Effects of yoga on depressive symptoms in people with mental disorders: a systematic review and meta-analysis
Open accessAbstract
Objective: To assess whether physically active yoga is superior to waitlist control, treatment as usual and attention control in alleviating depressive symptoms in people with a diagnosed mental disorder recognised by the Diagnostic and Statistical Manual of Mental Disorders (DSM). Design: Systematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data sources: Data were obtained from online databases (MEDLINE, EMBASE, PsychINFO, CENTRAL, EMCARE, PEDro). The search and collection of eligible studies was conducted up to 14 May 2019 (PROSPERO registration No CRD42018090441). Eligibility criteria for selecting studies: We included randomised controlled trials with a yoga intervention comprising ≥50% physical activity in adults with a recognised diagnosed mental disorder according to DSM-3, 4 or 5. Results: 19 studies were included in the review (1080 participants) and 13 studies were included in the meta-analysis (632 participants). Disorders of depression, post-traumatic stress, schizophrenia, anxiety, alcohol dependence and bipolar were included. Yoga showed greater reductions in depressive symptoms than waitlist, treatment as usual and attention control (standardised mean difference=0.41; 95% CI −0.65 to −0.17; p<0.001). Greater reductions in depressive symptoms were associated with higher frequency of yoga sessions per week (β=−0.44, p<0.01).
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There is evidence to support the use of a combination of mindfulness and yoga in people with depression.
“Furthermore, there is evidence to support the use of a combination of mindfulness and yoga in those with depression [22–27].”
From The effectiveness of mindfulness yoga on patients with major depressive disorder: a systematic review and meta-analysis of randomized controlled trials (2023) · cites this paper as [26]
The Introduction describes yoga as a practice that often includes mindfulness, and the Diagnostic category results report reduced depressive symptoms in people with depressive disorders. The review evaluated physically active yoga, however, not a separately specified combination of mindfulness and yoga, so it does not establish the benefit of that combination as such. Page numbers are unavailable in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredSeveral systematic reviews have evaluated the effect of yoga, highlighting its significant impact on reducing depression.
“Several systematic reviews have evaluated the effect of yoga, highlighting its significant impact on reducing depression [26, 41, 42].”
From The effectiveness of mindfulness yoga on patients with major depressive disorder: a systematic review and meta-analysis of randomized controlled trials (2023) · cites this paper as [26]
Mindfulness yoga might help MDD sufferers minimize their depressed symptoms.
“The results showed that mindfulness yoga might help MDD sufferers minimize their depressed symptoms”
From The effectiveness of mindfulness yoga on patients with major depressive disorder: a systematic review and meta-analysis of randomized controlled trials (2023) · cites this paper as [26]
We conclude that more practice would appear more efficacious.
“We conclude that more practice would appear more efficacious [26].”
From The effectiveness of mindfulness yoga on patients with major depressive disorder: a systematic review and meta-analysis of randomized controlled trials (2023) · cites this paper as [26]
The effects of foetal exposure to SSRIs remain unclear.
“Given that the effects of foetal exposure to SSRIs remain unclear, and given the suggested caution in their use during pregnancy, 671”
From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [671]
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“We conclude that more practice would appear more efficacious [26].”
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- Authors
- Brinsley, J., Schuch, F., Lederman, O., Girard, D., Smout, M., Immink, M. A., Stubbs, B., Firth, J., Davison, K., & Rosenbaum, S.
- Affiliations
- University of South Australia (AU)
- Universidade Federal de Santa Maria (BR)
- South Eastern Sydney Local Health District (AU)
- King's College London (GB)
- University of Manchester (GB)
- Black Dog Institute (AU)
- Corresponding author
- Brinsley, Jacinta
- ORCID
- Venue
- British Journal of Sports Medicine
- Publisher
- BMJ
- Published
- 2020-05-18
- Volume
- 55
- Issue
- 17
- Pages
- 992-1000
- ISSN
- 0306-3674 (ISSN-L)
- 1473-0480
- OpenAlex
- W3025320498
- Cited by
- 184
- References
- 76
- Citations by year
- 2026: 30 · 2025: 40 · 2024: 33 · 2023: 32 · 2022: 24 · 2021: 19 · 2020: 6
- FWCI
- 1.58
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal of Sports Medicine (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion, other-oa)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Funders
- South London and Maudsley NHS Foundation Trust
- National Institute for Health and Care Research (ICA-CL-2017-03-001, APP1123336, NIHR-INF-0685)
- Department of Health and Social Care
- National Health and Medical Research Council (1123336)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- yoga, depressive symptoms, mental illness, physical activity, depression, post-traumatic stress disorder, schizophrenia, anxiety, alcoholism, bipolar disorder, waitlist control
- MeSH terms
- Adult, Anxiety, Mental Disorders, Depression, Humans, Yoga, Exercise
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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