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首页> 外文期刊>Primary health care research & development >Evaluation of a Sudarshan Kriya Yoga (SKY) based breath intervention for patients with mild-to-moderate depression and anxiety disorders
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Evaluation of a Sudarshan Kriya Yoga (SKY) based breath intervention for patients with mild-to-moderate depression and anxiety disorders

机译：达摩尔山克利亚瑜伽（Sky）呼吸干预对轻度至中度抑郁和焦虑症的呼吸干预

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Aim: Research identifies a need for expanded therapeutic options for people with mild-to-moderate depression and anxiety disorders treated within the UK National Health Service (NHS). We aimed to examine potential benefits of a Sudarshan Kriya Yoga (SKY) based breath intervention delivered in this context. Background: SKY is a structured programme derived from yoga in which participants are taught relaxation and stress-management techniques including body postures, breathing exercises and cognitive-behavioural procedures. Previous research has demonstrated benefits for patients with clinical and non-clinical depression and anxiety. However, SKY has not yet been evaluated as a therapeutic option for patients accessing NHS primary care mental health services. Methods: We evaluated an existing programme available to NHS patients in South East England. The intervention is community-based and delivered via four weekly 'stress buster sessions' (1-h duration), one weekend intensive workshop (2.5 days) and four weekly (90 min) follow-up sessions. Analyses were conducted on existing data [measures of depression (Patient Health Questionnaire-9) and anxiety (generalised anxiety disorder-7)] collected as part of routine care, at the start of the programme and three follow-up assessments. Findings: Baseline data were available for 991 participants, of which 557 (56.2%) attended at least three weekly workshops, 216 (21.8%) attended the weekend workshop and 169 (17.1%) completed the programme. Statistically significant (P<0.05) improvements in depression and anxiety were observed in all three outcome assessments. Clinically meaningful change was observed for 74.6% of participants completing the programme. Findings indicate that SKY has the potential to benefit patient outcomes and could be offered more widely as a therapeutic option. We recommend further research to explore patients' experiences of the programme, determine the number of sessions necessary for improvement/recovery, define the population most likely to respond and examine potential cost savings (e.g., reductions in antidepressant prescribing/referrals to secondary care).
机译：目的：研究确定了对在英国国家卫生服务（NHS）内治疗的患有轻度至中度抑郁和焦虑症的人的扩增治疗选择。我们旨在在此背景下审查基于Sudarshan Kriya瑜伽（Sky）呼吸干预的潜在利益。背景：天空是源自瑜伽的结构化程序，其中参与者被教授放松和压力管理技术，包括身体姿势，呼吸锻炼和认知行为程序。以前的研究表明临床和非临床抑郁和焦虑患者的益处。然而，天空尚未被评估为访问NHS初级保健服务的患者的治疗选择。方法：我们评估了英格兰东南部NHS患者的现有计划。干预是基于社区的，通过四个每周的“压力巴斯特会议”（1-H持续时间），一个周末密集型车间（2.5天）和四周（90分钟）跟进会话。在计划开始和三次随访评估时，对现有数据进行了现有数据[抑郁症（患者健康问卷调查-9）和焦虑（患者健康问卷调查-9）和焦虑（广义焦虑症-7）]。结果：991名参与者提供基线数据，其中557名（​​56.2％）参加了至少三个每周研讨会，216名（21.8％）出席了周末研讨会，169名（17.1％）完成了该计划。在所有三种结果评估中观察到统计学意义（P <0.05）抑郁和焦虑的改善。遵守临床有意义的变革，占填写该计划的74.6％。调查结果表明，天空有可能使患者结果受益，并且可以更广泛地作为治疗选择。我们建议进一步研究探索患者的计划经验，确定改善/恢复所需的会议数量，定义最有可能响应和检查潜在成本节约的人口（例如，减少抗抑郁药处方/推荐的次级护理）。

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