Yoga and dialectical behaviour therapy

Abstract

There is a continually growing evidence base for both yoga and dialectical behaviour therapy (DBT) as interventions leading to improved psychological outcomes. Previous research suggests conceptual commonalities between yoga and the DBT skills modules. A model presented by Bennetts (2022) postulates that yoga and DBT may target shared transdiagnostic psychological processes, in DBT via skills practice and in yoga via rehearsal of the eight limbs. However, this has not been discussed in great depth, or supported by empirical research. There are implications for further research comparing the efficacy of yoga and DBT, and the potential for more holistic interventions to be offered in clinical practice.

Chapter one presents a systematic review of mediation studies exploring the mechanisms of change in DBT. Eighteen studies were included in the review. Identified mediators were in line with the theoretical basis of DBT and existing DBT literature. Skill use, emotion regulation, mindfulness and experiential avoidance were supported as mediators between different variables in multiple studies. There was single case support for other concepts as mediators. Findings were limited by broad and overlapping constructs with regards to potential mediators, and heterogeneity in DBT interventions, outcome measures and clinical populations. Directions for future research and the clinical implications are discussed.

Chapter two presents a quantitative cross sectional study investigating the relationship between the eight limbs of yoga, the four skills modules of DBT, and mental wellbeing. A total of 204 yoga practisers (YP) and 229 non-yoga practisers (NYP) (N = 433) were recruited to complete an online survey. Participant scores on self-report measures indicated that YPs had significantly greater levels of emotion regulation, distress tolerance, mindfulness, interpersonal satisfaction and mental wellbeing than NYPs. Each of the eight limbs of yoga correlated with at least one outcome measure. Total scores on each outcome measure were predicted by certain limbs; yama was the most consistent predictor. This study adds to existing DBT literature in evidencing a significant strong correlation between the four measures relating to the four DBT skills modules. Clinical implications and recommendations for future research are discussed.

More information

Identifiers

ORCID for Alison Bennetts: orcid.org/0000-0003-2461-7868

ORCID for Alison Bennetts: orcid.org/0000-0003-2461-7868

Catalogue record

Export record