1 1885 205 REDUCING THE SYMPTOMATOLOGY OF PANIC DISORDER: THE EFFECTS OF A YOGA PROGRAM ALONE AND IN COMBINATION WITH COGNITIVE-BEHAVIORAL THERAPY. INTRODUCTION: YOGA IS A HOLISTIC SYSTEM OF DIFFERENT MIND-BODY PRACTICES THAT CAN BE USED TO IMPROVE MENTAL AND PHYSICAL HEALTH. IT HAS BEEN SHOWN TO REDUCE PERCEIVED STRESS AND ANXIETY AS WELL AS IMPROVE MOOD AND QUALITY OF LIFE. RESEARCH DOCUMENTING THE THERAPEUTIC BENEFITS OF YOGA HAS GROWN PROGRESSIVELY FOR THE PAST DECADES AND NOW INCLUDES CONTROLLED TRIALS ON A VARIETY OF MENTAL HEALTH CONDITIONS SUCH AS DEPRESSION, ANXIETY, AND PANIC DISORDER. OBJECTIVES: THE PRIMARY GOAL OF THIS STUDY WAS TO INVESTIGATE THE EFFECTS OF YOGA IN PATIENTS SUFFERING FROM PANIC DISORDER. WE AIMED AT OBSERVING THE EFFICACY OF YOGA TECHNIQUES ON REDUCING THE SYMPTOMATOLOGY OF PANIC DISORDER (ANXIETY AND AGORAPHOBIA), COMPARED TO A COMBINED INTERVENTION OF YOGA AND PSYCHOTHERAPY. METHOD: TWENTY SUBJECTS PREVIOUSLY DIAGNOSED WITH PANIC DISORDER WERE SELECTED. SUBJECTS WERE RANDOMLY ASSIGNED TO BOTH EXPERIMENTAL GROUPS: GROUP 1 (G1-YOGA: 10 SUBJECTS) ATTENDED YOGA CLASSES AND GROUP 2 (G2-CBT + YOGA: 10 SUBJECTS) PARTICIPATED IN A COMBINED INTERVENTION OF YOGA PRACTICE FOLLOWED BY A COGNITIVE-BEHAVIORAL THERAPY (CBT) SESSION. BOTH INTERVENTIONS OCCURRED WEEKLY FOR 100 MIN AND LASTED 2 MONTHS. SUBJECTS WERE EVALUATED TWO TIMES DURING THE STUDY: PRE-TEST AND POST-TEST. PSYCHOMETRIC TOOLS INCLUDED THE BECK ANXIETY INVENTORY (BAI), HAMILTON ANXIETY RATING SCALE (HAM-A), THE PANIC BELIEFS INVENTORY (PBI), AND BODY SENSATIONS QUESTIONNAIRE (BSQ). RESULTS: STATISTICAL ANALYSIS SHOWED SIGNIFICANT REDUCTIONS IN ANXIETY LEVELS ASSOCIATED WITH PANIC DISORDER (G1: BAI - P = 0.035, HAM-A - P = 0.000; G2: BAI - P = 0.002, HAM-A - P = 0.000), PANIC-RELATED BELIEFS (G1: PBI - P = 0.000; G2: PBI - P = 0.000) AND PANIC-RELATED BODY SENSATIONS (G1: BSQ - P = 0.000; G2: BSQ - P = 0.000) BOTH IN G1 AND G2. HOWEVER, THE COMBINATION OF YOGA AND CBT (G2) SHOWED EVEN FURTHER REDUCTIONS IN ALL OBSERVED PARAMETERS (MEAN VALUES). CONCLUSION: THIS STUDY OBSERVED SIGNIFICANT IMPROVEMENT IN PANIC SYMPTOMATOLOGY FOLLOWING BOTH THE PRACTICE OF YOGA AND THE COMBINATION OF YOGA AND PSYCHOTHERAPY. WHILE CONTEMPLATIVE TECHNIQUES SUCH AS YOGA PROMOTE A GENERAL CHANGE IN DEALING WITH PRIVATE EVENTS, CBT TEACHES HOW TO MODIFY IRRATIONAL BELIEFS AND SPECIFIC COGNITIVE DISTORTIONS. THE RESULTS OBSERVED IN G2 MIGHT INDICATE THAT THE TECHNIQUES COMPLEMENTED EACH OTHER, INCREASING THE INTERVENTION EFFICACY. THESE FINDINGS ARE IN AGREEMENT WITH MANY INVESTIGATIONS FOUND IN THE LITERATURE WHICH OBSERVED IMPROVEMENTS IN DIFFERENT MENTAL HEALTH PARAMETERS AFTER THE PRACTICE OF CONTEMPLATIVE TECHNIQUES ALONE OR COMBINED TO PSYCHOTHERAPY. FUTURE RESEARCH JOINING PSYCHOLOGICAL AND PHYSIOLOGICAL VARIABLES COULD HELP BETTER ELUCIDATE THE MECHANISMS THROUGH WHICH MIND-BODY PRACTICES WORK TO IMPROVE MENTAL HEALTH. 2014 2 2872 40 YOGA-ENHANCED COGNITIVE BEHAVIOURAL THERAPY (Y-CBT) FOR ANXIETY MANAGEMENT: A PILOT STUDY. COGNITIVE BEHAVIOURAL THERAPY (CBT) IS AN EFFECTIVE TREATMENT FOR GENERALIZED ANXIETY DISORDER, BUT THERE IS STILL ROOM FOR IMPROVEMENT. THE AIM OF THE PRESENT STUDY WAS TO EXAMINE THE POTENTIAL BENEFIT OF ENRICHING CBT WITH KUNDALINI YOGA (Y-CBT). PARTICIPANTS CONSISTED OF TREATMENT RESISTANT CLIENTS AT A COMMUNITY MENTAL HEALTH CLINIC. A TOTAL OF 32 PARTICIPANTS ENROLLED IN THE STUDY AND 22 COMPLETED THE PROGRAMME. AFTER THE Y-CBT INTERVENTION, PRE-POST COMPARISONS SHOWED STATISTICALLY SIGNIFICANT IMPROVEMENTS IN STATE AND TRAIT ANXIETY, DEPRESSION, PANIC, SLEEP AND QUALITY OF LIFE. RESULTS FROM THIS PRELIMINARY STUDY SUGGEST THAT Y-CBT MAY HAVE POTENTIAL AS A PROMISING TREATMENT FOR THOSE SUFFERING FROM GENERALIZED ANXIETY DISORDER. KEY PRACTITIONER MESSAGES: YOGA-ENHANCED COGNITIVE BEHAVIOURAL THERAPY (Y-CBT) MAY BE A PROMISING NEW TREATMENT FOR THOSE SUFFERING FROM GENERALIZED ANXIETY DISORDER. Y-CBT MAY ALSO REDUCE DEPRESSION IN THOSE SUFFERING FROM GENERALIZED ANXIETY. Y-CBT MAY REDUCE DEPRESSION AND ANXIETY IN A CLINIC POPULATION WHERE CLIENTS SUFFER FROM MULTIPLE DIAGNOSES INCLUDING GENERALIZED ANXIETY DISORDER. 2015 3 576 38 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 4 2790 30 YOGA THERAPY FOR ANXIETY: A CASE REPORT. YOGA THERAPY IS A MIND-BODY INTERVENTION THAT CAN BE AN IMPORTANT SOLUTION IN THE TREATMENT OF ANXIETY. YOGA THERAPY ALLEVIATES THE HYPERAROUSAL OF THE SYMPATHETIC NERVOUS SYSTEM (SNS) AND THE HYPERVIGILANCE OF THE HYPOTHALAMIC-PITUITARY-ADRENAL (HPA) AXIS THAT OCCURS IN ANXIETY. YOGA THERAPY ACTIVATES THE PARASYMPATHETIC BRANCH OF THE NERVOUS SYSTEM, REPLACING SNS OVERDRIVE, OR THE FLIGHT-OR-FIGHT RESPONSE, WITH THE RELAXATION RESPONSE AND BALANCING THE NERVOUS SYSTEM. YOGA THERAPY INCREASES POSITIVE COPING SKILLS AND BUILDS SELF-ESTEEM WITHOUT HARMFUL SIDE EFFECTS. THE RESULTS OF THIS CASE STUDY HAVE DEMONSTRATED THE CLINICAL EFFICACY OF YOGA THERAPY IN THE TREATMENT OF ANXIETY AND PANIC DISORDER (PD) IN AN ADOLESCENT FEMALE. TREATMENT CONSISTED OF 4 WKS OF INDIVIDUAL SESSIONS (60-MIN SESSION/WK) AND 6 WKS OF GROUP SESSIONS (90-MIN SESSION/WK) WITH DAILY HOME PRACTICE. THE RESULTS OF THE CASE STUDY ARE SIGNIFICANT BECAUSE GROWING NUMBERS OF YOUTH IN THE UNITED STATES ARE PRESENTING WITH ANXIETY AND SEEKING NONPHARMACOLOGICAL OPTIONS. 2013 5 1188 41 EVIDENCE MAP OF YOGA FOR DEPRESSION, ANXIETY, AND POSTTRAUMATIC STRESS DISORDER. BACKGROUND: THIS STUDY DESCRIBES EVIDENCE OF YOGA'S EFFECTIVENESS FOR DEPRESSIVE DISORDERS, GENERAL ANXIETY DISORDER (GAD), PANIC DISORDER (PD), AND POSTTRAUMATIC STRESS DISORDER (PTSD) IN ADULTS. WE ALSO ADDRESS ADVERSE EVENTS ASSOCIATED WITH YOGA. METHODS: WE SEARCHED MULTIPLE ELECTRONIC DATABASES FOR SYSTEMATIC REVIEWS (SRS) PUBLISHED BETWEEN 2008 AND JULY 2014, RANDOMIZED CONTROLLED TRIALS (RCTS) NOT IDENTIFIED IN ELIGIBLE SRS, AND ONGOING RCTS REGISTERED WITH CLINCALTRIALS.GOV. RESULTS: WE IDENTIFIED 1 SR ON DEPRESSION, 1 FOR ADVERSE EVENTS, AND 3 ADDRESSING MULTIPLE CONDITIONS. THE HIGH-QUALITY DEPRESSION SR INCLUDED 12 RCTS (N = 619) THAT SHOWED IMPROVED SHORT-TERM DEPRESSIVE SYMPTOMS (STANDARDIZED MEAN DIFFERENCE, -0.69, 95% CONFIDENCE INTERVAL, -0.99 TO -0.39), BUT THERE WAS SUBSTANTIAL VARIABILITY (I2 = 86%) AND A HIGH RISK OF BIAS FOR 9 STUDIES. THREE SRS ADDRESSING MULTIPLE CONDITIONS IDENTIFIED 4 NONRANDOMIZED STUDIES (N = 174) FOR GAD/PD AND 1 RCT (N = 8) AND 2 NONRANDOMIZED STUDIES (N = 22) FOR PTSD. WE SEPARATELY FOUND 1 RCT (N = 13) FOR GAD AND 2 RCTS (N = 102) FOR PTSD. COLLECTIVELY, THESE STUDIES WERE INCONCLUSIVE FOR THE EFFECTIVENESS OF YOGA IN TREATING GAD/PD AND PTSD. THE HIGH-QUALITY SR FOR ADVERSE EVENTS INCLUDED 37 PRIMARY REPORTS (N = 76) IN WHICH INVERSION POSTURES WERE MOST OFTEN IMPLICATED. WE FOUND 5 ONGOING TRIALS (3 FOR PTSD). CONCLUSIONS: YOGA MAY IMPROVE SHORT-TERM DEPRESSIVE SYMPTOMS, BUT EVIDENCE FOR GAD, PD, AND PTSD REMAIN INCONCLUSIVE. 2016 6 1231 55 FEASIBILITY AND PILOT EFFICACY TESTING OF INTEGRATED YOGA AND SHIRODHARA (AYURVEDIC OIL-DRIPPING) INTERVENTION ON CLINICAL SYMPTOMS, COGNITIVE FUNCTIONS AND SLEEP QUALITY OF ADULTS WITH ANXIETY DISORDER. BACKGROUND: BENEFICIAL EFFECTS OF YOGA THERAPY IN ANXIETY DISORDERS (ADS) ARE KNOWN. TRADITIONAL TEXTS DESCRIBE USEFULNESS OF AYURVEDIC OIL-DRIPPING, SHIRODHARA TECHNIQUE, IN RELIEVING ANXIETY. THUS, PRESENT STUDY WAS PLANNED TO ASSESS THE FEASIBILITY AND SYNERGISTIC VALUE OF SHIRODHARA AS AN ADD-ON TO YOGA THERAPY IN ADULTS WITH AD. MATERIALS AND METHODS: THIRTY ADULTS (MALES = 14, FEMALES = 16) ADMITTED IN A RESIDENTIAL HOLISTIC HEALTH CARE CENTER WITH AN AGE RANGE OF 29.66 +/- 6.63 YEARS AND DIAGNOSIS OF ONE OF THE ADS (GENERALIZED AD, N = 18; SOCIAL PHOBIA, N = 8; AND PANIC AD, N = 4) AS PER MINI-INTERNATIONAL NEUROPSYCHIATRIC INTERVIEW (M. I. N. I. ENGLISH VERSION 5.0) BY A PSYCHIATRIST WERE RANDOMLY DIVIDED INTO TWO GROUPS: (1) INTEGRATED YOGA-BASED LIFESTYLE PROGRAM (YT; N = 15) AND (2) YT + AYURVEDA (YA; N = 15). BOTH GROUPS CONTINUED TO RECEIVE CONVENTIONAL TREATMENT AND WERE ON STABLE MEDICATIONS THROUGHOUT THE STUDY PERIOD EXCEPT IN CASES OF EMERGENCY. ASSESSMENTS WERE DONE BY AN INDEPENDENT ASSESSOR AT BASELINE AND AFTER 2 WEEKS OF INTERVENTION FOR CLINICAL SYMPTOMS (HAM-A, STATE AND TRAIT ANXIETY INVENTORY, AND BRIEF PSYCHIATRIC RATING SCALE), SLEEP QUALITY (SLEEP RATING QUESTIONNAIRE), AND COGNITION (STROOP TEST AND DIGIT LETTER SUBSTITUTION TEST) USING STANDARD VALIDATED TOOLS. PARAMETRIC TESTS WERE APPLIED USING SPSS 10.0 TO ANALYZE THE DATA. RESULTS: TWELVE SUBJECTS IN YOGA GROUP AND THIRTEEN SUBJECTS IN YA GROUP COMPLETED THE TRIAL. NO SIDE EFFECTS WERE REPORTED IN ANY OF THE GROUPS. WITHIN-GROUP COMPARISONS SHOWED A SIGNIFICANT IMPROVEMENT IN CLINICAL SYMPTOMS, COGNITION AND SLEEP QUALITY IN BOTH THE GROUPS. BETWEEN-GROUP COMPARISONS SHOWED SIGNIFICANTLY BETTER SCORES IN STROOP WORD TASK FOR YA GROUP AS COMPARED TO YT GROUP. FURTHERMORE, THERE WAS A TREND TOWARD BETTER IMPROVEMENT IN SLEEP QUALITY FOR YA GROUP. CONCLUSION: ADDING OF SHIRODHARA TECHNIQUE TO YT WAS FEASIBLE AND MAY BE USEFUL IN IMPROVING EXECUTIVE MEMORY AND SLEEP QUALITY IN ADULTS WITH ADS. 2020 7 2137 38 THE EFFECTS OF ACUTE YOGA ON ANXIETY SYMPTOMS IN RESPONSE TO A CARBON DIOXIDE INHALATION TASK IN WOMEN. PURPOSE: WE INVESTIGATED THE EFFICACY OF YOGA FOR IMPROVING COGNITIVE AND PHYSICAL ANXIETY SYMPTOMS, AND ITS POSSIBLE RESPIRATORY MECHANISM, IN HIGH-ANXIOUS WOMEN. METHODS: EIGHTEEN PARTICIPANTS COMPLETED 40MIN OF GUIDED YOGA AND A LIGHT STRETCHING PROTOCOL IN A RANDOMIZED, COUNTERBALANCED ORDER.THE 7.5%CO2-INHALATION TASK WAS ADMINISTERED BEFORE, IMMEDIATELY AFTER AND 1H AFTER THE EXPERIMENTAL CONDITIONS.STATE ANXIETY AND PANIC WERE MEASURED BEFORE AND AFTER EACH INHALATION TASK.TIDAL VOLUME, VENTILATION AND RESPIRATORY RATE WERE MEASURED DURING EVERY 7.5%CO2-INHALATION TASKS. RESULTS: THERE WAS NO SIGNIFICANT 3-WAY INTERACTION(P>.05).THERE WAS A SIGNIFICANT MAIN EFFECT OF CO2-INHALATION TASK ON PANIC AND RESPIRATORY MEASURES(P<.05).WHEN COLLAPSED OVER INHALATION TASK AND CONDITION, THERE WAS A SMALL REDUCTION IN COGNITIVE ANXIETY FROM BASELINE TO IMMEDIATELY POST AND 1-H POST-CONDITION(P<.05). CONCLUSIONS: THERE APPEARS TO BE AN OVERALL EFFECT OF GENERAL PHYSICAL ACTIVITY FOR ATTENUATING ANXIETY COGNITIONS IRRESPECTIVE OF THE PHYSIOLOGICAL CHANGES, INDICATING POSSIBLE DISSOCIATION BETWEEN THE COGNITIVE AND PHYSICAL SYMPTOMS OF ANXIETY AMONG WOMEN WITH ANXIETY SENSITIVITY. 2019 8 2753 46 YOGA PRACTICE IS BENEFICIAL FOR MAINTAINING HEALTHY LIFESTYLE AND ENDURANCE UNDER RESTRICTIONS AND STRESS IMPOSED BY LOCKDOWN DURING COVID-19 PANDEMIC. UNCERTAINTY ABOUT CORONAVIRUS DISEASE 2019 (COVID-19) AND RESULTING LOCKDOWN CAUSED WIDESPREAD PANIC, STRESS, AND ANXIETY. YOGA IS A KNOWN PRACTICE THAT REDUCES STRESS AND ANXIETY AND MAY ENHANCE IMMUNITY. THIS STUDY AIMED TO (1) INVESTIGATE THAT INCLUDING YOGA IN DAILY ROUTINE IS BENEFICIAL FOR PHYSICAL AND MENTAL HEALTH, AND (2) TO EVALUATE LIFESTYLE OF YOGA PRACTITIONERS THAT MAY BE INSTRUMENTAL IN COPING WITH STRESS ASSOCIATED WITH LOCKDOWN. THIS IS A PAN-INDIA CROSS-SECTIONAL SURVEY STUDY, WHICH WAS CONDUCTED DURING THE LOCKDOWN. A SELF-RATED SCALE, COVID HEALTH ASSESSMENT SCALE (CHAS), WAS DESIGNED BY 11 EXPERTS IN 3 DELPHI ROUNDS (CONTENT VALID RATIO = 0.85) TO EVALUATE THE PHYSICAL HEALTH, MENTAL HEALTH, LIFESTYLE, AND COPING SKILLS OF THE INDIVIDUALS. THE SURVEY WAS MADE AVAILABLE DIGITALLY USING GOOGLE FORMS AND COLLECTED 23,760 CHAS RESPONSES. THERE WERE 23,290 VALID RESPONSES (98%). AFTER THE STUDY'S INCLUSION AND EXCLUSION CRITERIA OF YOGIC PRACTICES, THE RESPONDENTS WERE CATEGORIZED INTO THE YOGA (N = 9,840) AND NON-YOGA (N = 3,377) GROUPS, WHO ACTIVELY PRACTICED YOGA DURING THE LOCKDOWN IN INDIA. THE STATISTICAL ANALYSES WERE PERFORMED RUNNING LOGISTIC AND MULTINOMIAL REGRESSION AND CALCULATING ODDS RATIO ESTIMATION USING R SOFTWARE VERSION 4.0.0. THE NON-YOGA GROUP WAS MORE LIKELY TO USE SUBSTANCES AND UNHEALTHY FOOD AND LESS LIKELY TO HAVE GOOD QUALITY SLEEP. YOGA PRACTITIONERS REPORTED GOOD PHYSICAL ABILITY AND ENDURANCE. YOGA GROUP ALSO SHOWED LESS ANXIETY, STRESS, FEAR, AND HAVING BETTER COPING STRATEGIES THAN THE NON-YOGA GROUP. THE YOGA GROUP DISPLAYED STRIKING AND SUPERIOR ABILITY TO COPE WITH STRESS AND ANXIETY ASSOCIATED WITH LOCKDOWN AND COVID-19. IN THE YOGA GROUP, PARTICIPANTS PERFORMING MEDITATION REPORTEDLY HAD RELATIVELY BETTER MENTAL HEALTH. YOGA MAY LEAD TO RISK REDUCTION OF COVID-19 BY DECREASING STRESS AND IMPROVING IMMUNITY IF SPECIFIC YOGA PROTOCOLS ARE IMPLEMENTED THROUGH A GLOBAL PUBLIC HEALTH INITIATIVE. 2021 9 2796 44 YOGA THERAPY FOR OBSESSIVE COMPULSIVE DISORDER (OCD): A CASE SERIES FROM INDIA. YOGA IS AN ANCIENT SCIENCE WHICH HAS BEEN FOUND TO BE HELPFUL IN THE MANAGEMENT OF SEVERAL PSYCHIATRIC DISORDERS INCLUDING OBSESSIVE COMPULSIVE DISORDER (OCD). YOGA AS ADD-ON TREATMENT IN OCD MAY HELP ADDRESS ISSUES LIKE PARTIAL RESPONSE AND ADVERSE EFFECTS OF MEDICATIONS. HOWEVER, RESEARCH IN THIS AREA IS SPARSE, WHICH LED US TO EXPLORE IT THROUGH THIS CASE SERIES. IN THIS CASE SERIES WE HAVE DESCRIBED THE BENEFITS OF 1 MONTH OF YOGA AS ADD-ON TREATMENT IN PATIENTS WITH OCD. ALL PATIENTS WERE ON STABLE DOSES OF MEDICATIONS PRIOR TO AND DURING YOGA PRACTICE. PRE-POST ASSESSMENTS FOR THE CORE SYMPTOMS OF OBSESSION/COMPULSIONS AS WELL AS DEPRESSIVE AND ANXIETY SYMPTOMS WERE DONE. THE ASSESSMENTS SHOWED SIGNIFICANT IMPROVEMENT IN Y-BOCS AND HAM-D SCORES AFTER 1 MONTH OF YOGA. YOGA THERAPY COULD BE AN EFFECTIVE ADD-ON THERAPY FOR THE TREATMENT OF OCD. 2021 10 2608 19 YOGA FOR PSYCHIATRIC DISORDERS: FROM FAD TO EVIDENCE-BASED INTERVENTION? THERE IS GROWING EVIDENCE FOR YOGA'S NEUROBIOLOGICAL EFFECTS IN PEOPLE WITH PSYCHIATRIC DISORDERS. POSTULATED MECHANISMS OF ACTION INCLUDE: (A) MODULATION OF THE HYPOTHALAMIC-PITUITARY-ADRENAL (HPA) AXIS; (B) ENHANCEMENT OF GABAERGIC NEUROTRANSMISSION; (C) AUTONOMIC MODULATION; AND (D) NEUROENDOCRINOLOGICAL EFFECTS. YOGA AS A THERAPEUTIC INTERVENTION IN PSYCHIATRIC DISORDERS APPEARS PROMISING AND MERITS FURTHER ATTENTION IN CLINICAL PRACTICE AND RESEARCH. 2020 11 320 36 AN INTRODUCTION TO KUNDALINI YOGA MEDITATION TECHNIQUES THAT ARE SPECIFIC FOR THE TREATMENT OF PSYCHIATRIC DISORDERS. THE ANCIENT SYSTEM OF KUNDALINI YOGA INCLUDES A VAST ARRAY OF MEDITATION TECHNIQUES AND MANY WERE DISCOVERED TO BE SPECIFIC FOR TREATING THE PSYCHIATRIC DISORDERS AS WE KNOW THEM TODAY. ONE SUCH TECHNIQUE WAS FOUND TO BE SPECIFIC FOR TREATING OBSESSIVE-COMPULSIVE DISORDER (OCD), THE FOURTH MOST COMMON PSYCHIATRIC DISORDER, AND THE TENTH MOST DISABLING DISORDER WORLDWIDE. TWO PUBLISHED CLINICAL TRIALS ARE DESCRIBED HERE FOR TREATING OCD USING A SPECIFIC KUNDALINI YOGA PROTOCOL. THIS OCD PROTOCOL ALSO INCLUDES TECHNIQUES THAT ARE USEFUL FOR A WIDE RANGE OF ANXIETY DISORDERS, AS WELL AS A TECHNIQUE SPECIFIC FOR LEARNING TO MANAGE FEAR, ONE FOR TRANQUILIZING AN ANGRY MIND, ONE FOR MEETING MENTAL CHALLENGES, AND ONE FOR TURNING NEGATIVE THOUGHTS INTO POSITIVE THOUGHTS. PART OF THAT PROTOCOL IS INCLUDED HERE AND PUBLISHED IN DETAIL ELSEWHERE. IN ADDITION, A NUMBER OF OTHER DISORDER-SPECIFIC MEDITATION TECHNIQUES ARE INCLUDED HERE TO HELP BRING THESE TOOLS TO THE ATTENTION OF THE MEDICAL AND SCIENTIFIC COMMUNITY. THESE TECHNIQUES ARE SPECIFIC FOR PHOBIAS, ADDICTIVE AND SUBSTANCE ABUSE DISORDERS, MAJOR DEPRESSIVE DISORDERS, DYSLEXIA, GRIEF, INSOMNIA AND OTHER SLEEP DISORDERS. 2004 12 1575 42 MANAGING MENTAL HEALTH DISORDERS RESULTING FROM TRAUMA THROUGH YOGA: A REVIEW. THERE ARE MANY AND VARIED TYPES OF TRAUMA. THE EXTENT TO WHICH TRAUMA INFLUENCES THE MENTAL HEALTH OF AN INDIVIDUAL DEPENDS ON THE NATURE OF TRAUMA, AS WELL AS ON THE INDIVIDUAL'S COPING CAPABILITIES. OFTEN TRAUMA IS FOLLOWED BY DEPRESSION, ANXIETY, AND PTSD. AS THE PHARMACOLOGICAL REMEDIES FOR THESE CONDITIONS OFTEN HAVE UNDESIRABLE SIDE-EFFECTS, NONPHARMACOLOGICAL REMEDIES ARE THOUGHT OF AS A POSSIBLE ADD-ON TREATMENT. YOGA IS ONE SUCH MIND-BODY INTERVENTION. THIS PAPER COVERS ELEVEN STUDIES INDEXED IN PUBMED, IN WHICH MENTAL HEALTH DISORDERS RESULTING FROM TRAUMA WERE MANAGED THROUGH YOGA INCLUDING MEDITATION. THE AIM WAS TO EVALUATE THE USE OF YOGA IN MANAGING TRAUMA-RELATED DEPRESSION, ANXIETY, PTSD AND PHYSIOLOGICAL STRESS FOLLOWING EXPOSURE TO NATURAL CALAMITIES, WAR, INTERPERSONAL VIOLENCE, AND INCARCERATION IN A CORRECTIONAL FACILITY. AN ATTEMPT HAS ALSO BEEN MADE TO EXPLORE POSSIBLE MECHANISMS UNDERLYING BENEFITS SEEN. AS MOST OF THESE STUDIES WERE NOT DONE ON PERSONS EXPOSED TO TRAUMA THAT HAD PRACTICED YOGA, THIS IS A DEFINITE AREA FOR FURTHER RESEARCH. 2012 13 1882 33 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 14 2567 35 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 15 2688 46 YOGA IN THE TREATMENT OF MOOD AND ANXIETY DISORDERS: A REVIEW. BACKGROUND: PATIENT USE OF COMPLEMENTARY AND ALTERNATIVE TREATMENTS, INCLUDING YOGA, TO MANAGE MOOD AND ANXIETY DISORDERS, HAS BEEN WELL DOCUMENTED. DESPITE RESEARCH INTEREST, THERE ARE FEW RECENT REVIEWS OF THE EVIDENCE OF THE BENEFIT OF YOGA IN THESE CONDITIONS. METHOD: THE PUBMED, MEDLINE AND PSYCINFO DATABASES WERE SEARCHED FOR LITERATURE PUBLISHED UP TO JULY 2008, RELATING TO YOGA AND DEPRESSIVE AND ANXIETY DISORDERS. RESULTS: THE PAUCITY OF REPORTED STUDIES AND SEVERAL METHODOLOGICAL CONSTRAINTS LIMIT DATA INTERPRETATION. IN DEPRESSIVE DISORDERS, YOGA MAY BE COMPARABLE TO MEDICATION AND THE COMBINATION SUPERIOR TO MEDICATION ALONE. THERE IS REASONABLE EVIDENCE FOR ITS USE AS SECOND-LINE MONOTHERAPY OR AUGMENTATION TO MEDICATION IN MILD TO MODERATE MAJOR DEPRESSION AND DYSTHYMIA, WITH EARLY EVIDENCE OF BENEFIT IN MORE SEVERE DEPRESSION. IN ANXIETY DISORDERS, YOGA MAY BE SUPERIOR TO MEDICATION FOR A SUBGROUP OF PATIENTS, BUT ITS BENEFITS IN SPECIFIC CONDITIONS ARE STILL LARGELY UNKNOWN. SECOND-LINE MONOTHERAPY IS INDICATED IN PERFORMANCE OR TEST ANXIETY, BUT ONLY PRELIMINARY EVIDENCE EXISTS FOR OBSESSIVE-COMPULSIVE DISORDER AND POST-TRAUMATIC STRESS DISORDER. YOGA APPEARS TO BE SUPERIOR TO NO TREATMENT AND PROGRESSIVE RELAXATION FOR BOTH DEPRESSION AND ANXIETY, AND MAY BENEFIT MOOD AND ANXIETY SYMPTOMS ASSOCIATED WITH MEDICAL ILLNESS. IT SHOWS GOOD SAFETY AND TOLERABILITY IN SHORT-TERM TREATMENT. CONCLUSION: REASONABLE EVIDENCE SUPPORTS THE BENEFIT OF YOGA IN SPECIFIC DEPRESSIVE DISORDERS. THE EVIDENCE IS STILL PRELIMINARY IN ANXIETY DISORDERS. GIVEN ITS PATIENT APPEAL AND THE PROMISING FINDINGS THUS FAR, FURTHER RESEARCH ON YOGA IN THESE CONDITIONS IS ENCOURAGED. 2009 16 2490 31 YOGA AS AN INTERVENTION TO MANAGE MULTIPLE SCLEROSIS SYMPTOMS. MULTIPLE SCLEROSIS (MS) IS AN AUTOIMMUNE, DEMYELINATING, INFLAMMATORY DISEASE OF CENTRAL NERVOUS SYSTEM (CNS) WHICH IS CHARACTERIZED BY SPASTICITY, FATIGUE, DEPRESSION, ANXIETY, BOWEL AND BLADDER DYSFUNCTION, IMPAIRED MOBILITY, COGNITIVE IMPAIRMENT ETC. AND AFFECTS APPROXIMATELY 2.5 MILLION PEOPLE WORLDWIDE. DISEASE MODIFYING THERAPIES FOR MS WHICH HELP IN PREVENTING ACCUMULATION OF LESIONS IN WHITE MATTER OF CNS ARE COSTLY AND HAVE SIGNIFICANT ADVERSE EFFECTS. THEREFORE, PATIENTS WITH MS ARE USING COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) AND YOGA IS ONE OF THE MOST POPULAR FORM OF CAM WHICH IS BEING USED IMMENSELY TO REDUCE OR OVERCOME THE SYMPTOMS OF MS. IN THE CURRENT REVIEW ATTEMPTED TO PRESENT THE POTENTIAL IMPACT OF YOGA PRACTICES ON REDUCING MS RELATED SYMPTOMS. 2020 17 2300 34 THERAPEUTIC YOGA: SYMPTOM MANAGEMENT FOR MULTIPLE SCLEROSIS. MULTIPLE SCLEROSIS (MS) IS THE MOST COMMON AUTOIMMUNE INFLAMMATORY DEMYELINATING DISEASE OF THE CENTRAL NERVOUS SYSTEM, AFFECTING OVER 2.3 MILLION PEOPLE WORLDWIDE. ACCORDING TO THE NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE, THE AGE OF DISEASE ONSET IS TYPICALLY BETWEEN 20 AND 40 YEARS, WITH A HIGHER INCIDENCE IN WOMEN. INDIVIDUALS WITH MS EXPERIENCE A WIDE RANGE OF SYMPTOMS, INCLUDING DECLINING PHYSICAL, EMOTIONAL, AND PSYCHOLOGICAL SYMPTOMS (E.G., FATIGUE, IMBALANCE, SPASTICITY, CHRONIC PAIN, COGNITIVE IMPAIRMENT, BLADDER AND BOWEL DYSFUNCTION, VISUAL AND SPEECH IMPAIRMENTS, DEPRESSION, SENSORY DISTURBANCE, AND MOBILITY IMPAIRMENT). TO DATE, BOTH THE CAUSE OF AND CURE FOR MS REMAIN UNKNOWN. IN RECENT YEARS, MORE INDIVIDUALS WITH MS HAVE BEEN PURSUING ALTERNATIVE METHODS OF TREATMENT TO MANAGE SYMPTOMS OF THE DISEASE, INCLUDING MIND-BODY THERAPIES SUCH AS YOGA, MEDITATION, BREATHING, AND RELAXATION TECHNIQUES. IT HAS BEEN SUGGESTED THAT THE PRACTICE OF YOGA MAY BE A SAFE AND EFFECTIVE WAY OF MANAGING SYMPTOMS OF MS. THEREFORE, THE PURPOSE OF THIS PAPER IS TO SUMMARIZE THE MOST RELEVANT LITERATURE ON EXERCISE AND MIND-BODY MODALITIES TO TREAT MS SYMPTOMS AND, MORE SPECIFICALLY, THE BENEFITS AND POTENTIAL ROLE OF YOGA AS AN ALTERNATIVE TREATMENT OF SYMPTOM MANAGEMENT FOR INDIVIDUALS WITH MS. THE ARTICLE ALSO DISCUSSES FUTURE DIRECTIONS FOR RESEARCH. 2015 18 2436 38 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 19 2798 40 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 20 2520 57 YOGA COMPLEMENTS COGNITIVE BEHAVIOUR THERAPY AS AN ADJUNCT TREATMENT FOR ANXIETY AND DEPRESSION: QUALITATIVE FINDINGS FROM A MIXED-METHODS STUDY. OBJECTIVES: COGNITIVE BEHAVIOUR THERAPY (CBT) IS RECOMMENDED FOR TREATING ANXIETY AND DEPRESSION, DEMONSTRATING GOOD EFFICACY AND MODERATE RATES OF ENGAGEMENT. TO FURTHER IMPROVE OUTCOMES AND ACCESS TO EVIDENCE-BASED TREATMENTS, RESEARCHERS HAVE SOUGHT TO ENHANCE CBT PROTOCOLS WITH MINDFULNESS-BASED APPROACHES, SUCH AS YOGA. THIS STUDY AIMED TO EXAMINE WHETHER YOGA IS AN ACCEPTABLE AND COMPLEMENTARY ADJUNCT TO CBT THROUGH EXPLORING THE LIVED EXPERIENCES OF ADULTS WITH ANXIETY AND DEPRESSION WHO ENGAGED IN AN ADJUNCT THERAPEUTIC YOGA PROGRAMME ALONGSIDE GROUP CBT. DESIGN: SINGLE-GROUP QUALITATIVE DESIGN WITH POST-INTERVENTION AND FOLLOW-UP TIMEPOINTS. METHODS: THIRTY-SIX ADULTS WITH ANXIETY AND DEPRESSION SELF-SELECTED INTO A THERAPEUTIC YOGA PROGRAMME AS AN ADJUNCT TO GROUP CBT. QUALITATIVE INTERVIEWS WERE CONDUCTED WITH 27 PARTICIPANTS IMMEDIATELY AFTER THE EIGHT-WEEK PROGRAMME AND AGAIN THREE MONTHS LATER. THEMATIC ANALYSIS WAS USED TO IDENTIFY COMMON THEMES FROM THE LIVED EXPERIENCES. RESULTS: THREE PRIMARY THEMES, WITH NINE SUBTHEMES, WERE IDENTIFIED WHICH REFLECT THE EXPERIENCES OF THE COMBINED THERAPIES, THE COMPLEMENTARY ELEMENTS, AND PROCESS OF ENGAGEMENT OVER TIME. THE ADJUNCT YOGA PROGRAMME WAS HIGHLY ACCEPTABLE TO ADULTS WITH ANXIETY AND DEPRESSION, ENHANCING ENGAGEMENT AND PERCEIVED OUTCOMES. YOGA WAS IDENTIFIED AS PROVIDING A UNIQUE COMBINATION OF ELEMENTS THAT COMPLEMENTED PROCESSES OF CBT, SUCH AS BEHAVIOURAL ACTIVATION AND THOUGHT DISPUTATION. YOGA PRACTICES REPRESENTED MENTAL HEALTH SELF-MANAGEMENT TOOLS THAT ARE ACCESSIBLE AND AVAILABLE AS RELAPSE PREVENTION STRATEGIES. CONCLUSIONS: THERAPEUTIC YOGA WARRANTS CONSIDERATION AS AN ADJUNCT TREATMENT FOR ANXIETY AND DEPRESSION AS IT OFFERS UNIQUE AND COMPLEMENTARY ELEMENTS TO CBT AND CAN ENHANCE ENGAGEMENT AND PERCEIVED CLINICAL OUTCOMES. PRACTITIONER POINTS: ADULTS WITH ANXIETY AND DEPRESSION EXPERIENCED A THERAPEUTIC YOGA PROGRAMME AS A SUITABLE AND APPEALING ADJUNCT THAT ENHANCED ENGAGEMENT WITH PSYCHOLOGICAL TREATMENT. YOGA OFFERS A UNIQUE COMBINATION OF ELEMENTS, INCLUDING A VALUES SYSTEM, BODY-BASED MINDFULNESS PRACTICES, AND BREATHING TECHNIQUES, THAT COMPLEMENT CBT PROCESSES, SUCH AS BEHAVIOURAL ACTIVATION, AWARENESS OF MALADAPTIVE PATTERNS, AND THOUGHT DISPUTATION. A THERAPEUTIC YOGA PROGRAMME PROVIDES ADULTS WITH ANXIETY AND DEPRESSION WITH AN ACCESSIBLE AND SUSTAINABLE MENTAL HEALTH SELF-MANAGEMENT TOOL. THERAPEUTIC YOGA CAN BE CONSIDERED FOR INTEGRATION TO MODELS OF MENTAL HEALTH SERVICE PROVISION TO ENHANCE ENGAGEMENT AND CLINICAL OUTCOMES FOR ADULTS WITH ANXIETY AND DEPRESSION. 2021