Since the 1970s,
meditation and other stress-reduction techniques have been studied as possible
treatments for depression and anxiety. One such practice, yoga, has received
less attention in the medical literature, though it has become increasingly
popular in recent decades. One national survey estimated, for example, that
about 7.5% of U.S. adults had tried yoga at least once, and that nearly 4%
practiced yoga in the previous year.
Yoga classes can
vary from gentle and accommodating to strenuous and challenging; the choice of
style tends to be based on physical ability and personal preference. Hatha
yoga, the most common type of yoga practiced in the United States, combines
three elements: physical poses, called asanas; controlled breathing
practiced in conjunction with asanas; and a short period of deep relaxation or
meditation.
Natural anxiety relief
Available reviews
of a wide range of yoga practices suggest
they can reduce the impact of exaggerated stress responses and may be helpful for both anxiety and depression. In this
respect, yoga functions like other self-soothing techniques, such as
meditation, relaxation, exercise, or even socializing with friends.
By reducing
perceived stress and anxiety, yoga appears to modulate stress response systems.
This, in turn, decreases physiological arousal — for example, reducing the
heart rate, lowering blood pressure, and easing respiration. There is also evidence
that yoga practices help increase heart rate variability, an indicator of the
body's ability to respond to stress more flexibly.
Stress response
A small but
intriguing study done at the University of Utah provided some insight into the
effect of yoga on the stress response by looking at the participants' responses
to pain. The researchers noted that people who have a poorly regulated response
to stress are also more sensitive to pain. Their subjects were 12 experienced
yoga practitioners, 14 people with fibromyalgia (a condition many researchers
consider a stress-related illness that is characterized by hypersensitivity to
pain), and 16 healthy volunteers.
When the three
groups were subjected to more or less painful thumbnail pressure, the
participants with fibromyalgia — as expected — perceived pain at lower pressure
levels compared with the other subjects. Functional MRIs showed they also had
the greatest activity in areas of the brain associated with the pain response.
In contrast, the yoga practitioners had
the highest pain tolerance and lowest pain-related brain activity during the
MRI. The study underscores the value of techniques, such as yoga, that can
help a person regulate their stress and, therefore, pain responses.
Benefits of yoga
Although many forms
of yoga practice are safe, some are strenuous and may not be appropriate for
everyone. In particular, elderly patients or those with mobility problems may
want to check first with a clinician before choosing yoga as a treatment
option.
But for many
patients dealing with depression, anxiety, or stress, yoga may be a very
appealing way to better manage symptoms. Indeed, the scientific study of yoga
demonstrates that mental and physical health are not just closely allied, but
are essentially equivalent. The evidence is growing that yoga practice is
a relatively low-risk, high-yield approach to improving overall health.
Article courtesy of
Harvard mental health letter


