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ORIGINAL PAPER
Effectiveness of a School-Based Yoga Program on Adolescent
Mental Health and School Performance: Findings
from a Randomized Controlled Trial
Jennifer L. Frank
1
&Kimberly Kohler
1
&Adam Peal
1
&Bidyut Bose
2
Published online: 25 October 2016
#Springer Science+Business Media New York 2016
Abstract The purpose of this study was to assess the effec-
tiveness of a yoga-based social-emotional wellness promotion
program, Transformative Life Skills (TLS), on indicators of
adolescent emotional distress, prosocial behavior, and school
functioning. Participants included 159 students attending an
inner-city school district who were randomly assigned to treat-
ment or business-as-usual comparison conditions. Results sug-
gested that students who participated in the TLS program dem-
onstrated significant reductions on unexcused absences, deten-
tions, and increases in school engagement. Significant concur-
rent improvements in primary engagement stress-coping strat-
egies and secondary engagement stress-coping strategies were
noted as well. Specifically, significant increases in student emo-
tion regulation, positive thinking, and cognitive restructuring in
response to stress were found. No effects were found for mea-
sures of somatization, suspensions, academic grades, or general
affect. Student report of treatment acceptability indicated that
the intervention was generally well-received and strategies
were perceived as socially valid by most participants.
Implications and directions for future research are discussed.
Keywords Mindfulness .Yog a .Randomized controlled
trial .RCT .Engagement .Coping .Stress .Student .Emotion
regulation .Positive thinking .Somatization .Suspensions .
Academic .Grades .Affect .Asanas .Breathing .
Pranayama .Schools .Education .Stress .Adolescent
Introduction
Recent national surveys of mental health in the USA
suggest that poorly managed stress exerts a seriously
negative physical and psychological effect on our popu-
lation, which a majority of households reporting stress
levels exceeding what is considered healthy (American
Psychological Association 2013). Adolescence, a period
of development marked by substantial developmental
gains in cognitive skills, physical strength, and improved
immune function (Dahl 2004), may be a particularly sen-
sitive time during which the effects of chronic stress take
hold, manifesting in anxiety disorders which affects an
estimated 31.9 % of this population (Merikangas et al.
2010).
Heightened vulnerability for developing several serious
psychological disorders and engaging in anti-social be-
haviors, depression, anxiety, schizophrenia, and substance
use markedly increases in prevalence during adolescence
(Andersen 2003; Conger and Petersen 1984;Dahl2004;
Patton and Viner 2007; Spear 2000). Although the specif-
ic mechanisms underlying the development of each of
these disorders during this timeframe is not entirely un-
derstood, exposure to stress during adolescence has been
suggested to play an important role in the onset and pro-
gression of these disorders (Grant et al. 2003,2004;
Turner and Lloyd 2004). Additionally, research has con-
sistently linked stressful life events during adolescence
with the onset of drug use, depression, and the develop-
ment of other mental health problems (Costello et al.
2003;PattonandViner2007).
Even fairly normative stress is heightened during this
period. During the middle school years, an adolescent’s
teacher, classroom, and school experiences have impor-
tant effects that set the stage for future educational and
*Jennifer L. Frank
jfrank@psu.edu
1
Department of Educational Psychology, Counseling, and Special
Education, Pennsylvania State University, 308 Cedar Building,
University Park, PA 16808, USA
2
Niroga Institute, Oakland, CA, USA
Mindfulness (2017) 8:544–553
DOI 10.1007/s12671-016-0628-3
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