1 1089 133 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 2 2847 32 YOGA, MEDITATION AND MIND-BODY HEALTH: INCREASED BDNF, CORTISOL AWAKENING RESPONSE, AND ALTERED INFLAMMATORY MARKER EXPRESSION AFTER A 3-MONTH YOGA AND MEDITATION RETREAT. THIRTY-EIGHT INDIVIDUALS (MEAN AGE: 34.8 YEARS OLD) PARTICIPATING IN A 3-MONTH YOGA AND MEDITATION RETREAT WERE ASSESSED BEFORE AND AFTER THE INTERVENTION FOR PSYCHOMETRIC MEASURES, BRAIN DERIVED NEUROTROPHIC FACTOR (BDNF), CIRCADIAN SALIVARY CORTISOL LEVELS, AND PRO- AND ANTI-INFLAMMATORY CYTOKINES. PARTICIPATION IN THE RETREAT WAS FOUND TO BE ASSOCIATED WITH DECREASES IN SELF-REPORTED ANXIETY AND DEPRESSION AS WELL AS INCREASES IN MINDFULNESS. AS HYPOTHESIZED, INCREASES IN THE PLASMA LEVELS OF BDNF AND INCREASES IN THE MAGNITUDE OF THE CORTISOL AWAKENING RESPONSE (CAR) WERE ALSO OBSERVED. THE NORMALIZED CHANGE IN BDNF LEVELS WAS INVERSELY CORRELATED WITH BSI-18 ANXIETY SCORES AT BOTH THE PRE-RETREAT (R = 0.40, P < 0.05) AND POST-RETREAT (R = 0.52, P < 0.005) SUCH THAT THOSE WITH GREATER ANXIETY SCORES TENDED TO EXHIBIT SMALLER PRE- TO POST-RETREAT INCREASES IN PLASMA BDNF LEVELS. IN LINE WITH A HYPOTHESIZED DECREASE IN INFLAMMATORY PROCESSES RESULTING FROM THE YOGA AND MEDITATION PRACTICES, WE FOUND THAT THE PLASMA LEVEL OF THE ANTI-INFLAMMATORY CYTOKINE INTERLEUKIN-10 WAS INCREASED AND THE PRO-INFLAMMATORY CYTOKINE INTERLEUKIN-12 WAS REDUCED AFTER THE RETREAT. CONTRARY TO OUR INITIAL HYPOTHESES, PLASMA LEVELS OF OTHER PRO-INFLAMMATORY CYTOKINES, INCLUDING INTERFERON GAMMA (IFN-GAMMA), TUMOR NECROSIS FACTOR (TNF-ALPHA), INTERLEUKIN-1BETA (IL-1BETA), INTERLEUKIN-6 (IL-6), AND INTERLEUKIN-8 (IL-8) WERE INCREASED AFTER THE RETREAT. GIVEN EVIDENCE FROM PREVIOUS STUDIES OF THE POSITIVE EFFECTS OF MEDITATIVE PRACTICES ON MENTAL FITNESS, AUTONOMIC HOMEOSTASIS AND INFLAMMATORY STATUS, WE HYPOTHESIZE THAT THESE FINDINGS ARE RELATED TO THE MEDITATIVE PRACTICES THROUGHOUT THE RETREAT; HOWEVER, SOME OF THE OBSERVED CHANGES MAY ALSO BE RELATED TO OTHER ASPECTS OF THE RETREAT SUCH AS PHYSICAL EXERCISE-RELATED COMPONENTS OF THE YOGA PRACTICE AND DIET. WE HYPOTHESIZE THAT THE PATTERNS OF CHANGE OBSERVED HERE REFLECT MIND-BODY INTEGRATION AND WELL-BEING. THE INCREASED BDNF LEVELS OBSERVED IS A POTENTIAL MEDIATOR BETWEEN MEDITATIVE PRACTICES AND BRAIN HEALTH, THE INCREASED CAR IS LIKELY A REFLECTION OF INCREASED DYNAMIC PHYSIOLOGICAL AROUSAL, AND THE RELATIONSHIP OF THE DUAL ENHANCEMENT OF PRO- AND ANTI-INFLAMMATORY CYTOKINE CHANGES TO HEALTHY IMMUNOLOGIC FUNCTIONING IS DISCUSSED. 2017 3 76 26 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 4 2086 21 THE EFFECT OF MOVEMENT-FOCUSED AND BREATH-FOCUSED YOGA PRACTICE ON STRESS PARAMETERS AND SUSTAINED ATTENTION: A RANDOMIZED CONTROLLED PILOT STUDY. YOGA-BASED PRACTICES (YBP) TYPICALLY INVOLVE A COMBINATION OF MOVEMENT SEQUENCES, CONSCIOUS REGULATION OF THE BREATH, AND TECHNIQUES TO ENGAGE ATTENTION. HOWEVER, LITTLE IS KNOWN ABOUT WHETHER EFFECTS OF YBP RESULT FROM THE SYNERGISTIC COMBINATION OF THESE COMPONENTS, OR WHETHER A SUBSET MAY YIELD SIMILAR EFFECTS. IN THIS STUDY WE COMPARED THE EFFECT OF A MOVEMENT-FOCUSED PRACTICE AND A BREATH-FOCUSED PRACTICE ON STRESS PARAMETERS (PERCEIVED STRESS AND SALIVARY CORTISOL) AND SUSTAINED ATTENTION (RESPONSE INHIBITION) IN YOGA NAIVE UNIVERSITY STUDENTS. WHILE PARTICIPANTS OF BOTH PROGRAMS SHOWED A REDUCTION IN PERCEIVED STRESS AND SALIVARY CORTISOL, ONLY THE BREATH-FOCUSED GROUP SHOWED IMPROVEMENTS IN SUSTAINED ATTENTION. IN ADDITION, IMPROVEMENT IN SUSTAINED ATTENTION WAS CORRELATED WITH REDUCTION IN PERCEIVED STRESS BUT NOT WITH REDUCTION IN SALIVARY CORTISOL. WE DISCUSS THESE FINDINGS IN THE CONTEXT OF A THEORETICAL FRAMEWORK OUTLINING BOTTOM-UP NEUROPHYSIOLOGICAL AND TOP-DOWN NEUROCOGNITIVE MECHANISMS HYPOTHESIZED TO BE ENGAGED BY YBP. 2018 5 1669 23 NEUROPHYSIOLOGICAL AND NEUROCOGNITIVE MECHANISMS UNDERLYING THE EFFECTS OF YOGA-BASED PRACTICES: TOWARDS A COMPREHENSIVE THEORETICAL FRAMEWORK. DURING RECENT DECADES NUMEROUS YOGA-BASED PRACTICES (YBP) HAVE EMERGED IN THE WEST, WITH THEIR AIMS RANGING FROM FITNESS GAINS TO THERAPEUTIC BENEFITS AND SPIRITUAL DEVELOPMENT. YOGA IS ALSO BEGINNING TO SPARK GROWING INTEREST WITHIN THE SCIENTIFIC COMMUNITY, AND YOGA-BASED INTERVENTIONS HAVE BEEN ASSOCIATED WITH MEASUREABLE CHANGES IN PHYSIOLOGICAL PARAMETERS, PERCEIVED EMOTIONAL STATES, AND COGNITIVE FUNCTIONING. YBP TYPICALLY INVOLVE A COMBINATION OF POSTURES OR MOVEMENT SEQUENCES, CONSCIOUS REGULATION OF THE BREATH, AND VARIOUS TECHNIQUES TO IMPROVE ATTENTIONAL FOCUS. HOWEVER, SO FAR LITTLE IF ANY RESEARCH HAS ATTEMPTED TO DECONSTRUCT THE ROLE OF THESE DIFFERENT COMPONENT PARTS IN ORDER TO BETTER UNDERSTAND THEIR RESPECTIVE CONTRIBUTION TO THE EFFECTS OF YBP. A CLEAR OPERATIONAL DEFINITION OF YOGA-BASED THERAPEUTIC INTERVENTIONS FOR SCIENTIFIC PURPOSES, AS WELL AS A COMPREHENSIVE THEORETICAL FRAMEWORK FROM WHICH TESTABLE HYPOTHESES CAN BE FORMULATED, IS THEREFORE NEEDED. HERE WE PROPOSE SUCH A FRAMEWORK, AND OUTLINE THE BOTTOM-UP NEUROPHYSIOLOGICAL AND TOP-DOWN NEUROCOGNITIVE MECHANISMS HYPOTHESIZED TO BE AT PLAY IN YBP. 2015 6 1820 38 PROTOCOL FOR A RANDOMIZED CONTROLLED STUDY OF IYENGAR YOGA FOR YOUTH WITH IRRITABLE BOWEL SYNDROME. INTRODUCTION: IRRITABLE BOWEL SYNDROME AFFECTS AS MANY AS 14% OF HIGH SCHOOL-AGED STUDENTS. SYMPTOMS INCLUDE DISCOMFORT IN THE ABDOMEN, ALONG WITH DIARRHEA AND/OR CONSTIPATION AND OTHER GASTROENTEROLOGICAL SYMPTOMS THAT CAN SIGNIFICANTLY IMPACT QUALITY OF LIFE AND DAILY FUNCTIONING. EMOTIONAL STRESS APPEARS TO EXACERBATE IRRITABLE BOWEL SYNDROME SYMPTOMS SUGGESTING THAT MIND-BODY INTERVENTIONS REDUCING AROUSAL MAY PROVE BENEFICIAL. FOR MANY SUFFERERS, SYMPTOMS CAN BE TRACED TO CHILDHOOD AND ADOLESCENCE, MAKING THE EARLY MANIFESTATION OF IRRITABLE BOWEL SYNDROME IMPORTANT TO UNDERSTAND. THE CURRENT STUDY WILL FOCUS ON YOUNG PEOPLE AGED 14-26 YEARS WITH IRRITABLE BOWEL SYNDROME. THE STUDY WILL TEST THE POTENTIAL BENEFITS OF IYENGAR YOGA ON CLINICAL SYMPTOMS, PSYCHOSPIRITUAL FUNCTIONING AND VISCERAL SENSITIVITY. YOGA IS THOUGHT TO BRING PHYSICAL, PSYCHOLOGICAL AND SPIRITUAL BENEFITS TO PRACTITIONERS AND HAS BEEN ASSOCIATED WITH REDUCED STRESS AND PAIN. THROUGH ITS FOCUS ON RESTORATION AND USE OF PROPS, IYENGAR YOGA IS ESPECIALLY DESIGNED TO DECREASE AROUSAL AND PROMOTE PSYCHOSPIRITUAL RESOURCES IN PHYSICALLY COMPROMISED INDIVIDUALS. AN EXTENSIVE AND STANDARDIZED TEACHER-TRAINING PROGRAM SUPPORT IYENGAR YOGA'S RELIABILITY AND SAFETY. IT IS HYPOTHESIZED THAT YOGA WILL BE FEASIBLE WITH LESS THAN 20% ATTRITION; AND THE YOGA GROUP WILL DEMONSTRATE SIGNIFICANTLY IMPROVED OUTCOMES COMPARED TO CONTROLS, WITH PHYSIOLOGICAL AND PSYCHOSPIRITUAL MECHANISMS CONTRIBUTING TO IMPROVEMENTS. METHODS/DESIGN: SIXTY IRRITABLE BOWEL SYNDROME PATIENTS AGED 14-26 WILL BE RANDOMLY ASSIGNED TO A STANDARDIZED 6-WEEK TWICE WEEKLY IYENGAR YOGA GROUP-BASED PROGRAM OR A WAIT-LIST USUAL CARE CONTROL GROUP. THE GROUPS WILL BE COMPARED ON THE PRIMARY CLINICAL OUTCOMES OF IRRITABLE BOWEL SYNDROME SYMPTOMS, QUALITY OF LIFE AND GLOBAL IMPROVEMENT AT POST-TREATMENT AND 2-MONTH FOLLOW-UP. SECONDARY OUTCOMES WILL INCLUDE VISCERAL PAIN SENSITIVITY ASSESSED WITH A STANDARDIZED LABORATORY TASK (WATER LOAD TASK), FUNCTIONAL DISABILITY AND PSYCHOSPIRITUAL VARIABLES INCLUDING CATASTROPHIZING, SELF-EFFICACY, MOOD, ACCEPTANCE AND MINDFULNESS. MECHANISMS OF ACTION INVOLVED IN THE PROPOSED BENEFICIAL EFFECTS OF YOGA UPON CLINICAL OUTCOMES WILL BE EXPLORED, AND INCLUDE THE MEDIATING EFFECTS OF VISCERAL SENSITIVITY, INCREASED PSYCHOSPIRITUAL RESOURCES, REGULATED AUTONOMIC NERVOUS SYSTEM RESPONSES AND REGULATED HORMONAL STRESS RESPONSE ASSESSED VIA SALIVARY CORTISOL. TRIAL REGISTRATION: CLINICALTRIALS.GOV NCT01107977. 2011 7 226 36 A SYSTEMATIC REVIEW OF RANDOMISED CONTROL TRIALS ON THE EFFECTS OF YOGA ON STRESS MEASURES AND MOOD. STRESS RELATED DISORDERS SUCH AS DEPRESSION AND ANXIETY ARE LEADING SOURCES OF DISABILITY WORLDWIDE, AND CURRENT TREATMENT METHODS SUCH AS CONVENTIONAL ANTIDEPRESSANT MEDICATIONS ARE NOT BENEFICIAL FOR ALL INDIVIDUALS. THERE IS EVIDENCE THAT YOGA HAS MOOD-ENHANCING PROPERTIES POSSIBLY RELATED TO ITS INHIBITORY EFFECTS ON PHYSIOLOGICAL STRESS AND INFLAMMATION, WHICH ARE FREQUENTLY ASSOCIATED WITH AFFECTIVE DISORDERS. HOWEVER THE BIOLOGICAL MECHANISMS VIA WHICH YOGA EXERTS ITS THERAPEUTIC MOOD-MODULATING EFFECTS ARE LARGELY UNKNOWN. THIS SYSTEMATIC REVIEW INVESTIGATES THE EFFECTS OF YOGA ON SYMPATHETIC NERVOUS SYSTEM AND HYPOTHALAMIC PITUITARY ADRENAL AXIS REGULATION MEASURES. IT FOCUSES ON STUDIES COLLECTING PHYSIOLOGICAL PARAMETERS SUCH AS BLOOD PRESSURE, HEART RATE, CORTISOL, PERIPHERAL CYTOKINE EXPRESSION AND/OR STRUCTURAL AND FUNCTIONAL BRAIN MEASURES IN REGIONS INVOLVED IN STRESS AND MOOD REGULATION. OVERALL THE 25 RANDOMISED CONTROL STUDIES DISCUSSED PROVIDE PRELIMINARY EVIDENCE TO SUGGEST THAT YOGA PRACTICE LEADS TO BETTER REGULATION OF THE SYMPATHETIC NERVOUS SYSTEM AND HYPOTHALAMIC-PITUITARY-ADRENAL SYSTEM, AS WELL AS A DECREASE IN DEPRESSIVE AND ANXIOUS SYMPTOMS IN A RANGE OF POPULATIONS. FURTHER RESEARCH IS WARRANTED TO CONFIRM THESE PRELIMINARY FINDINGS AND FACILITATE IMPLEMENTATION IN CLINICAL SETTINGS. 2015 8 2516 26 YOGA CLINICAL RESEARCH REVIEW. IN THIS PAPER RECENT RESEARCH IS REVIEWED ON THE EFFECTS OF YOGA POSES ON PSYCHOLOGICAL CONDITIONS INCLUDING ANXIETY AND DEPRESSION, ON PAIN SYNDROMES, CARDIOVASCULAR, AUTOIMMUNE AND IMMUNE CONDITIONS AND ON PREGNANCY. FURTHER, THE PHYSIOLOGICAL EFFECTS OF YOGA INCLUDING DECREASED HEARTRATE AND BLOOD PRESSURE AND THE PHYSICAL EFFECTS INCLUDING WEIGHT LOSS AND INCREASED MUSCLE STRENGTH ARE REVIEWED. FINALLY, POTENTIAL UNDERLYING MECHANISMS ARE PROPOSED INCLUDING THE STIMULATION OF PRESSURE RECEPTORS LEADING TO ENHANCED VAGAL ACTIVITY AND REDUCED CORTISOL. THE REDUCTION IN CORTISOL, IN TURN, MAY CONTRIBUTE TO POSITIVE EFFECTS SUCH AS ENHANCED IMMUNE FUNCTION AND A LOWER PREMATURITY RATE. 2011 9 1319 29 HEART RATE VARIABILITY, FLOW, MOOD AND MENTAL STRESS DURING YOGA PRACTICES IN YOGA PRACTITIONERS, NON-YOGA PRACTITIONERS AND PEOPLE WITH METABOLIC SYNDROME. HEART RATE VARIABILITY (HRV) AND RESPIRATORY SINUS ARRHYTHMIA ARE DIRECTLY ASSOCIATED WITH AUTONOMIC FLEXIBILITY, SELF-REGULATION AND WELL-BEING, AND INVERSELY ASSOCIATED WITH PHYSIOLOGICAL STRESS, PSYCHOLOGICAL STRESS AND PATHOLOGY. YOGA ENHANCES AUTONOMIC ACTIVITY, MITIGATES STRESS AND BENEFITS STRESS-RELATED CLINICAL CONDITIONS, YET THE RELATIONSHIP BETWEEN AUTONOMIC ACTIVITY AND PSYCHOPHYSIOLOGICAL RESPONSES DURING YOGA PRACTICES AND STRESSFUL STIMULI HAS NOT BEEN WIDELY EXPLORED. THIS EXPERIMENTAL STUDY EXPLORED THE RELATIONSHIP BETWEEN HRV, MOOD STATES AND FLOW EXPERIENCES IN REGULAR YOGA PRACTITIONERS (YP), NON-YOGA PRACTITIONERS (NY) AND PEOPLE WITH METABOLIC SYNDROME (METS), DURING MENTAL ARITHMETIC STRESS TEST (MAST) AND VARIOUS YOGA PRACTICES. THE STUDY FOUND THAT THE MAST PLACED A CARDIO-AUTONOMIC BURDEN IN ALL PARTICIPANTS WITH THE YP GROUP SHOWING THE GREATEST REACTIVITY AND THE MOST RAPID RECOVERY, WHILE THE METS GROUP HAD SIGNIFICANTLY BLUNTED RECOVERY. THE YP GROUP ALSO REPORTED A HEIGHTENED EXPERIENCE OF FLOW AND POSITIVE MOOD STATES COMPARED TO NY AND METS GROUPS AS WELL AS HAVING A HIGHER VAGAL TONE DURING ALL RESTING CONDITIONS. THESE RESULTS SUGGEST YOGA PRACTITIONERS HAVE A GREATER HOMEOSTATIC CAPACITY AND AUTONOMIC, METABOLIC AND PHYSIOLOGICAL RESILIENCE. FURTHER STUDIES ARE NOW NEEDED TO DETERMINE IF REGULAR YOGA PRACTICE MAY IMPROVE AUTONOMIC FLEXIBILITY IN NON-YOGA PRACTITIONERS AND METABOLIC SYNDROME PATIENTS. CLINICAL TRIAL NO 'ACTRN 2614001075673'. 2016 10 1105 38 EFFECTS OF YOGA VERSUS WALKING ON MOOD, ANXIETY, AND BRAIN GABA LEVELS: A RANDOMIZED CONTROLLED MRS STUDY. OBJECTIVES: YOGA AND EXERCISE HAVE BENEFICIAL EFFECTS ON MOOD AND ANXIETY. GAMMA-AMINOBUTYRIC ACID (GABA)-ERGIC ACTIVITY IS REDUCED IN MOOD AND ANXIETY DISORDERS. THE PRACTICE OF YOGA POSTURES IS ASSOCIATED WITH INCREASED BRAIN GABA LEVELS. THIS STUDY ADDRESSES THE QUESTION OF WHETHER CHANGES IN MOOD, ANXIETY, AND GABA LEVELS ARE SPECIFIC TO YOGA OR RELATED TO PHYSICAL ACTIVITY. METHODS: HEALTHY SUBJECTS WITH NO SIGNIFICANT MEDICAL/PSYCHIATRIC DISORDERS WERE RANDOMIZED TO YOGA OR A METABOLICALLY MATCHED WALKING INTERVENTION FOR 60 MINUTES 3 TIMES A WEEK FOR 12 WEEKS. MOOD AND ANXIETY SCALES WERE TAKEN AT WEEKS 0, 4, 8, 12, AND BEFORE EACH MAGNETIC RESONANCE SPECTROSCOPY SCAN. SCAN 1 WAS AT BASELINE. SCAN 2, OBTAINED AFTER THE 12-WEEK INTERVENTION, WAS FOLLOWED BY A 60-MINUTE YOGA OR WALKING INTERVENTION, WHICH WAS IMMEDIATELY FOLLOWED BY SCAN 3. RESULTS: THE YOGA SUBJECTS (N = 19) REPORTED GREATER IMPROVEMENT IN MOOD AND GREATER DECREASES IN ANXIETY THAN THE WALKING GROUP (N = 15). THERE WERE POSITIVE CORRELATIONS BETWEEN IMPROVED MOOD AND DECREASED ANXIETY AND THALAMIC GABA LEVELS. THE YOGA GROUP HAD POSITIVE CORRELATIONS BETWEEN CHANGES IN MOOD SCALES AND CHANGES IN GABA LEVELS. CONCLUSIONS: THE 12-WEEK YOGA INTERVENTION WAS ASSOCIATED WITH GREATER IMPROVEMENTS IN MOOD AND ANXIETY THAN A METABOLICALLY MATCHED WALKING EXERCISE. THIS IS THE FIRST STUDY TO DEMONSTRATE THAT INCREASED THALAMIC GABA LEVELS ARE ASSOCIATED WITH IMPROVED MOOD AND DECREASED ANXIETY. IT IS ALSO THE FIRST TIME THAT A BEHAVIORAL INTERVENTION (I.E., YOGA POSTURES) HAS BEEN ASSOCIATED WITH A POSITIVE CORRELATION BETWEEN ACUTE INCREASES IN THALAMIC GABA LEVELS AND IMPROVEMENTS IN MOOD AND ANXIETY SCALES. GIVEN THAT PHARMACOLOGIC AGENTS THAT INCREASE THE ACTIVITY OF THE GABA SYSTEM ARE PRESCRIBED TO IMPROVE MOOD AND DECREASE ANXIETY, THE REPORTED CORRELATIONS ARE IN THE EXPECTED DIRECTION. THE POSSIBLE ROLE OF GABA IN MEDIATING THE BENEFICIAL EFFECTS OF YOGA ON MOOD AND ANXIETY WARRANTS FURTHER STUDY. 2010 11 1882 32 REDUCING ALLOSTATIC LOAD IN DEPRESSION AND ANXIETY DISORDERS: PHYSICAL ACTIVITY AND YOGA PRACTICE AS ADD-ON THERAPIES. THE ALLOSTATIC LOAD (AL) INDEX CONSTITUTES A USEFUL TOOL TO OBJECTIVELY ASSESS THE BIOLOGICAL ASPECTS OF CHRONIC STRESS IN CLINICAL PRACTICE. AL INDEX HAS BEEN POSITIVELY CORRELATED WITH CUMULATIVE CHRONIC STRESS (PHYSICAL AND PSYCHOSOCIAL STRESSORS) AND WITH A HIGH RISK TO DEVELOP PATHOLOGICAL CONDITIONS (E.G., METABOLIC SYNDROME, CARDIOVASCULAR PATHOLOGY, INFLAMMATORY DISORDERS) AND THE SO-CALLED STRESS-RELATED PSYCHIATRIC DISORDERS, INCLUDING ANXIETY AND DEPRESSIVE DISORDERS. CHRONIC STRESS HAS NEGATIVE EFFECTS ON BRAIN NEUROPLASTICITY, ESPECIALLY ON HIPPOCAMPAL NEUROGENESIS AND THESE EFFECTS MAY BE REVERSED BY ANTIDEPRESSANT TREATMENTS. SEVERAL EVIDENCES INDICATE THAT NON-PHARMACOLOGICAL INTERVENTIONS BASED ON PHYSICAL ACTIVITY AND YOGA PRACTICE MAY ADD SYNERGIZING BENEFITS TO CLASSICAL TREATMENTS (ANTIDEPRESSANT AND BENZODIAZEPINES) FOR DEPRESSION AND ANXIETY, REDUCING THE NEGATIVE EFFECTS OF CHRONIC STRESS. THE AIM OF THIS REVIEW IS TO PROVIDE A GENERAL OVERVIEW OF CURRENT KNOWLEDGE ON AL AND CHRONIC STRESS IN RELATION TO DEPRESSION AND ANXIETY, PHYSICAL ACTIVITY AND YOGA PRACTICE. 2020 12 1879 26 REASONS, YEARS AND FREQUENCY OF YOGA PRACTICE: EFFECT ON EMOTION RESPONSE REACTIVITY. YOGA PRACTICE, EVEN IN THE SHORT TERM, IS SUPPOSED TO ENHANCE WELLBEING AND COUNTERACT PSYCHOPATHOLOGY THROUGH MODIFICATION OF EMOTION REACTIVITY. YOGA TEACHES THAT EMOTIONAL RESPONSES MAY BE LESS PRONOUNCED WITH LONGER AND MORE FREQUENT PRACTICE, AND POTENTIALLY WHEN PEOPLE PERFORM YOGA FOR MENTAL RATHER THAN PHYSICAL REASONS. WE TESTED 36 YOGA PRACTITIONERS OF VARYING EXPERIENCE (BETWEEN 6 MONTHS AND 11 YEARS OF PRACTICE). WE ASSESSED PARTICIPANTS' SELF-REPORTED EMOTIONAL EXPERIENCE AND PERIPHERAL PHYSIOLOGICAL REACTIONS (HEART RATE, SKIN CONDUCTANCE, RESPIRATION) WHEN SEEING POSITIVE AND NEGATIVE PICTURES. RESULTS WERE ANALYZED AS A FUNCTION OF THE YEARS OF, FREQUENCY OF, AND REASONS FOR YOGA PRACTICE. WE FOUND A HEART RATE INCREASE WITH THE DEGREE PARTICIPANTS PERFORMED YOGA FOR MENTAL REASONS. IN ADDITION, YEARS OF YOGA PRACTICE WERE SIGNIFICANTLY ASSOCIATED WITH REDUCED ABDOMINAL RESPIRATORY RATE WHEN FACING NEGATIVE PICTURES, SPEAKING IN FAVOR OF REDUCED AROUSAL WITH YOGA EXPERIENCE. FINALLY, REGARDING FREQUENCY OF PRACTICE, A HIGHER FREQUENCY IN THE LAST MONTH WAS LINKED TO LESS NEGATIVE AND POSITIVE EXPERIENCES AS WELL AS A REDUCED ABDOMINAL RESPIRATORY AMPLITUDE WHEN VIEWING POSITIVE PICTURES. ALTOGETHER, THESE RESULTS DEMONSTRATE THAT INTENSE SHORT-TERM YOGA PRACTICE MIGHT RELATE TO A (I) DECREASE IN THE INTENSITY OF SELF-REPORTED EMOTIONAL EXPERIENCES AND (II) DEEPENED RESPIRATION. SHORT-TERM EFFECTS MIGHT BE SHAPED BY WHAT PARTICIPANTS EXPECT AS PRACTICE BENEFITS. HOWEVER, SEVERAL YEARS OF PRACTICE MIGHT BE NEEDED TO DECREASE RESPIRATORY AROUSAL IN THE FACE OF NEGATIVE SITUATIONS, WHICH LIKELY IS A MANIFESTATION OF AN EVOLUTION IN THE EMOTION REGULATION PROCESS. 2018 13 2441 31 YOGA AND SCHIZOPHRENIA-A COMPREHENSIVE ASSESSMENT OF NEUROPLASTICITY: PROTOCOL FOR A SINGLE BLIND RANDOMIZED CONTROLLED STUDY OF YOGA IN SCHIZOPHRENIA. INTRODUCTION: SCHIZOPHRENIA IS ONE OF THE MOST SEVERE MENTAL DISORDERS WITH A PREVALENCE OF ABOUT 1% AND A LEADING CAUSE OF DISABILITY AMONG YOUNG ADULTS. PHARMACOTHERAPY IS THE MAINSTAY IN THE MANAGEMENT OF SCHIZOPHRENIA. HOWEVER, EVEN WITH THE BEST OF MEDICATION, SEVERAL PROBLEMS LIKE REFRACTORINESS, NEGATIVE SYMPTOMS, FREQUENT RELAPSES, AND COGNITIVE IMPAIRMENTS PERSIST. METHODS: THIS IS A RANDOMIZED-CONTROLLED CLINICAL STUDY INCLUDING PATIENTS FROM AN URBAN TERTIARY HOSPITAL AND A SEMI-URBAN COMMUNITY CENTER, WITH A BETWEEN-GROUP, REPEATED-MEASURES, LONGITUDINAL DESIGN. THIS STUDY WILL RECRUIT 160 PATIENTS WITH DSM 5 DIAGNOSIS OF SCHIZOPHRENIA WHO ARE ON STABLE MEDICATION FOR A MINIMUM OF 6 WEEKS; THEY WILL BE RANDOMLY ASSIGNED INTO 2 ARMS VIZ., YOGA THERAPY (YT), AND TREATMENT-AS-USUAL (TAU) WITH 80 PATIENTS IN EACH ARM. PARTICIPANTS WILL UNDERGO CLINICAL, LABORATORY, AND RADIOLOGICAL ASSESSMENTS AT BASELINE AND AT INTERVALS OF 1 MONTH, 3 MONTHS, AND 6 MONTHS FROM THE BASELINE. IT IS HYPOTHESIZED THAT YOGA WILL IMPROVE PSYCHOPATHOLOGY AND EMOTION PROCESSING, INCREASE SERUM BRAIN DERIVED NEUROTROPHIC FACTOR (BDNF) AND PLASMA OXYTOCIN LEVELS AND EFFECT CHANGES IN CEREBRAL ACTIVATION IN AREAS OF THE BRAIN ASSOCIATED WITH SCHIZOPHRENIA. DISCUSSION: THIS STUDY AIMS TO MEASURE THE EFFICACY OF A YOGA-BASED INTERVENTION AS AN ADJUNCT IN PATIENTS WITH SCHIZOPHRENIA AS WELL AS THE MECHANISMS OF THESE EFFECTS. TRIAL REGISTRATION: REGISTERED RETROSPECTIVELY WITH CLINICAL TRIAL REGISTRY - INDIA (CTRI) WITH REGISTRATION NUMBER CTRI/2017/08/009219. 2019 14 805 29 EFFECT OF YOGA ON ANTIRETROVIRAL ADHERENCE POSTINCARCERATION IN HIV+ INDIVIDUALS. THE NEGATIVE IMPACTS OF STRESS ON ANTIRETROVIRAL THERAPY (ART) ADHERENCE AND THE MANY STRESSORS FACED BY PEOPLE RETURNING FROM INCARCERATION SUPPORT THE NEED FOR STRESS REDUCTION INTERVENTIONS FOR THIS POPULATION. WE HYPOTHESIZED THAT 37 RETURNING CITIZENS LIVING WITH HIV AND SUBSTANCE USE PROBLEMS RANDOMIZED TO A 12-SESSION WEEKLY YOGA INTERVENTION WOULD EXPERIENCE IMPROVED ART ADHERENCE, LOWER VIRAL LOADS, AND LOWER HEART RATE AND BLOOD PRESSURE AS COMPARED TO 36 PEOPLE RANDOMIZED TO TREATMENT AS USUAL (TAU). WE FOUND THAT ART ADHERENCE INCREASED FOR YOGA PARTICIPANTS AND DECREASED FOR TAU PARTICIPANTS. THERE WERE NO SIGNIFICANT CHANGES FOR VIRAL LOAD, HEART RATE, OR BLOOD PRESSURE. THE LACK OF STATISTICALLY SIGNIFICANT EFFECTS MAY BE DUE TO A SMALL SAMPLE SIZE AND ENROLLMENT OF PEOPLE LARGELY IN HIV TREATMENT. STUDIES WITH LARGER SAMPLE SIZES AND PARTICIPANTS EXHIBITING LOW ART ADHERENCE ARE WARRANTED TO BETTER UNDERSTAND YOGA'S IMPACT. 2020 15 1424 23 IMPROVEMENT IN PHYSIOLOGICAL AND PSYCHOLOGICAL PARAMETERS AFTER 6 MONTHS OF YOGA PRACTICE. YOGA IS BELIEVED TO HAVE BENEFICIAL EFFECTS ON COGNITION, ATTENUATION OF EMOTIONAL INTENSITY AND STRESS REDUCTION. PREVIOUS STUDIES WERE MAINLY PERFORMED ON EASTERN EXPERIENCED PRACTITIONERS OR UNHEALTHY SUBJECTS UNDERGOING CONCOMITANT CONVENTIONAL THERAPIES. FURTHER INVESTIGATION IS NEEDED ON THE EFFECTS OF YOGA PER SE, AS WELL AS ITS POSSIBLE PREVENTIVE BENEFITS ON HEALTHY SUBJECTS. WE INVESTIGATED THE EFFECTS OF YOGA ON MEMORY AND PSYCHOPHYSIOLOGICAL PARAMETERS RELATED TO STRESS, COMPARING YOGA PRACTICE AND CONVENTIONAL PHYSICAL EXERCISES IN HEALTHY MEN (PREVIOUSLY YOGA-NAIVE). MEMORY TESTS, SALIVARY CORTISOL LEVELS AND STRESS, ANXIETY, AND DEPRESSION INVENTORIES WERE ASSESSED BEFORE AND AFTER 6 MONTHS OF PRACTICE. YOGA PRACTITIONERS SHOWED IMPROVEMENT OF THE MEMORY PERFORMANCE, AS WELL AS IMPROVEMENTS IN PSYCHOPHYSIOLOGICAL PARAMETERS. THE PRESENT RESULTS SUGGEST THAT REGULAR YOGA PRACTICE CAN IMPROVE ASPECTS OF COGNITION AND QUALITY OF LIFE FOR HEALTHY INDIVIDUALS. AN INDIRECT INFLUENCE OF EMOTIONAL STATE ON COGNITIVE IMPROVEMENT PROMOTED BY YOGA PRACTICE CAN BE PROPOSED. 2012 16 1215 37 EXPLORING THE EFFECTS OF YOGA THERAPY ON HEART RATE VARIABILITY AND PATIENT-REPORTED OUTCOMES AFTER CANCER TREATMENT: A STUDY PROTOCOL. BACKGROUND: FOLLOWING CANCER TREATMENT, ADULTS COMMONLY REPORT WORSENED PATIENT-REPORTED OUTCOMES (PROS) SUCH AS ANXIETY, STRESS, DEPRESSION, PERSISTENT AND UPSETTING COGNITIVE COMPLAINTS, UNRELENTING FATIGUE, AND REDUCED QUALITY OF LIFE. POORER PROS ARE ASSOCIATED WITH DISRUPTED AUTONOMIC NERVOUS SYSTEM FUNCTIONING AS MEASURED BY HEART RATE VARIABILITY (HRV), BOTH OF WHICH HAVE BEEN ASSOCIATED WITH GREATER MORBIDITY AND MORTALITY. INTERVENTIONS TO IMPROVE HRV AND PROS AMONG ADULTS FOLLOWING CANCER TREATMENT ARE NEEDED. YOGA THERAPY HOLDS PROMISE AS AN INTERVENTION TO IMPROVE HRV AND PROS. THEREFORE, WE CONDUCTED A SINGLE-SUBJECT EXPLORATORY EXPERIMENTAL STUDY TO INVESTIGATE THE EFFECTS OF YOGA THERAPY ON HRV AND SPECIFIC PROS (IE, CANCER-RELATED FATIGUE, ANXIETY, COGNITIVE FUNCTION, DEPRESSION, STRESS, QUALITY OF LIFE) IN ADULTS TREATED FOR CANCER. TO REDUCE PUBLICATION BIAS, IMPROVE REPRODUCIBILITY, AND SERVE AS A REFERENCE FOR FORTHCOMING REPORTING OF STUDY RESULTS, WE PRESENT THE STUDY PROTOCOL FOR THIS STUDY HEREIN. METHODS: PARTICIPANTS WERE ADULTS WHO COMPLETED CANCER TREATMENT THAT WERE RECRUITED FROM THE OTTAWA INTEGRATIVE CANCER CENTRE. CONSENTING AND ELIGIBLE PARTICIPANTS RECEIVED ONE 1:1 YOGA THERAPY SESSION (IE, 1 PARTICIPANT, 1 YOGA THERAPIST) AND 6 WEEKLY GROUP-BASED YOGA THERAPY SESSIONS (IE, 2-3 PARTICIPANTS, 1 YOGA THERAPIST). PARTICIPANTS COMPLETED ASSESSMENTS 7 TIMES: 3 TIMES PRIOR TO THE PROGRAM (IE, -6 WEEKS, -3 WEEKS, IMMEDIATELY PRIOR TO THE 1:1 YOGA THERAPY SESSION), IMMEDIATELY FOLLOWING THE 1:1 YOGA THERAPY SESSION, PRIOR TO THE FIRST GROUP-BASED YOGA THERAPY SESSION, AFTER THE LAST GROUP-BASED YOGA THERAPY SESSION, AND AT A 6-WEEK FOLLOW-UP. HIERARCHICAL LINEAR MODELING WILL BE USED TO TEST THE AVERAGE EFFECTS OF THE YOGA THERAPY PROGRAM ACROSS PARTICIPANTS. DISCUSSION: THIS STUDY WILL EXPLORE SEVERAL NOVEL HYPOTHESES, INCLUDING WHETHER YOGA THERAPY CAN IMPROVE HRV AND/OR SPECIFIC PROS AMONG ADULTS TREATED FOR CANCER ACUTELY (IE, DURING A 1:1 YOGA THERAPY SESSION) AND/OR THROUGH REPEATED EXPOSURE (IE, AFTER COMPLETING 6 WEEKS OF GROUP-BASED YOGA THERAPY). ALTHOUGH THE FINDINGS WILL REQUIRE CONFIRMATION OR REFUTATION IN FUTURE TRIALS, THEY MAY PROVIDE INITIAL EVIDENCE THAT YT MAY BENEFIT ADULTS TREATED FOR CANCER. TRIAL REGISTRATION: ISRCTN REGISTRY, ISRCTN64763228. REGISTERED ON DECEMBER 12, 2021. THIS TRIAL WAS REGISTERED RETROSPECTIVELY. URL OF TRIAL REGISTRY RECORD: HTTPS://WWW.ISRCTN.COM/ISRCTN64763228. 2022 17 1336 25 HOW DOES YOGA REDUCE STRESS? A CLINICAL TRIAL TESTING PSYCHOLOGICAL MECHANISMS. YOGA INTERVENTIONS CAN REDUCE STRESS, BUT THE MECHANISMS UNDERLYING THAT STRESS REDUCTION REMAIN LARGELY UNIDENTIFIED. UNDERSTANDING HOW YOGA WORKS IS ESSENTIAL TO OPTIMIZING INTERVENTIONS. THE PRESENT STUDY TESTED FIVE POTENTIAL PSYCHOSOCIAL MECHANISMS (INCREASED MINDFULNESS, INTEROCEPTIVE AWARENESS, SPIRITUAL WELL-BEING, SELF-COMPASSION AND SELF-CONTROL) THAT HAVE BEEN PROPOSED TO EXPLAIN YOGA'S IMPACT ON STRESS. FORTY-TWO PARTICIPANTS (62% FEMALE; 64% WHITE) IN A YOGA PROGRAM FOR STRESS REDUCTION COMPLETED SURVEYS AT BASELINE (T1), MID-INTERVENTION (T2) AND POST-INTERVENTION (12 WEEKS; T3). WE MEASURED TWO ASPECTS OF STRESS, PERCEIVED STRESS AND STRESS REACTIVITY. CHANGES WERE ASSESSED WITH PAIRED T-TESTS; ASSOCIATIONS BETWEEN CHANGES IN MECHANISMS WERE TESTED IN RESIDUAL CHANGE MODELS. ONLY STRESS REACTIVITY DECREASED, ON AVERAGE, FROM T1 TO T3. EXCEPT FOR SELF-COMPASSION, ALL PSYCHOSOCIAL MECHANISMS INCREASED FROM T1 TO T3, WITH MINIMAL CHANGES FROM T2 TO T3. EXCEPT FOR SELF-CONTROL, INCREASES IN EACH MECHANISM WERE STRONGLY ASSOCIATED WITH DECREASES IN BOTH MEASURES OF STRESS BETWEEN T1 AND T2 AND DECREASES IN PERCEIVED STRESS FROM T1 TO T3 (ALL P'S < 0.05). INCREASED PSYCHOSOCIAL RESOURCES ARE ASSOCIATED WITH STRESS REDUCTION. YOGA INTERVENTIONS TARGETING THESE RESOURCES MAY SHOW STRONGER STRESS REDUCTION EFFECTS. FUTURE RESEARCH SHOULD TEST THESE LINKAGES MORE RIGOROUSLY USING ACTIVE COMPARISON GROUPS AND LARGER SAMPLES. 2021 18 1618 23 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 19 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 20 1211 26 EXPLORING HOW DIFFERENT TYPES OF YOGA CHANGE PSYCHOLOGICAL RESOURCES AND EMOTIONAL WELL-BEING ACROSS A SINGLE SESSION. OBJECTIVES: YOGA DEMONSTRATES BENEFICIAL EFFECTS IN MANY POPULATIONS, YET OUR UNDERSTANDING OF HOW YOGA BRINGS ABOUT THESE EFFECTS IS QUITE LIMITED. AMONG THE PROPOSED MECHANISMS OF YOGA ARE INCREASING PSYCHOLOGICAL RESOURCES (MINDFULNESS, BODY CONSCIOUSNESS, SELF-TRANSCENDENCE, SPIRITUAL PEACE, AND SOCIAL CONNECTEDNESS) THAT MAY BRING ABOUT SALUTARY EFFECTS ON EMOTIONAL WELLBEING. FURTHER, YOGA IS A COMPLEX PRACTICE COMPRISING MEDITATION, ACTIVE AND RESTORATIVE POSTURES, AND BREATHWORK; HOWEVER LITTLE IS KNOWN ABOUT HOW DIFFERENT COMPONENTS MAY AFFECT MECHANISMS. WE AIMED TO DETERMINE HOW AN ACUTE SESSION OF YOGA (AND ITS SPECIFIC COMPONENTS) RELATED TO PRE- TO POST- SESSION CHANGES IN PROPOSED MECHANISMS (PSYCHOLOGICAL RESOURCES) AND WHETHER THOSE CHANGES WERE ASSOCIATED WITH POSITIVE CHANGES IN EMOTIONS. DESIGN: 144 REGULAR YOGA PRACTITIONERS COMPLETED MEASURES OF MINDFULNESS, BODY CONSCIOUSNESS, SELF-TRANSCENDENCE, SOCIAL CONNECTEDNESS, SPIRITUAL PEACE, AND EXERCISE-INDUCED EMOTIONS (POSITIVE ENGAGEMENT, REVITALIZATION, TRANQUILITY, EXHAUSTION) IMMEDIATELY BEFORE AND AFTER A YOGA SESSION (N=11 SESSIONS, EACH A DIFFERENT TYPE OF YOGA). PERCEIVED PROPERTIES OF EACH YOGA SESSION, EXERCISE EXERTION AND ENGAGEMENT WITH THE YOGA TEACHER WERE ASSESSED IMMEDIATELY FOLLOWING THE SESSION. RESULTS: PRE-TO POST- YOGA, LEVELS OF POSITIVE EMOTIONS (ENGAGEMENT, TRANQUILITY AND REVITALIZATION) INCREASED WHILE EXHAUSTION DECREASED. FURTHER, ALL PSYCHOLOGICAL RESOURCES INCREASED AND CLOSELY TRACKED IMPROVED EMOTIONS. ADDITIONALLY, ASPECTS OF THE YOGA SESSION CORRELATED WITH CHANGES IN PSYCHOLOGICAL RESOURCES (MECHANISMS) AND EMOTIONS. CONCLUSIONS: YOGA MAY INFLUENCE MULTIPLE PSYCHOLOGICAL MECHANISMS THAT INFLUENCE EMOTIONAL WELL-BEING. FURTHER, DIFFERENT TYPES OF YOGA MAY AFFECT DIFFERENT MECHANISMS. RESULTS CAN INFORM YOGA INTERVENTIONS AIMING TO OPTIMIZE EFFECTS THROUGH SPECIFIC MECHANISMS SUCH AS MINDFULNESS OR SPIRITUALITY. 2020