1 1625 155 MINDFULNESS AND YOGA FOR PSYCHOLOGICAL TRAUMA: SYSTEMATIC REVIEW AND META-ANALYSIS. MINDFULNESS-BASED INTERVENTIONS (MBIS), WITH POSTURES, BREATH, RELAXATION, AND MEDITATION, SUCH AS MINDFULNESS-BASED STRESS REDUCTION (MBSR) AND YOGA, ARE COMPLEX INTERVENTIONS INCREASINGLY USED FOR TRAUMA-RELATED PSYCHIATRIC CONDITIONS. PRIOR REVIEWS HAVE ADOPTED A DISORDER-SPECIFIC FOCUS. HOWEVER, TRAUMA IS A RISK FACTOR FOR MOST PSYCHIATRIC CONDITIONS. WE ADOPTED A TRANSDIAGNOSTIC APPROACH TO EVALUATE THE EFFICACY OF MBIS FOR THE CONSEQUENCES OF TRAUMA, AGNOSTIC TO DIAGNOSIS. AMED, CINAHL, CENTRAL, EMBASE, PUBMED/MEDLINE, PSYCINFO, AND SCOPUS WERE SEARCHED TO 30 SEPTEMBER 2018 FOR CONTROLLED AND UNCONTROLLED TRIALS OF MINDFULNESS, YOGA, TAI CHI, AND QI GONG IN PEOPLE SPECIFICALLY SELECTED FOR TRAUMA EXPOSURE. OF >12,000 RESULTS, 66 STUDIES WERE INCLUDED IN THE SYSTEMATIC REVIEW AND 24 CONTROLLED STUDIES WERE META-ANALYZED. THERE WAS A SIGNIFICANT, POOLED EFFECT OF MBIS (G = 0.51, 95%CI 0.31 TO 0.71, P < .001). SIMILAR EFFECTS WERE OBSERVED FOR MINDFULNESS (G = 0.45, 0.26 TO 0.64, P < .001), YOGA (G = 0.46, 0.26 TO 0.66, P < .001), AND INTEGRATIVE EXERCISE (G = 0.94, 0.37 TO 1.51, P = .001), WITH NO DIFFERENCE BETWEEN INTERVENTIONS. OUTCOME MEASURE OR TRAUMA TYPE DID NOT INFLUENCE THE EFFECTIVENESS, BUT INTERVENTIONS OF 8 WEEKS OR MORE WERE MORE EFFECTIVE THAN SHORTER INTERVENTIONS (Q = 8.39, DF = 2, P = .02). MINDFULNESS-BASED INTERVENTIONS, ADJUNCTIVE TO TREATMENT-AS-USUAL OF MEDICATION AND/OR PSYCHOTHERAPY, ARE EFFECTIVE IN REDUCING TRAUMA-RELATED SYMPTOMS. YOGA AND MINDFULNESS HAVE COMPARABLE EFFECTIVENESS. MANY PSYCHIATRIC STUDIES DO NOT REPORT TRAUMA EXPOSURE, FOCUSING ON DISORDER-SPECIFIC OUTCOMES, BUT THIS REVIEW SUGGESTS A TRANSDIAGNOSTIC APPROACH COULD BE ADOPTED IN THE TREATMENT OF TRAUMA SEQUELAE WITH MBIS. MORE RIGOROUS REPORTING OF TRAUMA EXPOSURE AND MBI TREATMENT PROTOCOLS IS RECOMMENDED TO ENHANCE FUTURE RESEARCH. 2020 2 1202 42 EXERCISE, YOGA, AND TAI CHI FOR TREATMENT OF MAJOR DEPRESSIVE DISORDER IN OUTPATIENT SETTINGS: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVE: EXERCISE, YOGA, AND TAI CHI ARE COMMONLY USED COMPLEMENTARY APPROACHES FOR HEALTH AND WELLNESS. THIS REVIEW AIMS TO SYNTHESIZE THE EVIDENCE FOR EXERCISE, YOGA, AND TAI CHI IN THE OUTPATIENT TREATMENT OF MAJOR DEPRESSIVE DISORDER. STUDY SELECTION: A SYSTEMATIC SEARCH OF THE OVID MEDLINE, EMBASE, PSYCINFO, AND COCHRANE DATABASES WAS CONDUCTED FOR RANDOMIZED CONTROLLED TRIALS OF EXERCISE, YOGA, AND TAI CHI FOR MAJOR DEPRESSIVE DISORDER. DATA EXTRACTION: STANDARDIZED MEAN DIFFERENCES WERE CALCULATED AND META-ANALYZED USING A RANDOM EFFECTS MULTILEVEL MODELING FRAMEWORK. HETEROGENEITY AND SUBGROUP ANALYSIS WAS CONDUCTED. RESULTS: TWENTY-FIVE STUDIES WERE INCLUDED FOR FINAL ANALYSIS (EXERCISE: 15, YOGA: 7, TAI CHI: 3). OVERALL, META-ANALYSIS SHOWED A MODERATE SIGNIFICANT CLINICAL EFFECT. HOWEVER, WHEN ONLY STUDIES (6 STUDIES) WITH THE LOWEST RISK OF BIAS WERE INCLUDED, THE OVERALL EFFECT SIZE WAS REDUCED TO LOW TO MODERATE EFFICACY. OVERALL QUALITY OF EVIDENCE WAS LOW. HETEROGENEITY AND PUBLICATION BIAS WERE HIGH. CONCLUSIONS: THE CURRENT META-ANALYSIS OF OUTPATIENT EXERCISE, YOGA, AND TAI CHI FOR TREATMENT OF MAJOR DEPRESSIVE DISORDER SUGGESTS THAT ADJUNCTIVE EXERCISE AND YOGA MAY HAVE SMALL ADDITIVE CLINICAL EFFECTS IN COMPARISON TO CONTROL FOR REDUCING DEPRESSIVE SYMPTOMS. THE EVIDENCE FOR TAI CHI IS INSUFFICIENT TO DRAW CONCLUSIONS. THE CONCERNS WITH QUALITY OF STUDIES, HIGH HETEROGENEITY, AND EVIDENCE OF PUBLICATION BIAS PRECLUDE MAKING FIRM CONCLUSIONS. 2020 3 2487 43 YOGA AS AN INTERVENTION FOR PSYCHOLOGICAL SYMPTOMS FOLLOWING TRAUMA: A SYSTEMATIC REVIEW AND QUANTITATIVE SYNTHESIS. DESPITE EVIDENCE OF THE PHYSIOLOGIC IMPACT OF TRAUMA, TREATMENTS ARE ONLY BEGINNING TO FOCUS ON THE IMPACT OF TRAUMA ON THE BODY. YOGA MAY BE A PROMISING TREATMENT FOR TRAUMA SEQUELAE, GIVEN RESEARCH THAT SUPPORTS YOGA FOR GENERAL DISTRESS. THE PRESENT STUDY AIMS TO SYSTEMATICALLY ASSESS AND QUANTITATIVELY SYNTHESIZE THE EFFECTIVENESS OF YOGA INTERVENTIONS FOR PSYCHOLOGICAL SYMPTOMS (POSTTRAUMATIC STRESS DISORDER [PTSD], DEPRESSION, ANXIETY SYMPTOMS) FOLLOWING POTENTIALLY TRAUMATIC LIFE EVENTS. THE FOLLOWING ELECTRONIC DATABASES WERE SYSTEMATICALLY SEARCHED: PSYCINFO, OVID MEDLINE/PUBMED, CUMULATIVE INDEX TO NURSING AND ALLIED HEALTH LITERATURE, AND EMBASE/EMBASE CLASSIC. GOOGLE SCHOLAR, MENDELEY, OPEN RESEARCH AND CONTRIBUTOR IDENTIFICATION, AND FIG SHARE WERE HAND SEARCHED POST HOC. THE REVIEW FOCUSED ON STUDIES WITH A COMPARISON GROUP THAT MEASURED PSYCHOLOGICAL SYMPTOMS BEFORE AND AFTER INTERVENTION. AFTER SCREENING AND REVIEWING, 12 ARTICLES (N = 791) WERE INCLUDED, WITH INTERVENTIONS RANGING FROM 2 DAYS TO 16 WEEKS. IF A STUDY CONTAINED MULTIPLE CONDITIONS, BETWEEN-GROUPS DIFFERENCES WERE ONLY EXAMINED BETWEEN THE YOGA AND INACTIVE CONTROL GROUP. THOUGH OVERALL BETWEEN-GROUPS (YOGA VS. COMPARISON) EFFECT SIZES RANGED FROM DS = 0.40-1.06, THE SYSTEMATIC REVIEW AND QUANTITATIVE SYNTHESIS DID NOT FIND STRONG EVIDENCE FOR THE EFFECTIVENESS OF YOGA AS AN INTERVENTION FOR PTSD, DEPRESSION, AND ANXIETY SYMPTOMS FOLLOWING TRAUMATIC LIFE EXPERIENCES DUE TO LOW QUALITY AND HIGH RISK OF BIAS OF STUDIES. AS YOGA HAS PROMISE FOR MANAGING PSYCHOLOGICAL SYMPTOMS AMONG TRAUMA SURVIVORS, THIS REVIEW CALLS FOR MORE RIGOROUS DESIGN OF FUTURE STUDIES TO ALLOW DEFINITIVE CONCLUSIONS REGARDING THE USE OF YOGA IN MENTAL HEALTH TREATMENT OF TRAUMA SURVIVORS. (PSYCINFO DATABASE RECORD (C) 2019 APA, ALL RIGHTS RESERVED). 2019 4 931 50 EFFECTIVENESS OF YOGA THERAPY AS A COMPLEMENTARY TREATMENT FOR MAJOR PSYCHIATRIC DISORDERS: A META-ANALYSIS. OBJECTIVE: TO EXAMINE THE EFFICACY OF YOGA THERAPY AS A COMPLEMENTARY TREATMENT FOR PSYCHIATRIC DISORDERS SUCH AS SCHIZOPHRENIA, DEPRESSION, ANXIETY, AND POSTTRAUMATIC STRESS DISORDER (PTSD). DATA SOURCES: ELIGIBLE TRIALS WERE IDENTIFIED BY A LITERATURE SEARCH OF PUBMED/MEDLINE, COCHRANE CONTROL TRIALS REGISTER, GOOGLE SCHOLAR, AND EBSCO ON THE BASIS OF CRITERIA OF ACCEPTABLE QUALITY AND RELEVANCE. THE SEARCH WAS PERFORMED USING THE FOLLOWING TERMS: YOGA FOR SCHIZOPHRENIA, YOGA FOR DEPRESSION, YOGA FOR ANXIETY, YOGA FOR PTSD, YOGA THERAPY, YOGA FOR PSYCHIATRIC DISORDERS, COMPLEMENTARY TREATMENT, AND EFFICACY OF YOGA THERAPY. TRIALS BOTH UNPUBLISHED AND PUBLISHED WITH NO LIMITATION PLACED ON YEAR OF PUBLICATION WERE INCLUDED; HOWEVER, THE OLDEST ARTICLE INCLUDED IN THE FINAL META-ANALYSIS WAS PUBLISHED IN 2000. STUDY SELECTION: ALL AVAILABLE RANDOMIZED, CONTROLLED TRIALS OF YOGA FOR THE TREATMENT OF MENTAL ILLNESS WERE REVIEWED, AND 10 STUDIES WERE ELIGIBLE FOR INCLUSION. AS VERY FEW RANDOMIZED, CONTROLLED STUDIES HAVE EXAMINED YOGA FOR MENTAL ILLNESS, THIS META-ANALYSIS INCLUDES STUDIES WITH PARTICIPANTS WHO WERE DIAGNOSED WITH MENTAL ILLNESS, AS WELL AS STUDIES WITH PARTICIPANTS WHO WERE NOT DIAGNOSED WITH MENTAL ILLNESS BUT REPORTED SYMPTOMS OF MENTAL ILLNESS. TRIALS WERE EXCLUDED DUE TO THE FOLLOWING: (1) INSUFFICIENT INFORMATION, (2) INADEQUATE STATISTICAL ANALYSIS, (3) YOGA WAS NOT THE CENTRAL COMPONENT OF THE INTERVENTION, (4) SUBJECTS WERE NOT DIAGNOSED WITH OR DID NOT REPORT EXPERIENCING SYMPTOMS OF ONE OF THE PSYCHIATRIC DISORDERS OF INTEREST (IE, SCHIZOPHRENIA, DEPRESSION, ANXIETY, AND PTSD), (5) STUDY WAS NOT REPORTED IN ENGLISH, AND (6) STUDY DID NOT INCLUDE A CONTROL GROUP. DATA EXTRACTION: DATA WERE EXTRACTED ON PARTICIPANT DIAGNOSIS, INCLUSION CRITERIA, TREATMENT AND CONTROL GROUPS, DURATION OF INTERVENTION, AND RESULTS (PRE-POST MEAN AND STANDARD DEVIATIONS, T VALUES, AND F VALUES). NUMBER, AGE, AND SEX RATIO OF PARTICIPANTS WERE ALSO OBTAINED WHEN AVAILABLE. DATA SYNTHESIS: THE COMBINED ANALYSIS OF ALL 10 STUDIES PROVIDED A POOLED EFFECT SIZE OF -3.25 (95% CI, -5.36 TO -1.14; P = .002), INDICATING THAT YOGA-BASED INTERVENTIONS HAVE A STATISTICALLY SIGNIFICANT EFFECT AS AN ADJUNCT TREATMENT FOR MAJOR PSYCHIATRIC DISORDERS. FINDINGS IN SUPPORT OF ALTERNATIVE AND COMPLEMENTARY INTERVENTIONS MAY ESPECIALLY BE AN AID IN THE TREATMENT OF DISORDERS FOR WHICH CURRENT TREATMENTS ARE FOUND TO BE INADEQUATE OR TO CARRY SEVERE LIABILITIES. CONCLUSIONS: AS CURRENT PSYCHOPHARMACOLOGIC INTERVENTIONS FOR SEVERE MENTAL ILLNESS ARE ASSOCIATED WITH INCREASED RISK OF WEIGHT GAIN AS WELL AS OTHER METABOLIC SIDE EFFECTS THAT INCREASE PATIENTS' RISK FOR CARDIOVASCULAR DISEASE, YOGA MAY BE AN EFFECTIVE, FAR LESS TOXIC ADJUNCT TREATMENT OPTION FOR SEVERE MENTAL ILLNESS. 2011 5 1057 40 EFFECTS OF YOGA ON DEPRESSIVE SYMPTOMS IN PEOPLE WITH MENTAL DISORDERS: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVE: TO ASSESS WHETHER PHYSICALLY ACTIVE YOGA IS SUPERIOR TO WAITLIST CONTROL, TREATMENT AS USUAL AND ATTENTION CONTROL IN ALLEVIATING DEPRESSIVE SYMPTOMS IN PEOPLE WITH A DIAGNOSED MENTAL DISORDER RECOGNISED BY THE DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS (DSM). DESIGN: SYSTEMATIC REVIEW AND META-ANALYSIS FOLLOWING THE PREFERRED REPORTING ITEMS FOR SYSTEMATIC REVIEWS AND META-ANALYSES (PRISMA) GUIDELINES. DATA SOURCES: DATA WERE OBTAINED FROM ONLINE DATABASES (MEDLINE, EMBASE, PSYCHINFO, CENTRAL, EMCARE, PEDRO). THE SEARCH AND COLLECTION OF ELIGIBLE STUDIES WAS CONDUCTED UP TO 14 MAY 2019 (PROSPERO REGISTRATION NO CRD42018090441). ELIGIBILITY CRITERIA FOR SELECTING STUDIES: WE INCLUDED RANDOMISED CONTROLLED TRIALS WITH A YOGA INTERVENTION COMPRISING >/=50% PHYSICAL ACTIVITY IN ADULTS WITH A RECOGNISED DIAGNOSED MENTAL DISORDER ACCORDING TO DSM-3, 4 OR 5. RESULTS: 19 STUDIES WERE INCLUDED IN THE REVIEW (1080 PARTICIPANTS) AND 13 STUDIES WERE INCLUDED IN THE META-ANALYSIS (632 PARTICIPANTS). DISORDERS OF DEPRESSION, POST-TRAUMATIC STRESS, SCHIZOPHRENIA, ANXIETY, ALCOHOL DEPENDENCE AND BIPOLAR WERE INCLUDED. YOGA SHOWED GREATER REDUCTIONS IN DEPRESSIVE SYMPTOMS THAN WAITLIST, TREATMENT AS USUAL AND ATTENTION CONTROL (STANDARDISED MEAN DIFFERENCE=0.41; 95% CI -0.65 TO -0.17; P<0.001). GREATER REDUCTIONS IN DEPRESSIVE SYMPTOMS WERE ASSOCIATED WITH HIGHER FREQUENCY OF YOGA SESSIONS PER WEEK (BETA=-0.44, P<0.01). 2021 6 2020 50 SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMISED CONTROLLED TRIALS ON THE EFFECTS OF YOGA IN PEOPLE WITH PARKINSON'S DISEASE. PURPOSE: YOGA MAY BE A BENEFICIAL TREATMENT FOR PEOPLE WITH PARKINSON'S DISEASE (PD). HOWEVER, NO STUDIES HAVE CRITICALLY REVIEWED AND META-ANALYZED THE SCIENTIFIC EVIDENCE FOR YOGA'S BENEFITS REGARDING MOTOR AND NON-MOTOR SYMPTOMS. THE PURPOSE OF THIS STUDY WAS TO CONDUCT A SYSTEMATIC REVIEW AND META-ANALYSIS ON THE EFFECTIVENESS OF YOGA AS A REHABILITATION STRATEGY FOR PD. MATERIALS AND METHODS: FOLLOWING THE PREFERRED REPORTING ITEMS FOR SYSTEMATIC REVIEWS AND META-ANALYSES GUIDELINES, A LITERATURE SEARCH WAS PERFORMED USING MEDLINE/PUBMED, PEDRO, SPORTDISCUS, AND SCOPUS. STUDIES ADDRESSING ANY CONCEPTS ON THE IMPACT OF YOGA INTERVENTION ON PHYSICAL AND PSYCHOLOGICAL OUTCOMES IN PEOPLE WITH PD WERE INCLUDED. RESULTS: FOURTEEN RCTS WERE SELECTED, WITH HETEROGENEOUS PROTOCOLS AND OUTCOMES MEASURES. YOGA INTERVENTIONS WERE SAFE AND WELL-ACCEPTED FOR PATIENTS WITH MILD TO MODERATE PD. THE DESCRIPTIVE ANALYSIS INDICATED THAT ITS PRACTICE MIGHT PROVIDE BOTH PHYSICAL AND PSYCHOLOGICAL BENEFITS. PRELIMINARY EVIDENCE SHOWED THAT YOGA HAS COMPARABLE OR SUPERIOR EFFICACY TO EXERCISE. A SUBSEQUENT META-ANALYSIS ON FIVE RCTS DETECTED THAT YOGA WAS MORE EFFECTIVE THAN PASSIVE CONTROL IN AMELIORATING MOTOR SYMPTOMS. CONCLUSIONS: YOGA APPEARS TO BE A PROMISING REHABILITATIVE THERAPY FOR INDIVIDUALS WITH PD. RECOMMENDATIONS ARE PROPOSED FOR FUTURE STUDIES.IMPLICATIONS FOR REHABILITATIONYOGA IS A SAFE AND FEASIBLE THERAPY FOR PEOPLE WITH MILD TO MODERATE PD.YOGA PRACTICE POSITIVELY IMPACTS PHYSICAL AND MENTAL HEALTH IN THIS POPULATION.WHEN COMPARED TO EXERCISE, YOGA SHOWED TO HAVE SIMILAR OR EVEN GREATER EFFECTS. 2021 7 698 37 EFFECT OF HATHA YOGA ON ANXIETY: A META-ANALYSIS. OBJECTIVE: SOME EVIDENCE SUGGESTS THAT HATHA YOGA MIGHT BE AN EFFECTIVE PRACTICE TO REDUCE ANXIETY. TO EXAMINE THE EFFECT OF HATHA YOGA ON ANXIETY, WE CONDUCTED A META-ANALYSIS OF RELEVANT STUDIES EXTRACTED FROM PUBMED, PSYCINFO, THE COCHRANE LIBRARY, AND MANUAL SEARCHES. METHODS: THE SEARCH IDENTIFIED 17 STUDIES (11 WAITLIST CONTROLLED TRIALS) TOTALING 501 PARTICIPANTS WHO RECEIVED HATHA YOGA AND WHO REPORTED THEIR LEVELS OF ANXIETY BEFORE AND AFTER THE PRACTICE. WE ESTIMATED THE CONTROLLED AND WITHIN-GROUP RANDOM EFFECTS OF THE PRACTICE ON ANXIETY. RESULTS: THE PRE-POST WITHIN-GROUP AND CONTROLLED EFFECT SIZES WERE, HEDGES' G = 0.44 AND HEDGES' G = 0.61, RESPECTIVELY. TREATMENT EFFICACY WAS POSITIVELY ASSOCIATED WITH THE TOTAL NUMBER OF HOURS PRACTICED. PEOPLE WITH ELEVATED LEVELS OF ANXIETY BENEFITTED THE MOST. EFFECT SIZES WERE NOT MODERATED BY STUDY YEAR, GENDER, PRESENCE OF A MEDICAL DISORDER, OR AGE. ALTHOUGH THE QUALITY OF THE STUDIES WAS RELATIVELY LOW, THE RISK OF STUDY BIAS DID NOT MODERATE THE EFFECT. CONCLUSIONS: HATHA YOGA IS A PROMISING METHOD FOR TREATING ANXIETY. HOWEVER, MORE WELL-CONTROLLED STUDIES ARE NEEDED TO COMPARE THE EFFICACY OF HATHA YOGA WITH OTHER MORE ESTABLISHED TREATMENTS AND TO UNDERSTAND ITS MECHANISM. THIS ARTICLE IS PROTECTED BY COPYRIGHT. ALL RIGHTS RESERVED. 2016 8 1299 53 HATHA YOGA FOR ACUTE, CHRONIC AND/OR TREATMENT-RESISTANT MOOD AND ANXIETY DISORDERS: A SYSTEMATIC REVIEW AND META-ANALYSIS. BACKGROUND: THE AIM OF THIS STUDY WAS TO SYSTEMATICALLY INVESTIGATE THE EFFECTIVENESS OF HATHA YOGA IN TREATING ACUTE, CHRONIC AND/OR TREATMENT-RESISTANT MOOD AND ANXIETY DISORDERS. METHODS: MEDLINE, COCHRANE LIBRARY, CURRENT CONTROLLED TRIALS, CLINICAL TRIALS.GOV, NHR CENTRE FOR REVIEWS AND DISSEMINATION, PSYCINFO AND CINAHL WERE SEARCHED THROUGH JUNE 2018. RANDOMIZED CONTROLLED TRIALS WITH PATIENTS WITH MOOD AND ANXIETY DISORDERS WERE INCLUDED. MAIN OUTCOMES WERE CONTINUOUS MEASURES OF SEVERITY OF MOOD AND ANXIETY SYMPTOMS. COHEN'S D WAS CALCULATED AS A MEASURE OF EFFECT SIZE. META-ANALYSES USING A RANDOM EFFECTS MODEL WAS APPLIED TO ESTIMATE DIRECT COMPARISONS BETWEEN YOGA AND CONTROL CONDITIONS FOR DEPRESSION AND ANXIETY OUTCOMES. PUBLICATION BIAS WAS VISUALLY INSPECTED USING FUNNEL PLOTS. RESULTS: EIGHTEEN STUDIES WERE FOUND, FOURTEEN IN ACUTE PATIENTS AND FOUR IN CHRONIC PATIENTS. MOST STUDIES WERE OF LOW QUALITY. FOR DEPRESSION OUTCOMES, HATHA YOGA DID NOT SHOW A SIGNIFICANT EFFECT WHEN COMPARED TO TREATMENT AS USUAL, AN OVERALL EFFECT SIZE OF COHEN'S D -0.64 (95% CI = -1.41, 0.13) OR TO ALL ACTIVE CONTROL GROUPS, COHEN'S D -0.13 (95% CI = -0.49, 0.22). A SUB-ANALYSIS SHOWED THAT YOGA HAD A SIGNIFICANT EFFECT ON THE REDUCTION OF DEPRESSION COMPARED TO PSYCHOEDUCATION CONTROL GROUPS, COHEN'S D -0.52 (95% CI = -0.96, -0.08) BUT NOT TO OTHER ACTIVE CONTROL GROUPS, COHEN'S D 0.28 (95% CI = -0.07, 0.63) FOR STUDIES USING A FOLLOW-UP OF SIX MONTHS OR MORE, HATHA YOGA HAD NO EFFECT ON THE REDUCTION OF DEPRESSION COMPARED TO ACTIVE CONTROL GROUPS, COHEN'S D -0.14 (95% CI = -0.60, 0.33). REGARDING ANXIETY, HATHA YOGA HAD NO SIGNIFICANT EFFECT WHEN COMPARED TO ACTIVE CONTROL GROUPS, COHEN'S D -0.09 (95% CI = -0.47, 0.30). THE I2 AND Q-STATISTIC REVEALED HETEROGENEITY AMONGST COMPARISONS. QUALITATIVE ANALYSES SUGGEST SOME PROMISE OF HATHA YOGA FOR CHRONIC POPULATIONS. CONCLUSIONS: THE ABILITY TO DRAW FIRM CONCLUSIONS IS LIMITED BY THE NOTABLE HETEROGENEITY AND LOW QUALITY OF MOST OF THE INCLUDED STUDIES. WITH THIS CAVEAT IN MIND, THE RESULTS OF THE CURRENT META-ANALYSIS SUGGEST THAT HATHA YOGA DOES NOT HAVE EFFECTS ON ACUTE, CHRONIC AND/OR TREATMENT-RESISTANT MOOD AND ANXIETY DISORDERS COMPARED TO TREATMENT AS USUAL OR ACTIVE CONTROL GROUPS. HOWEVER, WHEN COMPARED TO PSYCHOEDUCATION, HATHA YOGA SHOWED MORE REDUCTIONS IN DEPRESSION. IT IS CLEAR THAT MORE HIGH-QUALITY STUDIES ARE NEEDED TO ADVANCE THE FIELD. 2018 9 349 39 ASSESSING THE EFFECTIVENESS OF YOGA AS A COMPLEMENTARY AND ALTERNATIVE TREATMENT FOR POST-TRAUMATIC STRESS DISORDER: A REVIEW AND SYNTHESIS. OBJECTIVES: POSTTRAUMATIC STRESS DISORDER (PTSD) IS A DEBILITATING CONDITION THAT AFFECTS MANY WHO HAVE EXPERIENCED TRAUMA. IN ADDITION TO SKILLS-FOCUSED TREATMENTS, EXPOSURE-BASED TREATMENTS, COGNITIVE THERAPY, COMBINATION TREATMENTS, AND EMDR, A NUMBER OF ALTERNATIVE TREATMENTS FOR PTSD HAVE EMERGED IN RECENT YEARS. THE SEARCH FOR ALTERNATIVE TREATMENTS IS JUSTIFIED BASED ON THE EMPIRICAL OBSERVATION THAT A LARGE PERCENTAGE OF INDIVIDUALS FAIL TO BENEFIT OPTIMALLY FROM EXISTING TREATMENTS (E.G., BETWEEN 30 AND 60). MOREOVER, CURRENT STUDIES OFTEN UTILIZE STRINGENT INCLUSION CRITERIA (E.G., ABSENCE OF COMORBID DISORDERS), RAISING THE LIKELIHOOD THAT RESULTS WILL NOT GENERALIZE TO MANY INDIVIDUALS CURRENTLY EXPERIENCING PTSD. THE PRIMARY OBJECTIVE OF THE CURRENT PAPER WAS TO EXPLORE THE EFFECTS OF ONE TYPE OF ALTERNATIVE TREATMENT: YOGA. DESIGN: A COMPREHENSIVE REVIEW OF THE LITERATURE WAS CONDUCTED TARGETING RESEARCH EXAMINING YOGA POSTURES AND PTSD. SEVEN RANDOMIZED CONTROLLED TRIALS (RCTS) WERE IDENTIFIED AND REVIEWED, AND EFFECT SIZES WERE COMPUTED FOR THE POST-TEST ASSESSMENTS. RESULTS: COHEN'S D FOR EACH STUDY RANGED (IN ABSOLUTE VALUE) FROM A LOW OF -0.06 TO A HIGH OF 1.42 (AVERAGE WEIGHTED D ACROSS STUDIES WAS 0.48; 95% CI: 0.26, 0.69). CONCLUSIONS: PUTATIVE MECHANISMS OF ACTION FOR THE POSSIBLE BENEFICIAL EFFECTS OF YOGA FOR PTSD-RELATED SYMPTOMATOLOGY AND CLINICAL IMPLICATIONS ARE DISCUSSED. 2017 10 1740 41 PHYSICAL AND PSYCHOSOCIAL BENEFITS OF YOGA IN CANCER PATIENTS AND SURVIVORS, A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. BACKGROUND: THIS STUDY AIMED TO SYSTEMATICALLY REVIEW THE EVIDENCE FROM RANDOMIZED CONTROLLED TRIALS (RCTS) AND TO CONDUCT A META-ANALYSIS OF THE EFFECTS OF YOGA ON PHYSICAL AND PSYCHOSOCIAL OUTCOMES IN CANCER PATIENTS AND SURVIVORS. METHODS: A SYSTEMATIC LITERATURE SEARCH IN TEN DATABASES WAS CONDUCTED IN NOVEMBER 2011. STUDIES WERE INCLUDED IF THEY HAD AN RCT DESIGN, FOCUSED ON CANCER PATIENTS OR SURVIVORS, INCLUDED PHYSICAL POSTURES IN THE YOGA PROGRAM, COMPARED YOGA WITH A NON-EXERCISE OR WAITLIST CONTROL GROUP, AND EVALUATED PHYSICAL AND/OR PSYCHOSOCIAL OUTCOMES. TWO RESEARCHERS INDEPENDENTLY RATED THE QUALITY OF THE INCLUDED RCTS, AND HIGH QUALITY WAS DEFINED AS >50% OF THE TOTAL POSSIBLE SCORE. EFFECT SIZES (COHEN'S D) WERE CALCULATED FOR OUTCOMES STUDIED IN MORE THAN THREE STUDIES AMONG PATIENTS WITH BREAST CANCER USING MEANS AND STANDARD DEVIATIONS OF POST-TEST SCORES OF THE INTERVENTION AND CONTROL GROUPS. RESULTS: SIXTEEN PUBLICATIONS OF 13 RCTS MET THE INCLUSION CRITERIA, OF WHICH ONE INCLUDED PATIENTS WITH LYMPHOMAS AND THE OTHERS FOCUSED ON PATIENTS WITH BREAST CANCER. THE MEDIAN QUALITY SCORE WAS 67% (RANGE: 22-89%). THE INCLUDED STUDIES EVALUATED 23 PHYSICAL AND 20 PSYCHOSOCIAL OUTCOMES. OF THE OUTCOMES STUDIED IN MORE THAN THREE STUDIES AMONG PATIENTS WITH BREAST CANCER, WE FOUND LARGE REDUCTIONS IN DISTRESS, ANXIETY, AND DEPRESSION (D = -0.69 TO -0.75), MODERATE REDUCTIONS IN FATIGUE (D = -0.51), MODERATE INCREASES IN GENERAL QUALITY OF LIFE, EMOTIONAL FUNCTION AND SOCIAL FUNCTION (D = 0.33 TO 0.49), AND A SMALL INCREASE IN FUNCTIONAL WELL-BEING (D = 0.31). EFFECTS ON PHYSICAL FUNCTION AND SLEEP WERE SMALL AND NOT SIGNIFICANT. CONCLUSION: YOGA APPEARED TO BE A FEASIBLE INTERVENTION AND BENEFICIAL EFFECTS ON SEVERAL PHYSICAL AND PSYCHOSOCIAL SYMPTOMS WERE REPORTED. IN PATIENTS WITH BREAST CANCER, EFFECT SIZE ON FUNCTIONAL WELL-BEING WAS SMALL, AND THEY WERE MODERATE TO LARGE FOR PSYCHOSOCIAL OUTCOMES. 2012 11 2569 45 YOGA FOR DEPRESSION: THE RESEARCH EVIDENCE. BACKGROUND: YOGA-BASED INTERVENTIONS MAY PROVE TO BE AN ATTRACTIVE OPTION FOR THE TREATMENT OF DEPRESSION. THE AIM OF THIS STUDY IS TO SYSTEMATICALLY REVIEW THE RESEARCH EVIDENCE ON THE EFFECTIVENESS OF YOGA FOR THIS INDICATION. METHODS: SEARCHES OF THE MAJOR BIOMEDICAL DATABASES INCLUDING MEDLINE, EMBASE, CLNAHL, PSYCINFO AND THE COCHRANE LIBRARY WERE CONDUCTED. SPECIALIST COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) AND THE INDMED DATABASES WERE ALSO SEARCHED AND EFFORTS MADE TO IDENTIFY UNPUBLISHED AND ONGOING RESEARCH. SEARCHES WERE CONDUCTED BETWEEN JANUARY AND JUNE 2004. RELEVANT RESEARCH WAS CATEGORISED BY STUDY TYPE AND APPRAISED. CLINICAL COMMENTARIES WERE OBTAINED FOR STUDIES REPORTING CLINICAL OUTCOMES. RESULTS: FIVE RANDOMISED CONTROLLED TRIALS WERE LOCATED, EACH OF WHICH UTILISED DIFFERENT FORMS OF YOGA INTERVENTIONS AND IN WHICH THE SEVERITY OF THE CONDITION RANGED FROM MILD TO SEVERE. ALL TRIALS REPORTED POSITIVE FINDINGS BUT METHODOLOGICAL DETAILS SUCH AS METHOD OF RANDOMISATION, COMPLIANCE AND ATTRITION RATES WERE MISSING. NO ADVERSE EFFECTS WERE REPORTED WITH THE EXCEPTION OF FATIGUE AND BREATHLESSNESS IN PARTICIPANTS IN ONE STUDY. LIMITATIONS: NO LANGUAGE RESTRICTIONS WERE IMPOSED ON THE SEARCHES CONDUCTED BUT NO SEARCHES OF DATABASES IN LANGUAGES OTHER THAN ENGLISH WERE INCLUDED. CONCLUSIONS: OVERALL, THE INITIAL INDICATIONS ARE OF POTENTIALLY BENEFICIAL EFFECTS OF YOGA INTERVENTIONS ON DEPRESSIVE DISORDERS. VARIATION IN INTERVENTIONS, SEVERITY AND REPORTING OF TRIAL METHODOLOGY SUGGESTS THAT THE FINDINGS MUST BE INTERPRETED WITH CAUTION. SEVERAL OF THE INTERVENTIONS MAY NOT BE FEASIBLE IN THOSE WITH REDUCED OR IMPAIRED MOBILITY. NEVERTHELESS, FURTHER INVESTIGATION OF YOGA AS A THERAPEUTIC INTERVENTION IS WARRANTED. 2005 12 220 34 A SYSTEMATIC REVIEW AND META-ANALYSIS OF YOGA AND MINDFULNESS MEDITATION IN PRISON. THIS ARTICLE PRESENTS RESULTS FROM A SYSTEMATIC REVIEW AND TWO META-ANALYSES THAT EXAMINE WHETHER PRISON YOGA AND MEDITATION PROGRAMS ARE SIGNIFICANTLY RELATED TO INCREASED PSYCHOLOGICAL WELL-BEING AND IMPROVEMENTS IN THE BEHAVIOURAL FUNCTIONING OF PRISONERS. COMPREHENSIVE SEARCHES OF THE EMPIRICAL LITERATURE WERE CONDUCTED UP TO DECEMBER 2014. PARTICIPANTS WHO COMPLETED YOGA OR MEDITATION PROGRAM IN PRISON EXPERIENCED A SMALL INCREASE IN THEIR PSYCHOLOGICAL WELL-BEING (COHEN'S D = 0.46, 95% CONFIDENCE INTERVAL [CI] = [0.39, 0.54]) AND A SMALL IMPROVEMENT IN THEIR BEHAVIOURAL FUNCTIONING (COHEN'S D = 0.30, 95% CI = [0.20, 0.40]). MODERATOR ANALYSES SUGGESTED THAT THERE WAS A SIGNIFICANT DIFFERENCE IN EFFECT SIZES FOR PROGRAMS OF LONGER DURATION AND LESS INTENSITY, COMPARED WITH THOSE THAT WERE SHORTER AND MORE INTENSIVE, FOR PSYCHOLOGICAL WELL-BEING. PROGRAMS OF LONGER DURATION HAD A SLIGHTLY LARGER POSITIVE EFFECT ON BEHAVIOURAL FUNCTIONING ( D = 0.424), COMPARED WITH MORE INTENSIVE PROGRAMS ( D = 0.418). OVERALL, THE EVIDENCE SUGGESTS THAT YOGA AND MEDITATION HAVE FAVOURABLE EFFECTS ON PRISONERS. 2017 13 1856 40 RANDOMISED CONTROLLED TRIALS OF YOGA INTERVENTIONS FOR WOMEN WITH BREAST CANCER: A SYSTEMATIC LITERATURE REVIEW. PURPOSE: YOGA IS INCREASINGLY USED AS A COMPLEMENTARY THERAPY TO MANAGE DISEASE AND TREATMENT-RELATED SIDE EFFECTS IN PATIENTS WITH CANCER AND HAS RESULTED IN AN INCREASE IN THE NUMBER OF STUDIES EXPLORING THE EFFECTIVENESS OF YOGA INTERVENTIONS. THIS SYSTEMATIC REVIEW EXAMINES WHETHER YOGA INTERVENTIONS PROVIDE ANY MEASURABLE BENEFIT, BOTH PHYSICALLY AND PSYCHOLOGICALLY, FOR WOMEN WITH BREAST CANCER. THE RESULTS WILL INFORM FUTURE RESEARCH IN THIS FIELD AND ADVANCE THE DEVELOPMENT OF YOGA PROGRAMMES. METHODS: WE PERFORMED ELECTRONIC SEARCHES OF MEDLINE, PSYCHINFO, THE COCHRANE LIBRARY, EMBASE, CINAHL, AMED, WEB OF SCIENCE AND SCOPUS FOR ARTICLES PUBLISHED UP TO JUNE 2012. ONLY RANDOMISED CONTROLLED TRIALS (RCTS) WERE INCLUDED AND METHODOLOGICAL QUALITY RATING SCORES WERE DETERMINED USING THE PEDRO (PHYSIOTHERAPY EVIDENCE DATABASE) SCALE. RESULTS: ONE HUNDRED THIRTY-TWO STUDIES WERE IDENTIFIED THROUGH A SYSTEMATIC SEARCH OF EIGHT ELECTRONIC DATABASES. ONLY PUBLISHED MANUSCRIPTS THAT EMPLOYED A RCT DESIGN WERE INCLUDED (N = 18). THE SAMPLE SIZES FOR THESE STUDIES VARIED WIDELY FROM 18 TO 164 PARTICIPANTS AND THE ASSOCIATED PEDRO SCORES RANGED FROM 1 (POOR) TO 8 (GOOD). ALL 18 STUDIES REPORTED POSITIVE EFFECTS FOR TREATMENT-RELATED SIDE EFFECTS IN FAVOUR OF THE YOGA INTERVENTIONS, WITH THE GREATEST IMPACT ON GLOBAL QUALITY OF LIFE (QOL) SCORES AND EMOTIONAL WELL-BEING. CONCLUSION: RESULTS FROM THE FEW RCTS SUGGEST THERE IS MODERATE TO GOOD EVIDENCE THAT YOGA MAY BE A USEFUL PRACTICE FOR WOMEN RECOVERING FROM BREAST CANCER TREATMENTS. LARGE-SCALE RCTS USING OBJECTIVE MEASURES AND PATIENT-REPORTED OUTCOMES WITH LONG-TERM FOLLOW-UP ARE NEEDED TO SUBSTANTIATE WHETHER THE BENEFITS ARE TRUE AND SUSTAINABLE. 2012 14 2732 39 YOGA ON OUR MINDS: A SYSTEMATIC REVIEW OF YOGA FOR NEUROPSYCHIATRIC DISORDERS. BACKGROUND: THE DEMAND FOR CLINICALLY EFFICACIOUS, SAFE, PATIENT ACCEPTABLE, AND COST-EFFECTIVE FORMS OF TREATMENT FOR MENTAL ILLNESS IS GROWING. SEVERAL STUDIES HAVE DEMONSTRATED BENEFIT FROM YOGA IN SPECIFIC PSYCHIATRIC SYMPTOMS AND A GENERAL SENSE OF WELL-BEING. OBJECTIVE: TO SYSTEMATICALLY EXAMINE THE EVIDENCE FOR EFFICACY OF YOGA IN THE TREATMENT OF SELECTED MAJOR PSYCHIATRIC DISORDERS. METHODS: ELECTRONIC SEARCHES OF THE COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS AND THE STANDARD BIBLIOGRAPHIC DATABASES, MEDLINE, EMBASE, AND PSYCINFO, WERE PERFORMED THROUGH APRIL 2011 AND AN UPDATED IN JUNE 2011 USING THE KEYWORDS YOGA AND PSYCHIATRY OR DEPRESSION OR ANXIETY OR SCHIZOPHRENIA OR COGNITION OR MEMORY OR ATTENTION AND RANDOMIZED CONTROLLED TRIAL (RCT). STUDIES WITH YOGA AS THE INDEPENDENT VARIABLE AND ONE OF THE ABOVE MENTIONED TERMS AS THE DEPENDENT VARIABLE WERE INCLUDED AND EXCLUSION CRITERIA WERE APPLIED. RESULTS: THE SEARCH YIELDED A TOTAL OF 124 TRIALS, OF WHICH 16 MET RIGOROUS CRITERIA FOR THE FINAL REVIEW. GRADE B EVIDENCE SUPPORTING A POTENTIAL ACUTE BENEFIT FOR YOGA EXISTS IN DEPRESSION (FOUR RCTS), AS AN ADJUNCT TO PHARMACOTHERAPY IN SCHIZOPHRENIA (THREE RCTS), IN CHILDREN WITH ADHD (TWO RCTS), AND GRADE C EVIDENCE IN SLEEP COMPLAINTS (THREE RCTS). RCTS IN COGNITIVE DISORDERS AND EATING DISORDERS YIELDED CONFLICTING RESULTS. NO STUDIES LOOKED AT PRIMARY PREVENTION, RELAPSE PREVENTION, OR COMPARATIVE EFFECTIVENESS VERSUS PHARMACOTHERAPY. CONCLUSION: THERE IS EMERGING EVIDENCE FROM RANDOMIZED TRIALS TO SUPPORT POPULAR BELIEFS ABOUT YOGA FOR DEPRESSION, SLEEP DISORDERS, AND AS AN AUGMENTATION THERAPY. LIMITATIONS OF LITERATURE INCLUDE INABILITY TO DO DOUBLE-BLIND STUDIES, MULTIPLICITY OF COMPARISONS WITHIN SMALL STUDIES, AND LACK OF REPLICATION. BIOMARKER AND NEUROIMAGING STUDIES, THOSE COMPARING YOGA WITH STANDARD PHARMACO- AND PSYCHOTHERAPIES, AND STUDIES OF LONG-TERM EFFICACY ARE NEEDED TO FULLY TRANSLATE THE PROMISE OF YOGA FOR ENHANCING MENTAL HEALTH. 2012 15 2144 45 THE EFFECTS OF MEDITATION, YOGA, AND MINDFULNESS ON DEPRESSION, ANXIETY, AND STRESS IN TERTIARY EDUCATION STUDENTS: A META-ANALYSIS. BACKGROUND: MEDITATION, YOGA, AND MINDFULNESS ARE POPULAR INTERVENTIONS AT UNIVERSITIES AND TERTIARY EDUCATION INSTITUTES TO IMPROVE MENTAL HEALTH. HOWEVER, THE EFFECTS ON DEPRESSION, ANXIETY, AND STRESS ARE UNCLEAR. THIS STUDY ASSESSED THE EFFECTIVENESS OF MEDITATION, YOGA, AND MINDFULNESS ON SYMPTOMS OF DEPRESSION, ANXIETY, AND STRESS IN TERTIARY EDUCATION STUDENTS. METHODS: WE SEARCHED COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS (CENTRAL), PUBMED, PSYCINFO AND IDENTIFIED 11,936 ARTICLES. AFTER RETRIEVING 181 PAPERS FOR FULL-TEXT SCREENING, 24 RANDOMIZED CONTROLLED TRIALS WERE INCLUDED IN THE QUALITATIVE ANALYSIS. WE CONDUCTED A RANDOM-EFFECTS META-ANALYSIS AMONGST 23 STUDIES WITH 1,373 PARTICIPANTS. RESULTS: AT POST-TEST, AFTER EXCLUSION OF OUTLIERS, EFFECT SIZES FOR DEPRESSION, G = 0.42 (95% CI: 0.16-0.69), ANXIETY G = 0.46 (95% CI: 0.34-0.59), STRESS G = 0.42 (95% CI: 0.27-0.57) WERE MODERATE. HETEROGENEITY WAS LOW (I (2) = 6%). WHEN COMPARED TO ACTIVE CONTROL, THE EFFECT DECREASED TO G = 0.13 (95% CI: -0.18-0.43). NO RCT REPORTED ON SAFETY, ONLY TWO STUDIES REPORTED ON ACADEMIC ACHIEVEMENT, MOST STUDIES HAD A HIGH RISK OF BIAS. CONCLUSIONS: MOST STUDIES WERE OF POOR QUALITY AND RESULTS SHOULD BE INTERPRETED WITH CAUTION. OVERALL MODERATE EFFECTS WERE FOUND WHICH DECREASED SUBSTANTIALLY WHEN INTERVENTIONS WERE COMPARED TO ACTIVE CONTROL. IT IS UNCLEAR WHETHER MEDITATION, YOGA OR MINDFULNESS AFFECT ACADEMIC ACHIEVEMENT OR AFFECT HAVE ANY NEGATIVE SIDE EFFECTS. 2019 16 2181 42 THE EFFECTS OF YOGA ON PHYSICAL FUNCTIONING AND HEALTH RELATED QUALITY OF LIFE IN OLDER ADULTS: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVE: THE GOAL WAS TO REVIEW SYSTEMATICALLY THE COMPARATIVE EFFECTIVENESS OF YOGA, COMPARED WITH OTHER EXERCISE INTERVENTIONS, FOR OLDER ADULTS AS SHOWN ON MEASURES OF HEALTH AND PHYSICAL FUNCTIONING. DESIGN: THIS WAS A SYSTEMATIC REVIEW WITH BOTH NARRATIVE SYNTHESIS AND META-ANALYSIS. DATA SOURCES: SEARCHES WERE CONDUCTED IN MEDLINE(R)/PUBMED, PSYCINFO, CINAHL, WEB OF SCIENCE, AND SCOPUS; BIBLIOGRAPHIES OF SELECTED ARTICLES; AND ONE SYSTEMATIC REVIEW ON THE EFFECTS OF YOGA ON CARDIOVASCULAR DISEASE. METHODS: ORIGINAL STUDIES FROM 1950 TO NOVEMBER 2010 WERE SOUGHT, EVALUATING THE EFFECTS OF YOGA ON OLDER ADULTS. THE SEARCH WAS RESTRICTED TO RANDOMIZED CONTROLLED TRIALS OF YOGA IN SUBJECTS >/=AGE 60, AND PUBLISHED IN ENGLISH. DATA WERE EXTRACTED AND EVALUATED REGARDING SETTING, POPULATION SIZE AND CHARACTERISTICS, INTERVENTION TYPE AND DURATION, COMPARISON GROUP, OUTCOME ASSESSMENT, DATA ANALYSIS, FOLLOW-UP, KEY RESULTS, AND THE QUALITY OF EACH STUDY ACCORDING TO SPECIFIC PREDETERMINED CRITERIA. RESULTS: THE SEARCH YIELDED 18 ELIGIBLE STUDIES (N=649). THE STUDIES REPORTED ON OLDER ADULTS ACROSS A RANGE OF SETTINGS, INTERVENTION INTENSITY, AND OUTCOME MEASURES. THE MAJORITY OF THE STUDIES HAD<35 PARTICIPANTS (RANGE 9-77). QUANTITATIVE AND QUALITATIVE SYNTHESIS OF THE STUDIES SUGGESTED THAT THE BENEFITS OF YOGA MAY EXCEED THOSE OF CONVENTIONAL EXERCISE INTERVENTIONS FOR SELF-RATED HEALTH STATUS, AEROBIC FITNESS, AND STRENGTH. HOWEVER, THE EFFECT SIZES WERE MODEST, AND THE EVIDENCE WAS MIXED FOR YOGA'S EFFECT ON DEPRESSION, SLEEP, AND BONE-MINERAL DENSITY. STUDIES DID NOT FIND AN EFFECT ON COGNITION. CONCLUSIONS: SMALL STUDIES WITH MIXED METHODOLOGICAL QUALITY SUGGESTED THAT YOGA MAY BE SUPERIOR TO CONVENTIONAL PHYSICAL-ACTIVITY INTERVENTIONS IN ELDERLY PEOPLE. THE PRECISION OF THE ESTIMATES REMAINS LOW. LARGER STUDIES ARE NECESSARY TO DEFINE BETTER THE INTERSECTION OF POPULATIONS, SETTINGS, AND INTERVENTIONS IN WHICH YOGA IS MOST BENEFICIAL. 2012 17 1110 43 EFFECTS OF YOGA-RELATED MIND-BODY THERAPIES ON COGNITIVE FUNCTION IN OLDER ADULTS: A SYSTEMATIC REVIEW WITH META-ANALYSIS. OBJECTIVES: CONSIDERING DEMENTIA HAS NO DEFINITE CURATIVE INTERVENTION AVAILABLE THROUGH MODERN MEDICAL MANAGEMENT, ALTERNATIVE THERAPEUTIC SYMPTOMATIC INTERVENTIONS ARE NEEDED URGENTLY. THIS SYSTEMATIC REVIEW WITH META-ANALYSIS EVALUATED WHETHER YOGA-RELATED PRACTICES, AS A PREVENTIVE MIND-BODY THERAPY, IS EFFECTIVE FOR THE MANAGEMENT OF COGNITIVE DECLINE IN OLDER ADULTS. METHODS: SEVEN ELECTRONIC DATABASES (ABSTRACTS IN SOCIAL GERONTOLOGY, AGE LINE, CINAHL, PSYCINFO, PUBMED, SCOPUS, AND WEB OF SCIENCE) WERE SEARCHED USING SPECIFIED INCLUSION CRITERIA TO IDENTIFY ORIGINAL STUDIES THAT INVESTIGATED THE EFFECTS OF YOGA-RELATED MIND-BODY THERAPIES ON COGNITIVE FUNCTION, IN THE CONTEXT OF AGING. A META-ANALYSIS WAS ALSO CARRIED OUT CALCULATING THE OVERALL EFFECT SIZES, EXPRESSED AS STANDARDIZED MEAN DIFFERENCES (I.E., D). RESULTS: TWELVE STUDIES, INCLUDING 912 PARTICIPANTS (73.9% FEMALE; 239 WITH AND 673 WITHOUT COGNITIVE IMPAIRMENT) WERE SELECTED FOR THIS REVIEW; ELEVEN WERE RANDOMIZED CONTROLLED TRIALS. ONE STUDY HAD A HIGH RISK OF BIAS AND WAS EXCLUDED FROM THE META-ANALYSIS. STUDIES INVOLVED A WIDE VARIETY OF YOGA PRACTICES WITH A COMMON FOCUS ON MEDITATIVE POSTURAL EXERCISES. RESULTS REVEALED SIGNIFICANT BENEFICIAL EFFECTS ON MEMORY (COHEN'S D = 0.38), EXECUTIVE FUNCTION (COHEN'S D = 0.40), AND ATTENTION AND PROCESSING SPEED (COHEN'S D = 0.33). NO ADVERSE EFFECTS WERE REPORTED. DISCUSSION: YOGA-RELATED MIND-BODY INTERVENTIONS FOR OLDER ADULTS APPEAR TO BE SAFE, FEASIBLE, AND EFFECTIVE ALTERNATIVE PRACTICE FOR MAINTENANCE OF COGNITIVE FUNCTIONS BOTH IN AGE- AND DISEASE-RELATED COGNITIVE DECLINE. PRACTICING YOGA CAN BE A USEFUL PART OF DAILY ROUTINE TO MAINTAIN COGNITIVE FUNCTION IN OLDER ADULTHOOD. SUGGESTIONS FOR FURTHER RESEARCH WERE DISCUSSED. 2021 18 1079 31 EFFECTS OF YOGA ON PSYCHOLOGICAL HEALTH, QUALITY OF LIFE, AND PHYSICAL HEALTH OF PATIENTS WITH CANCER: A META-ANALYSIS. YOGA IS ONE OF THE MOST WIDELY USED COMPLEMENTARY AND ALTERNATIVE MEDICINE THERAPIES TO MANAGE ILLNESS. THIS META-ANALYSIS AIMED TO DETERMINE THE EFFECTS OF YOGA ON PSYCHOLOGICAL HEALTH, QUALITY OF LIFE, AND PHYSICAL HEALTH OF PATIENTS WITH CANCER. STUDIES WERE IDENTIFIED THROUGH A SYSTEMATIC SEARCH OF SEVEN ELECTRONIC DATABASES AND WERE SELECTED IF THEY USED A RANDOMIZED CONTROLLED TRIAL DESIGN TO EXAMINE THE EFFECTS OF YOGA IN PATIENTS WITH CANCER. THE QUALITY OF EACH ARTICLE WAS RATED BY TWO OF THE AUTHORS USING THE PEDRO SCALE. TEN ARTICLES WERE SELECTED; THEIR PEDRO SCORES RANGED FROM 4 TO 7. THE YOGA GROUPS COMPARED TO WAITLIST CONTROL GROUPS OR SUPPORTIVE THERAPY GROUPS SHOWED SIGNIFICANTLY GREATER IMPROVEMENTS IN PSYCHOLOGICAL HEALTH: ANXIETY (P = .009), DEPRESSION (P = .002), DISTRESS (P = .003), AND STRESS (P = .006). HOWEVER, DUE TO THE MIXED AND LOW TO FAIR QUALITY AND SMALL NUMBER OF STUDIES CONDUCTED, THE FINDINGS ARE PRELIMINARY AND LIMITED AND SHOULD BE CONFIRMED THROUGH HIGHER-QUALITY, RANDOMIZED CONTROLLED TRIALS. 2011 19 590 47 DETERMINING THE POTENTIAL BENEFITS OF YOGA IN CHRONIC STROKE CARE: A SYSTEMATIC REVIEW AND META-ANALYSIS. BACKGROUND: SURVIVORS OF STROKE HAVE LONG-TERM PHYSICAL AND PSYCHOLOGICAL CONSEQUENCES THAT IMPACT THEIR QUALITY OF LIFE. FEW INTERVENTIONS ARE AVAILABLE IN THE COMMUNITY TO ADDRESS THESE PROBLEMS. YOGA, A TYPE OF MINDFULNESS-BASED INTERVENTION, IS SHOWN TO BE EFFECTIVE IN PEOPLE WITH OTHER CHRONIC ILLNESSES AND MAY HAVE THE POTENTIAL TO ADDRESS MANY OF THE PROBLEMS REPORTED BY SURVIVORS OF STROKE. OBJECTIVES: TO DATE ONLY NARRATIVE REVIEWS HAVE BEEN PUBLISHED. WE SOUGHT TO PERFORM, THE FIRST SYSTEMATIC REVIEW WITH META-ANALYSES OF RANDOMIZED CONTROLLED TRIALS (RCTS) THAT INVESTIGATED YOGA FOR ITS POTENTIAL BENEFIT FOR CHRONIC SURVIVORS OF STROKE. METHODS: OVID MEDLINE, CINHAL PLUS, AMED, PUBMED, PSYCHINFO, PEDRO, COCHRANE DATABASE, SPORT DISCUSS, AND GOOGLE SCHOLAR WERE SEARCHED FOR PAPERS PUBLISHED BETWEEN JANUARY 1950 AND AUGUST 2016. REFERENCE LISTS OF INCLUDED PAPERS, REVIEW ARTICLES AND OPENGREY FOR GREY LITERATURE WERE ALSO SEARCHED. WE USED A MODIFIED COCHRANE TOOL TO EVALUATE RISK OF BIAS. THE METHODOLOGICAL QUALITY OF RCTS WAS ASSESSED USING THE GRADE APPROACH, RESULTS WERE COLLATED, AND RANDOM EFFECTS META-ANALYSES PERFORMED WHERE APPROPRIATE. RESULTS: THE SEARCH YIELDED FIVE ELIGIBLE PAPERS FROM FOUR RCTS WITH SMALL SAMPLE SIZES (N = 17-47). QUALITY OF RCTS WAS RATED AS LOW TO MODERATE. YOGA IS BENEFICIAL IN REDUCING STATE ANXIETY SYMPTOMS AND DEPRESSION IN THE INTERVENTION GROUP COMPARED TO THE CONTROL GROUP (MEAN DIFFERENCES FOR STATE ANXIETY 6.05, 95% CI:-0.02 TO 12.12; P = 0.05 AND STANDARDIZED MEAN DIFFERENCES FOR DEPRESSION: 0.50, 95% CI:-0.01 TO 1.02; P = 0.05). CONSISTENT BUT NONSIGNIFICANT IMPROVEMENTS WERE DEMONSTRATED FOR BALANCE, TRAIT ANXIETY, AND OVERALL QUALITY OF LIFE. CONCLUSIONS: YOGA MAY BE EFFECTIVE FOR AMELIORATING SOME OF THE LONG-TERM CONSEQUENCES OF STROKE. LARGE WELL-DESIGNED RCTS ARE NEEDED TO CONFIRM THESE FINDINGS. 2017 20 1043 36 EFFECTS OF YOGA INTERVENTIONS ON FATIGUE: A META-ANALYSIS. BACKGROUND. RESEARCHERS AIMED AT SYSTEMATICALLY REVIEWING AND META-ANALYZING THE EFFECTIVENESS OF YOGA INTERVENTIONS FOR FATIGUE. METHODS. PUBMED/MEDLINE WAS SEARCHED UNTIL JANUARY 2012 FOR CONTROLLED CLINICAL STUDIES. TWO REVIEWERS INDEPENDENTLY EXTRACTED THE DATA. THE METHODOLOGICAL QUALITY OF THE STUDIES WAS ASSESSED. A META-ANALYSIS WAS PERFORMED. RESULTS. NINETEEN CLINICAL STUDIES (TOTAL N = 948) WERE INCLUDED IN THIS REVIEW. INVESTIGATED YOGA STYLES INCLUDED HATHA, IYENGAR, ASANAS, PATANJALI, SAHAJA, AND TIBETAN YOGA. PARTICIPANTS WERE SUFFERING FROM CANCER, MULTIPLE SCLEROSIS, DIALYSIS, CHRONIC PANCREATITIS, FIBROMYALGIA, ASTHMA, OR WERE HEALTHY. YOGA HAD A SMALL POSITIVE EFFECT ON FATIGUE (SMD = 0.27, 59% CI = 0.23-0.31). SEVEN STUDIES RECEIVED 4 POINTS ON THE JADAD SCORE. THERE WERE BASELINE DIFFERENCES IN AT LEAST 5 STUDIES. CONCLUSION. OVERALL, THE EFFECTS OF YOGA INTERVENTIONS ON FATIGUE WERE ONLY SMALL, PARTICULARLY IN CANCER PATIENTS. ALTHOUGH YOGA IS GENERALLY A SAFE THERAPEUTIC INTERVENTION AND EFFECTIVE TO ATTENUATE OTHER HEALTH-RELATED SYMPTOMS, THIS META-ANALYSIS WAS NOT ABLE TO DEFINE THE POWERFUL EFFECT OF YOGA ON PATIENTS SUFFERING FROM FATIGUE. TREATMENT EFFECTS OF YOGA COULD BE IMPROVED IN WELL-DESIGNED FUTURE STUDIES. ACCORDING TO THE GRADE RECOMMENDATIONS ASSESSING THE OVERALL QUALITY OF EVIDENCE, THERE IS A MODERATE EFFECT OF THE CONFIDENCE PLACED IN THE ESTIMATES OF THE EFFECTS DISCUSSED HERE. 2012