PMID- 28571077 OWN - NLM STAT- MEDLINE DCOM- 20180917 LR - 20181202 IS - 1439-0795 (Electronic) IS - 0176-3679 (Linking) VI - 51 IP - 3 DP - 2018 May TI - A Systematic Review of Mechanisms of Change in Body-Oriented Yoga in Major Depressive Disorders. PG - 73-81 LID - 10.1055/s-0043-111013 [doi] AB - INTRODUCTION: Despite empirical evidence for the efficacy of body-oriented yoga as add-on treatment for major depressive disorder (MDD), the specific mechanisms by which yoga leads to therapeutic changes remain unclear. By means of a systematic review, we evaluate how the field is progressing in its empirical investigation of mechanisms of change in yoga for MDD. METHODS: To identify relevant studies, a systematic search was conducted. RESULTS: The search produced 441 articles, of which 5 were included, that empirically examined 2 psychological mechanisms (mindfulness, rumination) and 3 biological mechanisms (vagal control, heart rate variability [HRV], brain-derived neurotrophic factor [BDNF], cortisol). 2 studies found that decreased rumination and 1 study that increased mindfulness was associated with the effect of yoga on treatment outcome. In addition, preliminary studies suggest that alterations in cortisol, BDNF, and HRV may play a role in how yoga exerts its clinical effect. DISCUSSION: The results suggest that body-oriented yoga could work through some of the theoretically predicted mechanisms. However, there is a need for more rigorous designs that can assess greater levels of causal specificity. CI - (c) Georg Thieme Verlag KG Stuttgart . New York. FAU - Meister, Klara AU - Meister K AD - Department of Psychiatry, Psychotherapy and Preventive Medicine Ruhr University Bochum, LWL University Hospital, Bochum, Germany. FAU - Juckel, Georg AU - Juckel G AD - Department of Psychiatry, Psychotherapy and Preventive Medicine Ruhr University Bochum, LWL University Hospital, Bochum, Germany. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20170601 PL - Germany TA - Pharmacopsychiatry JT - Pharmacopsychiatry JID - 8402938 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) RN - WI4X0X7BPJ (Hydrocortisone) SB - IM MH - Brain-Derived Neurotrophic Factor/metabolism MH - Databases, Factual MH - Depressive Disorder, Major/physiopathology/psychology/*rehabilitation MH - Heart Rate/physiology MH - Humans MH - Hydrocortisone/metabolism MH - *Treatment Outcome MH - *Yoga COIS- The authors declare no conflict of interest. EDAT- 2017/06/02 06:00 MHDA- 2018/09/18 06:00 CRDT- 2017/06/02 06:00 PHST- 2017/06/02 06:00 [pubmed] PHST- 2018/09/18 06:00 [medline] PHST- 2017/06/02 06:00 [entrez] AID - 10.1055/s-0043-111013 [doi] PST - ppublish SO - Pharmacopsychiatry. 2018 May;51(3):73-81. doi: 10.1055/s-0043-111013. Epub 2017 Jun 1.