1 1505 96 IREST YOGA-NIDRA ON THE COLLEGE CAMPUS: CHANGES IN STRESS, DEPRESSION, WORRY, AND MINDFULNESS. OBJECTIVES: THERE IS EVIDENCE THAT YOGA PRACTICE IS ASSOCIATED WITH DECREASED STRESS, WORRY, AND DEPRESSION, AND WITH IMPROVED MINDFULNESS-BASED SKILLS. THESE FINDINGS HAD NOT BEEN PREVIOUSLY REPLICATED FOR A SAMPLE OF COLLEGE STUDENTS. THIS STUDY EVALUATED WHETHER IREST YOGA-NIDRA PRACTICE WAS ASSOCIATED WITH REDUCED PERCEIVED STRESS, WORRY, AND DEPRESSION, AND INCREASED MINDFULNESS IN A SAMPLE OF COLLEGE STUDENT S. METHODS: SIXTY-SIX STUDENTS AGE 18-56 COMPLETED AN 8-WEEK IREST YOGA-NIDRA INTERVENTION THAT WAS OFFERED FOR 8 SEMESTERS. ASSESSMENT OCCURRED 1 WEEK PRIOR TO INTERVENTION ONSET AND DURING THE CLASS PERIOD FOLLOWING THE INTERVENTION. QUALITATIVE DATA WERE COLLECTED AT WEEKS 4 AND 8. RESULTS: STATISTICALLY SIGNIFICANT PRE- TO POSTTEST IMPROVEMENTS IN PERCEIVED STRESS, WORRY, AND DEPRESSION WERE FOUND. PRE-EXISTING DEPRESSION ACCOUNTED FOR MOST OF THE CHANGE IN WORRY AND PERCEIVED STRESS SCORES. PRE- TO POST TEST IMPROVEMENTS IN MINDFULNESS-BASED SKILLS WERE ALSO DETECTED. CONCLUSIONS: IREST YOGA-NIDRA PRACTICE MAY REDUCE SYMPTOMS OF PERCEIVED STRESS, WORRY, AND DEPRESSION AND INCREASE MINDFULNESS-BASED SKILLS. 2013 2 1372 40 IMPACT OF A YOGA AND MEDITATION INTERVENTION ON STUDENTS' STRESS AND ANXIETY LEVELS. OBJECTIVE. TO EVALUATE THE IMPACT OF A SIX-WEEK YOGA AND MEDITATION INTERVENTION ON COLLEGE STUDENTS' STRESS PERCEPTION, ANXIETY LEVELS, AND MINDFULNESS SKILLS. METHODS. COLLEGE STUDENTS PARTICIPATED IN A SIX-WEEK PILOT PROGRAM THAT CONSISTED OF A 60-MINUTE VINYASA FLOW YOGA CLASS ONCE WEEKLY, FOLLOWED BY GUIDED MEDITATION DELIVERED BY TRAINED FACULTY MEMBERS AT THE UNIVERSITY OF RHODE ISLAND COLLEGE OF PHARMACY. STUDENTS COMPLETED PRE- AND POST-INTERVENTION QUESTIONNAIRES TO EVALUATE CHANGES IN THE FOLLOWING OUTCOMES: STRESS LEVELS, ANXIETY LEVELS, AND MINDFULNESS SKILLS. THE QUESTIONNAIRE CONSISTED OF THREE SELF-REPORTING TOOLS: THE BECK ANXIETY INVENTORY (BAI), THE PERCEIVED STRESS SCALE (PSS), AND THE FIVE FACET MINDFULNESS QUESTIONNAIRE (FFMQ). STUDENTS' SCORES ON EACH WERE ASSESSED TO DETECT ANY CHANGES FROM BASELINE USING THE NUMERICAL AND CATEGORICAL SCALES (LOW, MEDIUM, AND HIGH) FOR EACH INSTRUMENT. RESULTS. SEVENTEEN PARTICIPANTS, AGED 19 TO 23 YEARS, COMPLETED THE STUDY. THIRTEEN PARTICIPANTS WERE FEMALE AND FOUR WERE MALE. NINE OF THE STUDENTS WERE ENROLLED IN THE DOCTOR OF PHARMACY PROGRAM AND EIGHT WERE ENROLLED IN OTHER ACADEMIC PROGRAMS. STUDENTS' ANXIETY AND STRESS SCORES DECREASED SIGNIFICANTLY WHILE THEIR TOTAL MINDFULNESS INCREASED SIGNIFICANTLY. CHANGES IN CATEGORICAL DATA FROM PRE- TO POST-INTERVENTION ON THE BAI AND PSS WERE SIGNIFICANT, WITH NO STUDENTS SCORING IN THE "HIGH" CATEGORY FOR STRESS OR ANXIETY ON THE POST-INTERVENTION QUESTIONNAIRE. CONCLUSION. STUDENTS EXPERIENCED A REDUCTION IN STRESS AND ANXIETY LEVELS AFTER COMPLETING A SIX-WEEK YOGA AND MEDITATION PROGRAM PRECEDING FINAL EXAMINATIONS. RESULTS SUGGEST THAT ADOPTING A MINDFULNESS PRACTICE FOR AS LITTLE AS ONCE PER WEEK MAY REDUCE STRESS AND ANXIETY IN COLLEGE STUDENTS. ADMINISTRATORS SHOULD CONSIDER INCLUDING INSTRUCTION IN NONPHARMACOLOGIC STRESS AND ANXIETY REDUCTION METHODS, WITHIN CURRICULA IN ORDER TO SUPPORT STUDENT SELF-CARE. 2019 3 96 37 A NATURALISTIC STUDY OF YOGA, MEDITATION, SELF-PERCEIVED STRESS, SELF-COMPASSION, AND MINDFULNESS IN COLLEGE STUDENTS. OBJECTIVE: THIS STUDY COMPARED THE EFFECTS OF YOGA AND MINDFULNESS MEDITATION ON SELF-COMPASSION, MINDFULNESS, AND PERCEIVED STRESS IN COLLEGE STUDENTS; AND EXPLORED MIND-BODY MECHANISMS AND PREDICTORS OF STRESS REDUCTION. PARTICIPANTS: STUDENT PARTICIPANTS (N = 92) WERE ENROLLED IN EITHER YOGA OR MINDFULNESS MEDITATION CLASSES AT A COLLEGE IN THE SOUTHERN UNITED STATES FROM AUGUST THROUGH MAY OF 2015-2016. METHODS: STUDENTS PARTICIPATED IN 50-MINUTE CLASSES TWICE A WEEK FOR 10 WEEKS, COMPLETING SELF-REPORT QUESTIONNAIRES DURING THE 1ST AND 10TH WEEK. RESULTS: MULTIPLE-LINEAR REGRESSION ANALYSIS FOUND CHANGE IN SELF-COMPASSION WAS THE STRONGEST PREDICTOR OF STRESS REDUCTION. CONCLUSIONS: INCREASING SELF-COMPASSION MAY INCREASE THE EFFICACY OF MIND-BODY INTERVENTIONS. RESEARCH INTO MIND-BODY MECHANISMS IS NEEDED TO IDENTIFY INTERVENTION COMPONENTS THAT MOST IMPROVE STUDENT WELL-BEING. 2019 4 177 44 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 5 110 30 A PILOT STUDY MEASURING THE IMPACT OF YOGA ON THE TRAIT OF MINDFULNESS. BACKGROUND: THE CURRENT STUDY EXAMINED WHETHER YOGA WOULD INCREASE LEVELS OF MINDFULNESS IN A HEALTHY POPULATION. METHOD: FORTY-SIX PARTICIPANTS WERE RANDOMLY ASSIGNED TO AN 8-WEEK YOGA INTERVENTION GROUP OR A WAIT-LIST CONTROL GROUP. MINDFULNESS WAS ASSESSED PRE AND POST YOGA, USING THE FREIBURG MINDFULNESS INVENTORY (FMI). RESULTS: RESULTS INDICATE THAT THE YOGA GROUP EXPERIENCED A SIGNIFICANT INCREASE IN OVERALL MINDFULNESS, AND IN THREE MINDFULNESS SUBSCALES; ATTENTION TO THE PRESENT MOMENT, ACCEPTING AND OPEN ATTITUDES TOWARD EXPERIENCE, AND INSIGHTFUL UNDERSTANDING (P < .01). THE CONTROL GROUP EXPERIENCED A SIGNIFICANT INCREASE IN OVERALL MINDFULNESS (P < .02) AND INSIGHTFUL UNDERSTANDING (P < .01). FINDINGS SUGGEST THAT A YOGA INTERVENTION MAY BE A VIABLE METHOD FOR INCREASING LEVELS OF TRAIT MINDFULNESS IN A HEALTHY POPULATION, POTENTIALLY IMPLICATING YOGA AS A PREVENTIVE METHOD FOR THE LATER DEVELOPMENT OF NEGATIVE EMOTIONAL MOOD STATES (I.E. ANXIETY AND DEPRESSION). THE CONTROL GROUP ALSO EXPERIENCED MODERATE ELEVATIONS OF MINDFULNESS AT THE SECOND ASSESSMENT. 2009 6 44 29 A CASE SERIES ON THE EFFECTS OF KRIPALU YOGA FOR GENERALIZED ANXIETY DISORDER. GENERALIZED ANXIETY DISORDER (GAD) IS A PREVALENT PSYCHIATRIC DISORDER ASSOCIATED WITH SUBSTANTIAL IMPAIRMENT AND POOR TREATMENT RESPONSE. YOGA INFLUENCES PROCESSES THAT ARE LINKED TO THE MAINTENANCE OF GAD INCLUDING MINDFULNESS, ANXIETY, AND HEART RATE VARIABILITY, BUT HAS YET TO BE EVALUATED AMONG PEOPLE WITH THE DISORDER. THE PRESENT STUDY IS A FIRST STEP TOWARD DOCUMENTING THE EFFICACY OF YOGA FOR REDUCING WORRY AMONG PEOPLE WITH GAD USING A SINGLE-SUBJECT AB DESIGN CASE SERIES AND DAILY RATINGS OF WORRY. STANDARDIZED SELF-REPORT MEASURES OF WORRY, TRAIT ANXIETY, EXPERIENTIAL AVOIDANCE, MINDFULNESS, AND HEART RATE VARIABILITY WERE ASSESSED PRE- AND POST-INTERVENTION. THREE PARTICIPANTS WITH PRIMARY GAD RECEIVED EIGHT TWICE-WEEKLY KRIPALU YOGA SESSIONS FOLLOWING A BASELINE DATA COLLECTION PERIOD. ALL PARTICIPANTS SHOWED SYSTEMATIC IMPROVEMENT IN DAILY WORRY RATINGS ON AT LEAST ONE INDEX AND ALL SCORES ON SELF-REPORTED MEASURES OF WORRY, ANXIETY, EXPERIENTIAL AVOIDANCE, AND MINDFULNESS CHANGED IN THE EXPECTED DIRECTION FOLLOWING YOGA (WITH ONE OR TWO EXCEPTIONS). PARTICIPANTS ALSO SHOWED IMPROVED HEART RATE VARIABILITY DURING A WORRY PERIOD FROM PRE- TO POST-INTERVENTION. YOGA HAS THE POTENTIAL TO IMPROVE THE PROCESSES LINKED TO GAD AND SHOULD STIMULATE FURTHER RESEARCH IN THIS AREA. 2016 7 2515 27 YOGA CLASSES AS AN EARLY INTERVENTION FOR COLLEGE STUDENTS REPORTING HIGH LEVELS OF STRESS AND ANXIETY: A PILOT STUDY. BACKGROUND:TODAY'S COLLEGE STUDENTS ARE EXPERIENCING UNPRECEDENTED RATES OF STRESS, ANXIETY, AND MENTAL HEALTH ISSUES. AS A RESULT, COLLEGE COUNSELING CENTERS ARE OFTEN OVERWHELMED BY THE DEMAND FOR MENTAL HEALTH SERVICES. METHODS: THE CURRENT STUDY EVALUATED THE POTENTIAL FOR HATHA YOGA CLASSES TO BE USED AS AN ALTERNATIVE TO CONVENTIONAL PSYCHOTHERAPY FOR COLLEGE STUDENTS REPORTING HIGH LEVELS OF STRESS AND ANXIETY. RESULTS: AFTER 6 WEEKS OF TWICE-WEEKLY, HOUR-LONG YOGA CLASSES, SIGNIFICANT REDUCTIONS IN STRESS, ANXIETY, PATHOLOGICAL WORRY, AND RUMINATION WERE REPORTED BY 7 UNDERGRADUATE COLLEGE STUDENTS. CONCLUSIONS: RESULTS OF THIS PILOT STUDY SUGGEST THAT HATHA YOGA CLASSES MAY SERVE AS A WIDELY ACCESSIBLE, COST-EFFECTIVE EARLY INTERVENTION THAT CAN BE OFFERED AS A FIRST-LINE RECOMMENDATION TO STUDENTS WHO ARE STRUGGLING WITH HEIGHTENED LEVELS OF STRESS AND ANXIETY. 2022 8 1371 49 IMPACT OF A YIN YOGA AND MEDITATION INTERVENTION ON PHARMACY FACULTY AND STUDENT WELL-BEING. BACKGROUND: STUDENT PHARMACISTS AND FACULTY EXHIBIT HIGH LEVELS OF STRESS, INDEPENDENT OF THE CURRENT CORONAVIRUS 2019 PANDEMIC, AND THEIR PATH TOWARD WELLNESS, INCLUDING A REDUCTION IN STRESS AND ANXIETY, IS OF THE UTMOST IMPORTANCE. YOGA AND MEDITATION ARE PROVEN INTERVENTIONS TO REDUCE STRESS AND ANXIETY AND INCREASE WELLNESS. YIN YOGA IS AN ADAPTABLE, QUIET PRACTICE IDEAL FOR THOSE LACKING PREVIOUS YOGA EXPERIENCE, FLEXIBILITY, AND TIME. OBJECTIVE: TO EVALUATE THE IMPACT OF A 6-WEEK YIN YOGA AND MEDITATION INTERVENTION ON COLLEGE OF PHARMACY FACULTY AND STUDENTS' STRESS PERCEPTION, ANXIETY LEVELS, AND MINDFULNESS SKILLS. METHODS: FACULTY AND STUDENTS PARTICIPATED IN A 6-WEEK PILOT PROGRAM COMPRISING A ONCE-WEEKLY YIN YOGA CLASS FOLLOWED BY GUIDED MEDITATION. YIN YOGA WAS SELECTED FOR ITS QUIET MEDITATIVE STYLE. PARTICIPANTS COMPLETED A PRE- AND POSTQUESTIONNAIRE AT 6 WEEKS AND 3 AND 6 MONTHS TO EVALUATE POTENTIAL CHANGES IN PERCEIVED STRESS SCORES, ANXIETY SCORES, AND MINDFULNESS SKILLS. THE QUESTIONNAIRE WAS COMPOSED OF 3 SELF-REPORTING TOOLS: BECK ANXIETY INVENTORY (BAI), PERCEIVED STRESS SCALE, AND THE FIVE FACET MINDFULNESS QUESTIONNAIRE. RESULTS: TWENTY PARTICIPANTS, 12 STUDENTS AND 8 FACULTY (AGES 18-66 YEARS), COMPLETED THE STUDY. ANXIETY AND STRESS SCORES DECREASED, AND MINDFULNESS INCREASED AT 6 WEEKS, 3 MONTHS AND 6 MONTHS, WITH ALL CHANGES REACHING STATISTICAL SIGNIFICANCE. NO PARTICIPANTS REPORTED BEING IN THE "HIGH" CATEGORY OF ANXIETY AFTER INTERVENTION USING BAI CATEGORICAL DATA, ALTHOUGH THIS FINDING WAS NOT STATISTICALLY SIGNIFICANT. CONCLUSION: FACULTY AND STUDENTS DEMONSTRATED A REDUCTION IN STRESS AND ANXIETY LEVELS AND AN INCREASE IN MINDFULNESS AFTER A 6-WEEK YIN YOGA AND MEDITATION PROGRAM. OUTCOMES SUGGEST THAT INCLUSION OF AN ADAPTABLE, MEDITATIVE PRACTICE, WHICH MAY EASILY BE REPLICATED AT HOME, FOR AS LITTLE AS ONCE PER WEEK FOR 6 WEEKS MAY REDUCE STRESS AND ANXIETY AND INCREASE MINDFULNESS LONG TERM. CREATING A CULTURE OF WELLNESS SHOULD BE A PRIORITY FOR ALL COLLEGES OF PHARMACY. 2021 9 248 38 A YOGA INTERVENTION FOR YOUNG ADULTS WITH ELEVATED SYMPTOMS OF DEPRESSION. CONTEXT: YOGA TEACHERS AND STUDENTS OFTEN REPORT THAT YOGA HAS AN UPLIFTING EFFECT ON THEIR MOODS, BUT SCIENTIFIC RESEARCH ON YOGA AND DEPRESSION IS LIMITED. OBJECTIVE: TO EXAMINE THE EFFECTS OF A SHORT-TERM IYENGAR YOGA COURSE ON MOOD IN MILDLY DEPRESSED YOUNG ADULTS. DESIGN: YOUNG ADULTS PRE-SCREENED FOR MILD LEVELS OF DEPRESSION WERE RANDOMLY ASSIGNED TO A YOGA COURSE OR WAIT-LIST CONTROL GROUP. SETTING: COLLEGE CAMPUS RECREATION CENTER. PARTICIPANTS: TWENTY-EIGHT VOLUNTEERS AGES 18 TO 29. AT INTAKE, ALL PARTICIPANTS WERE EXPERIENCING MILD LEVELS OF DEPRESSION, BUT HAD RECEIVED NO CURRENT PSYCHIATRIC DIAGNOSES OR TREATMENTS. NONE HAD SIGNIFICANT YOGA EXPERIENCE. INTERVENTION: SUBJECTS IN THE YOGA GROUP ATTENDED TWO 1-HOUR IYENGAR YOGA CLASSES EACH WEEK FOR 5 CONSECUTIVE WEEKS. THE CLASSES EMPHASIZED YOGA POSTURES THOUGHT TO ALLEVIATE DEPRESSION, PARTICULARLY BACK BENDS, STANDING POSES, AND INVERSIONS. MAIN OUTCOME MEASURES: BECK DEPRESSION INVENTORY, STATE-TRAIT ANXIETY INVENTORY, PROFILE OF MOOD STATES, MORNING CORTISOL LEVELS. RESULTS: SUBJECTS WHO PARTICIPATED IN THE YOGA COURSE DEMONSTRATED SIGNIFICANT DECREASES IN SELF-REPORTED SYMPTOMS OF DEPRESSION AND TRAIT ANXIETY. THESE EFFECTS EMERGED BY THE MIDDLE OF THE YOGA COURSE AND WERE MAINTAINED BY THE END. CHANGES ALSO WERE OBSERVED IN ACUTE MOOD, WITH SUBJECTS REPORTING DECREASED LEVELS OF NEGATIVE MOOD AND FATIGUE FOLLOWING YOGA CLASSES. FINALLY, THERE WAS A TREND FOR HIGHER MORNING CORTISOL LEVELS IN THE YOGA GROUP BY THE END OF THE YOGA COURSE, COMPARED TO CONTROLS. THESE FINDINGS PROVIDE SUGGESTIVE EVIDENCE OF THE UTILITY OF YOGA ASANAS IN IMPROVING MOOD AND SUPPORT THE NEED FOR FUTURE STUDIES WITH LARGER SAMPLES AND MORE COMPLEX STUDY DESIGNS TO MORE FULLY EVALUATE THE EFFECTS OF YOGA ON MOOD DISTURBANCES. 2004 10 1369 24 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 11 1182 29 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 12 1367 28 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 13 1884 31 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 14 1628 27 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 15 719 41 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 16 1428 34 IMPROVEMENTS IN PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING FOLLOWING A BRIEF YOGA-BASED PROGRAM FOR EDUCATION PROFESSIONALS. OBJECTIVE: THE PURPOSE OF THIS STUDY WAS TO EXAMINE CHANGES IN PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING IN EDUCATION PROFESSIONALS WHO ATTENDED A YOGA-BASED PROGRAM. METHODS: EDUCATION PROFESSIONALS WHO ATTENDED A 3-DAY YOGA-BASED RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT) PROGRAM WERE RECRUITED TO PARTICIPATE. RISE WAS ADMINISTERED AT THE KRIPALU CENTER FOR YOGA & HEALTH. MEASURES OF PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING, AND HEALTH-RELATED BEHAVIORS WERE COMPLETED BEFORE (BASELINE), AFTER (POST), AND 2 MONTHS AFTER RISE (FOLLOW-UP). FORTY-FOUR PARTICIPANTS COMPLETED BASELINE AND POST AND WERE INCLUDED IN THE ANALYSIS. OF THOSE, 33 PARTICIPANTS ALSO COMPLETED THE FOLLOW-UP. PAIRED SAMPLES T TESTS WERE USED TO COMPARE SCORES BETWEEN TIME POINTS. RESULTS: COMPARED TO BASELINE, AT POST, PARTICIPANTS SHOWED IMPROVEMENTS IN PERCEIVED STRESS, MINDFULNESS, EMPOWERMENT, POSITIVE AFFECT, NEGATIVE AFFECT, SELF-COMPASSION, TOTAL WORK ENGAGEMENT, VIGOR, SLEEP QUALITY (ALL P VALUES < .001), RESILIENCE, SATISFACTION WITH LIFE, AS WELL AS EXHAUSTION AND PROFESSIONAL EFFICACY WHICH ARE DIMENSIONS OF BURNOUT (ALL P VALUES < .01). AT THE FOLLOW-UP, SIGNIFICANT IMPROVEMENTS WERE MAINTAINED FOR MINDFULNESS, EMPOWERMENT, SELF-COMPASSION, SLEEP QUALITY (ALL P VALUES < .001), RESILIENCE, VIGOR, AND EXHAUSTION (ALL P VALUES < .01) AND POSITIVE AFFECT, SATISFACTION WITH LIFE, AND WORK ENGAGEMENT (ALL P VALUES < .05). CONCLUSIONS: THESE FINDINGS SUGGEST THAT THE YOGA-BASED RISE PROGRAM IMPROVES PSYCHOLOGICAL AND OCCUPATIONAL WELL-BEING IN EDUCATION PROFESSIONALS. IN ADDITION, PARTICIPANTS REPORTED THAT ATTENDING RISE WAS FEASIBLE, THEY COULD CONTINUE USING RISE PRACTICES LONG-TERM, SHARED THEM WITH WORK COLLEAGUES, AND REPORTED THAT RISE POSITIVELY IMPACTED BOTH THEIR DAILY LIVES AND WORKPLACE ENVIRONMENT. WITH THESE PROMISING RESULTS, ADDITIONAL CONTROLLED RESEARCH IS WARRANTED. 2019 17 2274 36 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 18 2640 38 YOGA FOR VETERANS WITH PTSD: COGNITIVE FUNCTIONING, MENTAL HEALTH, AND SALIVARY CORTISOL. OBJECTIVE: RESEARCH INDICATES THAT COGNITIVE FUNCTIONING IS NEGATIVELY IMPACTED BY EXPOSURE TO CHRONIC STRESS DUE TO OVERACTIVATION OF THE STRESS RESPONSE. YOGA HAS DEMONSTRATED BENEFITS WHEN PRACTICED BY INDIVIDUALS DIAGNOSED WITH POSTTRAUMATIC STRESS DISORDER (PTSD). THIS QUASI-EXPERIMENTAL PILOT STUDY EXAMINED THE IMPACT OF A YOGA INTERVENTION ON COGNITIVE FUNCTIONING, SYMPTOMS OF PTSD, AND THE BIOLOGICAL STRESS RESPONSE IN VETERANS DIAGNOSED WITH PTSD. METHOD: COGNITIVE FUNCTIONING, SELF-REPORT MEASURES OF MENTAL HEALTH SYMPTOMS, AND SALIVARY CORTISOL WERE MEASURED WITHIN TWO WEEKS PRIOR TO BEGINNING AND FOLLOWING COMPLETION OF A 10-WEEK YOGA PROTOCOL. VETERANS WITH PTSD PARTICIPATED IN GENDER-SPECIFIC GROUPS OF THE YOGA INTERVENTION. PAIRED T TESTS AND CORRELATIONAL ANALYSES WERE USED TO ANALYZE QUANTITATIVE DATA. RESULTS: STATISTICALLY SIGNIFICANT IMPROVEMENTS WERE OBSERVED BETWEEN BASELINE AND POSTINTERVENTION SCORES ON MEASURES OF RESPONSE INHIBITION, PTSD, DEPRESSION, SLEEP, QUALITY OF LIFE, AND SUBJECTIVE NEUROCOGNITIVE COMPLAINTS. POSITIVE CORRELATIONS WERE FOUND BETWEEN BASELINE AND POSTINTERVENTION CHANGES IN SLEEP AND DEPRESSION, AND BETWEEN CHANGE IN CORTISOL OUTPUT AND A MEASURE OF LIFE SATISFACTION. STATISTICALLY SIGNIFICANT DIFFERENCES (BASELINE TO POSTINTERVENTION) FOR OTHER OBJECTIVE MEASURES OF COGNITIVE PERFORMANCE AND CORTISOL WERE NOT DETECTED. CONCLUSIONS: RESULTS PROVIDE PRELIMINARY SUPPORT FOR THE PRACTICE OF YOGA TO IMPROVE COGNITIVE FUNCTIONING (RESPONSE INHIBITION) RELATED TO SYMPTOMS OF PTSD WHILE ALSO IMPROVING MENTAL HEALTH SYMPTOMS, SLEEP, AND QUALITY OF LIFE. POSITIVE CORRELATIONS AFFIRM THE ROLE OF SLEEP IN MOOD SYMPTOMS AND INDICATE THE NEED FOR FURTHER EXAMINATION OF THE ROLE OF CORTISOL IN LIFE SATISFACTION. (PSYCINFO DATABASE RECORD (C) 2020 APA, ALL RIGHTS RESERVED). 2020 19 1684 34 OPEN TRIAL OF VINYASA YOGA FOR PERSISTENTLY DEPRESSED INDIVIDUALS: EVIDENCE OF FEASIBILITY AND ACCEPTABILITY. THE AIM OF THIS STUDY WAS TO ASSESS THE ACCEPTABILITY AND FEASIBILITY OF VINYASA YOGA AS AN ADJUNCTIVE TREATMENT FOR DEPRESSED PATIENTS WHO WERE NOT RESPONDING ADEQUATELY TO ANTIDEPRESSANT MEDICATION. THE AUTHORS ALSO PLANNED TO ASK PARTICIPANTS FOR QUALITATIVE FEEDBACK ON THEIR EXPERIENCE OF THE CLASS AND TO ASSESS CHANGE OVER TIME IN DEPRESSION AND IN POSSIBLE MEDIATING VARIABLES. THE AUTHORS RECRUITED 11 PARTICIPANTS IN 1 MONTH FOR AN 8-WEEK OPEN TRIAL OF YOGA CLASSES. THEY FOUND THAT 10 PARTICIPANTS COMPLETED FOLLOW-UP ASSESSMENTS, 9 OF 10 WERE POSITIVE ABOUT THEIR EXPERIENCE, AND ALL PROVIDED FEEDBACK ABOUT WHAT WAS AND WAS NOT HELPFUL ABOUT YOGA, AS WELL AS BARRIERS TO CLASS ATTENDANCE. OVER THE 2-MONTH PERIOD, PARTICIPANTS EXHIBITED SIGNIFICANT DECREASES IN DEPRESSION SYMPTOMS AND SIGNIFICANT INCREASES IN AN ASPECT OF MINDFULNESS AND IN BEHAVIOR ACTIVATION. THIS PILOT STUDY PROVIDED SUPPORT FOR CONTINUING TO INVESTIGATE VINYASA YOGA AS AN ADJUNCT TREATMENT FOR DEPRESSION. THE NEXT STEP REQUIRED IS A RIGOROUS RANDOMIZED CLINICAL TRIAL. 2010 20 2822 43 YOGA V. HEALTH EDUCATION FOR ATTENTIONAL PROCESSES RELEVANT TO MAJOR DEPRESSIVE DISORDER. OBJECTIVES: RESEARCH HAS SHOWN THAT YOGA MAY BE AN EFFECTIVE ADJUNCTIVE TREATMENT FOR PERSISTENT DEPRESSION, THE BENEFITS OF WHICH MAY ACCUMULATE OVER TIME. THE OBJECTIVES OF THIS STUDY WERE TO EVALUATE THE FOLLOWING IN A SAMPLE OF PERSISTENTLY DEPRESSED INDIVIDUALS: WHETHER YOGA INCREASES MINDFULNESS AND WHETHER YOGA ATTENUATES RUMINATION. RUMINATION AND MINDFULNESS BOTH REPRESENT ATTENTIONAL PROCESSES RELEVANT FOR ONSET AND MAINTENANCE OF DEPRESSIVE EPISODES. METHODS: ONE-HUNDRED-TEN INDIVIDUALS WHO WERE PERSISTENTLY DEPRESSED DESPITE ONGOING USE OF PHARMACOLOGICAL TREATMENT WERE RECRUITED INTO AN RCT COMPARING YOGA WITH A HEALTH EDUCATION CLASS. MINDFULNESS AND RUMINATION WERE ASSESSED AT BASELINE AND ACROSS 3 TIME POINTS DURING THE TEN-WEEK INTERVENTION. RESULTS: FINDINGS DEMONSTRATE THAT, COMPARED TO HEALTH EDUCATION, YOGA WAS ASSOCIATED WITH HIGHER MEAN LEVELS OF THE OBSERVE FACET OF MINDFULNESS RELATIVE TO THE CONTROL GROUP DURING THE INTERVENTION PERIOD (P =.004, D =0.38), AND THAT YOGA WAS ASSOCIATED WITH A FASTER RATE OF INCREASE IN LEVELS OF ACTING WITH AWARENESS OVER THE INTERVENTION PERIOD (P= .03, F(2) =0.027). THERE WERE NO DIFFERENCES BETWEEN INTERVENTION GROUPS WITH RESPECT TO RUMINATION. CONCLUSIONS: RESULTS SUGGEST A SMALL EFFECT OF YOGA ON COMPONENTS OF MINDFULNESS DURING A 10-WEEK INTERVENTION PERIOD. PREVIOUS RESEARCH SUGGESTS THAT CONTINUED ASSESSMENT AFTER THE INITIAL 10 WEEKS MAY REVEAL CONTINUED IMPROVEMENT. FUTURE RESEARCH MAY ALSO EXAMINE MODERATORS OF THE IMPACT OF YOGA ON MINDFULNESS AND RUMINATION, INCLUDING CLINICAL FACTORS SUCH AS DEPRESSION SEVERITY OR DEPRESSION CHRONICITY, OR DEMOGRAPHIC FACTORS SUCH AS AGE. 2021