Abstract
The purpose of this study was to conduct a pilot randomized control trial to test whether a mindful yoga intervention had a beneficial impact on substance use and its psychological and psychophysiological correlates in high-risk adolescents. Research on yoga has generated growing evidence for its positive effects on physical and emotional health. However, most studies are conducted with adults, with few controlled studies conducted with youth. We designed a 20-session mindful yoga intervention for adolescents attending a school for students at high-risk for dropping out. The 50-min classes were offered three times a week. The participants (mean age = 16.7 years) were randomly assigned to control and intervention groups. Multi-rater (student, teacher), multi-method (survey, cognitive, psychophysiological) data were collected before and after the yoga curriculum. At post-test, students in the yoga condition, as compared to control students, exhibited trends toward decreased alcohol use and improved teacher-rated social skills (p < .10); and showed a non-significant increase in arousal in response to relevant stimuli as measured in skin conductance. Significant effects were not found on hypothesized proximal measures of self-regulation, mood, mindfulness, or involuntary engagement coping. Future research is needed to replicate and expand upon our findings. Studies are also needed with larger samples to further investigate potential mediators and moderators of yoga’s effects.
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References
American College of Sports Medicine. (2000). ACSM’s guidelines for exercise testing and prescription (6th ed.). Baltimore: Lippincott Williams & Wilkins.
American Psychological Association, Task Force on Resilience and Strength in Black Children and Adolescents. (2008). Resilience in African American children and adolescents: A vision for optimal development. Washington, DC: Author. Retrieved from http://www.apa.org/pi/cyf/resilience.html
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45.
Balasubramaniam, M., Telles, S., & Doraiswamy, P. M. (2013). Yoga on our minds: A systematic review of yoga for neuropsychiatric disorders. Frontier Psychiatry. doi:10.3389/fpsyt.2012.00117
Biegel, G. M., Brown, K. W., Shapiro, S. L., & Schubert, C. M. (2009). Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 77(5), 855–866.
Birdee, G. S., Yeh, G. Y., Wayne, P. M., Phillips, R. S., David, R. B., & Gardiner, P. (2009). Clinical applications of yoga for the pediatric population: A systematic review. Academic Pediatrics, 9(4), 212–220.
Blair, C. (2003). Behavioral inhibition and behavioral activation in young children: relations with self-regulation and adaptation to preschool in children attending head start. Developmental Psychobiology, 42(3), 301–311.
Botvin, G. J., & Griffin, K. W. (2007). School-based programs to prevent alcohol, tobacco, and other drug use. International Review of Psychiatry, 19(6), 607–615.
Bowen, S. W., Witkiewitz, K., Dillworth, T. M., Chawla, N., Simpson, T., Ostafin, B. D., et al. (2006). Mindfulness meditation and substance use in an incarcerated population. Psychology of Addictive Behaviors, 20, 343–347.
Brown, K. W., Ryan, R. M., & Creswell, J. D. (2007). Mindfulness: Theoretical foundation and evidence of its salutary effects. Psychological Inquiry, 18, 211–237.
Capuana, L. J., Dywan, J., Tays, W. J., & Segalowitz, S. J. (2012). Cardiac workload and inhibitory control in younger and older adults. Biological Psychology, 90(1), 60–70.
Connor-Smith, J. K., Compas, B. E., Wadsworth, M. E., Thomsen, A. H., & Saltzman, H. (2000). Responses to stress in adolescence: Measurement of coping and involuntary stress responses. Journal of Consulting and Clinical Psychology, 68, 976–992.
Cook-Cottone, C. (2013). Dosage as a critical variable in yoga therapy research. International Journal of Yoga Therapy Research, 23(2), 11–12.
Cowen, V. S., & Adams, T. B. (2005). Physical and perceptual benefits of yoga asana practice: Results of a pilot study. Journal of Bodywork and Movement Therapies, 9(13), 211–219.
Creswell, J. D., Way, B. M., Eisenberger, N. I., & Lieberman, M. D. (2007). Neural correlates of dispositional mindfulness during affect labeling. Psychosomatic Medicine, 69(6), 560–565.
Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Santorelli, S. F., et al. (2003). Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Medicine, 65, 564–570.
Davidson, R. J., & McEwen, B. S. (2012). Social influences on neuroplasticity: Stress and interventions to promote well-being. Nature Neuroscience, 15(5), 689–695.
Department of Health and Human Services. (2008). 2008 physical health guidelines for Americans. Retrieved from http://www.health.gov/paguidelines/guidelines/#pag
Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J.-P. (2007). Mindfulness and emotion regulation: The development and initial validation of the Cognitive and Affective Mindfulness Scale-revised (CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29, 177–190.
Fishbein, D., Hyde, C., Eldreth, D., London, E. D., Matochik, J., Ernst, M., et al. (2005). Cognitive performance and autonomic reactivity in abstinent drug abusers and nonusers. Experimental Clinical Psychopharmacology, 13(1), 25–40.
Gluck, T. M., & Maercker, A. (2011). A randomized controlled pilot study of a brief web-based mindfulness training. BMC Psychiatry, 11, 175.
Golding, L., Myers, C., & Sinning, W. (Eds.). (1989). The Y’s way to physical fitness. Champaign, IL: Human Kinetics.
Gould, L. F., Dariotis, J. K., Mendelson, T., & Greenberg, M. T. (2012). A school-based mindfulness intervention for urban youth: Exploring moderators of intervention effects. Journal of Community Psychology, 40(8), 968–982.
Greco, L. A., Baer, R. A., & Smith, G. T. (2011). Assessing mindfulness in children and adolescents: Development and validation of the child and adolescent mindfulness measure (CAMM). Psychological Assessment, 23(3), 606–614.
Greenberg, M. T., & Harris, A. R. (2012). Nurturing mindfulness in children and youth: Current state of research. Child Development Perspectives, 6(2), 161–166.
Greenberg, M. T., & Kusche, C. A. (1996). The PATHS Project: preventive intervention for children. Final report prepared for the National Institute of Mental Health (Grant Number R01MH42131). State College, PA: Pennsylvania State University, College of Health and Human Development, Prevention Research Center for the Promotion of Human Development.
Greenberg, M. T., Kusche, C. A., & Speltz, M. (1990). Emotional regulation, self-control and psychopathology: The role of relationships in early childhood. In D. Cicchetti & S. Toth (Eds.), Rochester symposium on developmental psychopathology (Vol. 2). New York: Cambridge University Press.
Griffin, K. W., Botvin, G. J., & Scheier, L. M. (2006). Racial/ethnic differences in the protective effects of self-management skills on adolescent substance use. Substance Abuse, 27(1–2), 47–52.
Hagins, M., Haden, S. C., & Daly, L. A. (2013). A randomized controlled trial on the effects of yoga on stress reactivity in 6th grade students. Evidence-Based Complementary and Alternative Medicine: eCAM, 2013, 607134.
Holder, M. K., & Blaustein, J. D. (2014). Puberty and adolescence as a time of vulnerability to stressors that alter neurobehavioral processes. Frontiers in Neuroendocrinology, 35(1), 89–110.
Iacono, W. G., Carlson, S. R., & Malone, S. M. (2000). Identifying a multivariate endophenotype for substance use disorders using psychophysiological measures. International Journal of Psychophysiology, 38(1), 81–96.
Iyengar, B. K. S. (1966). Light on yoga. New York: Schocken Books.
Kabat-Zinn, J., Massion, A. O., Kristeller, J., Peterson, L. G., Fletcher, K., Pbert, L., et al. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. American Journal of Psychiatry, 149, 936–943.
Khalsa, S. B., Hickey-Schultz, L., Cohen, Dl, Steiner, N., & Cope, S. (2011). Evaluation of the mental health benefits of yoga in a secondary school: A preliminary randomized controlled trial. Journal of Behavioral Health Services and Research, 39, 80–90.
Khanna, S., & Greeson, J. M. (2013). A narrative review of yoga and mindfulness as complementary therapies for addiction. Complementary and Therapeutic Medicine, 21, 244–252.
Kilpatrick, L. A., Suyenobu, B. Y., Smith, S. R., Bueller, J. A., Goodman, T., Creswell, J. D., et al. (2011). Impact of mindfulness-based stress reduction training on intrinsic brain connectivity. Neuroimage, 56(1), 290–298.
Landau, P. S., & Gross, J. B. J. (2008). Low reincarceration rate associated with Ananda Marga yoga and meditation. International Journal of Yoga Therapy, 18(1), 43–48.
Lau, N., & Hue, M. (2011). Preliminary outcomes of a mindfulness-based programme for Hong Kong adolescents in schools: Well-being, stress and depressive symptoms. International Journal of Children’s Spirituality, 16, 315–330.
Leonard, N. R., Jha, A. P., Casarjian, B., Goolsarran, M., Garcia, C., Cleland, C. M., et al. (2013). Mindfulness training improves attentional task performance in incarcerated youth: A group randomized controlled intervention trial. Frontiers in Psychology, 4, 792.
Lipton, L. (2008). Using yoga to treat disease: An evidence-based review. Journal of the American Association of Physician Assistants, 21(2), 34–41.
Logan, G. D., & Burkell, J. (1986). Dependence and independence in responding to double stimulation: A comparison of stop, change and dual-task paradigms. Journal of Experimental Psychology: Human Perception and Performance, 12, 549–563.
Luria, A. R. (1966). Human brain and psychological processes. New York: Harper & Row.
Matchim, Y., & Armer, J. M. (2007). Measuring the psychological impact of mindfulness meditation on health among patients with cancer: A literature review. Oncology Nursing Forum, 34(5), 1059–1066.
McCall, M. C., Ward, A., Roberts, N. W., & Heheghan, C. (2013). Overview of systematic reviews: Yoga as a therapeutic intervention for adults with acute and chronic health conditions. Evidence-Based Complementary and Alternative Medicine. doi:10.1155/2013/945895
McNamee, R. L., Dunfee, K. L., Luna, B., Clark, D. B., Eddy, W. F., & Tarter, R. E. (2008). Brain activation, response inhibition, and increased risk for substance use disorder. Alcohol Clinical and Experimental Research, 32(3), 405–413.
Mendelson, T., et al. (2013). Implementing mindfulness and yoga in urban schools: A community-academic partnership. Journal of Children’s Services, 8(4), 276-291.
Mendelson, T., Greenberg, M. T., Dariotis, J. K., Gould, L. F., Rhodes, B. L., & Leaf, P. J. (2010). Feasibility and preliminary outcomes of a school-based mindfulness intervention for urban youth. Journal of Abnormal Child Psychology, 8(7), 985–994.
Metz, S. M., Frank, J. L., Reibel, D., Cantrell, T., Sanders, R., & Broderick, P. C. (2013). The effectiveness of the learning to BREATHE program on adolescent emotion regulation. Research in Human Development, 10(3), 252–272. doi:10.1080/15427609.2013.818488
Mezzich, A. C., Tarter, R. E., Giancola, P. R., Lu, S., Kirisci, L., & Parks, S. (1997). Substance use and risky sexual behavior in female adolescents. Drug and Alcohol Dependence, 44, 157–166.
Miller, J. J., Fletcher, K., & Kabat-Zinn, J. (1995). Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. General Hospital Psychiatry, 17, 192–200.
Miller, S., Stahl, M. H., Fishbein, D. H., Lavery, B., Johnson, M. D., & Markovits, L. I. (2014). Use of formative research to develop a yoga curriculum for high-risk youth: Implementation considerations. Advances in School Mental Health Promotion, 7(3), 171–183.
Nagai, Y., Critchley, H. D., Featherstone, E., Trimble, M. R., & Dolan, R. J. (2004). Activity in ventromedial prefrontal cortex covaries with sympathetic skin conductance level: A physiological account of a “default mode” of brain function. Neuroimage, 22(1), 243–251.
Noggle, J. J., Steiner, N. J., Minami, T., & Khalsa, S. (2012). Benefits of yoga for psychosocial well-being in a U.S. high school curriculum: A preliminary randomized controlled trial. Journal of Developmental and Behavioral Pediatrics, 33(3), 193–201.
Pagani, G., Cekic, M., & Guo, Y. (2008). “Thinking about not thinking:” Neural correlates of conceptual processing during Zen meditation. PLoS ONE, 3(9), e3083.
Plizka et al. (2006). Neuroimaging of inhibitory control areas in children with attention deficit hyperactivity disorder. American Journal of Psychiatry, 163(6), 1052-1060.
Raes, F., Griffith, J. W., Van der Gucht, K. J., & Williams, G. (2013). School-based prevention and reduction of depression in adolescents: A cluster-randomized controlled trial of a mindfulness group program. Mindfulness. doi:10.1007/s12671-013-0202-1
Raine, A., Lencz, T., Bihrle, S., LaCasse, L., & Colletti, P. (2000). Reduced prefrontal gray matter volume and reduced autonomic activity in antisocial personality disorder. Archives of General Psychiatry, 57(2), 119–127.
Reynolds, C. R., & Kamphaus, R. W. (2004). BASC-2: Behavior assessment system for children, second edition manual. Circle Pines, MN: American Guidance Service.
Salmon, P., Lush, E., Jablonski, M., & Sephton, S. E. (2008). Yoga and mindfulness: Clinical aspects of an ancient mind/body practice. Cognitive and Behavioral Practice, 16(1), 59–72. doi:10.1016/j.cbpra.2008.07.002
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford.
Serwacki, M. L., & Cook-Cottone, C. (2012). Yoga in the schools: A systematic review of the literature. International Journal of Yoga Therapy, 22(1), 101–110.
Shapiro, D., Cook, I. A., Davydov, D. M., Ottaviani, C., Leuchter, A. F., & Abrams, M. (2007). Yoga as a complementary treatment for depression: Effects of traits and moods on treatment outcomes. Evidence-Based Complementary and Alternative Medicine, 4(4), 492–502. doi:10.1093/ecam/nel114
Sibinga, E., Kerrigan, D., Stewart, M., Johnson, K., Magyari, T., & Ellen, J. (2011). Mindfulness instruction for urban youth. Journal of Alternative and Complementary Medicine, 17, 1–6.
Sibinga, E. M., Perry-Parrish, C., Chung, S. E., Johnson, S. B., Smith, M., & Ellen, J. M. (2013). School-based mindfulness instruction for urban male youth: A small randomized controlled trial. Preventive Medicine, 57(6), 799–801. doi:10.1016/j.ypmed.2013.08.027
Sibinga, E. M., Perry-Parrish, C., Thorpe, K., Mika, M., & Ellen, J. M. (2014). A small mixed-method RCT of mindfulness instruction for urban youth. Explore (NY), 10(3), 180–186.
Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: Methods for studying change and event occurrence. New York: Oxford University Press.
Singleton, O., Holzel, B. K., Vangel, M., Brach, N., Carmody, J., & Lazar, S. W. (2014). Change in brainstem gray matter concentration following mindfulness-based intervention is correlated with improvement in psychological well-being. Human Neuroscience, 18, 33.
Sinha, R. (2001). How does stress increase risk of drug abuse and relapse? Psychopharmacology (Berl), 158(4), 343–359.
Sproull, N. L. (2002). Handbook of research methods: A guide for practitioners and students in the social sciences. Lanham, MA: Scarecrow Press.
Steinberg, L. (2005). Cognitive and affective development in adolescence. Trends in Cognitive Science, 9(2), 69–74.
Tang, Y. Y., et al. (2007). Short-term meditation training improves attention and self-regulation. Proceedings from the National Academy of Science, 104(43), 1712–17154.
Tarter, R. E., & Kirisci, L. (2001). Validity of the Drug Use Screening Inventory for predicting DSM-III-R substance use disorder. Journal of Child and Adolescent Substance Abuse, 10(4), 45–53.
Teasdale, J. D., Segal, Z. V., Williams, J. M., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence of major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615–623.
Teixeira, M. E. (2008). Meditation as an intervention for chronic pain: An integrative review. Holistic Nursing Practice, 2, 225–234.
Telles, S., Joshi, M., Dash, M., Raghuraj, P., Naveen, K. V., & Nagendra, H. R. (2004). An evaluation of the ability to voluntarily reduce the heart rate after a month of yoga practice. Integrated Physiology and Behavioral Science, 39, 119–125.
Terry, P. C., Lane, A. M., & Fogarty, G. J. (2003). Construct validity of the POMS-A for use with adults. Psychology of Sport and Exercise, 4, 125–139.
Thompson, N. J., Walker, E. R., Obolensky, N., Winning, A., Barmon, C., Diiorio, C., et al. (2010). Distance delivery of mindfulness-based cognitive therapy for depression: Project UPLIFT. Epilepsy Behavior, 19(3), 247–250.
Uebelacker, L. A., Epstein-Lubow, G., Battle, C. L., Gaudino, B. A., Tremont, L, Battle, C., & Miller, I. W. (2010). Hatha yoga for depression: Critical review of the evidence for efficacy, plausible mechanisms of action, and directions for future research. Journal of Psychiatric Practice, 16(1), 22–33.
Van de Oord, S. (2012). The effectiveness of mindfulness training on behavioral problems and attentional functioning in adolescents with ADHD. Journal of Child and Family Studies, 21(5), 775–787.
Van de Weijer-Bergsma, E., Langenberg, G., Brandsma, R., Oort, F. J., & Bögels, S. M. (2012). The effectiveness of a school-based mindfulness training as a program to prevent stress in elementary school children. Mindfulness. doi:10.1007/s12671-012-0171
Vempati, R. P., & Telles, S. (2002). Yoga-based guided relaxation reduces sympathetic activity judged from baseline levels. Psychological Reports, 90(2), 487–494.
Walcott, C. M., & Landau, S. (2004). The relation between disinhibition and emotion regulation in boys with attention deficit hyperactivity disorder. Journal of Clinical Child & Adolescent Psychology, 33(4), 772–782.
Warner, R. M. (2008). Applied statistics: From bivariate through multivariate techniques. Beverly Hills, CA: Sage.
West, J., Otte, C., Geher, K., Johnson, J., & Mohr, D. C. (2004). Effects of hatha yoga and African dance on perceived stress, affect, and salivary cortisol. Annals of Behavioral Medicine, 28(2), 114–118.
Williams L. M., Liddell B. J., Kemp A. H., Bryant R.A., Meares R. A., Peduto A. S., et al. (2006). Amygdala-prefrontal dissociation of subliminal and supraliminal fear. Hum Brain Mapping, 27(8), 652–661.
Woolery, A., Myers, H., Stemliebm, B., & Zeltzer, L. (2004). A yoga intervention for young adults with elevated symptoms of depression. Alternative Therapies in Health and Medicine, 10, 60–63.
Acknowledgments
We are most grateful to the school administrators and teachers who supported our study. We also want to thank our data collectors and project staff including Lara Markovits, Jonah Leslie, and Greg Mosorjak. Thanks to Shari Lambert for her outstanding graphics. We are indebted to the scientific contributions of our consultants/advisors including James Spira, David Newlin, Paul Kizakevich, Cris Slentz, and Donna Eash. We are also very grateful to our Advisory Board and focus group students for their wise guidance. Most importantly, we thank our wonderful yoga teacher—Michelle Johnson and Christa Atkinson and the students who enthusiastically participated in the Be BOLD classes. This work was supported by grant 1R03DA027447-01 from the National Institute of Drug Abuse.
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Fishbein, D., Miller, S., Herman-Stahl, M. et al. Behavioral and Psychophysiological Effects of a Yoga Intervention on High-Risk Adolescents: A Randomized Control Trial. J Child Fam Stud 25, 518–529 (2016). https://doi.org/10.1007/s10826-015-0231-6
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DOI: https://doi.org/10.1007/s10826-015-0231-6