1 240 156 A WEB-BASED COGNITIVE BEHAVIORAL THERAPY, MINDFULNESS MEDITATION, AND YOGA INTERVENTION FOR POSTTRAUMATIC STRESS DISORDER: SINGLE-ARM EXPERIMENTAL CLINICAL TRIAL. BACKGROUND: POSTTRAUMATIC STRESS DISORDER (PTSD) IS A DEBILITATING, UNDERTREATED CONDITION. THE WEB-BASED DELIVERY OF COGNITIVE BEHAVIORAL THERAPY SUPPLEMENTED WITH MINDFULNESS MEDITATION AND YOGA IS A VIABLE TREATMENT THAT EMPHASIZES SELF-DIRECTED DAILY PRACTICE. OBJECTIVE: THIS STUDY AIMS TO EXAMINE THE EFFECTIVENESS OF A WEB-BASED COGNITIVE BEHAVIORAL THERAPY, MINDFULNESS, AND YOGA (CBT-MY) PROGRAM DESIGNED FOR DAILY USE. METHODS: WE CONDUCTED AN 8-WEEK, SINGLE-ARM, EXPERIMENTAL, REGISTERED CLINICAL TRIAL ON ADULTS REPORTING PTSD SYMPTOMS (N=22; AGED 18-35 YEARS). EACH PARTICIPANT RECEIVED WEB-BASED CBT-MY CONTENT AND AN HOUR OF WEB-BASED COUNSELING EACH WEEK. PRE-POST OUTCOMES INCLUDED SELF-REPORTED PTSD SYMPTOM SEVERITY, DEPRESSION, ANXIETY, CHRONIC PAIN, AND MINDFULNESS. PRE-POST PSYCHOPHYSIOLOGICAL OUTCOMES INCLUDED PEAK PUPIL DILATION (PPD) AND HEART RATE VARIABILITY (HRV). HRV AND PPD WERE ALSO COMPARED WITH CROSS-SECTIONAL DATA FROM A NON-PTSD COMPARISON GROUP WITHOUT A HISTORY OF CLINICAL MENTAL HEALTH DIAGNOSES AND CBT-MY EXPOSURE (N=46). RESULTS: PRE-POST INTENTION-TO-TREAT ANALYSES REVEALED SUBSTANTIAL IMPROVEMENTS IN PTSD SEVERITY (D=1.60), DEPRESSION (D=0.83), ANXIETY (D=0.99), AND MINDFULNESS (D=0.88). LINEAR MULTILEVEL MIXED MODELS DEMONSTRATED A SIGNIFICANT PRE-POST REDUCTION IN PPD (B=-0.06; SE=0.01; P<.001; D=0.90) BUT NO SIGNIFICANT PRE-POST CHANGE IN HRV (P=.87). OVERALL, PARTICIPANTS SPENT AN AVERAGE OF 11.53 (SD 22.76) MIN/DAY ON SELF-DIRECTED MINDFULNESS PRACTICE. CONCLUSIONS: WEB-BASED CBT-MY WAS ASSOCIATED WITH CLINICALLY SIGNIFICANT SYMPTOM REDUCTIONS AND SIGNIFICANT PPD CHANGES, SUGGESTING HEALTHIER AUTONOMIC FUNCTIONING. FUTURE RANDOMIZED CONTROLLED TRIALS ARE NEEDED TO FURTHER EXAMINE THE GAINS APPARENT IN THIS SINGLE-ARM STUDY. TRIAL REGISTRATION: CLINICALTRIALS.GOV NCT03684473; HTTPS://CLINICALTRIALS.GOV/CT2/SHOW/NCT03684473. 2022 2 2890 35 YOGA: POTENTIAL BENEFITS FOR PERSONS WHO STUTTER. YOGA HAS BEEN DEMONSTRATED TO MODULATE AUTONOMIC NERVOUS SYSTEM ACTIVITY, DECREASING ANXIETY AND STRESS, AND IMPROVING QUALITY OF LIFE. THIS PRELIMINARY STUDY SOUGHT TO EXAMINE THE USE OF YOGIC TECHNIQUES ON PERSONS WHO STUTTER GIVEN THE INTERACTION BETWEEN PHYSIOLOGICAL AROUSAL/ANXIETY AND STUTTERING THAT CURRENT MULTIFACTORIAL MODELS OF STUTTERING PROPOSE. FOUR PARTICIPANTS (M = 52 YR, SD = 10; 2 FEMALE, 2 MALE), RECRUITED FROM LOCAL STUTTERING SUPPORT GROUPS IN THE GREATER PHILADELPHIA COMMUNITY VOLUNTEERED TO PARTICIPATE. STUTTERING SEVERITY, ANXIETY, AND EXPERIENCES REGARDING STUTTERING AND COMMUNICATION WERE MEASURED AT BASELINE, POST INTERVENTION, AND AT 4 MONTHS FOLLOW-UP. THE PARTICIPANTS ATTENDED GROUP YOGA SESSIONS AND ENGAGED IN HOME PRACTICE. DESCRIPTIVE RESULTS REVEALED THAT PARTICIPANTS SHOWED IMPROVEMENTS ACROSS OUTCOME MEASURES, WITH THE MOST IMPROVEMENT RELATED TO ANXIETY. PARTICIPANTS ALSO REPORTED IMPROVEMENTS IN THEIR PERCEPTIONS ABOUT COMMUNICATION AS PER QUALITATIVE ANALYSIS OF RESPONSES TO THE OPEN-ENDED QUESTIONNAIRES. THE RESULTS SUGGEST THE POTENTIAL BENEFITS OF YOGA FOR PERSONS WHO STUTTER AND WARRANTS FURTHER STUDY USING AN EXPERIMENTAL DESIGN. 2016 3 1629 31 MINDFULNESS-BASED YOGA FOR YOUTH WITH PERSISTENT CONCUSSION: A PILOT STUDY. OBJECTIVE: WE EXPLORED THE POTENTIAL IMPACT OF MINDFULNESS-BASED YOGA (MBY) FOR YOUTH WITH PERSISTENT CONCUSSION BY EXAMINING OCCUPATION-BASED AND NEUROPHYSIOLOGICAL OUTCOMES. METHOD: IN THIS CASE SERIES DESIGN STUDY, 6 YOUTHS AGES 13-17 YR WITH CONCUSSION SYMPTOMS FOR >4 WK PARTICIPATED IN AN 8-WK MBY INTERVENTION, 1X/WK FOR 45 MIN. PARTICIPATION, SELF-EFFICACY, AND HEART RATE VARIABILITY (24 HR) WERE COLLECTED BEFORE, AFTER, AND 3 MO AFTER THE INTERVENTION. HEART RATE VARIABILITY WAS ALSO MEASURED DURING EACH SESSION. RESULTS: TRENDS OF INCREASED SELF-EFFICACY IN ACADEMIC, SOCIAL, AND EMOTIONAL DOMAINS WERE FOUND AFTER MBY AND MAINTAINED AT 3-MO FOLLOW-UP. TRENDS OF INCREASING HEART RATE VARIABILITY WERE ALSO FOUND PRE- TO POSTINTERVENTION AND WITHIN THE EIGHT MBY SESSIONS. CONCLUSION: PRELIMINARY RESULTS REVEAL POSITIVE TRENDS AFTER A NOVEL, SAFE INTERVENTION FOR YOUTH WITH PERSISTENT CONCUSSION SYMPTOMS AND THE VALUE OF EXPLORING BOTH OCCUPATION-BASED AND NEUROPHYSIOLOGICAL MEASURES. FUTURE RESEARCH WITH A LARGER SAMPLE AND CONTROL GROUP IS WARRANTED. 2019 4 97 26 A NONRANDOMIZED COMPARISON STUDY OF SELF-HYPNOSIS, YOGA, AND COGNITIVE-BEHAVIORAL THERAPY TO REDUCE EMOTIONAL DISTRESS IN BREAST CANCER PATIENTS. THE AUTHORS ASKED BREAST CANCER (BC) PATIENTS TO PARTICIPATE IN 1 OF 3 MIND-BODY INTERVENTIONS (COGNITIVE-BEHAVIORAL THERAPY (CBT), YOGA, OR SELF-HYPNOSIS) TO EXPLORE THEIR FEASIBILITY, EASE OF COMPLIANCE, AND IMPACT ON THE PARTICIPANTS' DISTRESS, QUALITY OF LIFE (QOL), SLEEP, AND MENTAL ADJUSTMENT. NINETY-NINE PATIENTS COMPLETED AN INTERVENTION (CBT: N = 10; YOGA: N = 21; AND SELF-HYPNOSIS: N = 68). RESULTS SHOWED HIGH FEASIBILITY AND HIGH COMPLIANCE. AFTER THE INTERVENTIONS, THERE WAS NO SIGNIFICANT EFFECT IN THE CBT GROUP BUT SIGNIFICANT POSITIVE EFFECTS ON DISTRESS IN THE YOGA AND SELF-HYPNOSIS GROUPS, AND, ALSO, ON QOL, SLEEP, AND MENTAL ADJUSTMENT IN THE SELF-HYPNOSIS GROUP. IN CONCLUSION, MIND-BODY INTERVENTIONS CAN DECREASE DISTRESS IN BC PATIENTS, BUT RCTS ARE NEEDED TO CONFIRM THESE FINDINGS. 2017 5 918 38 EFFECTIVENESS OF TRAINING PROGRAM COMBINING CHAKRAYOGA AND MEDITATION. BACKGROUND THIS STUDY WAS DESIGNED TO EXAMINE THE EFFECTIVENESS OF PROGRAM COMBINING CHAKRAYOGA AND MEDITATION ON THE PHYSICAL HEALTH AND DISEASE-RELATED FACTORS AND PSYCHOLOGICAL FACTORS OF PEOPLE. METHODS NINETY-SEVEN SUBJECTS (32-83 YEARS OLD) WHO HAD FREE FROM PRIOR EXPERIENCES IN MEDITATION PROGRAMS OR CHAKRAYOGA TRAINING COURSES WERE ASSIGNED TO EITHER THE EXPERIMENTAL GROUP (EXP) (45 SUBJECTS; 13 MALE SUBJECTS AND 32 FEMALE SUBJECTS; AVERAGE AGE OF 60.67 YEARS, SD=11.09 YEARS) OR THE CONTROL GROUP (CONT) OF REMAINING SUBJECTS (52 SUBJECTS; 14 MALE SUBJECTS AND 38 FEMALE SUBJECTS; AVERAGE AGE OF 61.58 YEARS, SD=9.70 YEARS). SUBJECTS IN THE EXP PARTICIPATED IN THE CHAKRAYOGA MEDITATION PROGRAM FOR TWICE A WEEK FOR 2 H DURING 6 WEEKS IN EACH SESSION CONSISTED OF 1 H OF CHAKRAYOGA AND 1 H OF MEDITATION. THE MEASUREMENTS IN THIS STUDY INCLUDED THE MINDFULNESS, STRESS RESPONSE, SUBJECTIVE QUALITY OF LIFE, MEDICAL SYMPTOM CHECKLIST, DIFFICULTY IN EMOTIONAL REGULATION AND OBJECTIVE OF LIFE AND SENSE OF CONTROL. RESULTS RESULTS REVEALED THAT PARTICIPANTS IN THE EXP REPORTED SIGNIFICANTLY MORE RELIEF OF MINDFULNESS, STRESS RESPONSE, SUBJECTIVE QUALITY OF LIFE AND MEDICAL SYMPTOM CHECKLIST THAN THOSE IN THE CONT. CONCLUSIONS THESE FINDINGS PROVIDE EVIDENCE THAT THE CHAKRAYOGA MEDITATION PROGRAM CAN HELP RELIEVE THE PHYSICAL HEALTH AND DISEASE-RELATED FACTORS AND PSYCHOLOGICAL FACTORS. 2019 6 2653 49 YOGA IMPROVES OCCUPATIONAL PERFORMANCE, DEPRESSION, AND DAILY ACTIVITIES FOR PEOPLE WITH CHRONIC PAIN. BACKGROUND: CHRONIC PAIN IS A COMPLEX ACCUMULATION OF PHYSICAL, PSYCHOLOGICAL, AND SOCIAL CONDITIONS, THUS INTERVENTIONS THAT ADDRESS PAIN AND PROMOTE OCCUPATIONAL PERFORMANCE ARE NEEDED. A HOLISTIC INTERVENTION, WITH MIND AND BODY COMPONENTS, IS LIKELY NECESSARY TO BEST TREAT THE COMPLEXITIES OF CHRONIC PAIN. THUS, WE DEVELOPED AND TESTED A YOGA INTERVENTION FOR PEOPLE WITH CHRONIC PAIN. OBJECTIVES: IN A RANDOMIZED CONTROL TRIAL (RCT), PARTICIPANTS WITH CHRONIC PAIN WERE RANDOMIZED TO A YOGA INTERVENTION OR USUAL CARE GROUP. BETWEEN AND WITHIN GROUP DIFFERENCES FOR PRE-AND POST-OUTCOME MEASURE SCORES WERE ASSESSED FOR: OCCUPATIONAL PERFORMANCE, COMPLETION OF ACTIVITIES, AND DEPRESSION. METHODS: PILOT RCT WITH PARTICIPANT ALLOCATION TO 8 WEEKS OF YOGA OR USUAL CARE. BOTH GROUPS RECEIVED ONGOING MONTHLY SELF-MANAGEMENT PROGRAMMING. DATA WERE COLLECTED BEFORE AND AFTER THE 8-WEEK INTERVENTION. PARTICIPANTS WERE RANDOMIZED TO YOGA OR USUAL CARE AFTER BASELINE ASSESSMENTS. DEMOGRAPHICS WERE COLLECTED AND MEASURES INCLUDED: CANADIAN OCCUPATIONAL PERFORMANCE MEASURE (COPM) TO ASSESS OCCUPATIONAL PERFORMANCE; THE 15-ITEM FRENCHAY ACTIVITIES INDEX (FAI)(ACTIVITIES); AND THE 9-ITEM PATIENT HEALTH QUESTIONNAIRE (PHQ-9) FOR DEPRESSION. INDEPENDENT T-TESTS WERE USED TO ASSESS DIFFERENCES BETWEEN GROUPS. PAIRED T-TESTS WERE USED TO ASSESS DIFFERENCES BETWEEN PRE- AND POST 8-WEEK INTERVENTION FOR BOTH THE YOGA AND THE USUAL CARE GROUPS. PERCENT CHANGE SCORES AND EFFECT SIZES WERE CALCULATED. RESULTS: 83 PEOPLE WERE RECRUITED FOR THE STUDY AND COMPLETED BASELINE ASSESSMENTS; 44 INDIVIDUALS WERE RANDOMIZED TO YOGA AND 39 TO THE CONTROL GROUP. THE AVERAGE AGE OF ALL PARTICIPANTS WAS 51.4+/-10.5 YEARS, 68% WERE FEMALE; AND 60% HAD AT LEAST SOME COLLEGE EDUCATION. THERE WERE NO SIGNIFICANT DIFFERENCES IN DEMOGRAPHICS OR OUTCOME MEASURES BETWEEN GROUPS AT BASELINE OR 8 WEEKS; HOWEVER, THE STUDY WAS NOT POWERED TO SEE SUCH DIFFERENCES. INDIVIDUALS RANDOMIZED TO THE CONTROL GROUP DID NOT SIGNIFICANTLY IMPROVE IN ANY OUTCOME MEASURE OVER THE 8 WEEKS. THERE WERE SIGNIFICANT IMPROVEMENTS IN COPM PERFORMANCE AND COPM SATISFACTION SCORES FOR INDIVIDUALS RANDOMIZED TO THE YOGA GROUP; BOTH SCORES SIGNIFICANTLY IMPROVED. COPM PERFORMANCE IMPROVED BY 27% WITH A MODERATE TO LARGE EFFECT SIZE (3.66+/-1.85 VS 4.66+/-1.93, P < 0.001, D = 0.76). COPM SATISFACTION SIGNIFICANTLY IMPROVED BY 78% (2.14+/-2.31 VS. 3.80+/-2.50, P < 0.001) AND HAD A LARGE EFFECTS SIZE (D = 1.02). FAI SCORES IMPROVED, INDICATING INCREASED ACTIVITY OR ENGAGEMENT IN DAILY OCCUPATION DURING THE 8-WEEK INTERVENTION. SCORES INCREASED BY 5% (38.13+/-8.48 VS. 39.90+/-8.57, P = 0.024) WITH A SMALL EFFECT SIZE (D = 0.37). DEPRESSION SIGNIFICANTLY DECREASED FROM 13.21+/-5.60 TO 11.41+/-5.82, P = 0.041, WITH A SMALL EFFECT SIZE. CONCLUSION: DATA FROM THIS PILOT RCT INDICATE YOGA MAY BE AN EFFECTIVE THERAPEUTIC INTERVENTION WITH PEOPLE IN CHRONIC PAIN TO IMPROVE OCCUPATIONAL PERFORMANCE, INCREASE ENGAGEMENT IN ACTIVITIES, AND DECREASE DEPRESSION. OCCUPATIONAL THERAPY PRACTITIONERS MAY CONSIDER ADDING YOGA AS A TREATMENT INTERVENTION TO ADDRESS THE NEEDS OF PEOPLE WITH PAIN. 2019 7 1292 40 GROUP YOGA EFFECTS ON CANCER PATIENT AND CAREGIVER SYMPTOM DISTRESS: ASSESSMENT OF SELF-REPORTED SYMPTOMS AT A COMPREHENSIVE CANCER CENTER. BACKGROUND: COMPLEMENTARY AND INTEGRATIVE HEALTH APPROACHES SUCH AS YOGA PROVIDE SUPPORT FOR PSYCHOSOCIAL HEALTH. WE EXPLORED THE EFFECTS OF GROUP-BASED YOGA CLASSES OFFERED THROUGH AN INTEGRATIVE MEDICINE CENTER AT A COMPREHENSIVE CANCER CENTER. METHODS: PATIENTS AND CAREGIVERS HAD ACCESS TO TWO YOGA GROUP CLASSES: A LOWER INTENSITY (YLOW) OR HIGHER INTENSITY (YHIGH) CLASS. PARTICIPANTS COMPLETED THE EDMONTON SYMPTOM ASSESSMENT SYSTEM (ESAS; SCALE 0-10, 10 MOST SEVERE) IMMEDIATELY BEFORE AND AFTER THE CLASS. ESAS SUBSCALES ANALYZED INCLUDED GLOBAL (GDS; SCORE 0-90), PHYSICAL (PHS; 0-60), AND PSYCHOLOGICAL DISTRESS (PSS; 0-20). DATA WERE ANALYZED EXAMINING PRE-YOGA AND POST-YOGA SYMPTOM SCORES USING PAIRED T-TESTS AND BETWEEN TYPES OF CLASSES USING ANOVAS. RESULTS: FROM JULY 18, 2016, TO AUGUST 8, 2017, 282 UNIQUE PARTICIPANTS (205 PATIENTS, 77 CAREGIVERS; 85% FEMALE; AGES 20-79 YEARS) ATTENDED ONE OR MORE YOGA GROUPS (MEAN 2.3). FOR ALL PARTICIPANTS, WE OBSERVED CLINICALLY SIGNIFICANT REDUCTION/IMPROVEMENT IN GDS, PHS, AND PSS SCORES AND IN SYMPTOMS (ESAS DECREASE >/=1; MEANS) OF ANXIETY, FATIGUE, WELL-BEING, DEPRESSION, APPETITE, DROWSINESS, AND SLEEP. CLINICALLY SIGNIFICANT IMPROVEMENT FOR BOTH PATIENTS AND CAREGIVERS WAS OBSERVED FOR ANXIETY, DEPRESSION, FATIGUE, WELL-BEING, AND ALL ESAS SUBSCALES. COMPARING YOGA GROUPS, YLOW CONTRIBUTED TO GREATER IMPROVEMENT IN SLEEP VERSUS YHIGH (-1.33 VS -0.50, P = .054). IMPROVEMENT IN FATIGUE FOR YLOW WAS THE GREATEST MEAN CHANGE (YLOW -2.12). CONCLUSION: A SINGLE YOGA GROUP CLASS RESULTED IN CLINICALLY MEANINGFUL IMPROVEMENT OF MULTIPLE SELF-REPORTED SYMPTOMS. FURTHER RESEARCH IS NEEDED TO BETTER UNDERSTAND HOW YOGA CLASS CONTENT, INTENSITY, AND DURATION CAN AFFECT OUTCOMES. 2018 8 579 30 DESIGNING A YOGA INTERVENTION PROGRAM TO IMPROVE WELL-BEING FOR PHYSICIAN TRAINEES: CHALLENGES AND LESSONS LEARNED. WELL-BEING ACTIVITIES MAY HELP TO COUNTERACT PHYSICIAN BURNOUT. YOGA IS KNOWN TO ENHANCE WELL-BEING, BUT THERE ARE FEW STUDIES OF YOGA AS AN INTERVENTION FOR PHYSICIANS IN TRAINING. THIS PROSPECTIVE METHODOLOGY-DEVELOPMENT STUDY AIMED TO EXPLORE HOW TO ESTABLISH A YOGA-BASED WELL-BEING INTERVENTION FOR PHYSICIAN TRAINEES IN A LARGE URBAN TRAINING HOSPITAL. WE AIMED TO IDENTIFY FACTORS THAT CONTRIBUTE TO TRAINEE PARTICIPATION AND EXPLORE AN INSTRUMENT TO MEASURE CHANGES IN SELF-REPORTED WELL-BEING AFTER YOGA. COHORTS INCLUDED A REQUIRED-ATTENDANCE GROUP, A VOLUNTARY-ATTENDANCE GROUP, AND AN UNASSIGNED WALK-IN YOGA GROUP. WEEKLY 1-HOUR YOGA SESSIONS WERE LED BY A QUALIFIED YOGA INSTRUCTOR FOR 4 WEEKS. THE SEVEN-QUESTION RESIDENT PHYSICIAN WELL-BEING INDEX (RPWBI) WAS USED TO MEASURE RESIDENT WELL-BEING BEFORE YOGA, AFTER 4 WEEKS OF YOGA, AND 6 MONTHS POST-YOGA. TRAINEES ATTENDING EACH SESSION RANGED FROM 17 FOR REQUIRED YOGA TO 0-2 FOR VOLUNTARY YOGA, 2-9 FOR LUNCHTIME WALK-IN YOGA, AND 1-7 FOR EVENING WALK-IN YOGA. IN THE REQUIRED-YOGA GROUP (N = 17), OVERALL RPWBI MEAN SCORES DID NOT CHANGE SIGNIFICANTLY ACROSS THE THREE QUERY TIMES, AND PARTICIPATION IN THE SURVEY DECLINED OVER TIME. THE MEAN BASELINE RPWBI SCORE FOR THE REQUIRED GROUP BEFORE YOGA WAS IN THE NON-DISTRESSED RANGE AND ANSWERS TO THE SEVEN INDIVIDUAL QUESTIONS VARIED. REQUIRING A YOGA ACTIVITY FOR MEDICAL TRAINEES MAY BE A GOOD STRATEGY FOR PROMOTING PARTICIPATION IN YOGA. THE RPWBI MAY HAVE LIMITED UTILITY FOR MEASURING CHANGES IN OVERALL GROUP WELL-BEING AFTER A YOGA INTERVENTION. 2021 9 1046 38 EFFECTS OF YOGA ON ANXIETY AND DEPRESSION FOR HIGH RISK MOTHERS ON HOSPITAL BEDREST. BACKGROUND: AND PURPOSE: IN RECENT YEARS, YOGA PRACTITIONERS HAVE JOINED FORCES WITH MEDICAL PROGRAMS TO APPROACH PATIENTS' WELL-BEING HOLISTICALLY. THIS STUDY IS A RANDOMIZED CONTROLLED TRIAL TO ASSESS THE EFFECTS OF A SPECIALIZED ADAPTED YOGA PROGRAM ON ANXIETY AND DEPRESSION FOR HIGH-RISK EXPECTANT MOTHERS ON BEDREST IN A HOSPITAL SETTING. MATERIALS AND METHODS: SEVENTY-NINE PREGNANT SUBJECTS ON PHYSICIAN ORDERED HOSPITALIZED BEDREST WERE RANDOMIZED INTO TWO GROUPS: RECEIVING BIWEEKLY YOGA SESSIONS (INTERVENTION GROUP) OR RECEIVING NO YOGA (CONTROL GROUP). DATA COLLECTION TOOL WAS THE HOSPITAL ANXIETY AND DEPRESSION SCALE (HADS) TO ASSESS OUTCOMES AFTER DELIVERY. RESULTS: YOGA, EVEN AS LITTLE AS THREE SESSIONS, SHOWED SIGNIFICANT IMPACT IN REDUCING ANXIETY AND DEPRESSION HIGH-RISK PREGNANT WOMEN ON HOSPITALIZED BEDREST. PERCEIVED ANXIETY AND DEPRESSION OVERALL SCORES WERE LOWER IN THE INTERVENTION GROUP THAN IN THE CONTROL GROUP (P < 0.001). CONCLUSION: RESULTS DEMONSTRATED THAT YOGA IS AN EFFECTIVE INTERVENTION TO DECREASE ANXIETY AND DEPRESSION IN HIGH-RISK ANTEPARTUM WOMEN ON HOSPITALIZED BEDREST. 2020 10 2167 31 THE EFFECTS OF YOGA IN HELPING CANCER PATIENTS AND CAREGIVERS MANAGE THE STRESS OF A NATURAL DISASTER: A BRIEF REPORT ON HURRICANE HARVEY. BACKGROUND: THIS SMALL QUALITATIVE STUDY REPORTS ON THE EXPERIENCES OF PATIENTS AND FAMILY CAREGIVERS WHO PARTICIPATED IN A DYADIC YOGA PILOT TRIAL WHILE UNDERGOING CANCER TREATMENT IN THE MIDST OF HURRICANE HARVEY. OUR PRIMARY PURPOSE WAS TO DETERMINE IF PARTICIPANTS IMPLEMENTED COMPONENTS OF THE PROGRAM TO COPE WITH THE STRESSORS ASSOCIATED WITH HURRICANE HARVEY AND IF THEY PERCEIVED BENEFITS FROM THE YOGA PRACTICES. METHODS: WE ADMINISTERED BRIEF SEMISTRUCTURED INTERVIEWS TO THE DYADS PARTICIPATING IN A DYADIC YOGA PILOT TRIAL. PARTICIPANTS (N = 5 DYADS) WERE ASKED TO DISCUSS THEIR EXPERIENCE WITH HURRICANE HARVEY, INCLUDING FACTORS THAT HELPED THEM COPE WITH THE EVENT WHILE RECEIVING TREATMENT. RESULT: PATIENTS HAD A MEAN AGE OF 55.6 YEARS, WERE MOSTLY NON-HISPANIC WHITE, MALE, AND HAD ADVANCE STAGE HEAD AND NECK CANCER. CAREGIVERS HAD A MEAN AGE OF 58 YEARS AND WERE MAINLY NON-HISPANIC WHITE AND FEMALE. ANALYSES OF THE INTERVIEWS REVEALED 2 OVERARCHING THEMES: (1) THE STORM'S NEGATIVE IMPACT AND (2) THE USE OF YOGA TO COPE WITH THE HURRICANE-RELATED STRESSORS. CONCLUSIONS: PATIENT-CAREGIVER DYADS EXPERIENCED PSYCHOLOGICAL DISTRESS DURING THE STORM AND/OR ITS AFTERMATH. DYADS USED YOGA TECHNIQUES TO COPE WITH THESE PSYCHOLOGICAL STRESSORS. YOGA SERVED AS A MEANS OF SOCIAL SUPPORT AS DYADS EITHER PARTICIPATED IN THESE ACTIVITIES TOGETHER OR WITH OTHER FAMILY MEMBERS. 2019 11 86 28 A MINDFUL YOGA INTERVENTION FOR YOUNG WOMEN WITH MAJOR DEPRESSIVE DISORDER: DESIGN AND BASELINE SAMPLE CHARACTERISTICS OF A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: DESPITE THE GAINS MADE BY CURRENT FIRST-LINE INTERVENTIONS FOR MAJOR DEPRESSIVE DISORDER (MDD), MODEST RATES OF TREATMENT RESPONSE AND HIGH RELAPSE INDICATE THE NEED TO AUGMENT EXISTING INTERVENTIONS. FOLLOWING THEORY AND INITIAL RESEARCH INDICATING THE PROMISE OF MINDFUL YOGA INTERVENTIONS (MYIS), THIS STUDY EXAMINES MINDFUL YOGA AS A TREATMENT OF MDD. METHODS/DESIGN: THIS RANDOMIZED CONTROLLED TRIAL USES A SAMPLE OF YOUNG FEMALES (18-34 YEARS) TO EXAMINE THE EFFICACY AND COST-EFFECTIVENESS OF A 9-WEEK MANUALIZED MYI ADDED TO TREATMENT AS USUAL (TAU) VERSUS TAU ALONE. PRIMARY OUTCOME MEASURES CONSIST OF CLINICIAN-ADMINISTERED (HAMILTON DEPRESSION RATING SCALE) AND SELF-REPORT (DEPRESSION-ANXIETY-STRESS SCALES) MEASURES OF DEPRESSION. UNDERLYING MECHANISMS WILL BE EXAMINED, INCLUDING RUMINATION, NEGATIVE SELF-EVALUATION, INTOLERANCE OF UNCERTAINTY, INTEROCEPTIVE AWARENESS, AND DISPOSITIONAL MINDFULNESS. ASSESSMENTS WERE CONDUCTED AT PREINTERVENTION AND WILL BE CONDUCTED AT POSTINTERVENTION, 6-, AND 12-MONTH FOLLOW UP. RESULTS: THE BASELINE SAMPLE CONSISTS OF 171 FEMALES (88 WERE RANDOMIZED INTO THE MYI), REPORTING A BASELINE MAGE = 25.08 YEARS (SDAGE = 4.64), MHAMILTON-DEPRESSION = 18.39 (SDHAMILTON = 6.00), AND A MDASS-DEPRESSION = 21.02 (SDDASS = 9.36). CONCLUSION: THIS TRIAL WILL PROVIDE IMPORTANT INFORMATION REGARDING THE BENEFITS OF ADDING YOGA-BASED INTERVENTIONS TO TAU FOR YOUNG WOMEN WITH MDD AND THE MECHANISMS THROUGH WHICH SUCH BENEFITS MAY OCCUR. 2020 12 2341 38 USE OF YOGA IN OUTPATIENT EATING DISORDER TREATMENT: A PILOT STUDY. BACKGROUND: INDIVIDUALS WITH RESTRICTIVE EATING DISORDERS PRESENT WITH CO-MORBID PSYCHIATRIC DISORDERS AND MANY ATTEMPT TO CONTROL SYMPTOMS USING STRENUOUS EXERCISES THAT INCREASE CALORIC EXPENDITURE. YOGA OFFERS A SAFE AVENUE FOR THE ENGAGEMENT IN PHYSICAL ACTIVITY WHILE PROVIDING AN OUTLET FOR DISEASE-ASSOCIATED SYMPTOMS. THIS STUDY SOUGHT TO EXAMINE USE OF YOGA PRACTICE IN AN OUTPATIENT SETTING AND ITS IMPACT ON ANXIETY, DEPRESSION AND BODY IMAGE DISTURBANCE IN ADOLESCENTS WITH EATING DISORDERS. METHODS: TWENTY ADOLESCENT GIRLS WERE RECRUITED FROM AN URBAN EATING DISORDERS CLINIC WHO PARTICIPATED IN WEEKLY YOGA CLASSES AT A LOCAL STUDIO, IN ADDITION TO STANDARD MULTIDISCIPLINARY CARE. YOGA INSTRUCTORS UNDERWENT TRAINING REGARDING THIS PATIENT POPULATION. PARTICIPANTS COMPLETED QUESTIONNAIRES FOCUSED ON ANXIETY, DEPRESSION AND BODY IMAGE DISTURBANCE PRIOR TO THE FIRST CLASS, AND FOLLOWING COMPLETION OF 6 AND 12 CLASSES. RESULTS: IN PARTICIPANTS WHO COMPLETED THE STUDY, A STATISTICALLY SIGNIFICANT DECREASE IN ANXIETY, DEPRESSION, AND BODY IMAGE DISTURBANCE WAS SEEN, INCLUDING: SPIELBERGER STATE ANXIETY MEAN SCORES DECREASED AFTER THE COMPLETION OF 7-12 YOGA CLASSES [47 (95%CI 42-52) TO 42 (95%CI 37-47), ADJ. P = 0.0316]; AS DID THE ANOREXIA NERVOSA SCALE [10 (95% CI 7-12) VS. 6 (95%CI 4-8), ADJ. P = .0004], SCORES ON BECK DEPRESSION SCALES [18 (95%CI 15-22) TO 10 (95%CI 6-14), ADJ. P = .0001], AND WEIGHT AND SHAPE CONCERN SCORES [16 (95%CI 12-20) TO 12 (95%CI 8-16), ADJ. P =0.0120] AND [31 (95%CI 25-37) TO 20 (95%CI 13-27), ADJ. P = 0.0034], RESPECTIVELY. NO SIGNIFICANT CHANGES IN BODY MASS INDEX WERE SEEN THROUGHOUT THE TRIAL. CONCLUSIONS: YOGA PRACTICE COMBINED WITH OUTPATIENT EATING DISORDER TREATMENT WERE SHOWN TO DECREASE ANXIETY, DEPRESSION, AND BODY IMAGE DISTURBANCE WITHOUT NEGATIVELY IMPACTING WEIGHT. THESE PRELIMINARY RESULTS SUGGEST YOGA TO BE A PROMISING ADJUNCT TREATMENT STRATEGY, ALONG WITH STANDARD MULTIDISCIPLINARY CARE. HOWEVER, WHETHER YOGA SHOULD BE ENDORSED AS A STANDARD COMPONENT OF OUTPATIENT EATING DISORDER TREATMENT MERITS FURTHER STUDY. 2016 13 504 43 COMMUNITY-DELIVERED HEATED HATHA YOGA AS A TREATMENT FOR DEPRESSIVE SYMPTOMS: AN UNCONTROLLED PILOT STUDY. OBJECTIVES: THERE ARE NO KNOWN STUDIES OF CONCURRENT EXPOSURE TO HIGH TEMPERATURE AND YOGA FOR THE TREATMENT OF DEPRESSION. THIS STUDY EXPLORED ACCEPTABILITY AND FEASIBILITY OF HEATED (BIKRAM) YOGA AS A TREATMENT FOR INDIVIDUALS WITH DEPRESSIVE SYMPTOMS. DESIGN: AN 8-WEEK, OPEN-LABEL PILOT STUDY OF HEATED YOGA FOR DEPRESSIVE SYMPTOMS. SUBJECTS: 28 MEDICALLY HEALTHY ADULTS (71.4% FEMALE, MEAN AGE 36 [STANDARD DEVIATION 13.57]) WITH AT LEAST MILD DEPRESSIVE SYMPTOMS (HAMILTON RATING SCALE FOR DEPRESSION [HRSD-17] SCORE >/=10) WHO ATTENDED AT LEAST ONE YOGA CLASS AND SUBSEQUENT ASSESSMENT VISIT. INTERVENTION: PARTICIPANTS WERE ASKED TO ATTEND AT LEAST TWICE WEEKLY COMMUNITY HELD BIKRAM YOGA CLASSES. ASSESSMENTS WERE PERFORMED AT SCREENING AND WEEKS 1, 3, 5, AND 8. HYPOTHESES WERE TESTED USING A MODIFIED-INTENT-TO-TREAT APPROACH, INCLUDING PARTICIPANTS WHO ATTENDED AT LEAST ONE YOGA CLASS AND SUBSEQUENT ASSESSMENT VISIT (N = 28). RESULTS: ALMOST HALF OF OUR SUBJECTS COMPLETED THE 8-WEEK INTERVENTION, AND CLOSE TO A THIRD ATTENDED THREE QUARTERS OR MORE OF THE PRESCRIBED 16 CLASSES OVER 8 WEEKS. MULTILEVEL MODELING REVEALED SIGNIFICANT IMPROVEMENTS OVER TIME IN BOTH CLINICIAN-RATED HRSD-17 (P = 0.003; DGLMM = 1.43) AND SELF-REPORTED BECK DEPRESSION INVENTORY (BDI; P < 0.001, DGLMM = 1.31) DEPRESSIVE SYMPTOMS, AS WELL AS THE FOUR SECONDARY OUTCOMES: HOPELESSNESS (P = 0.024, DGLMM = 0.57), ANXIETY (P < 0.001, DGLMM = 0.78), COGNITIVE/PHYSICAL FUNCTIONING (P < 0.001, DGLMM = 1.34), AND QUALITY OF LIFE (P = 0.007, DGLMM = 1.29). OF 23 PARTICIPANTS WITH DATA THROUGH WEEK 3 OR LATER, 12 (52.2%) WERE TREATMENT RESPONDERS (>/=50% REDUCTION IN HRSD-17 SCORE), AND 13 (56.5%) ATTAINED REMISSION (HRSD SCORE