1 1920 159 ROLE OF YOGA AND MINDFULNESS IN SEVERE MENTAL ILLNESSES: A NARRATIVE REVIEW. BACKGROUND: YOGA HAS ITS ORIGIN FROM THE ANCIENT TIMES. IT IS AN INTEGRATION OF MIND, BODY, AND SOUL. BESIDES, MINDFULNESS EMPHASIZES FOCUSED AWARENESS AND ACCEPTING THE INTERNAL EXPERIENCES WITHOUT BEING JUDGEMENTAL. THESE TECHNIQUES OFFER A TRENDING NEW DIMENSION OF TREATMENT IN VARIOUS PSYCHIATRIC DISORDERS. AIMS: WE AIMED TO REVIEW THE STUDIES ON THE EFFICACY OF YOGA AND MINDFULNESS AS A TREATMENT MODALITY IN SEVERE MENTAL ILLNESSES (SMIS). SMI INCLUDES SCHIZOPHRENIA, MAJOR DEPRESSIVE DISORDER (MDD), AND BIPOLAR DISORDER (BD). METHODS: WE CONDUCTED A LITERATURE SEARCH USING PUBMED, GOOGLE SCHOLAR, AND COCHRANE LIBRARY WITH THE SEARCH TERMS "YOGA," "MEDITATION," "BREATHING EXERCISES," "MINDFULNESS," "SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS," "DEPRESSIVE DISORDER," AND "BIPOLAR DISORDER" FOR THE LAST 10-YEAR PERIOD. WE ALSO INCLUDED RELEVANT ARTICLES FROM THE CROSS-REFERENCES. RESULTS: WE FOUND THAT ASANAS AND PRANAYAMA ARE THE MOST COMMONLY STUDIED FORMS OF YOGA FOR SCHIZOPHRENIA. THESE STUDIES FOUND A REDUCTION IN GENERAL PSYCHOPATHOLOGY RATINGS AND AN IMPROVEMENT IN COGNITION AND FUNCTIONING. SOME STUDIES ALSO FOUND MODEST BENEFITS IN NEGATIVE AND POSITIVE SYMPTOMS. MINDFULNESS HAS NOT BEEN EXTENSIVELY TRIED, BUT THE AVAILABLE EVIDENCE HAS SHOWN BENEFITS IN IMPROVING PSYCHOTIC SYMPTOMS, IMPROVING LEVEL OF FUNCTIONING, AND AFFECT REGULATION. IN MDD, BOTH YOGA AND MINDFULNESS HAVE DEMONSTRATED SIGNIFICANT BENEFIT IN REDUCING THE SEVERITY OF DEPRESSIVE SYMPTOMS. THERE IS VERY SPARSE DATA WITH RESPECT TO BD. CONCLUSION: BOTH YOGA AND MINDFULNESS INTERVENTIONS APPEAR TO BE USEFUL AS AN ADJUNCT IN THE TREATMENT OF SMI. STUDIES HAVE SHOWN IMPROVEMENT IN THE PSYCHOPATHOLOGY, ANXIETY, COGNITION, AND FUNCTIONING OF PATIENTS WITH SCHIZOPHRENIA. SIMILARLY, BOTH THE TECHNIQUES HAVE BEEN ESTABLISHED AS AN EFFECTIVE ADJUVANT IN MDD. HOWEVER, MORE RIGOROUSLY DESIGNED AND LARGER TRIALS MAY BE NECESSARY, SPECIFICALLY FOR BD. 2019 2 2485 42 YOGA AS AN ANCILLARY TREATMENT FOR NEUROLOGICAL AND PSYCHIATRIC DISORDERS: A REVIEW. YOGA IS GAINING ACCEPTANCE AS AN ANCILLARY MEDICAL TREATMENT, BUT THERE HAVE BEEN FEW STUDIES EVALUATING ITS THERAPEUTIC BENEFITS IN NEUROLOGICAL AND MAJOR PSYCHIATRIC CONDITIONS. THE AUTHORS REVIEWED THE LITERATURE IN ENGLISH ON THE EFFICACY OF YOGA FOR THESE DISORDERS. ONLY RANDOMIZED, CONTROLLED TRIALS WERE INCLUDED, WITH THE EXCEPTION OF THE ONLY STUDY OF YOGA FOR BIPOLAR DISORDER, WHICH WAS OBSERVATIONAL. TRIALS WERE EXCLUDED IF YOGA WAS NOT THE CENTRAL COMPONENT OF THE INTERVENTION. OF SEVEN RANDOMIZED, CONTROLLED TRIALS OF YOGA IN PATIENTS WITH NEUROLOGICAL DISORDERS, SIX FOUND SIGNIFICANT, POSITIVE EFFECTS. OF 13 RANDOMIZED, CONTROLLED TRIALS OF YOGA IN PATIENTS WITH PSYCHIATRIC DISORDERS, 10 FOUND SIGNIFICANT, POSITIVE EFFECTS. THESE RESULTS, ALTHOUGH ENCOURAGING, INDICATE THAT ADDITIONAL RANDOMIZED, CONTROLLED STUDIES ARE NEEDED TO CRITICALLY DEFINE THE BENEFITS OF YOGA FOR BOTH NEUROLOGICAL AND PSYCHIATRIC DISORDERS. 2012 3 2798 49 YOGA THERAPY FOR SCHIZOPHRENIA. SCHIZOPHRENIA IS ONE OF THE MOST SEVERE MENTAL DISORDERS. DESPITE SIGNIFICANT ADVANCES IN PHARMACOTHERAPY, TREATMENT REMAINS SUB-OPTIMAL, WITH MANY PATIENTS HAVING PERSISTING DEFICITS, ESPECIALLY IN COGNITIVE AND SOCIAL FUNCTIONING. YOGA AS A THERAPY HAS PROVEN TO BE EFFECTIVE AS A SOLE OR ADDITIONAL INTERVENTION IN PSYCHIATRIC DISORDERS SUCH AS DEPRESSION AND ANXIETY. RECENTLY, THERE HAS BEEN SIGNIFICANT INTEREST IN THE APPLICATION OF YOGA THERAPY IN PSYCHOSIS AND SCHIZOPHRENIA. TO REVIEW A) THE EVIDENCE FOR THE USE OF YOGA THERAPY IN PATIENTS WITH SCHIZOPHRENIA B) STUDIES WHICH HAVE BEEN DONE IN THIS AREA, C) THE BARRIERS FOR REACHING YOGA TO PATIENTS, AND D) FUTURE DIRECTIONS, AN ENGLISH LANGUAGE LITERATURE SEARCH OF PUBMED/MEDLINE, GOOGLE SCHOLAR, AND EBSCO AS WELL AS GREY LITERATURE WAS DONE. RESEARCH REPORTS HAVE DEMONSTRATED THE FEASIBILITY AND EFFICACY OF YOGA AS AN ADD-ON THERAPY IN SCHIZOPHRENIA, PARTICULARLY IN IMPROVING NEGATIVE SYMPTOMATOLOGY AND SOCIAL COGNITION. HOWEVER, THE BIOLOGICAL UNDERPINNINGS OF THIS EFFECT REMAIN UNCLEAR, ALTHOUGH THERE ARE SOME INDICATIONS THAT HORMONES LIKE OXYTOCIN MAY CONTRIBUTE TO THE CHANGES IN SOCIAL COGNITION. 2012 4 2927 46 [YOGA FOR MENTAL DISORDERS]. BACKGROUND: THE DEMAND FOR COMPLEMENTARY CLINICALLY EFFICACIOUS, SAFE, PATIENT ACCEPTABLE, AND COST-EFFECTIVE FORMS OF TREATMENT FOR MENTAL ILLNESS IS GROWING. YOGA HAS BENEFICIAL EFFECTS ON SOMATIC AND MENTAL HEALTH FACTORS; THEREFORE, YOGA HAS PREVENTIVE AND THERAPEUTIC CAPABILITIES TO IMPROVE MENTAL DYSFUNCTION. OBJECTIVE: IN THIS OVERVIEW OF THE CURRENT LITERATURE, THE EVIDENCE OF THE EFFECTS OF YOGA ON SELECTED MAJOR PSYCHIATRIC DISORDERS IS SUMMARIZED. RESULTS: THE STRONGEST EVIDENCE BASE FOR YOGA EXISTS IN REDUCING DEPRESSIVE SYMPTOMS BUT ITS USE IN MAJOR DEPRESSIVE DISORDERS IS LESS CLEAR. THE EVIDENCE FOR THE EFFICACY OF YOGA FOR ANXIETY DISORDERS, AND POSTTRAUMATIC STRESS DISORDER (PTSD) IS ENCOURAGING, BUT NOT DEFINITIVE DUE TO ONLY A FEW RANDOMIZED CONTROLLED TRIALS AND METHODOLOGICAL PROBLEMS. CONCLUSION: THERE IS PRELIMINARY EVIDENCE THAT MEDITATION-BASED YOGA INTERVENTIONS MAY BE HELPFUL FOR DEPRESSION, ANXIETY AND PTSD; HOWEVER, THERE MAY ALSO BE THE RISK OF ENGAGING IN EXTREME YOGA PRACTICES. THE VALUE OF INTEGRATING YOGA INTO A TREATMENT PLAN FOR PATIENTS WITH PSYCHIATRIC DISORDERS NEEDS TO BE EVALUATED ON AN INDIVIDUAL BASIS. HEALTHCARE PROVIDERS CAN MOTIVATE AND HELP PATIENTS EVALUATE WHETHER A GIVEN YOGA CLASS IS HELPFUL AND SAFE FOR THEM. METHODOLOGICAL PROBLEMS AND THE UNCLEAR RISK-BENEFIT RATIO PRECLUDE DEFINITIVE RECOMMENDATIONS FOR YOGA AS AN ADJUNCT TREATMENT. 2018 5 1484 37 INTEGRATION OF HATHA YOGA AND EVIDENCE-BASED PSYCHOLOGICAL TREATMENTS FOR COMMON MENTAL DISORDERS: AN EVIDENCE MAP. BACKGROUND: INTEREST IN THE USE OF YOGA TO ENHANCE ENGAGEMENT WITH AND AUGMENT THE BENEFITS OF PSYCHOLOGICAL TREATMENT HAS GROWN. HOWEVER, A SYSTEMATIC APPROACH TO REVIEWING EXISTING RESEARCH EXAMINING THE USE OF YOGA WITH PSYCHOLOGICAL TREATMENT IS LACKING. MATERIALS AND METHODS: THIS MAPPING REVIEW IDENTIFIED AND SYNTHESISED RESEARCH TRIALLING YOGA AS AN INTEGRATED OR ADJUNCT THERAPY WITH EVIDENCE-BASED PSYCHOLOGICAL INTERVENTIONS FOR THE TREATMENT OF ANXIETY, DEPRESSION, PTSD, AND EATING DISORDERS. RESULTS: OVERALL, THE REVIEW IDENTIFIED TEN PUBLISHED AND THREE UNPUBLISHED STUDIES, REPRESENTING EITHER SINGLE GROUP OR SMALL QUASI-EXPERIMENTAL RESEARCH DESIGNS. DISCUSSION: LIMITED BUT PROMISING FINDINGS WERE SHOWN FOR YOGA WITH CBT FOR ANXIETY AND DEPRESSION, AND THE INTEGRATION OF YOGA WITHIN INTENSIVE TREATMENT MODELS FOR PTSD. CONCLUSIONS: FUTURE RESEARCH IS ENCOURAGED TO FOCUS ON CONTROLLED TRIALS THAT ENABLE EXAMINATION OF THE COMPONENT EFFECT OF YOGA WHEN APPLIED WITH EVIDENCE-BASED PSYCHOLOGICAL TREATMENT AND ACCEPTABILITY AND FEASIBILITY DATA TO FURTHER KNOWLEDGE REGARDING A ROLE FOR YOGA IN CLINICAL PRACTICE. 2022 6 406 44 BIOLOGICAL MARKERS FOR THE EFFECTS OF YOGA AS A COMPLEMENTARY AND ALTERNATIVE MEDICINE. FROM THE LAST FEW DECADES, THERE ARE INCREASING INCIDENCES OF DISORDERS LIKE PREMATURE AGING, CARDIOVASCULAR DISEASE, MULTIPLE SCLEROSIS, FIBROMYALGIA, AND ALZHEIMER'S DISEASE IN ADDITION TO MEDICATION, RESEARCHERS HAVE FOUND THAT YOGA, A MIND-BODY THERAPY, CAN BE USED AS AN ALTERNATIVE MEDICINE. YOGA COMBINES SPECIFIC PHYSICAL POSTURES, BREATHING TECHNIQUES, RELAXATION AND MEDITATION THAT IMPROVE MENTAL AND PHYSICAL HEALTH OF THE BODY. THE PURPOSE OF THIS REVIEW IS TO COLLATE THE RESEARCH EVIDENCES CLAIMING HEALTH BENEFITS OF PERFORMING TRADITIONAL YOGIC PRACTICES. WHAT ARE THE BIOLOGICAL AND OTHER RELIABLE INDICATORS TO SUGGEST THAT DOING ASANAS, PRANAYAMA, AND MEDITATION COULD REDUCE OR TREAT WIDE RANGE OF LIFE STYLE DISORDERS ARE DISCUSSED. IMPORTANTLY, THESE INDICATORS ARE OTHERWISE USED TO ASSESS THE SEVERITY OF DISORDERS. IN MANY OF THE STUDY IT HAS BEEN SHOWN THAT YOGA IMPROVES THE REDOX HEALTH OF BODY WHOSE IMBALANCE HAS BEEN WELL PROVEN TO CAUSE MANY HEALTH COMPLICATIONS. THE IMPACT OF YOGA ON NEURODEGENERATIVE DISEASES HAVE REVEALED THAT IT REVERSES MEMORY LOSS, REDUCE ANXIETY, DEPRESSION AND STRESS, THE BIOLOGICAL INDICATORS OF DISEASE. HOWEVER, MOST STUDIES HAVE SEVERAL LIMITATIONS AND THEREFORE FURTHER RESEARCH INTO YOGA IS NEEDED TO VALIDATE THESE FINDINGS. 2019 7 2923 28 [WHERE AND HOW DOES YOGA WORK? - A SCIENTIFIC OVERVIEW]. AS A TRADITIONAL HEALTH CARE SYSTEM, YOGA COMBINES PHYSICAL ACTIVITY, BREATHING TECHNIQUES AND MEDITATION. IT IS INCREASINGLY USED AS A PREVENTIVE OR THERAPEUTIC MEANS. YOGA HAS BEEN RESEARCHED IN HUNDREDS OF RANDOMIZED CONTROLLED TRIALS. POSITIVE EFFECTS ARE ESPECIALLY FOUND FOR CHRONIC PAIN CONDITIONS, HYPERTENSION, DEPRESSION AND IN SUPPORTIVE CANCER CARE. WHILE THERE ARE CASE REPORTS OF SERIOUS ADVERSE EVENTS ASSOCIATED WITH YOGA, THE RISK SEEMS TO BE EXTREMELY LOW AND COMPARABLE TO OTHER FORMS OF PHYSICAL ACTIVITY. YOGA CAN THUS BE CONSIDERED AS A SAFE AND EFFECTIVE ADJUNCT THERAPY FOR A NUMBER OF CONDITIONS. 2017 8 2541 34 YOGA FOR ANXIETY: A SYSTEMATIC REVIEW OF THE RESEARCH EVIDENCE. BETWEEN MARCH AND JUNE 2004, A SYSTEMATIC REVIEW WAS CARRIED OUT OF THE RESEARCH EVIDENCE ON THE EFFECTIVENESS OF YOGA FOR THE TREATMENT OF ANXIETY AND ANXIETY DISORDERS. EIGHT STUDIES WERE REVIEWED. THEY REPORTED POSITIVE RESULTS, ALTHOUGH THERE WERE MANY METHODOLOGICAL INADEQUACIES. OWING TO THE DIVERSITY OF CONDITIONS TREATED AND POOR QUALITY OF MOST OF THE STUDIES, IT IS NOT POSSIBLE TO SAY THAT YOGA IS EFFECTIVE IN TREATING ANXIETY OR ANXIETY DISORDERS IN GENERAL. HOWEVER, THERE ARE ENCOURAGING RESULTS, PARTICULARLY WITH OBSESSIVE COMPULSIVE DISORDER. FURTHER WELL CONDUCTED RESEARCH IS NECESSARY WHICH MAY BE MOST PRODUCTIVE IF FOCUSED ON SPECIFIC ANXIETY DISORDERS. 2005 9 2688 44 YOGA IN THE TREATMENT OF MOOD AND ANXIETY DISORDERS: A REVIEW. BACKGROUND: PATIENT USE OF COMPLEMENTARY AND ALTERNATIVE TREATMENTS, INCLUDING YOGA, TO MANAGE MOOD AND ANXIETY DISORDERS, HAS BEEN WELL DOCUMENTED. DESPITE RESEARCH INTEREST, THERE ARE FEW RECENT REVIEWS OF THE EVIDENCE OF THE BENEFIT OF YOGA IN THESE CONDITIONS. METHOD: THE PUBMED, MEDLINE AND PSYCINFO DATABASES WERE SEARCHED FOR LITERATURE PUBLISHED UP TO JULY 2008, RELATING TO YOGA AND DEPRESSIVE AND ANXIETY DISORDERS. RESULTS: THE PAUCITY OF REPORTED STUDIES AND SEVERAL METHODOLOGICAL CONSTRAINTS LIMIT DATA INTERPRETATION. IN DEPRESSIVE DISORDERS, YOGA MAY BE COMPARABLE TO MEDICATION AND THE COMBINATION SUPERIOR TO MEDICATION ALONE. THERE IS REASONABLE EVIDENCE FOR ITS USE AS SECOND-LINE MONOTHERAPY OR AUGMENTATION TO MEDICATION IN MILD TO MODERATE MAJOR DEPRESSION AND DYSTHYMIA, WITH EARLY EVIDENCE OF BENEFIT IN MORE SEVERE DEPRESSION. IN ANXIETY DISORDERS, YOGA MAY BE SUPERIOR TO MEDICATION FOR A SUBGROUP OF PATIENTS, BUT ITS BENEFITS IN SPECIFIC CONDITIONS ARE STILL LARGELY UNKNOWN. SECOND-LINE MONOTHERAPY IS INDICATED IN PERFORMANCE OR TEST ANXIETY, BUT ONLY PRELIMINARY EVIDENCE EXISTS FOR OBSESSIVE-COMPULSIVE DISORDER AND POST-TRAUMATIC STRESS DISORDER. YOGA APPEARS TO BE SUPERIOR TO NO TREATMENT AND PROGRESSIVE RELAXATION FOR BOTH DEPRESSION AND ANXIETY, AND MAY BENEFIT MOOD AND ANXIETY SYMPTOMS ASSOCIATED WITH MEDICAL ILLNESS. IT SHOWS GOOD SAFETY AND TOLERABILITY IN SHORT-TERM TREATMENT. CONCLUSION: REASONABLE EVIDENCE SUPPORTS THE BENEFIT OF YOGA IN SPECIFIC DEPRESSIVE DISORDERS. THE EVIDENCE IS STILL PRELIMINARY IN ANXIETY DISORDERS. GIVEN ITS PATIENT APPEAL AND THE PROMISING FINDINGS THUS FAR, FURTHER RESEARCH ON YOGA IN THESE CONDITIONS IS ENCOURAGED. 2009 10 2292 30 THERAPEUTIC EFFECTS OF YOGA FOR CHILDREN: A SYSTEMATIC REVIEW OF THE LITERATURE. PURPOSE: WE COMPLETED A SYSTEMATIC REVIEW OF THE LITERATURE ON THE EFFECT OF YOGA ON QUALITY OF LIFE AND PHYSICAL OUTCOME MEASURES IN THE PEDIATRIC POPULATION. WE EXPLORED VARIOUS DATABASES AND INCLUDED CASE-CONTROL AND PILOT STUDIES, COHORT AND RANDOMIZED CONTROLLED TRIALS THAT EXAMINED YOGA AS AN EXERCISE INTERVENTION FOR CHILDREN. SUMMARY OF KEY POINTS: USING THE SACKETT LEVELS OF EVIDENCE, THIS ARTICLE REVIEWS THE LITERATURE ON YOGA AS A COMPLEMENTARY MIND-BODY MOVEMENT THERAPY. WE ADDRESS THE RESEARCH THROUGH THREE PRACTICE PATTERNS ACCORDING TO THE GUIDE TO PHYSICAL THERAPIST PRACTICE AND PROVIDE CONSIDERATIONS FOR THE INCLUSION OF YOGA INTO CLINICAL PRACTICE. STATEMENT OF CONCLUSIONS AND RECOMMENDATIONS FOR CLINICAL PRACTICE: THE EVIDENCE SHOWS PHYSIOLOGICAL BENEFITS OF YOGA FOR THE PEDIATRIC POPULATION THAT MAY BENEFIT CHILDREN THROUGH THE REHABILITATION PROCESS, BUT LARGER CLINICAL TRIALS, INCLUDING SPECIFIC MEASURES OF QUALITY OF LIFE ARE NECESSARY TO PROVIDE DEFINITIVE EVIDENCE. 2008 11 1300 42 HATHA YOGA FOR DEPRESSION: CRITICAL REVIEW OF THE EVIDENCE FOR EFFICACY, PLAUSIBLE MECHANISMS OF ACTION, AND DIRECTIONS FOR FUTURE RESEARCH. BACKGROUND: THE PURPOSE OF THIS ARTICLE IS TO REVIEW THE EVIDENCE FOR THE EFFICACY OF HATHA YOGA FOR DEPRESSION AND POSSIBLE MECHANISMS BY WHICH YOGA MAY HAVE AN IMPACT ON DEPRESSION, AND TO OUTLINE DIRECTIONS FOR FUTURE RESEARCH. METHODS: LITERATURE REVIEW AND SYNTHESIS. RESULTS AND CONCLUSIONS: A LITERATURE SEARCH FOR CLINICAL TRIALS EXAMINING YOGA FOR DEPRESSION UNCOVERED EIGHT TRIALS: 5 INCLUDING INDIVIDUALS WITH CLINICAL DEPRESSION, AND 3 FOR INDIVIDUALS WITH ELEVATED DEPRESSION SYMPTOMS. ALTHOUGH RESULTS FROM THESE TRIALS ARE ENCOURAGING, THEY SHOULD BE VIEWED AS VERY PRELIMINARY BECAUSE THE TRIALS, AS A GROUP, SUFFERED FROM SUBSTANTIAL METHODOLOGICAL LIMITATIONS. WE WOULD ARGUE, HOWEVER, THAT THERE ARE SEVERAL REASONS TO CONSIDER CONSTRUCTING CAREFUL RESEARCH ON YOGA FOR DEPRESSION. FIRST, CURRENT STRATEGIES FOR TREATING DEPRESSION ARE NOT SUFFICIENT FOR MANY INDIVIDUALS, AND PATIENTS HAVE SEVERAL CONCERNS ABOUT EXISTING TREATMENTS. YOGA MAY BE AN ATTRACTIVE ALTERNATIVE TO OR A GOOD WAY TO AUGMENT CURRENT DEPRESSION TREATMENT STRATEGIES. SECOND, ASPECTS OF YOGA-INCLUDING MINDFULNESS PROMOTION AND EXERCISE-ARE THOUGHT TO BE "ACTIVE INGREDIENTS" OF OTHER SUCCESSFUL TREATMENTS FOR DEPRESSION. THIRD, THERE ARE PLAUSIBLE BIOLOGICAL, PSYCHOLOGICAL, AND BEHAVIORAL MECHANISMS BY WHICH YOGA MAY HAVE AN IMPACT ON DEPRESSION. WE PROVIDE SUGGESTIONS FOR THE NEXT STEPS IN THE STUDY OF YOGA AS A TREATMENT FOR DEPRESSION. 2010 12 2436 39 YOGA AND PSYCHIATRIC DISORDERS: A REVIEW OF BIOMARKER EVIDENCE. TRADITIONALLY, YOGA HAS BEEN USED AS A MEANS FOR SPIRITUAL GROWTH BUT OVER THE PAST TWO DECADES OR SO ITS THERAPEUTIC BENEFITS IN PSYCHIATRIC DISORDERS HAVE BEEN SCIENTIFICALLY EXPLORED. YOGA HAS BEEN SHOWN TO BE USEFUL AS A MONO-THERAPY IN MILD TO MODERATE DEPRESSION AND AS AN ADJUVANT IN SEVERAL PSYCHIATRIC DISORDERS INCLUDING SCHIZOPHRENIA, ANXIETY DISORDERS, SUBSTANCE USE DISORDERS AND MILD COGNITIVE IMPAIRMENT. FURTHERMORE, SYSTEMATIC ATTEMPTS HAVE BEEN MADE TO UNDERSTAND THE BIOLOGICAL CORRELATES OF YOGA IN THESE PSYCHIATRIC DISORDERS. GIVEN THAT NO PSYCHIATRIC DISORDER HAS STRONG AND ESTABLISHED BIOMARKERS, IT IS INTERESTING THAT PRELIMINARY RESEARCH HAS DEMONSTRATED SIGNIFICANT CHANGES IN CERTAIN IMPORTANT BIOMARKERS FOLLOWING REGULAR YOGA PRACTICE. IN THIS BRIEF REVIEW, WE PROVIDE AN UPDATE ON THE EFFECTS OF YOGA ON BIOCHEMICAL, NEURO-PHYSIOLOGICAL AND NEURO-IMAGING RELATED BIO-MARKERS IN PSYCHIATRIC DISORDERS. ALTHOUGH FINDINGS AND TRENDS ARE PROMISING, MUCH MORE RESEARCH IS WARRANTED TO ESTABLISH A DEFINITE BIOLOGICAL BASIS FOR YOGA IN PSYCHIATRY. 2021 13 2170 32 THE EFFECTS OF YOGA ON ANXIETY AND STRESS. STRESS AND ANXIETY HAVE BEEN IMPLICATED AS CONTRIBUTORS TO MANY CHRONIC DISEASES AND TO DECREASED QUALITY OF LIFE, EVEN WITH PHARMACOLOGIC TREATMENT. EFFORTS ARE UNDERWAY TO FIND NON-PHARMACOLOGIC THERAPIES TO RELIEVE STRESS AND ANXIETY, AND YOGA IS ONE OPTION FOR WHICH RESULTS ARE PROMISING. THE FOCUS OF THIS REVIEW IS ON THE RESULTS OF HUMAN TRIALS ASSESSING THE ROLE OF YOGA IN IMPROVING THE SIGNS AND SYMPTOMS OF STRESS AND ANXIETY. OF 35 TRIALS ADDRESSING THE EFFECTS OF YOGA ON ANXIETY AND STRESS, 25 NOTED A SIGNIFICANT DECREASE IN STRESS AND/OR ANXIETY SYMPTOMS WHEN A YOGA REGIMEN WAS IMPLEMENTED; HOWEVER, MANY OF THE STUDIES WERE ALSO HINDERED BY LIMITATIONS, SUCH AS SMALL STUDY POPULATIONS, LACK OF RANDOMIZATION, AND LACK OF A CONTROL GROUP. FOURTEEN OF THE 35 STUDIES REPORTED BIOCHEMICAL AND PHYSIOLOGICAL MARKERS OF STRESS AND ANXIETY, BUT YIELDED INCONSISTENT SUPPORT OF YOGA FOR RELIEF OF STRESS AND ANXIETY. EVALUATION OF THE CURRENT PRIMARY LITERATURE IS SUGGESTIVE OF BENEFITS OF YOGA IN RELIEVING STRESS AND ANXIETY, BUT FURTHER INVESTIGATION INTO THIS RELATIONSHIP USING LARGE, WELL-DEFINED POPULATIONS, ADEQUATE CONTROLS, RANDOMIZATION AND LONG DURATION SHOULD BE EXPLORED BEFORE RECOMMENDING YOGA AS A TREATMENT OPTION. 2012 14 644 32 DOES YOGA HAVE A ROLE IN SCHIZOPHRENIA MANAGEMENT? PURPOSE OF REVIEW: TO REVIEW THE EFFICACY OF ADD-ON YOGA THERAPY IN IMPROVING SYMPTOMS OF SCHIZOPHRENIA AND QUALITY OF LIFE AND EXAMINE THE POSSIBLE UNDERLYING BIOLOGICAL MECHANISMS OF YOGA IN SCHIZOPHRENIA. RECENT FINDINGS: QUALITY OF LIFE, COGNITIVE SYMPTOMS, AND NEGATIVE SYMPTOMS HAVE BEEN FOUND TO IMPROVE WITH ADD-ON YOGA THERAPY IN SCHIZOPHRENIA (POOLED MEAN EFFECT SIZE 0.8, 0.6, AND 0.4, RESPECTIVELY). YOGA ALSO SEEMS TO HAVE A SMALL EFFECT ON IMPROVING POSITIVE SYMPTOMS. LESS EXPLORED AREAS INCLUDE ADVERSE EFFECTS OF YOGA ITSELF AS WELL AS ITS EFFECTS ON ANTIPSYCHOTIC-INDUCED COMPLICATIONS. PRELIMINARY FINDINGS SUGGEST THAT THE EFFECTS OF YOGA MAY BE MEDIATED BY NEUROHORMONAL MECHANISMS AND FUNCTIONAL CHANGES IN BRAIN ACTIVITY. ADD-ON YOGA THERAPY IS A POTENTIAL TREATMENT OPTION FOR IMPROVING QUALITY OF LIFE, COGNITIVE SYMPTOMS, AND NEGATIVE SYMPTOMS IN SCHIZOPHRENIA. FUTURE STUDIES SHOULD EXPLORE EFFICACY IN MULTICENTRIC TRIALS AS WELL AS POSSIBLE NEUROBIOLOGICAL CHANGES UNDERLYING THE EFFECTS. 2020 15 2429 51 YOGA AND PHYSICAL EXERCISE - A REVIEW AND COMPARISON. YOGA IS A MULTIFACETED SPIRITUAL TOOL WITH ENHANCED HEALTH AND WELL-BEING AS ONE OF ITS POSITIVE EFFECTS. THE COMPONENTS OF YOGA WHICH ARE VERY COMMONLY APPLIED FOR HEALTH BENEFITS ARE ASANAS (PHYSICAL POSTURES), PRANAYAMA (REGULATED BREATHING) AND MEDITATION. IN THE CONTEXT OF ASANAS, YOGA RESEMBLES MORE OF A PHYSICAL EXERCISE, WHICH MAY LEAD TO THE PERCEPTION THAT YOGA IS ANOTHER KIND OF PHYSICAL EXERCISE. THIS ARTICLE AIMS AT EXPLORING THE COMMONALITIES AND DIFFERENCES BETWEEN YOGA AND PHYSICAL EXERCISE IN TERMS OF CONCEPTS, POSSIBLE MECHANISMS AND EFFECTIVENESS FOR HEALTH BENEFITS. A NARRATIVE REVIEW IS UNDERTAKEN BASED ON TRADITIONAL AND CONTEMPORARY LITERATURE FOR YOGA, ALONG WITH SCIENTIFIC ARTICLES AVAILABLE ON YOGA AND EXERCISE INCLUDING HEAD-TO-HEAD COMPARATIVE TRIALS WITH HEALTHY VOLUNTEERS AND PATIENTS WITH VARIOUS DISEASE CONDITIONS. PHYSICAL EXERCISES AND THE PHYSICAL COMPONENTS OF YOGA PRACTICES HAVE SEVERAL SIMILARITIES, BUT ALSO IMPORTANT DIFFERENCES. EVIDENCE SUGGESTS THAT YOGA INTERVENTIONS APPEAR TO BE EQUAL AND/OR SUPERIOR TO EXERCISE IN MOST OUTCOME MEASURES. EMPHASIS ON BREATH REGULATION, MINDFULNESS DURING PRACTICE, AND IMPORTANCE GIVEN TO MAINTENANCE OF POSTURES ARE SOME OF THE ELEMENTS WHICH DIFFERENTIATE YOGA PRACTICES FROM PHYSICAL EXERCISES. 2016 16 2774 41 YOGA RESEARCH REVIEW. THIS PAPER IS A REVIEW OF EMPIRICAL STUDIES, REVIEW AND META-ANALYSIS PUBLICATIONS ON YOGA FROM THE LAST FEW YEARS. THE REVIEW INCLUDES DEMOGRAPHICS/PREVALENCE OF YOGA AS A PRACTICE, BIBLIOMETRIC ANALYSES OF THE YOGA PUBLICATIONS AND THE USE OF YOGA FOR PHYSICAL FITNESS AND COGNITIVE FUNCTION. MOST OF THE STUDIES REVIEWED HERE INVOLVE YOGA EFFECTS ON PSYCHIATRIC AND MEDICAL CONDITIONS. THESE INCLUDE PREGNANCY, PRENATAL AND POSTPARTUM DEPRESSION; STRESS, PTSD, ANXIETY, AND OBESITY; CARDIOVASCULAR CONDITIONS INCLUDING HYPERTENSION; PAIN SYNDROMES INCLUDING ARTHRITIS, HEADACHES AND LOW BACK PAIN; AUTOIMMUNE CONDITIONS INCLUDING ASTHMA, TYPE II DIABETES AND MULTIPLE SCLEROSIS; IMMUNE CONDITIONS INCLUDING HIV AND BREAST CANCER; AND AGING PROBLEMS INCLUDING BALANCE, OSTEOPOROSIS AND PARKINSON'S. THE METHODS AND RESULTS OF THOSE STUDIES ARE BRIEFLY SUMMARIZED ALONG WITH THEIR LIMITATIONS AND SUGGESTIONS FOR FUTURE RESEARCH. BASICALLY YOGA HAS BEEN MORE EFFECTIVE THAN CONTROL AND WAITLIST CONTROL CONDITIONS, ALTHOUGH NOT ALWAYS MORE EFFECTIVE THAN TREATMENT COMPARISON GROUPS SUCH AS OTHER FORMS OF EXERCISE. MORE RANDOMIZED CONTROLLED STUDIES ARE NEEDED IN WHICH YOGA IS COMPARED TO ACTIVE EXERCISE GROUPS. HAVING ESTABLISHED THE PHYSICAL AND MENTAL HEALTH BENEFITS OF YOGA MAKES IT ETHICALLY QUESTIONABLE TO ASSIGN PARTICIPANTS TO INACTIVE CONTROL GROUPS. SHORTER SESSIONS SHOULD BE INVESTIGATED FOR COST-EFFECTIVENESS AND FOR DAILY PRACTICE. MULTIPLE PHYSICAL AND PHYSIOLOGICAL MEASURES NEED TO BE ADDED TO THE SELF-REPORT RESEARCH PROTOCOLS AND POTENTIAL UNDERLYING MECHANISMS NEED TO BE FURTHER EXPLORED. IN THE INTERIM, THE STUDIES REVIEWED HERE HIGHLIGHT THE THERAPEUTIC EFFECTS OF YOGA, A PRACTICE THAT COULD COME TO BE CALLED YOGA THERAPY. 2016 17 2453 37 YOGA AS A COMPLEMENTARY THERAPY FOR CHILDREN AND ADOLESCENTS: A GUIDE FOR CLINICIANS. YOGA IS BEING USED BY A GROWING NUMBER OF YOUTH AND ADULTS AS A MEANS OF IMPROVING OVERALL HEALTH AND FITNESS. THERE IS ALSO A PROGRESSIVE TREND TOWARD USE OF YOGA AS A MIND-BODY COMPLEMENTARY AND ALTERNATIVE MEDICINE INTERVENTION TO IMPROVE SPECIFIC PHYSICAL AND MENTAL HEALTH CONDITIONS. TO PROVIDE CLINICIANS WITH THERAPEUTICALLY USEFUL INFORMATION ABOUT YOGA, THE EVIDENCE EVALUATING YOGA AS AN EFFECTIVE INTERVENTION FOR CHILDREN AND ADOLESCENTS WITH HEALTH PROBLEMS IS REVIEWED AND SUMMARIZED. A BRIEF OVERVIEW OF YOGA AND YOGA THERAPY IS PRESENTED ALONG WITH YOGA RESOURCES AND PRACTICAL STRATEGIES FOR CLINICAL PRACTITIONERS TO USE WITH THEIR PATIENTS. THE MAJORITY OF AVAILABLE STUDIES WITH CHILDREN AND ADOLESCENTS SUGGEST BENEFITS TO USING YOGA AS A THERAPEUTIC INTERVENTION AND SHOW VERY FEW ADVERSE EFFECTS. THESE RESULTS MUST BE INTERPRETED AS PRELIMINARY FINDINGS BECAUSE MANY OF THE STUDIES HAVE METHODOLOGICAL LIMITATIONS THAT PREVENT STRONG CONCLUSIONS FROM BEING DRAWN. YOGA APPEARS PROMISING AS A COMPLEMENTARY THERAPY FOR CHILDREN AND ADOLESCENTS. FURTHER INFORMATION ABOUT HOW TO APPLY IT MOST EFFECTIVELY AND MORE COORDINATED RESEARCH EFFORTS ARE NEEDED. 2010 18 2402 34 YOGA AND EATING DISORDERS: IS THERE A PLACE FOR YOGA IN THE PREVENTION AND TREATMENT OF EATING DISORDERS AND DISORDERED EATING BEHAVIOURS? THIS PAPER ADDRESSES THE QUESTION: WHAT CAN THE PRACTICE OF YOGA OFFER THE FIELD OF EATING DISORDERS IN TERMS OF PREVENTION AND TREATMENT? REGARDING PREVENTION, PRELIMINARY RESEARCH SUGGESTS THAT YOGA MAY BE EFFECTIVE IN DECREASING RISK FACTORS, AND INCREASING PROTECTIVE FACTORS, FOR EATING DISORDERS. YOGA WAS ALSO FOUND TO BE HELPFUL IN A SMALL NUMBER OF TREATMENT STUDIES. HOWEVER, FINDINGS ARE NOT CONSISTENT ACROSS STUDIES, WHICH ARE LIMITED IN NUMBER, AND DUE TO THE PRELIMINARY NATURE OF THIS BODY OF RESEARCH, MOST STUDIES HAVE WEAKNESSES IN THEIR DESIGNS (E.G. OBSERVATIONAL DESIGN, NO CONTROL GROUPS, OR SMALL SAMPLE SIZES). THE BASIC TENETS OF YOGA, ANECDOTAL REPORTS OF ITS EFFECTIVENESS, ITS HIGH ACCESSIBILITY AND LOW COST, AND INITIAL RESEARCH FINDINGS SUGGEST THAT YOGA MAY OFFER PROMISE FOR THE FIELD OF EATING DISORDERS. TWO OPTIONS ARE SUGGESTED FOR PREVENTION: (1) EATING DISORDER PREVENTION CAN BE INTEGRATED INTO ONGOING YOGA CLASSES AND (2) YOGA CAN BE INTEGRATED INTO EATING DISORDER PREVENTION PROGRAMMES. REGARDING TREATMENT, IT IS IMPORTANT TO EXAMINE THE EFFECTIVENESS OF DIFFERENT TEACHING STYLES AND PRACTICES FOR DIFFERENT EATING DISORDERS. POTENTIAL HARMS OF YOGA SHOULD ALSO BE EXPLORED. FURTHER RESEARCH, USING STRONGER STUDY DESIGNS, SUCH AS RANDOMISED, CONTROLLED TRIALS, IS NEEDED. 2014 19 1983 45 SLEEP, COGNITION, AND YOGA. STRESS IS ONE OF THE MAJOR PROBLEMS GLOBALLY, ASSOCIATED WITH POOR SLEEP QUALITY AND COGNITIVE DYSFUNCTION. MODERN SOCIETY IS PLAGUED BY SLEEP DISTURBANCES, EITHER DUE TO PROFESSIONAL DEMANDS OR LIFESTYLE OR BOTH THE ASPECTS, OFTEN LEADING TO REDUCED ALERTNESS AND COMPROMISED MENTAL FUNCTION, BESIDES THE WELL DOCUMENTED ILL EFFECTS OF DISTURBED SLEEP ON PHYSIOLOGICAL FUNCTIONS. THIS PERTINENT ISSUE NEEDS TO BE ADDRESSED. YOGA IS AN ANCIENT INDIAN SCIENCE, PHILOSOPHY AND WAY OF LIFE. RECENTLY, YOGA PRACTICE HAS BECOME INCREASINGLY POPULAR WORLDWIDE. YOGA PRACTICE IS AN ADJUNCT EFFECTIVE FOR STRESS, SLEEP AND ASSOCIATED DISORDERS. THERE ARE LIMITED WELL CONTROLLED PUBLISHED STUDIES CONDUCTED IN THIS AREA. WE REVIEWED THE AVAILABLE LITERATURE INCLUDING THE EFFECT OF MODERN LIFESTYLE IN CHILDREN, ADOLESCENTS, ADULTS AND GERIATRIC POPULATION. THE ROLE OF YOGA AND MEDITATION IN OPTIMIZING SLEEP ARCHITECTURE AND COGNITIVE FUNCTIONS LEADING TO OPTIMAL BRAIN FUNCTIONING IN NORMAL AND DISEASED STATE IS DISCUSSED. WE INCLUDED ARTICLES PUBLISHED IN ENGLISH WITH NO FIXED TIME DURATION FOR LITERATURE SEARCH. LITERATURE WAS SEARCHED MAINLY BY USING PUBMED AND SCIENCE DIRECT SEARCH ENGINES AND CRITICALLY EXAMINED. STUDIES HAVE REVEALED POSITIVE EFFECTS OF YOGA ON SLEEP AND COGNITIVE SKILLS AMONG HEALTHY ADULTS AS WELL AS PATIENTS OF SOME NEUROLOGICAL DISEASES. FURTHER, ON EVALUATING THE PUBLISHED STUDIES, IT IS CONCLUDED THAT SLEEP AND COGNITIVE FUNCTIONS ARE OPTIMIZED BY YOGA PRACTICE, WHICH BRINGS ABOUT CHANGES IN AUTONOMIC FUNCTION, STRUCTURAL CHANGES, CHANGES IN METABOLISM, NEUROCHEMISTRY AND IMPROVED FUNCTIONAL BRAIN NETWORK CONNECTIVITY IN KEY REGIONS OF THE BRAIN. 2021 20 2061 46 THE BENEFITS OF YOGA IN CHILDREN. THE NUMBER OF CHILDREN SUFFERING FROM STRESS AND ANXIETY IN MALAYSIA IS ON THE RISE. EVIDENCE SHOWS THAT MIND-BODY THERAPIES SUCH AS MINDFULNESS THERAPY, MEDITATION AND YOGA HAVE BEEN PRACTICED IN MANY OTHER COUNTRIES TO REDUCE AND/OR MANAGE THE PSYCHOLOGICAL EFFECTS OF STRESS AND ANXIETY. THIS REVIEW ARTICLE LOOKS AT THE INTERVENTION OF YOGA AS A MEDITATIVE MOVEMENT PRACTICE IN HELPING SCHOOL CHILDREN MANAGE STRESS AND ANXIETY. ARTICLES WERE RETRIEVED USING A COMBINATION OF DATABASES INCLUDING PUBMED/MEDLINE, AND PSYCINFO. NOT ONLY PEER-REVIEWED ARTICLES, BUT ALSO THOSE WRITTEN IN ENGLISH LANGUAGE WERE INCLUDED IN THIS REVIEW. ALL STUDIES REVIEWED HAD INCORPORATED SOME FORM OF MEDITATIVE MOVEMENT EXERCISE. THE INTERVENTION ENCOMPASSED ASANAS (POSTURES), PRANAYAMA (EXPANSION OF LIFE FORCE), DHARANA (CONCENTRATION) AND DHYANA (MEDITATION), WHICH ARE THE DIFFERENT PATHS IN YOGA. A TOTAL OF EIGHT ARTICLES MET THE INCLUSION CRITERIA AND WERE REVIEWED. THE FINDINGS OF THIS REVIEW REVEAL THAT THE PRACTICE OF YOGA HAS BROUGHT ABOUT, AMONG OTHER THINGS, IMPROVEMENT IN MANAGING AND REDUCING STRESS AND ANXIETY. DESPITE THE LIMITATIONS IN MOST, IF NOT ALL OF THE STUDIES REVIEWED, IN TERMS OF HETEROGENEITY AND SAMPLE SIZE, YOGA APPEARS TO BE AN EFFECTIVE MODALITY FOR HELPING CHILDREN COPE WITH STRESS AND ANXIETY. IT APPEARS THAT IF SCHOOLS IN MALAYSIA CAN INCORPORATE YOGA AS PART OF THE PHYSICAL EDUCATION CURRICULUM, IT WILL DEFINITELY BENEFIT THE STUDENTS. 2018