|Year : 2017 | Volume
| Issue : 2 | Page : 61-63
Role of integrated yoga therapy in the management of a 49-year-old patient with trait anxiety
Narottam Kumar1, Pradhan Balaram2
1 Msc (Yoga therapy), SVYASA University-Bangalore, Bengaluru, Karnataka, India
2 Division of Yoga and Humanities, Swami Vivekananda Yoga Anusandhana Samsthana, Bengaluru, Karnataka, India
|Date of Web Publication||15-Feb-2018|
Dr. Pradhan Balaram
Eknath Bhavan, # No. 19, Gavipuram Circle, Bengaluru - 560 019, Karnataka
Source of Support: None, Conflict of Interest: None
A 49 year old male participant with sedentary life style, diagnosed with Anxiety disorder (Neurosis) [Trait anxiety] and other anxiety related problems since 2013. He undergone with Integrated approach of Yoga Therapy (IAYT) for 2 weeks at Holistic Health home-Arogyadhama (known as Prashanti kutiram,Jigani) in Bengaluru between October and November 2016. The results showed that reduction in train anxiety or anxiety symptoms. There was significant reduction of STAI-X11 scores after two week of IAYT intervention. The percentage change of trait anxiety was 75 % after Integrated Yoga Therapy. His anxiety symptoms minimized and blood pressure, respiratory rate, pulse rate came to normal condition at the time of discharge. There was improvement in feeling of wellness and overall functional health. This case report suggests that yogic lifestyle and IAYT intervention is beneficial in the management of Anxiety disorder.
Keywords: Integrated approach of yoga therapy, state-trait anxiety inventory, trait anxiety
|How to cite this article:|
Kumar N, Balaram P. Role of integrated yoga therapy in the management of a 49-year-old patient with trait anxiety. Int J Yoga - Philosop Psychol Parapsychol 2017;5:61-3
|How to cite this URL:|
Kumar N, Balaram P. Role of integrated yoga therapy in the management of a 49-year-old patient with trait anxiety. Int J Yoga - Philosop Psychol Parapsychol [serial online] 2017 [cited 2020 Mar 28];5:61-3. Available from: http://www.ijoyppp.org/text.asp?2017/5/2/61/225626
| Introduction|| |
Anxiety is a common mental disorder defined by persistent worrying, tension, bodily symptoms of physical tension, apprehension about the future, and higher sympathetic activity. It can be defined as an intense emotion that forces an individual to cope up with the demanding situation. However, anxiety is considered a problem when it becomes extreme; there are recurrent episodes of symptoms such as palpitation, headache, sweating, and breathing difficulty. Lifetime prevalence for any anxiety disorders is over 15% and 10%, with higher prevalence in developed countries. As we know that allopathic medicine is not beneficial for the management of anxiety (stress-dominated problems), intervention and alternative prevention is essential in such cases.
The nonmedical lifestyle intervention is highly indicated for the management of anxiety disorder. A previously published article reported significant effect of mind sound resonance technique  and yogic breathing technique (alternate nostril breathing and breath awareness) on state anxiety. Yoga, being a strong nonmedical lifestyle intervention, demonstrates as an alternative management of anxiety disorder. In ancient yogic text Yoga-vasistha, anxiety is considered as Adhija-vyadhi (stress-borne diseases). Adhija-vyadhis are the diseases that originate in the psyche and the symptoms percolate to physical body (Annamaya kosha) through vital air (Pranamaya kosha).
This case study demonstrates that there is effective possibility of Integrated approach of Yoga Therapy (IAYT) (mind–body practice) in the treatment of trait anxiety. There are no studies about such effects.
| Case Report|| |
GPL, a 49-year-old male participant having wrong lifestyle, was admitted to the holistic health home – Arogyadhama at Bengaluru, on October 28, 2016. He had stress about his health, family problems, and upcoming life. He had generalized symptoms of obsession and compulsion, headache, higher sympathetic activity, etc., for 2 years. The lifestyle history of the participant was also taken in terms of hunger, sleep, exercise, etc., The participant had undergone modern medicine in distinct hospitals, but he was not satisfied with treatment. Therefore, to get good solution for his lifestyle problem, he approached IAYT programme at Arogyadhama-Prashanti Kutiram.
Diagnostic criteria and assessment
Prior to intervention, the participant's anxiety symptoms were recorded using State-Trait Anxiety Inventory (STAI; Form X-11). He was assessed with STAI questionnaire before and after 2 weeks of IAYT intervention. He was counseled during daily psychiatrist's visit. Pulse rate, respiratory rate, breath holding time, and blood pressure were also recorded during his stay. All the parameters (such as STAI scores) at baseline and after the intervention are described in [Table 1].
|Table 1: Patient's state-trait anxiety inventory scores on admission and discharge|
Click here to view
Following a detailed case history, initial counseling was done. He has duly signed informed consent form previously to the study. The intervention was planned by doctors and a yoga expert. He stayed at the holistic health home for 2 weeks.
Integrated Approach of Yoga Therapy
The WHO suggests four dimensions of health – physical, mental, social, and spiritual well-being. Yoga always pays attention in integrating the function of mind, body, and spirit. According to Indian philosophy, there are five layers of human existence – physical body, vital body, mental body, intellectual body, and bliss health. The practices given on each level were called IAYT. IAYT intervention is described in [Table 2].
Results showed reduction in STAI (trait anxiety) scores (60–15). The baseline STAI score was 60, and after the 2 weeks of IAYT intervention, it reduced to 15. The percentage reduction of trait anxiety is 75% after the intervention.
| Discussion|| |
A 2-week IAYT protocol was administered to a 49-year-old participant with anxiety disorder. There was significant reduction in trait anxiety at the time of discharge. This therapy helped him and it was easy to adopt.
The IAYT consisting of physical postures, pranayama, breathing practices, relaxation techniques, cleansing techniques (kriyas), and meditation helped to manage stress and reduced anxiety symptoms. It leads to physical and psychological benefits, which is discussed in Yoga-vasistha.
This case gives the proper clinical evidence of the use of integrated approach of yoga therapy in psychiatric disorders.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understands that name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
David HB, Durand VM. Abnormal Psychology: An Integrated Approach. 4th
ed. New Delhi: Baba Barkha Nath Printers; 2005.
de Visser L, van der Knaap LJ, van de Loo AJ, van der Weerd CM, Ohl F, van den Bos R, et al.
Trait anxiety affects decision-making differently in healthy men and women: Towards gender-specific endophenotypes of anxiety. Neuropsychologia 2010;48:1598-606.
Rao Nagaraja P. Medicine for Yoga Therapists. 1st
ed. Bangalore: Jaypee Brothers Medical Publishers Ltd.; 2011.
Kessler RC, Aguilar-Gaxiola S, Alonso J, Chatterji S, Lee S, Ormel J, et al.
The global burden of mental disorders: An update from the WHO world mental health (WMH) surveys. Epidemiol Psichiatr Soc 2009;18:23-33.
Dhansoia V, Bhargav H, Metri K. Immediate effect of mind sound resonance technique on state anxiety and cognitive functions in patients suffering from generalized anxiety disorder: A self-controlled pilot study. Int J Yoga 2015;8:70-3.
] [Full text]
Kumar N, Pradhan B. Immediate role of two yoga-based breathing technique on state anxiety in patients suffering from anxiety disorder: A self as control pilot study. Int J Yoga Philos Psychol Parapsychol 2017;5:18.
Venkatesananda S. Vasistha's Yoga. 1st
ed. New York: State University of New York Press; 1985.
Nagendra H. Yoga its Basis and Applications. Bangalore: Swami Vivekananda Yoga Prakashana; 2010.
[Table 1], [Table 2]