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Japanese

April. 24, 2026

April. 24, 2026

jRCT1030260084

Targeting Stress Reactivity Through Brief Home-Based Yoga Therapy for Caregivers of Patients with Eating Disorders (YOGA-TO-ED)

Home-based Yoga Therapy for Caregivers of Patients with Eating Disorders (YOGA-TO-ED)

Inoue Tomoko

Department of Behavioral Medicine, National Institute of Mental Health, National Center of Neurology and Psychiatry

4-1-1, Ogawa-Higashicho, Kodaira-shi, Tokyo

+81-42-346-1961

inoue-tm@ncnp.go.jp

Inoue Tomoko

Department of Behavioral Medicine, National Institute of Mental Health, National Center of Neurology and Psychiatry

4-1-1, Ogawa-Higashicho, Kodaira-shi, Tokyo

+81-8066418107

inoue-tm@ncnp.go.jp

Pending

July. 01, 2026

80

Interventional

single arm study

open(masking not used)

uncontrolled control

single assignment

treatment purpose

Caregivers
Primary caregivers of patients diagnosed with anorexia nervosa (AN), bulimia nervosa (BN), or avoidant/restrictive food intake disorder (ARFID) according to DSM-5
Caregivers of patients aged 12 to 22 years at the time of consent
Living with the patient
Aged between 20 and 70 years
Able to understand the study procedures and complete the required assessments and home-based practice

Patients
Diagnosed with anorexia nervosa (AN), bulimia nervosa (BN), or avoidant/restrictive food intake disorder (ARFID) according to DSM-5
Aged between 12 and 22 years at the time of consent
Currently receiving outpatient treatment
Duration of illness of at least 3 months
Able to understand the study procedures and complete the required assessments

Caregivers
History of or current neurological disorders or cardiac disease that may affect heart rate variability (HRV)
Currently receiving treatment for psychiatric disorders or serious physical illness
Current regular practice of yoga or mindfulness-based interventions

Patients
History of or current neurological disorders or cardiac disease that may affect heart rate variability (HRV)
Currently receiving treatment for severe physical illness or having a physical condition that interferes with daily functioning
Presence of comorbid psychiatric disorders that would interfere with study participation
Current regular practice of yoga or mindfulness-based interventions

12age old over
22age old under

Both

Eating disorders (anorexia nervosa, bulimia nervosa, and avoidant/restrictive food intake disorder)

Yoga therapy (home-based program)

Participants will receive an 8-week home-based yoga therapy program consisting of:

Weekly psychoeducational video sessions (~5 minutes) focusing on stress regulation and mindfulness-based perspectives
Daily home practice (~5 minutes per day), including:
Isometric exercises
Breathing techniques
Meditation

Participants will be instructed to practice at least 5 days per week.

Additional support includes:

Daily self-report of practice via a messaging application
Weekly follow-up (via phone, online meeting, or messaging) to monitor adherence and address concerns

After the intervention period, participants will undergo an additional 8-week follow-up period without active intervention.

Eating disorders, anorexia nervosa, bulimia nervosa, avoidant restrictive food intake disorder

Yoga therapy, home-based intervention, mindfulness, breathing techniques, meditation

F50.0Anorexia nervosa, F50.2Bulimia nervosa F50.8, Other eating disorders

N/A

Change in caregiver burden as measured by the Zarit Burden Interview (ZBI)

Caregivers
Psychological distress General Health Questionnaire 28 GHQ 28
Expressed emotion Family Attitude Scale FAS Family Questionnaire FQ
Eating disorder related caregiver perception Anorectic Behavior Observation Scale ABOS
Caregiver guilt Caregiver Guilt Questionnaire CGQ
Japanese version of the Difficulties in Emotion Regulation Scale DERS
Mindfulness Five Facet Mindfulness Questionnaire FFMQ
Autonomic function assessed by heart rate variability HRV
Qualitative changes based on semi structured interviews

Patients
Eating disorder symptoms Eating Attitudes Test 26 EAT 26 ChEAT 26
Parent child relationship Parental Bonding Instrument PBI
Psychological distress GHQ 28
Self esteem Rosenberg Self Esteem Scale RSES
Autonomic function assessed by HRV
Qualitative outcomes semi structured interviews perceived changes adherence acceptability burden

none
Clinical Research Review Board, National Center of Neurology and Psychiatry
4-1-1, Ogawa-Higashicho, Kodaira-shi, Tokyo, Tokyo

+81-42-346-1961

ml_rinrijimu@ncnp.go.jp
Approval

Jan. 09, 2026

No

none