1 1492 159 INTERNALIZED WEIGHT STIGMA AND INTUITIVE EATING AMONG STRESSED ADULTS DURING A MINDFUL YOGA INTERVENTION: ASSOCIATIONS WITH CHANGES IN MINDFULNESS AND SELF-COMPASSION. PURPOSE: INTERNALIZED WEIGHT STIGMA (IWS) IS COMMON IN THE UNITED STATES OF AMERICA ACROSS BODY WEIGHT CATEGORIES, AND IS IMPLICATED IN THE DEVELOPMENT OF DISTRESS AND UNHEALTHY EATING BEHAVIORS (E.G. OVEREATING, DISORDERED EATING) THAT CAN FOSTER POOR CARDIOMETABOLIC HEALTH. WHILE EMERGING INTERVENTION RESEARCH SHOWS EARLY PROMISE IN REDUCING IWS, LONG-TERM EFFICACY IS UNCLEAR AND NOVEL STRATEGIES REMAIN NEEDED. THIS ANALYSIS EXAMINED WHETHER PARTICIPATION IN A MINDFUL YOGA INTERVENTION WAS ASSOCIATED WITH REDUCED IWS AND INCREASED INTUITIVE EATING, AN ADAPTIVE EATING BEHAVIOR, AND WHETHER THESE CHANGES CORRELATED WITH EACH OTHER OR WITH CHANGES IN MINDFULNESS AND SELF-COMPASSION. METHODS: PARTICIPANTS WERE STRESSED ADULTS WITH LOW FRUIT AND VEGETABLE INTAKE (N = 78, 64.1% WHITE, M. BODY MASS INDEX 25.59 +/- 4.45) ENROLLED IN A PARENT CLINICAL TRIAL OF A 12-WEEK MINDFUL YOGA INTERVENTION. VALIDATED SELF-REPORT MEASURES OF IWS, INTUITIVE EATING, MINDFULNESS, AND SELF-COMPASSION WERE ADMINISTERED AT PRE-TREATMENT, MID-TREATMENT (8 WEEKS), POST-TREATMENT (12 WEEKS), AND 4-MONTH FOLLOW-UP (24 WEEKS). RESULTS: LINEAR MIXED MODELING REVEALED SIGNIFICANT IMPROVEMENTS IN IWS AND INTUITIVE EATING ACROSS THE FOUR TIMEPOINTS (P < .001). REDUCED IWS CORRELATED WITH INCREASED INTUITIVE EATING PRE- TO POST-TREATMENT (P = .01). IMPROVED SELF-COMPASSION AND MINDFULNESS CORRELATED WITH INTUITIVE EATING (BOTH P = . 04), BUT NOT IWS (P = .74 AND P = .56, RESPECTIVELY). CONCLUSION: THIS STUDY OFFERS PRELIMINARY SUPPORT FOR THE HYPOTHESIS THAT MINDFUL YOGA MAY PROMOTE INTUITIVE EATING AND REDUCE IWS AMONG STRESSED ADULTS WITH POOR DIET, AND SUGGESTS THAT CHANGES IN THESE FACTORS MAY CO-OCCUR OVER TIME. FURTHER INVESTIGATION WITH CONTROLLED DESIGNS IS NECESSARY TO BETTER UNDERSTAND THE TEMPORALITY AND CAUSALITY OF THESE RELATIONSHIPS.TRIAL REGISTRATION: CLINICALTRIALS.GOV IDENTIFIER: NCT02098018. 2021 2 669 39 EFFECT OF A 16-WEEK BIKRAM YOGA PROGRAM ON PERCEIVED STRESS, SELF-EFFICACY AND HEALTH-RELATED QUALITY OF LIFE IN STRESSED AND SEDENTARY ADULTS: A RANDOMISED CONTROLLED TRIAL. OBJECTIVES: THE PURPOSE OF THIS STUDY WAS TO INVESTIGATE THE EFFECT OF 16 WEEKS OF BIKRAM YOGA ON PERCEIVED STRESS, SELF-EFFICACY AND HEALTH RELATED QUALITY OF LIFE (HRQOL) IN SEDENTARY, STRESSED ADULTS. DESIGN: 16 WEEK, PARALLEL-ARM, RANDOMISED CONTROLLED TRIAL WITH FLEXIBLE DOSING. METHODS: PHYSICALLY INACTIVE, STRESSED ADULTS (37.2+/-10.8 YEARS) WERE RANDOMISED TO BIKRAM YOGA (THREE TO FIVE CLASSES PER WEEK) OR CONTROL (NO TREATMENT) GROUP FOR 16 WEEKS. OUTCOME MEASURES, COLLECTED VIA SELF-REPORT, INCLUDED PERCEIVED STRESS, GENERAL SELF-EFFICACY, AND HRQOL. OUTCOMES WERE ASSESSED AT BASELINE, MIDPOINT AND COMPLETION. RESULTS: INDIVIDUALS WERE RANDOMISED TO THE EXPERIMENTAL (N=29) OR CONTROL GROUP (N=34). AVERAGE ATTENDANCE IN THE EXPERIMENTAL GROUP WAS 27+/-18 CLASSES. REPEATED MEASURE ANALYSES OF VARIANCE (INTENTION-TO-TREAT) DEMONSTRATED SIGNIFICANTLY IMPROVED PERCEIVED STRESS (P=0.003, PARTIAL ETA(2)=0.109), GENERAL SELF-EFFICACY (P=0.034, PARTIAL ETA(2)=0.056), AND THE GENERAL HEALTH (P=0.034, PARTIAL ETA(2)=0.058) AND ENERGY/FATIGUE (P=0.019, PARTIAL ETA(2)=0.066) DOMAINS OF HRQOL IN THE EXPERIMENTAL GROUP VERSUS THE CONTROL GROUP. ATTENDANCE WAS SIGNIFICANTLY ASSOCIATED WITH REDUCTIONS IN PERCEIVED STRESS, AND AN INCREASE IN SEVERAL DOMAINS OF HRQOL. CONCLUSIONS: 16 WEEKS OF BIKRAM YOGA SIGNIFICANTLY IMPROVED PERCEIVED STRESS, GENERAL SELF-EFFICACY AND HRQOL IN SEDENTARY, STRESSED ADULTS. FUTURE RESEARCH SHOULD CONSIDER WAYS TO OPTIMISE ADHERENCE, AND SHOULD INVESTIGATE EFFECTS OF BIKRAM YOGA INTERVENTION IN OTHER POPULATIONS AT RISK FOR STRESS-RELATED ILLNESS. TRIAL REGISTRATION: AUSTRALIA NEW ZEALAND CLINICAL TRIALS REGISTRY ACTRN12616000867493. REGISTERED 04 JULY 2016. URL: HTTP://WWW.ANZCTR.ORG.AU/ACTRN12616000867493.ASPX. 2018 3 1781 37 PREDICTORS OF AND BARRIERS TO ADHERENCE IN A 16-WEEK RANDOMISED CONTROLLED TRIAL OF BIKRAM YOGA IN STRESSED AND SEDENTARY ADULTS. BACKGROUND: BIKRAM YOGA MAY ENHANCE HEALTH OUTCOMES IN HEALTHY ADULTS AND THOSE AT RISK FOR CHRONIC DISEASE, HOWEVER, CHALLENGES REMAIN IN ACHIEVING OPTIMAL ADHERENCE TO THIS PRACTICE. THIS STUDY INVESTIGATED FACTORS INFLUENCING ADHERENCE TO A 16-WEEK BIKRAM YOGA INTERVENTION IN STRESSED AND SEDENTARY ADULTS. METHODS: EXPERIMENTAL GROUP PARTICIPANTS (N = 29) WERE INSTRUCTED TO ATTEND 3-5 BIKRAM YOGA CLASSES WEEKLY FOR 16 WEEKS. BASELINE DEMOGRAPHICS, BEHAVIOURS AND HEALTH MEASURES WERE INVESTIGATED AS PREDICTORS OF ADHERENCE. BARRIERS WERE ASSESSED VIA DOCUMENTATION OF ADVERSE EVENTS, AND EXIT SURVEY RESPONSES. RESULTS: PARTICIPANTS (38.2 +/- 10.1 YEARS) WERE PREDOMINANTLY OVERWEIGHT-OBESE (83%), FEMALE (79%), AND ATTENDED 27 +/- 18 CLASSES. HIGHER ADHERENCE WAS ASSOCIATED WITH OLDER AGE (P = 0.094), LESS PAIN (P = 0.011), FEWER PHYSICAL LIMITATIONS (P = 0.011), POORER BLOOD LIPID PROFILE, AND HIGHER HEART RATE VARIABILITY (HRV; TOTAL POWER, (P = 0.097)). IN MULTI-VARIABLE ANALYSIS, THREE VARIABLES: AGE (BETA = 0.492, P = 0.006), HRV (BETA = 0.413, P = 0.021) AND PAIN (BETA = 0.329, P = 0.048) REMAINED PREDICTORS OF ADHERENCE. DIFFICULTY COMMITTING TO THE TRIAL, LACK OF ENJOYMENT AND ADVERSE EVENTS WERE BARRIERS TO ADHERENCE. CONCLUSIONS: THESE FINDINGS SHOULD BE CONSIDERED IN THE DEVELOPMENT OF FUTURE BIKRAM YOGA TRIALS TO FACILITATE HIGHER LEVELS OF ADHERENCE, WHICH MAY ENHANCE HEALTH OUTCOMES AND INFORM COMMUNITY PRACTICE. FUTURE TRIALS SHOULD INVESTIGATE AND ADDRESS ADDITIONAL BARRIERS AND FACILITATORS OF BIKRAM YOGA PRACTICE. 2019 4 2734 60 YOGA PARTICIPATION ASSOCIATED WITH CHANGES IN DIETARY PATTERNS AND STRESS: A PILOT STUDY IN STRESSED ADULTS WITH POOR DIET. BACKGROUND AND PURPOSE: STRESS CONTRIBUTES TO DIETARY PATTERNS THAT IMPEDE HEALTH. YOGA IS AN INTEGRATIVE STRESS MANAGEMENT APPROACH ASSOCIATED WITH IMPROVED DIETARY PATTERNS IN BURGEONING RESEARCH. YET, NO RESEARCH HAS EXAMINED CHANGE IN DIETARY PATTERNS, BODY MASS INDEX (BMI), AND STRESS DURING A YOGA INTERVENTION AMONG STRESSED ADULTS WITH POOR DIET. MATERIALS AND METHODS: OBJECTIVELY-MEASURED BMI AND A BATTERY OF SELF-REPORT QUESTIONNAIRES WERE COLLECTED AT FOUR TIME POINTS DURING AND FOLLOWING A 12-WEEK YOGA INTERVENTION (N = 78, 71% WOMEN, MEAN BMI = 25.69 KG/M(2)+/-4.59) - PRE-TREATMENT (T1), MID-TREATMENT (6 WEEKS; T2), POST-TREATMENT (12 WEEKS; T3), AND AT 3-MONTH FOLLOW-UP (24 WEEKS; T4). RESULTS: T1 TO T3 FRUIT AND VEGETABLE INTAKE, BMI, AND STRESS SIGNIFICANTLY DECLINED IN THE OVERALL SAMPLE. REDUCTION IN VEGETABLE INTAKE WAS NO LONGER SIGNIFICANT AFTER ACCOUNTING FOR REDUCTIONS IN CALORIC INTAKE, AND REDUCTION IN CALORIC INTAKE REMAINED SIGNIFICANT AFTER ACCOUNTING FOR REDUCTIONS IN STRESS. CONCLUSION: FINDINGS MAY BE INTERPRETED AS YOGA EITHER ENCOURAGING OR ADVERSELY IMPACTING HEALTHY DIETARY PATTERNS (I.E., MINIMIZING LIKELIHOOD OF FUTURE WEIGHT GAIN VS. DECREASING VEGETABLE INTAKE AND OVERALL CALORIC INTAKE AMONG INDIVIDUALS WHO MAY NOT NEED TO LOSE WEIGHT, RESPECTIVELY). CONTINUED RESEARCH IS WARRANTED, UTILIZING CAUSAL DESIGNS. 2021 5 668 50 EFFECT OF A 16-WEEK BIKRAM YOGA PROGRAM ON HEART RATE VARIABILITY AND ASSOCIATED CARDIOVASCULAR DISEASE RISK FACTORS IN STRESSED AND SEDENTARY ADULTS: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: CHRONIC ACTIVATION OF THE STRESS-RESPONSE CAN CONTRIBUTE TO CARDIOVASCULAR DISEASE RISK, PARTICULARLY IN SEDENTARY INDIVIDUALS. THIS STUDY INVESTIGATED THE EFFECT OF A BIKRAM YOGA INTERVENTION ON THE HIGH FREQUENCY POWER COMPONENT OF HEART RATE VARIABILITY (HRV) AND ASSOCIATED CARDIOVASCULAR DISEASE (CVD) RISK FACTORS (I.E. ADDITIONAL DOMAINS OF HRV, HEMODYNAMIC, HEMATOLOGIC, ANTHROPOMETRIC AND BODY COMPOSITION OUTCOME MEASURES) IN STRESSED AND SEDENTARY ADULTS. METHODS: ELIGIBLE ADULTS WERE RANDOMIZED TO AN EXPERIMENTAL GROUP (N = 29) OR A NO TREATMENT CONTROL GROUP (N = 34). EXPERIMENTAL GROUP PARTICIPANTS WERE INSTRUCTED TO ATTEND THREE TO FIVE SUPERVISED BIKRAM YOGA CLASSES PER WEEK FOR 16 WEEKS AT LOCAL STUDIOS. OUTCOME MEASURES WERE ASSESSED AT BASELINE (WEEK 0) AND COMPLETION (WEEK 17). RESULTS: SIXTY-THREE ADULTS (37.2 +/- 10.8 YEARS, 79% WOMEN) WERE INCLUDED IN THE INTENTION-TO-TREAT ANALYSIS. THE EXPERIMENTAL GROUP ATTENDED 27 +/- 18 CLASSES. ANALYSES OF COVARIANCE REVEALED NO SIGNIFICANT CHANGE IN THE HIGH-FREQUENCY COMPONENT OF HRV (P = 0.912, PARTIAL ETA (2) = 0.000) OR IN ANY SECONDARY OUTCOME MEASURE BETWEEN GROUPS OVER TIME. HOWEVER, REGRESSION ANALYSES REVEALED THAT HIGHER ATTENDANCE IN THE EXPERIMENTAL GROUP WAS ASSOCIATED WITH SIGNIFICANT REDUCTIONS IN DIASTOLIC BLOOD PRESSURE (P = 0.039; PARTIAL ETA (2) = 0.154), BODY FAT PERCENTAGE (P = 0.001, PARTIAL ETA (2) = 0.379), FAT MASS (P = 0.003, PARTIAL ETA (2) = 0.294) AND BODY MASS INDEX (P = 0.05, PARTIAL ETA (2) = 0.139). CONCLUSIONS: A 16-WEEK BIKRAM YOGA PROGRAM DID NOT INCREASE THE HIGH FREQUENCY POWER COMPONENT OF HRV OR ANY OTHER CVD RISK FACTORS INVESTIGATED. AS REVEALED BY POST HOC ANALYSES, LOW ADHERENCE LIKELY CONTRIBUTED TO THE NULL EFFECTS. FUTURE STUDIES ARE REQUIRED TO ADDRESS BARRIERS TO ADHERENCE TO BETTER ELUCIDATE THE DOSE-RESPONSE EFFECTS OF BIKRAM YOGA PRACTICE AS A MEDIUM TO LOWER STRESS-RELATED CVD RISK. TRIAL REGISTRATION: RETROSPECTIVELY REGISTERED WITH AUSTRALIA NEW ZEALAND CLINICAL TRIALS REGISTRY ACTRN12616000867493 . REGISTERED 04 JULY 2016. 2017 6 1262 52 FIVE-WEEK YIN YOGA-BASED INTERVENTIONS DECREASED PLASMA ADRENOMEDULLIN AND INCREASED PSYCHOLOGICAL HEALTH IN STRESSED ADULTS: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: NON-COMMUNICABLE DISEASES (NCDS, E.G. CARDIOVASCULAR DISEASE) ARE RESPONSIBLE FOR HIGH RATES OF MORBIDITY AND THE MAJORITY OF PREMATURE DEATHS WORLDWIDE. IT IS NECESSARY TO DEVELOP PREVENTATIVE INTERVENTIONS THAT CAN REDUCE THE ASSOCIATED RISK FACTORS OF NCDS. RESEARCHERS HAVE FOUND THAT THE BIOMARKER ADRENOMEDULLIN (ADM) BECOMES ELEVATED YEARS BEFORE THE ONSET OF NCDS AND MIGHT PLAY AN IMPORTANT ROLE IN THEIR DEVELOPMENT. ADM HAS ALSO BEEN LINKED TO PSYCHOLOGICAL PROBLEMS SUCH AS STRESS, ANXIETY, AND DEPRESSION, WHICH ARE KNOWN RISK FACTORS OF NCDS. IN THIS RANDOMIZED CONTROLLED TRIAL, WE EXAMINED WHETHER PARTICIPATING IN A FIVE-WEEK YOGA INTERVENTION REDUCES ADM AND INCREASES PSYCHOLOGICAL HEALTH IN MIDDLE-AGED ADULTS WHO SELF-REPORT AS MODERATELY TO HIGHLY STRESSED, BUT WHO OTHERWISE EXHIBIT NO PHYSICAL COMPLAINTS. METHODS: ONE HUNDRED AND FIVE ADULTS (78% WOMEN; MEAN AGE = 53.5, SD = 6.7) WERE RANDOMLY ASSIGNED TO (1) A FIVE-WEEK YIN YOGA INTERVENTION, (2) A FIVE-WEEK INTERVENTION COMBINING YIN YOGA WITH PSYCHOEDUCATION AND MINDFULNESS PRACTICE (CALLED THE YOMI PROGRAM), OR (3) A CONTROL GROUP WHO DID NOT PRACTICE YOGA OR MINDFULNESS FOR FIVE WEEKS. RESULTS: COMPARED TO THE CONTROL GROUP, WE OBSERVED SIGNIFICANTLY GREATER PRE-POST REDUCTIONS IN PLASMA ADM LEVELS (P < .001), ANXIETY (P 0.05). FOR STUDENTS WHO RECEIVED YOGA, THEIR AVERAGE SELF-REPORTED STRESS LEVELS DECREASED AFTER EACH YOGA SESSION, THEIR AVERAGE DASS (DEPRESSION, ANXIETY AND STRESS SCALE) SCORE DECREASED AFTER A YOGA SESSION, BUT THEY WERE NOT SIGNIFICANTLY LESS STRESSED THAN THEIR WAITLIST PEERS PRIOR TO AN EXAM, AND THEIR SELF-REPORTED CONFIDENCE IN ANATOMY MATERIAL RELATED TO THE BACK, UPPER EXTREMITY, HEAD AND NECK, AND ABDOMEN/PELVIS INCREASED. CONCLUSION: WITH THIS SAMPLE, THERE WAS NO EVIDENCE THAT YOGA SESSIONS PAIRED WITH ANATOMY LECTURE MATERIAL IMPROVED OVERALL ANATOMY EXAM PERFORMANCE, AS OPPOSED TO ONLY THE MUSCULOSKELETAL PORTION WHICH OTHER STUDIES HAVE LOOKED AT. HOWEVER, YOGA ACUTELY REDUCED STRESS LEVELS, AND SUBJECTIVE FEELINGS OF KNOWLEDGE IMPROVEMENT WERE NOTED BY PARTICIPANTS. BOTH OF THESE CAN PROVIDE BENEFITS TO MEDICAL STUDENTS. 2022 13 6 30 "I JUST START CRYING FOR NO REASON": THE EXPERIENCE OF STRESS AND DEPRESSION IN PREGNANT, URBAN, AFRICAN-AMERICAN ADOLESCENTS AND THEIR PERCEPTION OF YOGA AS A MANAGEMENT STRATEGY. PURPOSE: PERINATAL HEALTH DISPARITIES ARE OF PARTICULAR CONCERN WITH PREGNANT, URBAN, AFRICAN-AMERICAN (AA) ADOLESCENTS, WHO HAVE HIGH RATES OF STRESS AND DEPRESSION DURING PREGNANCY, HIGHER RATES OF ADVERSE PREGNANCY AND NEONATAL OUTCOMES, AND MANY BARRIERS TO EFFECTIVE TREATMENT. THE PURPOSE OF THIS STUDY WAS TO EXPLORE PREGNANT, URBAN, AA TEENAGERS' EXPERIENCE OF STRESS AND DEPRESSION AND EXAMINE THEIR PERCEPTIONS OF ADJUNCTIVE NONPHARMACOLOGIC MANAGEMENT STRATEGIES, SUCH AS YOGA. METHODS: THIS COMMUNITY-BASED, QUALITATIVE STUDY USED NONTHERAPEUTIC FOCUS GROUPS TO ALLOW FOR EXPLORATION OF ATTITUDES, CONCERNS, BELIEFS, AND VALUES REGARDING STRESS AND DEPRESSION IN PREGNANCY AND NONPHARMACOLOGIC MANAGEMENT APPROACHES, SUCH AS MIND-BODY THERAPIES AND OTHER PRENATAL ACTIVITIES. FINDINGS: THE SAMPLE CONSISTED OF PREGNANT, AA, LOW-INCOME ADOLESCENTS (N=17) WHO RESIDED IN A LARGE URBAN AREA IN THE UNITED STATES. THE THEMES THAT AROSE IN THE FOCUS GROUP DISCUSSIONS WERE THAT 1) STRESS AND DEPRESSION SYMPTOMS ARE PERVASIVE IN DAILY LIFE, 2) PARTICIPANTS FELT A GENERALIZED SENSE OF ISOLATION, 3) STRESS/DEPRESSION MANAGEMENT TECHNIQUES SHOULD BE GROUP BASED, INTERACTIVE, AND FOCUSED ON THE SPECIFIC NEEDS OF TEENAGERS, AND 4) YOGA IS AN APPEALING STRESS MANAGEMENT TECHNIQUE TO THIS POPULATION. CONCLUSIONS: FINDINGS FROM THIS STUDY SUGGEST THAT PREGNANT, URBAN, ADOLESCENTS ARE HIGHLY STRESSED; THEY INTERPRET DEPRESSION-LIKE SYMPTOMS TO BE SIGNS OF STRESS; THEY DESIRE GROUP-BASED, INTERACTIVE ACTIVITIES; AND THEY ARE INTERESTED IN YOGA CLASSES FOR STRESS/DEPRESSION MANAGEMENT AND RELATIONSHIP BUILDING. IT IS IMPERATIVE THAT HEALTH CARE PROVIDERS AND RESEARCHERS FOCUS ON THESE NEEDS, PARTICULARLY WHEN DESIGNING PREVENTION AND INTERVENTION STRATEGIES. 2015 14 1549 38 LAUGHTER YOGA REDUCES THE CORTISOL RESPONSE TO ACUTE STRESS IN HEALTHY INDIVIDUALS. STRESS IS ONE OF THE FOREMOST CONTRIBUTORS TO THE DEVELOPMENT OF PSYCHIATRIC DISEASES. SINCE THE PREVALENCE OF STRESS-RELATED COMPLAINTS IS INCREASING, WE ARE IN NEED FOR AFFORDABLE AND EFFECTIVE TREATMENT ALTERNATIVES. LAUGHTER YOGA (LY), A POPULAR METHOD ENCOURAGING PARTICIPANTS TO SIMULATE LAUGHTER AND PARTICIPATE IN YOGIC BREATHING EXERCISES, IS HYPOTHESIZED TO BUFFER NEGATIVE EFFECTS OF STRESS. ALTHOUGH WIDELY PRACTICED, EMPIRICAL EVIDENCE FOR BENEFICIAL EFFECTS OF LY IS SCARCE. WE INVESTIGATED THE ACUTE EFFECTS OF A SINGLE 30-MIN LY SESSION ON THE AUTONOMIC, ENDOCRINE AND PSYCHOLOGICAL RESPONSE TO A STANDARDIZED PSYCHOSOCIAL STRESSOR. THIRTY-FIVE HEALTHY SUBJECTS (51% FEMALE) WERE RANDOMLY ASSIGNED TO EXPERIENCE EITHER A LY (N = 11), A RELAXATION BREATHING (N = 12) OR A (NON-INTERVENTION) CONTROL (N = 12) SESSION PRIOR TO THEIR EXPOSURE TO THE TRIER SOCIAL STRESS TEST FOR GROUPS (TSST-G). SALIVARY CORTISOL, SALIVARY ALPHA AMYLASE, AND SUBJECTIVE STRESS WERE ASSESSED REPEATEDLY THROUGHOUT THE EXPERIMENT. WE EXPECTED THAT LY AND RELAXATION BREATHING GROUP EACH SHOW A DOWNREGULATION OF STRESS RESPONSE INDICES COMPARED TO THE CONTROL GROUP. FURTHER, WE EXPECTED THAT LY HAS BENEFICIAL EFFECTS COMPARED TO RELAXATION BREATHING. THE GROUPS DID NOT DIFFER IN SALIVARY CORTISOL, ALPHA AMYLASE OR SUBJECTIVE STRESS REACTIVITY DURING THE 30-MIN INTERVENTION. HOWEVER, IN RESPONSE TO THE TSST-G, THE LY, BUT NEITHER THE RELAXATION BREATHING, NOR THE CONTROL CONDITION, SHOWED AN ATTENUATED CORTISOL STRESS RESPONSE. THESE FINDINGS HIGHLIGHT THE POTENTIAL OF LY TO BUFFER THE ENDOCRINE STRESS RESPONSE. THEREFORE, LY COULD BE USED AS A CHEAP AND EASILY-TO-IMPLEMENT ADD-ON TO MORE TRADITIONAL STRESS INTERVENTIONS. LAY SUMMARY IN RECENT YEARS, MORE AND MORE PEOPLE HAVE REPORTED TO FEEL STRESSED. ALTHOUGH OUR BODY IS WELL EQUIPPED TO DEAL WITH ACUTE STRESS, CHRONIC STRESS CAN TIRE OUR SYSTEM AND CONTRIBUTE TO ILLNESS IN THE LONG RUN. THEREFORE, WE NEED AFFORDABLE AND EFFECTIVE MEASURES TO REDUCE STRESS. IN THIS STUDY WE HAVE INVESTIGATED WHETHER A SINGLE LAUGHTER YOGA SESSION CAN HELP US TO DEAL WITH ACUTE STRESS. ALTHOUGH LAUGHTER YOGA DID NOT CHANGE HOW STRESSFUL A SITUATION WAS PERCEIVED, IT REDUCED THE AMOUNT OF STRESS HORMONES THAT WERE RELEASED IN RESPONSE TO THE SITUATION. AS SUCH, LAUGHTER YOGA MIGHT BE A CHEAP AND EASILY-TO-IMPLEMENT ADD-ON TO MORE TRADITIONAL STRESS REDUCTION INTERVENTIONS. 2021 15 1320 44 HEATED HATHA YOGA TO TARGET CORTISOL REACTIVITY TO STRESS AND AFFECTIVE EATING IN WOMEN AT RISK FOR OBESITY-RELATED ILLNESSES: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: CORTISOL REACTIVITY TO STRESS IS ASSOCIATED WITH AFFECTIVE EATING, AN IMPORTANT BEHAVIORAL RISK FACTOR FOR OBESITY AND RELATED METABOLIC DISEASES. YOGA PRACTICE IS RELATED TO DECREASES IN STRESS AND CORTISOL LEVELS, THUS EMERGING AS A POTENTIAL TARGETED COMPLEMENTARY INTERVENTION FOR AFFECTIVE EATING. THIS RANDOMIZED CONTROLLED TRIAL EXAMINED THE EFFICACY OF A HEATED, HATHA YOGA INTERVENTION FOR REDUCING CORTISOL REACTIVITY TO STRESS AND AFFECTIVE EATING. METHOD: FEMALES (N = 52; AGES 25-46 YEARS; 75% WHITE) AT RISK FOR OBESITY AND RELATED ILLNESSES WERE RANDOMLY ASSIGNED TO 8 WEEKS OF BIKRAM YOGA PRACTICE OR TO WAITLIST CONTROL. CORTISOL REACTIVITY TO A LABORATORY STRESS INDUCTION WERE MEASURED AT WEEKS 0 (PRETREATMENT) AND 9 (POSTTREATMENT). SELF-REPORTED BINGE EATING FREQUENCY AND COPING MOTIVES FOR EATING WERE ASSESSED AT WEEKS 0, 3, 6, AND 9. RESULTS: AMONG PARTICIPANTS WITH ELEVATED CORTISOL REACTIVITY AT PRETREATMENT ("HIGH REACTORS"), THOSE RANDOMIZED TO THE YOGA CONDITION EVIDENCED GREATER PRE- TO POSTTREATMENT REDUCTIONS IN CORTISOL REACTIVITY (P = .042, D = .85), BUT THERE WERE NOT SIGNIFICANT CONDITION DIFFERENCES FOR THE "LOW REACTORS" (P = .178, D = .53). YOGA PARTICIPANTS REPORTED GREATER DECREASES IN BINGE EATING FREQUENCY (P = .040, D = .62) AND EATING TO COPE WITH NEGATIVE AFFECT (P = .038, D = .54). CONCLUSIONS: THIS STUDY PROVIDES PRELIMINARY SUPPORT FOR THE EFFICACY OF HEATED HATHA YOGA FOR TREATING PHYSIOLOGICAL STRESS REACTIVITY AND AFFECTIVE EATING AMONG WOMEN AT RISK FOR OBESITY-RELATED ILLNESSES. (PSYCINFO DATABASE RECORD 2016 16 2906 22 [OCCUPATIONAL STRESS IN HEALTH PERSONNEL AND ITS PREVENTION. POSSIBLE USE OF YOGA]. THE PAPER SUMMARIZES SOME NON-SPECIFIC STRESS FACTORS OF WORK IN THE HEALTH SERVICES (E.G. SHIFT WORK) AND SOME RELATIVELY SPECIFIC STRESSING FACTORS (E.G. CONTACT WITH GRIEF, INTENSE NEGATIVE EMOTION AND DEATH). IT DEALS ALSO WITH THE CONSEQUENCES OF EXCESSIVE STRESS, INCL. THE "BURNOUT SYNDROME". IT GIVES A BRIEF ACCOUNT OF POSSIBLE PREVENTIVE MEASURES AT THE INDIVIDUAL LEVEL AND AT THE LEVEL OF THE ORGANIZATION. IN THE CONCLUSION THE AUTHOR MENTIONS THE POSSIBILITY TO USE YOGA IN THE PREVENTION OF OCCUPATIONAL STRESS IN THE HEALTH SERVICES. WORK IN THE HEALTH SERVICES ALTHOUGH, ASSOCIATED WITH CONSIDERABLE STRESS, IS AT THE SAME TIME AN OPPORTUNITY FOR PERSONALITY DEVELOPMENT AND SELF-REALIZATION. 1990 17 262 45 ACUTE AND CUMULATIVE EFFECTS OF VINYASA YOGA ON AFFECT AND STRESS AMONG COLLEGE STUDENTS PARTICIPATING IN AN EIGHT-WEEK YOGA PROGRAM: A PILOT STUDY. BACKGROUND: COLLEGE STUDENTS ARE VULNERABLE TO A CRITICAL PERIOD IN DEVELOPMENTAL MATURATION, FACING RIGOROUS ACADEMIC WORK AND LEARNING HOW TO FUNCTION INDEPENDENTLY. WESTERN AEROBIC EXERCISE (WAE), SUCH AS RUNNING AND BICYCLING, HAS BEEN SHOWN TO IMPROVE MOOD AND RELIEVE STRESS. HOWEVER, COLLEGE STUDENTS OFTEN HAVE LOW LEVELS OF PHYSICAL ACTIVITY. YOGA IS AN ANCIENT PHYSICAL AND MENTAL PRACTICE THAT MAY AFFECT MOOD AND STRESS. HOWEVER, RIGOROUS STUDIES EXAMINING THE PSYCHOLOGICAL EFFECTS OF YOGA ARE RARE IN PEERREVIEWED WESTERN JOURNALS. THE AIM OF THIS RESEARCH WAS TO ESTABLISH PRELIMINARY EVIDENCE FOR THE ACUTE EFFECTS OF VINYASA YOGA ON AFFECT AND STRESS IN YOUNG-ADULT COLLEGE STUDENTS. METHODS: TWENTY HEALTHY COLLEGE STUDENTS AGE 18 YEARS AND OLDER WERE RECRUITED TO PARTICIPATE IN THIS PILOT STUDY. PARTICIPANTS ATTENDED A VINYASA YOGA CLASS AT A LOCAL STUDIO TWICE WEEKLY FOR 8 WEEKS. AFFECT AND STRESS WERE ASSESSED BEFORE AND AFTER EACH YOGA SESSION. MEASURES INCLUDED THE POSITIVE AND NEGATIVE AFFECTIVE SCHEDULE (PANAS) AND THE COHEN PERCEIVED STRESS SCALE. RESULTS: POSITIVE AFFECT SCORES INCREASED SIGNIFICANTLY (P < 0.05) FOR 14 OF THE 16 YOGA SESSIONS (MEAN INCREASE = 23.2%). NEGATIVE AFFECT DECREASED SIGNIFICANTLY FROM PRE- TO POSTYOGA (P < 0.05) FOR 15 OF THE 16 SESSIONS (MEAN DECREASE = 22%). REPEATED MEASURES ANOVAS EXAMINING PRE-POST COMPOSITE SCORES ACROSS ALL 8 WEEKS SHOWED SIGNIFICANT CHANGES IN PANAS, BUT NOT STRESS SCORES. CONCLUSIONS: FINDINGS SUGGEST THAT YOGA PRACTICE IS ASSOCIATED WITH ACUTE IMPROVEMENTS IN AFFECT IN A YOUNG-ADULT COLLEGE POPULATION. FUTURE RESEARCH IS NEEDED TO EXAMINE THE EXTENT TO WHICH DIFFERENT TYPES OF YOGA ADDRESS THE NEEDS OF DIFFERENT COLLEGE SUB-POPULATIONS (E.G., EATING DISORDERED, OVERWEIGHT/OBESE, SEDENTARY, AND SMOKERS). 2014 18 2381 37 YIN YOGA AND MINDFULNESS: A FIVE WEEK RANDOMIZED CONTROLLED STUDY EVALUATING THE EFFECTS OF THE YOMI PROGRAM ON STRESS AND WORRY. BACKGROUND AND OBJECTIVES: THE YOMI PROGRAM IS A PSYCHOEDUCATIONAL TRAINING AND PHYSICAL PRACTICE-BASED PROGRAM THAT BRIDGES KNOWLEDGE FROM EVIDENCE-BASED PSYCHOTHERAPY WITH THE PRACTICE OF MINDFULNESS AND YIN YOGA. IT CONSISTS OF 10 CONTENT-SPECIFIC SESSIONS AND DOES NOT INCLUDE HOME ASSIGNMENTS. THE PRIMARY PURPOSE OF THIS RANDOMIZED CONTROLLED TRIAL IS TO EVALUATE THE EFFECTS OF THE FIVE-WEEK YOMI PROGRAM ON PERCEIVED STRESS, WORRY AND MINDFULNESS IN A NON-CLINICAL SAMPLE. DESIGN AND METHOD: IN THIS RANDOMIZED CONTROLLED TRIAL PARTICIPANTS WERE ASSIGNED TO TWO GROUPS. GROUP 1 PARTICIPATED IN THE FIVE-WEEK INTERVENTION TWICE A WEEK WHILE GROUP 2 WAS ASSIGNED TO A WAITING-LIST CONDITION AND PARTICIPATED IN THE INTERVENTION AFTER GROUP 1. ALL MEASURES WERE ADMINISTERED THROUGH SELF-REPORT QUESTIONNAIRES, CONDUCTED VIA A WEB-BASED PROGRAM. RESULTS AND CONCLUSIONS: THE RESULTS OF THE STUDY INDICATED SIGNIFICANT EFFECTS OF THE YOMI PROGRAM ON DECREASING STRESS AND WORRY, AND INCREASING MINDFULNESS. NOTABLY THESE CHANGES WERE STILL PRESENT AT FIVE-WEEK FOLLOW UP. CONSISTENT WITH THE HYPOTHESES, RESULTS SUGGESTED THAT THE YOMI PROGRAM ESTABLISHED A GROUP SETTING WHERE INDIVIDUALS LEARNED TO USE TOOLS AND METHODS TO FACILITATE BETTER SELF-DIRECTED PRACTICE. THE STUDY SHOWS MODERATE TO LARGE EFFECT SIZES. 2017 19 1372 37 IMPACT OF A YOGA AND MEDITATION INTERVENTION ON STUDENTS' STRESS AND ANXIETY LEVELS. OBJECTIVE. TO EVALUATE THE IMPACT OF A SIX-WEEK YOGA AND MEDITATION INTERVENTION ON COLLEGE STUDENTS' STRESS PERCEPTION, ANXIETY LEVELS, AND MINDFULNESS SKILLS. METHODS. COLLEGE STUDENTS PARTICIPATED IN A SIX-WEEK PILOT PROGRAM THAT CONSISTED OF A 60-MINUTE VINYASA FLOW YOGA CLASS ONCE WEEKLY, FOLLOWED BY GUIDED MEDITATION DELIVERED BY TRAINED FACULTY MEMBERS AT THE UNIVERSITY OF RHODE ISLAND COLLEGE OF PHARMACY. STUDENTS COMPLETED PRE- AND POST-INTERVENTION QUESTIONNAIRES TO EVALUATE CHANGES IN THE FOLLOWING OUTCOMES: STRESS LEVELS, ANXIETY LEVELS, AND MINDFULNESS SKILLS. THE QUESTIONNAIRE CONSISTED OF THREE SELF-REPORTING TOOLS: THE BECK ANXIETY INVENTORY (BAI), THE PERCEIVED STRESS SCALE (PSS), AND THE FIVE FACET MINDFULNESS QUESTIONNAIRE (FFMQ). STUDENTS' SCORES ON EACH WERE ASSESSED TO DETECT ANY CHANGES FROM BASELINE USING THE NUMERICAL AND CATEGORICAL SCALES (LOW, MEDIUM, AND HIGH) FOR EACH INSTRUMENT. RESULTS. SEVENTEEN PARTICIPANTS, AGED 19 TO 23 YEARS, COMPLETED THE STUDY. THIRTEEN PARTICIPANTS WERE FEMALE AND FOUR WERE MALE. NINE OF THE STUDENTS WERE ENROLLED IN THE DOCTOR OF PHARMACY PROGRAM AND EIGHT WERE ENROLLED IN OTHER ACADEMIC PROGRAMS. STUDENTS' ANXIETY AND STRESS SCORES DECREASED SIGNIFICANTLY WHILE THEIR TOTAL MINDFULNESS INCREASED SIGNIFICANTLY. CHANGES IN CATEGORICAL DATA FROM PRE- TO POST-INTERVENTION ON THE BAI AND PSS WERE SIGNIFICANT, WITH NO STUDENTS SCORING IN THE "HIGH" CATEGORY FOR STRESS OR ANXIETY ON THE POST-INTERVENTION QUESTIONNAIRE. CONCLUSION. STUDENTS EXPERIENCED A REDUCTION IN STRESS AND ANXIETY LEVELS AFTER COMPLETING A SIX-WEEK YOGA AND MEDITATION PROGRAM PRECEDING FINAL EXAMINATIONS. RESULTS SUGGEST THAT ADOPTING A MINDFULNESS PRACTICE FOR AS LITTLE AS ONCE PER WEEK MAY REDUCE STRESS AND ANXIETY IN COLLEGE STUDENTS. ADMINISTRATORS SHOULD CONSIDER INCLUDING INSTRUCTION IN NONPHARMACOLOGIC STRESS AND ANXIETY REDUCTION METHODS, WITHIN CURRICULA IN ORDER TO SUPPORT STUDENT SELF-CARE. 2019 20 1628 29 MINDFULNESS, SELF-COMPASSION, ANXIETY AND DEPRESSION MEASURES IN SOUTH AUSTRALIAN YOGA PARTICIPANTS: IMPLICATIONS FOR DESIGNING A YOGA INTERVENTION. AIM: THE AIM OF THE STUDY WAS TO EXAMINE THE DEMOGRAPHIC AND PRACTICE CHARACTERISTICS OF CURRENT YOGA PARTICIPANTS AND ASSESS THEIR LEVELS OF MINDFULNESS, SELF-COMPASSION, STRESS, ANXIETY, DEPRESSION AND WELLBEING AND IMPLICATIONS FOR DESIGNING A YOGA INTERVENTION. METHODS: A WEB-BASED SURVEY WAS ADMINISTERED TO SOUTH AUSTRALIAN YOGA TEACHERS AND STUDENTS FROM SEPTEMBER 2014 TO FEBRUARY 2015. RESULTS: RESULTS SHOWED A POSITIVE CORRELATION WITH MINDFULNESS AND SELF-COMPASSION AND NEGATIVE CORRELATION WITH DEPRESSION, ANXIETY AND STRESS SCORES WITH MONTHS OF PRACTICE. MINDFULNESS AND SELF-COMPASSION SCORES WERE SIGNIFICANTLY HIGHER WITH TWO OR MORE CLASSES PER WEEK AND MINDFULNESS HIGHER IN THOSE WITH A REGULAR MEDITATION PRACTICE. DISCUSSION: KEY FINDINGS INDICATE THAT CLASS FREQUENCY, PRACTICE EXPERIENCE AND MEDITATION PRACTICE ARE IMPORTANT FACTORS IN DESIGNING A YOGA INTERVENTION EXAMINING MINDFULNESS AND MENTAL HEALTH. CONCLUSION: FINDINGS PROVIDE IMPORTANT INFORMATION FOR GUIDING DEVELOPMENT OF A YOGA INTERVENTION FOR ANXIETY AND DEPRESSION. 2018