1 2466 99 YOGA AS A THERAPEUTIC INTERVENTION: A BIBLIOMETRIC ANALYSIS OF PUBLISHED RESEARCH STUDIES. ALTHOUGH YOGA IS HISTORICALLY A SPIRITUAL DISCIPLINE, IT HAS ALSO BEEN USED CLINICALLY AS A THERAPEUTIC INTERVENTION. A BIBLIOMETRIC ANALYSIS ON THE BIOMEDICAL JOURNAL LITERATURE INVOLVING RESEARCH ON THE CLINICAL APPLICATION OF YOGA HAS REVEALED AN INCREASE IN PUBLICATION FREQUENCY OVER THE PAST 3 DECADES WITH A SUBSTANTIAL AND GROWING USE OF RANDOMIZED CONTROLLED TRIALS. TYPES OF MEDICAL CONDITIONS HAVE INCLUDED PSYCHOPATHOLOGICAL (E.G. DEPRESSION, ANXIETY), CARDIOVASCULAR (E.G. HYPERTENSION, HEART DISEASE), RESPIRATORY (E.G. ASTHMA), DIABETES AND A VARIETY OF OTHERS. A MAJORITY OF THIS RESEARCH HAS BEEN CONDUCTED BY INDIAN INVESTIGATORS AND PUBLISHED IN INDIAN JOURNALS, PARTICULARLY YOGA SPECIALTY JOURNALS, ALTHOUGH RECENT TRENDS INDICATE INCREASING CONTRIBUTIONS FROM INVESTIGATORS IN THE U.S. AND ENGLAND. YOGA THERAPY IS A RELATIVELY NOVEL AND EMERGING CLINICAL DISCIPLINE WITHIN THE BROAD CATEGORY OF MIND-BODY MEDICINE, WHOSE GROWTH IS CONSISTENT WITH THE BURGEONING POPULARITY OF YOGA IN THE WEST AND THE INCREASING WORLDWIDE USE OF ALTERNATIVE MEDICINE. 2004 2 2445 25 YOGA AND SUBSTANCE USE DISORDERS: A NARRATIVE REVIEW. YOGA HAS BEEN UTILIZED FOR PROMOTION OF HEALTH AND ALLEVIATING DISTRESS. IT HAS ALSO BEEN USED AS A THERAPEUTIC MEASURE IN THE FIELD OF MENTAL HEALTH, INCLUDING SUBSTANCE USE DISORDERS. THIS NARRATIVE REVIEW DISCUSSES THE LITERATURE PERTAINING TO USE OF YOGA IN THE TREATMENT OF SUBSTANCE USE DISORDERS. THE EVIDENCE BASE ESPECIALLY WITH REGARDS TO RANDOMIZED TRIALS IS PRESENTED. THE POSSIBLE MECHANISMS HOW YOGA MIGHT BE HELPFUL IN THE TREATMENT OF SUBSTANCE USE DISORDERS ARE EXPLORED. SUBSEQUENTLY, IMPLICATIONS OF YOGA IN CLINICAL PRACTICE ARE ELABORATED, FOLLOWED BY EXAMINATION OF THE ISSUES IN INTERPRETATION OF THE LITERATURE OF PUBLISHED YOGA RELATED STUDIES. 2017 3 1294 22 GUIDELINES FOR DEVELOPING YOGA INTERVENTIONS FOR RANDOMIZED TRIALS. LITTLE GUIDANCE IS AVAILABLE TO ASSIST RESEARCHERS IN DEVELOPING TREATMENT PROTOCOLS FOR RESEARCH ON YOGA FOR HEALTH CONCERNS. BECAUSE YOGA IS A COMPLEX MULTIFACTORIAL MIND-BODY DISCIPLINE HISTORICALLY DEVELOPED FOR NONMEDICAL PURPOSES, NUMEROUS DECISIONS MUST BE MADE IN ORDER TO THOUGHTFULLY DEVELOP SUCH PROTOCOLS. IN THIS PAPER, A SYSTEMATIC APPROACH IS PROPOSED TO ASSIST RESEARCHERS IN SELECTING AN INTERVENTION THAT IS APPROPRIATE FOR THE CONDITION UNDER CONSIDERATION AND EXPLICITLY DEVELOPED. RESEARCHERS NEED TO CONSIDER THE TYPE OR "STYLE" OF YOGA, THE COMPONENTS TO INCLUDE (E.G., BREATHING EXERCISES, POSTURES) AS WELL AS THE SPECIFIC PROTOCOL FOR EACH COMPONENT, THE DOSE TO BE DELIVERED (FREQUENCY, DURATION OF PRACTICE, AND THE TOTAL DURATION OF PRACTICE), AND ISSUES RELATED TO SELECTION OF INSTRUCTORS AND MONITORING THE FIDELITY TO THE INTERVENTION. EACH OF THESE DOMAINS AND THE KEY ISSUES FOR THE DEVELOPMENT OF PROTOCOLS IS DISCUSSED. FINALLY, SOME AREAS FOR FURTHER RESEARCH RELATED TO PROTOCOL DEVELOPMENT ARE RECOMMENDED. 2012 4 588 27 DETERMINING PSYCHONEUROIMMUNOLOGIC MARKERS OF YOGA AS AN INTERVENTION FOR PERSONS DIAGNOSED WITH PTSD: A SYSTEMATIC REVIEW. THERE IS A GROWING BODY OF RESEARCH ON YOGA AS A THERAPEUTIC INTERVENTION FOR PSYCHOLOGICAL SYMPTOMS OF POST-TRAUMATIC STRESS DISORDER (PTSD) ACCOMPANIED BY SPECULATIONS ON UNDERLYING PHYSIOLOGIC MECHANISMS. THE PURPOSE OF THIS SYSTEMATIC REVIEW IS TO IDENTIFY, QUALITATIVELY EVALUATE, AND SYNTHESIZE STUDIES OF YOGA AS AN INTERVENTION FOR PTSD THAT MEASURED PHYSIOLOGIC OUTCOMES IN ORDER TO GAIN INSIGHTS INTO POTENTIAL MECHANISMS. THE FOCUS IS ON STUDIES EVALUATING YOGA AS A THERAPEUTIC INTERVENTION FOR PTSD RATHER THAN FOR TRAUMA EXPOSURE, PTSD PREVENTION, OR SUBCLINICAL PTSD. MULTIPLE DATABASES WERE SEARCHED FOR PUBLICATIONS FROM THE PAST TWO DECADES USING TERMS DERIVED FROM THE QUESTION, "IN PEOPLE WITH PTSD, WHAT IS THE EFFECT OF YOGA ON OBJECTIVE OUTCOMES?" ELIGIBILITY CRITERIA INCLUDED YOGA-ONLY MODALITIES TESTED AS AN INTERVENTION FOR FORMALLY DIAGNOSED PTSD WITH AT LEAST ONE PHYSIOLOGIC OUTCOME. RESULTS OF THIS REVIEW CONFIRMED THAT, THOUGH MUCH OF THE PUBLISHED LITERATURE PROPOSES PHYSIOLOGICAL MECHANISMS UNDERLYING YOGA'S EFFECTS ON PTSD, VERY FEW STUDIES ( N = 3) HAVE ACTUALLY EVALUATED PHYSIOLOGICAL EVIDENCE. ADDITIONALLY, SEVERAL STUDIES HAD METHODOLOGICAL LIMITATIONS. IN LIGHT OF THE LIMITED DATA SUPPORTING YOGA'S BENEFICIAL EFFECTS ON AUTONOMIC NERVOUS SYSTEM DYSREGULATION, WE PRESENT A THEORETICAL MODEL OF THE PSYCHONEUROIMMUNOLOGIC PROCESSES ASSOCIATED WITH PTSD AND THE EFFECTS YOGA MAY HAVE ON THESE PROCESSES TO GUIDE FUTURE RESEARCH. GAPS IN THE LITERATURE REMAIN FOR MECHANISMS RELATED TO ACTIVATION OF THE HYPOTHALAMIC-PITUITARY-ADRENAL AXIS AND INFLAMMATION. ADDITIONAL RIGOROUS MECHANISTIC STUDIES ARE NEEDED TO GUIDE DEVELOPMENT OF EFFECTIVE YOGA INTERVENTIONS FOR PTSD TO AUGMENT EXISTING EVIDENCE-BASED PTSD TREATMENTS. 2018 5 93 30 A NARRATIVE REVIEW OF YOGA AND MINDFULNESS AS COMPLEMENTARY THERAPIES FOR ADDICTION. THIS PAPER REVIEWS THE PHILOSOPHICAL ORIGINS, CURRENT SCIENTIFIC EVIDENCE, AND CLINICAL PROMISE OF YOGA AND MINDFULNESS AS COMPLEMENTARY THERAPIES FOR ADDICTION. HISTORICALLY, THERE ARE EIGHT ELEMENTS OF YOGA THAT, TOGETHER, COMPRISE ETHICAL PRINCIPLES AND PRACTICES FOR LIVING A MEANINGFUL, PURPOSEFUL, MORAL AND SELF-DISCIPLINED LIFE. TRADITIONAL YOGA PRACTICES, INCLUDING POSTURES AND MEDITATION, DIRECT ATTENTION TOWARD ONE'S HEALTH, WHILE ACKNOWLEDGING THE SPIRITUAL ASPECTS OF ONE'S NATURE. MINDFULNESS DERIVES FROM ANCIENT BUDDHIST PHILOSOPHY, AND MINDFULNESS MEDITATION PRACTICES, SUCH AS GENTLE HATHA YOGA AND MINDFUL BREATHING, ARE INCREASINGLY INTEGRATED INTO SECULAR HEALTH CARE SETTINGS. CURRENT THEORETICAL MODELS SUGGEST THAT THE SKILLS, INSIGHTS, AND SELF-AWARENESS LEARNED THROUGH YOGA AND MINDFULNESS PRACTICE CAN TARGET MULTIPLE PSYCHOLOGICAL, NEURAL, PHYSIOLOGICAL, AND BEHAVIORAL PROCESSES IMPLICATED IN ADDICTION AND RELAPSE. A SMALL BUT GROWING NUMBER OF WELL-DESIGNED CLINICAL TRIALS AND EXPERIMENTAL LABORATORY STUDIES ON SMOKING, ALCOHOL DEPENDENCE, AND ILLICIT SUBSTANCE USE SUPPORT THE CLINICAL EFFECTIVENESS AND HYPOTHESIZED MECHANISMS OF ACTION UNDERLYING MINDFULNESS-BASED INTERVENTIONS FOR TREATING ADDICTION. BECAUSE VERY FEW STUDIES HAVE BEEN CONDUCTED ON THE SPECIFIC ROLE OF YOGA IN TREATING OR PREVENTING ADDICTION, WE PROPOSE A CONCEPTUAL MODEL TO INFORM FUTURE STUDIES ON OUTCOMES AND POSSIBLE MECHANISMS. ADDITIONAL RESEARCH IS ALSO NEEDED TO BETTER UNDERSTAND WHAT TYPES OF YOGA AND MINDFULNESS-BASED INTERVENTIONS WORK BEST FOR WHAT TYPES OF ADDICTION, WHAT TYPES OF PATIENTS, AND UNDER WHAT CONDITIONS. OVERALL, CURRENT FINDINGS INCREASINGLY SUPPORT YOGA AND MINDFULNESS AS PROMISING COMPLEMENTARY THERAPIES FOR TREATING AND PREVENTING ADDICTIVE BEHAVIORS. 2013 6 2923 22 [WHERE AND HOW DOES YOGA WORK? - A SCIENTIFIC OVERVIEW]. AS A TRADITIONAL HEALTH CARE SYSTEM, YOGA COMBINES PHYSICAL ACTIVITY, BREATHING TECHNIQUES AND MEDITATION. IT IS INCREASINGLY USED AS A PREVENTIVE OR THERAPEUTIC MEANS. YOGA HAS BEEN RESEARCHED IN HUNDREDS OF RANDOMIZED CONTROLLED TRIALS. POSITIVE EFFECTS ARE ESPECIALLY FOUND FOR CHRONIC PAIN CONDITIONS, HYPERTENSION, DEPRESSION AND IN SUPPORTIVE CANCER CARE. WHILE THERE ARE CASE REPORTS OF SERIOUS ADVERSE EVENTS ASSOCIATED WITH YOGA, THE RISK SEEMS TO BE EXTREMELY LOW AND COMPARABLE TO OTHER FORMS OF PHYSICAL ACTIVITY. YOGA CAN THUS BE CONSIDERED AS A SAFE AND EFFECTIVE ADJUNCT THERAPY FOR A NUMBER OF CONDITIONS. 2017 7 1069 26 EFFECTS OF YOGA ON MENTAL AND PHYSICAL HEALTH: A SHORT SUMMARY OF REVIEWS. THIS REPORT SUMMARIZES THE CURRENT EVIDENCE ON THE EFFECTS OF YOGA INTERVENTIONS ON VARIOUS COMPONENTS OF MENTAL AND PHYSICAL HEALTH, BY FOCUSSING ON THE EVIDENCE DESCRIBED IN REVIEW ARTICLES. COLLECTIVELY, THESE REVIEWS SUGGEST A NUMBER OF AREAS WHERE YOGA MAY WELL BE BENEFICIAL, BUT MORE RESEARCH IS REQUIRED FOR VIRTUALLY ALL OF THEM TO FIRMLY ESTABLISH SUCH BENEFITS. THE HETEROGENEITY AMONG INTERVENTIONS AND CONDITIONS STUDIED HAS HAMPERED THE USE OF META-ANALYSIS AS AN APPROPRIATE TOOL FOR SUMMARIZING THE CURRENT LITERATURE. NEVERTHELESS, THERE ARE SOME META-ANALYSES WHICH INDICATE BENEFICIAL EFFECTS OF YOGA INTERVENTIONS, AND THERE ARE SEVERAL RANDOMIZED CLINICAL TRIALS (RCT'S) OF RELATIVELY HIGH QUALITY INDICATING BENEFICIAL EFFECTS OF YOGA FOR PAIN-ASSOCIATED DISABILITY AND MENTAL HEALTH. YOGA MAY WELL BE EFFECTIVE AS A SUPPORTIVE ADJUNCT TO MITIGATE SOME MEDICAL CONDITIONS, BUT NOT YET A PROVEN STAND-ALONE, CURATIVE TREATMENT. LARGER-SCALE AND MORE RIGOROUS RESEARCH WITH HIGHER METHODOLOGICAL QUALITY AND ADEQUATE CONTROL INTERVENTIONS IS HIGHLY ENCOURAGED BECAUSE YOGA MAY HAVE POTENTIAL TO BE IMPLEMENTED AS A BENEFICIAL SUPPORTIVE/ADJUNCT TREATMENT THAT IS RELATIVELY COST-EFFECTIVE, MAY BE PRACTICED AT LEAST IN PART AS A SELF-CARE BEHAVIORAL TREATMENT, PROVIDES A LIFE-LONG BEHAVIOURAL SKILL, ENHANCES SELF-EFFICACY AND SELF-CONFIDENCE AND IS OFTEN ASSOCIATED WITH ADDITIONAL POSITIVE SIDE EFFECTS. 2012 8 2632 25 YOGA FOR TRAUMA AND RELATED MENTAL HEALTH PROBLEMS: A META-REVIEW WITH CLINICAL AND SERVICE RECOMMENDATIONS. HEALTH AND HUMAN SERVICE PROVIDERS HAVE EXPRESSED GROWING INTEREST IN THE BENEFITS OF YOGA TO HELP INDIVIDUALS COPE WITH THE EFFECTS OF TRAUMA, INCLUDING ANXIETY, DEPRESSION, AND POSTTRAUMATIC STRESS DISORDER (PTSD). DESPITE THE GROWING POPULARITY AND STRONG APPEAL OF YOGA, PROVIDERS MUST BE MINDFUL OF THE EVIDENCE REGARDING THE EFFICACY OF YOGA IN TREATING TRAUMA EFFECTS AS WELL AS TRAUMA-RELATED MENTAL HEALTH SYMPTOMS AND ILLNESSES. THEREFORE, OUR RESEARCH TEAM SOUGHT TO ANSWER TWO QUESTIONS: (A) WHAT IS THE EVIDENCE REGARDING YOGA AS A TREATMENT FOR TRAUMA EFFECTS, INCLUDING ANXIETY, DEPRESSION, AND PTSD AND (B) WHAT ARE THE CLINICAL AND SERVICE RECOMMENDATIONS FOR USING YOGA WITH TRAUMA-EXPOSED INDIVIDUALS? OUR INITIAL SCANS IDENTIFIED A SUBSTANTIAL BODY OF RESEARCH, INCLUDING REVIEWS. RATHER THAN REPLICATE EARLIER EFFORTS, WE UNDERTOOK A SYSTEMATIC META-REVIEW OF 13 LITERATURE REVIEWS, ONE OF WHICH INCLUDED A META-ANALYSIS. WE DETERMINED THE 13 REVIEWS EXAMINED 185 DISTINCT STUDIES. FINDINGS SHOW THAT THE EVIDENCE REGARDING YOGA AS AN INTERVENTION FOR THE EFFECTS OF TRAUMA AS WELL AS THE MENTAL HEALTH SYMPTOMS AND ILLNESSES OFTEN ASSOCIATED WITH TRAUMA IS ENCOURAGING BUT PRELIMINARY. OVERALL, THE BODY OF RESEARCH IS LACKING IN RIGOR AS WELL AS SPECIFICITY REGARDING TRAUMA. REVIEW RESULTS ALSO ONLY ALLOW FOR THE RECOMMENDATION OF YOGA AS AN ANCILLARY TREATMENT. FURTHER, THE REVIEWS HAD CONSIDERABLE DIFFERENCES IN THEIR METHODS AND LIMITATIONS. NONETHELESS, THE RESULTS YIELDED FINDINGS CONCERNING HOW CLINICIANS AND SERVICE PROVIDERS CAN USE YOGA IN THEIR OWN PRACTICES, WHICH IS AN IMPORTANT STEP FOR BUILDING AN EVIDENCE BASE IN THIS AREA. 2018 9 259 27 ACCEPTABILITY AND FEASIBILITY OF THE ONLINE DELIVERY OF HATHA YOGA: A SYSTEMATIC REVIEW OF THE LITERATURE. OBJECTIVES: HATHA YOGA HAS DRAMATICALLY INCREASED IN POPULARITY IN THE UNITED STATES AND A GROWING BODY OF EVIDENCE POINTS TO YOGA'S ABILITY TO SUCCESSFULLY MANAGE BOTH PHYSICAL AND MENTAL HEALTH CONDITIONS. CONCURRENTLY, THE DELIVERY OF TELEHEALTH INTERVENTIONS ALSO CONTINUES TO RISE. THE ONLINE-DELIVERY OF YOGA LIES AT THIS INTERSECTION, AND TO DATE, NO STUDY HAS SYSTEMATICALLY REVIEWED THE EXISTING LITERATURE OF EMPIRICAL STUDIES INVOLVING THE ONLINE DELIVERY OF YOGA. DESIGN: THIS STUDY SYSTEMATICALLY REVIEWS THE LITERATURE FOR EVIDENCE ON THE FEASIBILITY AND ACCEPTABILITY OF ONLINE YOGA INTERVENTIONS AND PROVIDES A QUALITATIVE SYNTHESIS. A TOTAL OF 10 ARTICLES WHICH REPRESENT EIGHT UNIQUE EMPIRICAL STUDIES WERE INCLUDED IN THE FINAL REVIEW. RESULTS: ACROSS THE EIGHT STUDIES, PARTICIPANTS EXPRESSED OVERALL SATISFACTION WITH AN ONLINE YOGA INTERVENTION. ONLINE YOGA WAS FOUND TO BE FEASIBLE, BASED ON ATTENDANCE AND PRACTICE RATES, AND ACCEPTABLE. ALTHOUGH GROUPS VARY IN DEGREE OF INITIAL ENGAGEMENT. RESULTS ALSO FOUND PRELIMINARY EVIDENCE THAT ONLINE YOGA CAN HELP MANAGE SYMPTOMS ASSOCIATED WITH A RANGE OF DISORDERS. CONCLUSIONS: UNDERSTANDING THIS INNOVATIVE APPROACH TO DELIVERING YOGA INTERVENTIONS WILL ALLOW FUTURE RESEARCH TO INCLUDE ONLINE YOGA AS A LOWER-COST, NON-INVASIVE INTERVENTION FOR A WIDE VARIETY OF PHYSICAL AND MENTAL HEALTH DISORDERS, AS WELL AS PROVIDE PRELIMINARY EVIDENCE TO SUPPORT THE INTEGRATION OF ONLINE YOGA INTERVENTIONS INTO ROUTINE CLINICAL CARE. 2021 10 1300 24 HATHA YOGA FOR DEPRESSION: CRITICAL REVIEW OF THE EVIDENCE FOR EFFICACY, PLAUSIBLE MECHANISMS OF ACTION, AND DIRECTIONS FOR FUTURE RESEARCH. BACKGROUND: THE PURPOSE OF THIS ARTICLE IS TO REVIEW THE EVIDENCE FOR THE EFFICACY OF HATHA YOGA FOR DEPRESSION AND POSSIBLE MECHANISMS BY WHICH YOGA MAY HAVE AN IMPACT ON DEPRESSION, AND TO OUTLINE DIRECTIONS FOR FUTURE RESEARCH. METHODS: LITERATURE REVIEW AND SYNTHESIS. RESULTS AND CONCLUSIONS: A LITERATURE SEARCH FOR CLINICAL TRIALS EXAMINING YOGA FOR DEPRESSION UNCOVERED EIGHT TRIALS: 5 INCLUDING INDIVIDUALS WITH CLINICAL DEPRESSION, AND 3 FOR INDIVIDUALS WITH ELEVATED DEPRESSION SYMPTOMS. ALTHOUGH RESULTS FROM THESE TRIALS ARE ENCOURAGING, THEY SHOULD BE VIEWED AS VERY PRELIMINARY BECAUSE THE TRIALS, AS A GROUP, SUFFERED FROM SUBSTANTIAL METHODOLOGICAL LIMITATIONS. WE WOULD ARGUE, HOWEVER, THAT THERE ARE SEVERAL REASONS TO CONSIDER CONSTRUCTING CAREFUL RESEARCH ON YOGA FOR DEPRESSION. FIRST, CURRENT STRATEGIES FOR TREATING DEPRESSION ARE NOT SUFFICIENT FOR MANY INDIVIDUALS, AND PATIENTS HAVE SEVERAL CONCERNS ABOUT EXISTING TREATMENTS. YOGA MAY BE AN ATTRACTIVE ALTERNATIVE TO OR A GOOD WAY TO AUGMENT CURRENT DEPRESSION TREATMENT STRATEGIES. SECOND, ASPECTS OF YOGA-INCLUDING MINDFULNESS PROMOTION AND EXERCISE-ARE THOUGHT TO BE "ACTIVE INGREDIENTS" OF OTHER SUCCESSFUL TREATMENTS FOR DEPRESSION. THIRD, THERE ARE PLAUSIBLE BIOLOGICAL, PSYCHOLOGICAL, AND BEHAVIORAL MECHANISMS BY WHICH YOGA MAY HAVE AN IMPACT ON DEPRESSION. WE PROVIDE SUGGESTIONS FOR THE NEXT STEPS IN THE STUDY OF YOGA AS A TREATMENT FOR DEPRESSION. 2010 11 1640 29 MOLECULAR SIGNATURE OF THE IMMUNE RESPONSE TO YOGA THERAPY IN STRESS-RELATED CHRONIC DISEASE CONDITIONS: AN INSIGHT. THE WORLD HEALTH ORGANIZATION DEFINES HEALTH AS COMPLETE WELL-BEING IN TERMS OF PHYSICAL, MENTAL AND SOCIAL, AND NOT MERELY THE ABSENCE OF DISEASE. TO ATTAIN THIS, INDIVIDUAL SHOULD ADAPT AND SELF-MANGE THE SOCIAL, PHYSICAL AND EMOTIONAL CHALLENGES OF LIFE. EXPOSURE TO CHRONIC STRESS DUE TO URBANIZATION, WORK STRESS, NUCLEAR FAMILY, POLLUTION, UNHEALTHY FOOD HABITS, LIFESTYLE, ACCIDENTAL DEATH IN THE FAMILY, AND NATURAL CALAMITIES ARE THE TRIGGERING FACTORS, LEADING TO HORMONAL IMBALANCE AND INFLAMMATION IN THE TISSUE. THE RELATIONSHIP BETWEEN STRESS AND ILLNESS IS COMPLEX; ALL CHRONIC ILLNESSES SUCH AS CARDIOVASCULAR DISEASE AND ASTHMA HAVE THEIR ROOT IN CHRONIC STRESS ATTRIBUTED BY INFLAMMATION. IN RECENT TIMES, YOGA THERAPY HAS EMERGED AS AN IMPORTANT COMPLEMENTARY ALTERNATIVE MEDICINE FOR MANY HUMAN DISEASES. YOGA THERAPY HAS A POSITIVE IMPACT ON MIND AND BODY; IT ACTS BY INCORPORATING APPROPRIATE BREATHING TECHNIQUES AND MINDFULNESS TO ATTAIN CONSCIOUS DIRECTION OF OUR AWARENESS OF THE PRESENT MOMENT BY MEDITATION, WHICH HELPS ACHIEVE HARMONY BETWEEN THE BODY AND MIND. STUDIES HAVE ALSO DEMONSTRATED THE IMPORTANT REGULATORY EFFECTS OF YOGA THERAPY ON BRAIN STRUCTURE AND FUNCTIONS. DESPITE THESE ADVANCES, THE CELLULAR AND MOLECULAR MECHANISMS BY WHICH YOGA THERAPY RENDERS ITS BENEFICIAL EFFECTS ARE INADEQUATELY KNOWN. A GROWING BODY OF EVIDENCE SUGGESTS THAT YOGA THERAPY HAS IMMUNOMODULATORY EFFECTS. HOWEVER, THE PRECISE MECHANISTIC BASIS HAS NOT BEEN ADDRESSED EMPIRICALLY. IN THIS REVIEW, WE HAVE ATTEMPTED TO HIGHLIGHT THE EFFECT OF YOGA THERAPY ON IMMUNE SYSTEM FUNCTIONING WITH AN AIM TO IDENTIFY IMPORTANT IMMUNOLOGICAL SIGNATURES THAT INDEX THE EFFECT OF YOGA THERAPY. TOWARD THIS, WE HAVE SUMMARIZED THE AVAILABLE SCIENTIFIC EVIDENCE SHOWING POSITIVE IMPACTS OF YOGA THERAPY. FINALLY, WE HAVE EMPHASIZED THE EFFICACY OF YOGA IN IMPROVING PHYSICAL AND MENTAL WELL-BEING. YOGA HAS BEEN A PART OF INDIAN CULTURE AND TRADITION FOR LONG; NOW, THE TIME HAS COME TO SCIENTIFICALLY VALIDATE THIS AND IMPLEMENT THIS AS AN ALTERNATIVE TREATMENT METHOD FOR STRESS-RELATED CHRONIC DISEASE. 2020 12 1481 19 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 13 2774 37 YOGA RESEARCH REVIEW. THIS PAPER IS A REVIEW OF EMPIRICAL STUDIES, REVIEW AND META-ANALYSIS PUBLICATIONS ON YOGA FROM THE LAST FEW YEARS. THE REVIEW INCLUDES DEMOGRAPHICS/PREVALENCE OF YOGA AS A PRACTICE, BIBLIOMETRIC ANALYSES OF THE YOGA PUBLICATIONS AND THE USE OF YOGA FOR PHYSICAL FITNESS AND COGNITIVE FUNCTION. MOST OF THE STUDIES REVIEWED HERE INVOLVE YOGA EFFECTS ON PSYCHIATRIC AND MEDICAL CONDITIONS. THESE INCLUDE PREGNANCY, PRENATAL AND POSTPARTUM DEPRESSION; STRESS, PTSD, ANXIETY, AND OBESITY; CARDIOVASCULAR CONDITIONS INCLUDING HYPERTENSION; PAIN SYNDROMES INCLUDING ARTHRITIS, HEADACHES AND LOW BACK PAIN; AUTOIMMUNE CONDITIONS INCLUDING ASTHMA, TYPE II DIABETES AND MULTIPLE SCLEROSIS; IMMUNE CONDITIONS INCLUDING HIV AND BREAST CANCER; AND AGING PROBLEMS INCLUDING BALANCE, OSTEOPOROSIS AND PARKINSON'S. THE METHODS AND RESULTS OF THOSE STUDIES ARE BRIEFLY SUMMARIZED ALONG WITH THEIR LIMITATIONS AND SUGGESTIONS FOR FUTURE RESEARCH. BASICALLY YOGA HAS BEEN MORE EFFECTIVE THAN CONTROL AND WAITLIST CONTROL CONDITIONS, ALTHOUGH NOT ALWAYS MORE EFFECTIVE THAN TREATMENT COMPARISON GROUPS SUCH AS OTHER FORMS OF EXERCISE. MORE RANDOMIZED CONTROLLED STUDIES ARE NEEDED IN WHICH YOGA IS COMPARED TO ACTIVE EXERCISE GROUPS. HAVING ESTABLISHED THE PHYSICAL AND MENTAL HEALTH BENEFITS OF YOGA MAKES IT ETHICALLY QUESTIONABLE TO ASSIGN PARTICIPANTS TO INACTIVE CONTROL GROUPS. SHORTER SESSIONS SHOULD BE INVESTIGATED FOR COST-EFFECTIVENESS AND FOR DAILY PRACTICE. MULTIPLE PHYSICAL AND PHYSIOLOGICAL MEASURES NEED TO BE ADDED TO THE SELF-REPORT RESEARCH PROTOCOLS AND POTENTIAL UNDERLYING MECHANISMS NEED TO BE FURTHER EXPLORED. IN THE INTERIM, THE STUDIES REVIEWED HERE HIGHLIGHT THE THERAPEUTIC EFFECTS OF YOGA, A PRACTICE THAT COULD COME TO BE CALLED YOGA THERAPY. 2016 14 2411 32 YOGA AND IMMUNE SYSTEM FUNCTIONING: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS. YOGA IS AN ANCIENT MIND-BODY PRACTICE THAT IS INCREASINGLY RECOGNIZED TO HAVE HEALTH BENEFITS IN A VARIETY OF CLINICAL AND NON-CLINICAL CONDITIONS. THIS SYSTEMATIC REVIEW SUMMARIZES THE FINDINGS OF RANDOMIZED CONTROLLED TRIALS EXAMINING THE EFFECTS OF YOGA ON IMMUNE SYSTEM FUNCTIONING WHICH IS IMPERATIVE TO JUSTIFY ITS APPLICATION IN THE CLINIC. FIFTEEN RCTS WERE ELIGIBLE FOR THE REVIEW. EVEN THOUGH THE EXISTING EVIDENCE IS NOT ENTIRELY CONSISTENT, A GENERAL PATTERN EMERGED SUGGESTING THAT YOGA CAN DOWNREGULATE PRO-INFLAMMATORY MARKERS. IN PARTICULAR, THE QUALITATIVE EVALUATION OF RCTS REVEALED DECREASES IN IL-1BETA, AS WELL AS INDICATIONS FOR REDUCTIONS IN IL-6 AND TNF-ALPHA. THESE RESULTS IMPLY THAT YOGA MAY BE IMPLEMENTED AS A COMPLEMENTARY INTERVENTION FOR POPULATIONS AT RISK OR ALREADY SUFFERING FROM DISEASES WITH AN INFLAMMATORY COMPONENT. BEYOND THIS, YOGA PRACTICE MAY EXERT FURTHER BENEFICIAL EFFECTS BY ENHANCING CELL-MEDIATED AND MUCOSAL IMMUNITY. IT IS HYPOTHESIZED THAT LONGER TIME SPANS OF YOGA PRACTICE ARE REQUIRED TO ACHIEVE CONSISTENT EFFECTS ESPECIALLY ON CIRCULATING INFLAMMATORY MARKERS. OVERALL, THIS FIELD OF INVESTIGATION IS STILL YOUNG, HENCE THE CURRENT BODY OF EVIDENCE IS SMALL AND FOR MOST IMMUNE PARAMETERS, MORE RESEARCH IS REQUIRED TO DRAW DISTINCT CONCLUSIONS. 2018 15 61 43 A COMPREHENSIVE REVIEW OF YOGA RESEARCH IN 2020. OBJECTIVES: ACCUMULATED EVIDENCE GARNERED IN THE LAST FEW DECADES HAS HIGHLIGHTED THE ROLE OF YOGA IN HEALTH AND DISEASE. THE OVERWHELMING MORTALITY AND MORBIDITY MEDIATED BY NONCOMMUNICABLE EPIDEMICS SUCH AS HEART DISEASE AND CANCER HAVE FOSTERED A SEARCH FOR MECHANISMS TO ATTENUATE THEM. DESPITE OVERWHELMING SUCCESS IN ACUTE CARE, THE EFFICACY OF MODERN MEDICINES HAS BEEN LIMITED ON THIS FRONT. YOGA IS ONE OF THE INTEGRATIVE THERAPIES THAT HAS COME TO LIGHT AS HAVING A SUBSTANTIAL ROLE IN PREVENTING AND MITIGATING SUCH DISORDERS. IT THUS SEEMS TRITE TO ANALYZE AND DISCUSS THE RESEARCH ADVANCEMENTS IN YOGA FOR 2020. THE PRESENT REVIEW ATTEMPTS TO DISTILL RECENT RESEARCH HIGHLIGHTS FROM VOLUMINOUS LITERATURE GENERATED IN 2020. METHODS: THIS REVIEW WAS CONDUCTED ON THE ARTICLES PUBLISHED OR ASSIGNED TO AN ISSUE IN 2020. THE AUTHORS SEARCHED THE PUBMED DATABASE FOR CLINICAL STUDIES PUBLISHED IN THE ENGLISH LANGUAGE, USING YOGA (INCLUDING MEDITATION) AS THE INTERVENTION, AND HAVING AN ADEQUATE DESCRIPTION OF THE INTERVENTION. THEN, THEY EXTRACTED DATA FROM EACH STUDY INTO A STANDARDIZED GOOGLE SHEET. RESULTS: A TOTAL OF 1149 CITATIONS WERE RETRIEVED IN THE INITIAL SEARCH. OF THESE, 46 STUDIES MET ELIGIBILITY CRITERIA AND WERE FINALLY INCLUDED. THE STUDIES WERE PREDOMINANTLY ON MENTAL HEALTH AND NEUROPSYCHOLOGY, ADDRESSING VARIOUS ISSUES SUCH AS ANXIETY, POSTURAL BALANCE, MIGRAINE, ACADEMIC PERFORMANCE, AND CHILDHOOD NEGLECT. ANXIETY, STRESS, AND DEPRESSION WERE OTHER COMMON DENOMINATORS. EIGHT STUDIES WERE ON CARDIORESPIRATORY SYSTEMS, INCLUDING EXERCISE CAPACITY, CARDIAC REHABILITATION, MYOCARDIAL INFARCTION, AND HYPERTENSION. THREE STUDIES WERE ON DIABETES, EVALUATING THE EFFECT OF YOGA. FIVE STUDIES FOCUSED ON COGNITION, HEALTH STATUS, AND AUTONOMIC REGULATION AND FEW OTHERS INCLUDED CANCERS, INFERTILITY, ULCERATIVE COLITIS, URINARY INCONTINENCE, RESTLESS LEG SYNDROME, RHEUMATOID ARTHRITIS, CHRONIC PAIN, AND METABOLIC SYNDROME. FINALLY, MOST STUDIES WERE ON NONCOMMUNICABLE DISEASES WITH ONE EXCEPTION, HUMAN IMMUNODEFICIENCY VIRUS; TWO RANDOMIZED CONTROLLED TRIALS WERE DEDICATED TO IT. CONCLUSIONS: YOGA HAS BEEN STUDIED UNDER A WIDE VARIETY OF CLINICOPATHOLOGICAL CONDITIONS IN THE YEAR 2020. THIS LANDSCAPE REVIEW INTENDS TO PROVIDE AN IDEA OF THE ROLE OF YOGA IN VARIOUS CLINICAL CONDITIONS AND ITS FUTURE THERAPEUTIC IMPLICATIONS. 2022 16 1280 23 GENERIC YOGA MODULES FOR CLINICAL AND RESEARCH SETTINGS-NEED OF THE HOUR. YOGA-BASED INTERVENTIONS OFFER SIGNIFICANT PROMISE IN HEALTHCARE. HOWEVER, META-ANALYSES OF VARIOUS YOGA TRIALS SUGGEST THAT COMPARISONS OF TRIALS ARE EITHER NOT POSSIBLE OR DIFFICULT DUE TO HETEROGENEITY IN THERAPEUTIC YOGA INTERVENTIONS. ALSO, IN VIEW OF EMERGING EVIDENCE FOR THE ROLE OF THERAPEUTIC YOGA, IT IS IMPORTANT TO IDENTIFY THE SPECIFICITY AND VALIDITY OF VARIOUS YOGA COMPONENTS BEING USED IN DIFFERENT TRIALS. EFFORTS IN THIS DIRECTION WILL BE FRUITFUL ONLY IF A SYSTEMATIC APPROACH IS ADOPTED TO DEVELOP YOGA PROGRAMS FOR VARIOUS AILMENTS. IN THIS ARTICLE, WE EMPHASIZE THE NEED FOR A "GENERIC YOGA" CONCEPT FOR DESIGNING A THERAPEUTIC YOGA PROGRAM FOR PARTICULAR HEALTH ISSUES, WITH THE OBJECTIVES OF PROMOTING SCIENTIFIC GROWTH OF THERAPEUTIC APPLICATIONS OF YOGA AND WIDESPREAD APPLICATION OF STANDARDIZED THERAPEUTIC YOGA PROGRAMS WITHIN A BIOMEDICAL FRAMEWORK. THIS GENERIC THERAPEUTIC YOGA WILL ESSENTIALLY HIGHLIGHT THE DEVELOPMENT-VALIDATION PROCESS OF UNCOPYRIGHTED YOGA PROGRAMS; THEIR COMPONENTS, BENEFITS, AND POSSIBLE SIDE-EFFECTS; AND REQUIREMENT FOR NEED-BASED MODIFICATIONS. 2021 17 2453 29 YOGA AS A COMPLEMENTARY THERAPY FOR CHILDREN AND ADOLESCENTS: A GUIDE FOR CLINICIANS. YOGA IS BEING USED BY A GROWING NUMBER OF YOUTH AND ADULTS AS A MEANS OF IMPROVING OVERALL HEALTH AND FITNESS. THERE IS ALSO A PROGRESSIVE TREND TOWARD USE OF YOGA AS A MIND-BODY COMPLEMENTARY AND ALTERNATIVE MEDICINE INTERVENTION TO IMPROVE SPECIFIC PHYSICAL AND MENTAL HEALTH CONDITIONS. TO PROVIDE CLINICIANS WITH THERAPEUTICALLY USEFUL INFORMATION ABOUT YOGA, THE EVIDENCE EVALUATING YOGA AS AN EFFECTIVE INTERVENTION FOR CHILDREN AND ADOLESCENTS WITH HEALTH PROBLEMS IS REVIEWED AND SUMMARIZED. A BRIEF OVERVIEW OF YOGA AND YOGA THERAPY IS PRESENTED ALONG WITH YOGA RESOURCES AND PRACTICAL STRATEGIES FOR CLINICAL PRACTITIONERS TO USE WITH THEIR PATIENTS. THE MAJORITY OF AVAILABLE STUDIES WITH CHILDREN AND ADOLESCENTS SUGGEST BENEFITS TO USING YOGA AS A THERAPEUTIC INTERVENTION AND SHOW VERY FEW ADVERSE EFFECTS. THESE RESULTS MUST BE INTERPRETED AS PRELIMINARY FINDINGS BECAUSE MANY OF THE STUDIES HAVE METHODOLOGICAL LIMITATIONS THAT PREVENT STRONG CONCLUSIONS FROM BEING DRAWN. YOGA APPEARS PROMISING AS A COMPLEMENTARY THERAPY FOR CHILDREN AND ADOLESCENTS. FURTHER INFORMATION ABOUT HOW TO APPLY IT MOST EFFECTIVELY AND MORE COORDINATED RESEARCH EFFORTS ARE NEEDED. 2010 18 2454 26 YOGA AS A COMPLEMENTARY THERAPY FOR METABOLIC SYNDROME: A NARRATIVE REVIEW. METABOLIC SYNDROME (MS) IS ASSOCIATED WITH A SEDENTARY AND STRESSFUL LIFESTYLE AND AFFECTS UNDERACTIVE PEOPLE DISPROPORTIONATELY. YOGA IS CONSIDERED TO BE A LOW-IMPACT MIND-BODY STRESS-RELIEVING EXERCISE, AND RESEARCHERS ARE INCREASING THEIR FOCUS ON THE BENEFITS OF YOGA FOR MANAGING METABOLIC DISORDERS. IT IS ALSO IMPORTANT FOR PHYSICIANS AND HEALTH CARE PROFESSIONALS TO UNDERSTAND THE THERAPEUTIC EFFICACY OF YOGA INTERVENTION, IN TERMS OF ITS TYPE, DURATION AND FREQUENCY ON VARIOUS MS RISK FACTORS. THE PRESENT REVIEW SUMMARIZES THE CURRENT SCIENTIFIC UNDERSTANDING OF THE EFFECTS OF YOGA ON MS RISK FACTORS SUCH AS GLUCOSE HOMEOSTASIS MARKERS, LIPID PROFILE, ADIPOCYTOKINES AND CARDIOVASCULAR RISK FACTORS, AND DISCUSSES THE POSSIBLE MECHANISMS OF ACTION. MEDLINE, PUBMED, SCOPUS AND COCHRANE LIBRARY WERE SEARCHED FROM THEIR INCEPTION UP TO DECEMBER 2019, USING THE KEYWORDS "METABOLIC SYNDROME," "DIABETES," "CARDIOVASCULAR DISEASES," "OBESITY" AND "YOGA." THE LITERATURE SUMMARIZED IN THIS REVIEW HAVE SHOWN MIXED EFFECTS OF YOGA ON MS RISK FACTORS AND DO NOT PROVIDE ROBUST EVIDENCE FOR ITS EFFICACY. MORE RIGOROUS RESEARCH AND WELL-DESIGNED TRIALS THAT HAVE A HIGHER STANDARD OF METHODOLOGY AND EVALUATE YOGA'S LONG-TERM IMPACTS ON MS ARE NEEDED. UNDERSTANDING YOGA'S BIOCHEMICAL AND MOLECULAR MECHANISMS OF ACTION ON VARIOUS METABOLIC PATHWAYS IS ALSO NEEDED. 2021 19 2126 28 THE EFFECTIVENESS OF YOGA FOR DEPRESSION: A CRITICAL LITERATURE REVIEW. IN THE UNITED STATES, THE PREVALENCE OF DEPRESSION IS QUITE HIGH-9% IN THE GENERAL POPULATION-WITH WOMEN, YOUNG ADULTS, AND SENIORS PARTICULARLY VULNERABLE. IN RECENT YEARS, INCREASING NUMBERS OF PEOPLE ARE TURNING TO COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) FOR RELIEF FROM DEPRESSION AND OTHER MENTAL HEALTH PROBLEMS. ONE FORM OF CAM, YOGA, HAS BEEN GROWING IN POPULARITY; THIS RISE IN POPULARITY HAS, IN PART, BEEN DRIVEN BY INTEREST IN HOW THIS PRACTICE, WITH ITS MINDFULNESS AND MEDITATION ASPECTS, MAY DECREASE DEPRESSION. THIS CRITICAL LITERATURE REVIEW EXAMINES SIX RECENT STUDIES ON YOGA AS AN INTERVENTION; SPECIFICALLY, THIS REVIEW FOCUSES ON YOGA STYLES IN WHICH THE PRACTICE OF YOGA POSES, CALLED ASANAS, IS THE CORE COMPONENT. ALTHOUGH THE SIGNIFICANT POSITIVE FINDINGS ARE PROMISING, THE STUDIES HAD METHODOLOGICAL LIMITATIONS; IDENTIFICATION OF THESE LIMITATIONS CAN INFORM FUTURE STUDIES. 2014 20 2294 21 THERAPEUTIC EFFICACY OF YOGA FOR COMMON PRIMARY CARE CONDITIONS. INTRODUCTION: YOGA IS A POPULAR FORM OF EXERCISE THAT USES BODY POSTURES, MEDITATION, AND BREATHING TECHNIQUES AND HAS BEEN SHOWN TO HAVE MANY HEALTH BENEFITS. OBJECTIVE/METHODS: OUR GOAL FOR THIS REVIEW IS TO ORIENT HEALTH PROFESSIONALS TO THE EVIDENCE-BASED USES OF YOGA MOST RELEVANT TO PRIMARY CARE. WE CONDUCTED A PUBMED SEARCH THAT INCLUDED META-ANALYSES, REVIEWS, SYSTEMATIC REVIEWS, AND RANDOMIZED CONTROLLED TRIALS. RESULTS: RESULTS WERE LIMITED TO ENGLISH LANGUAGE AND PUBLICATION BETWEEN 2010 AND 2020. YOGA WAS FOUND TO HELP DECREASE HYPERTENSION, RELIEVE BACK PAIN, PROMOTE OVERALL WELL-BEING, AND IMPROVE MENTAL HEALTH. CONCLUSIONS: YOGA IS A RELATIVELY SAFE AND EFFECTIVE OPTION FOR PATIENTS INTERESTED IN THERAPEUTIC LIFESTYLE CHANGE TO PROMOTE WELL-BEING AND TO HELP MANAGE HYPERTENSION, BACK PAIN, AND OVERALL MENTAL HEALTH. 2021