1 1822 149 PROTOCOL TO EVALUATE THE IMPACT OF YOGA SUPPLEMENTATION ON COGNITIVE FUNCTION IN SCHIZOPHRENIA: A RANDOMISED CONTROLLED TRIAL. BACKGROUND: SCHIZOPHRENIA (SZ) IS A CHRONIC ILLNESS THAT IS TREATED SYMPTOMATICALLY. COGNITIVE DYSFUNCTION IS A CORE FEATURE OF SZ THAT IS RELATIVELY INTRACTABLE TO PHARMACOTHERAPY. YOGA CAN IMPROVE COGNITIVE FUNCTION AMONG HEALTHY INDIVIDUALS. A RECENT OPEN TRIAL INDICATED SIGNIFICANT BENEFITS OF YOGA TRAINING (YT) IN CONJUNCTION WITH CONVENTIONAL PHARMACOTHERAPY AMONG PATIENTS WITH SZ. AIMS: TO DESCRIBE THE PROTOCOL FOR AN ONGOING RANDOMISED CONTROLLED TRIAL DESIGNED TO TEST WHETHER THE REPORTED BENEFICIAL EFFECTS OF YT ON COGNITIVE FUNCTION AMONG SZ PATIENTS CAN BE REPLICATED. SECONDARILY, THE EFFECTS OF YT ON DAILY FUNCTIONING LIVING SKILLS ARE EVALUATED. METHODS: CONSENTING PATIENTS WITH SZ RECEIVE ROUTINE CLINICAL TREATMENT AND ARE RANDOMISED TO ADJUNCTIVE YT, ADJUNCTIVE PHYSICAL EXERCISE (PE) OR TREATMENT AS USUAL (PROPOSED N = 234 TOTAL, N = 78 IN EACH GROUP). THE TRIAL INVOLVES YT OR PE 5 DAYS A WEEK AND LASTS 3 WEEKS. PARTICIPANTS ARE EVALUATED THRICE OVER 6 MONTHS. COGNITIVE FUNCTIONS MEASURED BY TRAIL MAKING TEST, UNIVERSITY OF PENNSYLVANIA NEUROCOGNITIVE COMPUTERISED BATTERY WERE PRIMARY OUTCOME MEASURES WHILE CLINICAL SEVERITY AND DAILY FUNCTIONING MEASURED BY INDEPENDENT LIVING SKILLS SURVEY WERE SECONDARY OUTCOME MEASURES. RESULTS: A TOTAL OF 309 PARTICIPANTS HAVE BEEN RANDOMISED AS OF 31 AUGUST 2013, WHICH EXCEEDED BEYOND 294 PROPOSED AFTER ATTRITION. ONCE PARTICIPANTS BEGIN YT OR PE THEY GENERALLY COMPLETE THE PROTOCOL. NO INJURIES HAVE BEEN REPORTED. CONCLUSIONS: SHORT TERM YT IS FEASIBLE AND ACCEPTABLE TO INDIAN SZ PATIENTS. IF BENEFICIAL EFFECTS OF YT ARE DETECTED, IT WILL PROVIDE A NOVEL ADJUNCTIVE COGNITIVE REMEDIATION STRATEGY FOR SZ PATIENTS. 2014 2 288 50 ADJUNCTIVE COGNITIVE REMEDIATION FOR SCHIZOPHRENIA USING YOGA: AN OPEN, NON-RANDOMIZED TRIAL. BACKGROUND: YOGA THERAPY (YT) IMPROVES COGNITIVE FUNCTION IN HEALTHY INDIVIDUALS, BUT ITS IMPACT ON COGNITIVE FUNCTION AMONG PERSONS WITH SCHIZOPHRENIA (SZ) HAS NOT BEEN INVESTIGATED. AIMS: EVALUATE ADJUNCTIVE YT FOR COGNITIVE DOMAINS IMPAIRED IN SZ. METHODS: PATIENTS WITH SZ RECEIVED YT OR TREATMENT AS USUAL (TAU; N = 65, N = 23, RESPECTIVELY). ACCURACY AND SPEED FOR SEVEN COGNITIVE DOMAINS WERE ASSESSED USING A COMPUTERIZED NEUROCOGNITIVE BATTERY (CNB), THUS MINIMIZING OBSERVER BIAS. SEPARATELY, YT WAS EVALUATED AMONG PATIENTS WITH BIPOLAR I DISORDER (N = 40), MAJOR DEPRESSIVE DISORDER (N = 37), AND CARDIOLOGY OUTPATIENTS (N = 68). ALL PATIENTS ALSO RECEIVED ROUTINE PHARMACOTHERAPY. PATIENTS WERE NOT RANDOMIZED TO YT OR TAU. RESULTS: COMPARED WITH THE SZ/TAU GROUP, THE SZ/YT GROUP SHOWED SIGNIFICANTLY GREATER IMPROVEMENT WITH REGARD TO MEASURES OF ATTENTION FOLLOWING CORRECTIONS FOR MULTIPLE COMPARISONS; THE CHANGES WERE MORE PROMINENT AMONG THE MEN. IN THE OTHER DIAGNOSTIC GROUPS, DIFFERING PATTERNS OF IMPROVEMENTS WERE NOTED WITH SMALL TO MEDIUM EFFECT SIZES. CONCLUSIONS: OUR INITIAL ANALYSES SUGGEST NOMINALLY SIGNIFICANT IMPROVEMENT IN COGNITIVE FUNCTION IN SCHIZOPHRENIA WITH ADJUNCTIVE THERAPIES SUCH AS YT. THE MAGNITUDE OF THE CHANGE VARIES BY COGNITIVE DOMAIN AND MAY ALSO VARY BY DIAGNOSTIC GROUP. 2012 3 289 48 ADJUNCTIVE YOGA TRAINING FOR PERSONS WITH SCHIZOPHRENIA: WHO BENEFITS? OBJECTIVE: THE AIM OF THIS STUDY WAS TO IDENTIFY FACTORS ASSOCIATED WITH ACCEPTABILITY AND EFFICACY OF YOGA TRAINING (YT) FOR IMPROVING COGNITIVE DYSFUNCTION IN INDIVIDUALS WITH SCHIZOPHRENIA (SZ). METHODS: WE ANALYSED DATA FROM TWO PUBLISHED CLINICAL TRIALS OF YT FOR COGNITIVE DYSFUNCTION AMONG INDIANS WITH SZ: (1) A 21-DAY RANDOMISED CONTROLLED TRIAL (RCT, N = 286), 3 AND 6 MONTHS FOLLOW-UP AND (2) A 21-DAY OPEN TRIAL (N = 62). MULTIVARIATE ANALYSES WERE CONDUCTED TO EXAMINE THE ASSOCIATION OF BASELINE CHARACTERISTICS (AGE, SEX, SOCIO-ECONOMIC STATUS, EDUCATIONAL STATUS, DURATION, AND SEVERITY OF ILLNESS) WITH IMPROVEMENT IN COGNITION (I.E. ATTENTION AND FACE MEMORY) FOLLOWING YT. FACTORS ASSOCIATED WITH ACCEPTABILITY WERE IDENTIFIED BY COMPARING BASELINE DEMOGRAPHIC VARIABLES BETWEEN SCREENED AND ENROLLED PARTICIPANTS AS WELL AS COMPLETERS VERSUS NON-COMPLETERS. RESULTS: ENROLLED PARTICIPANTS WERE YOUNGER THAN SCREENED PERSONS WHO DECLINED PARTICIPATION (T = 2.952, P = 0.003). NO OTHER CHARACTERISTICS WERE ASSOCIATED WITH STUDY ENROLLMENT OR COMPLETION. REGARDING EFFICACY, SCHOOLING DURATION WAS NOMINALLY ASSOCIATED WITH GREATER AND SUSTAINED COGNITIVE IMPROVEMENT ON A MEASURE OF FACIAL MEMORY. NO OTHER BASELINE CHARACTERISTICS WERE ASSOCIATED WITH EFFICACY OF YT IN THE OPEN TRIAL, THE RCT, OR THE COMBINED SAMPLES (N = 148). CONCLUSIONS: YT IS ACCEPTABLE EVEN AMONG YOUNGER INDIVIDUALS WITH SZ. IT ALSO ENHANCES SPECIFIC COGNITIVE FUNCTIONS, REGARDLESS OF INDIVIDUAL DIFFERENCES IN SELECTED PSYCHOSOCIAL CHARACTERISTICS. THUS, YOGA COULD BE INCORPORATED AS ADJUNCTIVE THERAPY FOR PATIENTS WITH SZ. IMPORTANTLY, OUR RESULTS SUGGEST COGNITIVE DYSFUNCTION IS REMEDIABLE IN PERSONS WITH SZ ACROSS THE AGE SPECTRUM. 2021 4 161 59 A RANDOMISED CONTROLLED TRIAL OF ADJUNCTIVE YOGA AND ADJUNCTIVE PHYSICAL EXERCISE TRAINING FOR COGNITIVE DYSFUNCTION IN SCHIZOPHRENIA. BACKGROUND: YOGA AND PHYSICAL EXERCISE HAVE BEEN USED AS ADJUNCTIVE INTERVENTION FOR COGNITIVE DYSFUNCTION IN SCHIZOPHRENIA (SZ), BUT CONTROLLED COMPARISONS ARE LACKING. AIMS A SINGLE-BLIND RANDOMISED CONTROLLED TRIAL WAS DESIGNED TO EVALUATE WHETHER YOGA TRAINING OR PHYSICAL EXERCISE TRAINING ENHANCE COGNITIVE FUNCTIONS IN SZ, BASED ON A PRIOR PILOT STUDY. METHODS: CONSENTING, CLINICALLY STABLE, ADULT OUTPATIENTS WITH SZ (N=286) COMPLETED BASELINE ASSESSMENTS AND WERE RANDOMISED TO TREATMENT AS USUAL (TAU), SUPERVISED YOGA TRAINING WITH TAU (YT) OR SUPERVISED PHYSICAL EXERCISE TRAINING WITH TAU (PE). BASED ON THE PILOT STUDY, THE PRIMARY OUTCOME MEASURE WAS SPEED INDEX FOR THE COGNITIVE DOMAIN OF 'ATTENTION' IN THE PENN COMPUTERISED NEUROCOGNITIVE BATTERY. USING MIXED MODELS AND CONTRASTS, COGNITIVE FUNCTIONS AT BASELINE, 21 DAYS (END OF TRAINING), 3 AND 6 MONTHS POST-TRAINING WERE EVALUATED WITH INTENTION-TO-TREAT PARADIGM. RESULTS: SPEED INDEX OF ATTENTION DOMAIN IN THE YT GROUP SHOWED GREATER IMPROVEMENT THAN PE AT 6 MONTHS FOLLOW-UP (P<0.036, EFFECT SIZE 0.51). IN THE PE GROUP, 'ACCURACY INDEX OF ATTENTION DOMAIN SHOWED GREATER IMPROVEMENT THAN TAU ALONE AT 6-MONTH FOLLOW-UP (P<0.025, EFFECT SIZE 0.61). FOR SEVERAL OTHER COGNITIVE DOMAINS, SIGNIFICANT IMPROVEMENTS WERE OBSERVED WITH YT OR PE COMPARED WITH TAU ALONE (P<0.05, EFFECT SIZES 0.30-1.97). CONCLUSIONS: BOTH YT AND PE IMPROVED ATTENTION AND ADDITIONAL COGNITIVE DOMAINS WELL PAST THE TRAINING PERIOD, SUPPORTING OUR PRIOR REPORTED BENEFICIAL EFFECT OF YT ON SPEED INDEX OF ATTENTION DOMAIN. AS ADJUNCTS, YT OR PE CAN BENEFIT INDIVIDUALS WITH SZ. 2017 5 1252 51 FEASIBILITY, ACCEPTABILITY AND EVALUATION OF MEDITATION TO AUGMENT YOGA PRACTICE AMONG PERSONS DIAGNOSED WITH SCHIZOPHRENIA. OBJECTIVE: TO DESIGN A MEDITATION PROTOCOL AND TEST ITS FEASIBILITY, ACCEPTABILITY AND EFFICACY IN CONJUNCTION WITH YT FOR PERSONS WITH SCHIZOPHRENIA (SZ). METHODS: THE MEDITATION PROTOCOL CONSISTED OF ANAPANA (OBSERVING NORMAL RESPIRATION) AND YOGA NIDRA (SUPINE, RESTFUL AWARENESS). IN A SINGLE BLIND RANDOMIZED CONTROLLED TRIAL, MEDICATED AND CLINICALLY STABLE OUTPATIENTS DIAGNOSED WITH SZ WERE RANDOMIZED TO RECEIVE TREATMENT AS USUAL (TAU), TAU AUGMENTED WITH YOGA TRAINING (YT), OR TAU AUGMENTED WITH MEDITATION AND YOGA TRAINING (MYT) FOR THREE WEEKS (N=145). ACCEPTABILITY, CLINICAL, SOCIAL AND COGNITIVE FUNCTIONS WERE ASSESSED AFTER 3 WEEKS AND 3 MONTHS POST RANDOMIZATION USING WITHIN GROUP AND BETWEEN GROUPS ANALYSES WITH REPEATED MEASURES MULTIVARIATE TESTS. RESULTS: NO GROUP-WISE DIFFERENCES IN COMPLIANCE, STUDY DISCONTINUATION, MAJOR/SERIOUS SIDE EFFECTS OR ADVERSE EVENTS WERE NOTED. FOR SIX ASSESSED CLINICAL VARIABLES, THE DIRECTION OF CHANGES WERE IN THE DESIRED DIRECTION AND THE EFFECT SIZES WERE GREATER IN THE MYT GROUP COMPARED WITH THE TAU GROUP AT BOTH TIME POINTS. CHANGES IN SOCIAL FUNCTION VARIABLES WERE GREATER AT 3 MONTHS THAN AT 3 WEEKS. NOMINALLY SIGNIFICANT IMPROVEMENT IN INDIVIDUAL COGNITIVE DOMAINS WERE NOTED IN ALL GROUPS AT BOTH TIME POINTS. ALL EFFECT SIZES WERE IN THE SMALL TO MEDIUM RANGE. CONCLUSION: MYT IS FEASIBLE, ACCEPTABLE AND SHOWS MODEST BENEFITS FOR PERSONS WITH SZ. MYT CAN ALSO IMPROVE QUALITY OF LIFE AND CLINICAL SYMPTOMS. LARGER STUDIES OF LONGER DURATION ARE WARRANTED. 2022 6 2782 34 YOGA THERAPY AS AN ADD-ON TREATMENT IN THE MANAGEMENT OF PATIENTS WITH SCHIZOPHRENIA--A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: TREATMENT OF SCHIZOPHRENIA HAS REMAINED UNSATISFACTORY DESPITE THE AVAILABILITY OF ANTIPSYCHOTICS. THIS STUDY EXAMINED THE EFFICACY OF YOGA THERAPY (YT) AS AN ADD-ON TREATMENT TO THE ONGOING ANTIPSYCHOTIC TREATMENT. METHOD: SIXTY-ONE MODERATELY ILL SCHIZOPHRENIA PATIENTS WERE RANDOMLY ASSIGNED TO YT (N = 31) AND PHYSICAL EXERCISE THERAPY (PT; N = 30) FOR 4 MONTHS. THEY WERE ASSESSED AT BASELINE AND 4 MONTHS AFTER THE START OF INTERVENTION, BY A RATER WHO WAS BLIND TO THEIR GROUP STATUS. RESULTS: FORTY-ONE SUBJECTS (YT = 21; PT = 20) WERE AVAILABLE AT THE END OF 4 MONTHS FOR ASSESSMENT. SUBJECTS IN THE YT GROUP HAD SIGNIFICANTLY LESS PSYCHOPATHOLOGY THAN THOSE IN THE PT GROUP AT THE END OF 4 MONTHS. THEY ALSO HAD SIGNIFICANTLY GREATER SOCIAL AND OCCUPATIONAL FUNCTIONING AND QUALITY OF LIFE. CONCLUSION: BOTH NON-PHARMACOLOGICAL INTERVENTIONS CONTRIBUTE TO REDUCTION IN SYMPTOMS, WITH YT HAVING BETTER EFFICACY. 2007 7 542 32 COMPUTERIZED COGNITIVE TRAINING (CCT) VERSUS YOGA IMPACT ON 12 MONTH POST INTERVENTION COGNITIVE OUTCOME IN INDIVIDUALS WITH MILD COGNITIVE IMPAIRMENT. THERE IS CURRENTLY LIMITED AND MIXED EVIDENCE FOR THE COGNITIVE BENEFITS OF COMPUTERIZED COGNITIVE TRAINING (CCT) AND YOGA IN PERSONS WITH MILD COGNITIVE IMPAIRMENT (PWMCI). THE OBJECTIVE OF THIS STUDY WAS TO INVESTIGATE THE BENEFIT OF COMPUTERIZED COGNITIVE TRAINING (CCT) VS. PHYSICAL (YOGA) INTERVENTION ON COGNITIVE ABILITIES. PARTICIPANTS IN THIS STUDY WERE PART OF THE LARGER MAYO CLINIC'S HEALTHY ACTION TO BENEFIT INDEPENDENCE AND THINKING (HABIT) PROGRAM COMPARATIVE EFFECTIVENESS TRIAL. THE HABIT PROGRAM IS DESIGNED FOR PWMCI AND THEIR CARE PARTNER AND CONSISTS OF FIVE BEHAVIORAL INTERVENTIONS: CCT, MEMORY SUPPORT SYSTEM-CALENDAR (MSS-CALENDAR), WELLNESS EDUCATION, SUPPORT GROUPS, AND YOGA. THE SUBTRACTIVE STUDY DESIGN RANDOMLY WITHHELD ONE OF THE INTERVENTIONS FOR A TOTAL OF FIVE STUDY ARMS. LONGITUDINAL MIXED-EFFECTS REGRESSION MODELS WERE USED TO INVESTIGATE THE HYPOTHESIS THAT CCT AND YOGA HAS A GREATER POSITIVE IMPACT ON PSYCHOMOTOR AND BASIC ATTENTION ABILITIES AT 12 MONTHS POST-INTERVENTION AS COMPARED TO THE OTHER HABIT INTERVENTIONS. FINDINGS SHOWED CCT HAD A POSITIVE IMPACT COMPARED TO YOGA ON THE COGSTATE PSYCHOMOTOR/ATTENTION COMPOSITE AT 12 MONTHS POST-INTERVENTION (ES = 0.54; UNADJUSTED P VALUE = 0.007, ADJUSTED P VALUE = 0.021). THE IMPACT OF YOGA OR COMBINING CCT WITH YOGA DID NOT SHOW STATISTICALLY SIGNIFICANT IMPROVEMENT. CONTINUED CCT PRACTICE AT HOME SHOWED FURTHER BENEFIT ON PSYCHOMOTOR/ATTENTION AT 12 MONTHS POST-INTERVENTION. THERE WAS NO SIGNIFICANT BENEFIT OF CCT OR YOGA ON COGSTATE LEARNING/WORKING MEMORY COMPOSITE. 2021 8 2293 48 THERAPEUTIC EFFICACY OF ADD-ON YOGASANA INTERVENTION IN STABILIZED OUTPATIENT SCHIZOPHRENIA: RANDOMIZED CONTROLLED COMPARISON WITH EXERCISE AND WAITLIST. BACKGROUND: SCHIZOPHRENIA IS A HIGHLY DISABLING ILLNESS. PREVIOUS STUDIES HAVE SHOWN YOGA TO BE A FEASIBLE ADD-ON THERAPY IN SCHIZOPHRENIA. AIMS: THE CURRENT STUDY AIMED TO TEST THE EFFICACY OF YOGA AS AN ADD-ON TREATMENT IN OUTPATIENTS WITH SCHIZOPHRENIA. SETTINGS AND DESIGN: THE STUDY DONE AT A TERTIARY PSYCHIATRY CENTER USED A SINGLE BLIND RANDOMIZED CONTROLLED DESIGN WITH ACTIVE CONTROL AND WAITLIST GROUPS. MATERIALS AND METHODS: CONSENTING PATIENTS WITH SCHIZOPHRENIA WERE RANDOMIZED INTO YOGA, EXERCISE, OR WAITLIST GROUP. THEY CONTINUED TO RECEIVE PHARMACOLOGICAL THERAPY THAT WAS UNCHANGED DURING THE STUDY. PATIENTS IN THE YOGA OR EXERCISE GROUP WERE OFFERED SUPERVISED DAILY PROCEDURES FOR ONE MONTH. ALL PATIENTS WERE ASSESSED BY A BLIND RATER AT THE START OF THE INTERVENTION AND AT THE END OF 4 MONTHS. RESULTS: KENDALL TAU, A NONPARAMETRIC STATISTICAL TEST, SHOWED THAT SIGNIFICANTLY MORE PATIENTS IN THE YOGA GROUP IMPROVED IN POSITIVE AND NEGATIVE SYNDROME SCALE (PANSS) NEGATIVE AND TOTAL PANSS SCORES AS WELL AS SOCIAL FUNCTIONING SCORES COMPARED WITH THE EXERCISE AND WAITLIST GROUP. ODDS RATIO ANALYSIS SHOWED THAT THE LIKELIHOOD OF IMPROVEMENT IN YOGA GROUP IN TERMS OF NEGATIVE SYMPTOMS WAS ABOUT FIVE TIMES GREATER THAN EITHER THE EXERCISE OR WAITLIST GROUPS. CONCLUSION: IN SCHIZOPHRENIA PATIENTS WITH SEVERAL YEARS OF ILLNESS AND ON STABILIZED PHARMACOLOGICAL THERAPY, ONE-MONTH TRAINING FOLLOWED BY THREE MONTHS OF HOME PRACTICES OF YOGA AS AN ADD-ON TREATMENT OFFERED SIGNIFICANT ADVANTAGE OVER EXERCISE OR TREATMENT AS USUAL. YOGA HOLDS PROMISE AS A COMPLEMENTARY INTERVENTION IN THE MANAGEMENT OF SCHIZOPHRENIA. 2012 9 875 33 EFFECT OF YOGA THERAPY ON PLASMA OXYTOCIN AND FACIAL EMOTION RECOGNITION DEFICITS IN PATIENTS OF SCHIZOPHRENIA. CONTEXT: YOGA THERAPY HAS BEEN DEMONSTRATED TO BE USEFUL IN TREATMENT OF NEGATIVE SYMPTOMS AND IMPROVING THE SOCIO-OCCUPATIONAL FUNCTIONING AND EMOTION RECOGNITION DEFICITS IN ANTIPSYCHOTIC-STABILIZED SCHIZOPHRENIA PATIENTS. OXYTOCIN HAS BEEN RECENTLY IMPLICATED IN SOCIAL COGNITION DEFICITS IN SCHIZOPHRENIA. THE EFFECT OF YOGA THERAPY ON OXYTOCIN LEVELS IN SCHIZOPHRENIA HAS NOT BEEN STUDIED. AIMS: THIS STUDY AIMED TO ASSESS THE EFFECT OF YOGA THERAPY ON SYMPTOMS, SOCIO-OCCUPATIONAL FUNCTIONING, FACIAL EMOTION RECOGNITION DEFICITS AND PLASMA OXYTOCIN LEVELS IN ANTIPSYCHOTIC STABILIZED SCHIZOPHRENIA PATIENTS. SETTINGS AND DESIGN: RANDOMIZED CONTROLLED STUDY ON 43 CONSENTING, MEDICATION STABILIZED PATIENTS WITH SCHIZOPHRENIA IN A TERTIARY PSYCHIATRIC CENTER USING YOGA INTERVENTION AND WAITLISTED GROUPS. MATERIALS AND METHODS: A TOTAL OF 43 SCHIZOPHRENIA PATIENTS WERE RANDOMIZED TO YOGA GROUP (N=15) OR WAITLIST GROUP (N=28). PATIENTS IN THE YOGA GROUP RECEIVED TRAINING IN A SPECIFIC YOGA THERAPY MODULE FOR SCHIZOPHRENIA. PATIENTS IN BOTH GROUPS WERE CONTINUED ON STABLE ANTIPSYCHOTIC MEDICATION. ASSESSMENTS INCLUDED SCALE FOR ASSESSMENT OF POSITIVE SYMPTOMS, SCALE FOR ASSESSMENT OF NEGATIVE SYMPTOMS, SOCIO-OCCUPATIONAL FUNCTIONING SCALE AND TOOL FOR RECOGNITION OF EMOTIONS IN NEUROPSYCHIATRIC DISORDERS (TRENDS) AND PLASMA OXYTOCIN LEVELS; PERFORMED AT BASELINE AND AT THE END OF 1 MONTH. RESULTS: A TOTAL OF 15 PATIENTS IN THE YOGA GROUP AND 12 IN WAITLIST GROUP COMPLETED THE STUDY. THE YOGA THERAPY GROUP SHOWED A SIGNIFICANT IMPROVEMENT IN SOCIO-OCCUPATIONAL FUNCTIONING, PERFORMANCE ON TRENDS (P<0.001) AND PLASMA INCREASE IN OXYTOCIN LEVELS (P=0.01) AS COMPARED WITH THE WAITLIST GROUP. CONCLUSION: THE STUDY SUPPORTED THE ROLE OF ADD-ON YOGA THERAPY IN MANAGEMENT OF SCHIZOPHRENIA AND DEMONSTRATED AN IMPROVEMENT IN ENDOGENOUS PLASMA OXYTOCIN LEVELS IN SCHIZOPHRENIA PATIENTS RECEIVING YOGA THERAPY. 2013 10 872 34 EFFECT OF YOGA THERAPY ON FACIAL EMOTION RECOGNITION DEFICITS, SYMPTOMS AND FUNCTIONING IN PATIENTS WITH SCHIZOPHRENIA. OBJECTIVE: FACIAL EMOTION RECOGNITION DEFICITS HAVE BEEN CONSISTENTLY DEMONSTRATED IN SCHIZOPHRENIA AND CAN IMPAIR SOCIO-OCCUPATIONAL FUNCTIONING IN THESE PATIENTS. TREATMENTS TO IMPROVE THESE DEFICITS IN ANTIPSYCHOTIC-STABILIZED PATIENTS HAVE NOT BEEN WELL STUDIED. YOGA THERAPY HAS BEEN DESCRIBED TO IMPROVE FUNCTIONING IN VARIOUS DOMAINS IN SCHIZOPHRENIA; HOWEVER, ITS EFFECT ON FERD IS NOT KNOWN. METHOD: ANTIPSYCHOTIC-STABILIZED PATIENTS RANDOMIZED TO RECEIVE YOGA (N=27), EXERCISE (N=17) OR WAITLIST GROUP (N=22) WERE ASSESSED AT BASELINE, 2ND MONTH, AND 4TH MONTH OF FOLLOW-UP BY RATERS BLIND TO GROUP STATUS. ASSESSMENTS INCLUDED POSITIVE AND NEGATIVE SYNDROME SCALE (PANSS), SOCIO-OCCUPATIONAL FUNCTIONING SCALE (SOFS), AND TOOL FOR RECOGNITION OF EMOTIONS IN NEUROPSYCHIATRIC DISORDERS (TRENDS). RESULTS: THERE WAS A SIGNIFICANT POSITIVE CORRELATION BETWEEN BASELINE FERD AND SOCIO-OCCUPATIONAL FUNCTIONING (R=0.3, P=0.01). PAIRED SAMPLES T TEST SHOWED SIGNIFICANT IMPROVEMENT IN POSITIVE AND NEGATIVE SYMPTOMS, SOCIO-OCCUPATIONAL FUNCTIONING AND PERFORMANCE ON TRENDS (P<0.05) IN THE YOGA GROUP, BUT NOT IN THE OTHER TWO GROUPS. MAXIMUM IMPROVEMENT OCCURRED AT THE END OF 2 MONTHS, AND IMPROVEMENT IN POSITIVE AND NEGATIVE SYMPTOMS PERSISTED AT THE END OF 4 MONTHS. CONCLUSION: YOGA THERAPY CAN BE A USEFUL ADD-ON TREATMENT TO IMPROVE PSYCHOPATHOLOGY, FERD, AND SOCIO-OCCUPATIONAL FUNCTIONING IN ANTIPSYCHOTIC-STABILIZED PATIENTS WITH SCHIZOPHRENIA. 2011 11 2441 43 YOGA AND SCHIZOPHRENIA-A COMPREHENSIVE ASSESSMENT OF NEUROPLASTICITY: PROTOCOL FOR A SINGLE BLIND RANDOMIZED CONTROLLED STUDY OF YOGA IN SCHIZOPHRENIA. INTRODUCTION: SCHIZOPHRENIA IS ONE OF THE MOST SEVERE MENTAL DISORDERS WITH A PREVALENCE OF ABOUT 1% AND A LEADING CAUSE OF DISABILITY AMONG YOUNG ADULTS. PHARMACOTHERAPY IS THE MAINSTAY IN THE MANAGEMENT OF SCHIZOPHRENIA. HOWEVER, EVEN WITH THE BEST OF MEDICATION, SEVERAL PROBLEMS LIKE REFRACTORINESS, NEGATIVE SYMPTOMS, FREQUENT RELAPSES, AND COGNITIVE IMPAIRMENTS PERSIST. METHODS: THIS IS A RANDOMIZED-CONTROLLED CLINICAL STUDY INCLUDING PATIENTS FROM AN URBAN TERTIARY HOSPITAL AND A SEMI-URBAN COMMUNITY CENTER, WITH A BETWEEN-GROUP, REPEATED-MEASURES, LONGITUDINAL DESIGN. THIS STUDY WILL RECRUIT 160 PATIENTS WITH DSM 5 DIAGNOSIS OF SCHIZOPHRENIA WHO ARE ON STABLE MEDICATION FOR A MINIMUM OF 6 WEEKS; THEY WILL BE RANDOMLY ASSIGNED INTO 2 ARMS VIZ., YOGA THERAPY (YT), AND TREATMENT-AS-USUAL (TAU) WITH 80 PATIENTS IN EACH ARM. PARTICIPANTS WILL UNDERGO CLINICAL, LABORATORY, AND RADIOLOGICAL ASSESSMENTS AT BASELINE AND AT INTERVALS OF 1 MONTH, 3 MONTHS, AND 6 MONTHS FROM THE BASELINE. IT IS HYPOTHESIZED THAT YOGA WILL IMPROVE PSYCHOPATHOLOGY AND EMOTION PROCESSING, INCREASE SERUM BRAIN DERIVED NEUROTROPHIC FACTOR (BDNF) AND PLASMA OXYTOCIN LEVELS AND EFFECT CHANGES IN CEREBRAL ACTIVATION IN AREAS OF THE BRAIN ASSOCIATED WITH SCHIZOPHRENIA. DISCUSSION: THIS STUDY AIMS TO MEASURE THE EFFICACY OF A YOGA-BASED INTERVENTION AS AN ADJUNCT IN PATIENTS WITH SCHIZOPHRENIA AS WELL AS THE MECHANISMS OF THESE EFFECTS. TRIAL REGISTRATION: REGISTERED RETROSPECTIVELY WITH CLINICAL TRIAL REGISTRY - INDIA (CTRI) WITH REGISTRATION NUMBER CTRI/2017/08/009219. 2019 12 1857 40 RANDOMIZED CLINICAL TRIAL OF YOGA-BASED INTERVENTION IN RESIDENTS FROM ELDERLY HOMES: EFFECTS ON COGNITIVE FUNCTION. CONTEXT: ELDERLY HAVE INCREASED RISK FOR COGNITIVE IMPAIRMENT AND DEMENTIA. YOGA THERAPY MAY BE HELPFUL IN ELDERLY TO IMPROVE COGNITIVE FUNCTION. AIMS: WE EXAMINED THE BENEFITS OF YOGA-BASED INTERVENTION COMPARED WITH WAITLIST CONTROL GROUP ON COGNITIVE FUNCTION IN THE RESIDENTS OF ELDERLY HOMES. SETTINGS AND DESIGN: SINGLE BLIND CONTROLLED STUDY WITH BLOCK RANDOMIZATION OF ELDERLY HOMES. MATERIALS AND METHODS: STUDY SAMPLE INCLUDED YOGA GROUP (N=62) AND WAITLIST GROUP (N=58). A TOTAL OF 87 SUBJECTS (YOGA=44, WAITLIST=43) COMPLETED THE STUDY PERIOD OF 6 MONTHS. YOGA GROUP RECEIVED DAILY YOGA SESSIONS FOR 1 MONTH, WEEKLY UNTIL 3(RD) MONTH AND ENCOURAGED TO CONTINUE UNSUPERVISED UNTIL 6 MONTHS. THEY WERE ASSESSED ON REY'S AUDITORY VERBAL LEARNING TEST (RAVLT), REY'S COMPLEX FIGURE TEST (CFT), WECHSLER'S MEMORY SCALE (WMS)-DIGIT AND SPATIAL SPAN, CONTROLLED ORAL WORD ASSOCIATION (COWA) TEST, STROOP COLOR WORD INTERFERENCE TEST AND TRAIL MAKING TEST A AND B AT BASELINE AND AT THE END OF 6(TH) MONTH. STATISTICAL ANALYSIS: PAIRED T-TEST AND ANALYSIS OF COVARIANCE (ANCOVA) TO COMPARE THE DIFFERENCE IN NEUROPSYCHOLOGICAL TEST SCORES. RESULTS: YOGA GROUP SHOWED SIGNIFICANT IMPROVEMENT IN IMMEDIATE AND DELAYED RECALL OF VERBAL (RAVLT) AND VISUAL MEMORY (CFT), ATTENTION AND WORKING MEMORY (WMS-SPATIAL SPAN), VERBAL FLUENCY (COWA), EXECUTIVE FUNCTION (STROOP INTERFERENCE) AND PROCESSING SPEED (TRAIL MAKING TEST-A) THAN WAITLIST GROUP AT THE END OF 6 MONTHS AFTER CORRECTING FOR CORRESPONDING BASELINE SCORE AND EDUCATION. CONCLUSION: YOGA BASED-INTERVENTION APPEARS BENEFICIAL TO IMPROVE SEVERAL DOMAINS OF COGNITIVE FUNCTION IN ELDERLY LIVING IN RESIDENTIAL CARE HOMES. STUDY FINDINGS NEED TO BE INTERPRETED AFTER CONSIDERING METHODOLOGICAL LIMITATIONS LIKE LACK OF ACTIVE COMPARISON GROUP. 2013 13 2785 39 YOGA THERAPY AS AN ADJUNCTIVE TREATMENT FOR SCHIZOPHRENIA: A RANDOMIZED, CONTROLLED PILOT STUDY. OBJECTIVES: THERE HAS BEEN LIMITED STUDY OF THERAPEUTIC YOGA AS A COMPLEMENTARY TREATMENT FOR SCHIZOPHRENIA. THIS STUDY INVESTIGATES THE EFFECTS OF A YOGA THERAPY PROGRAM ON SYMPTOMATOLOGY AND QUALITY OF LIFE IN ADULTS WITH SCHIZOPHRENIA IN A STATE PSYCHIATRIC FACILITY. METHODS: IN A RANDOMIZED, CONTROLLED PILOT STUDY, 18 CLINICALLY STABLE PATIENTS (12 MEN AND 6 WOMEN) WITH SCHIZOPHRENIA (MEAN AGE=42+/-13.5) WERE RANDOMIZED TO AN 8-WEEK YOGA THERAPY PROGRAM (YT) AND A WAITLIST GROUP (WL). YT INTERVENTION INCLUDED YOGA POSTURES, BREATHING EXERCISES, AND RELAXATION. AT BASELINE AND AT 8 WEEKS, SYMPTOMATOLOGY WAS MEASURED USING THE POSITIVE AND NEGATIVE SYNDROME SCALE (PANSS). SECONDARY EFFICACY OUTCOMES WERE MEASURED WITH THE WORLD HEALTH ORGANIZATION QUALITY OF LIFE BREF QUESTIONNAIRE (WHOQOL-BREF). RESULTS: THE YT GROUP OBTAINED SIGNIFICANT IMPROVEMENTS IN POSITIVE AND NEGATIVE SYMPTOMS OF SCHIZOPHRENIA SYMPTOMS COMPARED TO WL, INCLUDING PANSS SCORES ON POSITIVE SYNDROME (T=-2.64, P=0.02), NEGATIVE SYNDROME (T=-3.04, P<0.01), GENERAL PSYCHOPATHOLOGY (T=-3.74, P<0.00), ACTIVATION (T=-2.29, P<0.04), PARANOIA (T=-2.89, P<0.01), AND DEPRESSION SUBSCALES (T=-2.62, P<0.02). PANSS TOTAL SCORES ALSO DECREASED FOR THE YT GROUP (T=-4.54, P<0.00). YT HAD IMPROVED PERCEIVED QUALITY OF LIFE IN PHYSICAL (T=2.38, P<0.04) AND PSYCHOLOGIC DOMAINS (T=2.88, P<0.01). CONCLUSIONS: ADULTS WITH SCHIZOPHRENIA BEING TREATED IN A STATE PSYCHIATRIC FACILITY WHO PARTICIPATED IN AN 8-WEEK THERAPEUTIC YOGA PROGRAM SHOWED SIGNIFICANT IMPROVEMENTS IN PSYCHOPATHOLOGY AND QUALITY OF LIFE COMPARED WITH CONTROLS. THE FINDINGS OF THIS STUDY NEED TO BE CONFIRMED IN LARGER, MORE SUFFICIENTLY POWERED STUDIES WITH ACTIVE CONTROL GROUPS. 2011 14 272 29 ADD-ON YOGA THERAPY FOR SOCIAL COGNITION IN SCHIZOPHRENIA: A PILOT STUDY. BACKGROUND: YOGA AS A MIND-BODY THERAPY IS USEFUL IN LIFESTYLE-RELATED DISORDERS INCLUDING NEUROPSYCHIATRIC DISORDERS. IN SCHIZOPHRENIA PATIENTS, YOGA HAS BEEN SHOWN TO SIGNIFICANTLY IMPROVE NEGATIVE SYMPTOMS, FUNCTIONING, AND PLASMA OXYTOCIN LEVEL. AIM: THE AIM OF THE STUDY WAS TO STUDY THE EFFECT OF ADD-ON YOGA THERAPY ON SOCIAL COGNITION IN SCHIZOPHRENIA PATIENTS. MATERIALS AND METHODS: IN A SINGLE PRE-POST, STUDY DESIGN, 15 SCHIZOPHRENIA PATIENTS STABILIZED ON ANTIPSYCHOTIC MEDICATION FOR 6 WEEKS WERE ASSESSED FOR SOCIAL COGNITION (THEORY OF MIND, FACIAL EMOTION RECOGNITION, AND SOCIAL PERCEPTION [SP]) AND CLINICAL SYMPTOMS (NEGATIVE AND POSITIVE SYMPTOMS AND SOCIAL DISABILITY) BEFORE AND AFTER TWENTY SESSIONS OF ADD-ON YOGA THERAPY. RESULTS: THERE WAS A SIGNIFICANT IMPROVEMENT IN THE SOCIAL COGNITION COMPOSITE SCORE AFTER 20 SESSIONS OF YOGA (T[13] = -5.37, P /=50% REDUCTION OF WEEKLY PAIN SCORES. RESULTS: AT 1-YEAR FOLLOW-UP, TREATMENT RESPONSE WAS ACCOMPLISHED IN 58% OF THE YT GROUP AND IN 29% OF THE CONTROL GROUP (P = 0.01); NO SIGNIFICANT DIFFERENCES FOR OTHER TIME POINTS WERE FOUND. YT, AND NOT SMC, RESULTED IN A SIGNIFICANT REDUCTION OF PIS (P < 0.01) AND PFS (P < 0.01) AFTER 12 MONTHS. DURING THE STUDY, HOWEVER, YT WAS NOT SIGNIFICANTLY SUPERIOR COMPARED WITH SMC. SUBANALYSES FOR TIME POINTS DEMONSTRATED A SIGNIFICANT GREATER REDUCTION OF PIS AT 12 MONTHS IN FAVOR OF YT. NO DIFFERENCES WERE FOUND FOR QOL. YT WAS MORE EFFECTIVE IN THE REDUCTION OF REPORTED MONTHLY SCHOOL ABSENCE (P = 0.03). CONCLUSION: AT 1-YEAR FOLLOW-UP, YT IN ADDITION TO STANDARD CARE WAS SUPERIOR COMPARED WITH SMC ACCORDING TO TREATMENT SUCCESS, PIS, AND REDUCTION OF SCHOOL ABSENCE. YT, HOWEVER, WAS NOT SIGNIFICANTLY MORE EFFECTIVE IN IMPROVING PFS OR QOL, COMPARED WITH SMC. 2016 18 535 36 COMPARISON OF YOGA VERSUS PHYSICAL EXERCISE ON EXECUTIVE FUNCTION, ATTENTION, AND WORKING MEMORY IN ADOLESCENT SCHOOLCHILDREN: A RANDOMIZED CONTROLLED TRIAL. PURPOSE: EXECUTIVE FUNCTION, ATTENTION, AND MEMORY ARE AN IMPORTANT INDICATOR OF COGNITIVE HEALTH IN CHILDREN. IN THIS STUDY, WE ANALYZE THE EFFECT OF YOGA AND PHYSICAL EXERCISE ON EXECUTIVE FUNCTIONING, ATTENTION, AND MEMORY. METHODS: IN THIS PROSPECTIVE TWO-ARMED RANDOMIZED CONTROLLED TRIAL, AROUND 802 STUDENTS FROM TEN SCHOOLS ACROSS FOUR DISTRICTS WERE RANDOMIZED TO RECEIVE DAILY 1 H YOGA TRAINING (N = 411) OR PHYSICAL EXERCISE (N = 391) FOR 2 MONTHS. EXECUTIVE FUNCTION, ATTENTION, AND MEMORY WERE STUDIED USING TRAIL MAKING TEST (TMT). YOGA (N = 377) AND PHYSICAL EXERCISE (N = 371) STUDENTS CONTRIBUTED DATA TO THE ANALYSES. THE DATA WERE ANALYZED USING INTENTION-TO-TREAT APPROACH USING STUDENT'S T-TEST. RESULTS: THERE WAS A SIGNIFICANT INCREASE IN NUMERICAL TMT (TMTN) VALUES WITHIN YOGA (T = -2.17; P < 0.03) AND PHYSICAL ACTIVITY (PA) (T = -3.37; P < 0.001) GROUPS FOLLOWING INTERVENTIONAL PERIOD. HOWEVER, THERE WAS NO SIGNIFICANT CHANGE IN TMTN BETWEEN YOGA AND PA GROUPS (T = 0.44; P = 0.66). THERE WAS A SIGNIFICANT INCREASE IN ALPHABETICAL TMT (TMTA) VALUES WITHIN YOGA (T = 6.21; P < 0.00) AND PA GROUPS (T = 1.19; P < 0.234) FOLLOWING INTERVENTIONAL PERIOD. HOWEVER, THERE WAS NO SIGNIFICANT CHANGE IN TMTA BETWEEN YOGA AND PA GROUPS (T = 3.46; P = 0.001). CONCLUSION: THE RESULTS SUGGEST THAT YOGA IMPROVES EXECUTIVE FUNCTION, ATTENTION, AND WORKING MEMORY AS EFFECTIVELY AS PHYSICAL EXERCISE INTERVENTION IN ADOLESCENT SCHOOLCHILDREN. 2019 19 681 41 EFFECT OF ADD-ON YOGA ON COGNITIVE FUNCTIONS AMONG SUBSTANCE ABUSERS IN A RESIDENTIAL THERAPEUTIC CENTER: RANDOMIZED COMPARATIVE STUDY. BACKGROUND: CHRONIC VULNERABILITY CHARACTERIZES SUBSTANCE ABUSE DISORDER WITH CONSEQUENT RELAPSE. THE PROCESS OF ABSTINENCE DEPENDS ON COGNITIVE RECOVERY. HENCE, BEHAVIORAL INTERVENTION SHOULD ACCOUNT FOR COGNITIVE DIMENSION OF SUBSTANCE ABUSERS. RECENT STUDIES HIGHLIGHT YOGA-BASED INTERVENTION AS A PROMISING ADD-ON THERAPY FOR TREATING AND PREVENTING ADDICTIVE BEHAVIORS. PURPOSE: THE STUDY AIMED TO EVALUATE THE EFFICACY OF A YOGA-BASED INTERVENTION AS AN ADD-ON IN ENHANCING COGNITIVE FUNCTIONS, COMPARED WITH PHYSICAL EXERCISE TO NEWLY ADMITTED SUBSTANCE ABUSERS SEEKING AN INPATIENT TREATMENT PROGRAM. METHODS: THE STUDY WAS A SINGLE-BLIND, RANDOMIZED, COMPARATIVE DESIGN THAT INCLUDED 96 MALE PARTICIPANTS, BETWEEN 18 AND 40 YEARS IN A RESIDENTIAL REHABILITATION TREATMENT UNIT. PARTAKERS IN THE YOGA OR PHYSICAL EXERCISE GROUP RECEIVED SUPERVISED DAILY TRAINING FOR 12 WEEKS, IN ADDITION TO STANDARD REHABILITATION TREATMENT. RATERS BLIND TO THE STUDY ASSESSED THE PATIENTS ON DIGIT SPAN TASK, CANCELLATION TEST, AND STROOP TESTS AT THE BASELINE AND FOLLOWING 12 WEEKS OF INTERVENTION. RESULTS: A SIGNIFICANT ENHANCEMENT IN DIGIT FORWARD (YOGA - P < 0.0005, D = 0.81; EXERCISE - P < 0.0005, D = 0.73), DIGIT BACKWARD (YOGA - P < 0.0005, D = 0.88; EXERCISE - P < 0.0005, D = 0.58), AND LETTER CANCELLATION TEST SCORES (YOGA - P < 0.0005, D = 1.31; EXERCISE - P < 0.0005, D = 1.4) WERE OBSERVED IN BOTH THE YOGA AND THE EXERCISE GROUPS. STROOP WORD AND COLOR TASK SCORES WERE SEEN SIGNIFICANTLY HIGHER FOLLOWING YOGA (P < 0.005, D = 0.74; P < 0.005, D = 1.13) AND EXERCISE (P < 0.0005, D = 0.62; P < 0.0005, D = 0.61). FURTHERMORE, STROOP COLOR-WORD TEST SHOWED SIGNIFICANT ENHANCEMENT AFTER YOGA (P < 0.0005, D = 1.10) AND EXERCISE (P < 0.0005, D = 0.42), WITH DEGREE OF VARIATION HIGHER IN THE YOGA GROUP. CONCLUSION: OUR RESULTS SUGGEST THAT THE ADD-ON YOGA OR EXERCISE-BASED INTERVENTION SHOW ENHANCEMENT OF COGNITIVE FUNCTIONS. THESE FINDINGS PROVIDE THE UTILITY OF YOGA AND EXERCISE-BASED INTERVENTION IN IMPROVING COGNITIVE FUNCTIONS AMONG SUBSTANCE ABUSERS. FURTHERMORE, RIGOROUS TRIALS ARE NEEDED TO EXPLORE THE POTENTIAL LONG-TERM EFFECTS OF THESE PROCEDURES. 2018 20 1231 44 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