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Yoga for anxiety: a systematic review and meta-analysis of randomized controlled trials

Research output: Contribution to journalArticlepeer-review

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Yoga for anxiety: a systematic review and meta-analysis of randomized controlled trials. / Cramer, Holger; Lauche, Romy; Anheyer, Dennis; Pilkington, Karen; de Manincor, Michael; Dobos, Gustav; Ward, Lesley.

In: Depression and Anxiety, 26.04.2018.

Research output: Contribution to journalArticlepeer-review

Harvard

Cramer, H, Lauche, R, Anheyer, D, Pilkington, K, de Manincor, M, Dobos, G & Ward, L 2018, 'Yoga for anxiety: a systematic review and meta-analysis of randomized controlled trials', Depression and Anxiety. https://doi.org/10.1002/da.22762

APA

Cramer, H., Lauche, R., Anheyer, D., Pilkington, K., de Manincor, M., Dobos, G., & Ward, L. (2018). Yoga for anxiety: a systematic review and meta-analysis of randomized controlled trials. Depression and Anxiety. https://doi.org/10.1002/da.22762

Vancouver

Cramer H, Lauche R, Anheyer D, Pilkington K, de Manincor M, Dobos G et al. Yoga for anxiety: a systematic review and meta-analysis of randomized controlled trials. Depression and Anxiety. 2018 Apr 26. https://doi.org/10.1002/da.22762

Author

Cramer, Holger ; Lauche, Romy ; Anheyer, Dennis ; Pilkington, Karen ; de Manincor, Michael ; Dobos, Gustav ; Ward, Lesley. / Yoga for anxiety: a systematic review and meta-analysis of randomized controlled trials. In: Depression and Anxiety. 2018.

Bibtex

@article{438177dc10804b08b02d4ddc44797b4b,
title = "Yoga for anxiety: a systematic review and meta-analysis of randomized controlled trials",
abstract = "Yoga has become a popular approach to improve emotional health. The aim of this review was to systematically assess and meta-analyze the effectiveness and safety of yoga for anxiety. Medline/PubMed, Scopus, the Cochrane Library, PsycINFO, and IndMED were searched through October 2016 for randomized controlled trials (RCTs) of yoga for individuals with anxiety disorders or elevated levels of anxiety. The primary outcomes were anxiety and remission rates, secondary outcomes were depression, quality of life, and safety. Risk of bias was assessed using the Cochrane tool. Eight RCTs with 319 participants (mean age: 30.0-38.5 years) were included. Risk of selection bias was unclear for most RCTs. Meta-analyses revealed evidence for small short-term effects of yoga on anxiety compared to no treatment (standardized mean difference (SMD)=-0.43; 95%confidence interval (CI)=-0.74,-0.11; P=0.008); and large effects compared to active comparators (SMD=-0.86; 95%CI=-1.56,-0.15; P=0.02). Small effects on depression were found compared to no treatment (SMD=-0.35; 95%CI=-0.66,-0.04; P=0.03). Effects were robust against potential methodological bias. No effects were found for patients with DSM-diagnosed anxiety disorders, only for patients diagnosed by other methods and for individuals with elevated levels of anxiety without a formal diagnosis. Only 3 RCTs reported safety-related data but these indicated that yoga was not associated with increased injuries. In conclusion, yoga might be an effective and safe intervention for individuals with elevated levels of anxiety. There was inconclusive evidence for effects of yoga in anxiety disorders. More high quality studies are needed and are warranted given these preliminary findings and plausible mechanisms of action. ",
author = "Holger Cramer and Romy Lauche and Dennis Anheyer and Karen Pilkington and {de Manincor}, Michael and Gustav Dobos and Lesley Ward",
year = "2018",
month = apr,
day = "26",
doi = "10.1002/da.22762",
language = "English",
journal = "Depression and Anxiety",
issn = "1091-4269",
publisher = "Wiley-Blackwell",

}

RIS

TY - JOUR

T1 - Yoga for anxiety: a systematic review and meta-analysis of randomized controlled trials

AU - Cramer, Holger

AU - Lauche, Romy

AU - Anheyer, Dennis

AU - Pilkington, Karen

AU - de Manincor, Michael

AU - Dobos, Gustav

AU - Ward, Lesley

PY - 2018/4/26

Y1 - 2018/4/26

N2 - Yoga has become a popular approach to improve emotional health. The aim of this review was to systematically assess and meta-analyze the effectiveness and safety of yoga for anxiety. Medline/PubMed, Scopus, the Cochrane Library, PsycINFO, and IndMED were searched through October 2016 for randomized controlled trials (RCTs) of yoga for individuals with anxiety disorders or elevated levels of anxiety. The primary outcomes were anxiety and remission rates, secondary outcomes were depression, quality of life, and safety. Risk of bias was assessed using the Cochrane tool. Eight RCTs with 319 participants (mean age: 30.0-38.5 years) were included. Risk of selection bias was unclear for most RCTs. Meta-analyses revealed evidence for small short-term effects of yoga on anxiety compared to no treatment (standardized mean difference (SMD)=-0.43; 95%confidence interval (CI)=-0.74,-0.11; P=0.008); and large effects compared to active comparators (SMD=-0.86; 95%CI=-1.56,-0.15; P=0.02). Small effects on depression were found compared to no treatment (SMD=-0.35; 95%CI=-0.66,-0.04; P=0.03). Effects were robust against potential methodological bias. No effects were found for patients with DSM-diagnosed anxiety disorders, only for patients diagnosed by other methods and for individuals with elevated levels of anxiety without a formal diagnosis. Only 3 RCTs reported safety-related data but these indicated that yoga was not associated with increased injuries. In conclusion, yoga might be an effective and safe intervention for individuals with elevated levels of anxiety. There was inconclusive evidence for effects of yoga in anxiety disorders. More high quality studies are needed and are warranted given these preliminary findings and plausible mechanisms of action.

AB - Yoga has become a popular approach to improve emotional health. The aim of this review was to systematically assess and meta-analyze the effectiveness and safety of yoga for anxiety. Medline/PubMed, Scopus, the Cochrane Library, PsycINFO, and IndMED were searched through October 2016 for randomized controlled trials (RCTs) of yoga for individuals with anxiety disorders or elevated levels of anxiety. The primary outcomes were anxiety and remission rates, secondary outcomes were depression, quality of life, and safety. Risk of bias was assessed using the Cochrane tool. Eight RCTs with 319 participants (mean age: 30.0-38.5 years) were included. Risk of selection bias was unclear for most RCTs. Meta-analyses revealed evidence for small short-term effects of yoga on anxiety compared to no treatment (standardized mean difference (SMD)=-0.43; 95%confidence interval (CI)=-0.74,-0.11; P=0.008); and large effects compared to active comparators (SMD=-0.86; 95%CI=-1.56,-0.15; P=0.02). Small effects on depression were found compared to no treatment (SMD=-0.35; 95%CI=-0.66,-0.04; P=0.03). Effects were robust against potential methodological bias. No effects were found for patients with DSM-diagnosed anxiety disorders, only for patients diagnosed by other methods and for individuals with elevated levels of anxiety without a formal diagnosis. Only 3 RCTs reported safety-related data but these indicated that yoga was not associated with increased injuries. In conclusion, yoga might be an effective and safe intervention for individuals with elevated levels of anxiety. There was inconclusive evidence for effects of yoga in anxiety disorders. More high quality studies are needed and are warranted given these preliminary findings and plausible mechanisms of action.

UR - https://onlinelibrary.wiley.com/toc/15206394/0/0

U2 - 10.1002/da.22762

DO - 10.1002/da.22762

M3 - Article

JO - Depression and Anxiety

JF - Depression and Anxiety

SN - 1091-4269

ER -

ID: 10153311