1 2046 165 THE ACUTE IMPACT OF HATHA YOGA ON CRAVING AMONG SMOKERS ATTEMPTING TO REDUCE OR QUIT. INTRODUCTION: DESPITE NEGATIVE EFFECTS OF SMOKING, SMOKERS HAVE DIFFICULTY QUITTING, SUGGESTING A NEED FOR ADDITIONAL STRATEGIES TO HELP THEM QUIT. A SINGLE-SESSION HATHA YOGA INTERVENTION ACUTELY REDUCED CRAVING AMONG NICOTINE-DEPRIVED SMOKERS NOT ATTEMPTING TO REDUCE OR QUIT, YET IT IS UNKNOWN IF IT REDUCES CRAVING AMONG THOSE ATTEMPTING TO CHANGE THEIR SMOKING. THUS, THIS STUDY TESTED THE EFFICACY OF A SINGLE-SESSION HATHA YOGA INTERVENTION FOR ACUTELY REDUCING CRAVING AMONG SMOKERS ATTEMPTING TO REDUCE OR QUIT SMOKING. METHODS: DATA PRESENTED ARE PART OF A LARGER DISSERTATION PROJECT. PARTICIPANTS WERE 55 COMMUNITY-RECRUITED SMOKERS (62% MALE) MOTIVATED TO REDUCE OR QUIT SMOKING RANDOMIZED TO ONE SESSION OF HATHA YOGA (N = 25) OR WELLNESS CONTROL (IE, READING EDUCATIONAL MATERIALS ABOUT HEALTHY LIFESTYLE; N = 30) ON THEIR INTERVENTION DAY (IE, THE DAY ON WHICH THEY BEGAN TO REDUCE OR QUIT SMOKING). PARTICIPANTS RATED, "I HAVE A DESIRE FOR A CIGARETTE RIGHT NOW," ON A 7-POINT LIKERT SCALE IMMEDIATELY BEFORE AND AFTER THE INTERVENTION. RESULTS: AFTER STATISTICALLY CONTROLLING FOR CO IN BREATH, PARTICIPANT TYPE, AGE, GENDER, RACE, AND ETHNICITY, A SIGNIFICANT TIME X CONDITION INTERACTION WAS FOUND, F(1, 47) = 4.72, P = .035, ETAP2 = .09, SUGGESTING CRAVING DECREASED AT A GREATER RATE IN THE HATHA YOGA CONDITION RELATIVE TO THE WELLNESS CONDITION. CONCLUSIONS: RESULTS FROM THIS STUDY ADD TO A GROWING BODY OF RESEARCH DEMONSTRATING THE POTENTIAL CLINICAL UTILITY OF HATHA YOGA AS AN ADJUNCTIVE INTERVENTION TOOL FOR SMOKING CESSATION. IMPLICATIONS: THIS IS THE FIRST KNOWN STUDY TO TEST THE IMPACT OF A SINGLE-SESSION HATHA YOGA INTERVENTION ON CRAVING AMONG ADULT SMOKERS ATTEMPTING TO REDUCE OR QUIT SMOKING. WE FOUND THAT 30 MINUTES OF HATHA YOGA PRODUCED A GREATER REDUCTION IN CRAVING COMPARED TO A 30-MINUTE WELLNESS CONTROL CONDITION. THIS RELATIONSHIP WAS EVIDENT EVEN AFTER STATISTICALLY ACCOUNTING FOR OTHER IMPORTANT VARIABLES (EG, GENDER). RESULTS OF THIS STUDY ADD TO A GROWING BODY OF LITERATURE DEMONSTRATING THE POTENTIAL CLINICAL UTILITY OF HATHA YOGA AS AN ADJUNCTIVE INTERVENTION STRATEGY FOR SMOKING CESSATION. 2020 2 2455 56 YOGA AS A COMPLEMENTARY THERAPY FOR SMOKING CESSATION: RESULTS FROM BREATHEASY, A RANDOMIZED CLINICAL TRIAL. INTRODUCTION: THERE IS EVIDENCE THAT YOGA MAY BE HELPFUL AS AN AID FOR SMOKING CESSATION. YOGA HAS BEEN SHOWN TO REDUCE STRESS AND NEGATIVE MOOD AND MAY AID WEIGHT CONTROL, ALL OF WHICH HAVE PROVEN TO BE BARRIERS TO QUITTING SMOKING. THIS STUDY IS THE FIRST RIGOROUS, RANDOMIZED CLINICAL TRIAL OF YOGA AS A COMPLEMENTARY THERAPY FOR SMOKERS ATTEMPTING TO QUIT. METHODS: ADULT SMOKERS (N = 227; 55.5% WOMEN) WERE RANDOMIZED TO AN 8-WEEK PROGRAM OF COGNITIVE-BEHAVIORAL SMOKING CESSATION AND EITHER TWICE-WEEKLY IYENGAR YOGA OR GENERAL WELLNESS CLASSES (CONTROL). ASSESSMENTS INCLUDED COTININE-VERIFIED 7-DAY POINT PREVALENCE ABSTINENCE AT WEEK 8, 3-MONTH, AND 6-MONTH FOLLOW-UPS. RESULTS: AT BASELINE, PARTICIPANTS' MEAN AGE WAS 46.2 (SD = 12.0) YEARS AND SMOKING RATE WAS 17.3 (SD = 7.6) CIGARETTES/DAY. LONGITUDINALLY ADJUSTED MODELS OF ABSTINENCE OUTCOMES DEMONSTRATED SIGNIFICANT GROUP EFFECTS FAVORING YOGA. YOGA PARTICIPANTS HAD 37% GREATER ODDS OF ACHIEVING ABSTINENCE THAN WELLNESS PARTICIPANTS AT THE END OF TREATMENT (EOT). LOWER BASELINE SMOKING RATES (/=5 CIGARETTES/DAY, AGE 18-65) TO RECEIVE COGNITIVE BEHAVIORAL THERAPY FOR SC, PLUS A YOGA OR WELLNESS PROGRAM. MEASURES INCLUDED FEASIBILITY (RECRUITMENT, CLASS ATTENDANCE) AND ACCEPTABILITY (CUSTOMER SATISFACTION). WE ENROLLED 38 OF 49 ELIGIBLE MEN OF 167 SCREENED IN RESPONSE TO ADS (MEAN AGE 39.9 YEARS, +/-13.7) WHO SMOKED ON AVERAGE 18.6 CIGARETTES/DAY (+/-8.3). WELLNESS (75.8 %) VERSUS YOGA (56 %) MEN ATTENDED MORE SC CLASSES, P < 0.01. SIXTY PERCENT ATTENDED >/=1 YOGA CLASS. MEN REPORTED GREATER SATISFACTION WITH IN-HOUSE VERSUS COMMUNITY YOGA CLASSES. WELLNESS APPEARS TO BE THE PREFERRED INTERVENTION; RESULTS INDICATED THAT IT MAY BE MORE FEASIBLE AND SHOWED INCREASED ATTENDANCE AT SMOKING CLASSES. TO BE FULLY FEASIBLE, YOGA + SC MAY NEED TO BE A UNIFIED PROGRAM OFFERING ALL CLASSES TAILORED FOR MEN AND IN THE SAME LOCATION. 2015 15 1851 29 RAJA YOGA MEDITATION AND MEDICATION-ASSISTED TREATMENT FOR RELAPSE PREVENTION: A PILOT STUDY. THE CONTINUED NEED FOR ADVANCEMENT IN EVIDENCE-BASED SUD TREATMENT, AS WELL AS INCREASES IN TREATMENT EXPENSE AND DECLINE IN SUPPORT FROM INSURANCE PROVIDERS, SUGGEST THAT BRIEF, INNOVATIVE, AND AFFORDABLE TREATMENTS ARE NEEDED. MEDITATION, SPIRITUALITY, AND ADHERENCE TO MEDICATION-ASSISTED TREATMENTS HAVE ALL BEEN SHOWN TO SUPPORT ABSTINENCE. THE CURRENT TRIAL ASSESSED EFFECTS OF SPIRITUALLY-BASED MEDITATION, VERSUS RELAXATION OR STANDARD TREATMENT, ON SUBSTANCE ABSTINENCE AND PSYCHOLOGICAL DISTRESS AND DYSFUNCTION IN A PARTIALLY BUPRENORPHINE-SUPPORTED (41.5%) TREATMENT SAMPLE. PARTICIPANTS (N=40) WERE RECRUITED FROM AN INTENSIVE OUTPATIENT TREATMENT PROGRAM, IN WHICH THREE TREATMENT LOCATIONS ACTED AS SEPARATE EXPERIMENTAL CONDITIONS. ABSTINENCE WAS MEASURED THROUGH URINALYSES AT BASELINE AND WEEKLY THEREAFTER FOR THE DURATION OF THE INTERVENTION. PSYCHOLOGICAL DISTRESS AND DYSFUNCTION WERE ASSESSED WITH A LIKERT-SCALED QUESTIONNAIRE MEASURING SYMPTOMS TYPICALLY ASSOCIATED WITH SUD. CO-VARYING FOR BUPRENORPHINE USE, PARTICIPANTS IN THE MEDITATION CONDITION HAD BETTER ODDS OF REMAINING ABSTINENT THAN PARTICIPANTS IN THE TREATMENT-AS-USUAL (TAU) AND RELAXATION CONDITIONS. THERE WERE NO SIGNIFICANT DIFFERENCES IN SUBSTANCE ABSTINENCE BETWEEN THE RELAXATION AND TAU CONDITIONS. FURTHER, CO-VARYING OUT BASELINE THERE WERE NO SIGNIFICANT DIFFERENCES AT POST-COURSE IN PSYCHOLOGICAL DISTRESS AND DYSFUNCTION BETWEEN THE THREE CONDITIONS. RESULTS FROM THIS PILOT TRIAL SUGGEST THAT THIS SPIRITUALLY-INFORMED APPROACH MAY OFFER ADDITIVE SUPPORT TO INDIVIDUALS IN SUD TREATMENT, AS AN AID TO THE MEDITATIVE ASPECT OF THE 12 STEPS, OR A NON-12-STEP ALTERNATIVE SPIRITUAL SUPPLEMENT TO STANDARD SUD TREATMENT. 2019 16 1307 39 HATHA YOGA: IMPROVED VITAL CAPACITY OF COLLEGE STUDENTS. CONTEXT: THE VITAL CAPACITY OF THE LUNGS IS A CRITICAL COMPONENT OF GOOD HEALTH. VITAL CAPACITY IS AN IMPORTANT CONCERN FOR THOSE WITH ASTHMA, HEART CONDITIONS, AND LUNG AILMENTS; THOSE WHO SMOKE; AND THOSE WHO HAVE NO KNOWN LUNG PROBLEMS. OBJECTIVE: TO DETERMINE THE EFFECTS OF YOGA POSTURES AND BREATHING EXERCISES ON VITAL CAPACITY. DESIGN: USING THE SPIROPET SPIROMETER, RESEARCHERS MEASURED VITAL CAPACITY. VITAL CAPACITY DETERMINANTS WERE TAKEN NEAR THE BEGINNING AND END OF TWO 17-WEEK SEMESTERS. NO CONTROL GROUP WAS USED. SETTING: MIDWESTERN UNIVERSITY YOGA CLASSES TAKEN FOR COLLEGE CREDIT. PARTICIPANTS: A TOTAL OF 287 COLLEGE STUDENTS, 89 MEN AND 198 WOMEN. INTERVENTION: SUBJECTS WERE TAUGHT YOGA POSES, BREATHING TECHNIQUES, AND RELAXATION IN TWO 50-MINUTE CLASS MEETINGS FOR 15 WEEKS. MAIN OUTCOME MEASURES: VITAL CAPACITY OVER TIME FOR SMOKERS, ASTHMATICS, AND THOSE WITH NO KNOWN LUNG DISEASE. RESULTS: THE STUDY SHOWED A STATISTICALLY SIGNIFICANT (P < .001) IMPROVEMENT IN VITAL CAPACITY ACROSS ALL CATEGORIES OVER TIME. CONCLUSIONS: IT IS NOT KNOWN WHETHER THESE FINDINGS WERE THE RESULT OF YOGA POSES, BREATHING TECHNIQUES, RELAXATION, OR OTHER ASPECTS OF EXERCISE IN THE SUBJECTS' LIFE. THE SUBJECTS' ADHERENCE TO ATTENDING CLASS WAS 99.96%. THE LARGE NUMBER OF 287 SUBJECTS IS CONSIDERED TO BE A VALID NUMBER FOR A STUDY OF THIS TYPE. THESE FINDINGS ARE CONSISTENT WITH OTHER RESEARCH STUDIES REPORTING THE POSITIVE EFFECT OF YOGA ON THE VITAL CAPACITY OF THE LUNGS. 2000 17 1183 45 EVALUATION OF YOGA FOR PREVENTING ADOLESCENT SUBSTANCE USE RISK FACTORS IN A MIDDLE SCHOOL SETTING: A PRELIMINARY GROUP-RANDOMIZED CONTROLLED TRIAL. ADOLESCENCE IS A KEY DEVELOPMENTAL PERIOD FOR PREVENTING SUBSTANCE USE INITIATION, HOWEVER PREVENTION PROGRAMS SOLELY PROVIDING EDUCATIONAL INFORMATION ABOUT THE DANGERS OF SUBSTANCE USE RARELY CHANGE ADOLESCENT SUBSTANCE USE BEHAVIORS. RECENT RESEARCH SUGGESTS THAT MIND-BODY PRACTICES SUCH AS YOGA MAY HAVE BENEFICIAL EFFECTS ON SEVERAL SUBSTANCE USE RISK FACTORS, AND THAT THESE PRACTICES MAY SERVE AS PROMISING INTERVENTIONS FOR PREVENTING ADOLESCENT SUBSTANCE USE. THE PRIMARY AIM OF THE PRESENT STUDY WAS TO TEST THE EFFICACY OF YOGA FOR REDUCING SUBSTANCE USE RISK FACTORS DURING EARLY ADOLESCENCE. SEVENTH-GRADE STUDENTS IN A PUBLIC SCHOOL WERE RANDOMLY ASSIGNED BY CLASSROOM TO RECEIVE EITHER A 32-SESSION YOGA INTERVENTION (N = 117) IN PLACE OF THEIR REGULAR PHYSICAL EDUCATION CLASSES OR TO CONTINUE WITH PHYSICAL-EDUCATION-AS-USUAL (N = 94). PARTICIPANTS (63.2 % FEMALE; 53.6 % WHITE) COMPLETED PRE- AND POST-INTERVENTION QUESTIONNAIRES ASSESSING EMOTIONAL SELF-REGULATION, PERCEIVED STRESS, MOOD IMPAIRMENT, IMPULSIVITY, SUBSTANCE USE WILLINGNESS, AND ACTUAL SUBSTANCE USE. PARTICIPANTS ALSO COMPLETED QUESTIONNAIRES AT 6-MONTHS AND 1-YEAR POST-INTERVENTION. RESULTS REVEALED THAT PARTICIPANTS IN THE CONTROL CONDITION WERE SIGNIFICANTLY MORE WILLING TO TRY SMOKING CIGARETTES IMMEDIATELY POST-INTERVENTION THAN PARTICIPANTS IN THE YOGA CONDITION. IMMEDIATE PRE- TO POST-INTERVENTION DIFFERENCES DID NOT EMERGE FOR THE REMAINING OUTCOMES. HOWEVER, LONG-TERM FOLLOW-UP ANALYSES REVEALED A PATTERN OF DELAYED EFFECTS IN WHICH FEMALES IN THE YOGA CONDITION, AND MALES IN THE CONTROL CONDITION, DEMONSTRATED IMPROVEMENTS IN EMOTIONAL SELF-CONTROL. THE FINDINGS SUGGEST THAT SCHOOL-BASED YOGA MAY HAVE BENEFICIAL EFFECTS WITH REGARD TO PREVENTING MALES' AND FEMALES' WILLINGNESS TO SMOKE CIGARETTES, AS WELL AS IMPROVING EMOTIONAL SELF-CONTROL IN FEMALES. HOWEVER ADDITIONAL RESEARCH IS REQUIRED, PARTICULARLY WITH REGARD TO THE POTENTIAL LONG-TERM EFFECTS OF MIND-BODY INTERVENTIONS IN SCHOOL SETTINGS. THE PRESENT STUDY CONTRIBUTES TO THE LITERATURE ON ADOLESCENCE BY EXAMINING SCHOOL-BASED YOGA AS A NOVEL PREVENTION PROGRAM FOR SUBSTANCE USE RISK FACTORS. 2017 18 2278 26 THE ROLES OF SELF-COMPASSION, BODY SURVEILLANCE, AND BODY APPRECIATION IN PREDICTING INTRINSIC MOTIVATION FOR PHYSICAL ACTIVITY: CROSS-SECTIONAL ASSOCIATIONS, AND PROSPECTIVE CHANGES WITHIN A YOGA CONTEXT. ENGAGING IN PHYSICAL ACTIVITY FOR THE IMMEDIATE INTERNAL EXPERIENCES IT BRINGS (E.G., PLEASURE, SATISFACTION) IS CRITICAL FOR LONG-TERM EXERCISE ADHERENCE. INVESTIGATIONS OF HOW FACTORS SUCH AS BODY IMAGE CONTRIBUTE TO INTRINSIC MOTIVATION FOR PHYSICAL ACTIVITY ARE NEEDED. THE PRESENT STUDY EXAMINED BODY SURVEILLANCE AND BODY APPRECIATION AS MEDIATORS OF THE RELATIONSHIP BETWEEN SELF-COMPASSION AND INTRINSIC MOTIVATION FOR PHYSICAL ACTIVITY CROSS-SECTIONALLY AND PROSPECTIVELY. ONE SAMPLE OF COLLEGE WOMEN COMPLETED MEASURES OF STUDY VARIABLES AT ONE TIME POINT (SAMPLE 1; N = 269, MAGE = 19.96) AND A SECOND SAMPLE DID SO DURING WEEKS 1, 8, AND 16 WHILE PARTICIPATING IN A 16-WEEK YOGA COURSE (SAMPLE 2; N = 323, MAGE = 20.31). IN SAMPLE 1, LATENT VARIABLE STRUCTURAL EQUATION MODELING SUPPORTED BODY APPRECIATION AS A MEDIATOR BETWEEN SELF-COMPASSION AND INTRINSIC MOTIVATION FOR PHYSICAL ACTIVITY. IN SAMPLE 2, LATENT GROWTH CURVE ANALYSES REVEALED THAT CHANGE IN SELF-COMPASSION PREDICTED CHANGES IN BODY SURVEILLANCE AND BODY APPRECIATION IN EXPECTED DIRECTIONS. FURTHER, CHANGE IN BODY APPRECIATION POSITIVELY PREDICTED CHANGE IN INTRINSIC MOTIVATION. TARGETING SELF-COMPASSION AND BODY APPRECIATION MAY HELP SUPPORT WOMEN'S INTRINSIC MOTIVATION FOR PHYSICAL ACTIVITY. 2019 19 2477 41 YOGA AS AN ADJUNCTIVE INTERVENTION TO MEDICATION-ASSISTED TREATMENT WITH BUPRENORPHINE+NALOXONE. OBJECTIVE: ACCORDING TO THE CDC, 2.6 MILLION PEOPLE IN THE UNITED STATES HAVE AN OPIOID USE DISORDER AND DRUG OVERDOSE IS THE LEADING CAUSE OF ACCIDENTAL DEATH. OPIOIDS ARE INVOLVED IN 63% OF OVERDOSE DEATHS. IT IS IMPERATIVE THAT WE IDENTIFY EVIDENCE BASED TREATMENTS TO STEM THE TIDE OF THIS EPIDEMIC. THIS PILOT STUDY SERVES TO EXPLORE THE FEASIBILITY AND EFFECTIVENESS OF YOGA AS AN ADJUNCTIVE INTERVENTION FOR INDIVIDUALS WITH OPIOID USE DISORDER IN ACTIVE MEDICATION-ASSISTED TREATMENT (MAT). METHODS: PARTICIPANTS (N=26) WERE RECRUITED FROM A BUPRENORPHINE/NALOXONE MAT PROGRAM TO PARTICIPATE IN THIS STUDY. 13 PARTICIPANTS ENGAGED IN A 12 WEEK ADJUNCTIVE YOGA INTERVENTION WHILE REMAINING IN TREATMENT AS USUAL (TAU) MAT. 13 MATCHED CONTROLS WERE RECRUITED AND REMAINED IN TAU MAT. BOTH GROUPS WERE EVALUATED AT BASELINE, 45 DAYS AND 90 DAYS FOR CHANGES IN CRAVING FOR OPIOIDS, TREATMENT RETENTION, RELAPSE RATES, SLEEP, AND SYMPTOMS OF ANXIETY AND PERCEIVED STRESS. RESULTS: A TWO-WAY TREATMENT BY TIME ANALYSIS OF VARIANCE WAS PERFORMED USING A MIXED EFFECTS MODEL. THE TREATMENT BY FOLLOW-UP TIME INTERACTION EFFECT WAS SIGNIFICANT FOR PERCEIVED STRESS (P=0.026) INDICATING THAT THE YOGA INTERVENTION HAD A LARGER EFFECT THAN TAU (MAT). CHANGES IN PERCEIVED STRESS DECREASED SIGNIFICANTLY OVER TIME IN BOTH THE YOGA INTERVENTION GROUP AND THE TAU MAT MATCHED CONTROL GROUP. CONCLUSION: THIS PILOT STUDY INDICATED STRONG EVIDENCE FOR YOGA BEING AN EFFECTIVE ADJUNCTIVE TREATMENT TO MAT TAU IN REDUCING PERCEIVED STRESS. FURTHER RESEARCH WITH A LARGER POPULATION IS NEEDED TO DETERMINE IMPACT ON OTHER MENTAL HEALTH SYMPTOMS AND RELAPSE AND RETENTION RATES. 2018 20 1195 35 EXAMINING THE EFFECTS OF MINDFULNESS-BASED YOGA INSTRUCTION ON POSITIVE EMBODIMENT AND AFFECTIVE RESPONSES. EMPIRICAL EVIDENCE PROVIDES SUPPORT FOR THE INCLUSION OF YOGA AS PART OF EATING DISORDER PREVENTION EFFORTS THROUGH ITS POSITIVE IMPACT ON POSITIVE EMBODIMENT AND EXPERIENCE OF POSITIVE CORE AFFECT. HOWEVER, THERE IS A NEED TO IDENTIFY THE SPECIFIC INSTRUCTIONAL STRATEGIES THAT WILL MORE CONSISTENTLY SUPPORT POSITIVE EMBODIMENT AND POSITIVE AFFECT. WE EXAMINED THE EFFECT OF TEACHING A SINGLE YOGA CLASS USING MINDFULNESS-BASED INSTRUCTION COMPARED TO APPEARANCE-BASED AND NEUTRAL INSTRUCTION ALTERNATIVES ON EMBODIMENT (I.E., STATE BODY SURVEILLANCE, STATE BODY APPRECIATION, PLEASURE DURING YOGA) AND CHANGES IN AFFECT FROM BEFORE TO AFTER CLASS. FEMALE PARTICIPANTS (N = 62; M AGE = 23.89, SD = 6.86) WERE RANDOMLY ASSIGNED TO A YOGA CLASS THAT EMPHASIZED: BEING MINDFULLY PRESENT IN ONE'S BODY, CHANGING ONE'S APPEARANCE, OR JUST GETTING INTO YOGA POSES. ANOVAS REVEALED SIGNIFICANTLY HIGHER BODY SURVEILLANCE (ETAP (2) =.10) AND LOWER FORECASTED PLEASURE (ETAP (2) =.21) IN THE APPEARANCE CLASS COMPARED TO THE OTHER TWO CLASSES. PARTICIPANTS IN THE MINDFULNESS CLASS EXPERIENCED GREATER IMPROVEMENT IN AFFECT (ETAP (2) =.08) FROM BEFORE TO AFTER CLASS AND HIGHER REMEMBERED PLEASURE DURING THE YOGA CLASS (ETAP (2) =.19) COMPARED TO THOSE IN THE APPEARANCE CLASS. EMPHASIZING CHANGES TO APPEARANCE IN YOGA INSTRUCTION MAY PLACE PARTICIPANTS AT RISK FOR LESS POSITIVE AFFECT AND LESS POSITIVE EXPERIENCES OF EMBODIMENT COMPARED TO MINDFULNESS-BASED OR EVEN NEUTRAL YOGA INSTRUCTION. 2020