1 924 93 EFFECTIVENESS OF YOGA IN EATING DISORDERS - A CASE REPORT. EATING DISORDERS ARE AMONG THE MOST COMMON PSYCHOSOMATIC DISEASES AND ARE OFTEN ASSOCIATED WITH NEGATIVE HEALTH CONSEQUENCES. THE USE OF YOGA AS A TREATMENT METHOD IN EATING DISORDERS IS CONTROVERSIAL DISCUSSED. THE INTERVIEWEE WAS A 38 YEAR OLD FEMALE PATIENT SUFFERING ON ANOREXIA NERVOSA AND VARIOUS PSYCHOSOMATIC-PSYCHIATRIC DIAGNOSES IN HER MEDICAL HISTORY. THE PATIENT REPORTED THAT YOGA RECOVERED THE SOUL CONTACT WHICH SHE LOST AND SHE HAD LEARNED TO PERCEIVE AND FEEL HERSELF AGAIN. SHE STATED THAT YOGA HELPED HER TO FIND ACCESS TO HER BODY AND ITS NEEDS AND TO COPE WITH HER TRAUMATIC EXPERIENCES. SHE ALSO REPORTED THAT ATTITUDES HAVE CHANGED IN RELATION TO HER STOMACH IN THE TREATMENT OF HER ANOREXIA. THE CASE REPORT CONFIRMED THE POSITIVE EFFECT OF YOGA ON EATING DISORDERS. RESEARCH SHOULD PAY PARTICULAR ATTENTION TO TAKING INTO ACCOUNT THE INFLUENCE OF INDIVIDUAL'S CO-MORBIDITIES, AS EATING DISORDERS USUALLY OCCUR IN ASSOCIATION WITH CO-MORBIDITIES. 2019 2 1686 28 ORTHOREXIA NERVOSA IN YOGA PRACTITIONERS: RELATIONSHIP WITH PERSONALITY, ATTITUDES ABOUT APPEARANCE, AND YOGA ENGAGEMENT. PURPOSE: DISORDERED EATING SYMPTOMS AND A HIGH PREVALENCE OF ORTHOREXIA NERVOSA CAN BE FOUND IN YOGA PRACTITIONERS. GIVEN THAT YOGA IS INCREASINGLY USED AS A COMPLEMENTARY TREATMENT FOR EATING DISORDERS (ED), UNDERSTANDING THE RELATIONSHIP BETWEEN YOGA PRACTICE AND THE DEVELOPMENT OF DISORDERED EATING IS CRUCIAL TO GUIDE TREATMENT RECOMMENDATIONS. THE GOAL OF THIS WORK IS, THEREFORE, TO STUDY THE RELATIONSHIPS BETWEEN ORTHOREXIA NERVOSA (ON) AND POTENTIAL RISK FACTORS FOR ON, IN AN INTERNATIONAL SAMPLE OF EXPERIENCED YOGA PRACTITIONERS. METHOD: AN ONLINE QUESTIONNAIRE THAT INCLUDED SEVERAL PSYCHOMETRIC INSTRUMENTS WAS RESPONDED BY 469 YOGA PRACTITIONERS. INSTRUMENTS USED WERE THE TERUEL ORTHOREXIA SCALE, YOGA IMMERSION SCALE, PASSION SCALE, FROST MULTIDIMENSIONAL PERFECTIONISM SCALE, SELF-DISCIPLINE SCALE OF NEO-PI-R, DRIVE FOR THINNESS SCALE OF EDI, AND BELIEFS ABOUT APPEARANCE SCALE. DESCRIPTIVE STATISTICS, CORRELATIONAL ANALYSIS AND MULTIPLE REGRESSION WERE USED TO EVALUATE RELATIONSHIPS BETWEEN ON AND THE OTHER VARIABLES. RESULTS: THE MAIN PREDICTORS OF ORTHOREXIA NERVOSA WERE THE DRIVE FOR THINNESS AND A HEALTHY ORTHOREXIA, SUGGESTING THAT, LIKE IN ANOREXIA AND BULIMIA, ORTHOREXIC INDIVIDUALS ARE ALSO CONCERNED WITH FOOD QUANTITY AND PHYSICAL APPEARANCE, RATHER THAN JUST FOOD QUALITY. CONCLUSIONS: THE POTENTIAL EFFECTS OF YOGA ON EATING BEHAVIOURS AND ATTITUDES OF LONG-TERM PRACTITIONERS, PARTICULARLY THE HIGH PREVALENCE OF ORTHOREXIA NERVOSA AND THE CONCERN FOR PHYSICAL APPEARANCE, SHOULD BE TAKEN INTO CONSIDERATION WHEN USING YOGA AS PREVENTION OR TREATMENT FOR EATING DISORDERS. LEVEL OF EVIDENCE: LEVEL V, DESCRIPTIVE CROSS-SECTIONAL STUDY. 2021 3 2071 23 THE EFFECT OF A SINGLE YOGA CLASS ON INTEROCEPTIVE ACCURACY IN PATIENTS AFFECTED BY ANOREXIA NERVOSA AND IN HEALTHY CONTROLS: A PILOT STUDY. PURPOSE: TO EVALUATE INTEROCEPTIVE ACCURACY (IAC) BEFORE AND AFTER A SINGLE YOGA CLASS IN A POPULATION OF PATIENTS WITH ANOREXIA NERVOSA (AN) AND IN A POPULATION OF HEALTHY CONTROLS (HC). METHODS: FIFTEEN PATIENTS WITH AN AND TWENTY HC WERE INCLUDED IN THE STUDY. ALL INDIVIDUALS PARTICIPATED IN A SINGLE YOGA CLASS. BEFORE (T0) AND AFTER (T1) THE YOGA CLASS, THEY UNDERWENT THE HEARTBEAT DETECTION TASK FOR THE EVALUATION OF IAC. AT T0, ALL PARTICIPANTS ALSO UNDERWENT A PSYCHOLOGICAL ASSESSMENT, INCLUDING EVALUATION OF DEPRESSION, ANXIETY, BODY AWARENESS, ALEXITHYMIA, SELF-OBJECTIFICATION AND EATING DISORDERS PSYCHOPATHOLOGY. RESULTS: PATIENTS WITH AN HAD LOWER IAC THAN HC AT T0. A SIGNIFICANT IMPROVEMENT OF IAC AT T1 WAS FOUND IN THE HC GROUP BUT NOT IN THE GROUP OF PATIENTS WITH AN. CONCLUSION: WE INFER THAT OUR FINDINGS MIGHT BE LINKED TO THE FACT THAT PATIENTS WITH AN, DIFFERENTLY FROM HC, DID NOT PROPERLY ATTEND TO THEIR BODIES, DESPITE THE YOGA CLASS. THIS HYPOTHESIS IS CONSISTENT WITH PREVIOUS STUDIES SHOWING THAT PATIENTS WITH AN HAVE DECREASED IAC DURING SELF-FOCUSED BEHAVIOR BECAUSE OF BODY-RELATED AVOIDANCE. MOREOVER, WE SURMISE THAT HC MIGHT BE KEENER TO IMPROVE THEIR PERCEPTION OF INTERNAL BODY SIGNALS EVEN AFTER A SINGLE YOGA CLASS BECAUSE THEIR EMOTIONAL AWARENESS SYSTEM IS NOT IMPAIRED. PATIENTS WITH AN, ON THE CONTRARY, MAY HAVE AN INTRINSIC IMPAIRMENT OF THEIR EMOTIONAL AWARENESS, MAKING IT HARDER FOR THEM TO MODULATE THEIR IAC. LEVEL OF EVIDENCE: LEVEL III, EVIDENCE OBTAINED FROM WELL-DESIGNED COHORT OR CASE-CONTROL ANALYTICAL STUDIES. 2021 4 257 30 A YOGA-BASED THERAPY PROGRAM DESIGNED TO IMPROVE BODY IMAGE AMONG AN OUTPATIENT EATING DISORDERED POPULATION: PROGRAM DESCRIPTION AND RESULTS FROM A MIXED-METHODS PILOT STUDY. POOR BODY IMAGE IS A CRITICAL BARRIER TO EATING DISORDER RECOVERY. THIS PILOT PROJECT WAS DESIGNED AS A FEASIBILITY STUDY TO EXAMINE A NOVEL GROUP-BASED, THERAPEUTIC YOGA AND BODY IMAGE PROGRAM (YBI) FOR ADDRESSING NEGATIVE BODY IMAGE IN THOSE CLINICALLY DIAGNOSED WITH AN EATING DISORDER (ANOREXIA, BULIMIA NERVOSA, AND OTHER SPECIFIED FEEDING OR EATING DISORDER) RECEIVING OUTPATIENT LEVEL TREATMENT AT AN EATING DISORDER TREATMENT CENTER LOCATED IN MINNEAPOLIS-ST. PAUL, MINNESOTA. SELF-ADMINISTERED QUESTIONNAIRES WERE COMPLETED BY 67 PARTICIPANTS AT THE BEGINNING AND END OF THE 8-WEEK SERIES, TO BETTER UNDERSTAND THE ACCEPTABILITY OF THE YBI PROGRAM AND ITS POTENTIAL EFFECTS ON BODY IMAGE AND SELF-WORTH DURING OUTPATIENT EATING DISORDER TREATMENT. QUANTITATIVE SURVEY QUESTIONS ASSESSED PARTICIPANTS' BODY IMAGE CONCERNS, WHILE OPEN-ENDED QUESTIONS PROBED PARTICIPANTS' EXPERIENCES AND THE PERCEIVED IMPACT OF THE YOGA PROGRAM ON THEIR BODY IMAGE. AFTER COMPLETION OF THE YOGA PROGRAM, MEAN ITEM SCORES ON THE BODY IMAGE CONCERN SURVEY IMPROVED: INCREASES RANGED FROM 0.3 TO 0.8 POINTS ON A 5-POINT SCALE. IN OPEN-ENDED QUESTIONS, PARTICIPANTS DESCRIBED MANY POSITIVE CHANGES TO THEIR BODY IMAGE. PARTICIPANTS REPORTED THAT THE YOGA PROGRAM IMPROVED THEIR SELF-ACCEPTANCE, SELF-AWARENESS, CONFIDENCE, EMOTIONAL AND PHYSICAL STRENGTH, AND WAS A POSITIVE FORM OF RELEASE. PARTICIPANTS ALSO DISCUSSED PHYSICAL AND EMOTIONAL CHALLENGES OF THE YOGA PROGRAM AND HOW THEY CONTRIBUTED TO SELF-JUDGMENT, VULNERABILITY, AND CONFRONTATION OF UNCOMFORTABLE FEELINGS. THE RESULTS OF THIS PILOT STUDY ARE PROMISING AND WARRANT CONSIDERATION OF MORE RIGOROUS STUDY DESIGNS TO EXPLORE THE POTENTIAL OF A BODY IMAGE SPECIFIC THERAPEUTIC YOGA PROGRAM TO AID THOSE IN EATING DISORDER TREATMENT TO IMPROVE BODY IMAGE DISTURBANCES. 2020 5 2473 24 YOGA AS ADJUNCTIVE THERAPY IN THE TREATMENT OF PEOPLE WITH ANOREXIA NERVOSA: A DELPHI STUDY. BACKGROUND: THERE IS PRELIMINARY EVIDENCE TO SUGGEST THAT YOGA CAN BE BENEFICIAL IN REDUCING ANXIETY, DEPRESSION AND GENERAL EATING DISORDER SYMPTOMS IN PEOPLE WITH ANOREXIA NERVOSA (AN). IT IS UNCLEAR WHETHER THE THERAPEUTIC BENEFITS OF YOGA ARE SUPPORTED OR UTILISED IN THE TREATMENT OF AN AMONGST CLINICAL EXPERTS. THE PRESENT STUDY AIMED TO EXPLORE AND SYNTHESISE EXPERT OPINION ON THE USE OF YOGA AS AN ADJUNCTIVE THERAPY IN THE MANAGEMENT OF ANXIETY, DEPRESSION AND OVER-EXERCISE IN INDIVIDUALS WITH AN. METHODS: A DELPHI METHODOLOGY WAS EMPLOYED, WITH CLINICIANS CONSIDERED EXPERTS IN THE TREATMENT OF AN RECRUITED INTERNATIONALLY TO FORM THE PANEL (N = 18). THE FIRST ITERATION OF QUESTIONNAIRES COMPRISED OF FOUR OPEN-ENDED QUESTIONS CONCERNING THE EXPERTS' UNDERSTANDING OF THE TERM YOGA AND OPINIONS ON ITS' USE IN THERAPY GENERALLY AND MORE SPECIFICALLY IN THE TREATMENT OF AN. USING CONTENT ANALYSIS, STATEMENTS WERE DERIVED FROM THIS DATA AND INCLUDED AS LIKERT-BASED ITEMS IN TWO SUBSEQUENT ROUNDS WHERE PANELLISTS RATED THEIR LEVEL OF AGREEMENT ON EACH ITEM. SEVENTEEN OUT OF 18 RESPONDENTS COMPLETED ALL THREE ITERATIONS. RESULTS: CONSENSUS (LEVEL OF AGREEMENT DEFINED AT >/= 85%) WAS ACHIEVED FOR 36.47% OF THE ITEMS INCLUDED IN THE SECOND AND THIRD ROUNDS. THE PANEL REACHED CONSENSUS ON ITEMS DEFINING YOGA AND PERTAINING TO ITS' GENERAL BENEFITS. THE PANEL AGREED THAT YOGA IS A ADJUNCT THERAPY FOR VARIOUS PROBLEMS, CONSENSUS WAS NOT ACHIEVED ON THE SPECIFIC USE OF YOGA AS AN ADJUNCT THERAPY IN THE TREATMENT OF COMORBID ANXIETY, DEPRESSION OR TRAUMA IN PATIENTS WITH AN. ALTHOUGH THE EXPERT PANEL ACKNOWLEDGED A NUMBER OF BENEFITS FOR USE OF YOGA IN AN, THEY STRONGLY ENDORSED THAT FUTURE RESEARCH SHOULD EVALUATE THE POTENTIAL RISKS OF USING YOGA AS AN EMBODIED PRACTICE. CONCLUSIONS: IT IS POSSIBLE THAT YOGA COULD BE CONSIDERED FOR INCLUSION IN FUTURE GUIDELINES IF SUPPORTED BY EMPIRICAL RESEARCH. WE CONCLUDE THAT THERE SEEMS TO BE ENOUGH CONSENSUS THAT SUCH FURTHER SCIENTIFIC INVESTIGATION IS WARRANTED. THIS STUDY AIMED TO EXPLORE EXPERT OPINION ON THE USE OF YOGA AS AN ADJUNCTIVE THERAPY IN THE MANAGEMENT OF ANXIETY, DEPRESSION AND OVER-EXERCISE IN INDIVIDUALS WITH ANOREXIA NERVOSA (AN). CLINICIANS CONSIDERED EXPERTS IN THE TREATMENT OF AN RECRUITED INTERNATIONALLY TO FORM THE PANEL (N = 18). EXPERTS WERE ASKED ABOUT THEIR UNDERSTANDING OF THE TERM YOGA AND THEIR OPINIONS ON ITS' USE IN THERAPY. THE PANEL REACHED CONSENSUS ON ITEMS DEFINING YOGA AND PERTAINING TO ITS' GENERAL BENEFITS. ALTHOUGH THE PANEL AGREED THAT YOGA IS A NICE ADDITIONAL THERAPY FOR VARIOUS PROBLEMS, CONSENSUS WAS NOT ACHIEVED ON THE USE OF YOGA AS AN ADDITIONAL THERAPY IN THE TREATMENT OF SPECIFIC PROBLEMS LIKE ANXIETY, DEPRESSION OR TRAUMA IN PEOPLE WITH AN. THE EXPERT PANEL ACKNOWLEDGED A NUMBER OF BENEFITS FOR USE OF YOGA IN AN. HOWEVER THE PANEL STRONGLY CONSIDERED THAT FUTURE RESEARCH SHOULD EVALUATE THE POTENTIAL RISKS OF USING YOGA AS AN EMBODIED PRACTICE. THE AREAS OF COLLECTIVE AGREEMENT GAINED IN THE STUDY CAN SERVE AS PRELIMINARY GUIDELINES FOR THE USE OF YOGA IN AN WHILST GUIDING FUTURE RESEARCH DIRECTIONS. 2021 6 1858 24 RANDOMIZED CONTROLLED CLINICAL TRIAL OF YOGA IN THE TREATMENT OF EATING DISORDERS. PURPOSE: THIS WAS A PILOT PROJECT DESIGNED TO ASSESS THE EFFECT OF INDIVIDUALIZED YOGA TREATMENT ON EATING DISORDER OUTCOMES AMONG ADOLESCENTS RECEIVING OUTPATIENT CARE FOR DIAGNOSED EATING DISORDERS (ANOREXIA NERVOSA, BULIMIA NERVOSA, EATING DISORDER NOT OTHERWISE SPECIFIED). METHODS: A TOTAL OF 50 GIRLS AND 4 BOYS AGED 11-21 YEARS WERE RANDOMIZED TO AN 8-WEEK TRIAL OF STANDARD CARE VS. INDIVIDUALIZED YOGA PLUS STANDARD CARE. OF THESE, 27 WERE RANDOMIZED TO STANDARD CARE AND 26 TO YOGA PLUS STANDARD CARE (ATTRITION: N = 4). STANDARD CARE (EVERY OTHER WEEK PHYSICIAN AND/OR DIETICIAN APPOINTMENTS) WAS REQUIRED TO MEET ETHICAL GUIDELINES. THE NO YOGA GROUP WAS OFFERED YOGA AFTER STUDY COMPLETION AS AN INCENTIVE TO MAINTAIN PARTICIPATION. OUTCOMES EVALUATED AT BASELINE, END OF TRIAL, AND 1-MONTH FOLLOW-UP INCLUDED EATING DISORDER EXAMINATION (EDE), BODY MASS INDEX (BMI), BECK DEPRESSION INVENTORY, STATE-TRAIT ANXIETY INVENTORY, AND FOOD PREOCCUPATION QUESTIONNAIRE. RESULTS: THE YOGA GROUP DEMONSTRATED GREATER DECREASES IN EATING DISORDER SYMPTOMS. SPECIFICALLY, THE EDE SCORES DECREASED OVER TIME IN THE YOGA GROUP, WHEREAS THE NO YOGA GROUP SHOWED SOME INITIAL DECLINE BUT THEN RETURNED TO BASELINE EDE LEVELS AT WEEK 12. FOOD PREOCCUPATION WAS MEASURED BEFORE AND AFTER EACH YOGA SESSION, AND DECREASED SIGNIFICANTLY AFTER ALL SESSIONS. BOTH GROUPS MAINTAINED CURRENT BMI LEVELS AND DECREASED IN ANXIETY AND DEPRESSION OVER TIME. CONCLUSIONS: INDIVIDUALIZED YOGA TREATMENT DECREASED EDE SCORES AT 12 WEEKS, AND SIGNIFICANTLY REDUCED FOOD PREOCCUPATION IMMEDIATELY AFTER YOGA SESSIONS. YOGA TREATMENT DID NOT HAVE A NEGATIVE EFFECT ON BMI. RESULTS SUGGEST THAT INDIVIDUALIZED YOGA THERAPY HOLDS PROMISE AS ADJUNCTIVE THERAPY TO STANDARD CARE. 2010 7 2903 23 [HOW SHOULD YOGA IN ANOREXIA NERVOSA TREATMENT BE APPLIED? A QUALITATIVE PILOT STUDY ON YOGA STRATEGIES PERCEIVED TO BE BENEFICIAL FROM PATIENTS' PERSPECTIVE]. AN ALTERED INTEROCEPTION IS A CENTRAL CORRELATE OF ANOREXIA NERVOSA (AN) AND ADDRESSING THIS ISSUE OFFERS A PROMISING APPROACH IN THE TREATMENT OF AN. FIRST RESULTS HAVE SHOWN THE EFFECTIVENESS OF YOGA AS A BODY-FOCUSED INTERVENTION IN THE TREATMENT OF AN. HOWEVER, TO DATE THERE IS A LACK OF EMPIRICAL EVIDENCE REGARDING THE QUESTION HOW YOGA STRATEGIES AND YOGA ELEMENTS (POSTURES, RELAXATION, BREATH, MEDITATION) SHOULD BE APPLIED. AGAINST THIS BACKGROUND, WE CONDUCTED A QUALITATIVE PILOT STUDY WITH N=6 FEMALE PATIENTS WITH AN UNDERGOING TREATMENT IN A SPECIALIST UNIT SUPPORTING RE-INSERTION SUBSEQUENT TO A PRECEDING INPATIENT AN TREATMENT. STUDY PARTICIPANTS RECEIVED A WEEKLY ONE-HOUR HATHA-YOGA INTERVENTION OVER AT LEAST 12 WEEKS. AFTER THE YOGA INTERVENTION, SEMI-STRUCTURED INTERVIEWS (1/2 TO 1 HOUR) WERE CONDUCTED TO ASSESS THE EXPERIENCES OF THE STUDY PARTICIPANTS DURING THE YOGA INTERVENTION. THE DATA WERE ANALYZED USING GROUNDED THEORY. AT THE UPPER LEVEL OF ANALYSIS, FOUR CATEGORIES WERE DIFFERENTIATED: INFORMATION REGARDING 1) STUDY PARTICIPANTS' SYMPTOMS, 2) ASPECTS OF THE SETTING EXPERIENCED TO BE BENEFICIAL, 3) YOGA STRATEGIES PERCEIVED TO BE BENEFICIAL AND 4) PERCEIVED CONSEQUENCES OF YOGA STRATEGIES. WITH REGARD TO THE YOGA STRATEGIES PERCEIVED TO BE BENEFICIAL, ANALYSES REVEALED 4 SUBCATEGORIES: FEATURES OF 1) POSTURES AND MOVEMENTS, 2) BREATH AND MEDITATION EXERCISES, 3) RELAXATION EXERCISES AND 4) GENERAL INFORMATION ABOUT THE SETTING. THE RESULTS GIVE FIRST INDICATIONS REGARDING THE CONCEPTUALIZATION OF YOGA IN THE TREATMENT OF AN AND POTENTIAL MECHANISMS. FURTHER QUALITATIVE AND QUANTITATIVE STUDIES ARE NEEDED, E.G., WITH REGARD TO EFFECTIVENESS, CONTRAINDICATIONS, MEDIATORS OR MODERATORS TO BETTER EVALUATE THE POTENTIAL OF YOGA IN THE TREATMENT OF AN. 2021 8 653 23 EATING DISORDERS, EMBODIMENT, AND YOGA: A CONCEPTUAL OVERVIEW. YOGA AND ITS RELATION TO EMBODIMENT AND DISORDERED EATING HAS ONLY RECENTLY RECEIVED RESEARCH ATTENTION. NEVERTHELESS, EARLY RESEARCH INDICATES THAT YOGA IS AN EFFECTIVE TOOL IN THE PREVENTION AND TREATMENT OF EATING DISORDERS. IT IS ASSUMED THAT YOGA AMELIORATES EATING DISORDER SYMPTOMS AND FACILITATES A SHIFT FROM NEGATIVE TOWARDS POSITIVE BODY IMAGE AND WELL-BEING BY CULTIVATING POSITIVE EMBODIMENT (I.E., THE ABILITY TO FEEL A SENSE OF CONNECTION BETWEEN MIND AND BODY). IN ORDER TO PROVIDE THE CONTEXT OF THE CONSTRUCTS OF DISORDERED EATING, EMBODIMENT, AND YOGA, THIS ARTICLE PRESENTS A BRIEF OVERVIEW AND CONCEPTUALIZATION OF THESE CONSTRUCTS. THE THREE MAJOR EATING DISORDERS AND CURRENT TREATMENT METHODS ARE DESCRIBED. FURTHER, THE PHILOSOPHICAL ROOTS AND THEORETICAL MODELS OF EMBODIMENT ARE DELINEATED AND THEIR COMMUNAL CORE FEATURES ARE OUTLINED. LASTLY, THE ORIGIN, BASIC PRINCIPLES, AND MODERN INTERPRETATIONS OF YOGA ARE DISCUSSED. 2020 9 391 22 BENEFITS OF YOGA IN THE TREATMENT OF EATING DISORDERS: RESULTS OF A RANDOMIZED CONTROLLED TRIAL. YOGA HAS BEGUN TO BE INCORPORATED INTO THE TREATMENT OF EATING DISORDERS DESPITE LIMITED EMPIRICAL SUPPORT FOR THIS PRACTICE. THE PURPOSE OF THIS STUDY WAS TO INVESTIGATE THE EFFICACY OF INCORPORATING YOGA INTO THE TREATMENT OF EATING DISORDERS. THIS PRELIMINARY RANDOMIZED CONTROLLED TRIAL INVESTIGATED THE BENEFITS OF PARTICIPATING IN AN EIGHT-WEEK KRIPALU YOGA PROGRAM FOR 53 WOMEN WITH SYMPTOMS OF BULIMIA NERVOSA AND BINGE EATING DISORDER. COMPARED TO WAITLIST CONTROLS, YOGA PARTICIPANTS EXPERIENCED DECREASES IN BINGE EATING FREQUENCY, EMOTIONAL REGULATION DIFFICULTIES AND SELF-CRITICISM, AND INCREASES IN SELF-COMPASSION. YOGA PARTICIPANTS ALSO EXPERIENCED INCREASES IN STATE MINDFULNESS SKILLS ACROSS THE EIGHT WEEKS OF THE YOGA PROGRAM. WHILE THESE RESULTS ARE ENCOURAGING AND SUGGEST YOGA MAY HAVE A VALUABLE ROLE TO PLAY IN THE TREATMENT OF EATING DISORDERS, IT IS IMPORTANT TO STRESS THEIR TENTATIVE NATURE. FURTHER RESEARCH, ADOPTING A MORE RIGOROUS DESIGN, IS NEEDED TO ADDRESS THE LIMITATIONS OF THE PRESENT STUDY AND EXPAND ON THESE FINDINGS. 2020 10 43 24 A CASE REPORT OF PATIENT PRACTISING YOGA LEADING TO DENTAL EROSION. THE ARTICLE PRESENTS THE CASE OF A PATIENT WHO WAS PRACTISING YOGA (KUNJAL KRIYA) WHICH LED TO DENTAL EROSION. DENTAL EROSION CAN BE DUE TO EXTRINSIC OR INTRINSIC CAUSES. THE INTRINSIC CAUSES INCLUDE VOMITING DUE TO ANOREXIA NERVOSA, REGURGITATION DUE TO ABNORMALITY IN GASTRO-INTESTINAL TRACT OR RUMINATION. A 38-YEAR-OLD MALE PATIENT PRESENTED WITH A RARE AETIOLOGY OF DENTAL EROSION. HE HAD PRACTICED KUNJAL KRIYA ONE OF THE YOGIC EXERCISES DESCRIBED IN ANCIENT INDIA. IN KUNJAL KRIYA THE PATIENT VOMITS ON AN EMPTY STOMACH IN ORDER TO CLEAN HIS OR HER GASTRO-INTESTINAL TRACT. THE PATIENT HAD PRACTICED THIS FORM OF EXERCISE FOR OVER 12 YEARS WHICH HAD LED TO SEVERE DENTAL EROSION. A PROPER CASE HISTORY SHOULD BE EVALUATED FOR EVERY PATIENT SO THAT THEY CAN BE COUNSELLED FOR ANY FACTORS THAT COULD BE DETRIMENTAL TO DENTAL HEALTH. EARLY DIAGNOSIS IS PARAMOUNT IN RECOGNISING THE AETIOLOGY OF DENTAL EROSION SO THAT DETRIMENTAL EFFECTS ON THE DENTITION CAN BE PREVENTED. 2007 11 2517 17 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 12 635 22 DISORDERED EATING BEHAVIOURS AND CORRELATES IN YOGA PRACTITIONERS: A SYSTEMATIC REVIEW. PURPOSE: YOGA HAS BEEN INCREASINGLY USED AS A COMPLEMENTARY THERAPY FOR EATING DISORDERS. HOWEVER, IT IS STILL NOT CLEAR WHETHER YOGA IS EFFECTIVE IN THE PREVENTION AND TREATMENT OF EATING DISORDERS, AS SOME STUDIES SUGGEST THAT YOGA PRACTITIONERS SHOW ELEVATED LEVELS OF DISORDERED EATING BEHAVIOURS. THE GOAL OF THIS SYSTEMATIC REVIEW IS, THUS, TO ANALYSE THE OCCURRENCE OF DISORDERED EATING BEHAVIOURS AND CORRELATES IN YOGA PRACTITIONERS. METHOD: PRISMA GUIDELINES FOR SYSTEMATIC REVIEWS WERE USED. SEARCH WAS CONDUCTED IN SEVERAL DATABASES AND SPECIFIC JOURNALS. RESULTS: TWELVE ARTICLES, ALL CROSS-SECTIONAL, WERE IDENTIFIED, FOLLOWING PRISMA GUIDELINES. RESULTS ACROSS STUDIES WERE INCONSISTENT. YOGA PRACTICE WAS USUALLY ASSOCIATED WITH HEALTHIER EATING BEHAVIOURS, LOWER DISORDERED EATING SYMPTOMS, AND HIGHER POSITIVE BODY IMAGE AND BODY SATISFACTION, SUGGESTING THAT YOGA PRACTITIONERS MAY BE AT A LOWER RISK OF DEVELOPING EATING DISORDERS. HOWEVER, OTHER STUDIES SUGGESTED THAT A HIGH DOSAGE OF YOGA PRACTICE MAY BE ASSOCIATED WITH A HIGHER PREVALENCE OF DISORDERED EATING BEHAVIOURS. CONCLUSIONS: AS YOGA IS INCREASINGLY USED AS THERAPY FOR EATING DISORDERS, UNDERSTANDING THE RELATIONSHIP BETWEEN YOGA DOSAGE AND DISORDERED EATING BEHAVIOURS IS CRITICAL TO GUIDE TREATMENT RECOMMENDATIONS AND ESTABLISH YOGA AS A VALUABLE COMPLEMENTARY THERAPY. LEVEL OF EVIDENCE: LEVEL I, SYSTEMATIC REVIEW. 2019 13 15 20 "OVEREATING IS NOT ABOUT THE FOOD": WOMEN DESCRIBE THEIR EXPERIENCE OF A YOGA TREATMENT PROGRAM FOR BINGE EATING. AS PART OF A LARGER MIXED-METHODS STUDY, DATA FROM 20 PERSONAL JOURNALS WERE ANALYZED TO EXAMINE THE EXPERIENCE OF A 12-WEEK YOGA TREATMENT PROGRAM FOR BINGE EATING AMONG A SAMPLE OF 25 WOMEN WHO WERE OBESE. QUALITATIVE ANALYSIS REVEALED A POSITIVE SHIFT EXPERIENCED BY THE WOMEN DURING THE PROGRAM, SUMMARIZED BY A GENERAL STRUCTURAL DESCRIPTION: DISCONNECTION VERSUS CONNECTION. WOMEN'S COMMENTS SUGGESTED THAT THE PROGRAM APPEARED TO ENCOURAGE A HEALTHY RECONNECTION TO FOOD, AS WELL AS THE DEVELOPMENT OF PHYSICAL SELF-EMPOWERMENT, THROUGH CULTIVATING PRESENT-MOMENT AWARENESS. SPECIFICALLY, WOMEN PERCEIVED AN OVERALL REDUCTION IN THE QUANTITY OF FOOD THEY CONSUMED, DECREASED EATING SPEED, AND AN IMPROVEMENT IN FOOD CHOICES THROUGHOUT THE PROGRAM. THE WOMEN ALSO REPORTED FEELING MORE CONNECTED TO AND POSITIVE ABOUT THEIR PHYSICAL WELL-BEING. THESE EVOLVING OUTCOMES WERE SUMMARIZED THROUGH TWO MAJOR THEMES: THE WAY THEIR PHYSICALITY CHANGED, AND THE WAY THEIR FOOD CONSUMPTION CHANGED OVER TIME. FINDINGS PROVIDE INSIGHTS RELEVANT TO THERAPEUTIC PROCESSES THAT MIGHT OCCUR WITHIN EATING DISORDER INTERVENTIONS THAT DRAW ON MEDITATION-BASED APPROACHES. 2009 14 1278 16 FUTURE DIRECTIONS FOR RESEARCH ON YOGA AND POSITIVE EMBODIMENT. THIS ARTICLE PROVIDES THE CONCLUDING THOUGHTS ON THE SPECIAL ISSUE, YOGA FOR POSITIVE EMBODIMENT IN EATING DISORDER PREVENTION AND TREATMENT, WHICH ILLUSTRATE THE PROGRESS BEING MADE ON THE RELATIONSHIP BETWEEN YOGA PRACTICE AND THE DIFFERENT INDICATORS OF POSITIVE EMBODIMENT THAT IS RELEVANT FOR THE PREVENTION AND TREATMENT OF EATING DISORDERS. BASED ON THE CURRENT BODY OR WORK, WE OFFER RECOMMENDATIONS FOR THE NEXT STEPS FOR RESEARCHERS FOR POPULATION-BASED, QUALITATIVE, AND PREVENTION AND INTERVENTION RESEARCH. 2020 15 2402 25 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 16 2302 17 THINKING THROUGH THE BODY: THE CONCEPTUALIZATION OF YOGA AS THERAPY FOR INDIVIDUALS WITH EATING DISORDERS. YOGA HAS HISTORICALLY BEEN VIEWED AS A DISCIPLINE THAT INCREASES SELF-AWARENESS THROUGH BODY BASED PRACTICES, MEDITATION, SELF-STUDY, AND THE READING OF PHILOSOPHICAL TEXTS. IN THE 21ST CENTURY THE MINDFULNESS TECHNIQUES OF YOGA HAVE BEEN ADAPTED AS AN ADJUNCT TO THE TREATMENT OF INDIVIDUALS WITH EATING DISORDERS. IN AN EFFORT TO UNDERSTAND THE CONCEPTUALIZATION OF YOGA AS THERAPY FOR INDIVIDUALS WITH EATING DISORDERS, THIS ARTICLE JUXTAPOSES HOW MINDFULNESS BASED YOGA IS REGARDED IN THREE DISCIPLINES: SOCIOLOGY, NEUROSCIENCE, AND THE "SPIRITUAL TEXTS" OF YOGA. 2011 17 1500 22 INTRODUCTION TO THE SPECIAL ISSUE ON YOGA AND POSITIVE EMBODIMENT: A NOTE FROM THE EDITORS ON HOW WE GOT HERE. STUDYING THE PRACTICE OF YOGA AND ITS RELATIONSHIP TO BODY IMAGE, EMBODIMENT, AND EATING DISORDERS BRINGS TOGETHER THE PROFESSIONAL AND PERSONAL ASPECTS OF OUR LIVES AS YOGA PRACTITIONERS, RESEARCHERS, AND WOMEN LIVING IN BODIES WITHIN A SOCIETY THAT CAN BE TOUGH ON BODY APPRECIATION. DEVELOPING THIS EDITION ON "YOGA FOR POSITIVE EMBODIMENT IN EATING DISORDER PREVENTION AND TREATMENT" HAS BEEN A WORK OF LOVE FOR ALL OF US. AS YOGA PRACTITIONERS, WE HAVE PERSONALLY EXPERIENCED THE BENEFITS OF YOGA IN OUR OWN BODIES AND FELT THAT THERE MAY BE BENEFITS FOR OTHERS. AS RESEARCHERS, WE ARE DEDICATED TO THE EXPLORATION AND UTILIZATION OF EVIDENCE-BASED PRACTICES TO ENHANCE WELL-BEING, PROMOTE A POSITIVE BODY IMAGE AND SENSE OF EMBODIMENT, AND BOTH PREVENT AND TREAT EATING DISORDERS. OUR EXPERIENCES AS YOGA PRACTITIONERS, IN CONJUNCTION WITH OUR CURIOSITY AS RESEARCHERS, LED US TO EXPLORE THE EXTANT EVIDENCE FOR YOGA AS A TOOL FOR LEADING TO IMPROVEMENTS IN BODY IMAGE, DISORDERED EATING BEHAVIORS, AND EATING DISORDERS, AND TO EMBARK ON OUR OWN RESEARCH IN THIS AREA TO FILL NECESSARY GAPS IN OUR KNOWLEDGE BASE. OUR LONG-TERM DEDICATION TO THE FIELDS OF BODY IMAGE AND EATING DISORDERS, IN CONJUNCTION WITH OUR EMERGING INTEREST IN YOGA AS A POTENTIAL TOOL, LED US TO THE COMPILATION OF THIS EDITION ON YOGA AND POSITIVE EMBODIMENT. 2020 18 1481 24 INTEGRATING YOGA INTO PSYCHOTHERAPY: THE ETHICS OF MOVING FROM THE MIND TO THE MAT. GIVEN THE RISE IN ATTENTION TO CLIENT PREFERENCES IN MEDICAL TREATMENT AND THE SHIFT IN FOCUS TOWARD HEALTH PROMOTION, IT IS NOT SURPRISING THAT THE USE OF COMPLEMENTARY HEALTH APPROACHES HAVE INCREASED IN THE PAST SEVERAL YEARS. YOGA IS AMONG THE MOST PROMINENT COMPLEMENTARY HEALTH APPROACHES. RECENTLY, BOTH QUALITATIVE AND QUANTITATIVE WORK HAS EMERGED SUPPORTING ITS USE FOR A VARIETY OF MEDICAL AND PSYCHOLOGICAL DISORDERS. HOWEVER, THERE IS A CRITICAL GAP IN KNOWLEDGE REGARDING HOW TO MOST OPTIMALLY AND ETHICALLY INTEGRATE COMPLEMENTARY THERAPIES (I.E., YOGA) INTO CURRENT PSYCHOLOGY PRACTICES. MOREOVER, IT REMAINS UNCLEAR WHICH CLIENTS ARE THE BEST CANDIDATES FOR RECEIVING SUCH COMPLEMENTARY TREATMENTS AND WHICH THERAPISTS SHOULD PROVIDE THEM. THE PURPOSE OF THIS PAPER IS TO PROVIDE AN OVERVIEW OF THE HISTORY OF YOGA, THE SCIENTIFIC EVIDENCE IN SUPPORT OF ITS USE FOR MENTAL HEALTH ISSUES, AND AN ETHICAL FRAMEWORK TO GUIDE PSYCHOLOGISTS INTERESTED IN INTEGRATING YOGA INTO PSYCHOTHERAPY. 2017 19 2341 27 USE OF YOGA IN OUTPATIENT EATING DISORDER TREATMENT: A PILOT STUDY. BACKGROUND: INDIVIDUALS WITH RESTRICTIVE EATING DISORDERS PRESENT WITH CO-MORBID PSYCHIATRIC DISORDERS AND MANY ATTEMPT TO CONTROL SYMPTOMS USING STRENUOUS EXERCISES THAT INCREASE CALORIC EXPENDITURE. YOGA OFFERS A SAFE AVENUE FOR THE ENGAGEMENT IN PHYSICAL ACTIVITY WHILE PROVIDING AN OUTLET FOR DISEASE-ASSOCIATED SYMPTOMS. THIS STUDY SOUGHT TO EXAMINE USE OF YOGA PRACTICE IN AN OUTPATIENT SETTING AND ITS IMPACT ON ANXIETY, DEPRESSION AND BODY IMAGE DISTURBANCE IN ADOLESCENTS WITH EATING DISORDERS. METHODS: TWENTY ADOLESCENT GIRLS WERE RECRUITED FROM AN URBAN EATING DISORDERS CLINIC WHO PARTICIPATED IN WEEKLY YOGA CLASSES AT A LOCAL STUDIO, IN ADDITION TO STANDARD MULTIDISCIPLINARY CARE. YOGA INSTRUCTORS UNDERWENT TRAINING REGARDING THIS PATIENT POPULATION. PARTICIPANTS COMPLETED QUESTIONNAIRES FOCUSED ON ANXIETY, DEPRESSION AND BODY IMAGE DISTURBANCE PRIOR TO THE FIRST CLASS, AND FOLLOWING COMPLETION OF 6 AND 12 CLASSES. RESULTS: IN PARTICIPANTS WHO COMPLETED THE STUDY, A STATISTICALLY SIGNIFICANT DECREASE IN ANXIETY, DEPRESSION, AND BODY IMAGE DISTURBANCE WAS SEEN, INCLUDING: SPIELBERGER STATE ANXIETY MEAN SCORES DECREASED AFTER THE COMPLETION OF 7-12 YOGA CLASSES [47 (95%CI 42-52) TO 42 (95%CI 37-47), ADJ. P = 0.0316]; AS DID THE ANOREXIA NERVOSA SCALE [10 (95% CI 7-12) VS. 6 (95%CI 4-8), ADJ. P = .0004], SCORES ON BECK DEPRESSION SCALES [18 (95%CI 15-22) TO 10 (95%CI 6-14), ADJ. P = .0001], AND WEIGHT AND SHAPE CONCERN SCORES [16 (95%CI 12-20) TO 12 (95%CI 8-16), ADJ. P =0.0120] AND [31 (95%CI 25-37) TO 20 (95%CI 13-27), ADJ. P = 0.0034], RESPECTIVELY. NO SIGNIFICANT CHANGES IN BODY MASS INDEX WERE SEEN THROUGHOUT THE TRIAL. CONCLUSIONS: YOGA PRACTICE COMBINED WITH OUTPATIENT EATING DISORDER TREATMENT WERE SHOWN TO DECREASE ANXIETY, DEPRESSION, AND BODY IMAGE DISTURBANCE WITHOUT NEGATIVELY IMPACTING WEIGHT. THESE PRELIMINARY RESULTS SUGGEST YOGA TO BE A PROMISING ADJUNCT TREATMENT STRATEGY, ALONG WITH STANDARD MULTIDISCIPLINARY CARE. HOWEVER, WHETHER YOGA SHOULD BE ENDORSED AS A STANDARD COMPONENT OF OUTPATIENT EATING DISORDER TREATMENT MERITS FURTHER STUDY. 2016 20 65 19 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