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Rovnaghi CR, Gupta A, Ramsundarsingh S, Newman RI, Shen S, Vedelli JK, Reichert EL, Anand KJ. Using hair biomarkers to examine social-emotional resilience in adolescence: A feasibility study. COMPREHENSIVE PSYCHONEUROENDOCRINOLOGY 2025; 22:100287. [PMID: 40125529 PMCID: PMC11925592 DOI: 10.1016/j.cpnec.2025.100287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2024] [Revised: 02/28/2025] [Accepted: 02/28/2025] [Indexed: 03/25/2025] Open
Abstract
Background The SKY Schools Program combines breath-based techniques and a social-emotional learning curriculum. We examined its effects on objective physiological biomarkers, including hair cortisol (HCC, chronic stress measure) and hair oxytocin (HOC, social affiliation measure), as well as behavioral (youth risk behaviors) and mental health outcomes (anxiety, depression). Methods The SKY Schools program was adapted for post-pandemic restrictions (i.e., staff shortages, no lessons requiring writing, limited weekly follow-ups) and implemented among 7th grade students (daily in-person 40-min sessions for three weeks during physical education classes). Longitudinal assessments were obtained at baseline (T1, February 2022, N = 21), post-intervention (T2, June 2022, N = 20), and follow-up (T3, December 2022, N = 18). Results Most of our sample was male (67 %), Hispanic (62 %), and lived in low-income (<$100K) households (75 %). Students reported fewer poor mental health days at follow-up (Friedman test p < 0.01). Log-normal (Ln)-HCC (p < 0.01) were higher post-intervention vs. baseline (median 1.81 (IQR 1.63-2.46) vs. 1.60 (0.91-1.85)) and lower at follow-up (1.23; IQR: 0.64-1.50), with HCC in more students moving into the adaptive range (25th-75th percentile). Ln-HOC (p = 0.04) were higher post-intervention vs. baseline (1.78 (1.54-2.26) vs. 1.50 (0.81-1.70)). Conclusions This study uniquely evaluated the impact of the SKY intervention on hair cortisol (HCC) and hair oxytocin concentrations (HOC), which are objective, physiological measures of chronic stress and social affiliation. Results suggest that SKY may improve social affiliation and possibly HPA-axis regulation.
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Affiliation(s)
- Cynthia R. Rovnaghi
- Child Wellness Lab, Maternal & Child Health Research Institute, Stanford University School of Medicine, Stanford, CA, USA
| | - Anjali Gupta
- Child Wellness Lab, Maternal & Child Health Research Institute, Stanford University School of Medicine, Stanford, CA, USA
| | - Susan Ramsundarsingh
- Department of Social Work, University of Victoria, Victoria, British Columbia, Canada
| | - Ronnie I. Newman
- Behavioral Health Research, International Association of Human Values, Washington, D.C, USA
- Lifelong Learning Institute, Nova Southeastern University, Davie, Florida, USA
| | - Sa Shen
- Quantitative Statistics Unit, Stanford University School of Medicine, Stanford, CA, USA
| | - Jordan K.H. Vedelli
- Child Wellness Lab, Maternal & Child Health Research Institute, Stanford University School of Medicine, Stanford, CA, USA
| | - Elizabeth L. Reichert
- Division of Child Psychiatry, Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA
| | - Kanwaljeet J.S. Anand
- Child Wellness Lab, Maternal & Child Health Research Institute, Stanford University School of Medicine, Stanford, CA, USA
- Departments of Pediatrics (Critical Care Medicine) and Anesthesiology (by Courtesy), Stanford University School of Medicine, Stanford, CA, USA
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Belaire E, Mualla F, Ball L, Ma I, Berkey D, Chen W. Relationship of Social-Emotional Learning, Resilience, Psychological Well-Being, and Depressive Symptoms with Physical Activity in School-Aged Children. CHILDREN (BASEL, SWITZERLAND) 2024; 11:1032. [PMID: 39201966 PMCID: PMC11352933 DOI: 10.3390/children11081032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2024] [Revised: 08/14/2024] [Accepted: 08/19/2024] [Indexed: 09/03/2024]
Abstract
BACKGROUND This study investigated the association of psychological well-being (PWB), resilience, depressive symptoms, and social-emotional learning (SEL) with physical activity (PA) in school-aged children. The objective was to understand how these psychosocial factors influence PA levels and identify gender-specific differences in these relationships. METHODS This cross-sectional study involved 534 fourth grade and sixth grade students from eight schools in the Midwest region of the United States, with data collected through a Qualtrics survey. Multiple linear regression models were used to analyze the data, with gender-specific analyses conducted to identify differences between boys and girls. RESULTS The models indicated that all psychosocial factors taken together are significantly associated with PA (F = 26.937, p < 0.001). Of the factors, PWB and resilience were associated with higher PA individually for the total sample (β = 0.383, p = 0.001; β = 0.146, p = 0.005). A gender-specific analysis revealed that all factors collectively were significantly associated with PA in boys and girls (F = 15.846, p < 0.001; F = 6.869, p < 0.001). Individually, PWB and resilience were significantly associated with PA in boys (β = 0.358, p = 0.001; β = 0.171, p = 0.013), while only PWB was significantly associated with PA in girls (β = -0.355, p = 0.001). CONCLUSIONS This study highlights the necessity of promoting resilience and psychological well-being through structured physical activities, aiming to reduce the risk of obesity and improve mental health among children. Future research should consider longitudinal designs and objective measures to further elucidate these relationships and inform effective educational strategies.
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Affiliation(s)
- Evan Belaire
- Physical Activity and Health Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, MI 48109, USA; (E.B.); (F.M.); (L.B.); (I.M.)
| | - Fawzi Mualla
- Physical Activity and Health Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, MI 48109, USA; (E.B.); (F.M.); (L.B.); (I.M.)
| | - Lucas Ball
- Physical Activity and Health Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, MI 48109, USA; (E.B.); (F.M.); (L.B.); (I.M.)
| | - Iris Ma
- Physical Activity and Health Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, MI 48109, USA; (E.B.); (F.M.); (L.B.); (I.M.)
| | - Debra Berkey
- Society of Health and Physical Education (SHAPE) Michigan, Lansing, MI 49056, USA;
| | - Weiyun Chen
- Physical Activity and Health Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, MI 48109, USA; (E.B.); (F.M.); (L.B.); (I.M.)
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Newman RI, Yim O, Stewart MC. Breathing life into social emotional learning programs: A Bio-Psycho-Social approach to risk reduction and positive youth development. J Adolesc 2024; 96:1065-1077. [PMID: 38605512 DOI: 10.1002/jad.12317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Revised: 11/04/2023] [Accepted: 03/05/2024] [Indexed: 04/13/2024]
Abstract
INTRODUCTION Over one-third of US adolescents engage in health risk and problem behaviors. Additionally, significant percentages of problem-free youth aren't flourishing. Left unaddressed, the lifetime mental/physical health and financial burdens may be substantial. Social-Emotional Learning (SEL) and Positive Youth Development (PYD) programs have proliferated to address the drivers of adaptive versus risk behaviors. Research suggests SEL/PYD program outcomes can be improved by adding techniques that physiologically induce calmness, yet few studies exist. METHODS This randomized controlled trial of 79 urban eighth-graders examined a standardized bio-psycho-social program, SKY Schools, which incorporates a physiologically calming component: controlled yogic breathing. RESULTS Repeated-measures ANOVAs demonstrated that compared to controls, SKY graduates exhibited significant improvements in emotion regulation, planning and concentration, and distractibility. After 3 months, significant improvements were evidenced in emotion regulation, planning and concentration, identity formation, and aggressive normative beliefs. CONCLUSION SEL/PYD programs may benefit by incorporating biologically-calming techniques to enhance well-being and prevent risk/problem behaviors.
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Affiliation(s)
- Ronnie I Newman
- International Association for Human Values, Wasington, D.C., USA
- Lifelong Learning Institute, Nova Southeasern University, Fort Lauderdale, Florida, United States
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Vasudev A, Ionson E, Sathiaselan J, Thatipalli A, Chauhan A, Hassan C, Sukhera J, Speechley M, Forchuk C. A feasibility (pilot) mixed methods study of an innovative non-pharmacological breath-based yoga and social-emotional intervention program in an at-risk youth sample in London, Canada. Pilot Feasibility Stud 2024; 10:26. [PMID: 38321567 PMCID: PMC10848429 DOI: 10.1186/s40814-024-01452-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Accepted: 01/22/2024] [Indexed: 02/08/2024] Open
Abstract
BACKGROUND Various service provision models for youth at risk of homelessness have been researched and implemented, including access to housing and physical and mental health resources. However, even with these interventions, we remain unaware of how best to manage symptoms of depression and anxiety and the rate of drug use in these populations primarily because of a lack of feasibility data. METHODS This paper presents the results of a mixed-methods study in London, Canada, that examined the feasibility of implementing a biopsychosocial intervention, SKY Schools, in at-risk youth aged between 16 and 25 (n = 49). The study also recorded qualitative responses about the program's usefulness from the perspective of the service users. The SKY Schools intervention consisted of social-emotional learning combined with Sudarshan Kriya Yoga, a standardized yoga-based breathing exercise routine. The intervention program was divided into two phases: an active learning phase and a reinforcement phase. The following feasibility outcome measures were collected: (1) the number of potential participants approached per month, (2) number (proportion) who were successfully screened, (3) the proportion of screened participants who enrolled, (4) the rate of retention in the study, (5) rate of adherence to study protocol, (6) proportion of planned ratings that were completed, (7) intervention cost per case, (8) completeness of final data for analysis, (9) length of time to collect all data, (10) quality of all collected data, (11) determining if partnering community organizations were willing to conduct the study as per study protocol, (12) determining if there were any capacity issues with partners providing intervention and investigators being able to perform the tasks that they were committed to doing, (13) determining if there were any problems of entering the data into a computer, (14) preliminary data about the safety of the intervention, and (15) preliminary estimate of treatment effects. RESULTS All feasibility outcome measures were collectible. In the city of London, Canada it was feasible to conduct a pilot study in this population of youth at risk of homelessness. Foremost among the findings was a high retention rate (61.2%) and overall positive qualitative feedback with a number of potential suggestions to improve the delivery and quality of the intervention. However, we had a significantly low recruitment rate (0.27 participants per week) suggesting that multiple sites will be needed to achieve an adequate sample size for a subsequent definitive trial. CONCLUSIONS Future researchers may consider the findings of this feasibility study when designing a randomized control trial to further assess the efficacy and tolerability of SKY Schools. TRIAL REGISTRATION Trial registration: Clinicaltrials.gov, identifier NCT02749240. Registered April 22, 2016, https://clinicaltrials.gov/ct2/show/NCT02749240 .
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Affiliation(s)
- Akshya Vasudev
- Integrative Psychiatry Lab, Lawson Health Research Institute and Parkwood Institute of Research, Parkwood Mental Health Building, Parkwood Hospital, London, ON, Canada.
- Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, and London Health Sciences Centre, London, ON, Canada.
| | - Emily Ionson
- Integrative Psychiatry Lab, Lawson Health Research Institute and Parkwood Institute of Research, Parkwood Mental Health Building, Parkwood Hospital, London, ON, Canada
| | - Janani Sathiaselan
- Integrative Psychiatry Lab, Lawson Health Research Institute and Parkwood Institute of Research, Parkwood Mental Health Building, Parkwood Hospital, London, ON, Canada
| | - Anurag Thatipalli
- Integrative Psychiatry Lab, Lawson Health Research Institute and Parkwood Institute of Research, Parkwood Mental Health Building, Parkwood Hospital, London, ON, Canada
| | - Aman Chauhan
- Integrative Psychiatry Lab, Lawson Health Research Institute and Parkwood Institute of Research, Parkwood Mental Health Building, Parkwood Hospital, London, ON, Canada
| | - Christine Hassan
- Integrative Psychiatry Lab, Lawson Health Research Institute and Parkwood Institute of Research, Parkwood Mental Health Building, Parkwood Hospital, London, ON, Canada
| | - Javeed Sukhera
- Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, and London Health Sciences Centre, London, ON, Canada
| | - Mark Speechley
- Department of Epidemiology and Biostatistics, Western University, London, ON, Canada
| | - Cheryl Forchuk
- Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, and London Health Sciences Centre, London, ON, Canada
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Janjhua Y, Chaudhary R, Sharma N, Kumar K. A study on effect of yoga on emotional regulation, self-esteem, and feelings of adolescents. J Family Med Prim Care 2020; 9:3381-3386. [PMID: 33102300 PMCID: PMC7567196 DOI: 10.4103/jfmpc.jfmpc_153_20] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2020] [Revised: 03/13/2020] [Accepted: 03/28/2020] [Indexed: 11/23/2022] Open
Abstract
Background: The present study has investigated the effect of yoga on the emotional regulation, self-esteem, and feelings of the adolescents. Methods: The participants of the study are 110 students aged 13–18 years and studying in the senior secondary schools of Mandi district (Himachal Pradesh). The sample consisted of 52 adolescents practicing yoga and 58 adolescents who have never practiced yoga. The primary data has been collected through standardized instruments. Results: The adolescents practicing yoga were noted to significantly differ from the non-yoga group on emotional regulation, self-esteem, and feeling components. Conclusions: The significant effect of yoga on emotional regulation, self-esteem, and feelings of the adolescents calls for attention of the policy makers for initiating yoga at the school levels through standardized yoga curricula and training teachers to motivate and inspire the students to learn and practice yoga at an early age.
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Affiliation(s)
- Yasmin Janjhua
- Department of Business Management, College of Horticulture, Dr YS Parmar University of Horticulture and Forestry, Nauni Solan, Himachal Pradesh, India
| | - Rashmi Chaudhary
- Department of Business Management, College of Horticulture, Dr YS Parmar University of Horticulture and Forestry, Nauni Solan, Himachal Pradesh, India
| | - Nishant Sharma
- Department of Business Management, College of Horticulture, Dr YS Parmar University of Horticulture and Forestry, Nauni Solan, Himachal Pradesh, India
| | - Krishan Kumar
- Department of Business Management, College of Horticulture, Dr YS Parmar University of Horticulture and Forestry, Nauni Solan, Himachal Pradesh, India
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