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Yoga May Help Treat Depression, Anxiety Disorders
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He said the Boston researchers were to be commended for using brain scan imaging technologies to investigate the effectiveness of these techniques. But he questioned why the yoga group was simply compared to a sedentary reading group and not to another movement-based group.
"Exercise itself may have some effects on GABA, so I think in this study, you'd really want that comparison," he said. Including such a control group would make it clear that it was yoga and not just an hour of physical exertion that was responsible for the brain changes.
He also pointed out that all of the people in the study were mentally healthy, and clinical depression and anxiety disorders involve more than the "daily fluctuations in stress and tension" that healthy individuals are prone to.
"We know that yoga can have a profound effect" on smoothing out life's daily ups and downs, Segal said. "But so does working out on a Stairmaster for an hour."
Segal also questioned the role of GABA in depression. While it may play a role in anxiety disorders, "GABA is not one of the main neurotransmitters that seems to be a part of the depression story," he said. Other neurochemicals -- most notably serotonin -- play much bigger roles in the disorder, he said.
None of this means that the study's findings are without merit, Segal said. "In fact," he said, "we have a program called 'mindfulness-based cognitive therapy,' where we do use yoga, as well as mindfulness meditation," as therapeutic tools. Streeter's findings "suggest the need for more study of these practices," he said.
Streeter agreed that her study is probably just a beginning.
"I think what's important about this study is that it shows that by using really cutting-edge neuroimaging technology, we can measure real changes in the brain with behavioral interventions -- changes that are similar to those that we see with pharmacologic treatments," she said.
Would other mind-body practices -- Tai Chi, for example -- produce similar effects?
"I think that's very possible," Streeter said. "I suspect that all roads lead up the mountain."
More information
For more on depression, visit the U.S. National Institute of Mental Health.
SOURCES: Chris Streeter, M.D., assistant professor, psychiatry and neurology, and director, functional neuroimaging for psychiatry, Boston University School of Medicine; Zindel Segal, Ph.D., Morgan Firestone chair in psychotherapy, and professor, psychiatry and psychology, University of Toronto, Canada; May 2007,Journal of Alternative and Complementary Medicine



