1 2755 139 YOGA PRACTICE REDUCES THE PSYCHOLOGICAL DISTRESS LEVELS OF PRISON INMATES. BACKGROUND: PSYCHIATRIC ILL-HEALTH IS PREVALENT AMONG PRISON INMATES AND OFTEN HAMPERS THEIR REHABILITATION. REHABILITATION IS CRUCIAL FOR REDUCING RECIDIVISTIC OFFENDING. A FEW STUDIES HAVE PRESENTED EVIDENCE OF THE POSITIVE EFFECT OF YOGA ON THE WELL-BEING OF PRISON INMATES. THE CONCLUSION OF THOSE PREVIOUS STUDIES THAT YOGA IS AN EFFECTIVE METHOD IN THE REHABILITATION PROCESS OF INMATES, AND DESERVES AND REQUIRES FURTHER ATTENTION. AIMS: THE CURRENT STUDY AIMED TO EVALUATE THE EFFECT OF 10 WEEKS OF YOGA PRACTICE ON THE MENTAL HEALTH PROFILE, OPERATIONALIZED IN THE FORM OF PSYCHOLOGICAL DISTRESS, OF INMATES. METHODS: ONE HUNDRED AND FIFTY-TWO VOLUNTEER PARTICIPANTS (133 MEN; 19 WOMEN) WERE RANDOMLY PLACED IN EITHER OF TWO GROUPS: TO PARTICIPATE IN WEEKLY 90-MIN YOGA CLASS (YOGA GROUP) OR A WEEKLY 90-MIN FREE-CHOICE PHYSICAL EXERCISE (CONTROL GROUP). THE STUDY PERIOD LASTED FOR 10 WEEKS. PRIOR TO AND AT THE END OF THE STUDY PERIOD THE PARTICIPANTS COMPLETED A BATTERY OF SELF-REPORTED INVENTORIES, INCLUDING THE BRIEF SYMPTOM INVENTORY (BSI). RESULTS: PHYSICAL ACTIVITY (INCLUDING YOGA) SIGNIFICANTLY REDUCED THE INMATES' LEVELS OF PSYCHOLOGICAL DISTRESS. YOGA PRACTICE IMPROVED ALL PRIMARY SYMPTOM DIMENSIONS AND ITS POSITIVE EFFECT ON THE OBSESSIVE-COMPULSIVE, PARANOID IDEATION, AND SOMATIZATION SYMPTOM DIMENSIONS OF THE BSI STAYED SIGNIFICANT EVEN WHEN COMPARING WITH THE CONTROL GROUP. CONCLUSIONS: YOGA AS A FORM OF PHYSICAL ACTIVITY IS EFFECTIVE FOR REDUCING PSYCHOLOGICAL DISTRESS LEVELS IN PRISON INMATES, WITH SPECIFIC EFFECT ON SYMPTOMS SUCH AS SUSPICIOUS AND FEARFUL THOUGHTS ABOUT LOSING AUTONOMY, MEMORY PROBLEMS, DIFFICULTY IN MAKING DECISIONS, TROUBLE CONCENTRATING, OBSESSIVE THOUGHT, AND PERCEPTION OF BODILY DYSFUNCTION. 2018 2 2665 51 YOGA IN CORRECTIONAL SETTINGS: A RANDOMIZED CONTROLLED STUDY. BACKGROUND: THE EFFECT OF YOGA IN THE REDUCTION OF DEPRESSIVE SYMPTOMS, ANXIETY, STRESS, ANGER AS WELL AS IN THE INCREASED ABILITY OF BEHAVIORAL CONTROL HAS BEEN SHOWN. THESE EFFECTS OF YOGA ARE HIGHLY RELEVANT FOR PRISON INMATES WHO OFTEN HAVE POOR MENTAL HEALTH AND LOW IMPULSE CONTROL. WHILE IT HAS BEEN SHOWN THAT YOGA AND MEDITATION CAN BE EFFECTIVE IN IMPROVING SUBJECTIVE WELL-BEING, MENTAL HEALTH, AND EXECUTIVE FUNCTIONING WITHIN PRISON POPULATIONS, ONLY A LIMITED NUMBER OF STUDIES HAVE PROVED THIS, USING RANDOMIZED CONTROLLED SETTINGS. METHODS: A TOTAL OF 152 PARTICIPANTS FROM NINE SWEDISH CORRECTIONAL FACILITIES WERE RANDOMLY ASSIGNED TO A 10-WEEK YOGA GROUP (ONE CLASS A WEEK; N = 77) OR A CONTROL GROUP (N = 75). BEFORE AND AFTER THE INTERVENTION PERIOD, PARTICIPANTS ANSWERED QUESTIONNAIRES MEASURING STRESS, AGGRESSION, AFFECTIVE STATES, SLEEP QUALITY, AND PSYCHOLOGICAL WELL-BEING AND COMPLETED A COMPUTERIZED TEST MEASURING ATTENTION AND IMPULSIVITY. RESULTS: AFTER THE INTERVENTION PERIOD, SIGNIFICANT IMPROVEMENTS WERE FOUND ON 13 OF THE 16 VARIABLES WITHIN THE YOGA GROUP (E.G., LESS PERCEIVED STRESS, BETTER SLEEP QUALITY, AN INCREASED PSYCHOLOGICAL AND EMOTIONAL WELL-BEING, LESS AGGRESSIVE, AND ANTISOCIAL BEHAVIOR) AND ON TWO WITHIN THE CONTROL GROUP. COMPARED TO THE CONTROL GROUP, YOGA CLASS PARTICIPANTS REPORTED SIGNIFICANTLY IMPROVED EMOTIONAL WELL-BEING AND LESS ANTISOCIAL BEHAVIOR AFTER 10 WEEKS OF YOGA. THEY ALSO SHOWED IMPROVED PERFORMANCE ON THE COMPUTERIZED TEST THAT MEASURES ATTENTION AND IMPULSE CONTROL. CONCLUSION: IT CAN BE CONCLUDED THAT THE YOGA PRACTICED IN SWEDISH CORRECTIONAL FACILITIES HAS POSITIVE EFFECTS ON INMATES' WELL-BEING AND ON CONSIDERABLE RISK FACTORS ASSOCIATED WITH RECIDIVISM, SUCH AS IMPULSIVITY AND ANTISOCIAL BEHAVIOR. ACCORDINGLY, THE RESULTS SHOW THAT YOGA PRACTICE CAN PLAY AN IMPORTANT PART IN THE REHABILITATION OF PRISON INMATES. 2017 3 1827 37 PSYCHOLOGICAL BENEFITS OF YOGA FOR FEMALE INMATES. FEMALE INMATES INVOLVED IN THE YOGA PRISON PROJECT AT TWO CORRECTIONAL FACILITIES IN SOUTH CAROLINA SERVED AS SUBJECTS. INMATES WERE SELECTED FROM THOSE WHO APPLIED TO PARTICIPATE IN A TEN-WEEK TRAUMA-FOCUSED YOGA PROGRAM. TO CREATE CONTROL AND EXPERIMENTAL GROUPS, INMATES WHO REQUESTED TO PARTICIPATE WERE RANDOMLY ASSIGNED TO BE IN THE CLASS (TREATMENT GROUP, N = 33) OR A WAITLIST (CONTROL GROUP, N = 17). INMATES ON THE WAITLIST SUBSEQUENTLY JOINED THE NEXT CLASS, SO ALL WHO APPLIED AND WERE ELIGIBLE PARTICIPATED IN A YOGA CLASS. MEASURES OF STRESS, DEPRESSION, SELF CONTROL, ANXIETY, SELF AWARENESS AND RUMINATION WERE USED AND DATA WAS COLLECTED FROM BOTH GROUPS BEFORE THE INITIAL YOGA CLASS BEGAN AND AGAIN AT THE END, TEN WEEKS LATER. TO ASSESS THE CHANGES FROM PRE-INTERVENTION TO POST-INTERVENTION, MIXED DESIGN ANOVA TESTS WERE CONDUCTED. INMATES IN THE YOGA GROUP REPORTED SIGNIFICANT DECREASES IN DEPRESSION AND STRESS AND IMPROVED SELF-AWARENESS. NO SIGNIFICANT CHANGES WERE FOUND ON MEASURES OF ANXIETY, RUMINATION AND SELF-CONTROL IN THE YOGA GROUPS. ALTHOUGH NOT STATISTICALLY SIGNIFICANT, ANXIETY SCORES DID DECREASE AND SELF-CONTROL SCORES IMPROVED FOR THE YOGA GROUP, WHILE INMATES IN THE CONTROL GROUP REPORTED A WORSENING OR NO CHANGE ON THESE TWO MEASURES. NO CHANGES WERE FOUND IN RUMINATION LEVELS. THE RESULTS SUGGEST THAT YOGA IS A RELATIVELY INEXPENSIVE INTERVENTION THAT COULD BENEFIT BOTH INMATES AND PRISON STAFF BY REDUCING SOME NEGATIVE BEHAVIORS AND POSSIBLY MENTAL HEALTH PROBLEMS. 2017 4 1700 48 PARTICIPATION IN A 10-WEEK COURSE OF YOGA IMPROVES BEHAVIOURAL CONTROL AND DECREASES PSYCHOLOGICAL DISTRESS IN A PRISON POPULATION. BACKGROUND: YOGA AND MEDITATION HAVE BEEN SHOWN TO BE EFFECTIVE IN ALLEVIATING SYMPTOMS OF DEPRESSION AND ANXIETY IN HEALTHY VOLUNTEERS AND PSYCHIATRIC POPULATIONS. RECENT WORK HAS ALSO INDICATED THAT YOGA CAN IMPROVE COGNITIVE-BEHAVIOURAL PERFORMANCE AND CONTROL. ALTHOUGH THERE HAVE BEEN NO CONTROLLED STUDIES OF THE EFFECTS OF YOGA IN A PRISON POPULATION, WE REASONED THAT YOGA COULD HAVE BENEFICIAL EFFECTS IN A SETTING WHERE PSYCHOSOCIAL FUNCTIONING IS OFTEN LOW, AND THE FREQUENCY OF IMPULSIVE BEHAVIOURS IS HIGH. METHODS: PARTICIPANTS WERE RECRUITED FROM 7 BRITISH PRISONS AND RANDOMLY ALLOCATED TO EITHER A 10-WEEK YOGA PROGRAMME (YOGA GROUP; 1 CLASS PER WEEK; N = 45) OR A CONTROL GROUP (N = 55). SELF-REPORT MEASURES OF MOOD, STRESS, AND PSYCHOLOGICAL DISTRESS WERE COLLECTED BEFORE AND AFTER THE INTERVENTION PERIOD. PARTICIPANTS COMPLETED A COGNITIVE-BEHAVIOURAL TASK (GO/NO-GO) AT THE END OF THE STUDY, WHICH ASSESSED BEHAVIOURAL RESPONSE INHIBITION AND SUSTAINED ATTENTION. RESULTS: PARTICIPANTS IN THE YOGA GROUP SHOWED INCREASED SELF-REPORTED POSITIVE AFFECT, AND REDUCED STRESS AND PSYCHOLOGICAL DISTRESS, COMPARED TO PARTICIPANTS IN THE CONTROL GROUP. PARTICIPANTS WHO COMPLETED THE YOGA COURSE ALSO SHOWED BETTER PERFORMANCE IN THE COGNITIVE-BEHAVIOURAL TASK, MAKING SIGNIFICANTLY FEWER ERRORS OF OMISSION IN GO TRIALS AND FEWER ERRORS OF COMMISSION ON NO-GO TRIALS, COMPARED TO CONTROL PARTICIPANTS. CONCLUSIONS: YOGA MAY BE EFFECTIVE IN IMPROVING SUBJECTIVE WELLBEING, MENTAL HEALTH, AND EXECUTIVE FUNCTIONING WITHIN PRISON POPULATIONS. THIS IS AN IMPORTANT CONSIDERATION GIVEN THE CONSISTENTLY HIGH RATES OF PSYCHOLOGICAL MORBIDITY IN THIS GROUP AND THE NEED FOR EFFECTIVE AND ECONOMICAL INTERVENTION PROGRAMMES. 2013 5 1419 52 IMPRISONING YOGA: YOGA PRACTICE MAY INCREASE THE CHARACTER MATURITY OF MALE PRISON INMATES. BACKGROUND: A SPECIFIC PERSONALITY PROFILE, CHARACTERIZED BY LOW CHARACTER MATURITY (LOW SCORES ON THE SELF-DIRECTEDNESS AND COOPERATIVENESS CHARACTER DIMENSIONS) AND HIGH SCORES ON THE NOVELTY SEEKING TEMPERAMENT DIMENSION OF THE TEMPERAMENT AND CHARACTER INVENTORY (TCI), HAS BEEN ASSOCIATED WITH AGGRESSIVE ANTISOCIAL BEHAVIOR IN MALE PRISON INMATES. IT HAS ALSO BEEN SHOWN THAT YOGA PRACTICED IN SWEDISH CORRECTIONAL FACILITIES HAS POSITIVE EFFECTS ON THE INMATES' WELL-BEING AND ON RISK FACTORS ASSOCIATED WITH CRIMINAL RECIDIVISM (E.G., ANTISOCIAL BEHAVIOR). IN THIS STUDY, WE AIMED TO INVESTIGATE WHETHER THE POSITIVE EFFECT OF YOGA PRACTICE ON INMATES' BEHAVIORS COULD BE EXTENDED TO INCLUDE EVENTUAL CHANGES IN THEIR PERSONALITY PROFILE. METHODS: MALE PRISON INMATES (N = 111) IN SWEDEN PARTICIPATED IN A RANDOMIZED CONTROLLED 10-WEEK LONG YOGA INTERVENTION TRIAL. PARTICIPANTS WERE RANDOMLY ASSIGNED TO EITHER A YOGA GROUP (ONE CLASS A WEEK; N = 57) OR A CONTROL GROUP (FREE OF CHOICE WEEKLY PHYSICAL ACTIVITY; N = 54). ALL THE INMATES COMPLETED THE TCI QUESTIONNAIRE BEFORE AND AFTER THE INTERVENTION PERIOD AS PART OF AN ASSESSMENT BATTERY. RESULTS: AFTER THE 10-WEEK-LONG INTERVENTION PERIOD MALE INMATES SCORED SIGNIFICANTLY LOWER ON THE NOVELTY SEEKING AND THE HARM AVOIDANCE AND SIGNIFICANTLY HIGHER ON THE SELF-DIRECTEDNESS DIMENSIONS OF THE TCI. THERE WAS A SIGNIFICANT MEDIUM STRONG INTERACTION EFFECT BETWEEN TIME AND GROUP BELONGING FOR THE SELF-DIRECTEDNESS DIMENSION OF CHARACTER FAVORING THE YOGA GROUP. CONCLUSION: A 10-WEEK-LONG YOGA PRACTICE INTERVENTION AMONG MALE INMATES IN SWEDISH CORRECTIONAL FACILITIES INCREASED THE INMATES' CHARACTER MATURITY, IMPROVING SUCH ABILITIES AS THEIR CAPABILITY TO TAKE RESPONSIBILITY, FEEL MORE PURPOSEFUL, AND BEING MORE SELF-ACCEPTANT-FEATURES THAT PREVIOUSLY WERE FOUND TO BE ASSOCIATED WITH DECREASED AGGRESSIVE ANTISOCIAL BEHAVIOR. 2019 6 1701 34 PARTICIPATION IN A YOGA STUDY DECREASES STRESS AND DEPRESSION SCORES FOR INCARCERATED WOMEN. INCARCERATED INDIVIDUALS EXHIBIT A HIGH INCIDENCE OF STRESS-RELATED DISORDERS, INCLUDING ADDICTION AND POSTTRAUMATIC STRESS DISORDER (PTSD), AS WELL AS THE ADDED STRESS OF CAPTIVITY. ACCESS TO STRESS-REDUCTION TOOLS IS LIMITED FOR THESE INDIVIDUALS. ONE POSSIBLE APPROACH MAY BE REGULAR STRUCTURED YOGA CLASSES. USING TWO APPROACHES, WE TESTED THE EFFECTIVENESS OF A BRIEF, INTENSIVE YOGA INTERVENTION IN A POPULATION OF INCARCERATED WOMEN IN A COUNTY JAIL. THE FIRST APPROACH WAS AN EXAMINATION OF ARCHIVAL DATA COLLECTED AS PART OF A PROGRAM ANALYSIS. INDIVIDUALS SHOWED CONSIDERABLE REDUCTION IN SELF-REPORTED STRESS FOLLOWING A SINGLE YOGA SESSION. THE SECOND APPROACH WAS AN EXPERIMENTAL STUDY USING A WEEK-LONG YOGA INTERVENTION. THIRTY-FOUR PARTICIPANTS WERE ASSIGNED TO EITHER THE YOGA OR CONTROL GROUP FOR THE FIRST WEEK. IN THE SECOND WEEK, THE CONDITIONS WERE REVERSED. PARTICIPANTS WERE ASSESSED WEEKLY, BEFORE AND AFTER INTERVENTION. BASELINE SCORES REVEALED HIGH RATES OF DEPRESSION, STRESS, AND EXPOSURE TO TRAUMATIC LIFE EVENTS COMPARED TO NORMATIVE DATA. STRESS AND DEPRESSION WERE ASSESSED USING THE PERCEIVED STRESS SCALE AND BECK DEPRESSION INVENTORY, RESPECTIVELY. COMPARED TO CONTROLS, PARTICIPANTS REPORTED LESS DEPRESSION AFTER A WEEK OF DAILY YOGA SESSIONS. PERCEIVED STRESS DECLINED UNDER BOTH CONTROL AND YOGA CONDITIONS. DUE TO THE TRANSIENT NATURE OF THE JAIL INSTITUTION, IT IS IMPORTANT TO EXAMINE INTERVENTIONS THAT CAN BE PROVIDED ON A SHORT-TERM BASIS. ALTHOUGH THERE WERE LIMITATIONS IN THIS STUDY, THE RESULTS SUPPORT THE CONCLUSION THAT THE BRIEF YOGA INTERVENTION HAD A POSITIVE EFFECT ON PARTICIPANTS' WELL-BEING. 2021 7 1512 30 IS THERE MORE TO YOGA THAN EXERCISE? CONTEXT: YOGA IS INCREASING IN POPULARITY, WITH AN ESTIMATED 15 MILLION PRACTITIONERS IN THE UNITED STATES, YET THERE IS A DEARTH OF EMPIRICAL DATA ADDRESSING THE HOLISTIC BENEFITS OF YOGA. OBJECTIVE: TO COMPARE THE PHYSICAL AND MENTAL BENEFITS OF AN EXERCISE-BASED YOGA PRACTICE TO THAT OF A MORE COMPREHENSIVE YOGA PRACTICE (ONE WITH AN ETHICAL/SPIRITUAL COMPONENT). DESIGN: STUDENTS WITH MILD TO MODERATE DEPRESSION, ANXIETY, OR STRESS AND WHO AGREED TO PARTICIPATE WERE ASSIGNED TO ONE OF THREE GROUPS: INTEGRATED YOGA, YOGA AS EXERCISE, CONTROL. PARTICIPANTS: A TOTAL OF 81 UNDERGRADUATE STUDENTS 18 YEARS AND OLDER AT A UNIVERSITY IN THE SOUTHEASTERN UNITED STATES PARTICIPATED IN THE STUDY. MAIN OUTCOME MEASURES: DEPRESSION, ANXIETY, STRESS, HOPE, AND SALIVARY CORTISOL. RESULTS: OVER TIME, PARTICIPANTS IN BOTH THE INTEGRATED AND EXERCISE YOGA GROUPS EXPERIENCED DECREASED DEPRESSION AND STRESS, AN INCREASED SENSE OF HOPEFULNESS, AND INCREASED FLEXIBILITY COMPARED TO THE CONTROL GROUP. HOWEVER, ONLY THE INTEGRATED YOGA GROUP EXPERIENCED DECREASED ANXIETY-RELATED SYMPTOMS AND DECREASED SALIVARY CORTISOL FROM THE BEGINNING TO THE END OF THE STUDY. CONCLUSIONS: YOGA, PRACTICED IN A MORE INTEGRATED FORM, IE, WITH AN ETHICAL AND SPIRITUAL COMPONENT, MAY PROVIDE ADDITIONAL BENEFITS OVER YOGA PRACTICED AS AN EXERCISE REGIMEN. 2011 8 719 38 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 9 248 43 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 1884 35 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 11 893 23 EFFECT OF YOGA-BASED PHYSICAL ACTIVITY ON PERCEIVED STRESS, ANXIETY, AND QUALITY OF LIFE IN YOUNG ADULTS. PURPOSE: THIS STUDY, CONDUCTED AT A PUBLIC UNIVERSITY IN TURKEY, SOUGHT TO DETERMINE THE EFFECTS OF YOGA-BASED PHYSICAL ACTIVITY ON PERCEIVED STRESS, ANXIETY, AND QUALITY OF LIFE IN YOUNG ADULTS. DESIGN AND METHODS: THIS STUDY WAS PLANNED AS A SEMIEXPERIMENTAL NONRANDOMIZED STUDY WITH A CONTROL GROUP. FINDINGS: YOGA-BASED PHYSICAL ACTIVITY DECREASED THE PERCEIVED STRESS AND STATE ANXIETY LEVELS, BUT HAD NO EFFECT ON TRAIT ANXIETY LEVELS AND QUALITY OF LIFE. PRACTICAL IMPLICATIONS: IT IS RECOMMENDED THAT YOGA-BASED TREATMENT CAN BE INCLUDED IN NURSING INTERVENTIONS FOR REDUCING STRESS AND ANXIETY LEVELS IN YOUNG ADULTS. 2020 12 1424 29 IMPROVEMENT IN PHYSIOLOGICAL AND PSYCHOLOGICAL PARAMETERS AFTER 6 MONTHS OF YOGA PRACTICE. YOGA IS BELIEVED TO HAVE BENEFICIAL EFFECTS ON COGNITION, ATTENUATION OF EMOTIONAL INTENSITY AND STRESS REDUCTION. PREVIOUS STUDIES WERE MAINLY PERFORMED ON EASTERN EXPERIENCED PRACTITIONERS OR UNHEALTHY SUBJECTS UNDERGOING CONCOMITANT CONVENTIONAL THERAPIES. FURTHER INVESTIGATION IS NEEDED ON THE EFFECTS OF YOGA PER SE, AS WELL AS ITS POSSIBLE PREVENTIVE BENEFITS ON HEALTHY SUBJECTS. WE INVESTIGATED THE EFFECTS OF YOGA ON MEMORY AND PSYCHOPHYSIOLOGICAL PARAMETERS RELATED TO STRESS, COMPARING YOGA PRACTICE AND CONVENTIONAL PHYSICAL EXERCISES IN HEALTHY MEN (PREVIOUSLY YOGA-NAIVE). MEMORY TESTS, SALIVARY CORTISOL LEVELS AND STRESS, ANXIETY, AND DEPRESSION INVENTORIES WERE ASSESSED BEFORE AND AFTER 6 MONTHS OF PRACTICE. YOGA PRACTITIONERS SHOWED IMPROVEMENT OF THE MEMORY PERFORMANCE, AS WELL AS IMPROVEMENTS IN PSYCHOPHYSIOLOGICAL PARAMETERS. THE PRESENT RESULTS SUGGEST THAT REGULAR YOGA PRACTICE CAN IMPROVE ASPECTS OF COGNITION AND QUALITY OF LIFE FOR HEALTHY INDIVIDUALS. AN INDIRECT INFLUENCE OF EMOTIONAL STATE ON COGNITIVE IMPROVEMENT PROMOTED BY YOGA PRACTICE CAN BE PROPOSED. 2012 13 314 35 AN IN-SITU INVESTIGATION OF THE ACUTE EFFECTS OF BIKRAM YOGA ON POSITIVE- AND NEGATIVE AFFECT, AND STATE-ANXIETY IN CONTEXT OF PERCEIVED STRESS. BACKGROUND: BIKRAM YOGA IS A RELATIVELY NEW, BUT AN INCREASINGLY POPULAR FORM OF EXERCISE. ITS HEALTH BENEFITS WERE DEMONSTRATED ON PHYSICAL AND PSYCHOLOGICAL MEASURES. AIMS: THE CURRENT FIELD STUDY TESTED THE ACUTE EFFECTS OF BIKRAM YOGA ON PRACTITIONERS' POSITIVE-/NEGATIVE-AFFECT AND STATE-ANXIETY, AND THEIR LINK TO THE SELF-PERCEIVED STRESS, IN BIKRAM YOGA PARTICIPANTS. METHOD: FIELD STUDY, WITHIN-PARTICIPANTS DESIGN, TESTING PERCEIVED STRESS AND ITS RELATION TO CHANGES IN POSITIVE-/NEGATIVE-AFFECT AND STATE-ANXIETY IN 53 HABITUAL BIKRAM YOGA PARTICIPANTS. RESULTS: STATISTICALLY SIGNIFICANT POSITIVE CHANGES EMERGED IN ALL THREE PSYCHOLOGICAL MEASURES AFTER THE 90-MIN BIKRAM YOGA SESSION. THE DECREASE IN NEGATIVE-AFFECT AND STATE-ANXIETY WERE SIGNIFICANTLY AND POSITIVELY RELATED TO THE PERCEIVED STRESS. ESTIMATED EFFORT WAS UNRELATED TO THE MAGNITUDE OF THE CHANGES RECORDED IN THE PSYCHOLOGICAL MEASURES. HEART RATES AND SELF-REPORT MEASURES INDICATED THAT PHYSICALLY BIKRAM YOGA IS ONLY MILDLY CHALLENGING. CONCLUSIONS: THE FINDINGS ILLUSTRATE THAT, INDEPENDENTLY OF THE PHYSICAL EFFORT, BIKRAM YOGA IS A NEW MILD FORM OF EXERCISE THAT REDUCES NEGATIVE-AFFECT AND STATE-ANXIETY, AND THE REDUCTION IS DIRECTLY RELATED TO THE PERCEIVED STRESS. THEREFORE, BIKRAM YOGA APPEARS TO BE BENEFICIAL FOR ALL PRACTITIONERS, BUT EVEN MORE SO FOR THE INDIVIDUALS WHO EXPERIENCE SUBSTANTIAL STRESS IN THE DAILY LIFE. 2017 14 1373 34 IMPACT OF A YOGA INTERVENTION ON PHYSICAL ACTIVITY, SELF-EFFICACY, AND MOTIVATION IN WOMEN WITH PTSD SYMPTOMS. BACKGROUND: STUDIES USING YOGA HAVE DEMONSTRATED INITIAL EFFICACY FOR TREATING SYMPTOMS ACROSS ANXIETY DISORDERS, INCLUDING POSTTRAUMATIC STRESS DISORDER. OBJECTIVE: UNDERSTANDING HOW INTERVENTIONS INFLUENCE PARTICIPANTS' PHYSICAL ACTIVITY AND WHAT DETERMINANTS AFFECT CONTINUED PHYSICAL ACTIVITY BEHAVIOR CHANGE IS IMPORTANT BECAUSE MAINTENANCE OF THE BEHAVIOR MAY BE CRITICAL TO CONTINUED MENTAL HEALTH GAINS AND SYMPTOM REDUCTION. METHODS: THIS STUDY INVESTIGATED CHANGE IN PHYSICAL ACTIVITY AND POSSIBLE PSYCHOLOGICAL MECHANISMS OF PHYSICAL ACTIVITY BEHAVIOR CHANGE, INCLUDING SELF-EFFICACY AND REGULATORY MOTIVATION, IN A RANDOMIZED CONTROLLED TRIAL OF YOGA FOR WOMEN WITH POST-TRAUMATIC STRESS DISORDER SYMPTOMS (N=38). RESULTS: GROWTH CURVE MODELING RESULTS SHOWED NO SIGNIFICANT CHANGES IN PHYSICAL ACTIVITY OR SELF-EFFICACY FOR EITHER GROUP, WHEREAS EXTERNAL MOTIVATION DECREASED SIGNIFICANTLY IN THE YOGA GROUP BUT NOT IN THE CONTROL GROUP. CONCLUSIONS: INVESTIGATORS OF FUTURE YOGA INTERVENTIONS MAY WANT TO FOCUS ON INCREASING SELF-EFFICACY AND INTERNAL REGULATORY MOTIVATION, SO THAT PHYSICAL ACTIVITY AND RESULTANT SYMPTOM RELIEF CAN BE MAINTAINED. 2015 15 110 28 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 16 1369 28 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 17 861 34 EFFECT OF YOGA PRACTICES IN REDUCING COUNTERPRODUCTIVE WORK BEHAVIOR AND ITS PREDICTORS. CONTEXT: AGGRESSION AND NEGATIVE AFFECTIVITY (NA) ARE KNOWN FOR MODERATING RELATIONSHIP BETWEEN JOB STRESSORS AND COUNTERPRODUCTIVE WORK BEHAVIOR. YOGA HAS BEEN DEMONSTRATED EARLIER TO REDUCE THE PARAMETERS OF AGGRESSION AND NEGATIVE EMOTIONS. AIM: THE PRESENT STUDY EXAMINED THE EFFECTIVENESS OF YOGA PRACTICES IN REDUCING COUNTERPRODUCTIVE WORK BEHAVIOR AND ITS PREDICTORS SUCH AS AGGRESSION AND NA. SETTINGS AND DESIGN: A PRETEST-POSTTEST RANDOMIZED CONTROLLED DESIGN. MATERIALS AND METHODS: THE STUDY SAMPLE INCLUDED YOGA GROUP (N = 80) AND CONTROL GROUP (N = 80). YOGA MODULE THAT INCLUDED ASANAS, PRANAYAMA, MEDITATION, AND YOGIC THEORY WERE TAUGHT TO THE YOGA GROUP. MILD TO MODERATE PHYSICAL EXERCISES AND MANAGEMENT THEORIES WERE TAUGHT TO THE CONTROL GROUP. BOTH GROUPS RECEIVED INTERVENTION FOR 10 WEEKS, COVERING 1 H DAILY, 5 DAYS A WEEK. MEASUREMENTS OF SELF-REPORTED COUNTERPRODUCTIVE WORK BEHAVIORS, AGGRESSION, AND NA WERE TAKEN AS BASELINE AND POSTINTERVENTION FOR ASSESSMENT. RESULTS: YOGA GROUP REPORTED SIGNIFICANT REDUCTIONS IN AGGRESSION, NA, AND COUNTERPRODUCTIVE WORK BEHAVIOR IN COMPARISON WITH THE CONTROL GROUP AFTER 10 WEEKS. CONCLUSIONS: THIS STUDY CONTRIBUTES BY INTRODUCING A COST-EFFECTIVE WAY TO PREVENT THE HEAVY LOSSES ORGANIZATIONS ARE INCURRING DUE TO COUNTERPRODUCTIVE WORK BEHAVIOR AND ITS PREDICTORS. THE FINDINGS SUPPORT THAT YOGA AT WORKPLACE MAY RESULT IN POSITIVE PSYCHOLOGICAL EMPOWERMENT OF THE EMPLOYEES AS WELL. 2016 18 2673 33 YOGA IN PRIMARY HEALTH CARE: A QUASI-EXPERIMENTAL STUDY TO ACCESS THE EFFECTS ON QUALITY OF LIFE AND PSYCHOLOGICAL DISTRESS. BACKGROUND: AND PURPOSE: YOGA IS GROWING IN POPULARITY, BUT ITS BENEFITS AND INTEGRATION INTO PRIMARY CARE REMAIN UNCERTAIN. HERE, WE DETERMINE YOGA EFFECTS ON QUALITY OF LIFE AND PSYCHOLOGICAL DISTRESS, AND EVALUATE THE FEASIBILITY OF INTRODUCING YOGA AT PRIMARY CARE LEVEL. MATERIALS AND METHODS: THIS IS A PROSPECTIVE, LONGITUDINAL, QUASI-EXPERIMENTAL STUDY, WITH AN INTERVENTION (N=49) AND A CONTROL GROUP (N=37). YOGA GROUP UNDERWENT 24-WEEKS PROGRAM OF ONE-HOUR SESSIONS. OUR PRIMARY ENDPOINT WAS QUALITY OF LIFE AND PSYCHOLOGICAL DISTRESS, AS WELL AS SATISFACTION LEVEL AND ADHERENCE RATE. RESULTS: PARTICIPANTS REPORTED A SIGNIFICANT IMPROVEMENT IN ALL DOMAINS OF QUALITY OF LIFE AND A REDUCTION OF PSYCHOLOGICAL DISTRESS. LINEAR REGRESSION ANALYSIS SHOWED THAT YOGA SIGNIFICANTLY IMPROVES PSYCHOLOGICAL QUALITY OF LIFE (P=0.046). CONCLUSION: YOGA IN PRIMARY CARE IS FEASIBLE, SAFE AND HAS A SATISFACTORY ADHERENCE, AS WELL AS A POSITIVE EFFECT ON PSYCHOLOGICAL QUALITY OF LIFE OF PARTICIPANTS. 2019 19 1621 25 MINDFULNESS AND AVOIDANCE MEDIATE THE RELATIONSHIP BETWEEN YOGA PRACTICE AND ANXIETY. OBJECTIVES: THERE IS ACCUMULATING EVIDENCE THAT YOGA AND MINDFULNESS MEDITATION CAN ALLEVIATE SYMPTOMS OF ANXIETY, ALTHOUGH THE MECHANISMS BY WHICH THIS OCCURS REMAIN UNCLEAR. THE PURPOSE OF THIS STUDY WAS TO EXAMINE THE RELATIONSHIP BETWEEN YOGA PRACTICE AND SELF-REPORTED ANXIETY AS WELL AS THE POTENTIAL MEDIATING ROLES OF MINDFULNESS AND EMOTIONAL AVOIDANCE. METHODS: USING A CROSS-SECTIONAL DESIGN, 367 PARTICIPANTS WERE RECRUITED ONLINE AND COMPLETED MEASURES OF ANXIETY, AVOIDANCE, AND MINDFULNESS. RESULTS: RESULTS SHOWED THAT LENGTH OF YOGA PRACTICE WAS SIGNIFICANTLY CORRELATED WITH LOWER ANXIETY IN YOGA PRACTITIONERS. AVOIDANCE AND MINDFULNESS MEDIATED THE RELATIONSHIP BETWEEN LENGTH OF YOGA PRACTICE AND ANXIETY, SHEDDING LIGHT ON POSSIBLE MECHANISMS BY WHICH THESE PRACTICES REDUCE ANXIETY. CONCLUSIONS: FUTURE EXPERIMENTAL AND LONGITUDINAL RESEARCH IS NEEDED TO EXAMINE THE CAUSAL ROLE OF MINDFULNESS AND AVOIDANCE IN THE RELATIONSHIP BETWEEN YOGA PRACTICE AND ANXIETY, AND WHETHER YOGA IS A USEFUL ADJUNCT TO COGNITIVE BEHAVIOUR THERAPY FOR ANXIETY DISORDERS. 2018 20 2274 44 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