{"doi":"10.1007/s11469-023-01178-9","title":"Comparing 12-Month Outcomes for Group CBT Versus Group CBT Plus Yoga for Depression and Anxiety: a Mixed-Methods Study","abstract":"<jats:title>Abstract</jats:title>\n          <jats:p>Emerging research shows yoga, a body-based mindfulness practice, appears to augment the benefits of transdiagnostic group CBT up to 3-month post-treatment, but less is known about longer-term outcomes. This mixed-methods study reports on 12-month findings of a pragmatic preference trial with adults (<jats:italic>N</jats:italic> = 59) diagnosed with depression or anxiety. It compares longer-term outcomes between adults who completed either a group CBT program or group CBT with an adjunct therapeutic yoga program. A fixed effects linear mixed model explored symptoms of depression and anxiety (DASS-21) between the groups at 12-month follow-up (CBT alone, <jats:italic>n</jats:italic> = 13; CBT+Yoga, <jats:italic>n</jats:italic> = 15). Focus groups and semi-structured interviews were also conducted (<jats:italic>n</jats:italic> = 20) to identify what practices were maintained at follow-up. At 12-month follow-up, participants in the combined CBT+Yoga group had sustained reductions in anxiety and depression, with significantly superior outcomes when compared to those receiving group CBT alone. Qualitative data suggested that therapeutic yoga enhanced longer-term access to CBT concepts and contributed to overall increases in positive feelings and actions. Therapeutic yoga as an adjunct to group CBT appears to augment the longer-term benefits of CBT with sustained therapeutic benefits at 12 months.</jats:p>","journal":"International Journal of Mental Health and Addiction","year":2025,"id":644844,"datarank":0.24141568686511508,"base_score":1.6094379124341003,"endowment":1.6094379124341003,"self_citation_contribution":0.24141568686511508,"citation_network_contribution":0.0,"self_endowment_contribution":0.24141568686511508,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1678682,"name":"Emma E. Houston","orcid":"0000-0001-7661-0444","position":1,"is_corresponding":false},{"id":791213,"name":"David Skvarc","orcid":"0000-0002-3334-4980","position":2,"is_corresponding":false},{"id":1678687,"name":"Hannah Capon","orcid":"0000-0003-0406-9374","position":3,"is_corresponding":false},{"id":1678692,"name":"Shane McIver","orcid":"0000-0003-1837-8661","position":4,"is_corresponding":false},{"id":56340,"name":"Michael Berk","orcid":"0000-0002-5554-6946","position":5,"is_corresponding":false},{"id":1678694,"name":"Jill Harris","orcid":null,"position":6,"is_corresponding":false},{"id":1678695,"name":"Belinda Chandler","orcid":null,"position":7,"is_corresponding":false},{"id":1678697,"name":"Subhadra Evans","orcid":"0000-0002-1898-0030","position":8,"is_corresponding":false},{"id":921532,"name":"Melissa O’Shea","orcid":"0000-0003-0230-3729","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Comparing 12-Month Outcomes for Group CBT Versus Group CBT Plus Yoga for Depression and Anxiety: a Mixed-Methods Study","abstract":"<jats:title>Abstract</jats:title>\n          <jats:p>Emerging research shows yoga, a body-based mindfulness practice, appears to augment the benefits of transdiagnostic group CBT up to 3-month post-treatment, but less is known about longer-term outcomes. This mixed-methods study reports on 12-month findings of a pragmatic preference trial with adults (<jats:italic>N</jats:italic> = 59) diagnosed with depression or anxiety. It compares longer-term outcomes between adults who completed either a group CBT program or group CBT with an adjunct therapeutic yoga program. A fixed effects linear mixed model explored symptoms of depression and anxiety (DASS-21) between the groups at 12-month follow-up (CBT alone, <jats:italic>n</jats:italic> = 13; CBT+Yoga, <jats:italic>n</jats:italic> = 15). Focus groups and semi-structured interviews were also conducted (<jats:italic>n</jats:italic> = 20) to identify what practices were maintained at follow-up. At 12-month follow-up, participants in the combined CBT+Yoga group had sustained reductions in anxiety and depression, with significantly superior outcomes when compared to those receiving group CBT alone. Qualitative data suggested that therapeutic yoga enhanced longer-term access to CBT concepts and contributed to overall increases in positive feelings and actions. Therapeutic yoga as an adjunct to group CBT appears to augment the longer-term benefits of CBT with sustained therapeutic benefits at 12 months.</jats:p>","is_dataset_classified":null,"base_score":1.6094379124341003,"endowment":1.6094379124341003,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"19767382","pmcid":null,"openalex_id":"https://openalex.org/W4387770868","authors":[],"funders":[],"total_grants":0,"fwci":1.081,"citation_percentile":0.77006246,"influential_citations":0,"citation_trend":[{"year":2024,"count":1},{"year":2025,"count":2},{"year":2026,"count":1}],"oa_status":"hybrid","license":"cc-by","oa_locations":[{"url":"https://link.springer.com/content/pdf/10.1007/s11469-023-01178-9.pdf","host_type":"journal"},{"url":"https://link.springer.com/content/pdf/10.1007/s11469-023-01178-9.pdf","host_type":"publisher"},{"url":"https://link.springer.com/article/10.1007/s11469-023-01178-9/fulltext.html","host_type":"publisher"},{"url":"https://doi.org/10.1007/s11469-023-01178-9","host_type":"journal"},{"url":"https://figshare.com/articles/journal_contribution/Comparing_12-Month_Outcomes_for_Group_CBT_Versus_Group_CBT_Plus_Yoga_for_Depression_and_Anxiety_a_Mixed-Methods_Study/24471799","host_type":"repository"}],"fields_of_study":["Mindfulness and Compassion Interventions","Complementary and Alternative Medicine Studies","Psychosomatic Disorders and Their Treatments"],"mesh_terms":[],"keywords":["Mindfulness","Anxiety","Depression (economics)","Clinical psychology","Feeling","Randomized controlled trial","Psychology","Psychotherapist","Group psychotherapy","Health psychology","Medicine","Physical therapy","Psychiatry","Public health","Internal medicine"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-09T02:16:40.451843Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}