement. Future research may also examine moderators of the impact of yoga on mindfulness and rumination, including clinical factors such as depression severity or depression chronicity, or demographic factors such as age.

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  1. First MB, Spitzer RL, Gibbon M, & Williams JBW (2001). Structured clinical interview for DSM-IV-TR Axis I Disorders, research version, patient edition with psychotic screen (SCID-I/P W/ PSY SCREEN). Biometrics Research, New York State Psychiatric Institute: New York.
  2. Semich AM (2012). Effects of two different hatha yoga interventions on perceived stress and five facets of mindfulness (Doctoral dissertation, Northcentral University).

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Authors
West, J. L., Tremont, G., Miller, I. W., & Uebelacker, L. A.
Affiliations
  • Duke Medical Center (US)
  • Brown University (US)
Corresponding author
Uebelacker, Lisa A.
Venue
Mindfulness
Published
2020-10-29
Volume
12
Issue
3
Pages
604-612
ISSN
  • 1868-8527 (ISSN-L)
  • 1868-8535
OpenAlex
W3095161986
Cited by
14
References
38
Citations by year
2026: 3 · 2025: 3 · 2024: 1 · 2023: 4 · 2022: 3
FWCI
0.70
Type
journal article
Language
en
Open access
Locations
  • Mindfulness (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Nursing Research (R01NR012005)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
Keywords
yoga, major depressive disorder, dysthymia, rumination, attentional processes, health education, adjunctive therapy, acting with awareness, depression maintenance

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