1 503 164 COMMUNITY-BASED YOGA FOR WOMEN UNDERGOING SUBSTANCE USE DISORDER TREATMENT: A DESCRIPTIVE STUDY. BACKGROUND: WOMEN WITH SUBSTANCE USE DISORDERS (SUD) RECEIVE MEDICATION-ASSISTED TREATMENT (MAT) WITH BEHAVIORAL INTERVENTIONS AND COUNSELING FOR RECOVERY. EVIDENCE SUPPORTS THE USE OF YOGA FOR SUD; HOWEVER FEW STUDIES SPECIFICALLY FEATURE WOMEN. OBJECTIVES: COMMUNITY-BASED YOGA MAY ADD TO HEALTH PROMOTION THROUGH PREFERABLE PHYSICAL ACTIVITY FOR WOMEN IN RECOVERY. THE AIMS OF THIS STUDY ARE TO EXPLORE DEMOGRAPHICS AND QUANTITATIVE MEASURES RELEVANT TO RECOVERY AND CAPTURE AND UNDERSTAND THE SUBJECTIVE EXPERIENCE OF ONE SESSION OF YOGA. STUDY DESIGN: THE STUDY DESIGN INVOLVES DESCRIPTIVE/CROSS-SECTIONAL. METHODOLOGY: WOMEN IN AN INPATIENT SUD CENTER ATTENDING WEEKLY OPTIONAL OFF-SITE YOGA FOR RECOVERY WERE RECRUITED TO CAPTURE FIRST-TIME ATTENDANCE. SURVEY DATA INCLUDED MEDICAL OUTCOMES SURVEY 12-ITEM SHORT-FORM (SF-12), TORONTO MINDFULNESS SCALE (TMS), AND BRIEF RESILIENCE SCALE (BRS), DEMOGRAPHICS, AND NARRATIVE REFLECTIONS. RECRUITMENT OPPORTUNITIES OCCURRED WEEKLY DURING ONGOING HOUR-LONG CLASSES. RESULTS: TWENTY-NINE WOMEN (AVERAGE AGE 36.6) WITH PRIMARILY OPIATE-BASED ADDICTIONS COMPLETED SURVEYS. SF-12 WAS BELOW THE NORMATIVE VALUE OF 50 FOR BOTH SUBSCALES. BRS SCORES SHOWED AVERAGES ON THE LOW END OF NORMAL RESILIENCY. THE FREQUENCY OF RESPONSES TO WRITING PROMPTS CONFIRMED PHYSICAL AND MENTAL WELL-BEING THROUGH YOGA INTERVENTION. WOMEN SHARED POTENTIAL RELAPSE PREVENTION SPECIFICALLY ATTRIBUTED TO THE MINDFULNESS COMPONENT OF THE INTERVENTION. CONCLUSION: THE SF-12, BRS, AND TMS ARE BRIEF, VALID, AND RELIABLE AND CAN BE EASILY INCORPORATED IN CLINICAL PRACTICE OR FUTURE RESEARCH. SUBOPTIMAL SF-12 SCORES WERE FOUND IN WOMEN WITH SUD AND, THEREFORE IMPORTANT TO NOTE IN THE CONTEXT OF RECOVERY TO OPTIMIZE TREATMENT. SUBJECTIVE REPORTS FROM THE PARTICIPANTS FIND COMMUNITY-BASED YOGA AN ENJOYABLE AND BENEFICIAL TYPE OF PHYSICAL ACTIVITY. YOGA MAY BE A VIABLE OPTION FOR COMPREHENSIVE MIND-BODY INTERVENTION FOR THIS POPULATION. 2021 2 135 35 A PRELIMINARY INVESTIGATION OF THE EFFECTS OF ONE YOGA SESSION FOR SERVICE RECIPIENTS IN A BEHAVIORAL HEALTH INTENSIVE OUTPATIENT PROGRAM. THIS WAS AN INVESTIGATION OF THE FEASIBILITY AND EFFECTIVENESS OF A BRIEF YOGA INTERVENTION (ONE SESSION) WITHIN AN INTENSIVE OUTPATIENT PROGRAM (IOP) FOR SERVICE RECIPIENTS DIAGNOSED WITH VARIOUS PSYCHIATRIC DISORDERS. PARTICIPANTS (N=26) COMPLETED THE TORONTO MINDFULNESS SCALE (TMS) AND THE POSITIVE AND NEGATIVE AFFECT SCHEDULE (PANAS). DATA WAS COLLECTED BEFORE AND AFTER ONE YOGA SESSION AND FOLLOW-UP DATA WAS COLLECTED VIA MAIL AFTER DISCHARGE FROM THE IOP. SCORES INDICATED THAT NEGATIVE AFFECT SIGNIFICANTLY DECREASED AND POSITIVE AFFECT SIGNIFICANTLY INCREASED FROM PRE TO POST YOGA SESSION. MINDFULNESS SCORES SIGNIFICANTLY INCREASED FROM PRE TO POST YOGA SESSION. THOUGH THE RESULTS OF THIS STUDY SUPPORTED THAT A YOGA INTERVENTION IS BOTH FEASIBLE AND EFFECTIVE WITHIN AN IOP, COLLECTION OF FOLLOW-UP DATA AFTER DISCHARGE VIA MAIL WAS NOT AS FEASIBLE. THE RESULTS OF THIS PRELIMINARY INVESTIGATION SUPPORT A LARGER AND LONGITUDINAL STUDY TO FURTHER EXAMINE YOGA AS A TREATMENT MODALITY WITH THIS CLINICAL POPULATION. 2018 3 2799 29 YOGA THERAPY FOR SOCIAL COGNITION IN SCHIZOPHRENIA: AN EXPERIMENTAL MEDICINE-BASED RANDOMIZED CONTROLLED TRIAL. NEGATIVE SYMPTOMS AND COGNITIVE DEFICITS ARE DIFFICULT-TO-TREAT SYMPTOMS OF SCHIZOPHRENIA. IN THIS SINGLE BLIND RANDOMIZED CONTROLLED STUDY, WE COMPARED CHANGE IN SOCIAL COGNITIVE PERFORMANCE IN PERSONS WITH SCHIZOPHRENIA (PWS) (AS PER DSM-5), AFTER 6 WEEKS OF YOGA INTERVENTION WITH A WAITLIST CONTROL GROUP. WE ALSO EXAMINED CHANGES IN PUTATIVE MIRROR NEURON SYSTEM (MNS) ACTIVITY MEASURED BY TRANSCRANIAL MAGNETIC STIMULATION (TMS) IN A SUBSET OF SAMPLE (N = 30). 51 PWS STABILIZED ON ANTIPSYCHOTIC MEDICATION FOR AT LEAST 6 WEEKS, WERE ASSIGNED TO ADD-ON YOGA THERAPY (YT) (N = 26) OR WAITLIST (WL) (N = 25). SUBJECTS IN THE YT GROUP RECEIVED ADD-ON YOGA THERAPY (20 SESSIONS IN 6 WEEKS). BOTH THE GROUPS CONTINUED THEIR STANDARD TREATMENT AND WERE ASSESSED AT BASELINE AND AFTER 6 WEEKS FOR SOCIAL COGNITION, CLINICAL SYMPTOMS AND SOCIAL DISABILITY. RM-ANOVA SHOWED SIGNIFICANT INTERACTION BETWEEN TIME AND GROUP FOR SOCIAL COGNITION COMPOSITE SCORE (SCCS) (F = 42.09 [1,44], P < 0.001); NEGATIVE SYMPTOMS (SANS) (F = 74.91 [1,45], P < 0.001); POSITIVE SYMPTOMS (SAPS) (F = 16.05 [1,45], P < 0.001) AND SOCIAL DISABILITY (GSDS) (F = 29.91 [1,46], P < 0.001). MNS ACTIVITY HAD INCREASED AFTER 6 WEEKS IN BOTH GROUPS BUT NOT OF STATISTICAL SIGNIFICANCE. THIS STUDY DEMONSTRATES THAT 6 WEEKS OF ADD-ON YOGA THERAPY COULD IMPROVE SOCIAL COGNITION IN PWS COMPARED TO WAITLIST CONTROL SUBJECTS. HOWEVER, THE CHANGE IN SOCIAL COGNITION WAS NOT ASSOCIATED WITH A CHANGE IN THE PUTATIVE MNS-ACTIVITY. IT NECESSIATATES FURTHER STUDIES TO INVESTIGATE THE MECHANISTIC PROCESSES OF YOGA AND REPLICATE THESE OBSERVATIONS IN A LARGER SAMPLE. 2021 4 875 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 5 76 22 A HEURISTIC MODEL LINKING YOGA PHILOSOPHY AND SELF-REFLECTION TO EXAMINE UNDERLYING MECHANISMS OF ADD-ON YOGA TREATMENT IN SCHIZOPHRENIA. PRELIMINARY EVIDENCE SUGGESTS EFFICACY OF YOGA AS ADD-ON TREATMENT FOR SCHIZOPHRENIA, BUT THE UNDERLYING MECHANISM BY WHICH YOGA IMPROVES THE SYMPTOMS OF SCHIZOPHRENIA IS NOT COMPLETELY UNDERSTOOD. YOGA IMPROVES SELF-REFLECTION IN HEALTHY INDIVIDUALS, AND SELF-REFLECTION ABNORMALITIES ARE TYPICALLY SEEN IN SCHIZOPHRENIA. HOWEVER, WHETHER YOGA TREATMENT IMPROVES IMPAIRMENTS IN SELF-REFLECTION TYPICALLY SEEN IN PATIENTS WITH SCHIZOPHRENIA IS NOT EXAMINED. THIS PAPER DISCUSSES THE POTENTIAL MECHANISM OF YOGA IN THE TREATMENT OF SCHIZOPHRENIA AND PROPOSES A TESTABLE HYPOTHESIS FOR FURTHER EMPIRICAL STUDIES. IT IS PROPOSED THAT SELF-REFLECTION ABNORMALITIES IN SCHIZOPHRENIA IMPROVE WITH YOGA AND THE NEUROBIOLOGICAL CHANGES ASSOCIATED WITH THIS CAN BE EXAMINED USING EMPIRICAL BEHAVIOURAL MEASURES AND NEUROIMAGING MEASURES SUCH AS MAGNETIC RESONANCE IMAGING. 2016 6 872 27 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 7 272 22 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 /=5%), YOGA LOST SIGNIFICANTLY MORE WEIGHT (-9.0KG VS. -6.7KG) AT 6 MONTHS AND RESULTED IN GREATER DISTRESS TOLERANCE, MINDFULNESS, AND SELF-COMPASSION AND LOWER NEGATIVE AFFECT, COMPARED TO CON. CONCLUSIONS: STUDY FINDINGS PROVIDE PRELIMINARY SUPPORT FOR YOGA AS A POTENTIAL STRATEGY FOR IMPROVING LONG-TERM WL AMONG THOSE LOSING >/=5% IN STANDARD BEHAVIORAL TREATMENT. 2022 13 270 32 ADD ON YOGA TREATMENT FOR NEGATIVE SYMPTOMS OF SCHIZOPHRENIA: A MULTI-CENTRIC, RANDOMIZED CONTROLLED TRIAL. THE EFFICACY OF ANTIPSYCHOTIC MEDICATIONS IN THE TREATMENT OF NEGATIVE SYMPTOMS OF SCHIZOPHRENIA IS MODEST AT BEST. PRELIMINARY STUDIES SUGGEST THE BENEFICIAL EFFECTS OF ADD ON YOGA, A TRADITIONAL INDIAN PRACTICE, IN THE TREATMENT OF SCHIZOPHRENIA. HENCE, IN THIS STUDY, WE EXAMINED THE EFFICACY OF YOGA AS AN ADD-ON TREATMENT FOR NEGATIVE SYMPTOMS OF SCHIZOPHRENIA IN A RANDOMIZED, WAIT-LIST CONTROLLED DESIGN FROM TWO CLINICAL INSTITUTES IN SOUTH INDIA. 89 PATIENTS (AGE - 34.20 +/- 8.06 YEARS; EDUCATION - 14.22 +/- 2.69 YEARS; 28 FEMALES) WERE RANDOMIZED INTO THE ADD-ON YOGA OR TREATMENT AS USUAL (TAU - WAIT-LIST CONTROL) GROUP. PATIENTS HAD A MEAN ILLNESS DURATION OF 10.97 +/- 7.24 YEARS WITH AN AGE AT ONSET OF 23.34 +/- 5.81 YEARS. CENTRAL BLOCK RANDOMIZATION WAS FOLLOWED TO ENSURE CONCEALED ALLOCATION. PARTICIPANTS RANDOMIZED TO THE YOGA TREATMENT GROUP ATTENDED 12 SUPERVISED YOGA TRAINING SESSIONS OVER TWO WEEKS AND PRACTICED YOGA SESSIONS AT HOME FOR THE SUBSEQUENT 10 WEEKS. 64 PATIENTS COMPLETED THE TRIAL. AN INTENT TO TREAT ANALYSIS WAS CONDUCTED WITH 89 PARTICIPANTS USING A LINEAR MIXED MODEL. IMPROVEMENT IN NEGATIVE SYMPTOMS WAS OUR PRIMARY OUTCOME MEASURE. THE TWO GROUPS WERE MATCHED ON DEMOGRAPHIC VARIABLES AND BASELINE PSYCHOPATHOLOGY SEVERITY. PARTICIPANTS IN THE ADD-ON YOGA GROUP HAD SIGNIFICANTLY GREATER IMPROVEMENT IN NEGATIVE SYMPTOMS (SANS BASELINE: 49.13 +/- 2.30; 12-WEEKS FOLLOW UP: 31.55 +/- 2.53) COMPARED TO THE TAU GROUP (SANS BASELINE: 51.22 +/- 2.40; 12-WEEKS FOLLOW UP: 45.30 +/- 2.93; T = 3.36; P = 0.006; COHEN'S D-0.65). THE CURRENT STUDY FINDINGS SUGGEST THE EFFICACY OF YOGA AS AN ADD-ON TREATMENT FOR NEGATIVE SYMPTOMS OF SCHIZOPHRENIA. THE EFFECTIVENESS OF YOGA PRACTICE AS A REGULAR CLINICAL INTERVENTION FOR PATIENTS NEEDS TO BE EXPLORED IN FUTURE STUDIES BY INTEGRATING YOGA SERVICES ALONG WITH OTHER CLINICAL SERVICES. 2021 14 2441 30 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 15 644 20 DOES YOGA HAVE A ROLE IN SCHIZOPHRENIA MANAGEMENT? PURPOSE OF REVIEW: TO REVIEW THE EFFICACY OF ADD-ON YOGA THERAPY IN IMPROVING SYMPTOMS OF SCHIZOPHRENIA AND QUALITY OF LIFE AND EXAMINE THE POSSIBLE UNDERLYING BIOLOGICAL MECHANISMS OF YOGA IN SCHIZOPHRENIA. RECENT FINDINGS: QUALITY OF LIFE, COGNITIVE SYMPTOMS, AND NEGATIVE SYMPTOMS HAVE BEEN FOUND TO IMPROVE WITH ADD-ON YOGA THERAPY IN SCHIZOPHRENIA (POOLED MEAN EFFECT SIZE 0.8, 0.6, AND 0.4, RESPECTIVELY). YOGA ALSO SEEMS TO HAVE A SMALL EFFECT ON IMPROVING POSITIVE SYMPTOMS. LESS EXPLORED AREAS INCLUDE ADVERSE EFFECTS OF YOGA ITSELF AS WELL AS ITS EFFECTS ON ANTIPSYCHOTIC-INDUCED COMPLICATIONS. PRELIMINARY FINDINGS SUGGEST THAT THE EFFECTS OF YOGA MAY BE MEDIATED BY NEUROHORMONAL MECHANISMS AND FUNCTIONAL CHANGES IN BRAIN ACTIVITY. ADD-ON YOGA THERAPY IS A POTENTIAL TREATMENT OPTION FOR IMPROVING QUALITY OF LIFE, COGNITIVE SYMPTOMS, AND NEGATIVE SYMPTOMS IN SCHIZOPHRENIA. FUTURE STUDIES SHOULD EXPLORE EFFICACY IN MULTICENTRIC TRIALS AS WELL AS POSSIBLE NEUROBIOLOGICAL CHANGES UNDERLYING THE EFFECTS. 2020 16 2782 24 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 17 1474 13 INTEGRATED APPROACH TO YOGA THERAPY AND AUTISM SPECTRUM DISORDERS. A SPECIALLY DESIGNED INTEGRATED APPROACH TO YOGA THERAPY MODULE WAS APPLIED TO AUTISM SPECTRUM DISORDERS OVER A PERIOD OF TWO ACADEMIC YEARS. DESPITE LOW NUMBERS (SIX IN EACH ARM), CONSISTENCY AND MAGNITUDE OF EFFECTS MAKE THE FINDINGS SIGNIFICANT. PARENTAL PARTICIPATION, ALLOWING FIRM GUIDANCE TO BE GIVEN TO EACH CHILD, RESULTED IN SIGNIFICANT IMPROVEMENTS IN IMITATION AND OTHER SKILLS, AND IN BEHAVIOR AT HOME AND FAMILY RELATIONSHIPS. WE HYPOTHESIZE THAT GUIDED IMITATION OF THERAPIST BODY POSITIONS STIMULATED MIRROR NEURON ACTIVATION, RESULTING IN IMPROVED SENSE OF SELF. 2010 18 2477 37 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 19 313 48 AN EXPLORATORY STUDY OF THE ACCEPTABILITY AND FEASIBILITY OF YOGA AMONG WOMEN IN SUBSTANCE USE DISORDER RECOVERY. OBJECTIVES: THIS QUALITATIVE STUDY EXPLORED THE ACCEPTABILITY AND FEASIBILITY OF YOGA AMONG WOMEN IN SUBSTANCE USE DISORDER (SUD) RECOVERY. DESIGN: SEVENTEEN WOMEN IN SUD RECOVERY FOR 2 WEEKS OR LONGER WERE RECRUITED FROM NINE SITES IN THE MID-SOUTH, INCLUDING A MEDICATION-ASSISTED TREATMENT CLINIC IN A HOSPITAL SETTING, PRISON RE-ENTRY HOUSING, COMMUNITY-BASED PEER SUPPORT ORGANIZATIONS (E.G., ALCOHOLICS ANONYMOUS [AA], NARCOTICS ANONYMOUS [NA]), A RESIDENTIAL SUD TREATMENT FACILITY, A YOGA TEACHERS' ONLINE GROUP, AND THROUGH REFERRALS. THE MEDIAN AGE OF PARTICIPANTS WAS 41.5, WITH AGES RANGING FROM 25 TO 65. WE USED AN INTERPRETIVE DESCRIPTION APPROACH TO EXPLORE BOTH THE PERCEPTIONS OF WOMEN WITHOUT YOGA EXPERIENCE AND THE EXPERIENCES OF WOMEN WITH YOGA EXPERIENCE TO COLLECT FORMATIVE DATA FOR INTERVENTION DEVELOPMENT AND IMPLEMENTATION. THE INTERVIEWS WERE RECORDED AND TRANSCRIBED VERBATIM. A HYBRID ANALYSIS (I.E., INDUCTIVE AND DEDUCTIVE CODING) WAS APPLIED TO THE DATA. RESULTS: WOMEN'S NARRATIVES INCLUDED A HIGH PREVALENCE OF TRAUMA EXPOSURE. OVERALL, WOMEN IN THIS SAMPLE WERE INTERESTED IN EITHER BEGINNING OR CONTINUING YOGA. BARRIERS TO PARTICIPATION INCLUDED PERCEIVED LACK OF SELF-EFFICACY OF YOGA, WEIGHT, AND PHYSICAL INJURIES. ADDITIONAL ENVIRONMENTAL BARRIERS INCLUDED BALANCING CARE OF SELF WITH CARING FOR OTHERS, INCLUDING PARTNERS, CHILDREN, AND NA/AA SPONSEES; AS WELL AS PRIORITIZING FINANCES, HOUSING, EMPLOYMENT, AND TRANSPORTATION. CONCLUSION: HIGH PREVALENCE OF TRAUMA EXPOSURE AMONG WOMEN IN SUD RECOVERY NECESSITATES CAREFUL CONSIDERATION OF CO-OCCURRING PSYCHIATRIC DISORDERS SUCH AS POST-TRAUMATIC STRESS DISORDER, ANXIETY AND DEPRESSION AND THE NECESSARY PROFESSIONAL PSYCHOLOGICAL SUPPORT, AS WELL AS SERIOUS PHYSICAL INJURIES THAT REQUIRE MODIFICATION IN YOGA ASANA CLASSES. AS TRANSPORTATION AND BALANCING CARE NEEDS WERE SALIENT IN THESE DATA, RURAL SUD POPULATIONS COULD BE SERVED WITH TELEHEALTH INTERVENTIONS THAT PROVIDE SUD RECOVERY SUPPORT WITH INTEGRATIVE HEALTH PRACTICES SUCH AS ADJUNCTIVE YOGA INTERVENTIONS. 2021 20 133 39 A PRAGMATIC PREFERENCE TRIAL OF THERAPEUTIC YOGA AS AN ADJUNCT TO GROUP COGNITIVE BEHAVIOUR THERAPY VERSUS GROUP CBT ALONE FOR DEPRESSION AND ANXIETY. BACKGROUND: YOGA HAS SEVERAL MECHANISMS THAT MAKE IT A PROMISING TREATMENT FOR DEPRESSION AND ANXIETY, INCLUDING PHYSICAL ACTIVITY, BEHAVIOURAL ACTIVATION, AND MINDFULNESS. FOLLOWING POSITIVE OUTCOMES FROM ADAPTED CBT INTERVENTIONS INCORPORATING MINDFULNESS-BASED PRACTICES, THIS STUDY EXPLORED THE EFFECTS OF A THERAPEUTIC YOGA PROGRAM AS AN ADJUNCT TO GROUP-BASED CBT FOR DEPRESSION OR ANXIETY. METHODS: THIS WAS A PRAGMATIC PREFERENCE TRIAL INVOLVING ADULTS DIAGNOSED WITH DEPRESSION OR ANXIETY IN A REGIONAL PRIMARY MENTAL HEALTHCARE SERVICE (N = 59), COMPARING TRANSDIAGNOSTIC GROUP CBT (N = 27) WITH TRANSDIAGNOSTIC GROUP CBT COMBINED WITH AN ADJUNCT THERAPEUTIC YOGA PROGRAM (N = 32). A PREFERENCE RECRUITMENT DESIGN ALLOWED ELIGIBLE PARTICIPANTS (N = 35) TO SELF-SELECT INTO THE ADJUNCT PROGRAM. THE DEPRESSION ANXIETY STRESS SCALE-21 (DASS) WAS ASSESSED AT BASELINE, POST-INTERVENTION, AND THREE-MONTHS FOLLOW UP. RESULTS: CBT + YOGA WAS AN ACCEPTABLE ALTERNATIVE TO CBT ALONE. SIGNIFICANT REDUCTIONS WERE OBSERVED IN TOTAL DASS SCORES AND THE 3 SUBSCALES OF THE DASS FOR BOTH GROUPS, HOWEVER CBT + YOGA SHOWED SIGNIFICANTLY LOWER DEPRESSIVE AND ANXIETY SYMPTOMS POST-INTERVENTION, COMPARED TO CBT ALONE. CBT + YOGA ALSO SHOWED SUSTAINED REDUCTIONS IN DEPRESSIVE SYMPTOMS OVER THREE-MONTHS, AND MORE RAPID REDUCTIONS IN DEPRESSIVE SYMPTOMS, COMPARED TO CBT ALONE. LIMITATIONS: THESE FINDINGS SHOULD BE CONSIDERED PRELIMINARY DUE TO THE MODERATE SAMPLE SIZE, WITH A RIGOROUS RANDOMISED CONTROL TRIAL NECESSARY TO DEFINITIVELY SUPPORT THE INTEGRATION OF YOGA WITHIN MENTAL HEALTH CARE TO AUGMENT THE BENEFITS AND UPTAKE OF TRANSDIAGNOSTIC CBT FOR DEPRESSION AND ANXIETY. CONCLUSIONS: COMPLEMENTING OTHER MINDFULNESS-BASED PRACTICES, THERAPEUTIC YOGA SHOWS PROMISE AS AN ADJUNCT TO TRANSDIAGNOSTIC CBT. 2022