1 1193 94 EXAMINING MECHANISMS OF CHANGE IN A YOGA INTERVENTION FOR WOMEN: THE INFLUENCE OF MINDFULNESS, PSYCHOLOGICAL FLEXIBILITY, AND EMOTION REGULATION ON PTSD SYMPTOMS. OBJECTIVE: THIS STUDY EXPLORED POSSIBLE MECHANISMS THROUGH WHICH SYMPTOMS OF POSTTRAUMATIC STRESS DISORDER (PTSD) WERE REDUCED IN A RANDOMIZED CONTROLLED TRIAL COMPARING THE EFFECT OF A YOGA INTERVENTION WITH AN ASSESSMENT CONTROL. METHOD: WE EXAMINED WHETHER CHANGES IN PSYCHOLOGICAL FLEXIBILITY, MINDFULNESS, AND EMOTION REGULATION STRATEGIES (EXPRESSIVE SUPPRESSION AND REAPPRAISAL) WERE ASSOCIATED WITH POSTTREATMENT PTSD SYMPTOMS FOR 38 WOMEN WITH DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS FOURTH EDITION FULL OR SUBTHRESHOLD PTSD. RESULTS: HIERARCHICAL LINEAR REGRESSION MODELS REVEALED THAT EXPRESSIVE SUPPRESSION SIGNIFICANTLY DECREASED FOR THE YOGA GROUP RELATIVE TO THE ASSESSMENT CONTROL. PSYCHOLOGICAL FLEXIBILITY INCREASED SIGNIFICANTLY FOR THE CONTROL BUT NOT YOGA GROUP. HOWEVER, INCREASES IN PSYCHOLOGICAL FLEXIBILITY WERE ASSOCIATED WITH DECREASES IN PTSD SYMPTOMS FOR THE YOGA BUT NOT CONTROL GROUP. CONCLUSION: PRELIMINARY FINDINGS SUGGEST THAT YOGA MAY REDUCE EXPRESSIVE SUPPRESSION AND MAY IMPROVE PTSD SYMPTOMS BY INCREASING PSYCHOLOGICAL FLEXIBILITY. MORE RESEARCH IS NEEDED TO REPLICATE AND EXTEND THESE FINDINGS. 2014 2 2291 32 THERAPEUTIC EFFECTS OF MEDITATION, YOGA, AND MINDFULNESS-BASED INTERVENTIONS FOR CHRONIC SYMPTOMS OF MILD TRAUMATIC BRAIN INJURY: A SYSTEMATIC REVIEW AND META-ANALYSIS. BACKGROUND: CHRONIC SYMPTOMS OF MILD TRAUMATIC BRAIN INJURY (MTBI) VARY GREATLY AND ARE DIFFICULT TO TREAT; WE INVESTIGATE THE IMPACT OF MEDITATION, YOGA, AND MINDFULNESS-BASED INTERVENTIONS ON THIS TREATMENT GROUP. METHOD: SEARCH INCLUDED FOUR DATABASES, ALLOWING STUDIES OF ANY DESIGN CONTAINING PRE/POST OUTCOMES FOR MEDITATION, YOGA, OR MINDFULNESS-BASED INTERVENTIONS IN PEOPLE SUFFERING FROM BRAIN INJURY ACQUIRED BY MECHANICAL FORCE. ANALYSES USED ROBUST VARIANCE ESTIMATION TO ASSESS OVERALL EFFECTS AND RANDOM-EFFECTS MODELS FOR SELECTED OUTCOMES; WE EVALUATED BOTH BETWEEN- AND WITHIN-GROUP CHANGES. RESULTS: TWENTY STUDIES (N = 539) WERE INCLUDED. RESULTS REVEALED SIGNIFICANT IMPROVEMENT OF OVERALL SYMPTOMS COMPARED TO CONTROLS (D = 0.41; 95% CI [0.04, 0.77]; TAU(2) = 0.06), WITH SIGNIFICANT WITHIN-GROUP IMPROVEMENTS IN MENTAL HEALTH (D = 0.39), PHYSICAL HEALTH (D = 0.39), COGNITIVE PERFORMANCE (D = 0.24), QUALITY OF LIFE (D = 0.39), AND SELF-RELATED PROCESSING (D = 0.38). SYMPTOMS SHOWING GREATEST IMPROVEMENT WERE FATIGUE (D = 0.96) AND DEPRESSION (D = 0.40). FINDINGS WERE HOMOGENEOUS ACROSS STUDIES. STUDY QUALITY CONCERNS INCLUDE LACK OF RANDOMISATION, BLINDING, AND RECORDING OF ADVERSE EVENTS. CONCLUSIONS: THIS FIRST-EVER META-ANALYSIS ON MEDITATION, YOGA, AND MINDFULNESS-BASED INTERVENTIONS FOR CHRONIC SYMPTOMS OF MTBI OFFERS HOPE BUT HIGHLIGHTS THE NEED FOR RIGOROUS NEW TRIALS TO ADVANCE CLINICAL APPLICATIONS AND TO EXPLORE MECHANISTIC PATHWAYS. 2021 3 1182 31 EVALUATION OF THE MENTAL HEALTH BENEFITS OF YOGA IN A SECONDARY SCHOOL: A PRELIMINARY RANDOMIZED CONTROLLED TRIAL. THE GOAL OF THIS STUDY WAS TO EVALUATE POTENTIAL MENTAL HEALTH BENEFITS OF YOGA FOR ADOLESCENTS IN SECONDARY SCHOOL. STUDENTS WERE RANDOMLY ASSIGNED TO EITHER REGULAR PHYSICAL EDUCATION CLASSES OR TO 11 WEEKS OF YOGA SESSIONS BASED UPON THE YOGA ED PROGRAM OVER A SINGLE SEMESTER. STUDENTS COMPLETED BASELINE AND END-PROGRAM SELF-REPORT MEASURES OF MOOD, ANXIETY, PERCEIVED STRESS, RESILIENCE, AND OTHER MENTAL HEALTH VARIABLES. INDEPENDENT EVALUATION OF INDIVIDUAL OUTCOME MEASURES REVEALED THAT YOGA PARTICIPANTS SHOWED STATISTICALLY SIGNIFICANT DIFFERENCES OVER TIME RELATIVE TO CONTROLS ON MEASURES OF ANGER CONTROL AND FATIGUE/INERTIA. MOST OUTCOME MEASURES EXHIBITED A PATTERN OF WORSENING IN THE CONTROL GROUP OVER TIME, WHEREAS CHANGES IN THE YOGA GROUP OVER TIME WERE EITHER MINIMAL OR SHOWED SLIGHT IMPROVEMENTS. THESE PRELIMINARY RESULTS SUGGEST THAT IMPLEMENTATION OF YOGA IS ACCEPTABLE AND FEASIBLE IN A SECONDARY SCHOOL SETTING AND HAS THE POTENTIAL OF PLAYING A PROTECTIVE OR PREVENTIVE ROLE IN MAINTAINING MENTAL HEALTH. 2012 4 2233 24 THE IMPACT OF YOGA ON QUALITY OF LIFE AND PSYCHOLOGICAL DISTRESS IN CAREGIVERS FOR PATIENTS WITH CANCER. PURPOSE/OBJECTIVES: TO ASSESS THE EFFECTS OF A SIX-WEEK VINYASA YOGA (VY) INTERVENTION ON CAREGIVERS' OVERALL QUALITY OF LIFE (QOL) AND PSYCHOLOGICAL DISTRESS. DESIGN: A SINGLE-GROUP, PRE- AND POST-TEST PILOT STUDY. SETTING: UNIVERSITY PUBLIC RECREATIONAL FACILITY. SAMPLE: 12 INFORMAL CAREGIVERS FOR PATIENTS WITH CANCER. METHODS: CAREGIVERS PARTICIPATED IN A SIX-WEEK VY INTERVENTION AND COMPLETED MEASURES OF QOL AND PSYCHOLOGICAL DISTRESS PRE- AND POSTINTERVENTION. PROGRAM SATISFACTION WAS MEASURED WITH OPEN-ENDED SURVEY QUESTIONS. MAIN RESEARCH VARIABLES: QOL, PSYCHOLOGICAL DISTRESS, AND PROGRAM SATISFACTION. FINDINGS: SIGNIFICANT IMPROVEMENTS WERE FOUND IN THE MENTAL COMPONENT SCORE OF OVERALL QOL AND IN OVERALL PSYCHOLOGICAL DISTRESS. SEVERAL SUBDOMAINS OF QOL AND PSYCHOLOGICAL DISTRESS WERE ALSO IMPROVED SIGNIFICANTLY. OPEN-ENDED SURVEY QUESTION RESPONSES REVEALED PARTICIPANTS PERCEIVED PHYSICAL AND MENTAL BENEFIT FROM THE INTERVENTION, HIGHLIGHTING IMPROVEMENTS IN FLEXIBILITY, CORE AND UPPER-BODY STRENGTH, BALANCE, BREATHING, AND ENERGY. CONCLUSIONS: INFORMAL CAREGIVERS MAY BENEFIT MENTALLY AND PHYSICALLY FROM PARTICIPATING IN VY. IMPLICATIONS FOR NURSING: CAREGIVERS OF PATIENTS WITH CANCER CHARACTERIZE A GROUP WORTHY OF ATTENTION, RESEARCH, AND INTERVENTIONS FOCUSING ON THEIR HEALTHCARE NEEDS. 2014 5 2877 31 YOGA-SPECIFIC ENHANCEMENT OF QUALITY OF LIFE AMONG WOMEN WITH BREAST CANCER: SYSTEMATIC REVIEW AND EXPLORATORY META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. PHYSICAL ACTIVITIES DURING AND AFTER CANCER TREATMENT HAVE FAVORABLE PSYCHOSOCIAL EFFECTS. INCREASINGLY, YOGA HAS BECOME A POPULAR APPROACH TO IMPROVING THE QUALITY OF LIFE (QOL) OF WOMEN WITH BREAST CANCER. HOWEVER, THE EXTANT SYNTHETIC EVIDENCE ON YOGA HAS NOT USED OTHER EXERCISE COMPARISON CONDITIONS. THIS META-ANALYSIS AIMED TO SYSTEMATICALLY ASSESS YOGA-SPECIFIC EFFECTS RELATIVE TO ANY OTHER PHYSICAL EXERCISE INTERVENTION (EG, AEROBICS) FOR WOMEN WITH BREAST CANCER. QOL WAS THE PRIMARY OUTCOME OF INTEREST. EIGHT RANDOMIZED CONTROLLED TRIALS WITH 545 PARTICIPANTS WERE INCLUDED. THE SAMPLE-WEIGHTED SYNTHESIS AT IMMEDIATE POSTINTERVENTION REVEALED MARGINALLY STATISTICALLY AND MODEST PRACTICALLY SIGNIFICANT DIFFERENCES SUGGESTING YOGA'S POTENTIALLY GREATER EFFECTIVENESS: D = 0.14, P = .10. HOWEVER, AT LONGER TERM FOLLOW-UP, NO STATISTICALLY OR PRACTICALLY SIGNIFICANT BETWEEN-GROUP DIFFERENCE WAS OBSERVED. THIS META-ANALYSIS PRELIMINARILY DEMONSTRATED THAT YOGA IS PROBABLY AS EFFECTIVE AS OTHER EXERCISE MODALITIES IN IMPROVING THE QOL OF WOMEN WITH BREAST CANCER. BOTH INTERVENTIONS WERE ASSOCIATED WITH CLINICALLY SIGNIFICANT IMPROVEMENTS IN QOL. NEARLY ALL OF THE YOGA INTERVENTION PROGRAMS, HOWEVER, WERE VERY POORLY RESOURCED. LARGER AND BETTER CONTROLLED TRIALS OF WELL-ENDOWED YOGA PROGRAMS ARE NEEDED. 2019 6 2538 44 YOGA FOR ADULT WOMEN WITH CHRONIC PTSD: A LONG-TERM FOLLOW-UP STUDY. INTRODUCTION: YOGA-THE INTEGRATIVE PRACTICE OF PHYSICAL POSTURES AND MOVEMENT, BREATH EXERCISES, AND MINDFULNESS-MAY SERVE AS A USEFUL ADJUNCTIVE COMPONENT OF TRAUMA-FOCUSED TREATMENT TO BUILD SKILLS IN TOLERATING AND MODULATING PHYSIOLOGIC AND AFFECTIVE STATES THAT HAVE BECOME DYSREGULATED BY TRAUMA EXPOSURE. A PREVIOUS RANDOMIZED CONTROLLED STUDY WAS CARRIED OUT AMONG 60 WOMEN WITH CHRONIC, TREATMENT-RESISTANT POST-TRAUMATIC STRESS DISORDER (PTSD) AND ASSOCIATED MENTAL HEALTH PROBLEMS STEMMING FROM PROLONGED OR MULTIPLE TRAUMA EXPOSURES. AFTER 10 SESSIONS OF YOGA, PARTICIPANTS EXHIBITED STATISTICALLY SIGNIFICANT DECREASES IN PTSD SYMPTOM SEVERITY AND GREATER LIKELIHOOD OF LOSS OF PTSD DIAGNOSIS, SIGNIFICANT DECREASES IN ENGAGEMENT IN NEGATIVE TENSION REDUCTION ACTIVITIES (E.G., SELF-INJURY), AND GREATER REDUCTIONS IN DISSOCIATIVE AND DEPRESSIVE SYMPTOMS WHEN COMPARED WITH THE CONTROL (A SEMINAR IN WOMEN'S HEALTH). THE CURRENT STUDY IS A LONG-TERM FOLLOW-UP ASSESSMENT OF PARTICIPANTS WHO COMPLETED THIS RANDOMIZED CONTROLLED TRIAL. METHODS: PARTICIPANTS FROM THE RANDOMIZED CONTROLLED TRIAL WERE INVITED TO PARTICIPATE IN LONG-TERM FOLLOW-UP ASSESSMENTS APPROXIMATELY 1.5 YEARS AFTER STUDY COMPLETION TO ASSESS WHETHER THE INITIAL INTERVENTION AND/OR YOGA PRACTICE AFTER TREATMENT WAS ASSOCIATED WITH ADDITIONAL CHANGES. FORTY-NINE WOMEN COMPLETED THE LONG-TERM FOLLOW-UP INTERVIEWS. HIERARCHICAL REGRESSION ANALYSIS WAS USED TO EXAMINE WHETHER TREATMENT GROUP STATUS IN THE ORIGINAL STUDY AND FREQUENCY OF YOGA PRACTICE AFTER THE STUDY PREDICTED GREATER CHANGES IN SYMPTOMS AND PTSD DIAGNOSIS. RESULTS: GROUP ASSIGNMENT IN THE ORIGINAL RANDOMIZED STUDY WAS NOT A SIGNIFICANT PREDICTOR OF LONGER-TERM OUTCOMES. HOWEVER, FREQUENCY OF CONTINUING YOGA PRACTICE SIGNIFICANTLY PREDICTED GREATER DECREASES IN PTSD SYMPTOM SEVERITY AND DEPRESSION SYMPTOM SEVERITY, AS WELL AS A GREATER LIKELIHOOD OF A LOSS OF PTSD DIAGNOSIS. CONCLUSIONS: YOGA APPEARS TO BE A USEFUL TREATMENT MODALITY; THE GREATEST LONG-TERM BENEFITS ARE DERIVED FROM MORE FREQUENT YOGA PRACTICE. 2016 7 2822 36 YOGA V. HEALTH EDUCATION FOR ATTENTIONAL PROCESSES RELEVANT TO MAJOR DEPRESSIVE DISORDER. OBJECTIVES: RESEARCH HAS SHOWN THAT YOGA MAY BE AN EFFECTIVE ADJUNCTIVE TREATMENT FOR PERSISTENT DEPRESSION, THE BENEFITS OF WHICH MAY ACCUMULATE OVER TIME. THE OBJECTIVES OF THIS STUDY WERE TO EVALUATE THE FOLLOWING IN A SAMPLE OF PERSISTENTLY DEPRESSED INDIVIDUALS: WHETHER YOGA INCREASES MINDFULNESS AND WHETHER YOGA ATTENUATES RUMINATION. RUMINATION AND MINDFULNESS BOTH REPRESENT ATTENTIONAL PROCESSES RELEVANT FOR ONSET AND MAINTENANCE OF DEPRESSIVE EPISODES. METHODS: ONE-HUNDRED-TEN INDIVIDUALS WHO WERE PERSISTENTLY DEPRESSED DESPITE ONGOING USE OF PHARMACOLOGICAL TREATMENT WERE RECRUITED INTO AN RCT COMPARING YOGA WITH A HEALTH EDUCATION CLASS. MINDFULNESS AND RUMINATION WERE ASSESSED AT BASELINE AND ACROSS 3 TIME POINTS DURING THE TEN-WEEK INTERVENTION. RESULTS: FINDINGS DEMONSTRATE THAT, COMPARED TO HEALTH EDUCATION, YOGA WAS ASSOCIATED WITH HIGHER MEAN LEVELS OF THE OBSERVE FACET OF MINDFULNESS RELATIVE TO THE CONTROL GROUP DURING THE INTERVENTION PERIOD (P =.004, D =0.38), AND THAT YOGA WAS ASSOCIATED WITH A FASTER RATE OF INCREASE IN LEVELS OF ACTING WITH AWARENESS OVER THE INTERVENTION PERIOD (P= .03, F(2) =0.027). THERE WERE NO DIFFERENCES BETWEEN INTERVENTION GROUPS WITH RESPECT TO RUMINATION. CONCLUSIONS: RESULTS SUGGEST A SMALL EFFECT OF YOGA ON COMPONENTS OF MINDFULNESS DURING A 10-WEEK INTERVENTION PERIOD. PREVIOUS RESEARCH SUGGESTS THAT CONTINUED ASSESSMENT AFTER THE INITIAL 10 WEEKS MAY REVEAL CONTINUED IMPROVEMENT. FUTURE RESEARCH MAY ALSO EXAMINE MODERATORS OF THE IMPACT OF YOGA ON MINDFULNESS AND RUMINATION, INCLUDING CLINICAL FACTORS SUCH AS DEPRESSION SEVERITY OR DEPRESSION CHRONICITY, OR DEMOGRAPHIC FACTORS SUCH AS AGE. 2021 8 1367 22 IMPACT OF A MINDFULNESS-BASED, WORKPLACE GROUP YOGA INTERVENTION ON BURNOUT, SELF-CARE, AND COMPASSION IN HEALTH CARE PROFESSIONALS: A PILOT STUDY. OBJECTIVE: TO INVESTIGATE WHETHER A WORKPLACE, GROUP MINDFULNESS-BASED YOGA INTERVENTION COULD HELP MANAGE BURNOUT AND IMPROVE WELLBEING AMONG HEALTH CARE PROFESSIONALS. METHODS: A TOTAL OF 43 HEALTH CARE PROFESSIONALS PARTICIPATED IN 8-WEEK SUPERVISED WORKPLACE, GROUP MINDFULNESS-BASED YOGA ACTIVITIES. THE AUTHORS USED A SINGLE-SAMPLE, PRE-POST DESIGN. AT TWO POINTS IN TIME (BASELINE AND POSTINTERVENTION), PARTICIPANTS COMPLETED A SET OF ONLINE MEASURES ASSESSING BURNOUT, DEPRESSION, ANXIETY, STRESS, RESILIENCE, AND COMPASSION. THE AUTHORS USED LINEAR MIXED MODEL ANALYSIS TO ASSESS CHANGES IN OUTCOME MEASURES. RESULTS: PARTICIPANTS HAD IMPROVEMENTS AFTER THE 8-WEEK INTERVENTION. AT POSTINTERVENTION, THEY HAD SIGNIFICANTLY BETTER SCORES ON PERSONAL ACCOMPLISHMENT, DEPRESSION, ANXIETY, STRESS, PERCEIVED RESILIENCE, AND COMPASSION. PARTICIPANTS HAD A POSITIVE PERCEPTION OF THE YOGA INTERVENTION. CONCLUSION: GROUP MINDFULNESS-BASED YOGA PROGRAM MAY BE CONVENIENT AND LOW-COST APPROACH TO SUPPORT HEALTH AND WELLBEING AMONG HEALTH CARE PROFESSIONALS. 2020 9 2640 37 YOGA FOR VETERANS WITH PTSD: COGNITIVE FUNCTIONING, MENTAL HEALTH, AND SALIVARY CORTISOL. OBJECTIVE: RESEARCH INDICATES THAT COGNITIVE FUNCTIONING IS NEGATIVELY IMPACTED BY EXPOSURE TO CHRONIC STRESS DUE TO OVERACTIVATION OF THE STRESS RESPONSE. YOGA HAS DEMONSTRATED BENEFITS WHEN PRACTICED BY INDIVIDUALS DIAGNOSED WITH POSTTRAUMATIC STRESS DISORDER (PTSD). THIS QUASI-EXPERIMENTAL PILOT STUDY EXAMINED THE IMPACT OF A YOGA INTERVENTION ON COGNITIVE FUNCTIONING, SYMPTOMS OF PTSD, AND THE BIOLOGICAL STRESS RESPONSE IN VETERANS DIAGNOSED WITH PTSD. METHOD: COGNITIVE FUNCTIONING, SELF-REPORT MEASURES OF MENTAL HEALTH SYMPTOMS, AND SALIVARY CORTISOL WERE MEASURED WITHIN TWO WEEKS PRIOR TO BEGINNING AND FOLLOWING COMPLETION OF A 10-WEEK YOGA PROTOCOL. VETERANS WITH PTSD PARTICIPATED IN GENDER-SPECIFIC GROUPS OF THE YOGA INTERVENTION. PAIRED T TESTS AND CORRELATIONAL ANALYSES WERE USED TO ANALYZE QUANTITATIVE DATA. RESULTS: STATISTICALLY SIGNIFICANT IMPROVEMENTS WERE OBSERVED BETWEEN BASELINE AND POSTINTERVENTION SCORES ON MEASURES OF RESPONSE INHIBITION, PTSD, DEPRESSION, SLEEP, QUALITY OF LIFE, AND SUBJECTIVE NEUROCOGNITIVE COMPLAINTS. POSITIVE CORRELATIONS WERE FOUND BETWEEN BASELINE AND POSTINTERVENTION CHANGES IN SLEEP AND DEPRESSION, AND BETWEEN CHANGE IN CORTISOL OUTPUT AND A MEASURE OF LIFE SATISFACTION. STATISTICALLY SIGNIFICANT DIFFERENCES (BASELINE TO POSTINTERVENTION) FOR OTHER OBJECTIVE MEASURES OF COGNITIVE PERFORMANCE AND CORTISOL WERE NOT DETECTED. CONCLUSIONS: RESULTS PROVIDE PRELIMINARY SUPPORT FOR THE PRACTICE OF YOGA TO IMPROVE COGNITIVE FUNCTIONING (RESPONSE INHIBITION) RELATED TO SYMPTOMS OF PTSD WHILE ALSO IMPROVING MENTAL HEALTH SYMPTOMS, SLEEP, AND QUALITY OF LIFE. POSITIVE CORRELATIONS AFFIRM THE ROLE OF SLEEP IN MOOD SYMPTOMS AND INDICATE THE NEED FOR FURTHER EXAMINATION OF THE ROLE OF CORTISOL IN LIFE SATISFACTION. (PSYCINFO DATABASE RECORD (C) 2020 APA, ALL RIGHTS RESERVED). 2020 10 2222 37 THE IMPACT OF MODIFIED HATHA YOGA ON CHRONIC LOW BACK PAIN: A PILOT STUDY. PURPOSE: THE PURPOSE OF THIS RANDOMIZED PILOT STUDY WAS TO EVALUATE A POSSIBLE DESIGN FOR A 6-WEEK MODIFIED HATHA YOGA PROTOCOL TO STUDY THE EFFECTS ON PARTICIPANTS WITH CHRONIC LOW BACK PAIN. PARTICIPANTS: TWENTY-TWO PARTICIPANTS (M = 4; F = 17), BETWEEN THE AGES OF 30 AND 65, WITH CHRONIC LOW BACK PAIN (CLBP) WERE RANDOMIZED TO EITHER AN IMMEDIATE YOGA BASED INTERVENTION, OR TO A CONTROL GROUP WITH NO TREATMENT DURING THE OBSERVATION PERIOD BUT RECEIVED LATER YOGA TRAINING. METHODS: A SPECIFIC CLBP YOGA PROTOCOL DESIGNED AND MODIFIED FOR THIS POPULATION BY A CERTIFIED YOGA INSTRUCTOR WAS ADMINISTERED FOR ONE HOUR, TWICE A WEEK FOR 6 WEEKS. PRIMARY FUNCTIONAL OUTCOME MEASURES INCLUDED THE FORWARD REACH (FR) AND SIT AND REACH (SR) TESTS. ALL PARTICIPANTS COMPLETED OSWESTRY DISABILITY INDEX (ODI) AND BECK DEPRESSION INVENTORY (BDI) QUESTIONNAIRES. GUIDING QUESTIONS WERE USED FOR QUALITATIVE DATA ANALYSIS TO ASCERTAIN HOW YOGA PARTICIPANTS PERCEIVED THE INSTRUCTOR, GROUP DYNAMICS, AND THE IMPACT OF YOGA ON THEIR LIFE. ANALYSIS: TO ACCOUNT FOR DROP OUTS, THE DATA WERE DIVIDED INTO BETTER OR NOT CATEGORIES, AND ANALYZED USING CHI-SQUARE TO EXAMINE DIFFERENCES BETWEEN THE GROUPS. QUALITATIVE DATA WERE ANALYZED THROUGH FREQUENCY OF POSITIVE RESPONSES. RESULTS: POTENTIALLY IMPORTANT TRENDS IN THE FUNCTIONAL MEASUREMENT SCORES SHOWED IMPROVED BALANCE AND FLEXIBILITY AND DECREASED DISABILITY AND DEPRESSION FOR THE YOGA GROUP BUT THIS PILOT WAS NOT POWERED TO REACH STATISTICAL SIGNIFICANCE. SIGNIFICANT LIMITATIONS INCLUDED A HIGH DROPOUT RATE IN THE CONTROL GROUP AND LARGE BASELINE DIFFERENCES IN THE SECONDARY MEASURES. IN ADDITION, ANALYSIS OF THE QUALITATIVE DATA REVEALED THE FOLLOWING FREQUENCY OF RESPONSES (1) GROUP INTERVENTION MOTIVATED THE PARTICIPANTS AND (2) YOGA FOSTERED RELAXATION AND NEW AWARENESS/LEARNING. CONCLUSION: A MODIFIED YOGA-BASED INTERVENTION MAY BENEFIT INDIVIDUALS WITH CLB, BUT A LARGER STUDY IS NECESSARY TO PROVIDE DEFINITIVE EVIDENCE. ALSO, THE IMPACT ON DEPRESSION AND DISABILITY COULD BE CONSIDERED AS IMPORTANT OUTCOMES FOR FURTHER STUDY. ADDITIONAL FUNCTIONAL OUTCOME MEASURES SHOULD BE EXPLORED. THIS PILOT STUDY SUPPORTS THE NEED FOR MORE RESEARCH INVESTIGATING THE EFFECT OF YOGA FOR THIS POPULATION. 2004 11 1896 27 RESPIRATORY, PHYSICAL, AND PSYCHOLOGICAL BENEFITS OF BREATH-FOCUSED YOGA FOR ADULTS WITH SEVERE TRAUMATIC BRAIN INJURY (TBI): A BRIEF PILOT STUDY REPORT. OBJECTIVE: THIS PILOT STUDY WAS DESIGNED TO IDENTIFY THE POTENTIAL BENEFITS OF BREATH-FOCUSED YOGA ON RESPIRATORY, PHYSICAL, AND PSYCHOLOGICAL FUNCTIONING FOR ADULTS WITH SEVERE TRAUMATIC BRAIN INJURY (TBI). PARTICIPANTS: TEN INDIVIDUALS WITH SEVERE TBI WHO SELF-SELECTED TO ATTEND WEEKLY YOGA CLASSES AND 4 NO-TREATMENT CONTROLS WERE EVALUATED. METHODS: PARTICIPANTS WERE ASSESSED AT PRETREATMENT BASELINE AND AT 3-MONTH INTERVALS FOR A TOTAL OF 4 TIME POINTS OVER 40 WEEKS. OUTCOMES OF INTEREST INCLUDED OBSERVED EXHALE STRENGTH, ABILITY TO HOLD A BREATH OR A TONE, BREATHING RATE, COUNTED BREATHS (INHALE AND EXHALE), AND HEART RATE, AS WELL AS SELF-REPORTED PHYSICAL AND PSYCHO-LOGICAL WELL-BEING. RESULTS: REPEATED WITHIN-GROUP ANALYSES OF VARIANCE REVEALED THAT THE YOGA GROUP DEMONSTRATED SIGNIFICANT LONGITUDINAL CHANGE ON SEVERAL MEASURES OF OBSERVED RESPIRATORY FUNCTIONING AND SELF-REPORTED PHYSICAL AND PSYCHOLOGICAL WELL-BEING OVER A 40-WEEK PERIOD. THOSE IN THE CONTROL GROUP SHOWED MARGINAL IMPROVEMENT ON 2 OF THE 6 MEASURES OF RESPIRATORY HEALTH, PHYSICAL AND SOCIAL FUNCTIONING, EMOTIONAL WELL-BEING, AND GENERAL HEALTH. THE SMALL SAMPLE SIZES PRECLUDED THE ANALYSIS OF BETWEEN GROUP DIFFERENCES. CONCLUSION: THIS STUDY PROVIDES PRELIMINARY EVIDENCE THAT BREATH-FOCUSED YOGA MAY IMPROVE RESPIRATORY FUNCTIONING AND SELF-PERCEIVED PHYSICAL AND PSYCHOLOGICAL WELL-BEING OF ADULTS WITH SEVERE TBI. 2012 12 1192 31 EXAMINING A THERAPEUTIC YOGA PROGRAM FOR PROSTATE CANCER SURVIVORS. BACKGROUND: IN THE EARLIER STAGES OF PROSTATE CANCER, EFFECTIVE TREATMENTS HAVE CREATED A NEED FOR RESEARCH TO FOCUS ON PRACTICES THAT MAY IMPROVE QUALITY OF LIFE THROUGHOUT SURVIVORSHIP. PHYSICAL ACTIVITY IS A SIGNIFICANT SUPPORTIVE CARE MANAGEMENT STRATEGY FOR PROSTATE CANCER SURVIVORS, THOUGH THE OPTIMAL MODALITY IS NOT YET UNDERSTOOD. HYPOTHESES: THE AUTHORS HYPOTHESIZED THAT YOGA WOULD BE A FEASIBLE PHYSICAL ACTIVITY OPTION FOR PROSTATE CANCER SURVIVORS AND THEIR SUPPORT PERSONS AND THAT THE INCORPORATION OF SOCIAL SUPPORT WOULD INCREASE PHYSICAL ACTIVITY ADHERENCE. METHODS: THIS 14-WEEK FEASIBILITY STUDY INVOLVED A 7-WEEK CLASS-BASED YOGA PROGRAM (ADHERENCE PHASE), FOLLOWED BY 7 WEEKS OF SELF-SELECTED PHYSICAL ACTIVITY (MAINTENANCE PHASE). DEMOGRAPHIC INFORMATION, PHYSICAL ACTIVITY BEHAVIOR, QUALITY OF LIFE, FATIGUE, STRESS, MOOD, AND FITNESS VARIABLES WERE ASSESSED AT 3 TIME POINTS. PROSTATE CANCER SURVIVORS' PERCEIVED SOCIAL SUPPORT WAS RATED DURING YOGA AND AFTER YOGA. RESULTS: CLASS ATTENDANCE WAS 6.1 AND 5.8 FOR PROSTATE CANCER SURVIVORS (N = 15) AND THEIR SUPPORT PERSONS (N = 10), RESPECTIVELY, FOR THE 7 CLASSES. LEVELS OF PERCEIVED SOCIAL SUPPORT WERE HIGHER FOR THOSE WHO BROUGHT A SUPPORT PERSON. SIGNIFICANT IMPROVEMENTS WITH REGARD TO STRESS, FATIGUE, AND MOOD BEFORE AND AFTER YOGA CLASS (ALL PS < .05) WERE REPORTED BY ALL PARTICIPANTS. NO CLINICALLY SIGNIFICANT CHANGES WERE NOTED ON PROSTATE CANCER SURVIVOR'S QUALITY OF LIFE OR FATIGUE OVER THE COURSE OF THE 14-WEEK STUDY. CONCLUSIONS: YOGA IS A FEASIBLE PHYSICAL ACTIVITY OPTION FOR PROSTATE CANCER SURVIVORS. THE PROGRAM HAD A PROMISING UPTAKE RATE, HIGH PROGRAM ADHERENCE RATE, AND THERE WERE ACUTE PROGRAM BENEFITS WITH REGARD TO STRESS, FATIGUE, AND MOOD FOR ALL PARTICIPANTS. FUTURE EXAMINATION IS WARRANTED WITH REGARD TO CHRONIC BENEFITS AND GROUP COHESION INFLUENCES ON LEVELS OF PERCEIVED SOCIAL SUPPORT. 2013 13 1240 33 FEASIBILITY OF A MINDFUL YOGA PROGRAM FOR WOMEN WITH METASTATIC BREAST CANCER: RESULTS OF A RANDOMIZED PILOT STUDY. PURPOSE: PATIENTS WITH METASTATIC BREAST CANCER (MBC) EXPERIENCE HIGH LEVELS OF SYMPTOMS. YOGA INTERVENTIONS HAVE SHOWN PROMISE FOR IMPROVING CANCER SYMPTOMS BUT HAVE RARELY BEEN TESTED IN PATIENTS WITH ADVANCED DISEASE. THIS STUDY EXAMINED THE ACCEPTABILITY OF A COMPREHENSIVE YOGA PROGRAM FOR MBC AND THE FEASIBILITY OF CONDUCTING A RANDOMIZED TRIAL TESTING THE INTERVENTION. METHODS: SIXTY-THREE WOMEN WITH MBC WERE RANDOMIZED WITH A 2:1 ALLOCATION TO YOGA OR A SUPPORT GROUP COMPARISON CONDITION. BOTH INTERVENTIONS INVOLVED EIGHT WEEKLY GROUP SESSIONS. FEASIBILITY WAS QUANTIFIED USING RATES OF ACCRUAL, ATTRITION, AND SESSION ATTENDANCE. ACCEPTABILITY WAS ASSESSED WITH A STANDARDIZED SELF-REPORT MEASURE. PAIN, FATIGUE, SLEEP QUALITY, PSYCHOLOGICAL DISTRESS, MINDFULNESS, AND FUNCTIONAL CAPACITY WERE ASSESSED AT BASELINE, POST-INTERVENTION, AND 3 AND 6 MONTHS POST-INTERVENTION. RESULTS: WE MET GOALS FOR ACCRUAL AND RETENTION, WITH 50% OF ELIGIBLE PATIENTS ENROLLED AND 87% OF RANDOMIZED PARTICIPANTS COMPLETING POST-INTERVENTION SURVEYS. SIXTY-FIVE PERCENT OF WOMEN IN THE YOGA CONDITION AND 90% IN THE SUPPORT GROUP ATTENDED >/= 4 SESSIONS. EIGHTY PERCENT OF PARTICIPANTS IN THE YOGA CONDITION AND 65% IN THE SUPPORT GROUP INDICATED THAT THEY WERE HIGHLY SATISFIED WITH THE INTERVENTION. FOLLOWING TREATMENT, WOMEN IN THE YOGA INTERVENTION HAD MODEST IMPROVEMENTS IN SOME OUTCOMES; HOWEVER, OVERALL SYMPTOM LEVELS WERE LOW FOR WOMEN IN BOTH CONDITIONS. CONCLUSIONS: FINDINGS SUGGEST THAT THE YOGA INTERVENTION CONTENT WAS HIGHLY ACCEPTABLE TO PATIENTS WITH MBC, BUT THAT THERE ARE CHALLENGES TO IMPLEMENTING AN INTERVENTION INVOLVING EIGHT GROUP-BASED IN-PERSON SESSIONS. ALTERNATIVE MODES OF DELIVERY MAY BE NECESSARY TO REACH PATIENTS MOST IN NEED OF INTERVENTION. 2019 14 2230 33 THE IMPACT OF YOGA ON FATIGUE IN CANCER SURVIVORSHIP: A META-ANALYSIS. BACKGROUND: MIND-BODY APPROACHES, PARTICULARLY YOGA, ARE USED BY CANCER SURVIVORS TO COPE WITH TREATMENT-RELATED SYMPTOMS. CONSISTENCY OF YOGA-RELATED EFFECTS ON TREATMENT-RELATED SYMPTOMS ARE NOT KNOWN. THIS META-ANALYSIS WAS DESIGNED TO EXAMINE EFFECTS OF YOGA ON PRE- TO POSTINTERVENTION IMPROVEMENTS IN FATIGUE AMONG CANCER PATIENTS. METHODS: PUBMED AND PSYCINFO WERE SEARCHED FOR PEER-REVIEWED ARTICLES OF YOGA RANDOMIZED CONTROLLED TRIALS INCLUDING CANCER SURVIVORS AND REPORTING AT LEAST ONE FATIGUE MEASURE. TWENTY-NINE STUDIES MET INCLUSION CRITERIA (N = 1828 PATIENTS). EFFECT SIZES (HEDGE'S G) WERE CALCULATED FOR FATIGUE, DEPRESSION, AND QUALITY OF LIFE. PATIENT-RELATED AND INTERVENTION-RELATED CHARACTERISTICS WERE TESTED AS MODERATORS OF OUTCOMES. ALL STATISTICAL TESTS WERE TWO-SIDED. RESULTS: YOGA PRACTICE WAS ASSOCIATED WITH A SMALL, STATISTICALLY SIGNIFICANT DECREASE IN FATIGUE (G = 0.45, P = .013). YOGA TYPE WAS A STATISTICALLY SIGNIFICANT MODERATOR OF THIS RELATIONSHIP (P = .02). YOGA WAS ASSOCIATED WITH A MODERATE DECREASE IN DEPRESSION (G = 0.72, P = .007) BUT WAS NOT ASSOCIATED WITH STATISTICALLY SIGNIFICANT CHANGES IN QUALITY OF LIFE (P = .48). SESSION LENGTH WAS A STATISTICALLY SIGNIFICANT MODERATOR OF THE RELATIONSHIP BETWEEN YOGA AND DEPRESSION (P = .004). NEITHER TIMING OF TREATMENT (DURING TREATMENT VS POSTTREATMENT) NOR CLINICAL CHARACTERISTICS WERE STATISTICALLY SIGNIFICANT MODERATORS OF THE EFFECTS OF YOGA ON OUTCOMES. THE EFFECT OF YOGA ON FATIGUE AND DEPRESSION WAS LARGER WHEN THE COMPARATOR WAS A "WAITLIST" OR "USUAL CARE" THAN WHEN THE CONTROL GROUP WAS ANOTHER ACTIVE TREATMENT (P = .036). CONCLUSIONS: RESULTS SUGGEST YOGA MAY BE BENEFICIAL AS A COMPONENT OF TREATMENT FOR BOTH FATIGUE AND DEPRESSION IN CANCER SURVIVORS. 2020 15 112 24 A PILOT STUDY OF A MINDFULNESS INFORMED YOGA INTERVENTION IN YOUNG PEOPLE WITH PSYCHOSIS. AIM: TO DETERMINE THE ACCEPTABILITY AND SAFETY OF A MINDFULNESS INFORMED YOGA INTERVENTION AS ADJUNCT TO USUAL CARE FOR YOUNG PEOPLE WITH EARLY PSYCHOSIS. METHODS: PEOPLE AGED 16-25 YEARS ATTENDING A COMMUNITY-BASED SPECIALIST EARLY PSYCHOSIS CLINIC WERE INVITED TO PARTICIPATE IN A 12-WEEK YOGA INTERVENTION. THE INTERVENTION CONSISTED OF 1-H WEEKLY CLASSES OF MINDFULNESS INFORMED YOGA. ACCEPTABILITY WAS MEASURED BY UPTAKE, ATTENDANCE AND PARTICIPANTS' SATISFACTION. SAFETY WAS MEASURED BY INCIDENCE OF PHYSICAL INJURY, PARTICIPANTS' LEVEL OF COMFORT, DISTRESS AND ANXIETY DURING THE SESSIONS, AND THE FOLLOWING MENTAL HEALTH OUTCOMES: POSITIVE AND NEGATIVE PSYCHOTIC, DEPRESSION, ANXIETY AND STRESS SYMPTOMS, SLEEP QUALITY AND FUNCTIONING. RESULTS: OF THOSE WHO CONSENTED TO THE STUDY, 80% (12) PARTICIPATED AND ON AVERAGE ATTENDED 4.4 YOGA CLASSES. THERE WERE NO PHYSICAL INJURIES AND PARTICIPANTS REPORTED MINIMAL DISTRESS AND ANXIETY. POST-INTERVENTION, THERE WAS A SIGNIFICANT REDUCTION IN ANXIETY SYMPTOMS AND AN IMPROVEMENT IN FUNCTION. CONCLUSIONS: MINDFULNESS-BASED YOGA INTERVENTIONS ARE BOTH ACCEPTABLE AND SAFE AS AN INTERVENTION FOR YOUTH WITH EARLY PSYCHOSIS. THOUGH NUMBERS WERE SMALL, THE STUDY SHOWS PROMISE FOR YOGA AS A POTENTIALLY USEFUL INTERVENTION. IMPORTANTLY, THERE WAS NO DETERIORATION IN MENTAL HEALTH OUTCOMES. A LARGER TRIAL EVALUATING CLINICAL EFFECTIVENESS IS NOW TIMELY. 2022 16 1373 45 IMPACT OF A YOGA INTERVENTION ON PHYSICAL ACTIVITY, SELF-EFFICACY, AND MOTIVATION IN WOMEN WITH PTSD SYMPTOMS. BACKGROUND: STUDIES USING YOGA HAVE DEMONSTRATED INITIAL EFFICACY FOR TREATING SYMPTOMS ACROSS ANXIETY DISORDERS, INCLUDING POSTTRAUMATIC STRESS DISORDER. OBJECTIVE: UNDERSTANDING HOW INTERVENTIONS INFLUENCE PARTICIPANTS' PHYSICAL ACTIVITY AND WHAT DETERMINANTS AFFECT CONTINUED PHYSICAL ACTIVITY BEHAVIOR CHANGE IS IMPORTANT BECAUSE MAINTENANCE OF THE BEHAVIOR MAY BE CRITICAL TO CONTINUED MENTAL HEALTH GAINS AND SYMPTOM REDUCTION. METHODS: THIS STUDY INVESTIGATED CHANGE IN PHYSICAL ACTIVITY AND POSSIBLE PSYCHOLOGICAL MECHANISMS OF PHYSICAL ACTIVITY BEHAVIOR CHANGE, INCLUDING SELF-EFFICACY AND REGULATORY MOTIVATION, IN A RANDOMIZED CONTROLLED TRIAL OF YOGA FOR WOMEN WITH POST-TRAUMATIC STRESS DISORDER SYMPTOMS (N=38). RESULTS: GROWTH CURVE MODELING RESULTS SHOWED NO SIGNIFICANT CHANGES IN PHYSICAL ACTIVITY OR SELF-EFFICACY FOR EITHER GROUP, WHEREAS EXTERNAL MOTIVATION DECREASED SIGNIFICANTLY IN THE YOGA GROUP BUT NOT IN THE CONTROL GROUP. CONCLUSIONS: INVESTIGATORS OF FUTURE YOGA INTERVENTIONS MAY WANT TO FOCUS ON INCREASING SELF-EFFICACY AND INTERNAL REGULATORY MOTIVATION, SO THAT PHYSICAL ACTIVITY AND RESULTANT SYMPTOM RELIEF CAN BE MAINTAINED. 2015 17 1006 35 EFFECTS OF MINDFULNESS YOGA VERSUS CONVENTIONAL PHYSICAL EXERCISES ON SYMPTOM EXPERIENCES AND HEALTH-RELATED QUALITY OF LIFE IN PEOPLE WITH PARKINSON'S DISEASE: THE POTENTIAL MEDIATING ROLES OF ANXIETY AND DEPRESSION. BACKGROUND: ALTHOUGH SEVERAL STUDIES HAVE REPORTED POSITIVE EFFECTS OF MIND-BODY EXERCISES ON SYMPTOM MANAGEMENT AND HEALTH-RELATED QUALITY OF LIFE (HRQOL) OF PEOPLE LIVING WITH PARKINSON'S DISEASE (PD), IT IS NOT KNOWN WHETHER THESE EFFECTS ARE ATTRIBUTABLE TO A CHANGE IN ANXIETY AND DEPRESSION. PURPOSE: TO COMPARE THE EFFECTS OF MINDFULNESS YOGA TO CONVENTIONAL STRETCHING EXERCISES IN A RANDOMIZED CONTROLLED TRIAL WHILE EXAMINING POTENTIALLY MEDIATING EFFECTS OF ANXIETY AND DEPRESSION. METHODS: 138 ADULTS WITH PD WERE RANDOMIZED TO EIGHT WEEKLY YOGA (N = 71) OR STRETCHING (N = 67) SESSIONS. SYMPTOM EXPERIENCES, ANXIETY AND DEPRESSION, AND HRQOL OUTCOMES WERE ASSESSED AT BASELINE, IMMEDIATE POST-INTERVENTION, AND 3-MONTH POST-INTERVENTION. RESULTS: GENERALIZED ESTIMATING EQUATION ANALYSES REVEALED THAT, COMPARED TO STRETCHING, YOGA SIGNIFICANTLY IMPROVED PATIENTS' NONMOTOR (TIME-BY-GROUP INTERACTION, T1:BETA = -1.99, P = .008; T2:BETA = -2.86, P < .001) AND MOTOR (TIME-BY-GROUP INTERACTION, T1:BETA = -1.77, P = .03) SYMPTOM EXPERIENCES. THE MEDIATION ANALYSIS FOUND THAT THE CHANGES IN ANXIETY AND DEPRESSION WERE THE MEDIATORS IN THE ASSOCIATIONS BETWEEN NON-MOTOR EXPERIENCE AND HRQOL; WHILE ONLY THE CHANGES IN DEPRESSION WERE FOUND TO BE THE MEDIATOR IN THE RELATIONSHIP BETWEEN MOTOR EXPERIENCE AND HRQOL. CONCLUSIONS: YOGA IS SUPERIOR TO CONVENTIONAL STRETCHING EXERCISES IN IMPROVING NONMOTOR AND MOTOR SYMPTOMS IN DAILY LIVING. REDUCED ANXIETY AND DEPRESSION PLAY A ROLE IN MEDIATING THE POSITIVE EFFECTS OF THE MINDFULNESS YOGA INTERVENTION. TO OPTIMIZE HRQOL, REHABILITATION SHOULD REINFORCE PSYCHOLOGICAL CARE IN ADDITION TO PHARMACOLOGICAL TREATMENTS AND PHYSICAL RELIEF OF PD SYMPTOMS. FUTURE STUDIES ARE NEEDED TO IDENTIFY STRATEGIES FOR FACILITATING THE IMPLEMENTATION AND SUSTAINABILITY OF MIND-BODY REHABILITATION TO ENHANCE THE QUALITY OF CARE FOR PD. 2022 18 1410 39 IMPACT OF YOGA ON PSYCHOPATHOLOGIES AND QUALITY OF LIFE IN PERSONS WITH HIV: A RANDOMIZED CONTROLLED STUDY. BACKGROUND: EVIDENCE SUGGESTS THAT INDIVIDUALS WITH HUMAN IMMUNODEFICIENCY VIRUS (HIV) OFTEN EXHIBIT POOR PHYSICAL AND MENTAL HEALTH, WHICH CONTRIBUTES TO A REDUCED QUALITY OF LIFE (QOL). YOGA IS A FORM OF ALTERNATIVE THERAPY THAT HAS POSITIVE INFLUENCES ON GENERAL HEALTH AND QOL. OBJECTIVES: THIS STUDY EXAMINED THE EFFECTS OF YOGA ON I) ANXIETY, DEPRESSION, AND PSYCHOLOGICAL WELL-BEING AND II) QOL AMONG INDIVIDUALS WITH AN HIV POSITIVE STATUS. METHODOLOGY: SIXTY INDIVIDUALS WITH HIV-POSITIVE (AGED 30-50 YEARS) FROM REHABILITATION CENTRES ACROSS BANGALORE WERE RANDOMLY ASSIGNED TO THE YOGA INTERVENTION GROUP (N=30; 11 MEN) OR THE WAIT-LISTED CONTROL GROUP (N=30; 10 MEN). PARTICIPANTS IN THE YOGA GROUP UNDERWENT 8 WEEKS OF INTENSE YOGA PRACTICE PERFORMED AN HOUR A DAY FOR 5 DAYS A WEEK. THE YOGA PRACTICE CONSISTED OF PHYSICAL POSTURES, BREATHING PRACTICES, RELAXATION TECHNIQUES, AND MEDITATION. PARTICIPANTS IN THE WAIT-LISTED CONTROL GROUP FOLLOWED THEIR NORMAL ROUTINE. ANXIETY, FATIGUE, DEPRESSION, AND QOL WERE ASSESSED TWICE FOR ALL SUBJECTS IN EACH GROUP - ONCE AT THE START OF THE STUDY TO ESTABLISH A BASELINE AND ONCE MORE AT THE END OF THE 2-MONTH STUDY PERIOD TO ASSESS ANY CHANGES. DATA ANALYSIS WAS PERFORMED ON THE ASSESSMENTS USING SPSS SOFTWARE VERSION 10. RESULTS: BETWEEN GROUP ANALYSIS DEMONSTRATED THAT A SIGNIFICANTLY DIFFERENT REDUCTION IN ANXIETY (P<0.001), DEPRESSION (P<0.001), AND FATIGUE (P<0.001) WAS OBSERVED IN THE YOGA GROUP COMPARED TO THE CONTROL GROUP, AS WELL AS SIGNIFICANT IMPROVEMENTS IN WELL-BEING (P<0.001) AND ALL DOMAINS OF QOL (P<0.001) IN THE YOGA GROUP COMPARED TO THE CONTROL GROUP. CONCLUSION: THIS STUDY INDICATES THAT YOGA INTERVENTION APPEARS TO IMPROVE THE PSYCHOLOGICAL HEALTH AND QOL OF INDIVIDUALS WHO ARE HIV-POSITIVE. THEREFORE, BASED ON THESE FINDINGS, YOGA MAY BE RECOMMENDED AS A COMPLEMENTARY THERAPY TO ENHANCE CONVENTIONAL HIV CARE. 2019 19 294 22 AFFECT AND MINDFULNESS AS PREDICTORS OF CHANGE IN MOOD DISTURBANCE, STRESS SYMPTOMS, AND QUALITY OF LIFE IN A COMMUNITY-BASED YOGA PROGRAM FOR CANCER SURVIVORS. LITTLE ATTENTION HAS BEEN PAID TO THE PSYCHOLOGICAL DETERMINANTS BY WHICH BENEFITS ARE ACCRUED VIA YOGA PRACTICE IN CANCER-RELATED CLINICAL SETTINGS. USING A LONGITUDINAL MULTILEVEL MODELING APPROACH, ASSOCIATIONS BETWEEN AFFECT, MINDFULNESS, AND PATIENT-REPORTED MENTAL HEALTH OUTCOMES, INCLUDING MOOD DISTURBANCE, STRESS SYMPTOMS, AND HEALTH-RELATED QUALITY OF LIFE (HRQL), WERE EXAMINED IN AN EXISTING SEVEN-WEEK YOGA PROGRAM FOR CANCER SURVIVORS. PARTICIPANTS (N = 66) WERE ASSESSED BEFORE AND AFTER THE YOGA PROGRAM AND AT THREE- AND SIX-MONTH FOLLOW-UPS. DECREASES IN MOOD DISTURBANCE AND STRESS SYMPTOMS AND IMPROVEMENTS IN HRQL WERE OBSERVED UPON PROGRAM COMPLETION. IMPROVEMENTS IN MOOD DISTURBANCE AND STRESS SYMPTOMS WERE MAINTAINED AT THE THREE- AND SIX-MONTH FOLLOW-UPS. HRQL EXHIBITED FURTHER IMPROVEMENT AT THE THREE-MONTH FOLLOW-UP, WHICH WAS MAINTAINED AT THE SIX-MONTH FOLLOW-UP. IMPROVEMENTS IN MEASURES OF WELL-BEING WERE PREDICTED BY INITIAL POSITIVE YOGA BELIEFS AND CONCURRENTLY ASSESSED AFFECTIVE AND MINDFULNESS PREDICTOR VARIABLES. PREVIOUS YOGA EXPERIENCE, AFFECT, MINDFULNESS, AND HRQL WERE RELATED TO YOGA PRACTICE MAINTENANCE OVER THE COURSE OF THE STUDY. 2013 20 2623 30 YOGA FOR SYMPTOM MANAGEMENT IN ONCOLOGY: A REVIEW OF THE EVIDENCE BASE AND FUTURE DIRECTIONS FOR RESEARCH. BECAUSE YOGA IS INCREASINGLY RECOGNIZED AS A COMPLEMENTARY APPROACH TO CANCER SYMPTOM MANAGEMENT, PATIENTS/SURVIVORS AND PROVIDERS NEED TO UNDERSTAND ITS POTENTIAL BENEFITS AND LIMITATIONS BOTH DURING AND AFTER TREATMENT. THE AUTHORS REVIEWED RANDOMIZED CONTROLLED TRIALS (RCTS) OF YOGA CONDUCTED AT THESE POINTS IN THE CANCER CONTINUUM (N = 29; N = 13 DURING TREATMENT, N = 12 POST-TREATMENT, AND N = 4 WITH MIXED SAMPLES). FINDINGS BOTH DURING AND AFTER TREATMENT DEMONSTRATED THE EFFICACY OF YOGA TO IMPROVE OVERALL QUALITY OF LIFE (QOL), WITH IMPROVEMENT IN SUBDOMAINS OF QOL VARYING ACROSS STUDIES. FATIGUE WAS THE MOST COMMONLY MEASURED OUTCOME, AND MOST RCTS CONDUCTED DURING OR AFTER CANCER TREATMENT REPORTED IMPROVEMENTS IN FATIGUE. RESULTS ALSO SUGGESTED THAT YOGA CAN IMPROVE STRESS/DISTRESS DURING TREATMENT AND POST-TREATMENT DISTURBANCES IN SLEEP AND COGNITION. SEVERAL RCTS PROVIDED EVIDENCE THAT YOGA MAY IMPROVE BIOMARKERS OF STRESS, INFLAMMATION, AND IMMUNE FUNCTION. OUTCOMES WITH LIMITED OR MIXED FINDINGS (EG, ANXIETY, DEPRESSION, PAIN, CANCER-SPECIFIC SYMPTOMS, SUCH AS LYMPHEDEMA) AND POSITIVE PSYCHOLOGICAL OUTCOMES (SUCH AS BENEFIT-FINDING AND LIFE SATISFACTION) WARRANT FURTHER STUDY. IMPORTANT FUTURE DIRECTIONS FOR YOGA RESEARCH IN ONCOLOGY INCLUDE: ENROLLING PARTICIPANTS WITH CANCER TYPES OTHER THAN BREAST, STANDARDIZING SELF-REPORT ASSESSMENTS, INCREASING THE USE OF ACTIVE CONTROL GROUPS AND OBJECTIVE MEASURES, AND ADDRESSING THE HETEROGENEITY OF YOGA INTERVENTIONS, WHICH VARY IN TYPE, KEY COMPONENTS (MOVEMENT, MEDITATION, BREATHING), DOSE, AND DELIVERY MODE. 2019