Evaluation of Clinical Yoga Techniques in the Management

of Depressive Disorders

 Dr. K V Dilipkumar M D(Ay) ;

Dr.Rubin Mary MD(Ay); Dr. A K Manojkumar M D(Ay)

Clinical Yoga Research Institute

Ayurveda College,

Kottakkal

Depression• Incidence more in women(twice)

• Chances of episodes increases with age

• Risk of serious depression increases in later years of life

• Affects children also

Depression….• Loss of energy and interest

• Feelings of guilt

• Difficulty in concentration

• Loss of appetite

• Thoughts of death or suicide

Vishada

010

2030

4050

6070

8090

Vishada Absence ofVishada

SatvaRajasThamas

Satvavajaya Chikitsa

Promotes satva by means of Jnana, Vijnana, Dhee, Smrti and Samadhi

Diminishes Rajas and Thamas

State of moksha

Yoga is the tool

Yogic approachChitta vikshepa•   Disease (vyādhi) •   Disability of mind (styāna) • Lack of confidence(samsaya)•   Error (pramāda) •   Laziness (ālasya) •  Attachment (avirathi) • Infatuation (bhrānti darsana) •   Unable to achieve the goal (ālabdabhoomika) •   Feeling of non attainment (anavastitatva).

Vikshepa induces…

Misery(dukha)

Depression(dourmanasya)

Movement of organs (Angamejayatva)

Defective respiration(Svasaprasvasa)

Remedial measures-Patanjali

• Meditation-Focusing mind in a single thought

• Rehabilitation-Mythri,Karuna,Mudita,Upeksha

• Pranayama-improves vitality and gain control over mind

(PYS 1/32-34)

Subjects*

Selected as per DSM IV

No. Of Patients

Male Female Age (Mean SD)

20 14 6 38±12

Treatment schedule• 7.00-8.30 am- Asanas• 8.30-10.00am-Break fast• 10.00-11.30am-Group counseling/theory classes

*Positive thoughts*Managing psychological problems*Happiness analysis*What is stress?*How to manage stress?*What is personality?*What is yoga?*Explore self-healing power*Good food promotes health

Treatment Schedule……..• 11.30-12.30pm -Pranayama• 12.30-2.30 pm -Lunch break• 2.30 -3.30 pm -Activities (Karma yoga)• 3.30 -4.30 pm -Meditation• 4.30 -5.30 pm- Entertainments

Vamanadhouthi-7th day

Diet-vegetarian

Assessment criteria

Zungs’self-rating scale

Hamilton rating scale for depression

Results

Scales BT AT SD± SE t value Level of significance

Zung’s Self Rating Depression Scale

0.65 0.45 0.15 0.03 6.1 P<0.001

Hamilton Rating Scale

For Depression 19.9 4.9 8.83 1.98 7.6 P<0.001

Discussion

• Individual management necessary for Major Depressive Disorder.

• Initial hesitation in involving sessions.• Changes in sleep pattern.• Concern about future.• Length of camp.• Categorical evaluation not done.• This reciprocal support enhanced confidence • Yoga helped to relax externally and purge out the

compressed emotions.

Conclusion

• Clinical Yoga techniques were proved to be effective in improving the quality of life in depressive patients.

Thanks

ThankThankss