1 418 155 BREATHING-FOCUSED YOGA AS AUGMENTATION FOR UNIPOLAR AND BIPOLAR DEPRESSION: A RANDOMIZED CONTROLLED TRIAL: LE YOGA AXE SUR LA RESPIRATION COMME TRAITEMENT D'APPOINT POUR LA DEPRESSION UNIPOLAIRE ET BIPOLAIRE: UN ESSAI RANDOMISE CONTROLE. OBJECTIVE: PATIENTS WITH DEPRESSION FREQUENTLY EXPERIENCE PERSISTENT RESIDUAL SYMPTOMS EVEN WITH OPTIMAL INTERVENTIONS. THESE PATIENTS OFTEN USE COMPLEMENTARY TREATMENTS, INCLUDING YOGA, AS A PREFERRED ALTERNATIVE OR ADJUNCTIVE TREATMENT. THERE IS EVIDENCE FOR THE BENEFIT OF YOGA FOR DEPRESSION, BUT THIS HAS NOT BEEN RIGOROUSLY EVALUATED, PARTICULARLY IN BIPOLAR DEPRESSION. WE AIMED TO DETERMINE THE FEASIBILITY AND BENEFIT OF MANUALIZED BREATHING-FOCUSED YOGA IN COMPARISON TO PSYCHOEDUCATION AS AUGMENTATION TO PHARMACOTHERAPY FOR IMPROVING RESIDUAL SYMPTOMS OF DEPRESSION IN UNIPOLAR AND BIPOLAR PATIENTS. METHODS: USING A RANDOMIZED SINGLE-BLIND CROSSOVER DESIGN, 72 OUTPATIENTS WITH UNIPOLAR OR BIPOLAR DEPRESSION WERE AUGMENTED WITH THE TWO 8-WEEK INTERVENTIONS AT SEPARATE TIMES, AS ADD-ONS TO CURRENT FIRST-LINE ANTIDEPRESSANTS AND MOOD STABILIZERS. THE PRIMARY OUTCOME MEASURE WAS THE MONTGOMERY-ASBERG DEPRESSION RATING SCALE (MADRS). DUE TO THE HIGH DROPOUT OF PARTICIPANTS AFTER CROSSOVER AT WEEK 8, ANALYSIS FOCUSED ON BETWEEN-GROUP COMPARISONS OF YOGA AND PSYCHOEDUCATION DURING THE INITIAL 8 WEEKS OF THE STUDY. RESULTS: THERE WAS A SIGNIFICANT DECLINE IN DEPRESSIVE SYMPTOMS, AS MEASURED BY THE MADRS, FOLLOWING 8 WEEKS OF YOGA. HOWEVER, THERE WAS NO SIGNIFICANT DIFFERENCE IN MADRS RATINGS BETWEEN INTERVENTION GROUPS. SIMILAR IMPROVEMENTS IN SELF-RATED DEPRESSIVE SYMPTOMS AND WELL-BEING WERE ALSO OBSERVED ACROSS TIME. CONCLUSIONS: BOTH YOGA AND PSYCHOEDUCATION MAY IMPROVE RESIDUAL SYMPTOMS OF UNIPOLAR AND BIPOLAR DEPRESSION AS ADD-ON TO MEDICATIONS. IN-CLASS GROUP SESSIONS AND LONG STUDY DURATIONS MAY REDUCE FEASIBILITY FOR THIS POPULATION. LARGER TRIALS WITH PARALLEL GROUP DESIGN AND SHORTER DURATION MAY BE MORE FEASIBLE. 2021 2 657 33 EFFECT OF 'EXERCISE WITHOUT MOVEMENT' YOGA METHOD ON MINDFULNESS, ANXIETY AND DEPRESSION. OBJECTIVE: TO ANALYZE THE EFFECT OF THE 'EXERCISE WITHOUT MOVEMENT' (E.W.M) YOGA METHOD ON MINDFULNESS AND ON THE IMPROVEMENT OF ANXIETY AND DEPRESSION SYMPTOMS. METHODS: A QUASI-EXPERIMENTAL STUDY EXAMINED THE EFFECT OF ONE MONTH E.W.M. INTERVENTION AMONG 38 PARTICIPANTS WHO WERE ENROLLED VOLUNTARILY TO BOTH GROUPS, STUDY (N = 16) AND CONTROL (N = 22). FIVE PARTICIPANTS DROPPED OUT DURING THE STUDY. THE STATE MINDFULNESS SCALE (SMS) WAS USED TO MEASURE MINDFULNESS. THE ANXIETY INVENTORY BECK (BAI) AND THE BECK DEPRESSION INVENTORY (BDI-II) WERE USED TO MEASURE THE ANXIETY AND DEPRESSION SYMPTOMS, RESPECTIVELY, BEFORE AND AFTER THE INTERVENTION. RESULTS: STUDY GROUP SHOWED BOTH A STATISTICALLY SIGNIFICANT INCREASE IN MINDFULNESS AND DECREASE IN ANXIETY AND DEPRESSION SYMPTOMS, COMPARED WITH THE CONTROL GROUP. CONCLUSIONS: THE E.W.M. HAS BEEN USEFUL IN THE DEVELOPMENT OF MINDFULNESS AND IN THE TREATMENT OF ANXIETY AND DEPRESSION SYMPTOMS AND MAY REPRESENT A NEW METHOD IN THE MINDFULNESS-BASED THERAPEUTIC APPLICATION. 2016 3 2687 26 YOGA IN THE TREATMENT OF EATING DISORDERS WITHIN A RESIDENTIAL PROGRAM: A RANDOMIZED CONTROLLED TRIAL. TO INVESTIGATE THE EFFECT OF YOGA ON NEGATIVE AFFECT (AN EATING DISORDERS RISK FACTOR), 38 INDIVIDUALS IN A RESIDENTIAL EATING DISORDER TREATMENT PROGRAM WERE RANDOMIZED TO A CONTROL OR YOGA INTERVENTION: 1 HOUR OF YOGA BEFORE DINNER FOR 5 DAYS. NEGATIVE AFFECT WAS ASSESSED PRE- AND POST-MEAL. MIXED-EFFECTS MODELS COMPARED NEGATIVE AFFECT BETWEEN GROUPS DURING THE INTERVENTION PERIOD. YOGA SIGNIFICANTLY REDUCED PRE-MEAL NEGATIVE AFFECT COMPARED TO TREATMENT AS USUAL; HOWEVER, THE EFFECT WAS ATTENUATED POST-MEAL. MANY EATING DISORDERS PROGRAMS INCORPORATE YOGA INTO TREATMENT. THIS PRELIMINARY EVIDENCE SETS THE STAGE FOR LARGER STUDIES EXAMINING YOGA AND EATING DISORDER TREATMENT AND PREVENTION. 2017 4 97 30 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 5 978 50 EFFECTS OF BODY-ORIENTED YOGA: A RCT STUDY FOR PATIENTS WITH MAJOR DEPRESSIVE DISORDER. THE MAJOR DEPRESSIVE DISORDER IS ONE OF THE MOST COMMON MENTAL ILLNESSES WORLDWIDE. CURRENT TREATMENT STANDARDS RECOMMEND A COMBINED THERAPY WITH MEDICATION AND PSYCHOTHERAPY. AS AN ADDITIVE COMPONENT AND TO FURTHER IMPROVEMENTS IN TREATMENT, PHYSICAL ACTIVITY SUCH AS YOGA MAY BE INTEGRATED INTO CONVENTIONAL TREATMENT. THIS STUDY INVESTIGATES THE IMPACT OF A 3-MONTH BODY-ORIENTED YOGA IN PATIENTS WITH MAJOR DEPRESSIVE DISORDER (MDD). IN TOTAL, N = 83 PATIENTS WERE INCLUDED. AN INTERVENTION GROUP RECEIVED A VIGOROUS ASHTANGA-YOGA THREE TIMES A WEEK. THE WAITING-LIST CONTROL GROUP OBTAINED A TREATMENT AS USUAL (TAU). AS A PRIMARY OUTCOME DEPRESSION SCORES (BECK DEPRESSION INVENTORY-II (BDI-II), MONTGOMERY ASBERG DEPRESSION RATING SCALE (MADRS)) WERE TESTED AT THREE TIME POINTS. SECONDARY OUTCOME WAS THE POSITIVE AND NEGATIVE AFFECT [POSITIVE AND NEGATIVE AFFECT SCALE (PANAS)] AND REMISSION RATES. TO ANALYZE THE DATA, MULTILEVEL MODELS AND EFFECT SIZES WERE CONDUCTED. THE RESULTS SHOWED AN IMPROVEMENT IN BDI-II SCORES FOR BOTH GROUPS OVER TIME [GAMMA = - 3.46, T(165) = - 7.99, P < 0.001] BUT NOT BETWEEN GROUPS [GAMMA = 0.98, T(164) = 1.12, P = 0.263]. AN INTERACTION EFFECT (TIME X GROUP) OCCURRED FOR MADRS [GAMMA = 2.10, T(164) = 2.10, P < 0.038]. POSITIVE AFFECTS IMPROVED OVER TIME FOR BOTH GROUPS [GAMMA = 1.65, T(165) = 4.03, P < 0.001]. NEGATIVE AFFECTS DECREASED FOR ALL OVER TIME [GAMMA = - 1.00, T(165) = - 2.51, P = 0.013]. THERE WERE NO SIGNIFICANT GROUP DIFFERENCES IN PANAS. POST HOC TESTS REVEALED A GREATER SYMPTOM REDUCTION WITHIN THE FIRST 6 WEEKS FOR ALL MEASUREMENTS. THE EFFECT SIZES FOR DEPRESSION SCORES SHOWED A POSITIVE TREND. REMISSION RATES INDICATED A SIGNIFICANT IMPROVEMENT IN THE YOGA GROUP (BDI-II: 46.81%, MADRS: 17.02%) COMPARED TO THE CONTROL GROUP (BDI: 33.33%, MADRS: 8.33%). THE FINDINGS SUGGEST THAT THERE IS A TRENDSETTING ADDITIVE EFFECT OF ASHTANGA-YOGA AFTER 3 MONTHS ON PSYCHOPATHOLOGY AND MOOD WITH A GREATER IMPROVEMENT AT THE BEGINNING OF THE INTERVENTION. FURTHER RESEARCH IN THIS FIELD CAN HELP TO ACHIEVE MORE DIFFERENTIATED RESULTS. 2021 6 1751 33 PILOT STUDY: USE OF MINDFULNESS, SELF-COMPASSION, AND YOGA PRACTICES WITH LOW-INCOME AND/OR UNINSURED PATIENTS WITH DEPRESSION AND/OR ANXIETY. PURPOSE: THIS PILOT STUDY WAS CONDUCTED TO DETERMINE THE EFFECTIVENESS OF MINDFULNESS PRACTICES, INCLUDING SELF-COMPASSION AND YOGA, ON DEPRESSION AND/OR ANXIETY IN UNINSURED AND/OR LOW-INCOME PATIENTS. DESIGN: THE DESIGN WAS REPEATED MEASURES WITH ONE GROUP. METHOD: PATIENTS RECEIVED 8 WEEKS OF MINDFULNESS TRAINING INCLUDING SELF-COMPASSION AND YOGA. DEPRESSION AND ANXIETY SYMPTOMS, SELF-COMPASSION, AND PSYCHOLOGICAL WELL-BEING WERE MEASURED FOUR TIMES. FINDINGS: INTERVENTIONS WERE EFFECTIVE IN HELPING UNINSURED AND LOW-INCOME PATIENTS REDUCE DEPRESSION AND/OR ANXIETY SYMPTOMS. CONCLUSION: THIS STUDY MAY HAVE IMPLICATIONS FOR A COST-EFFECTIVE TREATMENT FOR THESE DISORDERS. THE FINDINGS FROM THIS STUDY CAN PROVIDE USEFUL INFORMATION TO HEALTH CARE PROVIDERS. 2015 7 1833 28 PSYCHOLOGICAL WELLNESS, YOGA AND QUALITY OF LIFE IN PATIENTS AFFECTED BY SCHIZOPHRENIA SPECTRUM DISORDERS: A PILOT STUDY. SCHIZOPHRENIA IS A SERIOUS PSYCHIATRIC DISORDER CHARACTERIZED BY POSITIVE SYMPTOMS, NEGATIVE SYMPTOMS AND NEUROCOGNITIVE DEFICITS. THE AIM OF THIS STUDY WAS TO ESTIMATE RELATIONSHIPS BETWEEN WELLNESS, YOGA AND QUALITY OF LIFE IN PATIENTS AFFECTED BY SCHIZOPHRENIA SPECTRUM DISORDERS. PARTICIPANTS WERE 30 PATIENTS WITH A DIAGNOSIS OF SCHIZOPHRENIA IN CARE AT THE REHABILITATIVE PSYCHIATRY AND RESEARCH VILLA CHIARA CLINIC IN MASCALUCIA (CATANIA, ITALY), AFTER THAT RANDOMLY ASSIGNED TO TWO GROUPS. THE FIRST GROUP FOLLOWED THE EXPERIMENTAL TREATMENT WITH SETS OF YOGA EXERCISES CONDUCTED BY A YOGA TRAINER AND A PSYCHIATRIST OR A CLINICAL PSYCHOLOGIST EXPERT IN YOGA, WHILE A SECOND CONTROL GROUP WAS TREATED WITH USUAL CARE. THE RESULTS REVEALED A SIGNIFICANT DIFFERENCE, BEFORE AND AFTER TREATMENT, BETWEEN THE EXPERIMENTAL GROUP AND THE CONTROL GROUP IN QUALITY OF LIFE. 2019 8 2112 31 THE EFFECT OF YOGA ON STRESS, ANXIETY, AND DEPRESSION IN WOMEN. BACKGROUND: IN RECENT DECADES, SEVERAL MEDICAL AND SCIENTIFIC STUDIES ON YOGA PROVED IT TO BE VERY USEFUL IN THE TREATMENT OF SOME DISEASES. THIS STUDY WAS CONDUCTED TO INVESTIGATE THE EFFECTS OF YOGA ON STRESS, ANXIETY, AND DEPRESSION IN WOMEN LIVING IN ILAM, IRAN. METHODS: THIS STUDY IS A QUASI-EXPERIMENTAL STUDY WITH PRE-POST TEST. TO COLLECT DATA, THE QUESTIONNAIRE OF DASS-21 (DEPRESSION ANXIETY STRESS SCALE-21) WAS USED. FOR ELIGIBLE SAMPLES, HATHA YOGA EXERCISES AND TRAINING SESSIONS WERE HELD FOR 4 WEEKS (3 TIME/WEEKS; 60-70 MIN EACH) BY A SPECIALIST. DATA WERE ANALYZED USING SPSS VERSION 20. RESULTS: 52 WOMEN WITH A MEAN AGE OF 33.5 +/- 6.5 WERE INCLUDED FOR ANALYSIS. DEPRESSION, ANXIETY, AND STRESS DECREASED SIGNIFICANTLY IN WOMEN AFTER 12 SESSIONS OF REGULAR HATHA YOGA PRACTICE (P < 0.001). CONCLUSIONS: YOGA HAS AN EFFECTIVE ROLE IN REDUCING STRESS, ANXIETY, AND DEPRESSION. THUS, IT CAN BE USED AS COMPLEMENTARY MEDICINE. 2018 9 246 33 A YOGA INTERVENTION FOR POSTTRAUMATIC STRESS: A PRELIMINARY RANDOMIZED CONTROL TRIAL. YOGA MAY BE EFFECTIVE IN THE REDUCTION OF PTSD SYMPTOMOLOGY. THE PURPOSE OF THIS STUDY WAS TO EVALUATE THE IMPACT OF A KUNDALINI YOGA (KY) TREATMENT ON PTSD SYMPTOMS AND OVERALL WELLBEING. TO SUPPLEMENT THE CURRENT FIELD OF INQUIRY, A PILOT RANDOMIZED CONTROL TRIAL (RCT) WAS CONDUCTED COMPARING AN 8-SESSION KY INTERVENTION WITH A WAITLIST CONTROL GROUP. 80 INDIVIDUALS WITH CURRENT PTSD SYMPTOMS PARTICIPATED. BOTH GROUPS DEMONSTRATED CHANGES IN PTSD SYMPTOMOLOGY BUT YOGA PARTICIPANTS SHOWED GREATER CHANGES IN MEASURES OF SLEEP, POSITIVE AFFECT, PERCEIVED STRESS, ANXIETY, STRESS, AND RESILIENCE. BETWEEN-GROUPS EFFECT SIZES WERE SMALL TO MODERATE (0.09-0.25). KY MAY BE AN ADJUNCTIVE OR ALTERNATIVE INTERVENTION FOR PTSD. FINDINGS INDICATE THE NEED FOR FURTHER YOGA RESEARCH TO BETTER UNDERSTAND THE MECHANISM OF YOGA IN RELATION TO MENTAL AND PHYSICAL HEALTH, GENDER AND ETHNIC COMPARISONS, AND SHORT- AND LONG-TERM YOGA PRACTICE FOR PSYCHIATRIC CONDITIONS. 2015 10 290 46 ADJUNCTIVE YOGA V. HEALTH EDUCATION FOR PERSISTENT MAJOR DEPRESSION: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: THE OBJECTIVE OF THIS STUDY WAS TO DETERMINE WHETHER HATHA YOGA IS AN EFFICACIOUS ADJUNCTIVE INTERVENTION FOR INDIVIDUALS WITH CONTINUED DEPRESSIVE SYMPTOMS DESPITE ANTIDEPRESSANT TREATMENT. METHOD: WE CONDUCTED A RANDOMIZED CONTROLLED TRIAL OF WEEKLY YOGA CLASSES (N = 63) V. HEALTH EDUCATION CLASSES (HEALTHY LIVING WORKSHOP; HLW; N = 59) IN INDIVIDUALS WITH ELEVATED DEPRESSION SYMPTOMS AND ANTIDEPRESSANT MEDICATION USE. HLW SERVED AS AN ATTENTION-CONTROL GROUP. THE INTERVENTION PERIOD WAS 10 WEEKS, WITH FOLLOW-UP ASSESSMENTS 3 AND 6 MONTHS AFTERWARDS. THE PRIMARY OUTCOME WAS DEPRESSION SYMPTOM SEVERITY ASSESSED BY BLIND RATER AT 10 WEEKS. SECONDARY OUTCOMES INCLUDED DEPRESSION SYMPTOMS OVER THE ENTIRE INTERVENTION AND FOLLOW-UP PERIODS, SOCIAL AND ROLE FUNCTIONING, GENERAL HEALTH PERCEPTIONS, PAIN, AND PHYSICAL FUNCTIONING. RESULTS: AT 10 WEEKS, WE DID NOT FIND A STATISTICALLY SIGNIFICANT DIFFERENCE BETWEEN GROUPS IN DEPRESSION SYMPTOMS (B = -0.82, S.E. = 0.88, P = 0.36). HOWEVER, OVER THE ENTIRE INTERVENTION AND FOLLOW-UP PERIOD, WHEN CONTROLLING FOR BASELINE, YOGA PARTICIPANTS SHOWED LOWER LEVELS OF DEPRESSION THAN HLW PARTICIPANTS (B = -1.38, S.E. = 0.57, P = 0.02). AT 6-MONTH FOLLOW-UP, 51% OF YOGA PARTICIPANTS DEMONSTRATED A RESPONSE (50% REDUCTION IN DEPRESSION SYMPTOMS) COMPARED WITH 31% OF HLW PARTICIPANTS (ODDS RATIO = 2.31; P = 0.04). YOGA PARTICIPANTS SHOWED SIGNIFICANTLY BETTER SOCIAL AND ROLE FUNCTIONING AND GENERAL HEALTH PERCEPTIONS OVER TIME. CONCLUSIONS: ALTHOUGH WE DID NOT SEE A DIFFERENCE IN DEPRESSION SYMPTOMS AT THE END OF THE INTERVENTION PERIOD, YOGA PARTICIPANTS SHOWED FEWER DEPRESSION SYMPTOMS OVER THE ENTIRE FOLLOW-UP PERIOD. BENEFITS OF YOGA MAY ACCUMULATE OVER TIME. 2017 11 1483 37 INTEGRATING YOGA WITH PSYCHOLOGICAL GROUP-TREATMENT FOR MIXED DEPRESSION AND ANXIETY IN PRIMARY HEALTHCARE: AN EXPLORATIVE PILOT STUDY. BACKGROUND AND PURPOSE: YOGA HAS SHOWN PROMISE AS A TREATMENT FOR DEPRESSION AND ANXIETY. THE PRESENT PILOT STUDY INVESTIGATED THE FEASIBILITY OF AN EIGHT-WEEK GROUPTREATMENT INTEGRATING EMOTION-FOCUSED PSYCHOEDUCATION, COMPASSION-FOCUSED THERAPY, AND VIRYA YOGA FOR DEPRESSION AND ANXIETY IN PRIMARY HEALTHCARE. MATERIALS AND METHODS: PATIENTS SEEKING TREATMENT FOR DEPRESSION AND ANXIETY IN A PRIMARY HEALTHCARE CENTRE COMPLETED EITHER AN INTEGRATIVE GROUP-TREATMENT (N = 14) OR TREATMENT AS USUAL (TAU, N = 17). OUTCOME MEASURES WERE ANALYSED PRE- AND POSTTREATMENT. CORRELATIONS IN THE INTERVENTION GROUP WERE INVESTIGATED BETWEEN TREATMENT OUTCOMES AND AMOUNT OF YOGA PRACTICE BETWEEN SESSIONS. RESULTS: LARGE WITHIN-GROUP EFFECT SIZES ON ALL OUTCOME MEASURES WERE FOUND AT POSTTREATMENT. SYMPTOM REDUCTION DID NOT DIFFER BETWEEN GROUPS (P = 0.155). IMPROVEMENT IN ALEXITHYMIA CORRELATED SIGNIFICANTLY (P < 0.05) WITH AMOUNT OF YOGA PRACTICE BETWEEN SESSIONS. CONCLUSION: INTEGRATING YOGA WITH A PSYCHOLOGICAL GROUP-TREATMENT IS A SOMEWHAT FEASIBLE APPROACH TO TREATMENT FOR DEPRESSION AND ANXIETY IN PRIMARY HEALTHCARE. 2020 12 1592 41 MEDITATION AND YOGA FOR POSTTRAUMATIC STRESS DISORDER: A META-ANALYTIC REVIEW OF RANDOMIZED CONTROLLED TRIALS. POSTTRAUMATIC STRESS DISORDER (PTSD) IS A CHRONIC AND DEBILITATING DISORDER THAT AFFECTS THE LIVES OF 7-8% OF ADULTS IN THE U.S. ALTHOUGH SEVERAL INTERVENTIONS DEMONSTRATE CLINICAL EFFECTIVENESS FOR TREATING PTSD, MANY PATIENTS CONTINUE TO HAVE RESIDUAL SYMPTOMS AND ASK FOR A VARIETY OF TREATMENT OPTIONS. COMPLEMENTARY HEALTH APPROACHES, SUCH AS MEDITATION AND YOGA, HOLD PROMISE FOR TREATING SYMPTOMS OF PTSD. THIS META-ANALYSIS EVALUATES THE EFFECT SIZE (ES) OF YOGA AND MEDITATION ON PTSD OUTCOMES IN ADULT PATIENTS. WE ALSO EXAMINED WHETHER THE INTERVENTION TYPE, PTSD OUTCOME MEASURE, STUDY POPULATION, SAMPLE SIZE, OR CONTROL CONDITION MODERATED THE EFFECTS OF COMPLEMENTARY APPROACHES ON PTSD OUTCOMES. THE STUDIES INCLUDED WERE 19 RANDOMIZED CONTROL TRIALS WITH DATA ON 1173 PARTICIPANTS. A RANDOM EFFECTS MODEL YIELDED A STATISTICALLY SIGNIFICANT ES IN THE SMALL TO MEDIUM RANGE (ES=-0.39, P<0.001, 95% CI [-0.57, -0.22]). THERE WERE NO APPRECIABLE DIFFERENCES BETWEEN INTERVENTION TYPES, STUDY POPULATION, OUTCOME MEASURES, OR CONTROL CONDITION. THERE WAS, HOWEVER, A MARGINALLY SIGNIFICANT HIGHER ES FOR SAMPLE SIZE9) ON THE EDINBURGH POSTNATAL DEPRESSION SCREEN AT BASELINE. IN ADDITION TO A BASELINE DIAGNOSTIC ASSESSMENT, WOMEN COMPLETED SELF-RATINGS ON DEPRESSION, MINDFULNESS, AND MATERNAL-FETAL ATTACHMENT BEFORE AND AFTER M-YOGA. FINDINGS SUGGEST THAT M-YOGA WAS FEASIBLE, ACCEPTED AND EFFECTIVE. SYMPTOMS OF DEPRESSION WERE SIGNIFICANTLY REDUCED (P = 0.025), WHILE MINDFULNESS (P = 0.007) AND MATERNAL-FETAL ATTACHMENT (P = 0.000) SIGNIFICANTLY INCREASED. OVERALL, THIS PILOT STUDY IS THE FIRST TO DEMONSTRATE THAT M-YOGA MAY BE AN EFFECTIVE TREATMENT ALTERNATIVE OR AUGMENTATION TO PHARMACOTHERAPY FOR PREGNANT WOMEN AT HIGH RISK FOR PSYCHOPATHOLOGY. 2012 17 2461 33 YOGA AS A NOVEL ADJUVANT THERAPY FOR PATIENTS WITH IDIOPATHIC INFLAMMATORY MYOPATHIES. CONTEXT: RECENT STUDIES HAVE DEMONSTRATED THAT PHYSICAL ACTIVITY IS WELL TOLERATED BY PATIENTS WITH IDIOPATHIC INFLAMMATORY MYOPATHIES (IIMS) AND CAN HAVE ADDITIONAL BENEFITS AS AN ADJUVANT THERAPY TO PHARMACOLOGIC AGENTS, ESPECIALLY IF STARTED EARLY. TO DATE, NO STUDIES HAVE EXAMINED THE EFFECTS OF YOGA ON PATIENTS WITH IIMS. AIMS: THE AIM OF THIS STUDY WAS TO EVALUATE THE EFFECTS OF YOGA ON SELF-REPORTED DIFFICULTY IN PERFORMING ACTIVITIES OF DAILY LIVING (ADL) AND MUSCLE STRENGTH IN PATIENTS WITH MILD-TO-MODERATE IIMS. SUBJECTS AND METHODS: A LONGITUDINAL COHORT STUDY IN WHICH PARTICIPANTS WERE ASSESSED USING THE MYOSITIS ACTIVITIES PROFILE (MAP) AND MANUAL MUSCLE TESTING (MMT) BEFORE AND AFTER THE COMPLETION OF AN 8-WEEK INSTRUCTOR-GUIDED YOGA COURSE WAS PERFORMED. STATISTICAL ANALYSIS USED: WILCOXON SIGNED-RANKED TEST WAS PERFORMED FOR STATISTICAL ANALYSIS. RESULTS: THE AVERAGE POSTTREATMENT MAP SCORES OF SIX PARTICIPANTS DEMONSTRATED AN INCREASE OF 2.51 POINTS, WHILE THE AVERAGE MMT SCORE OF FOUR PARTICIPANTS DEMONSTRATED AN INCREASE OF 11 POINTS. CONCLUSIONS: THIS STUDY IS THE FIRST STUDY TO DATE TO EXAMINE THE EFFECT OF YOGA AS AN ADJUVANT COMPLEMENTARY THERAPY FOR PATIENTS WITH IIM. CONTINUED RESEARCH SHOULD BE DONE ON THE EFFECT OF YOGA AS AN ADJUVANT THERAPY, FOR IN ADDITION TO INCREASE IN MUSCLE STRENGTH AND ABILITY TO PERFORM ADL, YOGA MAY OFFER POTENTIAL IMPROVEMENTS IN MOOD, MENTAL HEALTH, AND SLEEP. 2021 18 1830 36 PSYCHOLOGICAL FLEXIBILITY AND SET-SHIFTING AMONG VETERANS PARTICIPATING IN A YOGA PROGRAM: A PILOT STUDY. INTRODUCTION: TRAUMA-FOCUSED PSYCHOTHERAPIES DO NOT MEET THE NEEDS OF ALL VETERANS. YOGA SHOWS SOME POTENTIAL IN REDUCING STRESS AND PERHAPS EVEN PTSD IN VETERANS, ALTHOUGH LITTLE IS UNDERSTOOD ABOUT THE MECHANISMS OF ACTION. THIS STUDY IDENTIFIES PRELIMINARY CORRELATES OF CHANGE IN PTSD AND PERCEIVED STRESS FOR VETERANS PARTICIPATING IN YOGA. MATERIALS AND METHODS: NINE VETERANS (SEVEN MALES AND TWO FEMALES) WERE RECRUITED FROM AN EXISTING CLINICAL YOGA PROGRAM AND OBSERVED OVER 16 WK. SEVERITY OF PTSD SYMPTOMS (PCL-5) AND PERCEIVED STRESS (PSS-10) WERE COLLECTED AT BASELINE AND WEEKS 4, 6, 8, AND 16. PSYCHOLOGICAL FLEXIBILITY (AAQ-II) AND SET-SHIFTING (RATIO OF TRAIL MAKING TEST A TO B) WERE COLLECTED AT BASELINE AND AT WEEK 6. SUBJECTS ATTENDED YOGA SESSIONS FREELY, RANGING FROM 1 TO 23 CLASSES OVER THE 16 WEEKS. THE STANFORD UNIVERSITY INSTITUTIONAL REVIEW BOARD APPROVED THIS RESEARCH PROTOCOL. RESULTS: SELF-REPORTED PTSD SYMPTOMS SIGNIFICANTLY REDUCED WHILE PERCEIVED STRESS DID NOT. LOWER BASELINE SET-SHIFTING PREDICTED GREATER IMPROVEMENTS IN PTSD BETWEEN BASELINE AND 4 WEEKS; EARLY IMPROVEMENTS IN SET-SHIFTING PREDICTED OVERALL REDUCTION IN PTSD. GREATER PSYCHOLOGICAL FLEXIBILITY WAS ASSOCIATED WITH LOWER PTSD AND PERCEIVED STRESS; MORE YOGA PRACTICE, BEFORE AND DURING THE STUDY, WAS ASSOCIATED WITH GREATER PSYCHOLOGICAL FLEXIBILITY. OTHER PREDICTORS WERE NOT SUPPORTED. CONCLUSIONS: IN A SMALL UNCONTROLLED SAMPLE, PSYCHOLOGICAL FLEXIBILITY AND SET-SHIFTING PREDICTED CHANGES IN PTSD SYMPTOMS IN VETERANS PARTICIPATING IN A CLINICAL YOGA PROGRAM, WHICH SUPPORTS FINDINGS FROM PRIOR RESEARCH. FUTURE RESEARCH SHOULD INCLUDE AN ACTIVE COMPARISON GROUP AND RECORD FREQUENCY OF YOGA PRACTICED OUTSIDE FORMAL SESSIONS. 2018 19 1046 37 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 20 1446 46 INDIVIDUALIZED YOGA FOR REDUCING DEPRESSION AND ANXIETY, AND IMPROVING WELL-BEING: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: DEPRESSION AND ANXIETY ARE LEADING CAUSES OF DISABILITY WORLDWIDE. CURRENT TREATMENTS ARE PRIMARILY PHARMACEUTICAL AND PSYCHOLOGICAL. QUESTIONS REMAIN ABOUT EFFECTIVENESS AND SUITABILITY FOR DIFFERENT PEOPLE. PREVIOUS RESEARCH SUGGESTS POTENTIAL BENEFITS OF YOGA FOR REDUCING DEPRESSION AND ANXIETY. THE AIM OF THIS STUDY IS TO INVESTIGATE THE EFFECTS OF AN INDIVIDUALIZED YOGA INTERVENTION. METHODS: A SAMPLE OF 101 PEOPLE WITH SYMPTOMS OF DEPRESSION AND/OR ANXIETY PARTICIPATED IN A RANDOMIZED CONTROLLED TRIAL COMPARING A 6-WEEK YOGA INTERVENTION WITH WAITLIST CONTROL. YOGA WAS ADDITIONAL TO USUAL TREATMENT. THE CONTROL GROUP WAS OFFERED THE YOGA FOLLOWING THE WAITLIST PERIOD. MEASURES INCLUDED DEPRESSION ANXIETY STRESS SCALE (DASS-21), KESSLER PSYCHOLOGICAL DISTRESS SCALE (K10), SHORT-FORM HEALTH SURVEY (SF12), SCALE OF POSITIVE AND NEGATIVE EXPERIENCE (SPANE), FLOURISHING SCALE (FS), AND CONNOR-DAVIDSON RESILIENCE SCALE (CD-RISC2). RESULTS: THERE WERE STATISTICALLY SIGNIFICANT DIFFERENCES BETWEEN YOGA AND CONTROL GROUPS ON REDUCTION OF DEPRESSION SCORES (-4.30; 95% CI: -7.70, -0.01; P = .01; ES -.44). DIFFERENCES IN REDUCED ANXIETY SCORES WERE NOT STATISTICALLY SIGNIFICANT (-1.91; 95% CI: -4.58, 0.76; P = .16). STATISTICALLY SIGNIFICANT DIFFERENCES IN FAVOR OF YOGA WERE ALSO FOUND ON TOTAL DASS (P = .03), K10, SF12 MENTAL HEALTH, SPANE, FS, AND RESILIENCE SCORES (P < .01 FOR EACH). DIFFERENCES IN STRESS AND SF12 PHYSICAL HEALTH SCORES WERE NOT STATISTICALLY SIGNIFICANT. BENEFITS WERE MAINTAINED AT 6-WEEK FOLLOW-UP. CONCLUSION: YOGA PLUS REGULAR CARE WAS EFFECTIVE IN REDUCING SYMPTOMS OF DEPRESSION COMPARED WITH REGULAR CARE ALONE. FURTHER INVESTIGATION IS WARRANTED REGARDING POTENTIAL BENEFITS IN ANXIETY. INDIVIDUALIZED YOGA MAY BE PARTICULARLY BENEFICIAL IN MENTAL HEALTH CARE IN THE BROADER COMMUNITY. 2016