1 2035 97 TELE-YOGA FOR CHRONIC PAIN: CURRENT STATUS AND FUTURE DIRECTIONS. PAIN IS A PERVASIVE, DEBILITATING DISORDER THAT IS RESISTANT TO LONG-TERM PHARMACOLOGICAL INTERVENTIONS. ALTHOUGH PSYCHOLOGICAL THERAPIES SUCH AS COGNITIVE BEHAVIOR THERAPY DEMONSTRATE MODERATE EFFICACY, MANY INDIVIDUALS CONTINUE TO HAVE ONGOING DIFFICULTIES FOLLOWING TREATMENT. THERE IS A CURRENT TREND TO ESTABLISH COMPLEMENTARY AND INTEGRATIVE HEALTH INTERVENTIONS FOR CHRONIC PAIN, FOR WHICH YOGA HAS BEEN FOUND TO HAVE EXCITING POTENTIAL. NEVERTHELESS, AN IMPORTANT CONSIDERATION WITHIN THE FIELD IS ACCESSIBILITY TO ADEQUATE CARE. TELEHEALTH CAN BE USED TO PROVIDE REAL-TIME INTERACTIVE VIDEO CONFERENCING LEADING TO INCREASED ACCESS TO HEALTH CARE FOR INDIVIDUALS LOCATED REMOTELY OR WHO OTHERWISE HAVE DIFFICULTY ACCESSING SERVICES, PERHAPS THROUGH ISSUES OF MOBILITY OR PROXIMITY OF ADEQUATE SERVICES. THIS ARTICLE ASSESSES THE CURRENT STATUS AND FEASIBILITY OF IMPLEMENTING TELE-YOGA FOR CHRONIC PAIN. METHODOLOGICAL LIMITATIONS AND RECOMMENDATIONS FOR FUTURE RESEARCH ARE DISCUSSED. 2018 2 539 25 COMPLEMENTARY THERAPIES IN PARKINSON DISEASE: A REVIEW OF ACUPUNCTURE, TAI CHI, QI GONG, YOGA, AND CANNABIS. PARKINSON DISEASE (PD) IS A PROGRESSIVE NEURODEGENERATIVE CONDITION CHARACTERIZED BY BRADYKINESIA, RIGIDITY, RESTING TREMOR, AND POSTURAL INSTABILITY. NON-MOTOR SYMPTOMS, INCLUDING PAIN, FATIGUE, INSOMNIA, ANXIETY, AND DEPRESSION TO NAME A FEW, ARE INCREASINGLY RECOGNIZED AND OFTEN JUST AS DISABLING AT MOTOR SYMPTOMS. THE MAINSTAY OF TREATMENT IS DOPAMINE REPLACEMENT; HOWEVER, THE BENEFICIAL EFFECTS TEND TO WANE OVER TIME WITH DISEASE PROGRESSION, AND PATIENTS OFTEN EXPERIENCE MOTOR FLUCTUATIONS AND MEDICATION SIDE EFFECTS. THE LACK OF A DISEASE-MODIFYING INTERVENTION AND THE SHORTCOMINGS OF TRADITIONAL SYMPTOMATIC MEDICATIONS HAVE LED MANY PATIENTS TO PURSUE COMPLEMENTARY THERAPIES TO ALLEVIATE MOTOR AND NON-MOTOR SYMPTOMS ASSOCIATED WITH PD. THE TERM COMPLEMENTARY IMPLIES THAT THE THERAPY IS USED ALONG WITH CONVENTIONAL MEDICINE AND MAY INCLUDE SUPPLEMENTS, MANIPULATIVE TREATMENTS (CHIROPRACTIC, MASSAGE), EXERCISE-BASED PROGRAMS, AND MIND-BODY PRACTICES. AS THESE PRACTICES BECOME MORE WIDESPREAD IN WESTERN MEDICINE, THERE IS A GROWING INTEREST IN EVALUATING THEIR EFFECTS ON A NUMBER OF MEDICAL CONDITIONS, PD INCLUDED. IN THIS REVIEW, WE PROVIDE AN UPDATE ON CLINICAL TRIALS THAT HAVE EVALUATED THE EFFECTIVENESS OF COMPLEMENTARY TREATMENTS FOR PATIENTS WITH PD, SPECIFICALLY FOCUSING ON ACUPUNCTURE, TAI CHI, QI GONG, YOGA, AND CANNABIS. 2020 3 2795 36 YOGA THERAPY FOR MILITARY PERSONNEL AND VETERANS: QUALITATIVE PERSPECTIVES OF YOGA STUDENTS AND INSTRUCTORS. OBJECTIVE: MILLIONS OF MILITARY PERSONNEL AND VETERANS LIVE WITH CHRONIC MENTAL AND PHYSICAL HEALTH CONDITIONS THAT OFTEN DO NOT RESPOND WELL TO PHARMACOLOGICAL TREATMENTS. SERIOUS SIDE EFFECTS AND LACK OF TREATMENT RESPONSE HAVE LED TO WIDESPREAD EFFORTS TO STUDY AND PROMOTE NON-PHARMACOLOGICAL AND BEHAVIORAL HEALTH TREATMENTS FOR MANY CHRONIC HEALTH CONDITIONS. YOGA IS AN INCREASINGLY POPULAR MIND-BODY INTERVENTION THAT HAS GROWING RESEARCH SUPPORT FOR ITS EFFICACY AND SAFETY. OUR OBJECTIVE WAS TO EXPLORE THE ATTITUDES, PERSPECTIVES, AND PREFERENCES OF MILITARY PERSONNEL AND VETERANS TOWARD YOGA AS A THERAPEUTIC MODALITY, THUS PROVIDING NEEDED INFORMATION FOR DESIGNING AND PROMOTING YOGA INTERVENTIONS FOR THIS POPULATION. METHODS: PARTICIPANTS INCLUDED 24 INDIVIDUALS WITH YOGA EXPERIENCE AND CURRENT OR PAST MILITARY SERVICE AND 12 INSTRUCTORS WHO HAVE TAUGHT YOGA FOR MILITARY PERSONNEL AND/OR VETERANS. A SEMI-STRUCTURED SET OF QUESTIONS GUIDED INTERVIEWS WITH EACH PARTICIPANT. RESULTS: FIVE THEMES EMERGED FROM THE INTERVIEWS: (1) MENTAL HEALTH BENEFITS EXPERIENCED FROM YOGA PRACTICE; (2) PHYSICAL HEALTH BENEFITS EXPERIENCED FROM YOGA PRACTICE; (3) IMPORTANT YOGA ELEMENTS AND CONDITIONS THAT SUPPORT EFFECTIVE PRACTICE; (4) FACILITATORS FOR ENGAGING MILITARY IN YOGA PRACTICE; AND (5) CHALLENGES AND BARRIERS TO YOGA PRACTICE FOR MILITARY. CONCLUSIONS: THE STUDY HIGHLIGHTS CONSISTENT REPORTS OF MENTAL AND PHYSICAL BENEFITS OF YOGA PRACTICE, ONGOING STIGMA RESULTING IN THE NEED FOR COMBATTING AND DEMYSTIFYING YOGA AND OTHER COMPLEMENTARY AND INTEGRATIVE HEALTH (CIH) PRACTICES, THE IMPORTANCE OF DESIGNING INTERVENTIONS TO ADDRESS THE UNIQUE MENTAL HEALTH ISSUES AND PERSPECTIVES OF THIS POPULATION, AND THE IMPORTANCE OF EFFORTS BY MILITARY LEADERSHIP TO BRING CIH TO MILITARY PERSONNEL AND VETERANS. RIGOROUS RESEARCH ADDRESSING THESE FINDINGS, ALONG WITH FURTHER RESEARCH ON THE EFFICACY AND EFFECTIVENESS OF YOGA INTERVENTIONS FOR TREATING VARIOUS CONDITIONS ARE NEEDED. 2018 4 93 31 A NARRATIVE REVIEW OF YOGA AND MINDFULNESS AS COMPLEMENTARY THERAPIES FOR ADDICTION. THIS PAPER REVIEWS THE PHILOSOPHICAL ORIGINS, CURRENT SCIENTIFIC EVIDENCE, AND CLINICAL PROMISE OF YOGA AND MINDFULNESS AS COMPLEMENTARY THERAPIES FOR ADDICTION. HISTORICALLY, THERE ARE EIGHT ELEMENTS OF YOGA THAT, TOGETHER, COMPRISE ETHICAL PRINCIPLES AND PRACTICES FOR LIVING A MEANINGFUL, PURPOSEFUL, MORAL AND SELF-DISCIPLINED LIFE. TRADITIONAL YOGA PRACTICES, INCLUDING POSTURES AND MEDITATION, DIRECT ATTENTION TOWARD ONE'S HEALTH, WHILE ACKNOWLEDGING THE SPIRITUAL ASPECTS OF ONE'S NATURE. MINDFULNESS DERIVES FROM ANCIENT BUDDHIST PHILOSOPHY, AND MINDFULNESS MEDITATION PRACTICES, SUCH AS GENTLE HATHA YOGA AND MINDFUL BREATHING, ARE INCREASINGLY INTEGRATED INTO SECULAR HEALTH CARE SETTINGS. CURRENT THEORETICAL MODELS SUGGEST THAT THE SKILLS, INSIGHTS, AND SELF-AWARENESS LEARNED THROUGH YOGA AND MINDFULNESS PRACTICE CAN TARGET MULTIPLE PSYCHOLOGICAL, NEURAL, PHYSIOLOGICAL, AND BEHAVIORAL PROCESSES IMPLICATED IN ADDICTION AND RELAPSE. A SMALL BUT GROWING NUMBER OF WELL-DESIGNED CLINICAL TRIALS AND EXPERIMENTAL LABORATORY STUDIES ON SMOKING, ALCOHOL DEPENDENCE, AND ILLICIT SUBSTANCE USE SUPPORT THE CLINICAL EFFECTIVENESS AND HYPOTHESIZED MECHANISMS OF ACTION UNDERLYING MINDFULNESS-BASED INTERVENTIONS FOR TREATING ADDICTION. BECAUSE VERY FEW STUDIES HAVE BEEN CONDUCTED ON THE SPECIFIC ROLE OF YOGA IN TREATING OR PREVENTING ADDICTION, WE PROPOSE A CONCEPTUAL MODEL TO INFORM FUTURE STUDIES ON OUTCOMES AND POSSIBLE MECHANISMS. ADDITIONAL RESEARCH IS ALSO NEEDED TO BETTER UNDERSTAND WHAT TYPES OF YOGA AND MINDFULNESS-BASED INTERVENTIONS WORK BEST FOR WHAT TYPES OF ADDICTION, WHAT TYPES OF PATIENTS, AND UNDER WHAT CONDITIONS. OVERALL, CURRENT FINDINGS INCREASINGLY SUPPORT YOGA AND MINDFULNESS AS PROMISING COMPLEMENTARY THERAPIES FOR TREATING AND PREVENTING ADDICTIVE BEHAVIORS. 2013 5 2632 28 YOGA FOR TRAUMA AND RELATED MENTAL HEALTH PROBLEMS: A META-REVIEW WITH CLINICAL AND SERVICE RECOMMENDATIONS. HEALTH AND HUMAN SERVICE PROVIDERS HAVE EXPRESSED GROWING INTEREST IN THE BENEFITS OF YOGA TO HELP INDIVIDUALS COPE WITH THE EFFECTS OF TRAUMA, INCLUDING ANXIETY, DEPRESSION, AND POSTTRAUMATIC STRESS DISORDER (PTSD). DESPITE THE GROWING POPULARITY AND STRONG APPEAL OF YOGA, PROVIDERS MUST BE MINDFUL OF THE EVIDENCE REGARDING THE EFFICACY OF YOGA IN TREATING TRAUMA EFFECTS AS WELL AS TRAUMA-RELATED MENTAL HEALTH SYMPTOMS AND ILLNESSES. THEREFORE, OUR RESEARCH TEAM SOUGHT TO ANSWER TWO QUESTIONS: (A) WHAT IS THE EVIDENCE REGARDING YOGA AS A TREATMENT FOR TRAUMA EFFECTS, INCLUDING ANXIETY, DEPRESSION, AND PTSD AND (B) WHAT ARE THE CLINICAL AND SERVICE RECOMMENDATIONS FOR USING YOGA WITH TRAUMA-EXPOSED INDIVIDUALS? OUR INITIAL SCANS IDENTIFIED A SUBSTANTIAL BODY OF RESEARCH, INCLUDING REVIEWS. RATHER THAN REPLICATE EARLIER EFFORTS, WE UNDERTOOK A SYSTEMATIC META-REVIEW OF 13 LITERATURE REVIEWS, ONE OF WHICH INCLUDED A META-ANALYSIS. WE DETERMINED THE 13 REVIEWS EXAMINED 185 DISTINCT STUDIES. FINDINGS SHOW THAT THE EVIDENCE REGARDING YOGA AS AN INTERVENTION FOR THE EFFECTS OF TRAUMA AS WELL AS THE MENTAL HEALTH SYMPTOMS AND ILLNESSES OFTEN ASSOCIATED WITH TRAUMA IS ENCOURAGING BUT PRELIMINARY. OVERALL, THE BODY OF RESEARCH IS LACKING IN RIGOR AS WELL AS SPECIFICITY REGARDING TRAUMA. REVIEW RESULTS ALSO ONLY ALLOW FOR THE RECOMMENDATION OF YOGA AS AN ANCILLARY TREATMENT. FURTHER, THE REVIEWS HAD CONSIDERABLE DIFFERENCES IN THEIR METHODS AND LIMITATIONS. NONETHELESS, THE RESULTS YIELDED FINDINGS CONCERNING HOW CLINICIANS AND SERVICE PROVIDERS CAN USE YOGA IN THEIR OWN PRACTICES, WHICH IS AN IMPORTANT STEP FOR BUILDING AN EVIDENCE BASE IN THIS AREA. 2018 6 129 27 A POPULATION-PRACTICE-BASED MODEL TO UNDERSTAND HOW YOGA IMPACTS ON HUMAN GLOBAL FUNCTIONING: A QUALITATIVE STUDY. INTRODUCTION:RESEARCH IS INCREASINGLY DEMONSTRATING A RANGE OF BENEFITS OF PRACTICING YOGA, SUCH AS IMPROVED PHYSICAL AND MENTAL HEALTH, SOCIAL CONNECTEDNESS, AND SELF-CARE. MECHANISMS OF ACTION ARE LESS WELL UNDERSTOOD, BUT MAY INCLUDE BOTH PSYCHOLOGICAL AND PHYSIOLOGICAL CHANGES. THE AIM OF THIS STUDY WAS TO UNDERSTAND MORE ABOUT BENEFITS AND MECHANISMS OF YOGA PRACTICE, USING QUALITATIVE DATA COLLECTED FROM A LARGE-SCALE SURVEY OF YOGA USE IN THE UNITED KINGDOM. METHODS: THE MIXED METHODS, CROSS-SECTIONAL ONLINE SURVEY COLLECTED DATA ON YOGA USE AND PERCEIVED BENEFITS FROM 2434 U.K. YOGA PRACTITIONERS. THE QUALITATIVE SURVEY ELEMENT USED OPEN-ENDED QUESTIONS TO GAIN "REAL LIFE" DATA REGARDING PRACTICE AND PERCEIVED BENEFITS. DATA WERE ANALYZED THEMATICALLY AND DEDUCTIVELY. A PRACTICE-BASED MODEL DESCRIBING YOGA PRACTICE, MECHANISMS, AND BENEFITS, BASED ON THE KHALSA LOGIC MODEL OF YOGA, WAS DEVELOPED TO EXPLAIN THE DATA. FINDINGS: FINDINGS HIGHLIGHTED THAT A DIVERSE RANGE OF YOGA PRACTICES AND NONSPECIFIC CONTEXTUAL FACTORS RELATED TO PRACTICING YOGA, NEEDED TO BE CONSIDERED TO UNDERSTAND HOW YOGA WAS BENEFITTING PEOPLE. THESE PRACTICES ENCOMPASSED BOTH MODERN AND TRADITIONAL CONCEPTIONS OF YOGA AS A DEEPER LIFESTYLE PRACTICE. KEY MECHANISMS FOR CHANGE INCLUDED IMPROVEMENTS IN PHYSICAL STRENGTH AND FLEXIBILITY, STRESS REGULATION, RESILIENCE, EQUANIMITY, MIND-BODY AWARENESS, AND SPIRITUAL/PERSONAL GROWTH. THESE MECHANISMS RESULTED IN DIVERSE IMPROVEMENTS IN GLOBAL HEALTH FUNCTIONING, PARTICULARLY PHYSICAL AND MENTAL HEALTH AND WELL-BEING. CONCLUSIONS: THE KHALSA MODEL PROVIDED A USEFUL BASE UPON WHICH TO GUIDE THE NEW POPULATION-PRACTICE-BASED MODEL, TO UNDERSTAND PARTICIPANTS' "REAL LIFE" EXPERIENCES OF YOGA, HOW YOGA IS HELPING PEOPLE AND WHY. IT PROVIDES IMPORTANT INFORMATION FOR PRACTITIONERS, TEACHERS, AND THOSE DELIVERING YOGA INTERVENTIONS AS TO THE RANGE OF SKILLS AND POTENTIAL BENEFITS OF YOGA PRACTICE. IN ADDITION, FINDINGS INDICATE DIRECTIONS FOR FUTURE RESEARCH, BY HIGHLIGHTING KEY YOGA MECHANISMS THAT RESEARCHERS MAY CHOOSE TO FOCUS ON IN FUTURE STUDIES. 2021 7 421 22 BRIDGING BODY AND MIND: CONSIDERATIONS FOR TRAUMA-INFORMED YOGA. INDIVIDUALS WHO SUFFER FROM TRAUMA-RELATED SYMPTOMS ARE A UNIQUE POPULATION THAT COULD BENEFIT FROM THE MIND-BODY PRACTICE OF YOGA-OR HAVE THEIR SYMPTOMS REACTIVATED BY IT, DEPENDING ON THE TYPE OF YOGA. TRAUMA-INFORMED YOGA (TIY), THAT IS, YOGA ADAPTED TO THE UNIQUE NEEDS OF INDIVIDUALS WORKING TO OVERCOME TRAUMA, MAY AMELIORATE SYMPTOMS BY CREATING A SAFE, TAILORED PRACTICE FOR STUDENTS TO LEARN HOW TO RESPOND, RATHER THAN REACT, TO SYMPTOMS AND CIRCUMSTANCES. YOGA NOT THUS ADAPTED, ON THE OTHER HAND, MAY INCREASE REACTIVITY AND ACTIVATE SYMPTOMS SUCH AS HYPERAROUSAL OR DISSOCIATION. THIS ARTICLE REPORTS ON EXPERT INPUT ABOUT ADAPTING YOGA FOR INDIVIDUALS WITH TRAUMA, WITH SPECIAL CONSIDERATIONS FOR MILITARY POPULATIONS. ELEVEN EXPERTS, RECRUITED BASED ON LITERATURE REVIEW AND REFERRALS, WERE INTERVIEWED IN PERSON OR VIA TELEPHONE AND ASKED SEVEN QUESTIONS ABOUT TRAUMA-INFORMED YOGA. VERBATIM TRANSCRIPTS WERE SUBJECTED TO OPEN-CODING THEMATIC ANALYSIS AND A PRIORI THEMES. FINDINGS REVEALED THAT TIY NEEDS TO EMPHASIZE BENEFICIAL PRACTICES (E.G., DIAPHRAGMATIC BREATH AND RESTORATIVE POSTURES), CONSIDER CONTRAINDICATIONS (E.G., AVOIDING SEQUENCES THAT OVERLY ENGAGE THE SYMPATHETIC NERVOUS SYSTEM), ADAPT TO LIMITATIONS AND CHALLENGES FOR TEACHING IN UNCONVENTIONAL SETTINGS (E.G., PRISONS, VA HOSPITALS), AND PROVIDE SPECIALIZED TRAINING AND PREPARATION (E.G., SPECIALIZED TIY CERTIFICATIONS, SELF-CARE OF INSTRUCTORS/THERAPISTS, ADAPTIONS FOR STUDENT NEEDS). TIY FOR VETERANS MUST ADDITIONALLY CONSIDER GENDER- AND CULTURE-RELATED BARRIERS, DIFFERING RELATIONSHIPS TO PAIN AND INJURY, AND MEDICATION AS A BARRIER TO PRACTICE. 2018 8 1294 24 GUIDELINES FOR DEVELOPING YOGA INTERVENTIONS FOR RANDOMIZED TRIALS. LITTLE GUIDANCE IS AVAILABLE TO ASSIST RESEARCHERS IN DEVELOPING TREATMENT PROTOCOLS FOR RESEARCH ON YOGA FOR HEALTH CONCERNS. BECAUSE YOGA IS A COMPLEX MULTIFACTORIAL MIND-BODY DISCIPLINE HISTORICALLY DEVELOPED FOR NONMEDICAL PURPOSES, NUMEROUS DECISIONS MUST BE MADE IN ORDER TO THOUGHTFULLY DEVELOP SUCH PROTOCOLS. IN THIS PAPER, A SYSTEMATIC APPROACH IS PROPOSED TO ASSIST RESEARCHERS IN SELECTING AN INTERVENTION THAT IS APPROPRIATE FOR THE CONDITION UNDER CONSIDERATION AND EXPLICITLY DEVELOPED. RESEARCHERS NEED TO CONSIDER THE TYPE OR "STYLE" OF YOGA, THE COMPONENTS TO INCLUDE (E.G., BREATHING EXERCISES, POSTURES) AS WELL AS THE SPECIFIC PROTOCOL FOR EACH COMPONENT, THE DOSE TO BE DELIVERED (FREQUENCY, DURATION OF PRACTICE, AND THE TOTAL DURATION OF PRACTICE), AND ISSUES RELATED TO SELECTION OF INSTRUCTORS AND MONITORING THE FIDELITY TO THE INTERVENTION. EACH OF THESE DOMAINS AND THE KEY ISSUES FOR THE DEVELOPMENT OF PROTOCOLS IS DISCUSSED. FINALLY, SOME AREAS FOR FURTHER RESEARCH RELATED TO PROTOCOL DEVELOPMENT ARE RECOMMENDED. 2012 9 1280 24 GENERIC YOGA MODULES FOR CLINICAL AND RESEARCH SETTINGS-NEED OF THE HOUR. YOGA-BASED INTERVENTIONS OFFER SIGNIFICANT PROMISE IN HEALTHCARE. HOWEVER, META-ANALYSES OF VARIOUS YOGA TRIALS SUGGEST THAT COMPARISONS OF TRIALS ARE EITHER NOT POSSIBLE OR DIFFICULT DUE TO HETEROGENEITY IN THERAPEUTIC YOGA INTERVENTIONS. ALSO, IN VIEW OF EMERGING EVIDENCE FOR THE ROLE OF THERAPEUTIC YOGA, IT IS IMPORTANT TO IDENTIFY THE SPECIFICITY AND VALIDITY OF VARIOUS YOGA COMPONENTS BEING USED IN DIFFERENT TRIALS. EFFORTS IN THIS DIRECTION WILL BE FRUITFUL ONLY IF A SYSTEMATIC APPROACH IS ADOPTED TO DEVELOP YOGA PROGRAMS FOR VARIOUS AILMENTS. IN THIS ARTICLE, WE EMPHASIZE THE NEED FOR A "GENERIC YOGA" CONCEPT FOR DESIGNING A THERAPEUTIC YOGA PROGRAM FOR PARTICULAR HEALTH ISSUES, WITH THE OBJECTIVES OF PROMOTING SCIENTIFIC GROWTH OF THERAPEUTIC APPLICATIONS OF YOGA AND WIDESPREAD APPLICATION OF STANDARDIZED THERAPEUTIC YOGA PROGRAMS WITHIN A BIOMEDICAL FRAMEWORK. THIS GENERIC THERAPEUTIC YOGA WILL ESSENTIALLY HIGHLIGHT THE DEVELOPMENT-VALIDATION PROCESS OF UNCOPYRIGHTED YOGA PROGRAMS; THEIR COMPONENTS, BENEFITS, AND POSSIBLE SIDE-EFFECTS; AND REQUIREMENT FOR NEED-BASED MODIFICATIONS. 2021 10 2216 20 THE IMPACT OF A DAILY YOGA PROGRAM FOR WOMEN WITH FIBROMYALGIA. BACKGROUND: FIBROMYALGIA (FM) IS CHARACTERIZED BY WIDESPREAD PAIN, SLEEP DISTURBANCE, NEGATIVE AFFECT, AND STRESS AND IS NOTABLY DIFFICULT TO TREAT. INDIVIDUALS WITH FM HAVE LOWER PHYSICAL ACTIVITY AND ENDORSE FEARS THAT EXERCISE MAY WORSEN PAIN. GENTLE DAILY YOGA PRACTICE MAY ALLOW A GRADUAL INCREASE IN ACTIVITY AND POSITIVELY IMPACT MANY OF THESE FM SYMPTOMS. THIS QUALITATIVE STUDY INVESTIGATED THE IMPACT OF PARTICIPATION IN A PILOT TRIAL OF GROUP AND DAILY INDIVIDUAL HOME YOGA INTERVENTION ON WOMEN WITH FM. MATERIALS AND METHODS: FIFTEEN INDIVIDUALS PARTICIPATED IN TELEPHONE INTERVIEWS AFTER PARTICIPATING IN THE YOGA INTERVENTION, WHICH INCLUDED SEMI-STRUCTURED QUESTIONS TO ELICIT INSIGHTS AND IMPRESSIONS OF THEIR EXPERIENCE. RESPONSES WERE SYSTEMATICALLY CODED AND THEMES IDENTIFIED. RESULTS: FIVE THEMES WERE IDENTIFIED: (1) PHYSICAL/BODY PERCEPTUAL CHANGES, (2) PRACTICES AFFECTING PAIN, (3) EMOTIONAL CHANGES, (4) PRACTICE MOTIVATORS AND BARRIERS, AND (5) GROUP EFFECT. PARTICIPANTS NOT ONLY REPORTED REDUCTIONS IN FM SYMPTOMS, INCLUDING PAIN AND STRESS, BUT ALSO A POSITIVE IMPACT ON MOOD, SLEEP, AND SELF-CONFIDENCE. CONCLUSIONS: PARTICIPANTS ENUMERATED BOTH PHYSICAL AND PSYCHOLOGICAL IMPACT OF STARTING YOGA PRACTICE. SPECIFIC HELPFUL POSES AND PRACTICES AND IMPORTANT BARRIERS WERE IDENTIFIED. GROUP PRACTICE AND SOCIAL CONNECTION WITH OTHERS WITH OTHER FM PATIENTS WAS AN IMPORTANT BENEFIT TO PARTICIPANTS. 2019 11 2126 24 THE EFFECTIVENESS OF YOGA FOR DEPRESSION: A CRITICAL LITERATURE REVIEW. IN THE UNITED STATES, THE PREVALENCE OF DEPRESSION IS QUITE HIGH-9% IN THE GENERAL POPULATION-WITH WOMEN, YOUNG ADULTS, AND SENIORS PARTICULARLY VULNERABLE. IN RECENT YEARS, INCREASING NUMBERS OF PEOPLE ARE TURNING TO COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) FOR RELIEF FROM DEPRESSION AND OTHER MENTAL HEALTH PROBLEMS. ONE FORM OF CAM, YOGA, HAS BEEN GROWING IN POPULARITY; THIS RISE IN POPULARITY HAS, IN PART, BEEN DRIVEN BY INTEREST IN HOW THIS PRACTICE, WITH ITS MINDFULNESS AND MEDITATION ASPECTS, MAY DECREASE DEPRESSION. THIS CRITICAL LITERATURE REVIEW EXAMINES SIX RECENT STUDIES ON YOGA AS AN INTERVENTION; SPECIFICALLY, THIS REVIEW FOCUSES ON YOGA STYLES IN WHICH THE PRACTICE OF YOGA POSES, CALLED ASANAS, IS THE CORE COMPONENT. ALTHOUGH THE SIGNIFICANT POSITIVE FINDINGS ARE PROMISING, THE STUDIES HAD METHODOLOGICAL LIMITATIONS; IDENTIFICATION OF THESE LIMITATIONS CAN INFORM FUTURE STUDIES. 2014 12 1604 22 MENTAL HEALTH PROMOTION FOR YOUNG PEOPLE - THE CASE FOR YOGA IN SCHOOLS. BACKGROUND: MENTAL WELLBEING AMONG YOUNG PEOPLE IS DETERIORATING. POOR MENTAL WELLBEING CAN BE RELATED TO UNMANAGED STRESS. ADVERSE CHILDHOOD EXPERIENCES ARE WIDESPREAD AND RESULT IN YOUNG PEOPLE HAVING STRESSFUL LIVES. STRESS HAS MANY MANIFESTATIONS, AND COPING WITH IT CAN LEAD TO RISKY HEALTH-RELATED BEHAVIOURS. MAIN BODY: A SAFE, SCIENTIFICALLY-SUPPORTED, EFFICIENT AND EFFECTIVE SET OF STRESS-REDUCTION SKILLS IS PROVIDED BY THE PRACTICE OF YOGA. AT PRESENT, YOGA IS AVAILABLE PRIVATELY, NOT PUBLICLY. AFTER APPROPRIATELY DESIGNED AND EVALUATED INTERVENTIONS, THE PUBLIC PROVISION OF YOGA COULD BE INTEGRATED WITHIN THE SCHOOL CURRICULUM, THEREBY REDUCING THE HIGH PREVALENCE OF PRESCRIPTION MEDICATION AND OFFERING A PREVENTATIVE STRATEGY TO PROMOTE POSITIVE MENTAL HEALTH AMONG YOUNG PEOPLE. SHORT CONCLUSION: WE SUGGEST THAT THE LONG-TERM BENEFITS OF AN INVESTMENT IN A CURRICULUM-EMBEDDED SCHOOL-BASED YOGA PROGRAMME WOULD DO MUCH TO REDUCE STRESS BOTH NOW FOR FUTURE GENERATIONS. 2018 13 2408 34 YOGA AND HEALTHCARE IN THE UNITED KINGDOM. THE EMERGENCE OF YOGA THERAPY IN THE UNITED KINGDOM BEGAN ABOUT 45 YEARS AGO WITH THE EMERGENCE OF YOGA THERAPY ORGANIZATIONS THAT OFFERED BOTH TREATMENT AND TRAINING. THE INTEGRATION OF YOGA INTO THE NATIONAL HEALTH SERVICE (NHS) IS GRADUALLY HAPPENING BECAUSE: (A) YOGA RESEARCH SUPPORTS ITS EFFICACY AS A COST-EFFECTIVE, PREVENTIVE AND COMPLEMENTARY TREATMENT FOR A HOST OF NON-COMMUNICABLE DISEASES; AND (B) THE ESCALATING ECONOMIC BURDEN OF LONG-TERM CONDITIONS IS OVERWHELMING THE NHS. THE NHS IS ACTIVELY DEVELOPING 'SUSTAINABILITY AND TRANSFORMATION PLANS' THAT INCLUDE YOGA. CHIEF AMONG THESE IS 'SOCIAL PRESCRIBING,' WHICH EMPOWERS PATIENTS WITH COMPLEX HEALTH NEEDS THROUGH ACTIVITIES GROUPS. THESE ACTIVITIES REDUCE SEDENTARY HABITS AND SOCIAL ISOLATION, WHILE HELPING PATIENTS TO BE MORE SELF-RELIANT. THE NHS HAS ALLOCATED POUND450 MILLION IN FUNDING TO IMPLEMENT A VARIETY OF PROGRAMS FOR ITS OWN STAFF, IN WHICH STAFF YOGA CLASSES WERE EXPRESSLY MENTIONED. THE YOGA COMMUNITY IS MOBILIZING FORCES AND APPLYING FOR FUNDING TO PILOT RELEVANT NHS STAFF YOGA COURSES THAT CAN SUPPORT THE SERVICE IN ACHIEVING ITS VISION. RESEARCH SHOWS THAT INTEGRATING YOGA THERAPY FOR THE TREATMENT OF LOW BACK PAIN (LBP) INTO THE NHS WOULD RESULT IN SIGNIFICANT COST SAVINGS AS COMPARED WITH USUAL CARE. THE NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE (NICE) GUIDELINES ON LBP AND SCIATICA INCLUDE YOGA AS ONE OF THE RECOMMENDED TREATMENTS FOR THESE CONDITIONS. THREE GROUPS OF YOGA TEACHERS, USING DIFFERENT YOGA PRACTICES, HAVE GAINED TRACTION WITH THE NHS FOR THE APPLICATION OF YOGA THERAPY TO LBP. MANY REGIONAL HOSPITALS IN ENGLAND HAVE YOGA CLASSES. THE NHS CHOICES WEBSITE, WHICH CONVEYS INFORMATION TO THE PUBLIC REGARDING TREATMENT OPTIONS, HAS A PAGE DEDICATED TO THE HEALTH BENEFITS OF YOGA. SEVERAL INSTITUTIONS OFFER COMPREHENSIVE TRAINING PROGRAMS IN YOGA THERAPY AND YOGA THERAPY IS RECOGNIZED AS AN OFFICIAL PROFESSION. THE YOGA IN HEALTHCARE ALLIANCE HAS BEEN ESTABLISHED TO HELP INTEGRATE YOGA THERAPY INTO THE NHS. THIS CONSISTS OF PARLIAMENTARIANS, LEADERS IN THE NHS, YOGA RESEARCHERS, HEALTH PROFESSIONALS, AND REPRESENTATIVES FROM LEADING YOGA ORGANIZATIONS. 2017 14 2445 21 YOGA AND SUBSTANCE USE DISORDERS: A NARRATIVE REVIEW. YOGA HAS BEEN UTILIZED FOR PROMOTION OF HEALTH AND ALLEVIATING DISTRESS. IT HAS ALSO BEEN USED AS A THERAPEUTIC MEASURE IN THE FIELD OF MENTAL HEALTH, INCLUDING SUBSTANCE USE DISORDERS. THIS NARRATIVE REVIEW DISCUSSES THE LITERATURE PERTAINING TO USE OF YOGA IN THE TREATMENT OF SUBSTANCE USE DISORDERS. THE EVIDENCE BASE ESPECIALLY WITH REGARDS TO RANDOMIZED TRIALS IS PRESENTED. THE POSSIBLE MECHANISMS HOW YOGA MIGHT BE HELPFUL IN THE TREATMENT OF SUBSTANCE USE DISORDERS ARE EXPLORED. SUBSEQUENTLY, IMPLICATIONS OF YOGA IN CLINICAL PRACTICE ARE ELABORATED, FOLLOWED BY EXAMINATION OF THE ISSUES IN INTERPRETATION OF THE LITERATURE OF PUBLISHED YOGA RELATED STUDIES. 2017 15 2466 20 YOGA AS A THERAPEUTIC INTERVENTION: A BIBLIOMETRIC ANALYSIS OF PUBLISHED RESEARCH STUDIES. ALTHOUGH YOGA IS HISTORICALLY A SPIRITUAL DISCIPLINE, IT HAS ALSO BEEN USED CLINICALLY AS A THERAPEUTIC INTERVENTION. A BIBLIOMETRIC ANALYSIS ON THE BIOMEDICAL JOURNAL LITERATURE INVOLVING RESEARCH ON THE CLINICAL APPLICATION OF YOGA HAS REVEALED AN INCREASE IN PUBLICATION FREQUENCY OVER THE PAST 3 DECADES WITH A SUBSTANTIAL AND GROWING USE OF RANDOMIZED CONTROLLED TRIALS. TYPES OF MEDICAL CONDITIONS HAVE INCLUDED PSYCHOPATHOLOGICAL (E.G. DEPRESSION, ANXIETY), CARDIOVASCULAR (E.G. HYPERTENSION, HEART DISEASE), RESPIRATORY (E.G. ASTHMA), DIABETES AND A VARIETY OF OTHERS. A MAJORITY OF THIS RESEARCH HAS BEEN CONDUCTED BY INDIAN INVESTIGATORS AND PUBLISHED IN INDIAN JOURNALS, PARTICULARLY YOGA SPECIALTY JOURNALS, ALTHOUGH RECENT TRENDS INDICATE INCREASING CONTRIBUTIONS FROM INVESTIGATORS IN THE U.S. AND ENGLAND. YOGA THERAPY IS A RELATIVELY NOVEL AND EMERGING CLINICAL DISCIPLINE WITHIN THE BROAD CATEGORY OF MIND-BODY MEDICINE, WHOSE GROWTH IS CONSISTENT WITH THE BURGEONING POPULARITY OF YOGA IN THE WEST AND THE INCREASING WORLDWIDE USE OF ALTERNATIVE MEDICINE. 2004 16 588 26 DETERMINING PSYCHONEUROIMMUNOLOGIC MARKERS OF YOGA AS AN INTERVENTION FOR PERSONS DIAGNOSED WITH PTSD: A SYSTEMATIC REVIEW. THERE IS A GROWING BODY OF RESEARCH ON YOGA AS A THERAPEUTIC INTERVENTION FOR PSYCHOLOGICAL SYMPTOMS OF POST-TRAUMATIC STRESS DISORDER (PTSD) ACCOMPANIED BY SPECULATIONS ON UNDERLYING PHYSIOLOGIC MECHANISMS. THE PURPOSE OF THIS SYSTEMATIC REVIEW IS TO IDENTIFY, QUALITATIVELY EVALUATE, AND SYNTHESIZE STUDIES OF YOGA AS AN INTERVENTION FOR PTSD THAT MEASURED PHYSIOLOGIC OUTCOMES IN ORDER TO GAIN INSIGHTS INTO POTENTIAL MECHANISMS. THE FOCUS IS ON STUDIES EVALUATING YOGA AS A THERAPEUTIC INTERVENTION FOR PTSD RATHER THAN FOR TRAUMA EXPOSURE, PTSD PREVENTION, OR SUBCLINICAL PTSD. MULTIPLE DATABASES WERE SEARCHED FOR PUBLICATIONS FROM THE PAST TWO DECADES USING TERMS DERIVED FROM THE QUESTION, "IN PEOPLE WITH PTSD, WHAT IS THE EFFECT OF YOGA ON OBJECTIVE OUTCOMES?" ELIGIBILITY CRITERIA INCLUDED YOGA-ONLY MODALITIES TESTED AS AN INTERVENTION FOR FORMALLY DIAGNOSED PTSD WITH AT LEAST ONE PHYSIOLOGIC OUTCOME. RESULTS OF THIS REVIEW CONFIRMED THAT, THOUGH MUCH OF THE PUBLISHED LITERATURE PROPOSES PHYSIOLOGICAL MECHANISMS UNDERLYING YOGA'S EFFECTS ON PTSD, VERY FEW STUDIES ( N = 3) HAVE ACTUALLY EVALUATED PHYSIOLOGICAL EVIDENCE. ADDITIONALLY, SEVERAL STUDIES HAD METHODOLOGICAL LIMITATIONS. IN LIGHT OF THE LIMITED DATA SUPPORTING YOGA'S BENEFICIAL EFFECTS ON AUTONOMIC NERVOUS SYSTEM DYSREGULATION, WE PRESENT A THEORETICAL MODEL OF THE PSYCHONEUROIMMUNOLOGIC PROCESSES ASSOCIATED WITH PTSD AND THE EFFECTS YOGA MAY HAVE ON THESE PROCESSES TO GUIDE FUTURE RESEARCH. GAPS IN THE LITERATURE REMAIN FOR MECHANISMS RELATED TO ACTIVATION OF THE HYPOTHALAMIC-PITUITARY-ADRENAL AXIS AND INFLAMMATION. ADDITIONAL RIGOROUS MECHANISTIC STUDIES ARE NEEDED TO GUIDE DEVELOPMENT OF EFFECTIVE YOGA INTERVENTIONS FOR PTSD TO AUGMENT EXISTING EVIDENCE-BASED PTSD TREATMENTS. 2018 17 1481 27 INTEGRATING YOGA INTO PSYCHOTHERAPY: THE ETHICS OF MOVING FROM THE MIND TO THE MAT. GIVEN THE RISE IN ATTENTION TO CLIENT PREFERENCES IN MEDICAL TREATMENT AND THE SHIFT IN FOCUS TOWARD HEALTH PROMOTION, IT IS NOT SURPRISING THAT THE USE OF COMPLEMENTARY HEALTH APPROACHES HAVE INCREASED IN THE PAST SEVERAL YEARS. YOGA IS AMONG THE MOST PROMINENT COMPLEMENTARY HEALTH APPROACHES. RECENTLY, BOTH QUALITATIVE AND QUANTITATIVE WORK HAS EMERGED SUPPORTING ITS USE FOR A VARIETY OF MEDICAL AND PSYCHOLOGICAL DISORDERS. HOWEVER, THERE IS A CRITICAL GAP IN KNOWLEDGE REGARDING HOW TO MOST OPTIMALLY AND ETHICALLY INTEGRATE COMPLEMENTARY THERAPIES (I.E., YOGA) INTO CURRENT PSYCHOLOGY PRACTICES. MOREOVER, IT REMAINS UNCLEAR WHICH CLIENTS ARE THE BEST CANDIDATES FOR RECEIVING SUCH COMPLEMENTARY TREATMENTS AND WHICH THERAPISTS SHOULD PROVIDE THEM. THE PURPOSE OF THIS PAPER IS TO PROVIDE AN OVERVIEW OF THE HISTORY OF YOGA, THE SCIENTIFIC EVIDENCE IN SUPPORT OF ITS USE FOR MENTAL HEALTH ISSUES, AND AN ETHICAL FRAMEWORK TO GUIDE PSYCHOLOGISTS INTERESTED IN INTEGRATING YOGA INTO PSYCHOTHERAPY. 2017 18 1698 22 PAIN-RELATED ENCEPHALIC REGIONS INFLUENCED BY YOGA MEDITATION: AN INTEGRATIVE REVIEW. INTRODUCTION: THE MECHANISMS UNDERLYING THE USE OF YOGA IN PAIN RELIEF ARE STILL UNCLEAR. THIS STUDY REVIEWED LITERATURE REPORTS ON ENCEPHALIC ACTIVITY RELATED TO ANALGESIA INDUCED BY YOGA MEDITATION PRACTICE. METHODS: THIS INTEGRATIVE REVIEW EXAMINED STUDIES PUBLISHED IN THE PUBMED, LILACS AND MEDLINE DATABASES WITHOUT RESTRICTION OF THE YEAR OF PUBLICATION. THE RESEARCH INVOLVED 16 DESCRIPTORS RELATED TO THE WORDS: YOGA, PAIN AND NEUROIMAGING METHODS. INCLUSION CRITERIA INVOLVED ONLY THE PUBLICATIONS AVAILABLE ONLINE, WITH FREE ACCESS AND WRITTEN IN ENGLISH. RESULTS: 2 CASE STUDIES AND 1 PILOT STUDY MET THE CRITERIA. YOGA MEDITATION PRACTICE INDUCES ANALGESIA PRIMARILY THROUGH ATTENUATION OF THE MEDIAL PAIN PERCEPTION SYSTEM INCLUDING THE ANTERIOR CINGULATE CORTEX AND INSULA REGIONS, AS WELL AS THE LATERAL SYSTEM INCLUDING THE SECONDARY SENSORY CORTEX AND THALAMUS. CONCLUSION: YOGA INDUCED ANALGESIA IS A POTENTIALLY IMPORTANT ADJUNCT TO CURRENT PAIN MANAGEMENT. THIS INTEGRATIVE REVIEW REVEALED THAT THERE IS A NEED FOR FURTHER RESEARCH THAT ANALYZES THE ENCEPHALIC REGIONS RELATED TO ANALGESIA INDUCED BY YOGA PRACTICE. 2018 19 1640 31 MOLECULAR SIGNATURE OF THE IMMUNE RESPONSE TO YOGA THERAPY IN STRESS-RELATED CHRONIC DISEASE CONDITIONS: AN INSIGHT. THE WORLD HEALTH ORGANIZATION DEFINES HEALTH AS COMPLETE WELL-BEING IN TERMS OF PHYSICAL, MENTAL AND SOCIAL, AND NOT MERELY THE ABSENCE OF DISEASE. TO ATTAIN THIS, INDIVIDUAL SHOULD ADAPT AND SELF-MANGE THE SOCIAL, PHYSICAL AND EMOTIONAL CHALLENGES OF LIFE. EXPOSURE TO CHRONIC STRESS DUE TO URBANIZATION, WORK STRESS, NUCLEAR FAMILY, POLLUTION, UNHEALTHY FOOD HABITS, LIFESTYLE, ACCIDENTAL DEATH IN THE FAMILY, AND NATURAL CALAMITIES ARE THE TRIGGERING FACTORS, LEADING TO HORMONAL IMBALANCE AND INFLAMMATION IN THE TISSUE. THE RELATIONSHIP BETWEEN STRESS AND ILLNESS IS COMPLEX; ALL CHRONIC ILLNESSES SUCH AS CARDIOVASCULAR DISEASE AND ASTHMA HAVE THEIR ROOT IN CHRONIC STRESS ATTRIBUTED BY INFLAMMATION. IN RECENT TIMES, YOGA THERAPY HAS EMERGED AS AN IMPORTANT COMPLEMENTARY ALTERNATIVE MEDICINE FOR MANY HUMAN DISEASES. YOGA THERAPY HAS A POSITIVE IMPACT ON MIND AND BODY; IT ACTS BY INCORPORATING APPROPRIATE BREATHING TECHNIQUES AND MINDFULNESS TO ATTAIN CONSCIOUS DIRECTION OF OUR AWARENESS OF THE PRESENT MOMENT BY MEDITATION, WHICH HELPS ACHIEVE HARMONY BETWEEN THE BODY AND MIND. STUDIES HAVE ALSO DEMONSTRATED THE IMPORTANT REGULATORY EFFECTS OF YOGA THERAPY ON BRAIN STRUCTURE AND FUNCTIONS. DESPITE THESE ADVANCES, THE CELLULAR AND MOLECULAR MECHANISMS BY WHICH YOGA THERAPY RENDERS ITS BENEFICIAL EFFECTS ARE INADEQUATELY KNOWN. A GROWING BODY OF EVIDENCE SUGGESTS THAT YOGA THERAPY HAS IMMUNOMODULATORY EFFECTS. HOWEVER, THE PRECISE MECHANISTIC BASIS HAS NOT BEEN ADDRESSED EMPIRICALLY. IN THIS REVIEW, WE HAVE ATTEMPTED TO HIGHLIGHT THE EFFECT OF YOGA THERAPY ON IMMUNE SYSTEM FUNCTIONING WITH AN AIM TO IDENTIFY IMPORTANT IMMUNOLOGICAL SIGNATURES THAT INDEX THE EFFECT OF YOGA THERAPY. TOWARD THIS, WE HAVE SUMMARIZED THE AVAILABLE SCIENTIFIC EVIDENCE SHOWING POSITIVE IMPACTS OF YOGA THERAPY. FINALLY, WE HAVE EMPHASIZED THE EFFICACY OF YOGA IN IMPROVING PHYSICAL AND MENTAL WELL-BEING. YOGA HAS BEEN A PART OF INDIAN CULTURE AND TRADITION FOR LONG; NOW, THE TIME HAS COME TO SCIENTIFICALLY VALIDATE THIS AND IMPLEMENT THIS AS AN ALTERNATIVE TREATMENT METHOD FOR STRESS-RELATED CHRONIC DISEASE. 2020 20 2032 34 TAILORING TRAUMA-SENSITIVE YOGA FOR HIGH-RISK POPULATIONS IN PUBLIC-SECTOR SETTINGS. LOW-INCOME, RACIAL-MINORITY, HIGH-RISK POPULATIONS HAVE LIMITED ACCESS TO EVIDENCE-BASED TREATMENTS FOR POSTTRAUMATIC STRESS DISORDER (PTSD), AND THEIR ACCEPTANCE OF COMPLEMENTARY INTERVENTIONS IS UNKNOWN. TRAUMA CENTER TRAUMA-SENSITIVE YOGA (TC-TSY), WHICH HAS DEMONSTRATED EFFICACY IN COMMUNITY SAMPLES, HAS NOT YET BEEN WIDELY USED WITH ETHNIC MINORITY LOW-INCOME INDIVIDUALS. THIS ARTICLE PRESENTS A CULTURALLY TAILORED VERSION OF A TC-TSY INTERVENTION DELIVERED AS A DROP-IN SERVICE IN A PUBLIC HOSPITAL-BASED CLINIC TO PATIENTS WITH HISTORIES OF INTERPERSONAL VIOLENCE AND SUICIDE ATTEMPTS. TC-TSY WAS ITERATIVELY TAILORED TO MEET THE UNIQUE CLINICAL NEEDS OF INDIVIDUALS WITHIN THIS SETTING. GROUP FACILITATOR OBSERVATIONS ARE SUMMARIZED; THEY DESCRIBE A SUCCESSFUL INITIAL IMPLEMENTATION AND CULTURALLY INFORMED ADAPTATION OF THE GROUP INTERVENTION. THE FACILITATORS' OBSERVATIONS ILLUSTRATED THAT GROUP MEMBERS ACCEPTED THE INTEGRATION OF THIS STRUCTURED, GENTLE YOGA PRACTICE INTO OUTPATIENT BEHAVIORAL HEALTH PROGRAMMING AND IDENTIFIED SITE-SPECIFIC MODIFICATIONS TO INFORM FORMAL STUDY. THE PROCESS BY WHICH TC-TSY WAS ADAPTED AND IMPLEMENTED FOR BLACK INDIVIDUALS WITH A HISTORY OF INTERPERSONAL TRAUMA AT RISK FOR SUICIDAL BEHAVIOR CAN SERVE AS A GUIDE FOR TAILORING OTHER COMPLEMENTARY, INTEGRATIVE INTERVENTIONS TO MEET THE NEEDS OF UNIQUE CLINICAL SETTINGS. THIS PROCESS IS OFFERED AS A FOUNDATION FOR FUTURE SYSTEMATIC TESTING OF THIS COMPLEMENTARY, INTEGRATED, CULTURALLY ADAPTED TRAUMA THERAPY IN HIGH-RISK CLINICAL POPULATIONS. 2021