Jordan E Cattie, Lucy J Allbaugh, Katherine H Visser, Ilana Ander, Nadine J Kaslow
{"title":"Tailoring Trauma-Sensitive Yoga for High-Risk Populations in Public-Sector Settings.","authors":"Jordan E Cattie, Lucy J Allbaugh, Katherine H Visser, Ilana Ander, Nadine J Kaslow","doi":"10.17761/2021-D-20-00035","DOIUrl":"https://doi.org/10.17761/2021-D-20-00035","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39374154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Practice and Acceptability of Yoga Among Pregnant Women in India: A Cross-Sectional Survey.","authors":"Rahul Shidhaye, Shambhavi Shukla, Purnima Madhivanan","doi":"10.17761/2021-D-20-00045","DOIUrl":"https://doi.org/10.17761/2021-D-20-00045","url":null,"abstract":"<p><p>The practice of yoga is beneficial during pregnancy, but we do not know what proportion of pregnant women in India practice yoga. To address this research gap, we conducted a study to address following research questions: (1) What proportion of pregnant women in rural Maharashtra practice yoga? (2) Which sociodemographic factors are associated with the practice of yoga among these women? and (3) What is the perceived acceptability of integrating yoga-based intervention into routine antenatal care? A consecutive sample of pregnant women attending the antenatal clinic of a tertiary care hospital, who could fluently communicate in Marathi and who did not have any serious physical illness or cognitive impairment, were included in this cross-sectional survey. A total of 228 subjects were included in our study. Yoga was practiced by 38 of them (16.7%, 95% confidence interval 12.1-22.1) during the current pregnancy. Older age, higher education, and being a professional (teacher, healthcare provider, or bank official) were associated with practice of yoga. More than half of the participants (53.9%) thought that yoga should be included as part of their antenatal care; this perceived acceptability of yoga was not associated with any of the sociodemographic factors except for the participants' occupation. This study provides information about the prevalence and sociodemographic factors associated with the practice of yoga among pregnant women in a rural setting in India. It also explores the perceived acceptability of yoga-based interventions among this group. Findings from this study can inform design of future studies to evaluate the effect of yoga-based interventions during pregnancy.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39663813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrea Zaccaro, André Riehl, Andrea Piarulli, Gaspare Alfì, Bruno Neri, Danilo Menicucci, Angelo Gemignani
{"title":"The Consciousness State of Traditional Nidrâ Yoga/Modern Yoga Nidra: Phenomenological Characterization and Preliminary Insights from an EEG Study.","authors":"Andrea Zaccaro, André Riehl, Andrea Piarulli, Gaspare Alfì, Bruno Neri, Danilo Menicucci, Angelo Gemignani","doi":"10.17761/2021-D-20-00014","DOIUrl":"https://doi.org/10.17761/2021-D-20-00014","url":null,"abstract":"<p><p>Nidrâ yoga is an ancient yogic practice capable of inducing altered states of consciousness characterized by deep relaxation, strong concentration, acute self-awareness, and joy. In modern contemplative neuroscience language, it is known by the name yoga nidra, and few studies have investigated its phenomenological and psychophysiological effects. Six healthy volunteers (four females aged 31-74) performed 12 yoga nidra sessions guided by an expert during a 6-day retreat. Each session consisted of 10 minutes in a resting state (baseline) followed by 2 hours of yoga nidra. Psychometric data regarding dissociative experiences (Clinician Administered Dissociative States Scale) and the state of consciousness (Phenomenology of Consciousness Inventory) were collected after baseline and yoga nidra, while high-density EEG was recorded during the entire session. During nidra sessions, no sleep hallmarks (i.e., K-complexes and sleep spindles) were detected by the EEG in any subject. Psychometric data we re analyzed using a Wilcoxon signed-rank test corrected with the false discovery rate approach for multiple comparisons. Compared to baseline, yoga nidra practice was related to: (1) increased dissociative effects (p = 0.022); (2) perception of being in an altered state of consciousness (p = 0.026); (3) alterations in perceived body image (p = 0.022); (4) increased \"meaningfulness\" attributed to the experience (p = 0.026); (5) reduced rational thinking (p = 0.029); and (6) reduced volitional thought control (p = 0.026). First-person experience is discussed in relation to descriptive EEG power spectral density analysis, which was performed in one subject because of severe EEG artifacts in the other recordings; that subject showed, compared to baseline: (1) early increase of alpha and beta power, followed by a progressive widespread reduction; (2) widespread early increase of theta power, followed by a progressive reduction; and (3) widespread increase of gamma power in the latest stages. The present preliminary results enrich the knowledge of yoga nidra, elucidating its phenomenology and suggesting some psychophysiological correlates that future studies may address.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39583490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neena K Sharma, Kosaku Aoyagi, Mary K Crouch Young, Alyssa Parrish, Carol Smith, Douglas C Burton, Paul M Arnold, Kelly Colln, Yvonne Colgrove
{"title":"Protocol for Testing Yoga to Reduce Post-Lumbar Spine Surgery Pain: A Methodology Article.","authors":"Neena K Sharma, Kosaku Aoyagi, Mary K Crouch Young, Alyssa Parrish, Carol Smith, Douglas C Burton, Paul M Arnold, Kelly Colln, Yvonne Colgrove","doi":"10.17761/2021-D-20-00016","DOIUrl":"https://doi.org/10.17761/2021-D-20-00016","url":null,"abstract":"<p><p>Currently, acute postoperative pain during hospitalization is primarily managed by medications, and patients must adhere to restrictive postoperative precautions for 3 months following lumbar spine surgeries. Yoga can be an alternative approach to assist in acute and subacute postoperative pain management, anxiety, and return to function. The purpose of the present work was to develop and test the feasibility and explore the effectiveness of a tailored yoga program, delivered in-person during the hospital stay and electronically after hospital discharge, as a potential new avenue for postoperative care. This pilot study will use a crossover randomized controlled design. Individuals aged between 40 and 80 years who are scheduled for lumbar laminectomy and/or fusion, and who have not practiced regular yoga within the past 6 months at the time of enrollment, will be recruited and randomized to either a tailored yoga program (intervention group) or usual care (control group) during the hospital stay (phase one). Bearing in mind postoperative precautions, all subjects will be instructed to perform a home-based tailored yoga program delivered electronically via YouTube links for 8 weeks post-hospital discharge (phase two). The primary outcome measures assessing feasibility are adherence/compliance. Secondary outcome measures include pain, anxiety, function, sleep, perceived stress, and pain-catastrophizing behavior. Length of hospital stay and pain medication use, gait distance, and overall physical activity during hospitalization will also be collected. Finally, a qualitative interview will be obtained after completion of the hospital and home-based programs. This study will determine the feasibility of a tailored yoga program for acute and subacute postoperative lumbar spine surgery pain, anxiety, and functional outcomes.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39199021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Personalized Yoga Therapy for Multiple Sclerosis: Effect on Symptom Management and Quality of Life.","authors":"Saraswathi Vasudevan, Shakuntala Devulapally, Kamala Chirravuri, Vidhubala Elangovan, Niraimathi Kesavan","doi":"10.17761/2021-D-19-00037","DOIUrl":"https://doi.org/10.17761/2021-D-19-00037","url":null,"abstract":"This study aimed to assess the feasibility of personalized yoga therapy intervention in a private setting and its effect on quality of life (QOL), sleep quality, and symptom relief among patients with multiple sclerosis (MS). A single-group pre- and post-experimental study was conducted among 10 members of the Multiple Sclerosis Society of India between December 2017 and April 2018. At baseline and during follow-up, QOL, sleep quality, symptoms, and pain were assessed using the Multiple Sclerosis Quality of Life, Pittsburgh Sleep Quality Index, MS Symptom Checklist, and visual analogue scale, respectively. The intervention comprised 12 private customized yoga sessions of 1 hour duration and three group sessions, all spread over 3-months. Patient feedback and direct observations by the yoga therapist we re documented at each session. Ten patients (seven female, three male, age 31-52 years) were enrolled in the yoga intervention; seven completed 8-12 sessions, and three completed fewer than 5 sessions. Therapist-to-patient ratio was 1:2. All domains except sexual function showed clinically significant improvement in QOL scores. Statistically significant improvement was found in social function (p = 0.014) and change in health status (p = 0.029) scores after the intervention. Although there was improvement in pain and sleep quality, these changes were not statistically significant. Patients reported improvement in symptoms with practice of yoga alongside lifestyle changes. The study supports the feasibility of this 3-month yoga intervention for patients with MS. Studies with larger sample sizes are required to confirm our findings.","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38305626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perspectives on Benefits of Classroom Yoga and the Need for Innovation and Adaptation.","authors":"Dawn Wells Neely, Lisa L Gezon","doi":"10.17761/2021-D-19-00038","DOIUrl":"https://doi.org/10.17761/2021-D-19-00038","url":null,"abstract":"<p><p>Scholarship on the use of contemplative practices in educational settings is overwhelmingly positive: Theoretical and philosophical pieces tout the benefits of meditation, while research reveals many positive outcomes. Based on their practice of classroom yoga, the authors found that yoga, as a contemplative mind-body practice, helped students transition from busy lives to focus on the learning process and develop an academic mindset. Additionally, they observed that successfully offering yoga in the classroom requires a responsive and iterative approach that flexibly adapts to conditions and environments that are continuously in flux.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38590336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Traci H Lundstrom, Courtney A Rocheleau, Dimpna Flores Guerra, Cynthia A Erickson
{"title":"Participation in a Yoga Study Decreases Stress and Depression Scores for Incarcerated Women.","authors":"Traci H Lundstrom, Courtney A Rocheleau, Dimpna Flores Guerra, Cynthia A Erickson","doi":"10.17761/2021-D-19-00064","DOIUrl":"https://doi.org/10.17761/2021-D-19-00064","url":null,"abstract":"<p><p>Incarcerated individuals exhibit a high incidence of stress-related disorders, including addiction and posttraumatic stress disorder (PTSD), as well as the added stress of captivity. Access to stress-reduction tools is limited for these individuals. One possible approach may be regular structured yoga classes. Using two approaches, we tested the effectiveness of a brief, intensive yoga intervention in a population of incarcerated women in a county jail. The first approach was an examination of archival data collected as part of a program analysis. Individuals showed considerable reduction in self-reported stress following a single yoga session. The second approach was an experimental study using a week-long yoga intervention. Thirty-four participants were assigned to either the yoga or control group for the first week. In the second week, the conditions were reversed. Participants were assessed weekly, before and after intervention. Baseline scores revealed high rates of depression, stress, and exposure to traumatic life events compared to normative data. Stress and depression were assessed using the Perceived Stress Scale and Beck Depression Inventory, respectively. Compared to controls, participants reported less depression after a week of daily yoga sessions. Perceived stress declined under both control and yoga conditions. Due to the transient nature of the jail institution, it is important to examine interventions that can be provided on a short-term basis. Although there were limitations in this study, the results support the conclusion that the brief yoga intervention had a positive effect on participants' well-being.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38661802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Movement-Based Therapies for Resettled Refugee Populations in the United States.","authors":"Gayathri S Kumar, Gwen Soffer, Danielle Begg","doi":"10.17761/2021-D-20-00043","DOIUrl":"https://doi.org/10.17761/2021-D-20-00043","url":null,"abstract":"<p><p>Persons who are refugees may experience mental health concerns, such as posttraumatic stress disorder and depression, due to multiple layers of trauma experienced before, during, and after fleeing their country of origin. Although several health system- and community-based mental health interventions have been found to be effective in improving mental health outcomes among persons who are refugees in the United States, these services are underutilized among refugees. Movement-based and mind body-focused practices, such as yoga, may play an important role as complementary mental health supports for refugees. Data on the effectiveness of these practices in these populations are limited, and further research is needed. However, these practices can still be introduced in a safe way by trained professionals and offered as adjunctive therapeutic approaches to traditional Western psychotherapy options. We offer recommendations for clinical providers working with persons who are refugees and for movement-based facilitators and therapists on how to introduce these practices to resettled refugee populations in the United States.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39185212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashli Owen-Smith, Holle Black, David Emerson, Michaela Cotner, Herschel Smith, Douglas Jackson, Julian D Ford, Lynn DeBar, Ralph DiClemente, Matthew J Hayat
{"title":"A Pilot Study to Adapt a Trauma-Informed, Mindfulness-Based Yoga Intervention for Justice-Involved Youth.","authors":"Ashli Owen-Smith, Holle Black, David Emerson, Michaela Cotner, Herschel Smith, Douglas Jackson, Julian D Ford, Lynn DeBar, Ralph DiClemente, Matthew J Hayat","doi":"10.17761/2021-D-21-00032","DOIUrl":"10.17761/2021-D-21-00032","url":null,"abstract":"<p><p>The purpose of the present study was to adapt and pilot a trauma-informed, mindfulness-based yoga (TIMBY) intervention focused on enhancing self-regulation among youth in the Georgia Department of Juvenile Justice system. In this article we (1) describe the process by which we systematically adapted an evidence-based protocol specifically for this population, (2) describe the nature of and rationale for those adaptations, (3) present some preliminary qualitative findings based on interviews with youth participants, and (4) briefly summarize how the adapted protocol will be evaluated in the subsequent feasibility trial. The iterative drafting and revision process involved modifications to a well-established, protocolized Trauma-Informed Yoga program and was identified by the project advisory board and t h rough formal interviews with intervention staff. Qualitative interviews were conducted with youth participants concerning intervention impact, credibility, and satisfaction. Several needed modifications were identified so that the intervention would be contextually appropriate for justice-involved youth. Thirty youth were enrolled in the pilot study: 77% we re Non - Hispanic Black/African-American, 18% were Non-Hispanic White, and 5% were Hispanic White. The average age was 16.45 years (range 14-20). The youth consistently reported satisfaction with the sessions and positive beliefs about how the sessions were helping them with a range of physical and psychological/ emotional challenges. Adaptations to the protocol in the present study highlight how mindfulness-based interventions for justice-involved youth need to consider what is both developmentally suitable for youth and appropriate in a justice setting. A feasibility study using this revised TIMBY protocol is underway at four Georgia Department of Juvenile Justice facilities to formally identify the barriers and facilitators to implementation for the present study and a future, larger-scale trial.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10775923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39700593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Challenges of Implementing Multicenter Studies of Yoga for Pediatric Cancer and Hematopoietic Stem Cell Transplantation Recipients.","authors":"Shana Jacobs, Erin Plenert, Eliana Stein, Catriona Mowbray, Rachel Stewart, Tal Schechter, Caroline Diorio, Lillian Sung","doi":"10.17761/2021-D-19-00060","DOIUrl":"https://doi.org/10.17761/2021-D-19-00060","url":null,"abstract":"<p><p>The primary objective of this work was to determine the feasibility of a randomized trial of individualized yoga for children receiving intensive chemotherapy and for hematopoietic stem cell transplantation (HSCT) recipients outside of the principal coordinating institution. We evaluated the feasibility of a randomized trial of individualized yoga versus an iPad control program at a site where external yoga instructors were hired and compensated per session. Subjects were children receiving intensive chemotherapy for hematological malignancies and autologous or allogeneic HSCT recipients expected to be hospitalized for 3 weeks. Yoga or iPad control contact occurred daily for 21 days (excluding weekends and holidays); fatigue and quality-of-life outcomes were measured at baseline, day 10, and day 21. Ten eligible subjects were identified; six subjects consented and were enrolled. Three were randomized to the individualized yoga intervention and three to the iPad control program. The median age of participants was 12 (range 8-15) years, and 2 (33%) were boys. Challenges primarily related to the hiring of yoga instructors who were not trained in research methods. We found issues with: (1) logistics of hiring, training, and retaining instructors; (2) communication between teams; (3) fidelity to the protocol and outcome assessments; and (4) ensuring safety. We found that a randomized trial of individualized yoga presented new challenges when relying on externally contracted yoga instructors. Future multicenter studies of yoga should seek to better integrate practitioners within the research team to improve processes, communication, fidelity to the protocol, and safety.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38752605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}