1 875 110 EFFECT OF YOGA THERAPY ON PLASMA OXYTOCIN AND FACIAL EMOTION RECOGNITION DEFICITS IN PATIENTS OF SCHIZOPHRENIA. CONTEXT: YOGA THERAPY HAS BEEN DEMONSTRATED TO BE USEFUL IN TREATMENT OF NEGATIVE SYMPTOMS AND IMPROVING THE SOCIO-OCCUPATIONAL FUNCTIONING AND EMOTION RECOGNITION DEFICITS IN ANTIPSYCHOTIC-STABILIZED SCHIZOPHRENIA PATIENTS. OXYTOCIN HAS BEEN RECENTLY IMPLICATED IN SOCIAL COGNITION DEFICITS IN SCHIZOPHRENIA. THE EFFECT OF YOGA THERAPY ON OXYTOCIN LEVELS IN SCHIZOPHRENIA HAS NOT BEEN STUDIED. AIMS: THIS STUDY AIMED TO ASSESS THE EFFECT OF YOGA THERAPY ON SYMPTOMS, SOCIO-OCCUPATIONAL FUNCTIONING, FACIAL EMOTION RECOGNITION DEFICITS AND PLASMA OXYTOCIN LEVELS IN ANTIPSYCHOTIC STABILIZED SCHIZOPHRENIA PATIENTS. SETTINGS AND DESIGN: RANDOMIZED CONTROLLED STUDY ON 43 CONSENTING, MEDICATION STABILIZED PATIENTS WITH SCHIZOPHRENIA IN A TERTIARY PSYCHIATRIC CENTER USING YOGA INTERVENTION AND WAITLISTED GROUPS. MATERIALS AND METHODS: A TOTAL OF 43 SCHIZOPHRENIA PATIENTS WERE RANDOMIZED TO YOGA GROUP (N=15) OR WAITLIST GROUP (N=28). PATIENTS IN THE YOGA GROUP RECEIVED TRAINING IN A SPECIFIC YOGA THERAPY MODULE FOR SCHIZOPHRENIA. PATIENTS IN BOTH GROUPS WERE CONTINUED ON STABLE ANTIPSYCHOTIC MEDICATION. ASSESSMENTS INCLUDED SCALE FOR ASSESSMENT OF POSITIVE SYMPTOMS, SCALE FOR ASSESSMENT OF NEGATIVE SYMPTOMS, SOCIO-OCCUPATIONAL FUNCTIONING SCALE AND TOOL FOR RECOGNITION OF EMOTIONS IN NEUROPSYCHIATRIC DISORDERS (TRENDS) AND PLASMA OXYTOCIN LEVELS; PERFORMED AT BASELINE AND AT THE END OF 1 MONTH. RESULTS: A TOTAL OF 15 PATIENTS IN THE YOGA GROUP AND 12 IN WAITLIST GROUP COMPLETED THE STUDY. THE YOGA THERAPY GROUP SHOWED A SIGNIFICANT IMPROVEMENT IN SOCIO-OCCUPATIONAL FUNCTIONING, PERFORMANCE ON TRENDS (P<0.001) AND PLASMA INCREASE IN OXYTOCIN LEVELS (P=0.01) AS COMPARED WITH THE WAITLIST GROUP. CONCLUSION: THE STUDY SUPPORTED THE ROLE OF ADD-ON YOGA THERAPY IN MANAGEMENT OF SCHIZOPHRENIA AND DEMONSTRATED AN IMPROVEMENT IN ENDOGENOUS PLASMA OXYTOCIN LEVELS IN SCHIZOPHRENIA PATIENTS RECEIVING YOGA THERAPY. 2013 2 872 58 EFFECT OF YOGA THERAPY ON FACIAL EMOTION RECOGNITION DEFICITS, SYMPTOMS AND FUNCTIONING IN PATIENTS WITH SCHIZOPHRENIA. OBJECTIVE: FACIAL EMOTION RECOGNITION DEFICITS HAVE BEEN CONSISTENTLY DEMONSTRATED IN SCHIZOPHRENIA AND CAN IMPAIR SOCIO-OCCUPATIONAL FUNCTIONING IN THESE PATIENTS. TREATMENTS TO IMPROVE THESE DEFICITS IN ANTIPSYCHOTIC-STABILIZED PATIENTS HAVE NOT BEEN WELL STUDIED. YOGA THERAPY HAS BEEN DESCRIBED TO IMPROVE FUNCTIONING IN VARIOUS DOMAINS IN SCHIZOPHRENIA; HOWEVER, ITS EFFECT ON FERD IS NOT KNOWN. METHOD: ANTIPSYCHOTIC-STABILIZED PATIENTS RANDOMIZED TO RECEIVE YOGA (N=27), EXERCISE (N=17) OR WAITLIST GROUP (N=22) WERE ASSESSED AT BASELINE, 2ND MONTH, AND 4TH MONTH OF FOLLOW-UP BY RATERS BLIND TO GROUP STATUS. ASSESSMENTS INCLUDED POSITIVE AND NEGATIVE SYNDROME SCALE (PANSS), SOCIO-OCCUPATIONAL FUNCTIONING SCALE (SOFS), AND TOOL FOR RECOGNITION OF EMOTIONS IN NEUROPSYCHIATRIC DISORDERS (TRENDS). RESULTS: THERE WAS A SIGNIFICANT POSITIVE CORRELATION BETWEEN BASELINE FERD AND SOCIO-OCCUPATIONAL FUNCTIONING (R=0.3, P=0.01). PAIRED SAMPLES T TEST SHOWED SIGNIFICANT IMPROVEMENT IN POSITIVE AND NEGATIVE SYMPTOMS, SOCIO-OCCUPATIONAL FUNCTIONING AND PERFORMANCE ON TRENDS (P<0.05) IN THE YOGA GROUP, BUT NOT IN THE OTHER TWO GROUPS. MAXIMUM IMPROVEMENT OCCURRED AT THE END OF 2 MONTHS, AND IMPROVEMENT IN POSITIVE AND NEGATIVE SYMPTOMS PERSISTED AT THE END OF 4 MONTHS. CONCLUSION: YOGA THERAPY CAN BE A USEFUL ADD-ON TREATMENT TO IMPROVE PSYCHOPATHOLOGY, FERD, AND SOCIO-OCCUPATIONAL FUNCTIONING IN ANTIPSYCHOTIC-STABILIZED PATIENTS WITH SCHIZOPHRENIA. 2011 3 422 31 BRIDGING THE SCHISM OF SCHIZOPHRENIA THROUGH YOGA-REVIEW OF PUTATIVE MECHANISMS. SCHIZOPHRENIA PATIENTS EXPERIENCE A 'DISCONNECT' AT MULTIPLE LEVELS-NEURONAL NETWORKS, MENTAL PROCESSES, AND INTERPERSONAL RELATIONSHIPS. THE RESULTANT POOR QUALITY-OF-LIFE AND FUNCTIONAL DISABILITY ARE RELATED TO THE PERSISTENT COGNITIVE DEFICITS AND NEGATIVE SYMPTOMS, WHICH ARE RATHER RESISTANT TO CONVENTIONAL ANTIPSYCHOTIC MEDICATIONS. YOGA HAS EMERGED AS AN IMPORTANT THERAPEUTIC INTERVENTION TO IMPROVE QUALITY-OF-LIFE IN SCHIZOPHRENIA. RECENT PRELIMINARY EVIDENCE SUGGESTS THAT EFFECTS OF YOGA ON COGNITIVE AND NEGATIVE SYMPTOMS MAY DRIVE THIS BENEFIT. THIS STUDY ATTEMPTS TO INTEGRATE EVIDENCE FROM NEUROSCIENCE-BASED RESEARCH, WHICH FOCUSES ON THE NEUROPLASTICITY-HARNESSING EFFECTS OF YOGA TO BRIDGE THE SCHIZOPHRENIA CONNECTOPATHY. IN AN OVERARCHING MODEL TO STUDY PUTATIVE NEUROBIOLOGICAL MECHANISMS THAT DRIVE THERAPEUTIC EFFECTS OF YOGA, IT IS PROPOSED THAT (A) VARIOUS STYLES OF MEDITATION MAY HELP IN STRENGTHENING THE LATERAL AND MEDIAL PREFRONTAL BRAIN NETWORKS, THUS IMPROVING NEUROCOGNITION AND MENTALIZING ABILITIES, AND (B) LEARNING AND PERFORMING CO-ORDINATED PHYSICAL POSTURES WITH A TEACHER FACILITATES IMITATION AND THE PROCESS OF BEING IMITATED, WHICH CAN IMPROVE SOCIAL COGNITION AND EMPATHY THROUGH REINFORCEMENT OF THE PREMOTOR AND PARIETAL MIRROR NEURON SYSTEM. OXYTOCIN MAY PLAY A ROLE IN MEDIATING THESE PROCESSES, LEADING TO BETTER SOCIAL CONNECTEDNESS AND SOCIAL OUTCOMES. CLINICAL AND HEURISTIC IMPLICATIONS OF THIS MODEL ARE FURTHER DISCUSSED. 2016 4 331 32 APPLICATION OF INTEGRATED YOGA THERAPY TO INCREASE IMITATION SKILLS IN CHILDREN WITH AUTISM SPECTRUM DISORDER. BACKGROUND/AIM: CHILDREN WITH AUTISM EXHIBIT SIGNIFICANT DEFICITS IN IMITATION SKILLS, WHICH IMPEDE THE ACQUISITION OF MORE COMPLEX BEHAVIOR AND SOCIALIZATION. IMITATION IS OFTEN TARGETED EARLY IN INTERVENTION PLANS AND CONTINUES TO BE ADDRESSED THROUGHOUT THE CHILD'S TREATMENT. THE USE OF INTEGRATED APPROACH TO YOGA THERAPY (IAYT) AS A COMPLEMENTARY THERAPY FOR CHILDREN DIAGNOSED WITH AUTISM SPECTRUM DISORDER (ASD) IS RARELY REPORTED AND LITTLE IS KNOWN ON THE EFFECTIVENESS OF SUCH THERAPIES. THIS STUDY INVESTIGATED IAYT AS A TREATMENT METHOD WITH CHILDREN WITH ASD TO INCREASE IMITATIVE SKILLS. MATERIALS AND METHODS: PARENTS AND SIX CHILDREN WITH ASD PARTICIPATED IN A 10-MONTH PROGRAM OF 5-WEEKLY SESSIONS AND REGULAR PRACTICE AT HOME. PRE, MID AND POST TREATMENT ASSESSMENTS INCLUDED OBSERVERS AND PARENT RATINGS OF CHILDREN'S IMITATION SKILLS IN TASKS RELATED TO IMITATION SKILLS SUCH AS GROSS MOTOR ACTIONS, VOCALIZATION, COMPLEX IMITATION, ORAL FACIAL MOVEMENTS AND IMITATING BREATHING EXERCISES. RESULTS: IMPROVEMENT IN CHILDREN'S IMITATION SKILLS ESPECIALLY POINTING TO BODY, POSTURAL AND ORAL FACIAL MOVEMENTS. PARENTS REPORTED CHANGE IN THE PLAY PATTERN OF THESE CHILDREN WITH TOYS, PEERS AND OBJECTS AT HOME. CONCLUSIONS: THIS STUDY INDICATES THAT IAYT MAY OFFER BENEFITS AS AN EFFECTIVE TOOL TO INCREASE IMITATION, COGNITIVE SKILLS AND SOCIAL-COMMUNICATIVE BEHAVIORS IN CHILDREN WITH ASD. IN ADDITION, CHILDREN EXHIBITED INCREASED SKILLS IN EYE CONTACT, SITTING TOLERANCE, NON-VERBAL COMMUNICATION AND RECEPTIVE SKILLS TO VERBAL COMMANDS RELATED TO SPATIAL RELATIONSHIP. 2010 5 2798 36 YOGA THERAPY FOR SCHIZOPHRENIA. SCHIZOPHRENIA IS ONE OF THE MOST SEVERE MENTAL DISORDERS. DESPITE SIGNIFICANT ADVANCES IN PHARMACOTHERAPY, TREATMENT REMAINS SUB-OPTIMAL, WITH MANY PATIENTS HAVING PERSISTING DEFICITS, ESPECIALLY IN COGNITIVE AND SOCIAL FUNCTIONING. YOGA AS A THERAPY HAS PROVEN TO BE EFFECTIVE AS A SOLE OR ADDITIONAL INTERVENTION IN PSYCHIATRIC DISORDERS SUCH AS DEPRESSION AND ANXIETY. RECENTLY, THERE HAS BEEN SIGNIFICANT INTEREST IN THE APPLICATION OF YOGA THERAPY IN PSYCHOSIS AND SCHIZOPHRENIA. TO REVIEW A) THE EVIDENCE FOR THE USE OF YOGA THERAPY IN PATIENTS WITH SCHIZOPHRENIA B) STUDIES WHICH HAVE BEEN DONE IN THIS AREA, C) THE BARRIERS FOR REACHING YOGA TO PATIENTS, AND D) FUTURE DIRECTIONS, AN ENGLISH LANGUAGE LITERATURE SEARCH OF PUBMED/MEDLINE, GOOGLE SCHOLAR, AND EBSCO AS WELL AS GREY LITERATURE WAS DONE. RESEARCH REPORTS HAVE DEMONSTRATED THE FEASIBILITY AND EFFICACY OF YOGA AS AN ADD-ON THERAPY IN SCHIZOPHRENIA, PARTICULARLY IN IMPROVING NEGATIVE SYMPTOMATOLOGY AND SOCIAL COGNITION. HOWEVER, THE BIOLOGICAL UNDERPINNINGS OF THIS EFFECT REMAIN UNCLEAR, ALTHOUGH THERE ARE SOME INDICATIONS THAT HORMONES LIKE OXYTOCIN MAY CONTRIBUTE TO THE CHANGES IN SOCIAL COGNITION. 2012 6 76 21 A HEURISTIC MODEL LINKING YOGA PHILOSOPHY AND SELF-REFLECTION TO EXAMINE UNDERLYING MECHANISMS OF ADD-ON YOGA TREATMENT IN SCHIZOPHRENIA. PRELIMINARY EVIDENCE SUGGESTS EFFICACY OF YOGA AS ADD-ON TREATMENT FOR SCHIZOPHRENIA, BUT THE UNDERLYING MECHANISM BY WHICH YOGA IMPROVES THE SYMPTOMS OF SCHIZOPHRENIA IS NOT COMPLETELY UNDERSTOOD. YOGA IMPROVES SELF-REFLECTION IN HEALTHY INDIVIDUALS, AND SELF-REFLECTION ABNORMALITIES ARE TYPICALLY SEEN IN SCHIZOPHRENIA. HOWEVER, WHETHER YOGA TREATMENT IMPROVES IMPAIRMENTS IN SELF-REFLECTION TYPICALLY SEEN IN PATIENTS WITH SCHIZOPHRENIA IS NOT EXAMINED. THIS PAPER DISCUSSES THE POTENTIAL MECHANISM OF YOGA IN THE TREATMENT OF SCHIZOPHRENIA AND PROPOSES A TESTABLE HYPOTHESIS FOR FURTHER EMPIRICAL STUDIES. IT IS PROPOSED THAT SELF-REFLECTION ABNORMALITIES IN SCHIZOPHRENIA IMPROVE WITH YOGA AND THE NEUROBIOLOGICAL CHANGES ASSOCIATED WITH THIS CAN BE EXAMINED USING EMPIRICAL BEHAVIOURAL MEASURES AND NEUROIMAGING MEASURES SUCH AS MAGNETIC RESONANCE IMAGING. 2016 7 2886 27 YOGA: BALANCING THE EXCITATION-INHIBITION EQUILIBRIUM IN PSYCHIATRIC DISORDERS. SOCIAL BEHAVIORAL DISTURBANCES ARE CENTRAL TO MOST PSYCHIATRIC DISORDERS. A DISEQUILIBRIUM WITHIN THE CORTICAL EXCITATORY AND INHIBITORY NEUROTRANSMITTER SYSTEMS UNDERLIES THESE DEFICITS. GAMMA-AMINOBUTYRIC ACID (GABA) AND GLUTAMATE ARE THE MOST ABUNDANT EXCITATORY AND INHIBITORY NEUROTRANSMITTERS IN THE BRAIN THAT CONTRIBUTE TO THIS EQUILIBRIUM. SEVERAL CONTEMPORARY THERAPIES USED IN TREATING PSYCHIATRIC DISORDERS, REGULATE THIS GABA-GLUTAMATE BALANCE. YOGA HAS BEEN STUDIED AS AN ADJUVANT TREATMENT ACROSS A BROAD RANGE OF PSYCHIATRIC DISORDERS AND IS SHOWN TO HAVE SHORT-TERM THERAPEUTIC GAINS. EMERGING EVIDENCE FROM RECENT CLINICAL IN VIVO EXPERIMENTS SUGGESTS THAT YOGA IMPROVES GABA-MEDIATED CORTICAL-INHIBITORY TONE AND ENHANCES PERIPHERAL OXYTOCIN LEVELS. THIS IS LIKELY TO HAVE A MORE CONTROLLED DOWNSTREAM RESPONSE OF THE HYPOTHALAMO-PITUITARY-ADRENAL SYSTEM BY MEANS OF REDUCED CORTISOL RELEASE AND HENCE A BLUNTED SYMPATHETIC RESPONSE TO STRESS. ANIMAL AND EARLY FETAL DEVELOPMENTAL STUDIES SUGGEST AN INTER-DEPENDENT ROLE OF OXYTOCIN AND GABA IN REGULATING SOCIAL BEHAVIORS. IN KEEPING WITH THESE OBSERVATIONS, WE PROPOSE AN INTEGRATED NEUROBIOLOGICAL MODEL TO STUDY THE MECHANISMS OF THERAPEUTIC BENEFITS WITH YOGA. APART FROM PROVIDING A NEUROSCIENTIFIC BASIS FOR APPLYING A TRADITIONAL SYSTEM OF PRACTICE IN THE CLINICAL SETTING, THIS MODEL CAN BE USED AS A FRAMEWORK FOR STUDYING YOGA MECHANISMS IN FUTURE CLINICAL TRIALS. 2019 8 641 23 DOES A MEDICAL THERAPEUTIC YOGA GROUP INTERVENTION REMEDIATE IMPAIRMENTS COMMONLY FOUND IN PEOPLE WITH MULTIPLE SCLEROSIS? A PILOT STUDY. BACKGROUND: MULTIPLE SCLEROSIS (MS) IS A CHRONIC INFLAMMATORY DISEASE OF THE CENTRAL NERVOUS SYSTEM RESULTING IN VARIED PHYSICAL AND COGNITIVE DEFICITS THAT OFTEN CONTRIBUTE TO CHANGES IN POSTURAL CONTROL AS WELL AS DECREASED SELF-EFFICACY AND LOWER PERCEIVED QUALITY OF LIFE. ONE INTERVENTION OFTEN RECOMMENDED FOR THE CONTROL OF MS SYMPTOMS IS REHABILITATION. WHILE REHABILITATION IS OFTEN EFFECTIVE, IT IS TRADITIONALLY DELIVERED IN A UNIDISCIPLINARY MANNER IN PRIVATE-SESSION FORMAT. THIS PILOT STUDY PRESENTS THE USE OF A BIOPSYCHOSOCIAL INTERDISCIPLINARY GROUP YOGA INTERVENTION TO IMPROVE POSTURAL CONTROL, SELF-EFFICACY, AND QUALITY OF LIFE IN INDIVIDUALS LIVING WITH MS. METHODS: THIS PILOT STUDY EXAMINED 15 SUBJECTS WHO PARTICIPATED IN A 5-WEEK PROSPECTIVE MEDICAL THERAPEUTIC YOGA (MTY) PROGRAM DESIGNED FOR INDIVIDUALS DIAGNOSED WITH MS. PRE AND POST-TESTING WAS COMPLETED. RESULTS: THE PARTICIPANTS DEMONSTRATED IMPROVEMENTS IN OVERALL BALANCE (T(14)=3.42, P=0.004), DUAL-TASKING (T(13)=2.30, P=0.034), DYNAMIC GAIT (T(14)=-2.311, P=0.021), REACTIVE BALANCE (T(114)=-2.157, P=0.031), AND SELF-EFFICACY (T(12)=3.40, P=0.006). CONCLUSIONS: MTY OFFERS A BIOPSYCHOSOCIAL FRAMEWORK TO PROVIDE INTEGRATIVE INTERDISCIPLINARY CARE ACROSS DISCIPLINES. IN THIS PILOT INVESTIGATION, POSTURAL CONTROL AND FEELINGS OF SELF-EFFICACY IMPROVED. THIS MODALITY OF REHABILITATION WARRANTS FURTHER INVESTIGATION. 2020 9 1618 24 MINDFUL YOGA PILOT STUDY SHOWS MODULATION OF ABNORMAL PAIN PROCESSING IN FIBROMYALGIA PATIENTS. PUBLISHED FINDINGS FROM A RANDOMIZED CONTROLLED TRIAL HAVE SHOWN THAT MINDFUL YOGA TRAINING IMPROVES SYMPTOMS, FUNCTIONAL DEFICITS, AND COPING ABILITIES IN INDIVIDUALS WITH FIBROMYALGIA AND THAT THESE BENEFITS ARE REPLICABLE AND CAN BE MAINTAINED 3 MONTHS POST-TREATMENT. THE AIM OF THIS STUDY WAS TO COLLECT PILOT DATA IN FEMALE FIBROMYALGIA PATIENTS (N = 7) TO DETERMINE IF INITIAL EVIDENCE INDICATES THAT MINDFUL YOGA ALSO MODULATES THE ABNORMAL PAIN PROCESSING THAT CHARACTERIZES FIBROMYALGIA. PRE- AND POST-TREATMENT DATA WERE OBTAINED ON QUANTITATIVE SENSORY TESTS AND MEASURES OF SYMPTOMS, FUNCTIONAL DEFICITS, AND COPING ABILITIES. SEPARATION TEST ANALYSES INDICATED SIGNIFICANT IMPROVEMENTS IN HEAT PAIN TOLERANCE, PRESSURE PAIN THRESHOLD, AND HEAT PAIN AFTER-SENSATIONS AT POST-TREATMENT. FIBROMYALGIA SYMPTOMS AND FUNCTIONAL DEFICITS ALSO IMPROVED SIGNIFICANTLY, INCLUDING PHYSICAL TESTS OF STRENGTH AND BALANCE, AND PAIN COPING STRATEGIES. THESE FINDINGS INDICATE THAT FURTHER INVESTIGATION IS WARRANTED INTO THE EFFECT OF MINDFUL YOGA ON NEUROBIOLOGICAL PAIN PROCESSING. 2016 10 272 44 ADD-ON YOGA THERAPY FOR SOCIAL COGNITION IN SCHIZOPHRENIA: A PILOT STUDY. BACKGROUND: YOGA AS A MIND-BODY THERAPY IS USEFUL IN LIFESTYLE-RELATED DISORDERS INCLUDING NEUROPSYCHIATRIC DISORDERS. IN SCHIZOPHRENIA PATIENTS, YOGA HAS BEEN SHOWN TO SIGNIFICANTLY IMPROVE NEGATIVE SYMPTOMS, FUNCTIONING, AND PLASMA OXYTOCIN LEVEL. AIM: THE AIM OF THE STUDY WAS TO STUDY THE EFFECT OF ADD-ON YOGA THERAPY ON SOCIAL COGNITION IN SCHIZOPHRENIA PATIENTS. MATERIALS AND METHODS: IN A SINGLE PRE-POST, STUDY DESIGN, 15 SCHIZOPHRENIA PATIENTS STABILIZED ON ANTIPSYCHOTIC MEDICATION FOR 6 WEEKS WERE ASSESSED FOR SOCIAL COGNITION (THEORY OF MIND, FACIAL EMOTION RECOGNITION, AND SOCIAL PERCEPTION [SP]) AND CLINICAL SYMPTOMS (NEGATIVE AND POSITIVE SYMPTOMS AND SOCIAL DISABILITY) BEFORE AND AFTER TWENTY SESSIONS OF ADD-ON YOGA THERAPY. RESULTS: THERE WAS A SIGNIFICANT IMPROVEMENT IN THE SOCIAL COGNITION COMPOSITE SCORE AFTER 20 SESSIONS OF YOGA (T[13] = -5.37, P