星期一, 5月 16, 2005

瑜珈改善憂鬱症的療效研究

這個研究由印度國家心靈健康和精神科學機構所做的研究,研究對象是慢性中度憂鬱症患者,隨機分成三組,一組是瑜迦,另外兩組是傳統的憂鬱症治療方法,ETC和IMN,看起來很像是電療法和化學藥物療法,或許有其他更專業的名詞翻譯吧,目前暫時使用這樣的翻譯。

三組比較起來,成效ETC93,IMN73,yoga67,雖然yoga的療效較差,但是值得注意的是再第三週的時候,yoga的成效比ETC還要好。

相關的副作用並沒有研究。

建議瑜珈可以在治療憂鬱症的時候,最為第一線的治療。



Antidepressant efficacy of Sudarshan Kriya Yoga (SKY) in melancholia: a randomized comparison with electroconvulsive therapy (ECT) and imipramine.
Janakiramaiah N, Gangadhar BN, Naga Venkatesha Murthy PJ, Harish MG, Subbakrishna DK, Vedamurthachar A.
J Affect Disord. 2000 Jan-Mar;57(1-3):255-9.
Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore, India.
BACKGROUND: Sudarshan Kriya Yoga (SKY) is a procedure that involves essentially rhythmic hyperventilation at different rates of breathing. The antidepressant efficacy of SKY was demonstrated in dysthymia in a prospective, open clinical trial. This study compared the relative antidepressant efficacy of SKY in melancholia with two of the current standard treatments, electroconvulsive therapy (ECT) and imipramine (IMN). METHODS: Consenting, untreated melancholic depressives (n=45) were hospitalized and randomized equally into three treatment groups. They were assessed at recruitment and weekly thereafter for four weeks. RESULTS: Significant reductions in the total scores on Beck Depression Inventory (BDI) and Hamilton Rating Scale for Depression (HRSD) occurred on successive occasions in all three groups. The groups, however, did not differ. Significant interaction between the groups and occasion of assessment occurred. At week three, the SKY group had higher scores than the ECT group but was not different from the IMN group. Remission (total HRSD score of seven or less) rates at the end of the trial were 93, 73 and 67% in the ECT, IMN and SKY groups, respectively. No clinically significant side effects were observed. DISCUSSION: Within the limitations of the design (lack of double blind conditions), it can be concluded that, although inferior to ECT, SKY can be a potential alternative to drugs in melancholia as a first line treatment.

在憂郁病裡的Sudarshan Kriya瑜珈(天空)的抗抑郁的效力︰ 一種隨機化排列的有electroconvulsive治療(ECT)和imipramine的比較。
Janakiramaiah N,Gangadhar 十億,Naga Venkatesha瑪希PJ,Harish毫克,Subbakrishna DK,Vedamurthachar A。
J 影響Disord。 1月3月2000日; 57 ( 1-3 ) : 255-9 .
精神病學部門,精神健康和Neuro 科學,印度,班加羅爾的國家研究所。
背景︰ Sudarshan Kriya瑜珈(天空)是呼吸的以不同的速度基本上與有節奏的換氣過度有關的一個程式。 抗抑郁效力的天空在dysthymia被證明用一預期,打開臨床試驗。 這項研究用當今的標準治療中的兩在憂郁病裡比較天空的有關的抗抑郁的效力, electroconvulsive治療(ECT)和imipramine(IMN)。 方法︰ 同意,未處理的憂郁的精神壓抑者(n = 45)被送入醫院並且同樣隨機化排列成為3 處理組。 他們估計為徵人和其周刊4 周。 結果︰ 明顯減少在總成績內在漢米敦等級刻度給沮喪(HRSD)在連續的場合上發生的點頭沮喪存貨清單(BDI)上, 全部3 組。 組,不過,沒不同。 在評價的組和場合之間的顯著的相互作用出現。 在周3,與ECT 組相比較,天空組有更高的得分,但是不不同於IMN 組。 減免(總HRSD很多7或更少)比率在審訊末是93, 分別,73和ECT,IMN和天空組67%。 並不臨床顯著的副作用被觀察。 討論︰ 在對設計(缺乏雙盲條件)的限制內, 它可以斷定那,雖然不如ECT,天空可能作為一種首行處理方法的一潛在的選擇藥在憂郁病。

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