Saturday, 11 November 2017

****Alternative Therapy: Yoga, An Ancient Technique in Treatment of Panic and Anxiety Disorder(Revised Edition)

Kyle J. Norton (Scholar, Master of Nutrients, All right reserved)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
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Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Yoga as an integrated form of exercise may be used for treatment of panic and anxiety disorder in combined with standard treatment, epidemiological studies suggested.

Panic and anxiety disorder is a mental condition characterized by recurrent unexpected panic attacks. of  sudden periods of intense fear inducing palpitations, sweating, shaking, shortness of breath, numbness, or a feeling that something really bad is going to happen.

Yoga, the ancient technique practice for harmonized external and internal body well beings, through breath control, meditation, bodily movement and gesture..... has been best known for people in Western world and some parts in Asia due to health benefits reported by various respectable institutes' research and supported by health advocates.

In the study of total of 20 subjects diagnosed with panic disorder, randomly assigned to both experimental groups: Group 1 (G1-Yoga: 10 subjects) attended yoga classes and Group 2 (G2-CBT + Yoga: 10 subjects) participated in a combined intervention of yoga practice followed by a cognitive-behavioral therapy (CBT) session, reesarchers filed the following results
1. Both group displayed a statistical analysis in reduction of anxiety levels associated with panic disorder, panic-related beliefs and panic-related body sensations
2. The combination of yoga and CBT (G2) showed a better reductions in all observed parameters in compared to only yoga group.

Cognitive-behavioral therapy is a psychological method of treatment to eliminate conception of negative patterns of thought about the self and the world,particularly in patients with depression.

Dr. Vorkapic CF, the lead author, after taking into account of other con-founders said, "... improvements in different mental health parameters after the practice of contemplative techniques alone or combined to psychotherapy" and "(Understanding) joining psychological and physiological variables could help better elucidate the mechanisms through which mind-body practices work to improve mental health".

In deed, yoga improved psychological and physiological variables of patients with Panic and Anxiety Disorder may be attributed to the increased level of gamma-aminobutyric acid, or GABA, a chemical in the brain in regulated nerve activity. Thus reducing psychological aspects in related mood and anxiety disorders..

According to the Emory University, gamma-aminobutyric acid can be considered as neural basis of fear acquisition, the mechanisms of fear inhibition or suppression

Other, in the review of literature published on quality of life in panic disorder from 1980 to 2010 on database of MEDLINE, PsycINFO, and PubMed, indicated that yoga intervention in combination of standard treatment may ameliorate substantial quality of life  impairments in panic disorder, improve mental and physical health.....and be used as post-treatment in enhanced quality of life (QOL) in these group of patients.

Dr. Davidoff J, the lead author went even further to suggest, " understand the nature of comorbidities in panic disorder (PD) as well as to determine whether additional interventions that have been studied in other psychiatric disorders, such as exercise, meditation, yoga, humor, massage, and nutritional supplements, can be utilized to improve QOL in PD to normal community levels.

Interestingly, in the reviewed literature published on PubMed in English up to December 2012 to evulaute the effect of complementary and alternative therapies in panic and anxiety disorder, researchers also found that
1. Data based illustrated that depression evidence base is significantly larger than anxiety disorder
2. Yoga was considered as levels 3 line of treatment of patients with panic and anxiety disorder due to the quality of available evidence.

Taking altogether, there is no doubt that yoga may be considered as an adjunct exercise in combined with standard therapy for treatment of panic and anxiety disorder.

(1) Reducing the symptomatology of panic disorder: the effects of a yoga program alone and in combination with cognitive-behavioral therapy by Vorkapic CF1, Rangé B2.(PubMed)
(2) Quality of life in panic disorder: looking beyond symptom remission by Davidoff J1, Christensen S, Khalili DN, Nguyen J, IsHak WW.(PubMed)
(3) Complementary and alternative therapies as add-on to pharmacotherapy for mood and anxiety disorders: a systematic review by Ravindran AV1, da Silva TL.(PubMed)
(4) The role of glutamate and gamma-aminobutyric acid in fear extinction: clinical implications for exposure therapy, by Davis M1, Myers KM.(PubMed)

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