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Yoga for Depressive Disorder: A Systematic Review and Meta-Analysis
Alina Moosburner1,2, Holger Cramer1,2, Mirela Bilc1,2
1Institute of General Practice and Interprofessional Care, University Hospital Tübingen, Tübingen, Germany.
Yoga effectively reduces depression severity compared to passive control and improves remission rates against active and passive controls. Despite inconsistent evidence quality, yoga offers a favorable risk-benefit profile for treating depression, especially major depressive disorder (MDD).
Area of Science:
- Integrative medicine and mental health research.
- Clinical psychology and psychiatry.
- Evidence-based complementary therapies for mood disorders.
Background:
- Rising global prevalence of depression.
- Limitations of conventional depression therapies, including treatment gaps and non-response rates.
- Need for alternative and complementary treatment options.
Purpose of the Study:
- To systematically review and evaluate the evidence for yoga's efficacy in treating depressive disorders.
- To assess yoga's impact on depression severity, remission rates, quality of life, and safety.
- To provide an updated analysis of yoga as a therapeutic intervention for depression.
Main Methods:
- Systematic literature search across multiple databases (PubMed/Medline, Cochrane Library, Scopus, PsycINFO, BASE).
- Inclusion of randomized controlled trials (RCTs) in participants with depressive disorders.
- Meta-analysis of depression severity and remission rates, with separate analyses for active and passive control groups and subgroups (major depressive disorder, mixed samples); risk of bias and quality of evidence (GRADE) assessment.
Main Results:
- Yoga demonstrated a significant short-term reduction in depression severity versus passive control (SMD = -0.43).
- Yoga significantly increased remission rates compared to both passive (OR = 3.20) and active controls (OR = 2.04).
- No significant differences in safety outcomes were found compared to control groups; evidence quality ranged from moderate to very low.
Conclusions:
- Yoga is an effective therapy for reducing depression severity and improving remission rates in patients with depressive disorders.
- The intervention shows a positive risk-benefit ratio, supporting its consideration as a treatment option, particularly for major depressive disorder (MDD).
- Further research with consistent outcome reporting is needed to strengthen the evidence base, especially regarding quality of life.
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