Practice Yoga in the Morning to Optimize Emotional Well-Being

May 31, 2016 psyjdc 1 Comment

By John M. de Castro, Ph.D.

“Practice when your body is most limber. Some people find their bodies are stiff in the morning, making practice more difficult. Night practice, however may limit the kinds of postures you do as some are too stimulating and affect sleep. The key is regularity. Enjoy whatever time you have set aside for practice.” – Edith Howell

Yoga practice has been shown to have a large number of beneficial effects on the psychological, emotional, and physical health of the individual and is helpful in the treatment of mental and physical illness. As a result, it has been adopted widely in western society including with children in schools. As I quipped to my spouse, “you know yoga has gone mainstream, when yoga pants have become a fashion statement!” But, there are a wide variety of different yoga practices, practiced for different amounts of time, at different number of times per week, at different times of the day. So, as the application of yoga increases, it becomes more and more important to investigate these parameters of yoga practice and their differential effectiveness; to determine the optimal practice parameters for each application.

Traditional yoga practice consists of 4-5 practice sessions per week conducted primarily in the morning. But, Western yoga practice has become much looser, with yoga practiced less frequently and often in the evening. It is not known what the impact of this pattern of yoga practice might have on its effectiveness. In today’s Research News article “Evaluating Emotional Well-Being after a Short-Term Traditional Yoga Practice Approach in Yoga Practitioners with an Existing Western-Type Yoga Practice.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1240800935943830/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4829792/

Meissner and colleagues recruited Ashtanga Yoga practitioners who normally practiced in the evening for 90 minutes, twice a week. Half of the practitioners were asked to maintain their normal practice for two weeks. The other half were asked to change their practice to the morning for 90 minutes, five times a week for two weeks. Both groups were measured for positive and negative affect, mindfulness, perceived stress, arousal states, and affective regulation style prior to and after the two-week practice period.

They found that there were no changes in the emotions, mindfulness, or arousal states of the evening practitioners. But, the morning practitioners showed significant increases in positive emotions (37%) and mindfulness (17.5%) and decreases in negative emotions (29%) and arousal states (15%). Hence, the findings indicate that switching from a twice per week, evening yoga practice to a five times per week morning practice is beneficial for the emotional well-being of the practitioners.

An obvious weakness in the study was a confounding of practice change, practice frequency, amount of practice, and time of day of practice. So, it is impossible to determine which of these variables or which combinations of these variables may be responsible for the emotional improvements. Future research should manipulate each of these variable independently and in combination to differentiate what works and what doesn’t. It should also be noted that the test was only conducted over two weeks. This leaves open the question as to whether the effects would be sustained into the future or perhaps just the novelty of change was responsible for the effects.

So, it is possible that practicing yoga in the morning improves emotional well-being.

“A morning yoga practice wakes you up, stretches stiff muscles you haven’t used all night, revs up your circulation, and breaks out a healthy sweat before your morning shower and breakfast.” – Lorraine Shea

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are available on Google+ https://plus.google.com/106784388191201299496/posts

Study Summary

Meissner, M., Cantell, M. H., Steiner, R., & Sanchez, X. (2016). Evaluating Emotional Well-Being after a Short-Term Traditional Yoga Practice Approach in Yoga Practitioners with an Existing Western-Type Yoga Practice. Evidence-Based Complementary and Alternative Medicine : eCAM, 2016, 7216982. http://doi.org/10.1155/2016/7216982

Abstract

The purpose of the present study was to examine the influence of a traditional yoga practice approach (morning daily practice, TY) compared to that of a Western yoga practice approach (once-twice weekly, evening practice, WY) on determinants of emotional well-being. To that end, in a pre/posttest between-subject design, measures of positive (PA) and negative affect (NA), mindfulness, perceived stress, and arousal states were taken in 24 healthy participants (20 women; mean age: 30.5, SD = 8.1 years) with an already existing WY practice, who either maintained WY or underwent a 2-week, five-times-per-week morning practice (TY). While WY participants maintained baseline values for all measures taken, TY participants showed significant beneficial changes for PA, NA, and mindfulness and a trend for improved ability to cope with stress at the completion of the intervention. Furthermore, TY participants displayed decreased subjective energy and energetic arousal. Altogether, findings indicate that the 2-week TY is beneficial over WY for improving perceived emotional well-being. The present findings (1) undermine and inspire a careful consideration and utilization of yoga practice approach to elicit the best benefits for emotional well-being and (2) support yoga as an evidence-based practice among healthy yoga practitioners.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4829792/

Relieve Depression with Mindful Meditation

May 19, 2016 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“People at risk for depression are dealing with a lot of negative thoughts, feelings and beliefs about themselves and this can easily slide into a depressive relapse. MBCT helps them to recognize that’s happening, engage with it in a different way and respond to it with equanimity and compassion.” – Willem Kuyken

Clinically diagnosed depression is the most common mental illness, affecting over 6% of the population. It is generally episodic, coming and going. Some people only have a single episode but most have multiple reoccurrences of depression. Major depression can be quite debilitating. It is distinguishable from everyday sadness or grief by the depth, intensity, and range of symptoms. These can include feelings of sadness, tearfulness, emptiness or hopelessness, angry outbursts, irritability or frustration, even over small matters, loss of interest or pleasure in most or all normal activities, such as sex, hobbies or sports, sleep disturbances, including insomnia or sleeping too much, tiredness and lack of energy, so even small tasks take extra effort, changes in appetite — often reduced appetite and weight loss, but increased cravings for food and weight gain in some people, anxiety, agitation or restlessness, slowed thinking, speaking or body movements, feelings of worthlessness or guilt, fixating on past failures or blaming yourself for things that aren’t your responsibility, trouble thinking, concentrating, making decisions and remembering things, frequent or recurrent thoughts of death, suicidal thoughts, suicide attempts or suicide, unexplained physical problems, such as back pain or headaches. Needless to say individuals with depression are miserable.

Depression appears to be the result of a change in the nervous system that can generally only be reached with drugs that alter the affected neurochemical systems. But, depression can be difficult to treat. Of patients treated initially with drugs only about a third attained remission of the depression. After repeated and varied treatments including drugs, therapy, exercise etc. only about two thirds of patients attained remission. In, addition, drugs often have troubling side effects and can lose effectiveness over time. In addition, many patients who achieve remission have relapses and recurrences of the depression. So, it is important to investigate alternative treatments for depression.

Mindful meditation training is a viable alternative treatment for depression. It has been shown to be an effective treatment for active depression and for the prevention of its recurrence. It can even be effective in cases where drugs fail. In today’s Research News article “Critical Analysis of the Efficacy of Meditation Therapies for Acute and Subacute Phase Treatment of Depressive Disorders: A Systematic Review.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1232267610130496/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383597/

Jain and colleagues investigated the state of knowledge regarding mindful meditation effectiveness for depression. They reviewed the published research literature on the application of mindful meditation training to the relief of depression and/or the prevention of relapse. Meditation occurred in a variety of different techniques, meditation, yoga, mindful movement (i.e. Tai Chi), and mantra meditation. The most frequent technique (57% of studies) was Mindfulness Based Cognitive Therapy (MBCT). This was not a surprise as MBCT was developed specifically to treat depression.

They reported that the research results made a clear case that meditation therapies are effective for depression. They were effective in relieving depression when the patient was experiencing an active episode and also when the patient had recovered from major depression but was experiencing residual depressive symptoms. Thus, the published research is clear that mindful meditation is an effective treatment for depression. They caution, however, that more research is needed to unequivocally demonstrate its effectiveness under more highly controlled conditions.

It is not known exactly how meditation relieves depression. It can be speculated that mindful meditation by shifting attention away from the past or future to the present moment interrupts the kinds of thinking that are characteristic of and support depression. These include rumination about past events, worry about future events, and catastrophizing about potential future events. Mindfulness meditation has been shown to interrupt rumination, worry, and catastrophizing and focus the individual on what is transpiring in the present. By interrupting these forms of thinking that support depression, shifting attention to the present moment where situations are actually manageable, mindful meditation may disrupt depression.

Regardless of the speculations, it is clear that mindfulness meditation is a safe and effective treatment for depression.

“It’s been more than two years since I started that experiment. I have not missed a single day. And I’m going to tell you right now, still in half-disbelief myself: meditation worked. I don’t mean I feel a little better. I mean the Depression is gone. Completely. I still have very hard days, yes. But when issues come up, real or imagined (or a combination of both), meditation provides an awareness that helps me sort through it all, stay steady on, and understand deeply what is going on. “ – Spike Gillespie

CMCS – Center for Mindfulness and Contemplative Studies

Study Summary

Jain, F. A., Walsh, R. N., Eisendrath, S. J., Christensen, S., & Cahn, B. R. (2015). Critical Analysis of the Efficacy of Meditation Therapies for Acute and Subacute Phase Treatment of Depressive Disorders: A Systematic Review. Psychosomatics, 56(2), 140–152. http://doi.org/10.1016/j.psym.2014.10.007

Abstract

Background: Recently, the application of meditative practices to the treatment of depressive disorders has met with increasing clinical and scientific interest, due to a lower side-effect burden, potential reduction of polypharmacy, as well as theoretical considerations that such interventions may target some of the cognitive roots of depression. We aimed to determine the state of the evidence supporting this application.

Methods Randomized, controlled trials of techniques meeting the Agency for Healthcare Research and Quality (AHRQ) definition of meditation, for participants suffering from clinically diagnosed depressive disorders, not currently in remission, were selected. Meditation therapies were separated into praxis (i.e. how they were applied) components, and trial outcomes were reviewed.

Results: Eighteen studies meeting inclusionary criteria were identified, encompassing seven distinct techniques and 1173 patients, with Mindfulness-Based Cognitive Therapy comprising the largest proportion. Studies including patients suffering from acute major depressive episodes (N = 10 studies), and those with residual subacute clinical symptoms despite initial treatment (N = 8), demonstrated moderate to large reductions in depression symptoms within group, and relative to control groups. There was significant heterogeneity of techniques and trial designs.

Conclusions: A substantial body of evidence indicates that meditation therapies may have salutary effects on patients suffering from clinical depressive disorders during the acute and subacute phases of treatment. Due to methodological deficiences and trial heterogeneity, large-scale, randomized controlled trials with well-described comparator interventions and measures of expectation are needed to clarify the role of meditation in the depression treatment armamentarium.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383597/

Help School-Aged Children with Yoga

May 18, 2016 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“Students all around the world now stretch in downward dog in a more mindful classroom, one that sheds away the hectic bell schedule frenzy that behavior psychologists say leads to anxiety.” – Mark W. Guay

We, as adults, often have and idealized concept of childhood, remembering all the fun, exploration, learning, and joy of childhood. We forget that childhood can in fact be quite difficult, particularly in modern times. Children in school face stresses with parental pressure and high stakes testing. Children are frequently kept so busy with academic and extracurricular activities that little time is left to just be a kid, be playful and creative, and imaginative. Social pressures can be troubling during childhood which can affect the individual’s developing self-concept. In addition, children are frequently teased and bullied by peers.

Children, when they do have free time, are distracted by media, electronic games, and social media, leaving little time for physical activity. Children have immense energy and modern life doesn’t allow any outlets for that energy. This can be particularly problematic during times, like in school, when they are required to sit quietly. In addition, the lack of physical activity produced by the sedentary lifestyle, can have major impacts on children’s health. Obesity and even adult-onset diabetes, previously unheard of in children, are becoming major health problems.

Yoga training may be helpful. It has been shown to helpful for the physical and mental health of children. Recently, a number of schools have implemented yoga programs during school hours which have produced significant benefits for the children. It makes sense that yoga could be helpful for children as it is a gentle and safe exercise that can help overcome the problems produced by a sedentary lifestyle, it can be an outlet for excess energy and thereby allow for better attention in school, it can help improve cognitive abilities, and it can help develop a more positive physical self-concept. So, it would see appropriate to continue studying whether yoga training in school can help the children.

In today’s Research News article “Yoga Training in Junior Primary School-Aged Children Has an Impact on Physical Self-Perceptions and Problem-Related Behavior.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1231540190203238/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4763067/

Richter and colleagues implemented a pilot study of either a yoga program or a physical skills training program during a break from school for groups of 6 to 11-year old children. Yoga or physical skills were taught and performed for 45 minutes twice a week for 6 weeks. The children were extensively tested for physical and cognitive abilities, emotional state, and physical self-concept both before and after training.

Both groups showed improvements in executive functions of attention and response inhibition. The two different types of training had different effects on the children’s perceived abilities with yoga improving perceived flexibility while physical skills training improved perceived speed. In addition, the yoga group showed a greater diversity of coping methods for difficult, anxiety provoking, conditions.

This was a pilot study with only a small number of children in each group (~12), a relatively wide range of ages, and generally high scores on all assessments. As a result, there was little room for differences and there was insufficient statistical power to detect differences. So, the task of evaluating these kinds of programs was left unfinished. But the study does demonstrate that these programs can be implemented. It remains for larger and better controlled trials to demonstrate their relative effectiveness.

The potential benefits of yoga programs for children demand that research on their effects be continued and expanded. Yoga is potentially helpful for many of the difficulties encountered by school-aged children. It could, thus be a great help in making childhood more like our idealized concept.

CMCS – Center for Mindfulness and Contemplative Studies

“Yoga is one path to a classroom where teachers and students can relax in the face of stress, and love themselves, each other, and their work a little more. As one teacher put it, “I’m glad the yoga class is on Wednesday. By then, I don’t like the children very much anymore. After yoga class, I like them again.”” – Jane Rosen

Study Summary

Richter, S., Tietjens, M., Ziereis, S., Querfurth, S., & Jansen, P. (2016). Yoga Training in Junior Primary School-Aged Children Has an Impact on Physical Self-Perceptions and Problem-Related Behavior. Frontiers in Psychology, 7, 203. http://doi.org/10.3389/fpsyg.2016.00203

Abstract

The present pilot study investigated the effects of yoga training, as compared to physical skill training, on motor and executive function, physical self-concept, and anxiety-related behavior in junior primary school-aged children. Twenty-four participants with a mean age of 8.4 (±1.4) years completed either yoga or physical skill training twice a week for 6 weeks outside of regular school class time. Both forms of training were delivered in an individualized and child-oriented manner. The type of training did not result in any significant differences in movement and executive function outcomes. In terms of physical self-concept, significant group differences were revealed only for perceived movement speed such that yoga training resulted in perceptions of being slower while physical skill training resulted in perceptions of moving faster. Analysis of anxiety related outcomes revealed significant group effects only for avoidance behavior and coping strategies. Avoidance behavior increased following yoga training, but decreased following physical skill training. In addition, following yoga training, children showed an increased use of divergent coping strategies when facing problematic situations while after physical skill training children demonstrated a decrease in use of divergent coping strategies. Changes in overall physical self-concept scores were not significantly correlated with changes in avoidance behavior following yoga training. In contrast, following physical skill training increased physical self-concept was significantly correlated with decreases in avoidance behavior. In sum, exposure to yoga or physical skill training appears to result in distinct effects for specific domains of physical self-concept and anxiety-related behavior. Further studies with larger samples and more rigorous methodologies are required to further investigate the effects reported here. With respect to future studies, we address potential research questions and specific features associated with the investigation of the effects of yoga in a sample of school-aged children.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4763067/

Improve Athletic Flexibility and Balance with Yoga

May 4, 2016August 24, 2021 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“She was injury-free because of yoga, stretching her body into difficult positions. “I’ve never seen such an improvement in my game, the difference it makes. I’m quicker, more nimble. Instead of being tighter, I’m more relaxed, more comfortable.” – Brenna Wise

Yoga practice has been shown to have a myriad of benefits for psychological and physical health. It is a mind-body practice that stresses both mental attention to present moment movements, breath control, and flexibility, range of motion, and balance. It can be practiced by anyone from children to seniors. Recently, there have been a number of high profile athletes who have adopted a yoga practice to improve their athletic performance. But, does yoga actually help elite athletes to perform at an even higher level? The ability of yoga to improve balance would seem to be a natural help for the athlete and the improvement in flexibility could well help the athlete resist injury.

In today’s Research News article “Impact of 10-weeks of yoga practice on flexibility and balance of college athletes.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1222473291109928/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728955/

Polsgrove, Eggleston, and Lockyer randomly assigned male college soccer and baseball players to yoga training or control groups. Both groups received their typical athletic workouts throughout the study. But, in addition, the yoga group were trained in yoga postures twice a week in one-hour sessions.

The yoga group had significant improvements in both flexibility and balance. Flexibility increased 21% in tests of shoulder flexibility and sit-reach. Balance was improved 32% in the stork-stand, a common yoga pose. In contrast, the control group declined in all measures. Joint angle measurements revealed that the yoga group had significant improvement in ankle dorsiflexion, hip and knee extension, and shoulder and knee flexion. Hence, yoga training appeared to produce significant improvements in balance, flexibility, and the range of joint movement.

These are important changes in the physical abilities of the athletes. Although logically, these improvements would be expected to translate to improved athletic performance and lower occurrence of sports injuries, this was not investigated in the present study and remains for future research. It should be mentioned that the yoga training used emphasized the physical aspects of yoga. Mental discipline is also very important for athletic performance. It seems reasonable that future research should also include various aspects of the mental training that occurs in a typical yoga training.

Regardless, improve athletic flexibility and balance with yoga.

“I wanted my body to feel that way all the time. I became looser, and I only missed one game due to injury. It helped me remain injury-free, and helped my agility and athleticism.” – Eric Stutz

CMCS – Center for Mindfulness and Contemplative Studies

Study Summary

Polsgrove, M. J., Eggleston, B. M., & Lockyer, R. J. (2016). Impact of 10-weeks of yoga practice on flexibility and balance of college athletes. International Journal of Yoga, 9(1), 27–34. http://doi.org/10.4103/0973-6131.171710

Abstract

Background:

With clearer evidence of its benefits, coaches, and athletes may better see that yoga has a role in optimizing performance.

Aims:

To determine the impact of yoga on male college athletes (N = 26).

Methods:

Over a 10-week period, a yoga group (YG) of athletes (n = 14) took part in biweekly yoga sessions; while a nonyoga group (NYG) of athletes (n = 12) took part in no additional yoga activity. Performance measures were obtained immediately before and after this period. Measurements of flexibility and balance, included: Sit-reach (SR), shoulder flexibility (SF), and stork stand (SS); dynamic measurements consisted of joint angles (JA) measured during the performance of three distinct yoga positions (downward dog [DD]; right foot lunge [RFL]; chair [C]).

Results:

Significant gains were observed in the YG for flexibility (SR, P = 0.01; SF, P = 0.03), and balance (SS, P = 0.05). No significant differences were observed in the NYG for flexibility and balance. Significantly, greater JA were observed in the YG for: RFL (dorsiflexion, l-ankle; P = 0.04), DD (extension, r-knee, P = 0.04; r-hip; P = 0.01; flexion, r-shoulder; P = 0.01) and C (flexion, r-knee; P = 0.01). Significant JA differences were observed in the NYG for: DD (flexion, r-knee, P = 0.01: r-hip, P = 0.05; r-shoulder, P = 0.03) and C (flexion r-knee, P = 0.01; extension, r-shoulder; P = 0.05). A between group comparison revealed the significant differences for: RFL (l-ankle; P = 0.01), DD (r-knee, P = 0.01; r-hip; P = 0.01), and C (r-shoulder, P = 0.02).

Conclusions:

Results suggest that a regular yoga practice may increase the flexibility and balance as well as whole body measures of male college athletes and therefore, may enhance athletic performances that require these characteristics.

Minority and Low Education Groups are Less Likely to Practice Mindfulness

April 30, 2016 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“Despite increased attention to diversity issues, ethnic minorities are still underrepresented in the field of psychology. Baseline knowledge on the effectiveness of treatments for ethnic minority groups is limited.” – Janice Ya Ken Cheng

Mindfulness practices have gone mainstream in western culture. This has not been driven by theoretical, philosophical, or religious reasons but by pragmatic ones. Mindfulness practices have been found to be very beneficial to the practitioner of all ages from children, to adults, to the elderly. They have been shown to improve the psychological and physical health of otherwise healthy individuals and to be helpful in treating both mental and physical illnesses. A variety of mindfulness techniques have been shown to be effective including meditation, mindfulness based stress reduction (MBSR), mindfulness based cognitive therapy (MBCT), Acceptance and Commitment therapy (ACT), mindful movement practices such as tai chi and qigong, and yoga. It is no wonder that these practices have spread rapidly in modern western culture.

At present, it is not known whether these practices have spread uniformly through the population of have been adopted primarily by specific subgroups. For the most part, mindfulness practices require a teacher, at least initially, and thus can incur costs. This suggests that there may be socioeconomic barriers to participation. In addition, because mindfulness practices have spread through the printed media, education level may be a factor in their adoption. To help promote the adoption of these healthy techniques it is important to know which groups are not currently participating in large numbers and what might be the barriers for participation.

In today’s Research News article “Engagement in Mindfulness Practices by U.S. Adults: Sociodemographic Barriers.” See: https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1219971614693429/?type=3&theater

or below or view the full text of the study at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4326023/

Olano and colleagues studied the ethnic, educational, and socioeconomic characteristics of participants in various mindfulness practices from the responses reported in the 2002, 2007, and 2012 National Health Interview Survey (NHIS). This survey included questions regarding participant characteristics and participation in various mindfulness practices.

They found that over 13% of the population participated in one or more mindfulness practices. Meditation and yoga were practiced about equally being engaged in by 7.6% and 7.5% of the population of the U.S. respectively, while tai chi and qigong were much less commonly practiced, 1.2% and 0.3% of the population respectively. Gender made a difference as men were half as likely as women to engage in any of the practices and more than three times less likely to practice yoga. Education level made a large difference with education beyond high school highly predictive of engagement in mindfulness practices. Race and ethnicity was also important with white and Asian Americans much more likely to practice than black or Hispanic Americans. Interestingly, income level only made a very slight difference in participation.

These results are very interesting as the characteristics of participants in mindfulness practices track health statistics for these groups. Low education level and being a member of a minority group are strong predictors of poor health outcomes and males live on average 7 years less than females. These results do not demonstrate that engagement in mindfulness practices are the sole reason for health disparities, as they are still present for non-practitioners. But, it is known that mindfulness practices promote good mental and physical health. So, the lack of practice in male, minority, and low education groups suggests that they are not taking advantage of the benefits of practice which may contribute to the health disparities.

These results strongly suggest that greater efforts should be made to bring mindfulness practices to these vulnerable populations and thereby improve health and well-being. The results of the current study suggest that income level is not a problem. This is important as it suggests that these practices can be spread at low relative cost. Given their very positive impacts on health, mindfulness practices would appear to be a very safe and cost effective means of improving health and addressing prevalent health disparities in the population.

“Researchers and clinicians who are interested in ethnic minority research in general and acceptance- and mindfulness-based treatments in particular must face the fact that ethnic minority psychologists are persistently underrepresented, despite different efforts having been made to promote the recruitment and retention of ethnic minority professionals in psychology.” – Janice Ka Yan Cheng

CMCS – Center for Mindfulness and Contemplative Studies

Study Summary

Olano, H. A., Kachan, D., Tannenbaum, S. L., Mehta, A., Annane, D., & Lee, D. J. (2015). Engagement in Mindfulness Practices by U.S. Adults: Sociodemographic Barriers. Journal of Alternative and Complementary Medicine, 21(2), 100–102. http://doi.org/10.1089/acm.2014.0269

Abstract

Objective: To examine the effect of sociodemographic factors on mindfulness practices.

Methods: National Health Interview Survey Alternative Medicine Supplement data were used to examine sociodemographic predictors of engagement in meditation, yoga, tai chi, and qigong.

Results: Greater education was associated with mindfulness practices (odds ratio [OR], 4.02 [95% confidence interval [CI], 3.50–4.61]), men were half as likely as women to engage in any practice, and lower engagement was found among non-Hispanic blacks and Hispanics.

Conclusion: Vulnerable population groups with worse health outcomes were less likely to engage in mindfulness practices.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4326023/

Improve Surgery Recovery with Yoga

April 25, 2016November 23, 2021 psyjdc Leave a comment

Improve Surgery Recovery with Yoga

By John M. de Castro, Ph.D.

“Yoga is a holistic approach to wellness. We already know the many benefits of yoga. Apart from yoga, even intensive stretching may improve chronic lower back pain and reduce your dependence on medication drugs. Patients have shown to benefit immensely from yoga after their back surgery. Research shows that 12 weeks of yoga can actually improve back function and reduce symptoms in people with chronic back pain.” – Jasmine Bilimoria

Yoga practice has been shown to have a myriad of beneficial effects on physical and psychological well-being and it can help the individual heal from physical or mental illness or injury. In India, it is a common and acceptable practice to include yoga and other ayurvedic practices along with modern medical techniques in treating patients. This provides an opportunity to investigate the effects of these alternative practices on healing and recovery after a large array of medical interventions.

In today’s Research News article “From 200 BC to 2015 AD: an integration of robotic surgery and Ayurveda/Yoga”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1216640458359878/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756240/

Khan and colleagues investigate the effects of a package of alternative treatments including yoga, yogic breathing techniques, and massage on patients’ recovery after modern minimally invasive robotic thoracic surgery for a variety of conditions. They compared groups who received the additional treatments to those who did not. Yoga practices commenced shortly after surgery and were taught for as long as they were in the hospital (mean stay of 2.1 days). The patients were encouraged to continue practice at home after release from the hospital.

They found that the yoga practices group reported high satisfaction with the practices, less pain and use pain killing medications, less wound drainage, and less lung collapse. Hence, the yoga practices were effective in reducing pain and promoting recovery. These are interesting findings that these practices can improve recovery after surgery. This can have positive benefits for the patients and reduce hospital stays and overall treatment costs, making it attractive to the medical professions.

Since, this study was performed in India, where these practices are highly acceptable to the population, it remains to be demonstrated if they would be similarly effective in western countries. In addition, the yoga practices included a package of practices including postures, breathing, and massage. As a result, it cannot be determined which of these components, or which combinations of components, were required for effectiveness. Finally, since another active treatment or placebo control was not included in the study, it is impossible to determine if the effectiveness on recovery from surgery was due to the yogic practices or to a variety of contaminants including subject expectancy effects, demand characteristics, or experimenter bias. It remains for future research to verify the results under more controlled circumstances.

Regardless, the results are encouraging and provide the rationale to continue investigating the use of yogic practices to promote recovery after surgery.

“Yoga can be a great way to heal from surgery. However, as with any exercise after surgery, make sure you take it slow and do not push yourself. The best yoga for after surgery is Hatha yoga, which is very gentle and can be done very slowly. Hatha yoga focuses on a series of asanas done slowly and with deep breathing. If done properly, it is unlikely that it will do you any harm after the surgery.” – YogaWiz

CMCS – Center for Mindfulness and Contemplative Studies

Study Summary

Khan, A. Z., & Pillai, G. G. (2016). From 200 BC to 2015 AD: an integration of robotic surgery and Ayurveda/Yoga. Journal of Thoracic Disease, 8(Suppl 1), S84–S92. http://doi.org/10.3978/j.issn.2072-1439.2016.01.74

Abstract

BACKGROUND: Among the traditional systems of medicine practiced all over the world, Ayurveda and Yoga has a documented history dating back to beyond 200 BC. Robotic and video assisted thoracic surgery (VATS) is an invention of the 21(st) century. We aim to quantify the effects of integration of Ayurveda and Yoga on patients undergoing minimally invasive robotic and VATS.

METHODS: Four hundred and fifty-four patients undergoing VATS and robotic thoracic surgery were introduced to a pre and postoperative protocol ofYoga therapy, mediation and oil massages. Yoga exercises included Pranayam, Anulom Vilom, and Oil Massages included Urotarpan. Preoperative and postoperative respiratory functions were recorded. Patient satisfaction questionnaire were noted. Statistical comparison was made to control group undergoing minimally invasive thoracic surgery without integrative medicine. Only one patient refused to undergo Ayurveda therapy and was deleted from the group.

RESULTS: Acceptability was high among all patients. Preoperative training led to implementation as early as 6 hours post surgery. Pulmonary function test showed significant improvement. All patients suggested an improvement in satisfaction score. Pain score were less in study patients. Quicker mobilization led to early discharge and drain removal. Chronic pain was prevented in patients having oil massages over the healed wound sites.

CONCLUSIONS: Integration of Ayurveda, Yoga and minimally invasive robotic and VATS is acceptable to Indian patients and gives better clinical results and higher patient satisfaction.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756240/

Improve Security Guards Coping with Emotions with Yoga

April 18, 2016 psyjdc Leave a comment

Improve Security Guards Coping with Emotions with Yoga

By John M. de Castro, Ph.D.

“Officer safety and wellness can improve when agency leaders are willing to support a shift in the culture that is innovative and supports mind-body approaches to health and well-being.” – Jennifer Elliott

It is understood that policing is difficult and stressful. Police are hired, trained, and paid by government entities and as such have reasonable compensations and job security. But, private security service is one of the most rapidly growing occupations worldwide employing a large cadre of people. They are generally hired, trained, and paid by private companies or in some cases are volunteers. In the United States there are over a million security guards employed and providing security services to businesses, schools, medical facilities, private homes, casino surveillance, and involved in investigations. Their compensation tends to be low with a median yearly income of $24,410.

It has been demonstrated that officers and civilian staff in law enforcement agencies face enormous stress that can have a negative impact on physical, psychological, and emotional health. But, with security guards, there is very little known about the stresses involved in these positions and their impact on the health and well-being of the guards. In one study, people in different occupations rated their satisfaction and happiness with their jobs. Security guard was rated as the unhappiest career. This was primarily due to a perceived lack of rewards and growth opportunities. Another study found that security guard was rated as a stressful occupation, to some extent due to often working late hours alone. Stress is known to have negative effects on physical and mental health. It is likely that security guards are not immune.

It has been shown that mindfulness practices in general can reduce the physiological and psychological responses to stress and improve emotion regulation. Yoga practice in particular has been shown to reduce stress and improve emotions. So, it would make sense to investigate whether yoga practice could be used to improve the emotional states of guards.

In India, the Home Guards are a volunteer group that provides security for public events such as festivals, elections, sporting events, traffic control, etc. In today’s Research News article “Effect of integrated Yoga module on positive and negative emotions in Home Guards in Bengaluru: A wait list randomized control trial”

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728956/

Amaranath and colleagues studied the emotional health of these Home Guards and investigated the impact of integrated yoga practice. Home Guards were randomly assigned to either a yoga group or no treatment. The yoga group practiced yoga for 2 months for 1 hour per day for 6 days per week. Positive and negative emotions were measured. Positive emotions included attentive, interested, excited, strong, enthusiastic, determined, proud, inspired, active, alert, happy, pleased, content, and glad. Negative emotions included afraid, distressed, upset, jittery, guilty, nervous, scared, hostile, ashamed, irritable, disappointed, sad, unhappy, troubled, and miserable. These positive and negative emotions were measured before and after the 2-months of yoga practice.

They found that yoga practice produced and increase in positive emotions and a decrease in negative emotions in the Home Guards. On the other hand, the control group had the opposite effect with a decrease in positive emotions and an increase in negative emotions. The yoga group showed the greatest changes in the positive emotions of content, glad, pleased, and excited and the greatest reductions in the negative emotions of disappointed, distressed, upset, sad, and unhappy. Hence yoga practice had a large beneficial effect on the emotional states of the Home Guards .

These results are interesting but it should be noted that the study lacked an active control. So, it is impossible to determine if the effects were due to yoga practice specifically, or possibly simply to exercise or subject expectancy effects, demand characteristic, etc. It remains for more tightly controlled studies to determine the exact cause of the emotional improvements in the Home Guards.

Nevertheless, it is clear that yoga practice can improve security guards coping with emotions.

“the scientific study of yoga demonstrates that mental and physical health are not just closely allied, but are essentially equivalent. The evidence is growing that yoga practice is a relatively low-risk, high-yield approach to improving overall health.” – Harvard Medical Health Letter

CMCS – Center for Mindfulness and Contemplative Studies

Study Summary

Amaranath, B., Nagendra, H. R., & Deshpande, S. (2016). Effect of integrated Yoga module on positive and negative emotions in Home Guards in Bengaluru: A wait list randomized control trial. International Journal of Yoga, 9(1), 35–43. http://doi.org/10.4103/0973-6131.171719

Abstract

Background: The beneficial aspect of positive emotions on the process of learning and the harmful effect of negative emotions on coping with stress and health are well-documented through studies. The Home Guards (HGs) are working in a very stressful situation during election, managing traffic and other crowded places. It is quite essential in present day circumstances that they have to manage their emotions and cope up with different stressful situations.

Objective: To study the efficacy of integrated Yoga module (IYM) on emotions (positive and negative affect [PA and NA]) of HGs.

Methods: A total of 148 HGs both males and females who qualified the inclusion and exclusion criteria were randomly divided into Yoga group (YG) and control groups (CG). The YG had supervised practice sessions (by trained experts) for 1 h daily, 6 days a week for 8 weeks along with their regular routine work whereas CG performing their routine work. Positive affect negative affect scale (PANAS) was assessed before and after 8 weeks using a modified version of PANAS.

Results: PA in YG had significantly increased (P < 0.05) whereas it had decreased significantly (P < 0.05) in CG. Other positive effect in YG had significantly increased (P < 0.001), whereas it had decreased significantly (P< 0.001) in CG. NA in YG had significantly decreased (P < 0.001), whereas it had significantly increased (P< 0.001) in CG. Other NA in YG had significantly decreased (P < 0.001), whereas it had significantly increased (P < 0.01) in CG.

Conclusions: The results suggested that IYM can be useful for HGs to improve the PA and to decrease NA score. Moreover, IYM is cost-effective and helps HGs for coping up with emotions in stressful situations.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728956/

Improve Alternatives to Incarceration with Mindfulness

April 14, 2016 psyjdc Leave a comment

Improve Alternatives to Incarceration with Mindfulness

By John M. de Castro, Ph.D.

“Mindfulness training helps youth consider more adaptive alternatives. It creates a gap between triggers for offending behavior and their responses. They learn to not immediately act out on impulse, but to pause and consider the consequences of a potential offending and high risk behavior.”- Bethany Casarjian

Alternative to Incarceration (ATI) programs attempt to, where possible, keep nonviolent criminals out of prison. The idea is that prison actually promotes repeated offending and by avoiding prison there is a better opportunity to prevent offending in the future. When arrested for nonviolent offenses the ATI provides treatment rather than punishment. In general, the courts hear the cases of nonviolent offenders who commit low-level felonies and misdemeanors and have mental health problems. Similarly, drug courts seek to address substance abuse problems in offenders commonly charged with possession and other drug-related offenses. In exchange for a guilty plea, the offenders enter treatment instead of prison. If they successfully complete treatment, authorities may remove the offense from their record, depending on the plea agreement.

Alternative to Incarceration (ATI) programs vary from state to state. Generally, they last from 6 to 9 months with some form of treatment or counseling occurring nearly daily. These include social services such as individual and group counseling, education placement, job readiness training, sex education, and anger management programs. In addition, ATI programs provide various types of monitoring such as drug testing, curfew enforcement, and attendance tracking at work, school, and the program. These programs have been very successful. Participants who completed the program are much less likely to offend again with recidivism rates declining by 85 percent, conviction rates by 77 percent and incarceration rates by 83 percent.

Many of the individuals in these ATI programs struggle with drug addiction, mental illnesses, and/or anger and impulse control issues The treatment programs are designed to help address these issues. Mindfulness training and yoga have been demonstrated to improve treatment for addictions, to improve many mental health problems, to reduce anger, and improve impulse control. So, mindfulness training may be very helpful in treatment in ATI programs. In today’s Research News article “Mindfulness and Rehabilitation: Teaching Yoga and Meditation to Young Men in an Alternative to Incarceration Program”

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Barrett conducted semi-structured interviews of ten 18-24 year-old male offenders who were convicted of felonies and were participants in an Alternative to Incarceration (ATI) program. These young men participated in mindfulness and yoga training as a component of the program.

The offenders in general had very negative views about mindfulness training and yoga prior to participation, but were very favorable afterwards. They reported that participation reduced stress and anxiety, and improved stress coping responses, all of which are associated with the likelihood of reoffending. They also reported improved anger management and impulse control following the program.

These are encouraging findings. But, it must be kept in mind that there were no control comparison conditions such as interviews with participants in an ATI program that did not contain mindfulness and yoga practice. In addition, the interviews were conducted by the author who also taught the mindfulness and yoga classes. So, there is ample opportunities for a variety of confounds to creep in, not the least of which is experimenter bias and demand characteristics. So, there is a need to attempt to replicate these findings with a randomized controlled trial using objective measures and blinded assessors.

Keeping in mind these important reservations, mindfulness and yoga training is potentially and important contributor to improved success in these already successful Alternative to Incarceration Programs.

“It’s wrong for people’s undiagnosed and untreated mental illness to result in being incarcerated. [Providing treatment] is more humane, it’s more cost-effective and just simply the right thing to do.” – Ted Strickland

CMCS – Center for Mindfulness and Contemplative Studies

Study Summary

Barrett CJ. Mindfulness and Rehabilitation: Teaching Yoga and Meditation to Young Men in an Alternative to Incarceration Program. Int J Offender Ther Comp Criminol. 2016 Feb 22. [Epub ahead of print] doi:10.1177/0306624X16633667

Abstract

This study used participant/observation and open-ended interviews to understand how male participants (age 18-24 years) benefited from yoga and mindfulness training within an Alternative to Incarceration (ATI) program. Findings suggest that the male participants (age 18-24 years) benefited from the intervention through reductions in stress and improvements in emotion regulation. Several participants noted the importance of the development of an embodied practice for assisting them in managing anger and impulse control. The young men’s narratives suggest that mindfulness-based interventions can contribute positively to rehabilitative outcomes within alternative to incarcerations settings, providing complementary benefit to existing ATI programs, especially for clients amenable to mindfulness training. With many jurisdictions expanding rehabilitation-focused interventions for young offenders, service providers should consider the potential positive contributions that mindfulness-based interventions can have for fostering desistance and reducing recidivism among justice system–involved populations.

Improve Arthritis with Massage, Yoga, and Tai Chi

April 11, 2016 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“Osteoarthritis is a degenerative joint disease which can lead to pain and swelling of your joints. Yoga is a great complimentary practice to help overcome knee osteoarthritis relief, as you’re strengthening and loosening your joints, and improving your overall well being.” – Minakshi Welukar

Osteoarthritis is a chronic degenerative joint disease that is the most common form of arthritis. It produces pain, swelling, and stiffness of the joints. It is the leading cause of disability in the U.S., with about 43% of arthritis sufferers limited in mobility and about a third having limitations that affect their ability to perform their work. In the U.S., osteoarthritis affects 14% of adults over 25 years of age and 34% of those over 65. Knee osteoarthritis is not localized to the cartilage alone but involves the whole joint, including articular cartilage, meniscus, ligament, and peri-articular muscle. It is painful and disabling. While age is a major risk factor for osteoarthritis of the knee, young people are not immune. It effects 5% of adults over 25 years of age and 12% of those over 65. Its causes are varied including, hereditary, injury including sports injuries, repetitive stress injuries, infection, or from being overweight. There are no cures for knee osteoarthritis. Treatments are primarily symptomatic, including weight loss, exercise, braces, pain relievers and anti-inflammatory drugs, corticosteroids, arthroscopic knee surgery, or even knee replacement.

Gentle movements of the joints with exercise appears to be helpful in the treatment of knee osteoarthritis. This suggests that alternative and complementary practices that involve gentle knee movements may be useful in for treatment. Indeed, yoga practice has been shown to be effective in treating arthritis and mind-body practices in general have been shown to reduce the gene expressions that underlie the inflammatory response which contribute to arthritis. So, it would seem reasonable to look further into the effectiveness of alternative and complementary practices in treating knee osteoarthritis.

In today’s Research News article “Knee osteoarthritis pain in the elderly can be reduced by massage therapy, yoga and tai chi: A review”

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Tiffany Field reviews the literature on the application of three alternative and complementary practices, massage therapy, yoga, and tai chi, for the treatment of treating knee osteoarthritis. She reports that the literature finds fairly consistently that massage can help to relieve pain. It appears that pressure massage, involving skin displacement if more effective than light massage. She further reports that yoga practice has been routinely found to reduce pain and relieve accompanying depression and sleep problems in arthritis sufferers. Yoga practice appears to produce better results than simple light exercise. Finally, she reports that the ancient Chinese gentle slow movement practice of Tai Chi significantly decreased knee pain and improved movement characteristics including stride length, stride frequency and gait speed.

The results of the reviewed studies are encouraging that massage therapy, and yoga and tai chi practices are effective in treating knee osteoarthritis. Yoga and tai chi have other characteristics that recommend them. They are both safe practices with very few, if any, adverse effects and importantly, they both can be practiced conveniently and inexpensively in groups or alone at home, thus allowing their widespread affordable application to sufferers. In addition, both yoga and tai chi practices have been shown to have a large number of other physical and psychological benefits. So, they would seem to be excellent alternative and complementary practices for the treatment of knee osteoarthritis.

So, improve arthritis with massage, yoga, and tai chi.

“Research suggests that a tailored yoga practice can help reduce pain and improve function in patients with knee osteoarthritis. Potential mechanisms include strengthening, improving flexibility, and altering gait biomechanics.” – Richa Mishra

CMCS – Center for Mindfulness and Contemplative Studies

Study Summary

Field T. Knee osteoarthritis pain in the elderly can be reduced by massage therapy, yoga and tai chi: A review. Complement Ther Clin Pract. 2016 Feb;22:87-92. doi: 10.1016/j.ctcp.2016.01.001. Epub 2016 Jan 14. Review.

Highlights

Massage therapy reduces knee osteoarthritis pain in the elderly.
Yoga reduces knee osteoarthritis pain in the elderly.
Tai chi reduces knee osteoarthritis pain in the elderly.

Abstract

Background and methods: This is a review of recently published research, both empirical studies and meta-analyses, on the effects of complementary therapies including massage therapy, yoga and tai chi on pain associated with knee osteoarthritis in the elderly.

Results: The massage therapy protocols have been effective in not only reducing pain but also in increasing range of motion, specifically when moderate pressure massage was used and when both the quadriceps and hamstrings were massaged. The yoga studies typically measured pain by the WOMAC. Most of those studies showed a clinically significant reduction in pain, especially the research that focused on poses (e.g. the Iyengar studies) as opposed to those that had integrated protocols (poses, breathing and meditation exercises). The tai chi studies also assessed pain by self-report on the WOMAC and showed significant reductions in pain. The tai chi studies were difficult to compare because of their highly variable protocols in terms of the frequency and duration of treatment.

Discussion: Larger, randomized control trials are needed on each of these therapies using more standardized protocols and more objective variables in addition to the self-reported WOMAC pain scale, for example, range-of-motion and observed range-of-motion pain. In addition, treatment comparison studies should be conducted so, for example, if the lower-cost yoga and tai chi were as effective as massage therapy, they might be used in combination with or as supplemental to massage therapy. Nonetheless, these therapies are at least reducing pain in knee osteoarthritis and they do not seem to have side effects.

Improve Schools with Yoga

April 9, 2016 psyjdc 8 Comments

By John M. de Castro, Ph.D.

“Today’s students face tremendous pressure to achieve within a world that is often overwhelming. The tools of yoga and mindfulness offer proven methods of developing the inner resilience needed to navigate physical, mental and emotional stress. . . and can increase their capacity to learn effectively, manage challenging emotions, self-regulate behavior, and achieve personal and academic success.” – Little Flower Yoga

Childhood can be a wonderful time of life. But, it is often fraught with problems that can stress the child. School aged children are exposed to many stressors including problems at home. These can vary from simple disciplinary problems to physical and sexual abuse to familial economic stresses. At school they can be discriminated against, teased, bullied, or laughed at. In addition, modern testing programs insure that these children are constantly exposed to high stakes testing. All of these stresses can occur while the child has yet developed adequate strategies and mechanisms to cope with the stress. So, there is a need to develop methods to assist young children, perhaps even more so than adults, to cope with stress.

Yoga practice has many positive physical and psychological benefits including reducing the physical and psychological responses to stress in adults. But, it would seem to be particularly appropriate for school children. These children have tremendous amounts of energy yet are asked to sit quietly all day in school. Yoga practice can provide a physical outlet for this energy. In addition, yoga practice has been shown to improve attention even in school children. Hence, yoga practice could not only calm school children but improve their ability to pay attention, making them much better students.

Indeed, yoga practice has been shown to help high school students maintain their grades. It is known that mindfulness training has positive effects on 4^th and 5^thgrade children and even with preschool children. In addition, yoga practice has even been shown to reduce stress and even ameliorate the effects of trauma on children. These positive benefits suggest that there is a need for further exploration of the effects of yoga practice in schools.

In today’s Research News article “Yoga in school settings: a research review”

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Khalsa and Butzer review the published literature on the effects of yoga practice on school aged children. They find that research on yoga in schools is a very new but a rapidly growing area of study with most work having been performed since 2010. As such, much of the work is preliminary research lacking the tight controls demanded by rigorous scientific study. As a result, strong, firm conclusions cannot be reached. Given this caveat, however, the published research is very encouraging.

Students self-report that yoga practice has produced a wide variety of positive psychosocial and physical benefits. These include improved mood state, self-control, aggression and social problems, self-regulation, emotion regulation, feelings of happiness and relaxation, anxiety, depression, self-esteem, social and physical well-being, general distress, physical arousal, and hostility, rumination, emotional arousal, and intrusive thoughts, alcohol use, self-concept, tolerance, nonviolence, truthfulness, overall, general, and social self-esteem, positive health, self-adjustment, and working-memory capacity, ability to focus, control behavior under stress, enhance a sense of calm, increase self-esteem, greater kinesthetic awareness, mood management, stress reduction, and social cohesion, improved stress management, and focus, perseverance, and positive relationships.

Teachers also note improvements in their students following yoga practice. These include classroom behavior and social–emotional skills, performance impairment, concentration, mood, ability to function under pressure, hyperactivity, social skills, and attention. In addition, school records, academic tests, and physiological measures have shown that yoga practice produces improvements in student grades and academic performance, cortisol concentrations, micronutrient absorption, flexibility, grip strength, abdominal strength, respiratory muscle strength, heart rate variability, and stress reactivity.

This long list of benefits of yoga practice for school children is remarkable. But, before jumping to conclusions, these findings need to be confirmed with rigorous scientific study. Nevertheless, these findings suggest that yoga practice may be an ideal, safe, and effective method to improve the psychosocial, physical, and academic well-being of school children.

So, improve schools with yoga.

“A healthy body and mind is important for the development of all children. At all grade levels, from preschool through high school, students have shown improved academic and behavioral performance when yoga has been introduced in the school.” – The Association for School Yoga and Mindfulness

CMCS – Center for Mindfulness and Contemplative Studies

Study Summary

Khalsa SB, Butzer B. Yoga in school settings: a research review. Ann N Y Acad Sci. 2016 Feb 25. doi: 10.1111/nyas.13025. [Epub ahead of print]

Abstract

Research on the efficacy of yoga for improving mental, emotional, physical, and behavioral health characteristics in school settings is a recent but growing field of inquiry. This systematic review of research on school-based yoga interventions published in peer-reviewed journals offers a bibliometric analysis that identified 47 publications. The studies from these publications have been conducted primarily in the United States (n = 30) and India (n = 15) since 2005, with the majority of studies (n = 41) conducted from 2010 onward. About half of the publications were of studies at elementary schools; most (85%) were conducted within the school curriculum, and most (62%) also implemented a formal school-based yoga program. There was a high degree of variability in yoga intervention characteristics, including overall duration, and the number and duration of sessions. Most of these published research trials are preliminary in nature, with numerous study design limitations, including limited sample sizes (median = 74; range = 20–660) and relatively weak research designs (57% randomized controlled trials, 19% uncontrolled trials), as would be expected in an infant research field. Nevertheless, these publications suggest that yoga in the school setting is a viable and potentially efficacious strategy for improving child and adolescent health and therefore worthy of continued research.