1 730 145 EFFECT OF MINDFULNESS AND YOGA ON QUALITY OF LIFE FOR ELEMENTARY SCHOOL STUDENTS AND TEACHERS: RESULTS OF A RANDOMIZED CONTROLLED SCHOOL-BASED STUDY. OBJECTIVE: TO ASSESS THE IMPACT OF A YOGA CURRICULUM IN AN ELEMENTARY SCHOOL ON STUDENT QUALITY OF LIFE, AND TO ASSESS TEACHER AND STAFF PERCEPTION OF POTENTIAL BARRIERS TO, AND BENEFITS OF, INTRODUCING YOGA AND MINDFULNESS INTO THE CLASSROOM. METHODS: A RANDOMIZED CONTROLLED TRIAL WAS UTILIZED TO ASSESS THE IMPACT OF A BRIEF INTERVENTION ON THIRD-GRADE STUDENTS WHO SCREENED POSITIVE FOR SYMPTOMS OF ANXIETY. STUDENTS WERE RANDOMIZED TO AN INTERVENTION GROUP OF 20 STUDENTS RECEIVING SMALL-GROUP YOGA/MINDFULNESS ACTIVITIES FOR 8 WEEKS BETWEEN OCTOBER 2016 AND FEBRUARY 2017, AND A CONTROL GROUP OF 32 STUDENTS RECEIVING CARE AS USUAL. THE BRIEF MULTIDIMENSIONAL STUDENTS' LIFE SATISFACTION SCALE-PEABODY TREATMENT PROGRESS BATTERY AND THE PEDIATRIC QUALITY OF LIFE INVENTORY (PEDSQL) SERVED AS OUTCOMES. TEACHERS WERE INVITED TO PARTICIPATE IN TWO PROFESSIONAL DEVELOPMENT SESSIONS ABOUT INTRODUCING YOGA AND MINDFULNESS INTO THE CLASSROOM, AND COMPLETED A SURVEY FOLLOWING EACH OF THE SESSIONS. RESULTS: IN GENERALIZED ESTIMATING EQUATION MODELS ADJUSTED FOR TIME, THE YOGA-BASED INTERVENTION WAS ASSOCIATED WITH A 14.17 UNIT INCREASE IN STUDENT EMOTIONAL PEDSQL (P-VALUE 0.001) AND A 7.43 UNIT INCREASE IN PSYCHOSOCIAL PEDSQL (P-VALUE 0.01). RESULTS WERE NOT ATTENUATED BY ADJUSTMENT. TEACHERS AND STAFF REPORTED USING YOGA MORE FREQUENTLY IN THE CLASSROOM FOLLOWING THE SECOND OF TWO PROFESSIONAL DEVELOPMENT SESSIONS (P-VALUE <0.05). PERCEIVED BARRIERS TO INTRODUCING YOGA TO THE CLASSROOM WERE SIMILAR AT TWO DATA COLLECTION TIME POINTS, WHILE PERCEIVED BENEFITS REMAINED HIGH. CONCLUSION: THE INTERVENTION WAS ASSOCIATED WITH A SIGNIFICANT IMPROVEMENT IN EMOTIONAL AND PSYCHOSOCIAL QUALITY OF LIFE IN THE INTERVENTION GROUP WHEN COMPARED TO THE CONTROL GROUP, SUGGESTING THAT YOGA/MINDFULNESS INTERVENTIONS MAY IMPROVE SYMPTOMS OF ANXIETY AMONG STUDENTS. YOGA/MINDFULNESS ACTIVITIES MAY FACILITATE STRESS MANAGEMENT AMONG ELEMENTARY SCHOOL STUDENTS AND MAY BE ADDED AS A COMPLEMENT TO SOCIAL AND EMOTIONAL LEARNING ACTIVITIES. 2018 2 1884 37 REDUCING STRESS IN SCHOOL-AGE GIRLS THROUGH MINDFUL YOGA. INTRODUCTION: SCHOOL-AGE CHILDREN REPORT MUCH STRESS IN THEIR DAILY LIVES, WHICH MAY LEAD TO PSYCHOLOGICAL AND PHYSICAL PROBLEMS. MINDFULNESS-BASED STRESS REDUCTION IS A PROGRAM OF AWARENESS-BASED PRACTICES EFFECTIVE WITH ADULTS. THE PURPOSE OF THIS STUDY WAS TO INVESTIGATE THE EFFICACY OF MINDFULNESS TRAINING THROUGH YOGA WITH SCHOOL-AGE GIRLS TO REDUCE PERCEIVED STRESS, ENHANCE COPING ABILITIES, SELF-ESTEEM, AND SELF-REGULATION, AND EXPLORE THE RELATIONSHIP BETWEEN THE DOSE OF THE INTERVENTION AND OUTCOMES. METHOD: FOURTH- AND FIFTH-GRADE GIRLS WERE RECRUITED FROM TWO PUBLIC SCHOOLS AND RANDOMLY ASSIGNED TO INTERVENTION AND WAIT-LIST CONTROL GROUPS. THE INTERVENTION GROUP MET 1 HOUR A WEEK FOR 8 WEEKS AND COMPLETED 10 MINUTES OF DAILY HOMEWORK. RESULTS: SELF-ESTEEM AND SELF-REGULATION INCREASED IN BOTH GROUPS. THE INTERVENTION GROUP WAS MORE LIKELY TO REPORT GREATER APPRAISAL OF STRESS (P < .01) AND GREATER FREQUENCY OF COPING (P < .05). HOMEWORK ACCOUNTED FOR 7% OF THE VARIANCE IN REPORTED STRESS. DISCUSSION: CONSISTENT WITH REPORTS OF MINDFULNESS TRAINING, GREATER AWARENESS OF THE FEELINGS ASSOCIATED WITH STRESS MAY ENHANCE COPING ABILITIES. HOWEVER, IT IS POSSIBLE THAT THE INCREASING AWARENESS OF STRESSORS IN ITSELF INCREASED STRESS, POSSIBLY AS PART OF THE PROCESS OF DEVELOPING MINDFULNESS OR RELATED TO COGNITIVE, EMOTIONAL, OR SOCIAL DEVELOPMENT. MINDFULNESS IN CHILDREN MAY DIFFER FROM MINDFULNESS IN ADULTS AND WARRANTS FURTHER INVESTIGATION. 2012 3 2837 43 YOGA'S IMPACT ON RISK AND PROTECTIVE FACTORS FOR DISORDERED EATING: A PILOT PREVENTION TRIAL. YOGA HAS BEEN PROPOSED AS A STRATEGY FOR IMPROVING RISK AND PROTECTIVE FACTORS FOR EATING DISORDERS, BUT FEW PREVENTION TRIALS HAVE BEEN CONDUCTED. THE PURPOSE OF THIS PILOT STUDY WAS TO ASSESS THE FEASIBILITY AND ACCEPTABILITY OF A YOGA SERIES IN FEMALE COLLEGE STUDENTS (N = 52). PARTICIPANTS WERE RANDOMIZED TO A YOGA INTERVENTION (THREE 50-MINUTE YOGA CLASSES/WEEK FOR 10 WEEKS CONDUCTED BY CERTIFIED YOGA TEACHERS WHO RECEIVED A 3-DAY INTENSIVE TRAINING) OR A CONTROL GROUP. RISK AND PROTECTIVE FACTORS, ASSESSED AT BASELINE, 5 AND 10 WEEKS, INCLUDED BODY DISSATISFACTION, NEGATIVE AFFECT, LONELINESS, SELF-COMPASSION, POSITIVE AFFECT, AND MINDFULNESS. MIXED MODELS CONTROLLING FOR BASELINE LEVELS OF OUTCOME VARIABLES WERE RUN. ON AVERAGE, PARTICIPANTS ATTENDED 20 OUT OF 30 YOGA CLASSES, AND THE MAJORITY OF PARTICIPANTS REPORTED HIGH LEVELS OF SATISFACTION WITH THE YOGA SERIES. APPEARANCE ORIENTATION DECREASED AND POSITIVE AFFECT INCREASED IN THE YOGA GROUP RELATIVE TO THE CONTROL GROUP. AFTER CONTROLLING FOR BASELINE LEVELS, THE YOGA GROUP HAD A SIGNIFICANTLY HIGHER POSITIVE AFFECT THAN THE CONTROL GROUP. CHANGES IN OTHER OUTCOMES WERE NOT STATISTICALLY SIGNIFICANT, AS COMPARED TO THE CONTROL CONDITION. FUTURE YOGA RESEARCH DIRECTIONS ARE DISCUSSED INCLUDING EDUCATION ABOUT BODY IMAGE, MEASURE AND SAMPLE SELECTION, AND USE OF AN IMPLEMENTATION SCIENCE FRAMEWORK. 2020 4 1250 33 FEASIBILITY STUDY: THE EFFECT OF THERAPEUTIC YOGA ON QUALITY OF LIFE IN CHILDREN HOSPITALIZED WITH CANCER. PURPOSE: TO DESCRIBE THE EFFECT OF THERAPEUTIC YOGA ON CHILD AND PARENTAL REPORTS OF QUALITY OF LIFE IN CHILDREN HOSPITALIZED WITH ONCOLOGICAL DIAGNOSES. METHODS: SIX CHILDREN PARTICIPATED IN 5 YOGA SESSIONS OVER 2 MONTHS. THE PEDSQL 4.0 WAS ADMINISTERED TO EACH CHILD AND PARTICIPATING PARENT/CAREGIVERS AT BASELINE AND AFTER COMPLETION OF THE YOGA INTERVENTION. THE WILCOXON NONPARAMETRIC RANK TEST MEASURED INDIVIDUAL DIFFERENCES OVER TIME. RESULTS: STATISTICALLY SIGNIFICANT DIFFERENCES (P < .05) WERE FOUND IN CHILD PERCEPTION OF GROSS MOTOR FUNCTION. CONCLUSION: THESE FEASIBILITY STUDY DATA SUGGEST THAT THERAPEUTIC YOGA POSITIVELY AFFECTED CHILD PERCEPTION OF GROSS MOTOR FUNCTION MEASURED ON THE PEDSQL 4.0. FURTHER STUDIES ARE NEEDED, INCLUDING A RANDOMIZED CONTROL TRIAL AND WITH A LARGER NUMBER OF PARTICIPANTS, TO CLARIFY AND CONFIRM THE EFFECT OF THERAPEUTIC YOGA. 2011 5 1182 33 EVALUATION OF THE MENTAL HEALTH BENEFITS OF YOGA IN A SECONDARY SCHOOL: A PRELIMINARY RANDOMIZED CONTROLLED TRIAL. THE GOAL OF THIS STUDY WAS TO EVALUATE POTENTIAL MENTAL HEALTH BENEFITS OF YOGA FOR ADOLESCENTS IN SECONDARY SCHOOL. STUDENTS WERE RANDOMLY ASSIGNED TO EITHER REGULAR PHYSICAL EDUCATION CLASSES OR TO 11 WEEKS OF YOGA SESSIONS BASED UPON THE YOGA ED PROGRAM OVER A SINGLE SEMESTER. STUDENTS COMPLETED BASELINE AND END-PROGRAM SELF-REPORT MEASURES OF MOOD, ANXIETY, PERCEIVED STRESS, RESILIENCE, AND OTHER MENTAL HEALTH VARIABLES. INDEPENDENT EVALUATION OF INDIVIDUAL OUTCOME MEASURES REVEALED THAT YOGA PARTICIPANTS SHOWED STATISTICALLY SIGNIFICANT DIFFERENCES OVER TIME RELATIVE TO CONTROLS ON MEASURES OF ANGER CONTROL AND FATIGUE/INERTIA. MOST OUTCOME MEASURES EXHIBITED A PATTERN OF WORSENING IN THE CONTROL GROUP OVER TIME, WHEREAS CHANGES IN THE YOGA GROUP OVER TIME WERE EITHER MINIMAL OR SHOWED SLIGHT IMPROVEMENTS. THESE PRELIMINARY RESULTS SUGGEST THAT IMPLEMENTATION OF YOGA IS ACCEPTABLE AND FEASIBLE IN A SECONDARY SCHOOL SETTING AND HAS THE POTENTIAL OF PLAYING A PROTECTIVE OR PREVENTIVE ROLE IN MAINTAINING MENTAL HEALTH. 2012 6 177 38 A RANDOMIZED CONTROLLED TRIAL OF MINDFULNESS VERSUS YOGA: EFFECTS ON DEPRESSION AND/OR ANXIETY IN COLLEGE STUDENTS. BACKGROUND: DEPRESSION AND ANXIETY DISORDERS ARE TWO OF THE MOST COMMON MENTAL DISORDERS IN THE UNITED STATES. THESE DISORDERS ARE PREVALENT AMONG COLLEGE STUDENTS. OBJECTIVE: THE MAIN OBJECTIVE OF THIS STUDY IS TO COMPARE THE EFFECTIVENESS OF TWO DIFFERENT TYPES OF INTERVENTION PRACTICES (MINDFULNESS VS. YOGA) AND A NONINTERVENTIONAL CONTROL GROUP IN MITIGATING THE EFFECTS OF DEPRESSION AND/OR ANXIETY IN COLLEGE STUDENTS. METHOD: A SAMPLE OF 90 STUDENTS (BOTH GENDERS) OVER AGE 18 WHO HAD A DIAGNOSIS OF ANXIETY AND/OR DEPRESSION WAS RECRUITED FROM 11,500 UNDERGRADUATE COLLEGE STUDENTS IN A MID-SIZE UNIVERSITY. THE STUDY'S DESIGN INCLUDED STRATIFIED-RANDOMIZED CONTROLLED REPEATED MEASURES WITH THREE GROUPS: A MINDFULNESS INTERVENTION GROUP, A YOGA-ONLY INTERVENTION GROUP, AND A NONINTERVENTIONAL GROUP. PARTICIPANTS WERE RANDOMLY ASSIGNED TO THE AFOREMENTIONED THREE GROUPS. PARTICIPANTS IN THE INTERVENTION GROUPS RECEIVED AN 8-WEEK TRAINING EITHER IN MINDFULNESS OR YOGA. DEPRESSIVE, ANXIETY, STRESS SYMPTOMS, SELF-COMPASSION, AND MINDFULNESS WERE MEASURED AT BASELINE, WEEK 4, WEEK 8, AND WEEK 12. RESULTS: DEPRESSIVE, ANXIETY, AND STRESS SYMPTOMS DECREASED SIGNIFICANTLY (P < .01) FROM BASELINE TO FOLLOW-UP CONDITIONS IN BOTH THE MINDFULNESS AND YOGA INTERVENTION GROUPS. THE CHANGES IN MINDFULNESS SCORES WERE ALSO SIGNIFICANT IN BOTH GROUPS. HOWEVER, THE CHANGES IN SELF-COMPASSION SCORES WERE SIGNIFICANT ONLY IN THE MINDFULNESS INTERVENTION GROUP. NO SIGNIFICANT CHANGES IN THE CONTROL GROUP WERE DEMONSTRATED. CONCLUSIONS: THE FINDINGS FROM THIS STUDY CAN PROVIDE USEFUL INFORMATION TO NURSES AND OTHER HEALTH CARE PROVIDERS. THIS STUDY MAY HAVE IMPLICATIONS FOR A COST-EFFECTIVE TREATMENT FOR DEPRESSION AND ANXIETY. 2016 7 112 41 A PILOT STUDY OF A MINDFULNESS INFORMED YOGA INTERVENTION IN YOUNG PEOPLE WITH PSYCHOSIS. AIM: TO DETERMINE THE ACCEPTABILITY AND SAFETY OF A MINDFULNESS INFORMED YOGA INTERVENTION AS ADJUNCT TO USUAL CARE FOR YOUNG PEOPLE WITH EARLY PSYCHOSIS. METHODS: PEOPLE AGED 16-25 YEARS ATTENDING A COMMUNITY-BASED SPECIALIST EARLY PSYCHOSIS CLINIC WERE INVITED TO PARTICIPATE IN A 12-WEEK YOGA INTERVENTION. THE INTERVENTION CONSISTED OF 1-H WEEKLY CLASSES OF MINDFULNESS INFORMED YOGA. ACCEPTABILITY WAS MEASURED BY UPTAKE, ATTENDANCE AND PARTICIPANTS' SATISFACTION. SAFETY WAS MEASURED BY INCIDENCE OF PHYSICAL INJURY, PARTICIPANTS' LEVEL OF COMFORT, DISTRESS AND ANXIETY DURING THE SESSIONS, AND THE FOLLOWING MENTAL HEALTH OUTCOMES: POSITIVE AND NEGATIVE PSYCHOTIC, DEPRESSION, ANXIETY AND STRESS SYMPTOMS, SLEEP QUALITY AND FUNCTIONING. RESULTS: OF THOSE WHO CONSENTED TO THE STUDY, 80% (12) PARTICIPATED AND ON AVERAGE ATTENDED 4.4 YOGA CLASSES. THERE WERE NO PHYSICAL INJURIES AND PARTICIPANTS REPORTED MINIMAL DISTRESS AND ANXIETY. POST-INTERVENTION, THERE WAS A SIGNIFICANT REDUCTION IN ANXIETY SYMPTOMS AND AN IMPROVEMENT IN FUNCTION. CONCLUSIONS: MINDFULNESS-BASED YOGA INTERVENTIONS ARE BOTH ACCEPTABLE AND SAFE AS AN INTERVENTION FOR YOUTH WITH EARLY PSYCHOSIS. THOUGH NUMBERS WERE SMALL, THE STUDY SHOWS PROMISE FOR YOGA AS A POTENTIALLY USEFUL INTERVENTION. IMPORTANTLY, THERE WAS NO DETERIORATION IN MENTAL HEALTH OUTCOMES. A LARGER TRIAL EVALUATING CLINICAL EFFECTIVENESS IS NOW TIMELY. 2022 8 1367 38 IMPACT OF A MINDFULNESS-BASED, WORKPLACE GROUP YOGA INTERVENTION ON BURNOUT, SELF-CARE, AND COMPASSION IN HEALTH CARE PROFESSIONALS: A PILOT STUDY. OBJECTIVE: TO INVESTIGATE WHETHER A WORKPLACE, GROUP MINDFULNESS-BASED YOGA INTERVENTION COULD HELP MANAGE BURNOUT AND IMPROVE WELLBEING AMONG HEALTH CARE PROFESSIONALS. METHODS: A TOTAL OF 43 HEALTH CARE PROFESSIONALS PARTICIPATED IN 8-WEEK SUPERVISED WORKPLACE, GROUP MINDFULNESS-BASED YOGA ACTIVITIES. THE AUTHORS USED A SINGLE-SAMPLE, PRE-POST DESIGN. AT TWO POINTS IN TIME (BASELINE AND POSTINTERVENTION), PARTICIPANTS COMPLETED A SET OF ONLINE MEASURES ASSESSING BURNOUT, DEPRESSION, ANXIETY, STRESS, RESILIENCE, AND COMPASSION. THE AUTHORS USED LINEAR MIXED MODEL ANALYSIS TO ASSESS CHANGES IN OUTCOME MEASURES. RESULTS: PARTICIPANTS HAD IMPROVEMENTS AFTER THE 8-WEEK INTERVENTION. AT POSTINTERVENTION, THEY HAD SIGNIFICANTLY BETTER SCORES ON PERSONAL ACCOMPLISHMENT, DEPRESSION, ANXIETY, STRESS, PERCEIVED RESILIENCE, AND COMPASSION. PARTICIPANTS HAD A POSITIVE PERCEPTION OF THE YOGA INTERVENTION. CONCLUSION: GROUP MINDFULNESS-BASED YOGA PROGRAM MAY BE CONVENIENT AND LOW-COST APPROACH TO SUPPORT HEALTH AND WELLBEING AMONG HEALTH CARE PROFESSIONALS. 2020 9 1628 32 MINDFULNESS, SELF-COMPASSION, ANXIETY AND DEPRESSION MEASURES IN SOUTH AUSTRALIAN YOGA PARTICIPANTS: IMPLICATIONS FOR DESIGNING A YOGA INTERVENTION. AIM: THE AIM OF THE STUDY WAS TO EXAMINE THE DEMOGRAPHIC AND PRACTICE CHARACTERISTICS OF CURRENT YOGA PARTICIPANTS AND ASSESS THEIR LEVELS OF MINDFULNESS, SELF-COMPASSION, STRESS, ANXIETY, DEPRESSION AND WELLBEING AND IMPLICATIONS FOR DESIGNING A YOGA INTERVENTION. METHODS: A WEB-BASED SURVEY WAS ADMINISTERED TO SOUTH AUSTRALIAN YOGA TEACHERS AND STUDENTS FROM SEPTEMBER 2014 TO FEBRUARY 2015. RESULTS: RESULTS SHOWED A POSITIVE CORRELATION WITH MINDFULNESS AND SELF-COMPASSION AND NEGATIVE CORRELATION WITH DEPRESSION, ANXIETY AND STRESS SCORES WITH MONTHS OF PRACTICE. MINDFULNESS AND SELF-COMPASSION SCORES WERE SIGNIFICANTLY HIGHER WITH TWO OR MORE CLASSES PER WEEK AND MINDFULNESS HIGHER IN THOSE WITH A REGULAR MEDITATION PRACTICE. DISCUSSION: KEY FINDINGS INDICATE THAT CLASS FREQUENCY, PRACTICE EXPERIENCE AND MEDITATION PRACTICE ARE IMPORTANT FACTORS IN DESIGNING A YOGA INTERVENTION EXAMINING MINDFULNESS AND MENTAL HEALTH. CONCLUSION: FINDINGS PROVIDE IMPORTANT INFORMATION FOR GUIDING DEVELOPMENT OF A YOGA INTERVENTION FOR ANXIETY AND DEPRESSION. 2018 10 115 30 A PILOT STUDY OF A YOGA INTERVENTION FOR THE TREATMENT OF ANXIETY IN YOUNG PEOPLE WITH EARLY PSYCHOSIS. BACKGROUND: ANXIETY IS COMMON IN YOUNG PEOPLE WITH EARLY PSYCHOSIS AND TREATMENT OPTIONS FOR THIS CO-MORBIDITY REMAIN LIMITED. YOGA IS A PROMISING ADJUNCT INTERVENTION THAT HAS BEEN SHOWN TO REDUCE ANXIETY FOR ADULTS WITH SCHIZOPHRENIA, THEREFORE THIS PILOT STUDY EVALUATED THE ACCEPTABILITY AND POTENTIAL EFFECTIVENESS OF YOGA FOR ANXIETY IN EARLY PSYCHOSIS. METHODS: A PROSPECTIVE SINGLE ARM PILOT STUDY OF A YOGA INTERVENTION WAS CONDUCTED WITHIN AN EARLY INTERVENTION FOR PSYCHOSIS SERVICE. RATES OF ATTENDANCE, AS WELL AS SYMPTOMS OF ANXIETY PRE AND POST YOGA SESSION WERE MEASURED. RESULTS: A TOTAL OF 14 YOUNG PEOPLE PARTICIPATED IN THE STUDY AND OVER 70% ATTENDED HALF OR MORE OF THE YOGA SESSIONS OFFERED. SIGNIFICANT TRANSIENT REDUCTION IN STATE ANXIETY AFTER A SINGLE SESSION OF YOGA WAS OBSERVED (P < 0.01). CONCLUSIONS: YOGA WAS FOUND TO BE AN ACCEPTABLE AND POTENTIALLY EFFECTIVE ADJUNCTIVE TREATMENT FOR ANXIETY IN EARLY PSYCHOSIS AND THE RESULTS WARRANT FURTHER CLINICAL TRIALS. 2022 11 2274 42 THE ROLE OF YOGA IN TREATING STRESS-RELATED SYMPTOMS IN DENTAL HYGIENE STUDENTS. CONTEXT: RESEARCH HAS PROVIDED EVIDENCE FOR YOGA'S EFFECTIVENESS IN THE PREVENTION AND TREATMENT OF PAIN AND STRESS, BOTH OF WHICH HAVE BEEN IMPLICATED AS SIGNIFICANT NEGATIVE MODERATORS OF STUDENT PERFORMANCE AND EXPERIENCE. AIMS: THIS STUDY INVESTIGATED THE FEASIBILITY AND PRELIMINARY IMPACT OF A 10-WEEK YOGA INTERVENTION WITH DENTAL HYGIENE STUDENTS TO REDUCE PERCEPTIONS OF STRESS AND STRESS-RELATED SYMPTOMS. SETTINGS AND DESIGN: STUDENTS SELF-SELECTED INTO A YOGA TREATMENT VERSUS CONTROL CONDITION. THEY COMPLETED STRESS AND PAIN MEASURES AT FOUR TIME POINTS DURING AND AFTER THE INTERVENTION OR CONTROL PERIOD OF 10-WEEKS. METHODS: PARTICIPANTS WERE STUDENTS ENROLLED IN A DENTAL HYGIENE PROGRAM. ALL 77 PARTICIPANTS COMPLETED A 10-WEEK STUDY, SELF-SELECTING INTO AN INTERVENTION OR CONTROL GROUP. THEY COMPLETED THREE SELF-REPORT QUESTIONNAIRES ASSESSING PAIN AND STRESS, ADMINISTERED AT BASELINE, MID-POINT, POSTINTERVENTION, AND TWO FOLLOW-UPS. THE 10-WEEK YOGA INTERVENTION CONSISTED OF 10 90-MIN YOGA SESSIONS THAT PROVIDED CHECK-INS, BREATHING EXERCISES, SEQUENCES OF POSTURES, RELAXATION EXERCISES, AND CLOSING MEDITATIONS. STATISTICAL ANALYSIS USED: INDEPENDENT SAMPLES T-TESTS WERE USED TO COMPARE PERCEIVED STRESS LEVELS OF PARTICIPANTS IN THE CONTROL VERSUS TREATMENT GROUPS. PAIRED T-TEST WAS USED TO ASSESS DIFFERENCES IN STRESS-RELATED SYMPTOM LEVELS ACROSS TIME. RESULTS: RESULTS SUGGESTED THAT A YOGA INTERVENTION IS FEASIBLE FOR THIS GROUP AND THAT ACTIVE YOGA PRACTICE CAN LOWER PERCEIVED STRESS ACROSS MULTIPLE DOMAINS AND ACROSS TIME. CONCLUSIONS: A SPECIALLY ADAPTED AND DESIGNED 10-WEEK YOGA PROTOCOL APPEARS TO BE AN ACCESSIBLE OPTION FOR DENTAL HYGIENE PROGRAMS THAT SEEK TO SUPPORT THEIR STUDENTS IN IMPROVING OVERALL WELLBEING. 2020 12 955 41 EFFECTS OF A KUNDALINI YOGA PROGRAM ON ELEMENTARY AND MIDDLE SCHOOL STUDENTS' STRESS, AFFECT, AND RESILIENCE. OBJECTIVE: THE YOUR OWN GREATNESS AFFIRMED (YOGA) FOR YOUTH PROGRAM DELIVERS YOGA TO URBAN INNER-CITY SCHOOLS WITH THE GOAL OF PROVIDING PRACTICAL BENEFITS THAT SUPPORT UNDERSERVED CHILDREN AT HIGH RISK OF BEHAVIORAL AND EMOTIONAL PROBLEMS. A 10-WEEK YOGA FOR YOUTH PROGRAM DELIVERED 1 TO 2 TIMES PER WEEK WAS IMPLEMENTED IN 3 SCHOOLS IN URBAN NEIGHBORHOODS TO EXAMINE THE EFFECT OF THE PROGRAM ON STUDENT STRESS, AFFECT, AND RESILIENCE. METHODS: THIRTY CHILDREN WERE ADMINISTERED THE PERCEIVED STRESS SCALE, THE POSITIVE AND NEGATIVE AFFECT SCHEDULE, AND THE RESILIENCE SCALE BEFORE AND AFTER THE YOGA PROGRAM. AFTER THE PROGRAM, INFORMAL QUALITATIVE INTERVIEWS WERE CONDUCTED WITH SCHOOL TEACHERS, YOGA TEACHERS, AND STUDENTS TO DETERMINE THE OVERALL IMPACT OF THE YOGA PROGRAM. RESULTS: THE QUANTITATIVE RESULTS OF THIS STUDY INDICATED THAT THE YOGA PROGRAM SIGNIFICANTLY IMPROVED STUDENTS STRESS (P < 0.05), POSITIVE AFFECT (P < 0.05), AND RESILIENCE (P < 0.001). THE QUALITATIVE RESULTS INDICATED THAT STUDENTS, SCHOOL TEACHERS, AND YOGA TEACHERS ALL FOUND THE PROGRAM TO BE BENEFICIAL FOR STUDENTS' WELL-BEING. CONCLUSION: TAKEN TOGETHER, THESE DATA SUGGEST THAT THE YOGA FOR YOUTH PROGRAM MAY PROVIDE STUDENTS IN LOW-INCOME URBAN SCHOOLS WITH BEHAVIORAL SKILLS THAT WILL PROTECT AGAINST RISK FACTORS ASSOCIATED WITH THE DEVELOPMENT OF BEHAVIORAL AND EMOTIONAL PROBLEMS. 2018 13 2062 41 THE BENEFITS OF YOGA IN THE CLASSROOM: A MIXED-METHODS APPROACH TO THE EFFECTS OF POSES AND BREATHING AND RELAXATION TECHNIQUES. BACKGROUND: DISADVANTAGED YOUTH IN THE UNITED STATES ARE DISPROPORTIONATELY LIKELY TO BE MORE SEDENTARY AND OBESE AND EXPERIENCE MORE STRESS THAN THEIR COUNTERPARTS WITH HIGHER SOCIOECONOMIC STATUS. YOGA AND BREATHING AND RELAXATION TECHNIQUES HAVE POSITIVE EFFECTS ON STRESS LEVELS, PHYSICAL ACTIVITY LEVELS, AND BEHAVIOR OF SCHOOL-AGED CHILDREN. AIMS: USING SOCIAL COGNITIVE THEORY TO EXAMINE BEHAVIORAL, PERSONAL, AND ENVIRONMENTAL FACTORS, THE PURPOSE OF THIS PILOT STUDY WAS TO EXAMINE THE MULTILEVEL INFLUENCES OF A YOGA-BASED CLASSROOM INTERVENTION ON URBAN YOUTH. METHODS: USING A MIXED METHODOLOGICAL QUASI-EXPERIMENTAL DESIGN, THIS PILOT STUDY INCLUDED THE THIRD GRADE STUDENTS (N = 40) AT ONE URBAN ELEMENTARY SCHOOL. A SURVEY CONTAINED STRESS, YOGA BEHAVIOR, AND AGGRESSION SCALES. IN ADDITION, INDIVIDUAL STUDENT INTERVIEWS, A TEACHER INTERVIEW, AND CLASSROOM OBSERVATIONS WERE CONDUCTED. RESULTS: PAIRED AND INDEPENDENT SAMPLE T-TESTS SHOWED PRE/POST DIFFERENCES IN YOGA PARTICIPATION BOTH IN AND OUT OF SCHOOL FOR THE INTERVENTION PARTICIPANTS (P < 0.01). QUALITATIVE ANALYSIS REVEALED THREE MAIN THEMES: (1) INCREASED USE AND ENJOYMENT OF YOGA TECHNIQUES, (2) BEHAVIORAL CHANGES BOTH IN/OUT OF SCHOOL, AND (3) IMPACT ON PERSONAL FACTORS. CONCLUSIONS: FINDINGS SUGGEST THAT URBAN CLASSROOMS SHOULD INCLUDE YOGA AND MINDFULNESS TRAINING AS IT CONTRIBUTES TO DAILY STUDENT PA AND ALSO CAN BE STRESS RELIEVING, FUN, CALMING, AND EASY TO PERFORM OUTSIDE OF SCHOOL. 2020 14 160 38 A RANDOMISED CONTROLLED TRIAL COMPARING THE IMPACT OF YOGA AND PHYSICAL EDUCATION ON THE EMOTIONAL AND BEHAVIOURAL FUNCTIONING OF MIDDLE SCHOOL CHILDREN. BACKGROUND: YOGA PROGRAMS GEARED FOR SCHOOL CHILDREN HAVE BECOME MORE WIDESPREAD, BUT RESEARCH REGARDING ITS IMPACT ON CHILDREN IS LACKING. SEVERAL STUDIES HAVE REPORTED POSITIVE OUTCOMES, THOUGH THERE IS A NEED FOR MORE RANDOMISED CONTROLLED TRIALS. OBJECTIVES: TO DETERMINE THE EFFECTS OF YOGA ON CHILDREN'S EMOTIONAL AND BEHAVIOURAL FUNCTIONING WHEN COMPARED WITH PHYSICAL EDUCATION (PE) CLASSES. METHODS: THIRTY MIDDLE SCHOOL CHILDREN WERE RANDOMISED TO PARTICIPATE IN EITHER A SCHOOL-BASED ASHTANGA-INFORMED YOGA OR PE CLASS THREE TIMES A WEEK FOR 12 WEEKS. EMOTIONAL (I.E. AFFECT, SELF-PERCEPTIONS) AND BEHAVIOURAL (I.E. INTERNALISING AND EXTERNALISING PROBLEMS, AGGRESSION) FUNCTIONING WERE MEASURED PRE AND POST-INTERVENTION. RESULTS: THERE WERE NO SIGNIFICANT CHANGES BETWEEN GROUPS IN SELF-REPORTED POSITIVE AFFECT, GLOBAL SELF-WORTH, AGGRESSION INDICES OR PARENT REPORTS OF THEIR CHILDREN'S EXTERNALISING AND INTERNALISING PROBLEMS. HOWEVER, NEGATIVE AFFECT INCREASED FOR THOSE CHILDREN PARTICIPATING IN YOGA WHEN COMPARED TO THE PE PROGRAM. CONCLUSIONS: IN GENERAL, FINDINGS SUGGEST THAT YOGA AND PE CLASSES DO NOT DIFFERENTIALLY IMPACT ON MIDDLE SCHOOL CHILDREN'S EMOTIONAL AND BEHAVIOURAL FUNCTIONING. HOWEVER, CHILDREN REPORTED EXPERIENCING INCREASED NEGATIVE EMOTIONS AFTER RECEIVING YOGA WHILE CHILDREN IN THE PE GROUP REPORTED A DECREASE IN THESE FEELINGS. IMPLICATIONS OF THESE RESULTS AND POTENTIAL DIRECTIONS FOR FUTURE RESEARCH ON CHILDREN'S YOGA ARE DISCUSSED. 2014 15 198 41 A REGULAR YOGA INTERVENTION FOR STAFF NURSE SLEEP QUALITY AND WORK STRESS: A RANDOMISED CONTROLLED TRIAL. AIMS AND OBJECTIVES: ALTHOUGH MANY STUDIES HAVE ASSESSED THE EFFICACY OF YOGA IN OLDER INDIVIDUALS, MINIMAL RESEARCH HAS FOCUSED ON HOW NURSES USE YOGA TO IMPROVE SLEEP QUALITY AND TO REDUCE WORK STRESS AFTER WORK HOURS. WE USED THE PITTSBURGH SLEEP QUALITY INDEX IN CHINESE AND THE QUESTIONNAIRE ON MEDICAL WORKER'S STRESS IN CHINESE TO DETERMINE THE IMPACT OF YOGA ON THE QUALITY OF SLEEP AND WORK STRESS OF STAFF NURSES EMPLOYED BY A GENERAL HOSPITAL IN CHINA. BACKGROUND: DISTURBANCES IN THE CIRCADIAN RHYTHM INTERRUPT AN INDIVIDUAL'S PATTERN OF SLEEP. STUDY DESIGN: CONVENIENT SAMPLING METHOD. METHODS: ONE HUNDRED AND TWENTY NURSES WERE RANDOMISED INTO TWO GROUPS: A YOGA GROUP AND A NON-YOGA GROUP. THE YOGA GROUP PERFORMED YOGA MORE THAN TWO TIMES EVERY WEEK FOR 50-60 MINUTES EACH TIME AFTER WORK HOURS. THE NG GROUP DID NOT PARTICIPATE IN YOGA. AFTER SIX MONTHS, SELF-REPORTED SLEEP QUALITY AND WORK STRESS WERE COMPARED BETWEEN THE TWO GROUPS, AND THEN WE USED LINEAR REGRESSION TO CONFIRM THE INDEPENDENT FACTORS RELATED TO SLEEP QUALITY. RESULTS: NURSES IN THE YOGA GROUP HAD BETTER SLEEP QUALITY AND LOWER WORK STRESS COMPARED WITH NURSES IN THE NON-YOGA GROUP. THE LINEAR REGRESSION MODEL INDICATED THAT NURSING EXPERIENCE, AGE AND YOGA INTERVENTION WERE SIGNIFICANTLY RELATED TO SLEEP QUALITY. CONCLUSION: REGULAR YOGA CAN IMPROVE SLEEP QUALITY AND REDUCE WORK STRESS IN STAFF NURSES. RELEVANCE TO CLINICAL PRACTICE: THIS STUDY PROVIDES EVIDENCE THAT HOSPITAL MANAGEMENT SHOULD PAY ATTENTION TO NURSE SLEEP QUALITY AND WORK STRESS, THEREBY TAKING CORRESPONDING MEASURES TO REDUCE WORK PRESSURE AND IMPROVE HEALTH OUTCOMES. 2015 16 2235 39 THE IMPACT OF YOGA UPON FEMALE PATIENTS SUFFERING FROM HYPOTHYROIDISM. OBJECTIVE: TO STUDY THE EFFECT OF YOGA ON THE QUALITY OF LIFE OF FEMALE HYPOTHYROID PATIENTS. DESIGN: THE WHO QUALITY OF LIFE SCALE(22) WAS USED TO ASSESS THE QUALITY OF LIFE OF 20 FEMALE HYPOTHYROID PATIENTS. SUBJECTS ATTENDED ONE HOUR YOGA SESSIONS DAILY FOR A PERIOD OF ONE MONTH. A PRETEST-POST-TEST RESEARCH DESIGN WAS USED FOR DATA ANALYSIS. RESULTS: PATIENTS' QUALITY OF LIFE SCORES FOLLOWING THE YOGA PROGRAM WERE GREATER THAN SCORES OBTAINED PRIOR TO UNDERTAKING YOGA (P < 0.01). PATIENTS ALSO REPORTED SIGNIFICANT IMPROVEMENT IN THEIR PERCEPTION OF THE OVERALL QUALITY OF LIFE AND OF THEIR HEALTH POST YOGA INTERVENTION. CONCLUSIONS: IT CAN BE CONCLUDED THAT YOGA IS VALUABLE IN HELPING THE HYPOTHYROID PATIENTS TO MANAGE THEIR DISEASE-RELATED SYMPTOMS. YOGA MAY BE CONSIDERED AS SUPPORTIVE OR COMPLEMENTARY THERAPY IN CONJUNCTION WITH MEDICAL THERAPY FOR THE TREATMENT OF HYPOTHYROID DISORDER. 2011 17 1164 41 EVALUATING THE EFFECTS OF A YOGA-BASED PROGRAM INTEGRATED WITH THIRD-WAVE COGNITIVE BEHAVIORAL THERAPY COMPONENTS ON SELF-REGULATION IN CHILDREN ON THE AUTISM SPECTRUM: A PILOT RANDOMIZED CONTROLLED TRIAL. LAY ABSTRACT: CHILDREN ON THE AUTISM SPECTRUM MAY EXPERIENCE DIFFICULTIES WITH THE REGULATION OF ATTENTION, THOUGHTS, EMOTIONS, AND BEHAVIOR, UNDERSTANDING, AND EXPRESSING THEIR EMOTIONS APPROPRIATELY, AS WELL AS ANXIETY, AND SLEEP. IN AUTISM RESEARCH, CONTEMPLATIVE PRACTICES THAT WORK THROUGH BOTH BODY AND MIND HAVE SHOWN TENTATIVELY PROMISING RESULTS. HOWEVER, THERE ARE LIMITED STUDIES ON THIS TOPIC, AND THE USE OF YOGA TO FACILITATE EXECUTIVE CONTROL HAS NOT BEEN RESEARCHED YET. THE INCREDIBLE EXPLORERS (6-WEEK PROGRAM), A YOGA-INFORMED INTERVENTION PROGRAM FOR CHILDREN (8-12 YEARS), WAS DEVELOPED TO UNDERSTAND WHETHER, FOR CHILDREN ON THE AUTISM SPECTRUM, THE TRAINING COULD IMPROVE THE ABILITY TO SELF-REGULATE, REDUCE ANXIETY AND SLEEP PROBLEMS, AND INCREASE AWARENESS OF EMOTIONS. IN OUR SAMPLE, 61 CHILDREN WITH ONE OF THEIR PARENTS COMPLETED THE PROGRAM. HALF OF THE GROUP RECEIVED THE INTERVENTION, AND THE OTHER HALF HAD TO WAIT UNTIL THE YOGA GROUP COMPLETED THEIR TRIAL. THE PARTICIPANTS WERE ASKED TO GIVE THEIR FEEDBACK IMMEDIATELY AFTER PROGRAM COMPLETION AND AT 6-WEEK FOLLOW-UP. COMPARED TO THE GROUP THAT WAS WAITING TO RECEIVE THE INTERVENTION, PARENTS IN THE YOGA GROUP REPORTED SIGNIFICANT GAINS FOR THEIR CHILDREN IN REGULATING THEIR OVERALL EXECUTIVE CONTROL IMMEDIATELY AFTER THE SESSION AND AGAIN AT FOLLOW-UP. THE PARENTS REPORTED A REDUCTION IN SOME OF THE SLEEP PROBLEMS POST-TREATMENT. CHILDREN INDICATED AN IMPROVED ABILITY TO COMMUNICATE THEIR FEELINGS AND WILLINGNESS TO ANALYZE THEIR EMOTIONS POST-INTERVENTION. HOWEVER, THE STUDY HAD SEVERAL SHORTCOMINGS AND GIVEN THAT THIS WAS THE FIRST TRIAL OF THE PROGRAM, THE RESULTS NEED TO BE INTERPRETED WITH CAUTION. FURTHER RESEARCH IS RECOMMENDED. 2021 18 976 45 EFFECTS OF AN INTERVENTION PROGRAM WITH HEALTH EDUCATION AND HATHA YOGA ON THE HEALTH OF PROFESSIONALS WITH MUSCULOSKELETAL SYMPTOMS. INTRODUCTION: MUSCULOSKELETAL AND MENTAL DISORDERS ARE RELEVANT IN THE WORKERS' DISEASE PROCESS, AND ERGONOMIC INTERVENTIONS THAT INCLUDE GUIDANCE AND PHYSICAL EXERCISE CONSIST OF STRATEGIES OF HEALTH PROMOTION. INTEGRATIVE AND COMPLEMENTARY PRACTICES ARE PRESENTED AS A POSSIBILITY OF PROMOTING COMPREHENSIVE CARE AND YOGA CONSISTS OF A THERAPEUTIC ALTERNATIVE. OBJECTIVE: TO EVALUATE THE EFFECTS OF AN INTERVENTION INCLUDING EDUCATIONAL MEASURES AND HATHA YOGA IN MUSCULOSKELETAL PAIN, DISABILITY, AND STRESS IN PROFESSIONALS OF A UNIVERSITY HOSPITAL. METHODS: WE SELECTED 125 PROFESSIONALS WITH MUSCULOSKELETAL SYMPTOMS OF INTENSITY >/= 1 WHO DID NOT PRACTICE YOGA AND RANDOMLY ASSIGNED THEM TO INTERVENTION (N = 63) AND CONTROL (N = 62) GROUPS, REQUESTING ANSWERS TO THE FOLLOWING QUESTIONNAIRES: INITIAL CHARACTERIZATION, THE NORDIC MUSCULOSKELETAL QUESTIONNAIRE AND A NUMERIC SCALE, THE PAIN DISABILITY QUESTIONNAIRE, AND THE PERCEIVED STRESS SCALE. THE INTERVENTION GROUP WENT THROUGH A 12-WEEK PROGRAM WITH EDUCATIONAL MEASURES AND HATHA YOGA. AT THE END OF THE STUDY PERIOD, BOTH GROUPS ANSWERED TO THE QUESTIONNAIRES ONCE AGAIN. WE COMPARED DATA BEFORE AND AFTER THE INTERVENTION AND BETWEEN GROUPS. RESULTS: BOTH GROUPS PRESENTED IMPROVEMENTS AFTER 12 WEEKS, BUT THE DIFFERENCE BETWEEN MEAN RESULTS OBTAINED IN THE FIRST AND SECOND DATA COLLECTIONS REVEALED THAT THE LEVELS OF PAIN, DISABILITY, AND STRESS DECREASED MORE STRONGLY IN THE INTERVENTION GROUP THAN IN THE CONTROL GROUP. CONSIDERING THAT THE INTERVENTION GROUP BEGAN THE PROGRAM IN WORSE CLINICAL CONDITIONS, THE PROGRAM LED TO A REDUCTION IN THE DIFFERENCE BETWEEN GROUPS, BUT THIS WAS NOT ENOUGH FOR THE INTERVENTION GROUP TO REACH BETTER RESULTS THAN THE CONTROL. CONCLUSIONS: THE INTERVENTION PROMOTED IMPROVEMENTS IN THE INTENSITY OF PAIN, DISABILITY, AND STRESS AMONG THE PARTICIPANTS OF THE INTERVENTION GROUP. SIMILAR PROGRAMS COULD BE EXPLORED IN THE PROMOTION OF OCCUPATIONAL HEALTH. 2020 19 719 47 EFFECT OF IYENGAR YOGA ON MENTAL HEALTH OF INCARCERATED WOMEN: A FEASIBILITY STUDY. BACKGROUND: INCARCERATED WOMEN SHARE A DISPROPORTIONATE BURDEN OF MENTAL ILLNESS. ALTHOUGH PSYCHOTROPIC MEDICATIONS ARE AVAILABLE TO WOMEN IN PRISON, ADJUNCTIVE TREATMENT MODALITIES, SUCH AS IYENGAR YOGA, MAY INCREASE PSYCHOLOGICAL WELL-BEING. OBJECTIVES: THE PURPOSES OF THIS STUDY WERE (A) TO ADDRESS THE FEASIBILITY OF PROVIDING A GENDER-RESPONSIVE EXERCISE INTERVENTION WITHIN A CORRECTIONAL INSTITUTION AND (B) TO OBSERVE THE EFFECT OF A GROUP-FORMAT IYENGAR YOGA PROGRAM THAT MET TWO SESSIONS A WEEK FOR 12 WEEKS ON LEVELS OF DEPRESSION SYMPTOMS, ANXIETY SYMPTOMS, AND PERCEIVED STRESS AMONG INCARCERATED WOMEN. METHODS: A REPEATED MEASURES DESIGN, IN WHICH EACH PARTICIPANT SERVED AS HER OWN CONTROL, WAS USED. PARTICIPANTS COMPLETED THREE SELF-ADMINISTERED INSTRUMENTS: THE BECK DEPRESSION INVENTORY, THE BECK ANXIETY INVENTORY, AND THE PERCEIVED STRESS SCALE BEFORE TREATMENT (BASELINE) AND DURING TREATMENT (WEEKS 4, 8, AND 12). LINEAR MIXED EFFECTS MODELS WERE USED TO EXAMINE STATISTICALLY SIGNIFICANT CHANGES IN MENTAL HEALTH MEASURES OVER TIME, TAKING ADVANTAGE OF ALL AVAILABLE DATA. RESULTS: ALTHOUGH 21 WOMEN INITIALLY PARTICIPATED IN THE INTERVENTION, 6 WOMEN COMPLETED THE 12-WEEK INTERVENTION. A SIGNIFICANT LINEAR DECREASE WAS DEMONSTRATED IN SYMPTOMS OF DEPRESSION OVER TIME, WITH MEAN VALUES CHANGING FROM 24.90 AT BASELINE TO 5.67 AT WEEK 12. THERE WAS A MARGINALLY SIGNIFICANT DECREASE IN ANXIETY OVER TIME (12.00 AT BASELINE TO 7.33 AT WEEK 12) AND A NONLINEAR CHANGE IN STRESS OVER TIME, WITH DECREASES FROM BASELINE TO WEEK 4 AND SUBSEQUENT INCREASES TO WEEK 12. DISCUSSION: WOMEN WHO PARTICIPATED IN THIS PROGRAM EXPERIENCED FEWER SYMPTOMS OF DEPRESSION AND ANXIETY OVER TIME. FINDINGS FROM THIS STUDY MAY BE USED TO IMPROVE FUTURE INTERVENTIONS FOCUSING ON THE HEALTH OUTCOMES OF INCARCERATED WOMEN. 2010 20 1369 27 IMPACT OF A SHORT YOGA INTERVENTION ON MEDICAL STUDENTS' HEALTH: A PILOT STUDY. BACKGROUND: MEDICAL STUDENTS OFTEN EXPERIENCE SIGNIFICANT DISTRESS EARLY-ON IN UNDERGRADUATE TRAINING. AIMS: WE AIMED TO DEMONSTRATE THE IMPACT OF A BRIEF STRUCTURED YOGA INTERVENTION ON MEDICAL STUDENTS. METHOD: FOURTEEN FIRST-YEAR MEDICAL STUDENTS PARTICIPATED IN A 16-WEEK YOGA INTERVENTION PILOT STUDY. STUDENTS COMPLETED QUESTIONNAIRES AT BASELINE, MID-INTERVENTION AND END OF THE STUDY. RESULTS: THE STUDENTS REPORTED IMPROVEMENTS IN OVERALL HEALTH, PERCEIVED STRESS AND DEPRESSIVE SYMPTOMS FOLLOWING THE INTERVENTION. CONCLUSIONS: A YOGA INTERVENTION MAY BE EFFECTIVE IN DECREASING STRESS AND IMPROVING GENERAL WELL-BEING IN MEDICAL STUDENTS. 2009