1 539 121 COMPLEMENTARY THERAPIES IN PARKINSON DISEASE: A REVIEW OF ACUPUNCTURE, TAI CHI, QI GONG, YOGA, AND CANNABIS. PARKINSON DISEASE (PD) IS A PROGRESSIVE NEURODEGENERATIVE CONDITION CHARACTERIZED BY BRADYKINESIA, RIGIDITY, RESTING TREMOR, AND POSTURAL INSTABILITY. NON-MOTOR SYMPTOMS, INCLUDING PAIN, FATIGUE, INSOMNIA, ANXIETY, AND DEPRESSION TO NAME A FEW, ARE INCREASINGLY RECOGNIZED AND OFTEN JUST AS DISABLING AT MOTOR SYMPTOMS. THE MAINSTAY OF TREATMENT IS DOPAMINE REPLACEMENT; HOWEVER, THE BENEFICIAL EFFECTS TEND TO WANE OVER TIME WITH DISEASE PROGRESSION, AND PATIENTS OFTEN EXPERIENCE MOTOR FLUCTUATIONS AND MEDICATION SIDE EFFECTS. THE LACK OF A DISEASE-MODIFYING INTERVENTION AND THE SHORTCOMINGS OF TRADITIONAL SYMPTOMATIC MEDICATIONS HAVE LED MANY PATIENTS TO PURSUE COMPLEMENTARY THERAPIES TO ALLEVIATE MOTOR AND NON-MOTOR SYMPTOMS ASSOCIATED WITH PD. THE TERM COMPLEMENTARY IMPLIES THAT THE THERAPY IS USED ALONG WITH CONVENTIONAL MEDICINE AND MAY INCLUDE SUPPLEMENTS, MANIPULATIVE TREATMENTS (CHIROPRACTIC, MASSAGE), EXERCISE-BASED PROGRAMS, AND MIND-BODY PRACTICES. AS THESE PRACTICES BECOME MORE WIDESPREAD IN WESTERN MEDICINE, THERE IS A GROWING INTEREST IN EVALUATING THEIR EFFECTS ON A NUMBER OF MEDICAL CONDITIONS, PD INCLUDED. IN THIS REVIEW, WE PROVIDE AN UPDATE ON CLINICAL TRIALS THAT HAVE EVALUATED THE EFFECTIVENESS OF COMPLEMENTARY TREATMENTS FOR PATIENTS WITH PD, SPECIFICALLY FOCUSING ON ACUPUNCTURE, TAI CHI, QI GONG, YOGA, AND CANNABIS. 2020 2 2842 31 YOGA, BREAST CANCER-RELATED LYMPHOEDEMA AND WELL-BEING: A DESCRIPTIVE REPORT OF WOMEN'S PARTICIPATION IN A CLINICAL TRIAL. AIMS AND OBJECTIVES: TO DESCRIBE THE EXPERIENCES OF WOMEN TAKING PART IN A YOGA INTERVENTION TRIAL FOR BREAST CANCER-RELATED LYMPHOEDEMA. BACKGROUND: AROUND 20% OF WOMEN WILL EXPERIENCE LYMPHOEDEMA AS A CONSEQUENCE OF TREATMENT FOR BREAST CANCER. SPECIALIST LYMPHOEDEMA CLEARING, ALONG WITH SELF-MANAGEMENT, REMAINS THE MAINSTAY OF THERAPY. YOGA, AN INCREASINGLY POPULAR COMPLEMENTARY THERAPEUTIC PRACTICE, MAY PROVIDE ANOTHER TOOL TO AUGMENT SELF-MANAGEMENT. DESIGN: A QUALITATIVE, DESCRIPTIVE DESIGN. METHODS: INTERVIEWS WERE CONDUCTED WITH 15 WOMEN WITH STAGE ONE BREAST CANCER-RELATED LYMPHOEDEMA WHO HAD COMPLETED AN 8-WEEK YOGA INTERVENTION TRIAL. THE INTERVENTION CONSISTED OF A WEEKLY TEACHER-LED 1.5-HR YOGA CLASS AND A DAILY HOME PRACTICE USING A 45-MIN DVD. INTERVIEWS WERE AUDIO-TAPED AND TRANSCRIBED. THESE DATA WERE THEN ANALYSED USING AN ITERATIVE-THEMATIC APPROACH. RESULTS: PARTICIPANTS REPORTED IMPROVED WELL-BEING, INCREASED AWARENESS OF THEIR PHYSICAL BODY AS WELL AS IMPROVED PHYSICAL, MENTAL AND SOCIAL FUNCTIONING. THEY GAINED FROM BEING PART OF THE YOGA GROUP THAT ALSO PROVIDED A FORUM FOR THEM TO SHARE THEIR EXPERIENCES. NINE WOMEN FELT EMPOWERED TO DESCRIBE THEIR YOGA PARTICIPATION AS A TRANSFORMATIVE JOURNEY THROUGH ILLNESS. CONCLUSION: WHEN SAFE TO DO SO, THE HOLISTIC PRACTICE OF YOGA MAY AUGMENT AND PROVIDE ADDITIONAL BENEFIT TO CURRENT SELF-MANAGEMENT AND TREATMENT PRACTICES FOR WOMEN WITH BREAST CANCER-RELATED LYMPHOEDEMA. RELEVANCE TO CLINICAL PRACTICE: PATIENTS WITH BREAST CANCER-RELATED LYMPHOEDEMA MAY SEEK ADVICE AND GUIDANCE FROM NURSES AND OTHER HEALTHCARE PROFESSIONALS ON A RANGE OF COMPLEMENTARY THERAPIES TO HELP RELIEVE SYMPTOMS AND PROMOTE RECOVERY. PATIENTS WHO CHOOSE TO AUGMENT THEIR TREATMENT OF BREAST CANCER-RELATED LYMPHOEDEMA BY PRACTICING YOGA SHOULD BE CAREFULLY ASSESSED, BE TAUGHT AN APPROPRIATE TECHNIQUE BY A QUALIFIED YOGA TEACHER/THERAPIST AND ITS IMPACT MONITORED BY THEIR YOGA TEACHER/THERAPIST, BREAST CARE NURSE, LYMPHOEDEMA THERAPIST OR TREATING CLINICIAN. 2017 3 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 4 538 24 COMPLEMENTARY AND ALTERNATIVE TREATMENT FOR NECK PAIN: CHIROPRACTIC, ACUPUNCTURE, TENS, MASSAGE, YOGA, TAI CHI, AND FELDENKRAIS. OF THE MULTITUDE OF TREATMENT OPTIONS FOR THE MANAGEMENT OF NECK PAIN, NO OBVIOUS SINGLE TREATMENT MODALITY HAS BEEN SHOWN TO BE MOST EFFICACIOUS. AS SUCH, THE CLINICIAN SHOULD CONSIDER ALTERNATIVE TREATMENT MODALITIES IF A MODALITY IS ENGAGING, AVAILABLE, FINANCIALLY FEASIBLE, POTENTIALLY EFFICACIOUS, AND IS LOW RISK FOR THE PATIENT. AS EVIDENCE-BASED MEDICINE FOR NECK PAIN DEVELOPS, THE CLINICIAN IS FACED WITH THE CHALLENGE OF WHICH TREATMENTS TO ENCOURAGE PATIENTS TO PURSUE. TREATMENT MODALITIES EXPLORED IN THIS ARTICLE, INCLUDING CHIROPRACTIC, ACUPUNCTURE, TENS, MASSAGE, YOGA, TAI CHI, AND FELDENKRAIS, REPRESENT REASONABLE COMPLEMENTARY AND ALTERNATIVE MEDICINE METHODS FOR PATIENTS WITH NECK PAIN. 2011 5 576 34 DEPRESSION AND ANXIETY DISORDERS: BENEFITS OF EXERCISE, YOGA, AND MEDITATION. MANY PEOPLE WITH DEPRESSION OR ANXIETY TURN TO NONPHARMACOLOGIC AND NONCONVENTIONAL INTERVENTIONS, INCLUDING EXERCISE, YOGA, MEDITATION, TAI CHI, OR QI GONG. META-ANALYSES AND SYSTEMATIC REVIEWS HAVE SHOWN THAT THESE INTERVENTIONS CAN IMPROVE SYMPTOMS OF DEPRESSION AND ANXIETY DISORDERS. AS AN ADJUNCTIVE TREATMENT, EXERCISE SEEMS MOST HELPFUL FOR TREATMENT-RESISTANT DEPRESSION, UNIPOLAR DEPRESSION, AND POSTTRAUMATIC STRESS DISORDER. YOGA AS MONOTHERAPY OR ADJUNCTIVE THERAPY SHOWS POSITIVE EFFECTS, PARTICULARLY FOR DEPRESSION. AS AN ADJUNCTIVE THERAPY, IT FACILITATES TREATMENT OF ANXIETY DISORDERS, PARTICULARLY PANIC DISORDER. TAI CHI AND QI GONG MAY BE HELPFUL AS ADJUNCTIVE THERAPIES FOR DEPRESSION, BUT EFFECTS ARE INCONSISTENT. AS MONOTHERAPY OR AN ADJUNCTIVE THERAPY, MINDFULNESS-BASED MEDITATION HAS POSITIVE EFFECTS ON DEPRESSION, AND ITS EFFECTS CAN LAST FOR SIX MONTHS OR MORE. ALTHOUGH POSITIVE FINDINGS ARE LESS COMMON IN PEOPLE WITH ANXIETY DISORDERS, THE EVIDENCE SUPPORTS ADJUNCTIVE USE. THERE ARE NO APPARENT NEGATIVE EFFECTS OF MINDFULNESS-BASED INTERVENTIONS, AND THEIR GENERAL HEALTH BENEFITS JUSTIFY THEIR USE AS ADJUNCTIVE THERAPY FOR PATIENTS WITH DEPRESSION AND ANXIETY DISORDERS. 2019 6 2631 22 YOGA FOR THE TREATMENT OF INSOMNIA AMONG CANCER PATIENTS: EVIDENCE, MECHANISMS OF ACTION, AND CLINICAL RECOMMENDATIONS. UP TO 90% OF CANCER PATIENTS REPORT SYMPTOMS OF INSOMNIA DURING AND AFTER TREATMENT. SYMPTOMS OF INSOMNIA INCLUDE EXCESSIVE DAYTIME SLEEPINESS, DIFFICULTY FALLING ASLEEP, DIFFICULTY STAYING ASLEEP, AND WAKING UP TOO EARLY. INSOMNIA SYMPTOMS ARE AMONG THE MOST PREVALENT, DISTRESSING AND PERSISTENT CANCER- AND CANCER TREATMENT-RELATED TOXICITIES REPORTED BY PATIENTS, AND CAN BE SEVERE ENOUGH TO INCREASE CANCER MORBIDITY AND MORTALITY. DESPITE THE UBIQUITY OF INSOMNIA SYMPTOMS, THEY ARE UNDER-SCREENED, UNDER-DIAGNOSED, AND UNDER-TREATED IN CANCER PATIENTS. WHEN INSOMNIA SYMPTOMS ARE IDENTIFIED, PROVIDERS ARE HESITANT TO PRESCRIBE, AND PATIENTS ARE HESITANT TO TAKE PHARMACEUTICALS DUE TO POLYPHARMACY CONCERNS. IN ADDITION, SLEEP MEDICATIONS DO NOT CURE INSOMNIA. YOGA IS A WELL-TOLERATED MODE OF EXERCISE WITH PROMISING EVIDENCE FOR ITS EFFICACY IN IMPROVING INSOMNIA SYMPTOMS AMONG CANCER PATIENTS. THIS ARTICLE REVIEWS EXISTING CLINICAL RESEARCH ON THE EFFECTIVENESS OF YOGA FOR TREATING INSOMNIA AMONG CANCER PATIENTS. THE ARTICLE ALSO PROVIDES CLINICAL RECOMMENDATIONS FOR PRESCRIBING YOGA FOR THE TREATMENT OF INSOMNIA IN THIS POPULATION. 2014 7 2035 25 TELE-YOGA FOR CHRONIC PAIN: CURRENT STATUS AND FUTURE DIRECTIONS. PAIN IS A PERVASIVE, DEBILITATING DISORDER THAT IS RESISTANT TO LONG-TERM PHARMACOLOGICAL INTERVENTIONS. ALTHOUGH PSYCHOLOGICAL THERAPIES SUCH AS COGNITIVE BEHAVIOR THERAPY DEMONSTRATE MODERATE EFFICACY, MANY INDIVIDUALS CONTINUE TO HAVE ONGOING DIFFICULTIES FOLLOWING TREATMENT. THERE IS A CURRENT TREND TO ESTABLISH COMPLEMENTARY AND INTEGRATIVE HEALTH INTERVENTIONS FOR CHRONIC PAIN, FOR WHICH YOGA HAS BEEN FOUND TO HAVE EXCITING POTENTIAL. NEVERTHELESS, AN IMPORTANT CONSIDERATION WITHIN THE FIELD IS ACCESSIBILITY TO ADEQUATE CARE. TELEHEALTH CAN BE USED TO PROVIDE REAL-TIME INTERACTIVE VIDEO CONFERENCING LEADING TO INCREASED ACCESS TO HEALTH CARE FOR INDIVIDUALS LOCATED REMOTELY OR WHO OTHERWISE HAVE DIFFICULTY ACCESSING SERVICES, PERHAPS THROUGH ISSUES OF MOBILITY OR PROXIMITY OF ADEQUATE SERVICES. THIS ARTICLE ASSESSES THE CURRENT STATUS AND FEASIBILITY OF IMPLEMENTING TELE-YOGA FOR CHRONIC PAIN. METHODOLOGICAL LIMITATIONS AND RECOMMENDATIONS FOR FUTURE RESEARCH ARE DISCUSSED. 2018 8 1291 29 GROUP ACUPUNCTURE THERAPY WITH YOGA THERAPY FOR CHRONIC NECK, LOW BACK, AND OSTEOARTHRITIS PAIN IN SAFETY NET SETTING FOR AN UNDERSERVED POPULATION: DESIGN AND RATIONALE FOR A FEASIBILITY PILOT. CHRONIC PAIN IS PREVALENT IN THE UNITED STATES, WITH IMPACT ON PHYSICAL AND PSYCHOLOGICAL FUNCTIONING AS WELL AS LOST WORK PRODUCTIVITY. MINORITY AND LOWER SOCIOECONOMIC POPULATIONS HAVE INCREASED PREVALENCE OF CHRONIC PAIN WITH LESS ACCESS TO PAIN CARE, POORER OUTCOMES, AND HIGHER RISK OF FATAL OPIOID OVERDOSE. ACUPUNCTURE THERAPY IS EFFECTIVE IN TREATING CHRONIC PAIN CONDITIONS INCLUDING CHRONIC LOW BACK PAIN, NECK PAIN, SHOULDER PAIN, AND KNEE PAIN FROM OSTEOARTHRITIS. ACUPUNCTURE THERAPY, INCLUDING GROUP ACUPUNCTURE, IS FEASIBLE AND EFFECTIVE, AND SPECIFICALLY SO FOR UNDERSERVED AND DIVERSE POPULATIONS AT RISK FOR HEALTH OUTCOME DISPARITIES. ACUPUNCTURE THERAPY ALSO ENCOURAGES PATIENT ENGAGEMENT AND ACTIVATION. AS CHRONIC PAIN IMPROVES, THERE IS A NATURAL PROGRESSION TO WANT AND NEED TO INCREASE ACTIVITY AND MOVEMENT RECOVERY. DIVERSE MOVEMENT APPROACHES ARE IMPORTANT FOR IMPROVING RANGE OF MOTION, MAINTAINING GAINS, STRENGTHENING, AND PROMOTING PATIENT ENGAGEMENT AND ACTIVATION. YOGA THERAPY IS AN ACTIVE THERAPY WITH PROVEN BENEFIT IN MUSCULOSKELETAL PAIN DISORDERS AND PAIN ASSOCIATED DISABILITY. THE AIM OF THIS QUASI-EXPERIMENTAL PILOT FEASIBILITY TRIAL IS TO TEST THE BUNDLING OF THESE 2 EFFECTIVE CARE OPTIONS FOR CHRONIC PAIN, TO INFORM BOTH THE DESIGN FOR A LARGER RANDOMIZED PRAGMATIC EFFECTIVENESS TRIAL AS WELL AS IMPLEMENTATION STRATEGIES ACROSS UNDERSERVED SETTINGS. 2020 9 875 22 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 10 2567 29 YOGA FOR DEPRESSION AND ANXIETY: A REVIEW OF PUBLISHED RESEARCH AND IMPLICATIONS FOR HEALTHCARE PROVIDERS. THERE IS INCREASING INTEREST IN THE USE OF YOGA AS WAY TO MANAGE OR TREAT DEPRESSION AND ANXIETY. YOGA IS AFFORD- ABLE, APPEALING, AND ACCESSIBLE FOR MANY PEOPLE, AND THERE ARE PLAUSIBLE COGNITIVE/AFFECTIVE AND BIOLOGIC MECHANISMS BY WHICH YOGA COULD HAVE A POSITIVE IMPACT ON DEPRESSION AND ANXIETY. THERE IS INDEED PRELIMINARY EVIDENCE THAT YOGA MAY BE HELPFUL FOR THESE PROBLEMS, AND THERE ARE SEVERAL ONGOING LARGER-SCALE RANDOMIZED CLINICAL TRIALS. THE CURRENT EVIDENCE BASE IS STRONGEST FOR YOGA AS EFFICACIOUS IN REDUCING SYMPTOMS OF UNIPOLAR DEPRESSION. HOWEVER, THERE MAY BE RISKS TO ENGAGING IN YOGA AS WELL. HEALTHCARE PROVIDERS CAN HELP PATIENTS EVALUATE WHETHER A PARTICULAR COMMUNITY-BASED YOGA CLASS IS HELPFUL AND SAFE FOR THEM. 2016 11 2798 30 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 12 2436 31 YOGA AND PSYCHIATRIC DISORDERS: A REVIEW OF BIOMARKER EVIDENCE. TRADITIONALLY, YOGA HAS BEEN USED AS A MEANS FOR SPIRITUAL GROWTH BUT OVER THE PAST TWO DECADES OR SO ITS THERAPEUTIC BENEFITS IN PSYCHIATRIC DISORDERS HAVE BEEN SCIENTIFICALLY EXPLORED. YOGA HAS BEEN SHOWN TO BE USEFUL AS A MONO-THERAPY IN MILD TO MODERATE DEPRESSION AND AS AN ADJUVANT IN SEVERAL PSYCHIATRIC DISORDERS INCLUDING SCHIZOPHRENIA, ANXIETY DISORDERS, SUBSTANCE USE DISORDERS AND MILD COGNITIVE IMPAIRMENT. FURTHERMORE, SYSTEMATIC ATTEMPTS HAVE BEEN MADE TO UNDERSTAND THE BIOLOGICAL CORRELATES OF YOGA IN THESE PSYCHIATRIC DISORDERS. GIVEN THAT NO PSYCHIATRIC DISORDER HAS STRONG AND ESTABLISHED BIOMARKERS, IT IS INTERESTING THAT PRELIMINARY RESEARCH HAS DEMONSTRATED SIGNIFICANT CHANGES IN CERTAIN IMPORTANT BIOMARKERS FOLLOWING REGULAR YOGA PRACTICE. IN THIS BRIEF REVIEW, WE PROVIDE AN UPDATE ON THE EFFECTS OF YOGA ON BIOCHEMICAL, NEURO-PHYSIOLOGICAL AND NEURO-IMAGING RELATED BIO-MARKERS IN PSYCHIATRIC DISORDERS. ALTHOUGH FINDINGS AND TRENDS ARE PROMISING, MUCH MORE RESEARCH IS WARRANTED TO ESTABLISH A DEFINITE BIOLOGICAL BASIS FOR YOGA IN PSYCHIATRY. 2021 13 1566 16 LOW BACK PAIN AND YOGA. ABSTRACT QUESTIONS FROM PATIENTS ABOUT PAIN CONDITIONS AND ANALGESIC PHARMACOTHERAPY AND RESPONSES FROM AUTHORS ARE PRESENTED TO HELP EDUCATE PATIENTS AND MAKE THEM MORE EFFECTIVE SELF-ADVOCATES. THE TOPIC ADDRESSED IN THIS ISSUE IS CHRONIC LOW BACK PAIN, ONE OF THE MOST COMMON REASONS TO VISIT ONE'S PRIMARY CARE DOCTOR. COMPLEMENTARY APPROACHES, INCLUDING YOGA, WILL BE ADDRESSED. 2014 14 2831 30 YOGA VS. PHYSICAL THERAPY VS. EDUCATION FOR CHRONIC LOW BACK PAIN IN PREDOMINANTLY MINORITY POPULATIONS: STUDY PROTOCOL FOR A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: CHRONIC LOW BACK PAIN CAUSES SUBSTANTIAL MORBIDITY AND COST TO SOCIETY WHILE DISPROPORTIONATELY IMPACTING LOW-INCOME AND MINORITY ADULTS. SEVERAL RANDOMIZED CONTROLLED TRIALS SHOW YOGA IS AN EFFECTIVE TREATMENT. HOWEVER, THE COMPARATIVE EFFECTIVENESS OF YOGA AND PHYSICAL THERAPY, A COMMON MAINSTREAM TREATMENT FOR CHRONIC LOW BACK PAIN, IS UNKNOWN. METHODS/DESIGN: THIS IS A RANDOMIZED CONTROLLED TRIAL FOR 320 PREDOMINANTLY LOW-INCOME MINORITY ADULTS WITH CHRONIC LOW BACK PAIN, COMPARING YOGA, PHYSICAL THERAPY, AND EDUCATION. INCLUSION CRITERIA ARE ADULTS 18-64 YEARS OLD WITH NON-SPECIFIC LOW BACK PAIN LASTING >/= 12 WEEKS AND A SELF-REPORTED AVERAGE PAIN INTENSITY OF >/= 4 ON A 0-10 SCALE. RECRUITMENT TAKES PLACE AT BOSTON MEDICAL CENTER, AN URBAN ACADEMIC SAFETY-NET HOSPITAL AND SEVEN FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS LOCATED IN DIVERSE NEIGHBORHOODS. THE 52-WEEK STUDY HAS AN INITIAL 12-WEEK TREATMENT PHASE WHERE PARTICIPANTS ARE RANDOMIZED IN A 2:2:1 RATIO INTO I) A STANDARDIZED WEEKLY HATHA YOGA CLASS SUPPLEMENTED BY HOME PRACTICE; II) A STANDARDIZED EVIDENCE-BASED EXERCISE THERAPY PROTOCOL ADAPTED FROM THE TREATMENT BASED CLASSIFICATION METHOD, INDIVIDUALLY DELIVERED BY A PHYSICAL THERAPIST AND SUPPLEMENTED BY HOME PRACTICE; AND III) EDUCATION DELIVERED THROUGH A SELF-CARE BOOK. CO-PRIMARY OUTCOME MEASURES ARE 12-WEEK PAIN INTENSITY MEASURED ON AN 11-POINT NUMERICAL RATING SCALE AND BACK-SPECIFIC FUNCTION MEASURED USING THE MODIFIED ROLAND MORRIS DISABILITY QUESTIONNAIRE. IN THE SUBSEQUENT 40-WEEK MAINTENANCE PHASE, YOGA PARTICIPANTS ARE RE-RANDOMIZED IN A 1:1 RATIO TO EITHER STRUCTURED MAINTENANCE YOGA CLASSES OR HOME PRACTICE ONLY. PHYSICAL THERAPY PARTICIPANTS ARE SIMILARLY RE-RANDOMIZED TO EITHER FIVE BOOSTER SESSIONS OR HOME PRACTICE ONLY. EDUCATION PARTICIPANTS CONTINUE TO FOLLOW RECOMMENDATIONS OF EDUCATIONAL MATERIALS. WE WILL ALSO ASSESS COST EFFECTIVENESS FROM THE PERSPECTIVES OF THE INDIVIDUAL, INSURERS, AND SOCIETY USING CLAIMS DATABASES, ELECTRONIC MEDICAL RECORDS, SELF-REPORT COST DATA, AND STUDY RECORDS. QUALITATIVE DATA FROM INTERVIEWS WILL ADD SUBJECTIVE DETAIL TO COMPLEMENT QUANTITATIVE DATA. TRIAL REGISTRATION: THIS TRIAL IS REGISTERED IN CLINICALTRIALS.GOV, WITH THE ID NUMBER: NCT01343927. 2014 15 1481 23 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 16 181 28 A RANDOMIZED CONTROLLED TRIAL OF YOGA VS NONAEROBIC EXERCISE FOR VETERANS WITH PTSD: UNDERSTANDING EFFICACY, MECHANISMS OF CHANGE, AND MODE OF DELIVERY. BACKGROUND AND OBJECTIVES: POSTTRAUMATIC STRESS DISORDER (PTSD) IS A CHRONIC, DISABLING, AND PREVALENT MENTAL HEALTH DISORDER AMONG VETERANS. DESPITE THE AVAILABILITY OF EMPIRICALLY SUPPORTED PSYCHOTHERAPIES, MANY VETERANS REMAIN SYMPTOMATIC AFTER TREATMENT AND/OR PREFER TO SEEK COMPLEMENTARY AND INTEGRATIVE HEALTH APPROACHES, INCLUDING YOGA, TO MANAGE PTSD. THE RANDOMIZED CONTROLLED TRIAL (RCT) DESCRIBED HEREIN WILL EVALUATE THE EFFICACY OF A MANUALIZED YOGA PROGRAM AS COMPARED TO NONAEROBIC EXERCISE IN REDUCING PTSD SEVERITY AMONG VETERANS. A SECONDARY AIM OF THIS STUDY IS TO BETTER UNDERSTAND THE MECHANISMS OF CHANGE. METHODS: VETERANS (N = 192) WITH PTSD WILL BE RANDOMIZED TO HATHA YOGA OR NONAEROBIC PHYSICAL ACTIVITY CONTROL; BOTH GROUPS CONSIST OF 12 WEEKLY, 60-MIN GROUP OR ONLINE TRAINING SESSIONS WITH 15-20 MIN OF DAILY AT-HOME PRACTICE. OUTCOME MEASURES WILL BE ADMINISTERED AT BASELINE, MID-TREATMENT, POSTTREATMENT, AND 12-WEEK FOLLOW-UP. PROJECTED OUTCOMES: THIS STUDY WILL EVALUATE CHANGES IN PTSD SEVERITY (PRIMARY OUTCOME) AS WELL AS DEPRESSION, ANXIETY, ANGER, SLEEP PROBLEMS, AND PSYCHOSOCIAL DISABILITY (SECONDARY OUTCOMES). WE WILL ALSO USE MULTIPLE MEDIATION TO EXAMINE TWO POTENTIAL MODELS OF THE MECHANISMS OF CLINICAL EFFECT: THE ATTENTION MODEL (I.E., YOGA INCREASES ATTENTIONAL CONTROL, WHICH REDUCES PTSD SYMPTOMS), THE COPING MODEL (I.E., YOGA INCREASES DISTRESS TOLERANCE, WHICH IMPROVES COPING, WHICH REDUCES PTSD SYMPTOMS), AND THE COMBINATION OF THESE MODELS. THIS ASPECT OF THE STUDY IS INNOVATIVE AND IMPORTANT GIVEN THE ABSENCE OF AN EXISTING, COMPREHENSIVE MODEL FOR UNDERSTANDING YOGA'S IMPACT ON PTSD. ULTIMATELY, WE HOPE TO DEVELOP GUIDELINES FOR APPLICATION OF YOGA TO PTSD RECOVERY. 2021 17 2927 34 [YOGA FOR MENTAL DISORDERS]. BACKGROUND: THE DEMAND FOR COMPLEMENTARY CLINICALLY EFFICACIOUS, SAFE, PATIENT ACCEPTABLE, AND COST-EFFECTIVE FORMS OF TREATMENT FOR MENTAL ILLNESS IS GROWING. YOGA HAS BENEFICIAL EFFECTS ON SOMATIC AND MENTAL HEALTH FACTORS; THEREFORE, YOGA HAS PREVENTIVE AND THERAPEUTIC CAPABILITIES TO IMPROVE MENTAL DYSFUNCTION. OBJECTIVE: IN THIS OVERVIEW OF THE CURRENT LITERATURE, THE EVIDENCE OF THE EFFECTS OF YOGA ON SELECTED MAJOR PSYCHIATRIC DISORDERS IS SUMMARIZED. RESULTS: THE STRONGEST EVIDENCE BASE FOR YOGA EXISTS IN REDUCING DEPRESSIVE SYMPTOMS BUT ITS USE IN MAJOR DEPRESSIVE DISORDERS IS LESS CLEAR. THE EVIDENCE FOR THE EFFICACY OF YOGA FOR ANXIETY DISORDERS, AND POSTTRAUMATIC STRESS DISORDER (PTSD) IS ENCOURAGING, BUT NOT DEFINITIVE DUE TO ONLY A FEW RANDOMIZED CONTROLLED TRIALS AND METHODOLOGICAL PROBLEMS. CONCLUSION: THERE IS PRELIMINARY EVIDENCE THAT MEDITATION-BASED YOGA INTERVENTIONS MAY BE HELPFUL FOR DEPRESSION, ANXIETY AND PTSD; HOWEVER, THERE MAY ALSO BE THE RISK OF ENGAGING IN EXTREME YOGA PRACTICES. THE VALUE OF INTEGRATING YOGA INTO A TREATMENT PLAN FOR PATIENTS WITH PSYCHIATRIC DISORDERS NEEDS TO BE EVALUATED ON AN INDIVIDUAL BASIS. HEALTHCARE PROVIDERS CAN MOTIVATE AND HELP PATIENTS EVALUATE WHETHER A GIVEN YOGA CLASS IS HELPFUL AND SAFE FOR THEM. METHODOLOGICAL PROBLEMS AND THE UNCLEAR RISK-BENEFIT RATIO PRECLUDE DEFINITIVE RECOMMENDATIONS FOR YOGA AS AN ADJUNCT TREATMENT. 2018 18 1300 34 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 19 421 27 BRIDGING BODY AND MIND: CONSIDERATIONS FOR TRAUMA-INFORMED YOGA. INDIVIDUALS WHO SUFFER FROM TRAUMA-RELATED SYMPTOMS ARE A UNIQUE POPULATION THAT COULD BENEFIT FROM THE MIND-BODY PRACTICE OF YOGA-OR HAVE THEIR SYMPTOMS REACTIVATED BY IT, DEPENDING ON THE TYPE OF YOGA. TRAUMA-INFORMED YOGA (TIY), THAT IS, YOGA ADAPTED TO THE UNIQUE NEEDS OF INDIVIDUALS WORKING TO OVERCOME TRAUMA, MAY AMELIORATE SYMPTOMS BY CREATING A SAFE, TAILORED PRACTICE FOR STUDENTS TO LEARN HOW TO RESPOND, RATHER THAN REACT, TO SYMPTOMS AND CIRCUMSTANCES. YOGA NOT THUS ADAPTED, ON THE OTHER HAND, MAY INCREASE REACTIVITY AND ACTIVATE SYMPTOMS SUCH AS HYPERAROUSAL OR DISSOCIATION. THIS ARTICLE REPORTS ON EXPERT INPUT ABOUT ADAPTING YOGA FOR INDIVIDUALS WITH TRAUMA, WITH SPECIAL CONSIDERATIONS FOR MILITARY POPULATIONS. ELEVEN EXPERTS, RECRUITED BASED ON LITERATURE REVIEW AND REFERRALS, WERE INTERVIEWED IN PERSON OR VIA TELEPHONE AND ASKED SEVEN QUESTIONS ABOUT TRAUMA-INFORMED YOGA. VERBATIM TRANSCRIPTS WERE SUBJECTED TO OPEN-CODING THEMATIC ANALYSIS AND A PRIORI THEMES. FINDINGS REVEALED THAT TIY NEEDS TO EMPHASIZE BENEFICIAL PRACTICES (E.G., DIAPHRAGMATIC BREATH AND RESTORATIVE POSTURES), CONSIDER CONTRAINDICATIONS (E.G., AVOIDING SEQUENCES THAT OVERLY ENGAGE THE SYMPATHETIC NERVOUS SYSTEM), ADAPT TO LIMITATIONS AND CHALLENGES FOR TEACHING IN UNCONVENTIONAL SETTINGS (E.G., PRISONS, VA HOSPITALS), AND PROVIDE SPECIALIZED TRAINING AND PREPARATION (E.G., SPECIALIZED TIY CERTIFICATIONS, SELF-CARE OF INSTRUCTORS/THERAPISTS, ADAPTIONS FOR STUDENT NEEDS). TIY FOR VETERANS MUST ADDITIONALLY CONSIDER GENDER- AND CULTURE-RELATED BARRIERS, DIFFERING RELATIONSHIPS TO PAIN AND INJURY, AND MEDICATION AS A BARRIER TO PRACTICE. 2018 20 2503 26 YOGA AS TREATMENT FOR INSOMNIA AMONG CANCER PATIENTS AND SURVIVORS: A SYSTEMATIC REVIEW. MANY CANCER PATIENTS AND SURVIVORS, BETWEEN 15 TO 90%, REPORT SOME FORM OF INSOMNIA OR SLEEP QUALITY IMPAIRMENT DURING AND POST-TREATMENT, SUCH AS EXCESSIVE DAYTIME NAPPING, DIFFICULTY FALLING ASLEEP, DIFFICULTY STAYING ASLEEP, AND WAKING UP TOO EARLY. INSOMNIA AND SLEEP QUALITY IMPAIRMENT ARE AMONG THE MOST PREVALENT AND DISTRESSING PROBLEMS REPORTED BY CANCER PATIENTS AND SURVIVORS, AND CAN BE SEVERE ENOUGH TO INCREASE CANCER MORTALITY. DESPITE THE UBIQUITY OF INSOMNIA AND SLEEP QUALITY IMPAIRMENT, THEY ARE UNDER-DIAGNOSED AND UNDER-TREATED IN CANCER PATIENTS AND SURVIVORS. WHEN SLEEP PROBLEMS ARE PRESENT, PROVIDERS AND PATIENTS ARE OFTEN HESITANT TO PRESCRIBE OR TAKE PHARMACEUTICALS FOR SLEEP PROBLEMS DUE TO POLY PHARMACY CONCERNS, AND COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA CAN BE VERY DIFFICULT AND IMPRACTICAL FOR PATIENTS TO ADHERE TO THROUGHOUT THE CANCER EXPERIENCE. RESEARCH SUGGESTS YOGA IS A WELL-TOLERATED EXERCISE INTERVENTION WITH PROMISING EVIDENCE FOR ITS EFFICACY IN IMPROVING INSOMNIA AND SLEEP QUALITY IMPAIRMENT AMONG SURVIVORS. THIS ARTICLE PROVIDES A SYSTEMATIC REVIEW OF EXISTING CLINICAL RESEARCH ON THE EFFECTIVENESS OF YOGA FOR TREATING INSOMNIA AND SLEEP QUALITY IMPAIRMENT AMONG CANCER PATIENTS AND SURVIVORS. 2013