Meditative Movement for Depression and Anxiety

by Peter Payne(1) and Mardi A. Crane-Godreau(1,2,*)

Frontiers in Psychiatry
(July 2013) 

Abstract

This review focuses on Meditative Movement (MM) and its effects on anxiety, depression, and other affective states. MM is a term identifying forms of exercise that use movement in conjunction with meditative attention to body sensations, including proprioception, interoception, and kinesthesis. MM includes the traditional Chinese methods of Qigong (Chi Kung) and Taijiquan (Tai Chi), some forms of Yoga, and other Asian practices, as well as Western Somatic practices; however this review focuses primarily on Qigong and Taijiquan. We clarify the differences between MM and conventional exercise, present descriptions of several of the key methodologies of MM, and suggest how research into these practices may be approached in a systematic way. We also present evidence for possible mechanisms of the effects of MM on affective states, including the roles of posture, rhythm, coherent breathing, and the involvement of specific cortical and subcortical structures. We survey research outcomes summarized in reviews published since 2007. Results suggest that MM may be at least as effective as conventional exercise or other interventions in ameliorating anxiety and depression; however, study quality is generally poor and there are many confounding factors. This makes it difficult to draw definitive conclusions at this time. We suggest, however, that more research is warranted, and we offer specific suggestions for ensuring high-quality and productive future studies.

Keywords: Qigong, Chi Kung, Taijiquan, Tai Chi, exercise, basal ganglia, default mode network, interoception

Author information:

(1) Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA
(2) Research and Development Service, Veteran’s Administration Medical Center, White River Junction, VT, USA
Edited by: Felipe Schuch, Hospital de Clinicas de Porto Alegre, Brazil
Reviewed by: William R. Marchand, University of Utah, USA; Petros C. Dinas, FAME Laboratory, Greece
*Correspondence: Mardi A. Crane-Godreau, Microbiology and Immunology, Geisel School of Medicine at Dartmouth, 1 Medical Center Drive, HB 7936, Lebanon, 03756 NH, USA e-mail: ude.htuomtrad@enarc.idram

Full Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3721087/

A Comprehensive Review of Health Benefits of Qigong and Tai Chi

by Roger Jahnke, OMD, Linda Larkey, PhD, Carol RogersJennifer Etnier, PhD, and Fang Lin

American Journal of Health Promotion
(July – August 2010) 

Abstract

Objective

Research examining psychological and physiological benefits of Qigong and Tai Chi is growing rapidly. The many practices described as Qigong or Tai Chi have similar theoretical roots, proposed mechanisms of action and expected benefits. Research trials and reviews, however, treat them as separate targets of examination. This review examines the evidence for achieving outcomes from randomized controlled trials (RCTs) of both.

Data Sources

The key words tai chi, taiji, and qigong were entered into electronic search engines for the Cumulative Index for Allied Health and Nursing (CINAHL), Psychological Literature (PsychInfo), PubMed, Cochrane database, and Google Scholar.

Study Inclusion Criteria

RCTs reporting on the results of Qigong or Tai Chi interventions and published in peer reviewed journals published from 1993–2007

Data Extraction

Country, type and duration of activity, number/type of subjects, control conditions, and reported outcomes were recorded for each study.

Synthesis

Outcomes related to Qigong and Tai Chi practice were identified and evaluated.

Results

Seventy-seven articles met the inclusion criteria. The 9 outcome category groupings that emerged were: bone density (n=4), cardiopulmonary effects (n=19), physical function (n=16), falls and related risk factors (n=23), Quality of Life (n=17), self-efficacy (n=8), patient reported outcomes (n=13), psychological symptoms (n=27), and immune function (n=6).

Conclusions

Research has demonstrated consistent, significant results for a number of health benefits in RCTs, evidencing progress toward recognizing the similarity and equivalence of Qigong and Tai Chi.

Keywords: tai chi, taiji, meditation, qigong, mind body practice, meditative movement, moderate exercise, breathing

A substantial body of published research has examined the health benefits of Tai Chi (also called Taiji) a traditional Chinese wellness practice. In addition, a strong body of research is also emerging for Qigong, an even more ancient traditional Chinese wellness practice that has similar characteristics to Tai Chi. Qigong and Tai Chi have been proposed, along with Yoga and Pranayama from India, to constitute a unique category or type of exercise referred to currently as meditative movement. These two forms of meditative movement, Qigong and Tai Chi, are close relatives having shared theoretical roots, common operational components, and similar links to the wellness and health promoting aspects of traditional Chinese medicine. They are nearly identical in practical application in the health enhancement context and share much overlap in what traditional Chinese medicine describes as the “three regulations”: body focus (posture and movement), breath focus, and mind focus (meditative components).

Due to the similarity of Qigong and Tai Chi, this review of the state of the science for these forms of meditative movement will investigate the benefits of both forms together. In presenting evidence for a variety of health benefits, many of which are attributable to both practices, we will point to the magnitude of the combined literature and suggest under what circumstances Qigong and Tai Chi may be considered as potentially equivalent interventions, with recommendations for standards and further research to clarify this potential.

Full Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085832/