Szuhany (2022)

Moderate · RCT Secondary Analysis · Secondary Analysis (RCT-derived) · n = 165
Quality Index (Adjusted QI) 0.762
0 Low < 0.56 Moderate 0.56–0.77 High ≥ 0.78 1
Study Details
ConditionGAD (preference impact)
Clinical domainAnxiety & Stress
PopulationAdults with GAD
Sample sizen = 165
Country / SettingUSA - Simon 2021 sites
Protocol clusterKY-GAD (Y-CBT)
Duration12 weeks; twelve weekly group sessions (Simon 2021 trial)
Control typeActive Control
ComparatorActive control (see methods)
Outcomes & Effect Sizes
Primary outcomeAnxiety (GAD)
Scales usedCGI-I; responder rates; dropout tracking
Key resultPreference for treatment affected engagement but not outcome
Effect sizePreference effect on engagement monitored; outcomes unaffected
Retention89% (165 followed)
SafetyNo adverse events
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Methodological Summary

Secondary RCT analysis; large subsample; adherence focus

KY Protocol Components

KY-GAD Protocol: 12-week Yoga-enhanced Cognitive Behavioral Therapy for Generalized Anxiety Disorder. STRUCTURE: Weekly 2-hour group classes + daily 20-min home practice KEY COMPONENTS: • Sessions 1-3: Sitali Breath, Basic Spinal Energy Series, Segmented Breath for Anxiety • Sessions 4-7: Alternate Nostril Breathing, Calmness and Anti-anxiety Series, Tattva Balance Beyond Stress & Duality • Sessions 8-12: Pauri Kriya (Sa-Ta-Na-Ma with segmented breathing), Stress Set for Adrenals and Kidneys, Shabad Kriya (sleep meditation) • Psychoeducation: Home practice fundamentals (weeks 1-3), meditation-in-action/mindfulness (4-6), self-efficacy/regulation (7-8), yogic lifestyle/habit maintenance (9-12) PROTOCOL DEVELOPMENT: Dr. Shanti Shanti Kaur Khalsa, Guru Ram Das Center for Mind-Body Medicine STUDY-SPECIFIC: Treatment preference effects on engagement and adherence; preference-matching analysis from main trial.

Quality Item Scores — 1 fail · 2 partial · 3 pass · ★ critical
★A1
2
A2
3
★B1
2
★B2
3
B3
3
B4
3
★B5
2
B6
2
★B7
2
★B8
2
B9
2
JP1
3
Critical fails0
Raw QI0.806
SAF0.946
Adjusted QI0.762
Final ratingModerate