1 421 147 BRIDGING BODY AND MIND: CONSIDERATIONS FOR TRAUMA-INFORMED YOGA. INDIVIDUALS WHO SUFFER FROM TRAUMA-RELATED SYMPTOMS ARE A UNIQUE POPULATION THAT COULD BENEFIT FROM THE MIND-BODY PRACTICE OF YOGA-OR HAVE THEIR SYMPTOMS REACTIVATED BY IT, DEPENDING ON THE TYPE OF YOGA. TRAUMA-INFORMED YOGA (TIY), THAT IS, YOGA ADAPTED TO THE UNIQUE NEEDS OF INDIVIDUALS WORKING TO OVERCOME TRAUMA, MAY AMELIORATE SYMPTOMS BY CREATING A SAFE, TAILORED PRACTICE FOR STUDENTS TO LEARN HOW TO RESPOND, RATHER THAN REACT, TO SYMPTOMS AND CIRCUMSTANCES. YOGA NOT THUS ADAPTED, ON THE OTHER HAND, MAY INCREASE REACTIVITY AND ACTIVATE SYMPTOMS SUCH AS HYPERAROUSAL OR DISSOCIATION. THIS ARTICLE REPORTS ON EXPERT INPUT ABOUT ADAPTING YOGA FOR INDIVIDUALS WITH TRAUMA, WITH SPECIAL CONSIDERATIONS FOR MILITARY POPULATIONS. ELEVEN EXPERTS, RECRUITED BASED ON LITERATURE REVIEW AND REFERRALS, WERE INTERVIEWED IN PERSON OR VIA TELEPHONE AND ASKED SEVEN QUESTIONS ABOUT TRAUMA-INFORMED YOGA. VERBATIM TRANSCRIPTS WERE SUBJECTED TO OPEN-CODING THEMATIC ANALYSIS AND A PRIORI THEMES. FINDINGS REVEALED THAT TIY NEEDS TO EMPHASIZE BENEFICIAL PRACTICES (E.G., DIAPHRAGMATIC BREATH AND RESTORATIVE POSTURES), CONSIDER CONTRAINDICATIONS (E.G., AVOIDING SEQUENCES THAT OVERLY ENGAGE THE SYMPATHETIC NERVOUS SYSTEM), ADAPT TO LIMITATIONS AND CHALLENGES FOR TEACHING IN UNCONVENTIONAL SETTINGS (E.G., PRISONS, VA HOSPITALS), AND PROVIDE SPECIALIZED TRAINING AND PREPARATION (E.G., SPECIALIZED TIY CERTIFICATIONS, SELF-CARE OF INSTRUCTORS/THERAPISTS, ADAPTIONS FOR STUDENT NEEDS). TIY FOR VETERANS MUST ADDITIONALLY CONSIDER GENDER- AND CULTURE-RELATED BARRIERS, DIFFERING RELATIONSHIPS TO PAIN AND INJURY, AND MEDICATION AS A BARRIER TO PRACTICE. 2018 2 2760 32 YOGA PRACTITIONERS UNIQUELY ACTIVATE THE SUPERIOR PARIETAL LOBULE AND SUPRAMARGINAL GYRUS DURING EMOTION REGULATION. CHRONIC STRESS CONTRIBUTES TO BOTH MENTAL AND PHYSICAL ILLNESS. A HIGH PREVALENCE AND COST OF STRESS-RELATED ILLNESSES NORTH AMERICA WARRANTS INVESTIGATION INTO ALTERNATIVE OR COMPLEMENTARY THERAPIES WHICH MAY HELP REDUCE ADVERSE REACTIONS TO STRESSFUL STIMULI. EMOTION REGULATION IS THE PROCESS OF MONITORING AND ADJUSTING EMOTIONAL RESPONSES TO ENVIRONMENTAL STIMULI AND STRESSORS. INDIVIDUALS WHO PARTICIPATE IN PHYSICAL ACTIVITY ARE LESS LIKELY TO HAVE ADVERSE RESPONSES TO POTENTIALLY STRESSFUL SITUATIONS, POTENTIALLY DUE TO ADAPTIONS IN EMOTION REGULATION. YOGA IS A FORM OF PHYSICAL ACTIVITY INVOLVING STRETCHING EXERCISES AND MEDITATION, THAT MAY LESSEN INDIVIDUALS' LEVELS OF STRESS AND ANXIETY AND IMPROVE EMOTION REGULATION. HIGH-FREQUENCY HEART RATE VARIABILITY (HF-HRV) IS CONSIDERED A MEASURE OF PARASYMPATHETIC NERVOUS SYSTEM (PNS) ACTIVITY DURING THE EMOTION REGULATION. MEASURING HRV AND BRAIN ACTIVITY USING FUNCTIONAL MAGNETIC RESONANCE IMAGING (FMRI) OFFERS A USEFUL, NONINVASIVE APPROACH TO EVALUATING "NEUROVISCERAL" COMPONENTS OF EMOTION REGULATION. WE AIMED TO DETERMINE WHETHER YOGA PRACTITIONERS (YP) EXHIBIT DIFFERENT PATTERNS OF BRAIN ACTIVATION COMPARED TO RECREATIONAL ATHLETES (RA) WITHOUT CURRENT YOGA EXPERIENCE, WHILE VIEWING EMOTIONALLY AROUSING VISUAL STIMULI. OUR SECONDARY AIM WAS TO EXAMINE POTENTIAL DIFFERENCES ACROSS GROUPS IN HRV THROUGHOUT THE PRESENTATION OF THESE STIMULI. ANALYSIS OF FMRI DATA DURING EXPOSURE TO EMOTION-EVOKING (EE) STIMULI REVEALED THAT THE YP GROUP ACTIVATED TWO UNIQUE BRAIN AREAS, NAMELY THE SUPERIOR PARIETAL LOBULE AND THE SUPRAMARGINAL GYRUS. THESE AREAS HAVE BEEN ASSOCIATED WITH ATTENTIONAL AWARENESS AND REDUCED EGOCENTRIC BIAS, PROCESSES THAT HAVE BEEN IMPLICATED IN EMOTION REGULATION BY OTHERS. THE RA GROUP ACTIVATED THE INFERIOR MIDDLE FRONTAL CORTEX, AN AREA ASSOCIATED WITH COGNITIVE REAPPRAISAL DURING EMOTION REGULATION. THE YP GROUP ALSO DEMONSTRATED A TREND TOWARDS A HIGHER RATIO OF LOW- TO HIGH-FREQUENCY HRV COMPARED TO THE RA GROUP. THE PRESENT FINDINGS SUPPORT THE PRESENCE OF EXPERIENCE-DEPENDENT NEUROVISCERAL MECHANISMS ASSOCIATED WITH EMOTION REGULATION. INDIVIDUALS WHO PRACTICE YOGA REGULATE THEIR NEUROVISCERAL RESPONSES TO POTENTIALLY STRESSFUL EXTERNAL STIMULI IN A DIFFERENT MANNER THAN RECREATIONAL ATHLETES WHO DO NOT ENGAGE IN YOGA PRACTICE. THE PRESENT STUDY HAD A SMALL SAMPLE SIZE (RA: N = 12; YP: N = 19), WHICH SHOULD BE TAKEN INTO ACCOUNT WHEN INTERPRETING THE RESULTS. 2018 3 395 31 BEST PRACTICES FOR ADAPTING AND DELIVERING COMMUNITY-BASED YOGA FOR PEOPLE WITH TRAUMATIC BRAIN INJURY IN THE UNITED STATES AND CANADA. EMERGING BENEFITS OF YOGA FOR TRAUMATIC BRAIN INJURY (TBI) SUGGEST THAT BROADER ACCESSIBILITY TO COMMUNITY-BASED YOGA PROGRAMMING IS IMPORTANT. THIS CROSS-SECTIONAL, MIXED METHODS STUDY SOUGHT TO IDENTIFY BEST PRACTICES FOR ADAPTING AND DELIVERING COMMUNITY-BASED YOGA TO PEOPLE WITH TBI. AN ONLINE SURVEY WAS SENT TO 175 YOGA TEACHERS TRAINED TO TEACH LOVEYOURBRAIN YOGA, A COMMUNITY-BASED, 6-WEEK, MANUALIZED PROGRAM FOR PEOPLE WITH TBI AND THEIR CARE-GIVERS. THE SURVEY INSTRUMENT INCLUDED OPEN- AND CLOSED-TEXT QUESTIONS ASSESSING TEACHERS' PERSPECTIVES ON THE MOST AND LEAST HELPFUL ADAPTIONS FOR ASANA, MEDITATION, PRANAYAMA, AND GROUP DISCUSSION, AND ON THE LOVEYOURBRAIN YOGA TRAINING AND SUPPORT. RESPONSES WE RE ANALYZED USING D E S C R I P T I VE STATISTICS AND QUALITATIVE CONTENT ANALYSIS. EIGHTY-SIX TEACHERS (50%) RESPONDED. BEST PRACTICES FOR ADAPTING YOGA FOR TBI REVEALED SIX THEMES: (1) SIMPLE, SLOW, AND REPEATED; (2) CREATING A SAFE SPACE; (3) POSITION OF THE HEAD AND NECK; (4) DEMONSTRATION; (5) IMPORTANCE OF PROPS; AND (6) SPECIAL CONSIDERATIONS FOR YOGA STUDIOS. THREE THEMES EMERGED FOR YOGA PROGRAM DELIVERY: (1) STRUCTURED YET FLEXIBLE; (2) ACCEPTABILITY OF COMPENSATION; AND (3) TIME MANAGEMENT. EIGHTY-NINE PERCENT OF TEACHERS REPORTED THAT THE PROGRAM MANUAL WAS VERY/EXTREMELY HELPFUL, YET NEARLY HALF (49%) ADAPTED THE MANUAL CONTENT OFTEN/ALWAYS. TO DELIVER COMMUNITY-BASED YOGA SERVICES FOR TBI, WE RECOMMEND AN ENVIRONMENT WITH PROPS, LOW LIGHT AND NOISE, AND SUFFICIENT SPACE, ALONG WITH THE FACILITATION OF CONSISTENT INSTRUCTION WITH A MANUAL THAT ALLOWS FOR FLEXIBILITY. WE RECOMMEND THAT YOGA TEACHERS HAVE SKILLS IN PHYSICAL MODIFICATIONS FOR THE HEAD AND NECK; SLOW, SIMPLE, AND REPEATED CUEING TO FACILITATE COGNITIVE PROCESSING; MANAGING CHALLENGING BEHAVIORS THROUGH REDIRECTION TECHNIQUES; AND PROMOTING SAFETY THROUGH INCLUSIVITY, COMPASSION, AND PERSONAL AGENCY. 2020 4 156 26 A QUALITATIVE STUDY OF LOVEYOURBRAIN YOGA: A GROUP-BASED YOGA WITH PSYCHOEDUCATION INTERVENTION TO FACILITATE COMMUNITY INTEGRATION FOR PEOPLE WITH TRAUMATIC BRAIN INJURY AND THEIR CAREGIVERS. PURPOSE: TO EXPLORE PARTICIPANTS' EXPERIENCES IN A GROUP-BASED YOGA WITH PSYCHOEDUCATION INTERVENTION DESIGNED TO FACILITATE COMMUNITY INTEGRATION FOR PEOPLE WITH TRAUMATIC BRAIN INJURY AND THEIR CAREGIVERS.MATERIALS AND METHODS: WE CONDUCTED SEMI-STRUCTURED INTERVIEWS WITH 13 PEOPLE WITH TRAUMATIC BRAIN INJURY AND THREE CAREGIVERS WHO HAD COMPLETED LOVEYOURBRAIN YOGA, A 6-SESSION, MANUALIZED, GROUP-BASED YOGA INTERVENTION THAT INCORPORATES BREATHING EXERCISES, YOGA, MEDITATION, AND PSYCHOEDUCATION. INTERVIEWS WERE ANALYZED USING CONTENT ANALYSIS.RESULTS: WE IDENTIFIED SEVEN THEMES: EASE OF PARTICIPATION, BELONGING, SUSTAINING COMMUNITY CONNECTION, PHYSICAL HEALTH, SELF-REGULATION, SELF-EFFICACY, AND RESILIENCE. ALL PARTICIPANTS VALUED THE COMMUNITY-BASED YOGA STUDIO ENVIRONMENT AND MULTIFACETED STRUCTURE OF THE PROGRAM. PARTICIPANTS REPORTED IMPROVEMENTS IN STRENGTH, BALANCE, FLEXIBILITY, AND ATTENTION CONTROL, AND A GREATER SENSE OF BELONGING, COMMUNITY CONNECTION, AND ABILITY TO MOVE FORWARD WITH THEIR LIVES. PARTICIPANTS REPORTED ONGOING USE OF TOOLS (E.G., BREATHING EXERCISES) TO COPE WITH NEGATIVE EMOTIONS AND STRESS. ABOUT HALF OF PARTICIPANTS SUSTAINED RELATIONSHIPS BUILT DURING LOVEYOURBRAIN YOGA AND FELT MORE CAPABLE OF ACCESSING OTHER ACTIVITIES IN THEIR COMMUNITY.CONCLUSIONS: LOVEYOURBRAIN YOGA SUCCESSFULLY PROMOTED COMMUNITY INTEGRATION FOR PEOPLE WITH TRAUMATIC BRAIN INJURY. IT ALSO FACILITATED DIVERSE AND MEANINGFUL PHYSICAL, PSYCHOLOGICAL, AND SOCIAL HEALTH BENEFITS, WHICH SUGGEST THAT IT MAY BE AN EFFECTIVE MODE OF COMMUNITY-BASED REHABILITATION.IMPLICATIONS FOR REHABILITATIONTRAUMATIC BRAIN INJURY SURVIVORS OFTEN STRUGGLE TO PARTICIPATE IN THEIR COMMUNITY, THE ULTIMATE GOAL OF REHABILITATIONYOGA IS A HOLISTIC THERAPY WITH MANY BENEFITS, YET IS NOT ACCESSIBLE TO THE TRAUMATIC BRAIN INJURY POPULATION AT THE COMMUNITY LEVELPARTICIPANTS IN A COMMUNITY-BASED YOGA WITH PSYCHOEDUCATION INTERVENTION IN SIX STATES EXPERIENCED DIVERSE AND MEANINGFUL PHYSICAL, PSYCHOLOGICAL, AND SOCIAL HEALTH BENEFITSGROUP-BASED YOGA WITH PSYCHOEDUCATION MAY BE AN EFFECTIVE MODE OF COMMUNITY INTEGRATION AND COMMUNITY-BASED REHABILITATION FOR TRAUMATIC BRAIN INJURY SURVIVORS. 2020 5 2032 32 TAILORING TRAUMA-SENSITIVE YOGA FOR HIGH-RISK POPULATIONS IN PUBLIC-SECTOR SETTINGS. LOW-INCOME, RACIAL-MINORITY, HIGH-RISK POPULATIONS HAVE LIMITED ACCESS TO EVIDENCE-BASED TREATMENTS FOR POSTTRAUMATIC STRESS DISORDER (PTSD), AND THEIR ACCEPTANCE OF COMPLEMENTARY INTERVENTIONS IS UNKNOWN. TRAUMA CENTER TRAUMA-SENSITIVE YOGA (TC-TSY), WHICH HAS DEMONSTRATED EFFICACY IN COMMUNITY SAMPLES, HAS NOT YET BEEN WIDELY USED WITH ETHNIC MINORITY LOW-INCOME INDIVIDUALS. THIS ARTICLE PRESENTS A CULTURALLY TAILORED VERSION OF A TC-TSY INTERVENTION DELIVERED AS A DROP-IN SERVICE IN A PUBLIC HOSPITAL-BASED CLINIC TO PATIENTS WITH HISTORIES OF INTERPERSONAL VIOLENCE AND SUICIDE ATTEMPTS. TC-TSY WAS ITERATIVELY TAILORED TO MEET THE UNIQUE CLINICAL NEEDS OF INDIVIDUALS WITHIN THIS SETTING. GROUP FACILITATOR OBSERVATIONS ARE SUMMARIZED; THEY DESCRIBE A SUCCESSFUL INITIAL IMPLEMENTATION AND CULTURALLY INFORMED ADAPTATION OF THE GROUP INTERVENTION. THE FACILITATORS' OBSERVATIONS ILLUSTRATED THAT GROUP MEMBERS ACCEPTED THE INTEGRATION OF THIS STRUCTURED, GENTLE YOGA PRACTICE INTO OUTPATIENT BEHAVIORAL HEALTH PROGRAMMING AND IDENTIFIED SITE-SPECIFIC MODIFICATIONS TO INFORM FORMAL STUDY. THE PROCESS BY WHICH TC-TSY WAS ADAPTED AND IMPLEMENTED FOR BLACK INDIVIDUALS WITH A HISTORY OF INTERPERSONAL TRAUMA AT RISK FOR SUICIDAL BEHAVIOR CAN SERVE AS A GUIDE FOR TAILORING OTHER COMPLEMENTARY, INTEGRATIVE INTERVENTIONS TO MEET THE NEEDS OF UNIQUE CLINICAL SETTINGS. THIS PROCESS IS OFFERED AS A FOUNDATION FOR FUTURE SYSTEMATIC TESTING OF THIS COMPLEMENTARY, INTEGRATED, CULTURALLY ADAPTED TRAUMA THERAPY IN HIGH-RISK CLINICAL POPULATIONS. 2021 6 561 23 CREATING SPACE THROUGH AFRICA YOGA PROJECT: A QUALITATIVE STUDY. THIS QUALITATIVE ANALYSIS EXAMINED TEACHERS' EXPERIENCES OF THE AFRICA YOGA PROJECT (AYP), A MENTORING-ORIENTED YOGA PROGRAM FOR FOSTERING RESILIENCE AMONG INDIVIDUALS AND GROUPS IMPACTED BY POVERTY AND TRAUMA. INTERVIEWS CONDUCTED WITH AYP TEACHERS WERE CODED USING QUALITATIVE CONTENT ANALYSIS. THEMES DEMONSTRATED THAT AYP BENEFITED PARTICIPANTS BY CREATING S.P.A.C.E. (SAFETY AND STABILITY, PERSONAL GROWTH, ACTION, CULTURAL DIVERSITY, AND EMPOWERMENT). THE FINDINGS ILLUSTRATED WAYS IN WHICH THIS PROGRAM FOSTERED INDIVIDUAL AND COMMUNITY WELLNESS AND POSITIVE ENGAGEMENT. IMPLICATIONS ARE DISCUSSED INCLUDING THE POTENTIAL FOR PROVIDING YOGA AS A LOW-COST, SUSTAINABLE, AND EFFECTIVE INTERVENTION TO PROMOTE HEALTH, ECONOMIC SELF-SUFFICIENCY, AND COMMUNITY ENGAGEMENT IN DIVERSE SETTINGS WITH LIMITED RESOURCES. 2016 7 1342 31 HOW YOGA HELPS HEAL INTERPERSONAL TRAUMA: PERSPECTIVES AND THEMES FROM 11 INTERPERSONAL TRAUMA SURVIVORS. TRAUMA IS UBIQUITOUS IN OUR SOCIETY; THEREFORE, IT IS IMPORTANT TO EXPLORE HOW INDIVIDUALS CULTIVATE HEALING AFTER TRAUMATIC EXPERIENCES. YOGA MAY BE ONE AVENUE TO CULTIVATE HEALING. QUALITATIVE METHODS WERE EMPLOYED TO STUDY THE ROLE YOGA PRACTICE PLAYED IN THE HEALING PROCESS OF THOSE WHO EXPERIENCED INTERPERSONAL TRAUMA. ELEVEN INTERPERSONAL TRAUMA SURVIVORS WHO PRACTICED YOGA REGULARLY WERE IDENTIFIED THROUGH A CRITERION SAMPLING METHOD. DATA ANALYSIS REVEALED THAT THE EMPHASIS OF YOGA ON MIND AND PHYSICAL BODY FOSTERED NUMEROUS POSITIVE OUTCOMES, SUCH AS SPIRITUAL GROWTH, SELF-ACCEPTANCE, ALLEVIATION OF TRAUMA-RELATED SYMPTOMS, AND INCREASED FEELINGS OF SELF-COMPASSION, EMPOWERMENT, AND SERENITY. OUR FINDINGS SUGGEST THAT YOGA MAY BE HELPFUL TO REGAIN MENTAL AND PHYSICAL HEALTH, FOSTER WELLBEING, AND CULTIVATE PERSONAL GROWTH AFTER INTERPERSONAL TRAUMA. 2016 8 148 22 A QUALITATIVE EXPLORATION OF IMPLEMENTATION FACTORS IN A SCHOOL-BASED MINDFULNESS AND YOGA PROGRAM: LESSONS LEARNED FROM STUDENTS AND TEACHERS. IDENTIFYING FACTORS RELEVANT FOR SUCCESSFUL IMPLEMENTATION OF SCHOOL-BASED INTERVENTIONS IS ESSENTIAL TO ENSURE THAT PROGRAMS ARE PROVIDED IN AN EFFECTIVE AND ENGAGING MANNER. THE PERSPECTIVES OF TWO KEY STAKEHOLDERS CRITICAL FOR IDENTIFYING IMPLEMENTATION BARRIERS AND FACILITATORS - STUDENTS AND THEIR CLASSROOM TEACHERS - MERIT ATTENTION IN THIS CONTEXT AND HAVE RARELY BEEN EXPLORED USING QUALITATIVE METHODS. THIS STUDY REPORTS QUALITATIVE PERSPECTIVES OF FIFTH AND SIXTH GRADE PARTICIPANTS AND THEIR TEACHERS OF A 16-WEEK SCHOOL-BASED MINDFULNESS AND YOGA PROGRAM IN THREE PUBLIC SCHOOLS SERVING LOW-INCOME URBAN COMMUNITIES. FOUR THEMES RELATED TO PROGRAM IMPLEMENTATION BARRIERS AND FACILITATORS EMERGED: PROGRAM DELIVERY FACTORS, PROGRAM BUY-IN, IMPLEMENTER COMMUNICATION WITH TEACHERS, AND INSTRUCTOR QUALITIES. FEEDBACK FROM STUDENTS AND TEACHERS IS DISCUSSED IN THE CONTEXT OF INFORMING IMPLEMENTATION, ADAPTATION, AND FUTURE DEVELOPMENT OF SCHOOL-BASED MINDFULNESS AND YOGA PROGRAMMING IN URBAN SETTINGS. 2017 9 1472 25 INSULAR CORTEX MEDIATES INCREASED PAIN TOLERANCE IN YOGA PRACTITIONERS. YOGA, AN INCREASINGLY POPULAR DISCIPLINE AMONG WESTERNERS, IS FREQUENTLY USED TO IMPROVE PAINFUL CONDITIONS. WE INVESTIGATED POSSIBLE NEUROANATOMICAL UNDERPINNINGS OF THE BENEFICIAL EFFECTS OF YOGA USING SENSORY TESTING AND MAGNETIC RESONANCE IMAGING TECHNIQUES. NORTH AMERICAN YOGIS TOLERATED PAIN MORE THAN TWICE AS LONG AS INDIVIDUALLY MATCHED CONTROLS AND HAD MORE GRAY MATTER (GM) IN MULTIPLE BRAIN REGIONS. ACROSS SUBJECTS, INSULAR GM UNIQUELY CORRELATED WITH PAIN TOLERANCE. INSULAR GM VOLUME IN YOGIS POSITIVELY CORRELATED WITH YOGA EXPERIENCE, SUGGESTING A CAUSAL RELATIONSHIP BETWEEN YOGA AND INSULAR SIZE. YOGIS ALSO HAD INCREASED LEFT INTRAINSULAR WHITE MATTER INTEGRITY, CONSISTENT WITH A STRENGTHENED INSULAR INTEGRATION OF NOCICEPTIVE INPUT AND PARASYMPATHETIC AUTONOMIC REGULATION. YOGIS, AS OPPOSED TO CONTROLS, USED COGNITIVE STRATEGIES INVOLVING PARASYMPATHETIC ACTIVATION AND INTEROCEPTIVE AWARENESS TO TOLERATE PAIN, WHICH COULD HAVE LED TO USE-DEPENDENT HYPERTROPHY OF INSULAR CORTEX. TOGETHER, THESE FINDINGS SUGGEST THAT REGULAR AND LONG-TERM YOGA PRACTICE IMPROVES PAIN TOLERANCE IN TYPICAL NORTH AMERICANS BY TEACHING DIFFERENT WAYS TO DEAL WITH SENSORY INPUTS AND THE POTENTIAL EMOTIONAL REACTIONS ATTACHED TO THOSE INPUTS LEADING TO A CHANGE IN INSULAR BRAIN ANATOMY AND CONNECTIVITY. 2014 10 155 38 A QUALITATIVE STUDY EXPLORING YOGA IN VETERANS WITH PTSD SYMPTOMS. QUANTITATIVE STUDIES OF YOGA HAVE REPORTED REDUCED POSTTRAUMATIC STRESS DISORDER (PTSD) SYMPTOMS IN VETERANS, BUT LITTLE IS KNOWN ABOUT HOW AND WHY VETERANS ARE ATTRACTED TO AND STICK WITH A YOGA PRACTICE. GUIDED BY THE HEALTH BELIEF MODEL, THIS STUDY EXAMINED VETERANS' PERCEPTIONS OF THE BENEFITS, BARRIERS, AND MOTIVATIONS TO CONTINUE PRACTICING TRAUMA-SENSITIVE YOGA. INTERVIEWS WERE CONDUCTED WITH NINE INDIVIDUALS, FIVE OF WHOM COMPLETED A 6-WEEK TRAUMA-SENSITIVE YOGA INTERVENTION DESIGNED FOR VETERANS AND FOUR WHO DID NOT COMPLETE THE INTERVENTION. TRANSCRIPTS WERE ANALYZED FOR THEMES. THE BENEFITS IDENTIFIED BY VETERANS WERE FINDING MENTAL STILLNESS, BODY AWARENESS, AND SOCIAL CONNECTION. THE BARRIERS WERE PERCEPTIONS THAT YOGA IS SOCIALLY UNACCEPTABLE, ESPECIALLY FOR MEN, AND PHYSICALLY UNCHALLENGING. UNDERSTANDING THESE BENEFITS AND BARRIERS CAN HELP TO MAKE YOGA MORE ATTRACTIVE TO SERVICE MEMBERS AND VETERANS. FOR EXAMPLE, MEDICAL PERSONNEL CAN REFER SERVICE MEMBERS AND VETERANS TO YOGA NOT ONLY FOR PTSD SYMPTOMS, BUT ALSO TO ADDRESS BACK PAIN AND TO REDUCE ISOLATION. ACCESS TO MALE YOGA INSTRUCTORS, ESPECIALLY THOSE WHO ARE THEMSELVES SERVICE MEMBERS OR VETERANS, COULD BE EXPANDED, AND CLASSES COULD BE INTEGRATED INTO PHYSICAL ACTIVITY ROUTINES REQUIRED OF ACTIVE-DUTY PERSONNEL. PROMOTIONAL MATERIALS CAN FEATURE MALE SERVICE MEMBERS AND VETERANS WITH CAPTIONS RELATED TO YOGA AS A WAY TO INCREASE RESILIENCY, SELF-SUFFICIENCY, AND PHYSICAL AND MENTAL MISSION READINESS. FINDINGS FROM THIS STUDY CAN HELP THE DEPARTMENT OF DEFENSE AND THE VETERANS HEALTH ADMINISTRATION IMPLEMENT YOGA AS AN ADJUNCT OR ALTERNATIVE TREATMENT FOR VETERANS WITH PTSD SYMPTOMS. 2018 11 2042 23 THE 'WORLD OF YOGA': THE PRODUCTION AND REPRODUCTION OF THERAPEUTIC LANDSCAPES. YOGA IS BECOMING MORE AND MORE FASHIONABLE ALL AROUND THE WORLD. THIS ACTIVITY, PARTLY CONSIDERED AS THERAPEUTIC, REVEALS CONTEMPORARY WAYS OF PRODUCING GLOBAL PRACTICES. VIA A QUESTIONNAIRE COMPLETED BY INDIVIDUALS AT YOGA CENTRES IN INDIA AND FRANCE, THE PAPER ANALYSES THIS PHENOMENON USING THE CONCEPT OF THERAPEUTIC LANDSCAPES. FURTHERMORE, IT EXAMINES HOW THESE THERAPEUTIC LANDSCAPES ARE INFLUENCED BY GLOBALISATION. BRINGING TOGETHER THE CONCEPTS OF THERAPEUTIC LANDSCAPES, GLOBALISATION AND THE PRACTICE OF YOGA, THE PAPER ANALYSES THE PRODUCTION AND REPRODUCTION OF YOGIC THERAPEUTIC LANDSCAPES IN THE WORLD'S SPACE. CONSTITUTED OF NATURAL PHYSICAL ELEMENTS AND BUILT STRUCTURES, THESE THERAPEUTIC LANDSCAPES ARE ALSO STRONGLY LINKED TO EMOTIONAL QUALITIES AND INTIMATE FEELINGS EVOKED BY THE PLACE AND RELATED TO HEALTH AND WELL-BEING. THE PAPER ALSO UNDERLINES THAT THE EMERGENCE OF INTERNATIONALLY RECOGNISED THERAPEUTIC LANDSCAPES DEMANDS A CULTURAL AND SOCIAL GEOGRAPHICAL APPROACH THAT COULD HELP TO EXAMINE THE REPERCUSSIONS OF LOCAL AND GLOBAL PHENOMENA ON THERAPEUTIC LANDSCAPES. INDEED, VERY OFTEN, YOGIS, ALL AROUND THE WORLD, REFER TO IDEAL PLACES WHERE THEY RARELY GO. CONSEQUENTLY, THEY CREATE AN IMAGINED THERAPEUTIC ENVIRONMENT THAT THE PAPER DESCRIBES. 2007 12 491 20 CO-DESIGNING A NEW YOGA-BASED MINDFULNESS INTERVENTION FOR SURVIVORS OF STROKE: A FORMATIVE EVALUATION. MOVEMENT-BASED MINDFULNESS INTERVENTIONS (MBI) ARE COMPLEX, MULTI-COMPONENT INTERVENTIONS FOR WHICH THE DESIGN PROCESS IS RARELY REPORTED. FOR PEOPLE WITH STROKE, EMERGING EVIDENCE SUGGESTS BENEFITS, BUT MAINSTREAM PROGRAMS ARE GENERALLY UNSUITABLE. WE AIMED TO DESCRIBE THE PROCESSES INVOLVED AND TO CONDUCT A FORMATIVE EVALUATION OF THE DEVELOPMENT OF A NOVEL YOGA-BASED MBI DESIGNED FOR SURVIVORS OF STROKE. WE USED THE MEDICAL RESEARCH COUNCIL COMPLEX INTERVENTIONS FRAMEWORK AND PRINCIPLES OF CO-DESIGN. WE PURPOSEFULLY APPROACHED HEALTH PROFESSIONALS AND CONSUMERS TO ESTABLISH AN ADVISORY COMMITTEE FOR DEVELOPING THE INTERVENTION. MEMBERS COLLABORATED AND ITERATIVELY REVIEWED THE DESIGN AND CONTENT OF THE PROGRAM, FORMATTED INTO A TRAINING MANUAL. FOUR EXTERNAL YOGA TEACHERS INDEPENDENTLY REVIEWED THE PROGRAM. FORMATIVE EVALUATION INCLUDED REVIEW OF MULTIPLE DATA SOURCES AND DOCUMENTATION (E.G., FORMAL MEETING MINUTES, FOCUS GROUP DISCUSSIONS, RESEARCHER OBSERVATIONS). THE DATA WERE SYNTHESIZED USING INDUCTIVE THEMATIC ANALYSIS. THREE BROAD THEMES EMERGED: (A) MBI CONTENT AND TERMINOLOGY; (B) MANUAL DESIGN AND READABILITY; AND (C) BARRIERS AND ENABLERS TO DELIVER THE INTERVENTION. VARIOUS PERSPECTIVES AND FEEDBACK ON ESSENTIAL COMPONENTS GUIDED FINALIZING THE PROGRAM. THE DESIGN PHASE OF A NOVEL YOGA-BASED MBI WAS STRENGTHENED BY INTERDISCIPLINARY, CONSUMER CONTRIBUTIONS AND PEER REVIEW. THE 12-WEEK INTERVENTION IS READY FOR TESTING AMONG SURVIVORS OF STROKE. 2021 13 2517 24 YOGA COMMUNITIES AND EATING DISORDERS: CREATING SAFE SPACE FOR POSITIVE EMBODIMENT. WITH ADEQUATE EDUCATION AND GUIDANCE, YOGA COMMUNITIES, AS PART OF THE THERAPEUTIC LANDSCAPE IN THE 21ST CENTURY, CAN PLAY A SIGNIFICANT ROLE PROMOTING POSITIVE EMBODIMENT FOR THOSE WITH, AND AT-RISK FOR, EATING DISORDERS (EDS). TO DO THIS, YOGA TEACHERS NEED TO KNOW HOW TO CREATE A BODY-POSITIVE COMMUNITY AND BE ABLE TO RECOGNIZE AND RESPOND TO THOSE AT RISK AND STRUGGLING WITH EDS IN THEIR COMMUNITIES. IN ORDER TO ADDRESS YOGA TEACHING METHODS ASSOCIATED WITH EDS AND ED RISK, BROADER CONCEPTUAL APPROACHES AND SPECIFIC PRACTICES ASSOCIATED WITH POSITIVE EMBODIMENT ARE OFFERED. THESE INCLUDE THE BROADER CONCEPTUAL APPROACHES OF: INTENTIONAL INCLUSION AND ACCEPTANCE, EXPERIENTIAL EMPHASIS, SUPPORTING POSITIVE EMBODIMENT AND INQUIRY. STUDIO PRAGMATICS ARE ALSO DETAILED AS RELATED TO THE BODY, BREATH, EMOTIONS, AND COMMUNITY. ASSESSMENT, REFERRAL, AND COMMUNITY ENGAGEMENT ARE ALSO ADDRESSED. 2017 14 65 28 A CONCEPTUAL MODEL DESCRIBING MECHANISMS FOR HOW YOGA PRACTICE MAY SUPPORT POSITIVE EMBODIMENT. YOGA PRACTICE HAS BEEN ASSOCIATED WITH VARIOUS INDICES OF POSITIVE EMBODIMENT IN CORRELATIONAL AND INTERVENTION STUDIES. YET, SYSTEMATIC, THEORETICALLY-GROUNDED MODELS DETAILING SPECIFIC MECHANISMS BY WHICH YOGA SUPPORTS POSITIVE EMBODIMENT ARE LACKING. IN THIS ARTICLE, WE PRESENT A CONCEPTUAL MODEL THAT DESCRIBES MECHANISMS (I.E., MEDIATORS AND MODERATORS) THAT CAN BE USED TO GUIDE RESEARCH TO HELP ANSWER HOW, FOR WHOM, AND UNDER WHAT CONDITIONS YOGA PRACTICE MAY PROMOTE POSITIVE EMBODIMENT. BASED ON EXISTING THEORETICAL FRAMEWORKS AND EMPIRICAL FINDINGS, THIS MODEL SUGGESTS THAT (A) YOGA PRACTICE MAY CULTIVATE EMBODYING EXPERIENCES DURING YOGA (E.G., STATE MINDFULNESS), (B) THESE EMBODYING EXPERIENCES MAY BUILD STABLE EMBODYING EXPERIENCES THAT GENERALIZE BEYOND THE YOGA CONTEXT (E.G., TRAIT MINDFULNESS), AND (C) THESE STABLE EMBODYING EXPERIENCES MAY THEN PROMOTE EMBODYING PRACTICES (E.G., MINDFUL SELF-CARE). THIS MEDIATIONAL CHAIN IS LIKELY MODERATED BY THE YOGA CONTEXT (E.G., INSTRUCTIONAL FOCUS, PRESENCE OF MIRRORS, DIVERSITY OF BODIES REPRESENTED) AND YOGA PRACTITIONERS' SOCIAL IDENTITIES (E.G., BODY SIZE, PHYSICAL LIMITATIONS), SOCIAL AND PERSONAL HISTORIES (E.G., EXPERIENCES WITH WEIGHT STIGMA AND TRAUMA), AND PERSONALITY TRAITS AND MOTIVES (E.G., BODY COMPARISON, APPEARANCE-FOCUSED MOTIVES TO PRACTICE YOGA). USING THE STRUCTURE OF THIS CONCEPTUAL MODEL, WE OFFER RESEARCHERS IDEAS FOR TESTABLE MODELS AND STUDY DESIGNS THAT CAN SUPPORT THEM. 2020 15 2795 40 YOGA THERAPY FOR MILITARY PERSONNEL AND VETERANS: QUALITATIVE PERSPECTIVES OF YOGA STUDENTS AND INSTRUCTORS. OBJECTIVE: MILLIONS OF MILITARY PERSONNEL AND VETERANS LIVE WITH CHRONIC MENTAL AND PHYSICAL HEALTH CONDITIONS THAT OFTEN DO NOT RESPOND WELL TO PHARMACOLOGICAL TREATMENTS. SERIOUS SIDE EFFECTS AND LACK OF TREATMENT RESPONSE HAVE LED TO WIDESPREAD EFFORTS TO STUDY AND PROMOTE NON-PHARMACOLOGICAL AND BEHAVIORAL HEALTH TREATMENTS FOR MANY CHRONIC HEALTH CONDITIONS. YOGA IS AN INCREASINGLY POPULAR MIND-BODY INTERVENTION THAT HAS GROWING RESEARCH SUPPORT FOR ITS EFFICACY AND SAFETY. OUR OBJECTIVE WAS TO EXPLORE THE ATTITUDES, PERSPECTIVES, AND PREFERENCES OF MILITARY PERSONNEL AND VETERANS TOWARD YOGA AS A THERAPEUTIC MODALITY, THUS PROVIDING NEEDED INFORMATION FOR DESIGNING AND PROMOTING YOGA INTERVENTIONS FOR THIS POPULATION. METHODS: PARTICIPANTS INCLUDED 24 INDIVIDUALS WITH YOGA EXPERIENCE AND CURRENT OR PAST MILITARY SERVICE AND 12 INSTRUCTORS WHO HAVE TAUGHT YOGA FOR MILITARY PERSONNEL AND/OR VETERANS. A SEMI-STRUCTURED SET OF QUESTIONS GUIDED INTERVIEWS WITH EACH PARTICIPANT. RESULTS: FIVE THEMES EMERGED FROM THE INTERVIEWS: (1) MENTAL HEALTH BENEFITS EXPERIENCED FROM YOGA PRACTICE; (2) PHYSICAL HEALTH BENEFITS EXPERIENCED FROM YOGA PRACTICE; (3) IMPORTANT YOGA ELEMENTS AND CONDITIONS THAT SUPPORT EFFECTIVE PRACTICE; (4) FACILITATORS FOR ENGAGING MILITARY IN YOGA PRACTICE; AND (5) CHALLENGES AND BARRIERS TO YOGA PRACTICE FOR MILITARY. CONCLUSIONS: THE STUDY HIGHLIGHTS CONSISTENT REPORTS OF MENTAL AND PHYSICAL BENEFITS OF YOGA PRACTICE, ONGOING STIGMA RESULTING IN THE NEED FOR COMBATTING AND DEMYSTIFYING YOGA AND OTHER COMPLEMENTARY AND INTEGRATIVE HEALTH (CIH) PRACTICES, THE IMPORTANCE OF DESIGNING INTERVENTIONS TO ADDRESS THE UNIQUE MENTAL HEALTH ISSUES AND PERSPECTIVES OF THIS POPULATION, AND THE IMPORTANCE OF EFFORTS BY MILITARY LEADERSHIP TO BRING CIH TO MILITARY PERSONNEL AND VETERANS. RIGOROUS RESEARCH ADDRESSING THESE FINDINGS, ALONG WITH FURTHER RESEARCH ON THE EFFICACY AND EFFECTIVENESS OF YOGA INTERVENTIONS FOR TREATING VARIOUS CONDITIONS ARE NEEDED. 2018 16 2346 24 USING REALIST EVALUATION TO UNDERSTAND PROCESS OUTCOMES IN A COVID-19-IMPACTED YOGA INTERVENTION TRIAL: A WORKED EXAMPLE. REALIST EVALUATION OFFERS A VALUABLE WAY TO UNDERSTAND HOW INTERVENTIONS FUNCTION AND THUS HOW THEY CAN BE IMPROVED AND LOCALLY ADAPTED. CONSEQUENTLY, REALIST EVALUATION IS INCREASINGLY CONDUCTED IN PARALLEL WITH INTERVENTION TRIALS. IT COMPRISES A CLEAR PHILOSOPHICAL FOUNDATION AND VIEW OF CAUSALITY, PRAGMATIC MIXED DATA COLLECTION METHODS, AND A THEORY-DRIVEN APPROACH IN WHICH HYPOTHESISED PROGRAM THEORIES ARE TESTED AND REFINED. HOWEVER, DETAILED METHODS FOR DATA ANALYSIS ARE SELDOM WELL-DESCRIBED IN REALIST STUDIES AND NO CLEAR METHOD FOR ANALYSING AND PRESENTING REALIST EVALUATION DATA HAS YET EMERGED. IN THIS METHODOLOGICAL PAPER WE USE THE WORKED EXAMPLE OF OUR REALIST PROCESS EVALUATION OF THE SAGE YOGA TRIAL TO ILLUSTRATE AN APPLIED PROCESS OF DATA ANALYSIS AND PRESENTATION OF FINDINGS. WE SHOW HOW WE DREW ON OTHER REALIST STUDIES FOR IDEAS, PROVIDE EXAMPLES OF SIX KEY TASKS INVOLVED IN CONDUCTING A REALIST PROCESS EVALUATION (INCLUDING CODING DATA AND STRUCTURING RESULTS) AND DESCRIBE STRATEGIES THAT DID NOT WORK AND OUR RATIONALE FOR REJECTING THEM. THIS DETAILED ACCOUNT OF THE DECISIONS AND METHODS THAT WORKED FOR US IS INTENDED TO PROVIDE A PRACTICAL AND INFORMED POINT OF DEPARTURE FOR RESEARCHERS CONDUCTING A REALIST EVALUATION. 2021 17 2531 27 YOGA EFFECTS ON BRAIN HEALTH: A SYSTEMATIC REVIEW OF THE CURRENT LITERATURE. YOGA IS THE MOST POPULAR COMPLEMENTARY HEALTH APPROACH PRACTICED BY ADULTS IN THE UNITED STATES. IT IS AN ANCIENT MIND AND BODY PRACTICE WITH ORIGINS IN INDIAN PHILOSOPHY. YOGA COMBINES PHYSICAL POSTURES, RHYTHMIC BREATHING AND MEDITATIVE EXERCISE TO OFFER THE PRACTITIONERS A UNIQUE HOLISTIC MIND-BODY EXPERIENCE. WHILE THE HEALTH BENEFITS OF PHYSICAL EXERCISE ARE WELL ESTABLISHED, IN RECENT YEARS, THE ACTIVE ATTENTIONAL COMPONENT OF BREATHING AND MEDITATION PRACTICE HAS GARNERED INTEREST AMONG EXERCISE NEUROSCIENTISTS. AS THE SCIENTIFIC EVIDENCE FOR THE PHYSICAL AND MENTAL HEALTH BENEFITS OF YOGA CONTINUES TO GROW, THIS ARTICLE AIMS TO SUMMARIZE THE CURRENT KNOWLEDGE OF YOGA PRACTICE AND ITS DOCUMENTED POSITIVE EFFECTS FOR BRAIN STRUCTURE AND FUNCTION, AS ASSESSED WITH MRI, FMRI, AND SPECT. WE REVIEWED 11 STUDIES EXAMINING THE EFFECTS OF YOGA PRACTICE ON THE BRAIN STRUCTURES, FUNCTION AND CEREBRAL BLOOD FLOW. COLLECTIVELY, THE STUDIES DEMONSTRATE A POSITIVE EFFECT OF YOGA PRACTICE ON THE STRUCTURE AND/OR FUNCTION OF THE HIPPOCAMPUS, AMYGDALA, PREFRONTAL CORTEX, CINGULATE CORTEX AND BRAIN NETWORKS INCLUDING THE DEFAULT MODE NETWORK (DMN). THE STUDIES OFFER PROMISING EARLY EVIDENCE THAT BEHAVIORAL INTERVENTIONS LIKE YOGA MAY HOLD PROMISE TO MITIGATE AGE-RELATED AND NEURODEGENERATIVE DECLINES AS MANY OF THE REGIONS IDENTIFIED ARE KNOWN TO DEMONSTRATE SIGNIFICANT AGE-RELATED ATROPHY. 2019 18 2202 28 THE ESSENTIAL PROPERTIES OF YOGA QUESTIONNAIRE (EPYQ): PSYCHOMETRIC PROPERTIES. YOGA INTERVENTIONS ARE HETEROGENEOUS AND VARY ALONG MULTIPLE DIMENSIONS. THESE DIMENSIONS MAY AFFECT MENTAL AND PHYSICAL HEALTH OUTCOMES IN DIFFERENT WAYS OR THROUGH DIFFERENT MECHANISMS. HOWEVER, MOST STUDIES OF THE EFFECTS OF YOGA ON HEALTH DO NOT ADEQUATELY DESCRIBE OR QUANTIFY THE COMPONENTS OF THE INTERVENTIONS BEING IMPLEMENTED. THIS LACK OF DETAIL PREVENTS RESEARCHERS FROM MAKING COMPARISONS ACROSS STUDIES AND LIMITS OUR UNDERSTANDING OF THE RELATIVE EFFECTS OF DIFFERENT ASPECTS OF YOGA INTERVENTIONS. TO ADDRESS THIS PROBLEM, WE DEVELOPED THE ESSENTIAL PROPERTIES OF YOGA QUESTIONNAIRE (EPYQ), WHICH ALLOWS RESEARCHERS TO OBJECTIVELY CHARACTERIZE THEIR INTERVENTIONS. WE PRESENT HERE THE RELIABILITY AND VALIDITY DATA FROM THE FINAL PHASES OF THIS MEASURE-DEVELOPMENT PROJECT. ANALYSES IDENTIFIED FOURTEEN KEY DIMENSIONS OF YOGA INTERVENTIONS MEASURED BY THE EPYQ: ACCEPTANCE/COMPASSION, BANDHAS, BODY AWARENESS, BREATHWORK, INSTRUCTOR MENTION OF HEALTH BENEFITS, INDIVIDUAL ATTENTION, MEDITATION AND MINDFULNESS, MENTAL AND EMOTIONAL AWARENESS, PHYSICALITY, ACTIVE POSTURES, RESTORATIVE POSTURES, SOCIAL ASPECTS, SPIRITUALITY, AND YOGA PHILOSOPHY. THE EPYQ DEMONSTRATED GOOD RELIABILITY, AS ASSESSED BY INTERNAL CONSISTENCY AND TEST-RETEST RELIABILITY ANALYSIS, AND EVIDENCE SUGGESTS THAT THE EPYQ IS A VALID MEASURE OF MULTIPLE DIMENSIONS OF YOGA. THE MEASURE IS READY FOR USE BY CLINICIANS AND RESEARCHERS. RESULTS INDICATE THAT, CURRENTLY, TRAINED OBJECTIVE RATERS SHOULD SCORE INTERVENTIONS TO AVOID REFERENCE FRAME ERRORS AND POTENTIAL RATING BIAS, BUT ALTERNATIVE APPROACHES MAY BE DEVELOPED. THE EPYQ WILL ALLOW RESEARCHERS TO LINK SPECIFIC YOGA DIMENSIONS TO IDENTIFIABLE HEALTH OUTCOMES AND OPTIMIZE THE DESIGN OF YOGA INTERVENTIONS FOR SPECIFIC CONDITIONS. 2018 19 1575 27 MANAGING MENTAL HEALTH DISORDERS RESULTING FROM TRAUMA THROUGH YOGA: A REVIEW. THERE ARE MANY AND VARIED TYPES OF TRAUMA. THE EXTENT TO WHICH TRAUMA INFLUENCES THE MENTAL HEALTH OF AN INDIVIDUAL DEPENDS ON THE NATURE OF TRAUMA, AS WELL AS ON THE INDIVIDUAL'S COPING CAPABILITIES. OFTEN TRAUMA IS FOLLOWED BY DEPRESSION, ANXIETY, AND PTSD. AS THE PHARMACOLOGICAL REMEDIES FOR THESE CONDITIONS OFTEN HAVE UNDESIRABLE SIDE-EFFECTS, NONPHARMACOLOGICAL REMEDIES ARE THOUGHT OF AS A POSSIBLE ADD-ON TREATMENT. YOGA IS ONE SUCH MIND-BODY INTERVENTION. THIS PAPER COVERS ELEVEN STUDIES INDEXED IN PUBMED, IN WHICH MENTAL HEALTH DISORDERS RESULTING FROM TRAUMA WERE MANAGED THROUGH YOGA INCLUDING MEDITATION. THE AIM WAS TO EVALUATE THE USE OF YOGA IN MANAGING TRAUMA-RELATED DEPRESSION, ANXIETY, PTSD AND PHYSIOLOGICAL STRESS FOLLOWING EXPOSURE TO NATURAL CALAMITIES, WAR, INTERPERSONAL VIOLENCE, AND INCARCERATION IN A CORRECTIONAL FACILITY. AN ATTEMPT HAS ALSO BEEN MADE TO EXPLORE POSSIBLE MECHANISMS UNDERLYING BENEFITS SEEN. AS MOST OF THESE STUDIES WERE NOT DONE ON PERSONS EXPOSED TO TRAUMA THAT HAD PRACTICED YOGA, THIS IS A DEFINITE AREA FOR FURTHER RESEARCH. 2012 20 1089 30 EFFECTS OF YOGA ON THE AUTONOMIC NERVOUS SYSTEM, GAMMA-AMINOBUTYRIC-ACID, AND ALLOSTASIS IN EPILEPSY, DEPRESSION, AND POST-TRAUMATIC STRESS DISORDER. A THEORY IS PROPOSED TO EXPLAIN THE BENEFITS OF YOGA PRACTICES IN DIVERSE, FREQUENTLY COMORBID MEDICAL CONDITIONS BASED ON THE CONCEPT THAT YOGA PRACTICES REDUCE ALLOSTATIC LOAD IN STRESS RESPONSE SYSTEMS SUCH THAT OPTIMAL HOMEOSTASIS IS RESTORED. IT IS HYPOTHESIZED THAT STRESS INDUCES (1) IMBALANCE OF THE AUTONOMIC NERVOUS SYSTEM (ANS) WITH DECREASED PARASYMPATHETIC NERVOUS SYSTEM (PNS) AND INCREASED SYMPATHETIC NERVOUS SYSTEM (SNS) ACTIVITY, (2) UNDERACTIVITY OF THE GAMMA AMINO-BUTYRIC ACID (GABA) SYSTEM, THE PRIMARY INHIBITORY NEUROTRANSMITTER SYSTEM, AND (3) INCREASED ALLOSTATIC LOAD. IT IS FURTHER HYPOTHESIZED THAT YOGA-BASED PRACTICES (4) CORRECT UNDERACTIVITY OF THE PNS AND GABA SYSTEMS IN PART THROUGH STIMULATION OF THE VAGUS NERVES, THE MAIN PERIPHERAL PATHWAY OF THE PNS, AND (5) REDUCE ALLOSTATIC LOAD. DEPRESSION, EPILEPSY, POST TRAUMATIC STRESS DISORDER (PTSD), AND CHRONIC PAIN EXEMPLIFY MEDICAL CONDITIONS THAT ARE EXACERBATED BY STRESS, HAVE LOW HEART RATE VARIABILITY (HRV) AND LOW GABAERGIC ACTIVITY, RESPOND TO PHARMACOLOGIC AGENTS THAT INCREASE ACTIVITY OF THE GABA SYSTEM, AND SHOW SYMPTOM IMPROVEMENT IN RESPONSE TO YOGA-BASED INTERVENTIONS. THE OBSERVATION THAT TREATMENT RESISTANT CASES OF EPILEPSY AND DEPRESSION RESPOND TO VAGAL NERVE STIMULATION CORROBORATES THE NEED TO CORRECT PNS UNDERACTIVITY AS PART OF A SUCCESSFUL TREATMENT PLAN IN SOME CASES. ACCORDING TO THE PROPOSED THEORY, THE DECREASED PNS AND GABAERGIC ACTIVITY THAT UNDERLIES STRESS-RELATED DISORDERS CAN BE CORRECTED BY YOGA PRACTICES RESULTING IN AMELIORATION OF DISEASE SYMPTOMS. THIS HAS FAR-REACHING IMPLICATIONS FOR THE INTEGRATION OF YOGA-BASED PRACTICES IN THE TREATMENT OF A BROAD ARRAY OF DISORDERS EXACERBATED BY STRESS. 2012