Browsing by Subject "yoga"
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Item Mediators of improved PTSD symptoms in veterans and civilians following a yoga program(Cambridge University Press, 2023-08) Davis, Louanne W.; Schmid, Arlene A.; Daggy, Joanne K.; Yang, Ziyi; Biostatistics and Health Data Science, School of MedicineObjective: Although yoga shows some promise as an intervention for post-traumatic stress disorder (PTSD), little is known about how yoga reduces PTSD symptoms. The current study hypothesised that aspects of interoceptive awareness would mediate the effect of a yoga intervention on PTSD symptoms. Methods: We used data from our recently completed randomised controlled trial of a 16-week holistic yoga programme for veterans and civilians diagnosed with PTSD (n = 141) that offered weekly 90-minute sessions. We conducted a mediation analysis using interoceptive awareness and other variables that were associated with PTSD symptom reduction at mid-treatment and treatment end. Results: Although measures of anxiety, interoceptive awareness, and spirituality were identified in individual mediator models, they were no longer found to be significant mediators when examined jointly in multiple mediator models. When examining the multiple mediator models, the strongest mediator of the yoga intervention on PTSD symptoms was mental well-being at mid-treatment and stigma at the treatment end. The total effect of yoga on CAPS and PCL at the treatment end mediated by stigma was 37.1% (–1.81/–4.88) and 33.6% (–1.91/–5.68), respectively. Conclusion: Investigation of mental well-being and mental illness stigma as potential mediators is warranted in future studies of yoga as a treatment for PTSD as they may prove to be important foci for yoga interventions.Item Menopausal Quality of Life: A RCT of Yoga, Exercise and Omega-3 Supplements(Elsevier B.V., 2014-03) Reed, Susan D.; Guthrie, Katherine A.; Newton, Katherine M.; Anderson, Garnet L.; Booth-LaForce, Cathryn; Caan, Bette; Carpenter, Janet S.; Cohen, Lee S.; Dunn, Andrea L.; Ensrud, Kristine E.; Freeman, Ellen W.; Hunt, Julie R.; Joffe, Hadine; Larson, Joseph C.; Learman, Lee A.; Rothenberg, Robin; Seguin, Rebecca A.; Sherman, Karen J.; Sternfeld, Barbara S.; LaCroix, Andrea Z.; IU School of NursingObjective— Determine efficacy of three non-hormonal therapies for improving menopause- related quality of life (QOL) in women with vasomotor symptoms (VMS). Methods— 12-week 3×2 randomized, controlled, factorial design trial. Peri- and postmenopausal women, ages 40-62 years, were randomized to yoga (n=107), exercise (n=106), or usual activity (n=142), and also randomized to double-blind comparison of omega-3 (n=177) or placebo (n=178) capsules. Interventions: 1) weekly 90-minute yoga classes with daily at-home practice; 2) individualized facility-based aerobic exercise training 3 times/week; and 3) 0.615 gram omega-3 supplement, 3 times/day. Outcomes: Menopausal Quality of Life Questionnaire (MENQOL) total and domain (VMS, psychosocial, physical and sexual) scores. Results— Among 355 randomized women, average age 54.7 years, 338 (95%) completed 12- week assessments. Mean baseline VMS frequency was 7.6/day and mean baseline total MENQOL score was 3.8 (range 1-8 from better to worse) with no between-group differences. For yoga compared to usual activity, baseline to 12-week improvements were seen for MENQOL total -0.3 (95% CI -0.6 to 0.0, p=0.02), and VMS (p=0.02) and sexuality (p=0.03) domain scores. For exercise and omega-3 compared to controls, improvements in baseline to 12-week total MENQOL scores were not observed. Exercise showed benefit in the MENQOL physical domain score at 12- weeks (p=0.02). Conclusion— All women become menopausal and many seek medical advice on ways to improve quality of life; little evidence-based information exists. We found, among healthy sedentary menopausal women, yoga appears to improve menopausal QOL - the clinical significance of our finding is uncertain due to modest effect.Item ‘Namaste All Day’: Containing Dissent in Commercial Spirituality(Harvard Divinity School, 2019) Jain, Andrea R.; Religious Studies, School of Liberal ArtsItem Practicing Yoga and Mindfulness Strategies with Students Who are Visually Impaired(2022-05-02) Stone, Rianne; Wasmuth, Sally; Department of Occupational Therapy, School of Health and Human Sciences; Garvey, ElizabethStudents with visual impairment often have limitations with physical and self-regulation abilities. Participating in yoga and mindfulness can improve physical and mental health by decreasing stress and improving mood and well-being. This capstone project took place at a school for students who are visually impaired, many of whom have difficulty with mobility and body awareness, tend toward being sedentary, and would benefit from strategies for managing stress and anxiety. This project’s purpose was to develop and implement a yoga and mindfulness program with and for the students to improve their body awareness and self-regulation, assess the program’s impact on participants’ classroom performance, evaluate the participants’ program experience, analyze facilitators and barriers to program implementation, and explore program sustainability. Yoga participants included 77 middle and high school students and students from 2nd, 4th, and 5th grades. Nine middle school students also participated in a mindfulness practice during their science or math class. The participants’ experience and the program’s implementation were evaluated with qualitative data collection methods including field notes, participant observation, open-ended interviews, and focus groups. Students positively received yoga, with 84% reporting they enjoyed it. Students described benefits including improved mobility, math participation, and mood. The mindfulness practice was appreciated by 56% of the participating students. Those students reported mindfulness helped with focus and behavior. Faculty noted positive benefits to participating students including increased focus and behavior in class, improved understanding of and ability to engage in yoga activities, and acquiring strategies for classroom stress and anxiety management.Item Symptoms Improve After a Yoga Program Designed for PTSD in a Randomized Controlled Trial With Veterans and Civilians(APA, 2020) Davis, Louanne W.; Schmid, Arlene A.; Daggy, Joanne K.; Yang, Ziyi; O'Connor, Caitlin E.; Schalk, Nancy; Do, Ai-Nghia L.; Maric, Danka; Lazarick, Donna; Knock, Heidi; Biostatistics, School of Public HealthObjective: Although yoga shows promise as a treatment for posttraumatic stress disorder (PTSD), there are few randomized controlled trials that demonstrate significant benefits for individuals with PTSD. The present study addresses this need by comparing the effects of a holistic yoga program (HYP) to that of a wellness lifestyle program (WLP) on PTSD symptom severity with a randomized clinical trial. Method: The sample consisted of 209 participants (91.4% veterans; 66% male; 61.7% White) who met diagnostic criteria for PTSD at baseline. Participants were randomly assigned to attend one of the 2 weekly interventions for 16 weeks. The HYP consisted of yoga instruction, while the WLP consisted of didactics, discussions, and walking. PTSD severity was measured using the Clinician Administered PTSD Scale (CAPS-5) and the PTSD Checklist (PCL-5). Results: Analyses revealed that the HYP reduced PTSD severity measured by the CAPS-5 significantly more than the WLP at treatment end (mean difference = −5.4, effect size = 0.46, p < .001), but not at 7-month follow up (mean difference = −0.9, p = .603). Similarly, the HYP reduced PTSD severity measured by the PCL-5 significantly more than the WLP at treatment end (difference = −6.0, p = .001), but not at 7-month follow up (mean difference = −1.0, p = .682). Conclusion: Yoga may be an effective intervention for PTSD in addition to standard treatments. Future yoga trials should consider adding a social component to interventions or booster classes to maintain effects long term.