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The effects of Rajyoga mindfulness meditation training on heart rate variability in panic disorder: A randomized controlled trial.

Kamlesh Jha, Pankaj Kumar, Yogesh Kumar, C P Ganashree, Chandrabhushan Tripathi, B K Shrikant, Arundhathi Kumari

Indian Journal of Psychiatry March 1, 2025 DOI: 10.4103/indianjpsychiatry.indianjpsychiatry_323_24 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 110
Population Patients with panic disorder recruited from a psychiatry department in India
Intervention Rajyoga meditation
Duration 8-week intervention
Topics Anxiety Meditation
Keywords Heart rate variability Rajyoga Mind–body therapies
Citations 3
Key findings Eight weeks of Rajyoga mindfulness meditation training improved heart rate variability and parasympathetic activity in patients with panic disorder compared to standard treatment alone.

Abstract

Panic disorder is associated with autonomic nervous system dysfunction and reduced heart rate variability (HRV). Enhancing HRV may help mitigate symptoms of panic disorder. This study investigated the effects of Rajyoga mindfulness meditation training on HRV in patients with panic disorder. This prospective randomized controlled trial included 110 patients with panic disorder recruited from a psychiatry department in India. Participants were randomized to either an 8-week Rajyoga meditation intervention (n = 55) or a waitlist control group (n = 55) receiving standard treatment alone. HRV was measured at baseline and after 8 weeks using time domain (SDRR, RMSSD, pNN50) and frequency domain (total power, HF, LF, LF/HF ratio) parameters. At baseline, there were no significant differences in demographics or HRV parameters between groups. After 8 weeks, the Rajyoga group showed significant increases in SDRR, RMSSD, pNN50, and total power compared to controls (P < 0.05), indicating improved parasympathetic activity. The LF/HF ratio decreased in the Rajyoga group versus controls, suggesting a shift toward parasympathetic predominance. Eight weeks of Rajyoga mindfulness meditation training improved HRV and parasympathetic activity in patients with panic disorder compared to standard treatment alone. Rajyoga meditation may be a beneficial adjunctive intervention for enhancing autonomic regulation in panic disorder.

Comparable studies

Other randomized controlled trials on anxiety, most cited first.

Study Year Design Participants
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: A randomized double-blind trial Cancer patients with life-threatening diagnoses and symptoms of depression and/or anxiety 2016 Randomized controlled trial n = 51
Rapid and sustained symptom reduction following psilocybin treatment for anxiety and depression in patients with life-threatening cancer: a randomized controlled trial Patients with cancer-related anxiety and depression 2016 Double-blind, placebo-controlled, crossover trial n = 29
Psilocybin can occasion mystical-type experiences having substantial and sustained personal meaning and spiritual significance Hallucinogen-naïve adults reporting regular participation in religious or spiritual... 2006 Double-blind study n = 36
Pilot Study of Psilocybin Treatment for Anxiety in Patients With Advanced-Stage Cancer Adults with advanced-stage cancer and anxiety 2010 Double-blind, placebo-controlled study n = 12

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