The Effect of Yoga on Substance Use Disorder: A Systematic Review
Abstract
Introduction: Substance use disorder become pervasive global issue, and have the impacts on disability and mortality. Substance use disorder within the context of drug addiction is a multifaceted disorder characterized by recurrent psychological and physiological dysfunction resulting from the continued use of drugs. This systematic review aims to evaluate the impact of yoga as a complementary therapy for people with substance use disorder to promote yoga as complementary therapy in drug rehabilitation to prevent relapse.
Methods: This systematic review utilised secondary data retrieved from four electronic databases: PubMed, SAGE, ScienceDirect, and SpringerLink. The keywords are: “yoga” and “substance use disorder”, used the Boolean Operator, utilizing both AND and OR codes to refine the search parameters. The data collection applying PICOS (Populations, Interventions, Comparisons, Outcomes, Study Design) as a full inclusion criteria framework to refine literature selection.
Results: A total of 10 selected articles were eligible based on the criterias. Most reviewed articles show the beneficial effects of yoga as a complementary therapy for SUD. Yoga had positive effects to decrease several physical and psychological issues, also reduce addictive behaviors. Yoga is low cost and low risk treatment, both culturally acceptable and accessible treatment. Overall, yoga recommended as complemenntary therapy in drug rehabilitation.
Conclusion: This study contributes to understanding the effects of yoga on substance use disorder. Yoga has positive effects on physiological, psychological, and behavioral domain. This review provides insight into promote yoga as complementary for comprehensive drug rehabilitation. A future meta-analysis can yield a quantitative assessment of yoga's efficacy as a therapeutic intervention.
References
Tan H, Wang Y, Huang D, Chen Y, Jia L, Zhang B. Study on Relationship Between Personality Traits and Relapse Tendency in Drug Addicts. Int J Public Heal Med Res. 2024;1(2):1–10.
UNODC. World Drug Report 2022. Vienna; 2022.
Koijam A, Singh K, Nameirakpam B, Haobam R, Rajashekar Y. Drug Addiction and Treatment: An Epigenetic Perspective. Biomed Pharmacother. 2024;170:1–18.
Ramsahaye A, Bharathi B, Sasidharan K, Rawat V, Thulasi A, Kumar V, et al. Development, Validation, and Feasibility Testing of A Yoga Module for Substance Use Disorder. Yoga M?m?m?s?. 2023;55(1):25–34.
Durazzo T, Meyerhoff D. Psychiatric, Demographic and Brain Morphological Predictors of Relapse After Treatment for an Alcohol Use Disorder. Alcohol, Clin Exp Res. 2017;41(1):1–21.
Petker T, Yanke C, Rahman L, Whalen L, Demaline K, Whitelaw K, et al. Naturalistic Evaluation of an Adjunctive Yoga Program for Women with Substance Use Disorders in Inpatient Treatment: Within-Treatment Effects on Cravings, Self-efficacy, Psychiatric Symptoms, Impulsivity, and Mindfulness. Subst Abus Res Treat. 2021;15:1–13.
Pascoe M, Bauer I. A Systematic Review of Randomised Control Trials on The Effects of Yoga on Stress Measures and Mood. J Psychiatr Res. 2015;68:270–82.
Dybvik H, Steinert M. Real-World fNIRS Brain Activity Measurements during Ashtanga Vinyasa Yoga. Brain Sci. 2021;11(742):1–21.
Ramirez-Duran D, Stokes H, Kern M. Going Within, Between and Beyond: An Exploration of Regular Ashtanga Yoga Practitioners’ Conceptualizations of Five Dimensions of Wellbeing. Front Psychol. 2022;13:1–23.
Jangid S. The Effectiveness of Yoga in Alcohol De-Addiction and Rehabilitation. Int J Eng Res Technol. 2019;8(10):203–5.
Bhargav H, Holla B, Mahadevan J, Jasti N, Philip M, Sharma P, et al. Opioid Use Disorder and Role of Yoga as an Adjunct in Management (OUDARYAM): Study Protocol for A Randomized Controlled Trial. Wellcome Open Res. 2024;9(4):1–16.
Galantino L, Turetzkin S, Lawlor S, Jones L, Brooks JC. Community?Based Yoga for Women Undergoing Substance Use Disorder Treatment: A Descriptive Study. Int J Yoga. 2021;14(1):50–9.
Methley A, Campbell S, Graham C, McNally R, Sohi S. PICO, PICOS and SPIDER: a comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews. BMC Health Serv Res. 2014;14:1–10.
Page M, Moher D, Bossuyt P, Boutron I, Hoffmann T, Mulrow C, et al. PRISMA 2020 Explanation and Elaboration: Updated Guidance and Exemplars for Reporting Systematic Reviews. BMJ. 2021;1–36.
Yang K. A Review of Yoga Programs for Four Leading Risk Factors of Chronic Diseases. Evidence-based Complement Altern Med. 2007;4(4):487–91.
Tripathi K, Swaroop S, Arya A, Pandey D, Bhavsar A, Dutt V. Exploring the Effects of Yoga on Self-Esteem and Emotional Well-Being in Stressed College Students: A Randomized Controlled Trial. In: PETRA ’24: The PErvasive Technologies Related to Assistive Environments Conference. Greece: Association for Computing Machinery (ACM); 2024. p. 640–6.
Lander L, Chiasson-Downs K, Andrew M, Rader G, Dohar S, Waibogha K. Yoga as an Adjunctive Intervention to Medication-Assisted Treatment with Buprenorphine+Naloxone. J Addict Res Ther. 2018;9(1):1–13.
Caetano T, Pinho M, Ramadas E, Clara C, Areosa T, Dixe M. Cognitive Training Effectiveness on Memory, Executive Functioning, and Processing Speed in Individuals With Substance Use Disorder: A Systematic Review. Front Psychol. 2021;12(730165):1–22.
Gaihre A, Rajesh S. Effect of Add-On Yoga on Cognitive Functions among Substance Abusers in a Residential Therapeutic Center: Randomized Comparative Study. Ann Neurosci. 2018;25:38–45.
Smith J, Mattick R, Jamadar S, Iredale J. Deficits in Behavioural Inhibition in Substance Abuse and Addiction: A Meta-Analysis. Drug Alcohol Depend. 2014;145:1–33.
Gothe N, Kramer A, Mcauley E. The Effects of An 8-Week Hatha Yoga Intervention on Executive Function in Older Adults. Journals Gerontol Med Sci. 2014;69:1109–16.
Hariprasad V, Varambally S, Shivakumar V, Kalmady S, Venkatasubramanian G. Yoga Increases the Volume of The Hippocampus in Elderly Subjects. Indian J Psychiatry. 2013;55:S394–S396.
Habibzadeh T, Nosratabad T, Rezayi A. Effect of Yoga Training on Psychological Well-being, Emotion Regulation, and Sleep Quality of Prisoners. J Res Heal. 2024;14(5):467–78.
Ogeil R, Phillips J. Commonly Used Stimulants: Sleep Problems, Dependence and Psychological Distress. Drug Alcohol Depend. 2015;153:145–51.
Speed T, Hanks L, Turner G, Gurule E, Kearson A, Buenaver L, et al. A Comparison of Cognitive Behavioral Therapy for Insomnia to Standard of Care in An Outpatient Substance Use Disorder Clinic Embedded within A Therapeutic Community: A RE?AIM Framework Evaluation. Trials. 2022;23(965):1–15.
Alavi S, Irani R, Pakseresht S. Effects of Brief Cognitive Behavioral Therapy on Mental Health in Substance-Related Disorder: A Randomized Controlled Trial. BMC Psychiatry. 2023;23(925):1–8.
Fukaya T, Sato S, Yahata K, Yoshida R, Takeuchi K, Nakamura M. Effects of Stretching Intensity on Range of Motion and Muscle Stiffness: A narrative Review. J Bodyw Mov Ther. 2022;32:68–76.
Rathore V, Singh S, Katiyar V. Exploring the Therapeutic Effects of Yoga on Spine and Shoulder Mobility: A Systematic Review. J Bodyw Mov Ther. 2024;40:586–96.
Tiwari A, Tirkey D. Effects of Yoga on Physical and Physiological Variables: A Narrative Review. Int J Phys Educ Sport Heal. 2024;11(1):208–11.
Khalsa S, Adolphs R, Cameron O, Critchley H, Davenport P, Feinstein J, et al. Interoception and Mental Health: A Roadmap. Biol Psychiatry Cogn Neurosci Neuroimaging. 2018;3:501–13.
Weng H, Feldman J, Leggio L, Napadow V, Park J, Price C. Interventions and Manipulations of Interoception. Trends Neurosci. 2021;44(1):52–62.
Devi N, Singh T, Subramanya. EFFECT OF YOGA ON DEPRESSION AND QUALITY OF LIFE IN DRUG ABUSERS. Int J Ayurveda Pharma Res. 2014;2(2):61–5.
Wimberly AS, Engstrom M, Layde M, McKay JR. A Randomized Trial of Yoga for Stress and Substance Use Among People Living with HIV in Re-entry. J Subst Abuse Treat. 2018;94:97–104.
Chauhan I, Negi A. Impact of Yoga on Stress, Anxiety, and Depression in Male Drug Addicts During Rehabilitation. J Stress Physiol Biochem. 2024;20(3):178–85.
Sinha R. Chronic Stress, Drug Use, and Vulnerability to Addiction. Ann N Y Acad Sci. 2008;1141:105–30.
Bador K, Kerekes N. Evaluation of an Integrated Intensive Cognitive Behavioral Therapy Treatment Within Addiction Care. J Behav Health Serv Res. 2020;47(1):102–12.
Black D, Amaro H. Moment-by-Moment in Women’s Recovery (MMWR): Mindfulness-Based Iintervention Effects on Residential Substance Use Disorder Treatment Retention in A Randomized Controlled Trial. Behav Res Ther. 2019;120(103437):1–11.
Willy-Gravley S, Beauchemin J, Pirie P, Gomes A, Klein E. A Randomized Controlled Trial of Yoga with Incarcerated Females: Impacts on Emotion Regulation, Body Dissociation, and Warnings of Substance Relapse. Soc Work Res. 2021;45(1):20–9.
Price C, Herting J. Changes in Post Traumatic Stress Symptoms Among Women in Substance Use Disorder Treatment: The Mediating Role of Bodily Dissociation and Emotion Regulation. Subst Abus Res Treat. 2013;7:147–53.
Yaghubi M, Zargar F, Akbari H. Comparing Effectiveness of Mindfulness-Based Relapse Prevention with Treatment as Usual on Impulsivity and Relapse for Methadone-Treated Patients: A Randomized Clinical Trial. Addict Heal. 2017;9(3):156–65.
Keen N, Hunter E, Peters E. Integrated Trauma-Focused Cognitive-Behavioural Therapy for Post-traumatic Stress and Psychotic Symptoms: A Case-Series Study Using Imaginal Reprocessing Strategies. Front Psychiatry. 2017;8(92):1–17.
Price C, Thompson E. Measuring Dimensions of Body Connection: Body Awareness and Bodily Dissociation. J Altern Complement Med. 2007;13(9):1–13.
Emerson D, Sharma R, Chaudhry S, Turner J. Trauma-Sensitive Yoga: Principles, Practice, and Research. Int J Yoga Therap. 2009;19:123–8.
Dhawan A, Chopra A, Jain R, Yadav D, Vedamurthacha. Effectiveness of Yogic Breathing Intervention on Quality of Life of Opioid Dependent Users. Int J Yoga. 2015;8:144–7.
Mallik D, Bowen S, Yang Y, Perkins R, Sandoz EK. Raja Yoga Meditation and Medication-Assisted Treatment for Relapse Prevention: A Pilot Study. J Subst Abuse Treat. 2019;96:58–64.
Miller N. ‘Yoga is A Way of Life’ Exploring Experiences of Yoga As A Treatment for Substance Use: An Interpretative Phenomenological Analysis. Couns Psychother Res. 2024;24:1689–98.
Magill M, Ray L, Kiluk B, Hoadley A, Bernstein M, Tonigan S, et al. A Meta-Analysis of Cognitive-Behavioral Therapy for Alcohol or Other Drug Use Disorders: Treatment Efficacy by Contrast Condition. J Consult Clin Psychol. 2019;87(12):1093–105.
Kiluk B, Nich C, Buck M, Devore K, Frankforter T, LaPaglia D, et al. Randomized Clinical Trial of Computerized and Clinician-Delivered CBT in Comparison With Standard Outpatient Treatment for Substance Use Disorders: Primary Within-Treatment and Follow-Up Outcomes. Am J Psychiatry. 2018;175(9):853–63.
Khanna S, Greeson J. A Narrative Review of Yoga and Mindfulness as Complementary Therapies for Addiction. Complement Ther Med. 2013;21:244–52.
Davis J, Berry D, Dumas T, Ritter E, Smith D, Menard C, et al. Substance Use Outcomes for Mindfulness Based Relapse Prevention are Partially Mediated by Reductions in Stress: Results from A Randomized Trial. J Subst Abuse Treat. 2018;91:37–48.
Garland E, Lewis A, Tronnier C, Graves R, Kelley K. Mindfulness-Oriented Recovery Enhancement versus CBT for Co-occurring Substance Dependence, Traumatic Stress, and Psychiatric Disorders: Proximal Outcomes from A Pragmatic Randomized Trial. Behav Res Ther. 2018;77:7–16.
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