, Volume 8, Issue 5, pp 1269–1279 | Cite as

Ashtanga Yoga for Psychological Well-being: Initial Effectiveness Study

  • Josée L. JarryEmail author
  • Felicia M. Chang
  • Loreana La Civita


Ashtanga is a traditional form of yoga combining vigorous exercise and controlled breathing with the goal of inducing a meditative state through its physical practice. In this study, we examined the effectiveness of Ashtanga yoga as an intervention to improve psychological well-being. Non-clinical volunteers were offered 18 Ashtanga yoga classes, twice per week, over a 9-week period and completed measures of depression, anxiety, affect, self-esteem and interpersonal functioning before starting classes, after the 10th class and after the last class. Of the 44 participants who attended at least one class, 31 completed all three measurement points and attended an average of 11 classes (range = 5–18). Completers reported significant improvements in depression and anxiety symptoms, affect, self-esteem and interpersonal functioning dimensions related to assertiveness, attention to one’s needs and capacity to connect. These results provide support for future investigations of Ashtanga yoga in clinical populations and the exploration of the mechanisms by which it promotes psychological well-being.


Ashtanga yoga Depression Anxiety Self-esteem Interpersonal functioning 



The authors are grateful to Gina Wasserlein, B.A., for serving as a yoga consultant and teacher on a voluntary basis for this study, and to Mike Roslan for his editorial help.

Compliance with Ethical Standards

Ethical Approval

All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


  1. Battle, C. C., Imber, S. D., Hoehn-Saric, R., Stone, A. R., Nash, E. R., & Frank, J. D. (1966). Target complaints as criteria of improvement. American Journal of Psychotherapy, 20, 184–192.PubMedGoogle Scholar
  2. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression Inventory (Second ed.). San Antonio: Psychological Corporation.Google Scholar
  3. Bihari, J. L. N., & Mullan, E. G. (2014). Relating mindfully: A qualitative exploration of changes in relationships through mindfulness-based cognitive therapy. Mindfulness, 5(1), 46–59. doi: 10.1007/s12671-012-0146-x.CrossRefGoogle Scholar
  4. Borenstein, M., Hedges, L. V., Higgins, J. P., & Rothstein, H. R. (2009). Introduction to meta analysis. Chichester: Wiley.Google Scholar
  5. Bower, J. E., Garet, D., Sternlieb, B., Ganz, P. A., Irwin, M. R., Olmstead, R., & Greendale, G. (2012). Yoga for persistent fatigue in breast cancer survivors: a randomized controlled trial. Cancer, 118(15), 3766–3775. doi: 10.1002/cncr.26702.CrossRefPubMedGoogle Scholar
  6. Chandwani, K. D., Perkins, G., Nagendra, H. R., Raghuram, N. V., Spelman, A., Nagarathna, R., et al. (2014). Randomized, controlled trial of yoga in women with breast cancer undergoing radiotherapy. Journal of Clinical Oncology, 32(10), 1058–1065. doi: 10.1200/JCO.2012.48.2752.CrossRefPubMedPubMedCentralGoogle Scholar
  7. Clarke, T. C., Black, L. I., Stussman, B. J., Barnes, P. M., & Nahin, R. L. (2015). Trends in the use of complementary health approaches among adults: United States, 2002–2012. National Health Statistics Reports, 79, 1–16.Google Scholar
  8. Cramer, H., Lange, S., Klose, P., Paul, A., & Dobos, G. (2012). Yoga for breast cancer patients and survivors: A systematic review and meta-analysis. BMC Cancer, 12(1), 412–424. doi: 10.1186/1471-2407-12-412.CrossRefPubMedPubMedCentralGoogle Scholar
  9. Cramer, H., Lauche, R., Langhorst, J., & Dobos, G. (2013). Yoga for depression: A systematic review and meta-analysis. Depression and Anxiety, 30(11), 1068–1083. doi: 10.1002/da.22166.CrossRefPubMedGoogle Scholar
  10. Cramer, H., Lauche, R., Langhorst, J., & Dobos, G. (2016). Is one yoga style better than another? A systematic review of associations of yoga style and conclusions in randomized yoga trials. Complementary Therapies in Medicine, 25, 178–187. doi: 10.1016/j.ctim.2016.02.015.CrossRefPubMedGoogle Scholar
  11. de Moor, M. H. M., Beem, A. L., Stubbe, J. H., Boomsma, D. I., & de Geus, E. J. C. (2006). Regular exercise, anxiety, depression and personality: A population-based study. Preventive Medicine: An International Journal Devoted to Practice and Theory, 42(4), 273–279. doi: 10.1016/j.ypmed.2005.12.002.CrossRefGoogle Scholar
  12. Dekeyser, M., Raes, F., Leijssen, M., Leysen, S., & Dewulf, D. (2008). Mindfulness skills and interpersonal behaviour. Personality and Individual Differences, 44(5), 1235–1245. doi: 10.1016/j.paid.2007.11.018.CrossRefGoogle Scholar
  13. Fox-Wasylyshyn, S. M. & El-Masri, M. M. (2005). Handling missing data in self-report measures. Research in Nursing & Health, 28(6), 488–495. doi: 10.1002/nur.20100.
  14. Franzoi, S. L. (1995). The body-as-object versus the body-as-process: Gender differences and gender considerations. Sex Roles, 33(5–6), 417–437. doi: 10.1007/BF01954577.CrossRefGoogle Scholar
  15. Guglietti, C. L., Daskalakis, Z. J., Radhu, N., Fitzgerald, P. B., & Ritvo, P. (2013). Meditation related increases in GABAB modulated cortical inhibition. Brain Stimulation,6(3), 397-402. doi: 10.1016/j.brs.2012.08.005
  16. Gwet, J. P., & Rivest, L. P. (1992). Outlier resistant alternatives to the ratio estimator. Journal of the American Statistical Association, 87(420), 1174–1182.CrossRefGoogle Scholar
  17. Hartranft, C. (2003). The yoga-sutra of Patanjali: A new translation with commentary. Boston: Chambala Publications.Google Scholar
  18. Heatherton, T. F., & Polivy, J. (1991). Development and validation of a scale for measuring state self-esteem. Journal of Personality and Social Psychology, 60, 895–910. doi: 10.1037/00223514.60.6.895.CrossRefGoogle Scholar
  19. Hermann, K. S., & Betz, N. E. (2006). Path models of the relationships of instrumentality and expressiveness, social self-efficacy, and self-esteem to depressive symptoms in college students. Journal of Social and Clinical Psychology, 25(10), 1086–1106. doi: 10.1521/jscp.2006.25.10.1086.CrossRefGoogle Scholar
  20. Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183. doi: 10.1037/a0018555.CrossRefPubMedPubMedCentralGoogle Scholar
  21. Horowitz, L. M., Alden, L. E., Wiggins, J. S., & Pincus, A. L. (2000). Inventory of interpersonal problems (IIP-32/IIP-64) : London: Psychological Corporation.Google Scholar
  22. Hu, L., McAuley, E., & Elavsky, S. (2005). Does the physical self-efficacy scale assess self-efficacy or self-esteem? Journal of Sport & Exercise Psychology, 27(2), 152–170. doi: 10.1123/jsep.27.2.152.CrossRefGoogle Scholar
  23. Ipsos Public Affairs. (2016). Yoga in America study. Retrieved from
  24. Iyengar, B. K. S. (1966). Light on yoga. New York: Schocken Books.Google Scholar
  25. Jerath, R., Crawford, M. W., Barnes, V. A., & Harden, K. (2015). Self-regulation of breathing as a primary treatment for anxiety. Applied Psychophysiology and Biofeedback, 40(2), 107–115. doi: 10.1007/s10484-015-9279-8.CrossRefPubMedGoogle Scholar
  26. Jois, P. (2010). Yoga mala. New York: North Point Press.Google Scholar
  27. Kessler, R. C., Stang, P. E., Wittchen, H. U., Ustun, T. B., Roy-Burne, P. P., & Walters, E. E. (1998). Lifetime panic-depression comorbidity in the National Comorbidity Survey. Archives of General Psychiatry, 55(9), 801–808. doi: 10.1001/archpsyc.55.9.801.CrossRefPubMedGoogle Scholar
  28. Kinser, P. A., Bourguignon, C., Whaley, D., Hauenstein, E., & Taylor, A. G. (2013). Feasibility, acceptability, and effects of gentle hatha yoga for women with major depression: Findings from a randomized controlled mixed-methods study. Archives of Psychiatric Nursing, 27(3), 137–147. doi: 10.1016/j.apnu.2013.01.003.CrossRefPubMedPubMedCentralGoogle Scholar
  29. Kline, R. B. (2011). Principles and practices of structural equation modeling (3rd ed.). New York: Guilford Press.Google Scholar
  30. Knapen, J., Vancampfort, D., Moriën, Y., & Marchal, Y. (2015). Exercise therapy improves both mental and physical health in patients with major depression. Disability and Rehabilitation, 37(16), 1490–1495. doi: 10.3109/09638288.2014.972579.CrossRefPubMedGoogle Scholar
  31. Kovačič, T., & Kovačič, M. (2011). Impact of relaxation training according to yoga in daily life® system on perceived stress after breast cancer surgery. Integrative Cancer Therapies, 10(1), 16–26. doi: 10.1177/1534735410387418.CrossRefPubMedGoogle Scholar
  32. Mackenzie, M. J., Carlson, L. E., Paskevich, D. M., Ekkekakis, P., Wurz, A. J., Wytsma, K., et al. (2014). Associations between attention, affect and cardiac activity in a single yoga session for female cancer survivors: An enactive neurophenomenology-based approach. Consciousness and Cognition, 27, 129–146. doi: 10.1016/j.concog.2014.04.005.CrossRefPubMedGoogle Scholar
  33. Maehle, G. (2006). Ashtanga yoga: Practice & philosophy. Novato: New World Library.Google Scholar
  34. McIver, S., O’Halloran, P., & McGartland, M. (2009). Yoga as a treatment for binge eating disorder: A preliminary study. Complementary Therapies in Medicine, 17(4), 196–202. doi: 10.1016/j.ctim.2009.05.002.CrossRefPubMedGoogle Scholar
  35. Möhler, H. (2012). The GABA system in anxiety and depression and its therapeutic potential. Neuropharmacology, 62(1), 42–53. doi: 10.1016/j.neuropharm.2011.08.040.CrossRefPubMedGoogle Scholar
  36. National Center for Complementary and Integrative Health. (2016). Yoga. Retrieved from
  37. Orth, U., Robins, R. W., Meier, L. L., & Conger, R. D. (2016). Refining the vulnerability model of low self-esteem and depression: Disentangling the effects of genuine self-esteem and narcissism. Journal of Personality and Social Psychology, 110(1), 133–149. doi: 10.1037/pspp0000038.CrossRefPubMedGoogle Scholar
  38. Prinstein, M. J., Borelli, J. L., Cheah, C. S., Simon, V. A., & Aikins, J. W. (2005). Adolescent girls’ interpersonal vulnerability to depressive symptoms: A longitudinal examination of reassurance-seeking and peer relationships. Journal of Abnormal Psychology, 114(4), 676–688. doi: 10.1037/0021-843X.114.4.676.CrossRefPubMedGoogle Scholar
  39. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton: Princeton University Press.CrossRefGoogle Scholar
  40. Smith, J. A., Greer, T., Sheets, T., & Watson, S. (2011). Is there more to yoga than exercise? Alternative Therapies in Health and Medicine, 17(3), 22–29.PubMedGoogle Scholar
  41. Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the Stait-trait anxiety Inventory (form Y) (“self-evaluation questionnaire”). Palo Alto: Consulting Psychologists Press.Google Scholar
  42. Streeter, C. C., Jensen, J. E., Perlmutter, R. M., Cabral, H. J., Tian, H., Terhune, D. B., et al. (2007). Yoga asana sessions increase brain GABA levels: A pilot study. The Journal of Alternative and Complementary Medicine, 13(4), 419–426. doi: 10.1089/acm.2007.6338.CrossRefPubMedGoogle Scholar
  43. Streeter, C. C., Whitfield, T. H., Owen, L., Rein, T., Karri, S. K., Yakhkind, A., et al. (2010). Effects of yoga versus walking on mood, anxiety, and brain GABA levels: A randomized controlled MRS study. The Journal of Alternative and Complementary Medicine, 16(11), 1145–1152. doi: 10.1089/acm.2010.0007.CrossRefPubMedPubMedCentralGoogle Scholar
  44. Stussman, B. J., Black, L. I., Barnes, P. M., Clarke, T. C., & Nahin, R. L. (2015). Wellness related use of common complementary health approaches among adults: United States, 2012. National Health Statistics Reports, 85, 1–12.Google Scholar
  45. Swenson, D. (1999). Ashtanga yoga: The practice manual / edition 1. Houtson: Ashtanga Yoga Productions.Google Scholar
  46. Telles, S., & Raghavendra, B. R. (2011). Neurophysiological changes in meditation correlated with descriptions from the ancient texts. Biofeedback, 39(2), 56–59. doi: 10.5298/1081593739.2.08.CrossRefGoogle Scholar
  47. Vispoel, W. P., Boo, J., & Bleiler, T. (2001). Computerized and paper-and-pencil versions of the Rosenberg self-esteem scale: A comparison of psychometric features and respondent preferences. Educational and Psychological Measurement, 61(3), 461–474. doi: 10.1177/00131640121971329.CrossRefGoogle Scholar
  48. Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070. doi: 10.1037/0022-3514.54.6.1063.CrossRefPubMedGoogle Scholar
  49. World Health Organization. (2013). Mental health action plan 2013–2020. Retrieved from

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Josée L. Jarry
    • 1
    Email author
  • Felicia M. Chang
    • 1
  • Loreana La Civita
    • 1
  1. 1.Department of PsychologyUniversity of WindsorWindsorCanada

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