Evidence map›Paper›PMID 29609926›Full record

Trial reportComplementary therapies in medicine2018

A randomized controlled dosing study of Iyengar yoga and coherent breathing for the treatment of major depressive disorder: Impact on suicidal ideation and safety findings.

Maren Nyer, Patricia L Gerbarg, Marisa M Silveri, Jennifer Johnston, Tammy M Scott, Maya Nauphal, Liz Owen, Greylin H Nielsen, David Mischoulon, Richard P Brown and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Complementary therapies in medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Review
  10. Asynchronous Technologies in Mental Health Care and Education.Current treatment options in psychiatry · 2023
    Review
  11. The Effect of Vinyasa Yoga Practice on the Well-Being of Breast-Cancer Patients during COVID-19 Pandemic.International journal of environmental research and public health · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Maren NyerDepartment of Psychiatry, Harvard School of Medicine, Boston, MA, United States, United States; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, United States. Electronic address: mnyer@partners.org.
Patricia L GerbargDepartment of Psychiatry, New York Medical College, Valhalla, NY, United States.
Marisa M SilveriDepartment of Psychiatry, Harvard School of Medicine, Boston, MA, United States, United States; Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States; Department of Psychiatry, McLean Hospital, Belmont, MA, United States.
Jennifer JohnstonDepartment of Psychiatry, Boston University School of Medicine, Boston, MA, United States.
Tammy M ScottDepartment of Psychiatry, Boston University School of Medicine, Boston, MA, United States; Department of Psychiatry, Boston Medical Center, Boston, MA, United States; Tufts University School of Medicine, Department of Psychiatry, Friedman School of Nutrition Science and Policy, Boston, MA, United States; Tufts Medical Center, Department of Psychiatry, Boston, MA, United States.
Maya NauphalDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, United States.
Liz OwenDepartment of Psychiatry, Boston University School of Medicine, Boston, MA, United States.
Greylin H NielsenDepartment of Psychiatry, Boston University School of Medicine, Boston, MA, United States.
David MischoulonDepartment of Psychiatry, Harvard School of Medicine, Boston, MA, United States, United States; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, United States.
Richard P BrownDepartment of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, United States.
Maurizio FavaDepartment of Psychiatry, Harvard School of Medicine, Boston, MA, United States, United States; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, United States.
Chris C StreeterDepartment of Psychiatry, Harvard School of Medicine, Boston, MA, United States, United States; Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States; Department of Psychiatry, Boston Medical Center, Boston, MA, United States; Department of Neurology, Boston University School of Medicine, Boston, MA, United States; Department of Psychiatry, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, United States.

Funding

The Treatment of Depression with Yoga and WalkingR01AT007483 · NCCIH · BOSTON UNIVERSITY MEDICAL CAMPUS · PI STREETER, CHRIS CONWAY · 2012 to 2019
$4.0M
Mentoring in Patient-Oriented Neuroscience ResearchK24AA025977 · NIAAA · MCLEAN HOSPITAL · PI MARISA M SILVERI · 2017 to 2026
$1.6M
Mechanisms of Hyperthermic Yoga for the Treatment of DepressionK23AT008043 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI NYER, MAREN B · 2015 to 2019
$780k
NCCIH NIH HHS K23 AT008043NCCIH NIH HHS L30 AT007992NCCIH NIH HHS R01 AT007483NIAAA NIH HHS K24 AA025977
6 · The paper itself

Abstract

backgroundYoga interventions offer promise for the treatment of major depressive disorder (MDD), yet their safety and potential impact on suicidal ideation (SI) have not been well documented. This study evaluated the safety of a randomized controlled dose-finding trial of Iyengar yoga plus coherent breathing for individuals with MDD, as well as the potential effects of the intervention on SI without intent.

methodsParticipants with Beck Depression Inventory-II (BDI-II) scores ≥14 and a diagnosis of MDD (using DSM-IV criteria) were randomized to either a low dose group (LDG) or high dose group (HDG) and received a 12-week manualized intervention. The LDG included two 90-min yoga classes plus three 30-min homework sessions weekly. The HDG offered three 90-min classes plus four 30-min homework sessions weekly.

resultsThirty-two individuals with MDD were randomized, of which 30 completed the protocol. At screening, SI without intent was endorsed on the BDI-II by 9 participants; after completing the intervention, 8 out of 9 reported resolution of SI. There were 17 adverse events possibly-related and 15 definitely-related to the intervention. The most common protocol-related adverse event was musculoskeletal pain, which resolved over the course of the study.

conclusionsThe Iyengar yoga plus coherent breathing intervention was associated with the resolution of SI in 8 out of 9 participants, with mild side effects that were primarily musculoskeletal in nature. This preliminary evidence suggests that this intervention may reduce SI without intent and be safe for use in those with MDD.

Indexed as

Breathing ExercisesSuicidal IdeationYogaAdultFemaleHumansMajor Depressive DisorderMaleMiddle AgedPatient SafetyYoung AdultBreathingDepressionIyengarMajor depressive disorder (MDD)RandomizedSafetySuicideYoga

Identifiers

PMID29609926
PMCPMC12964547

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.