The Role of Yoga in Addressing Psychosocial Challenges Among Institutionalized Orphans: A Narrative Review
DOI:
https://doi.org/10.70066/jahm.v13i5.1918Keywords:
Yoga; Institutionalized orphans; Psychosocial challenges; Mental health; Trauma-sensitive interventions; Biopsychosocial model.Abstract
Institutionalized orphans face profound psychosocial challenges, including anxiety, depression, and post-traumatic stress disorder (PTSD), due to early adversity and chronic stress. This narrative review examines the role of yoga as a therapeutic intervention for this vulnerable population. A comprehensive search of PubMed/MEDLINE, PsycINFO, Cochrane Library, Scopus, and Google Scholar yielded 27 studies (15 randomized controlled trials, 8 quasi-experimental studies, 4 qualitative) conducted across Asia, Africa, Eastern Europe, and Latin America. Results indicated consistent reductions in anxiety (median Cohen’s d = 0.71), depression (d = 0.65), and PTSD symptoms (d = 0.82), alongside improved social connectivity and physiological stress regulation (22% cortisol reduction). Trauma-sensitive yoga programs demonstrated particular efficacy, with culturally adapted interventions showing higher retention rates (88%) compared to standardized protocols, though secular settings sometimes required modifications to avoid religious symbolism. Mechanisms of action aligned with the biopsychosocial model, highlighting yoga’s capacity to modulate neurobiological stress responses, enhance emotional regulation, and foster peer trust through group-based practices. However, heterogeneity in outcome measures, short follow-up durations, and limited evidence on attachment-related outcomes underscore the need for methodologically robust, longitudinal studies. The findings advocate for integrating culturally adapted yoga into orphan care policies as a scalable, non-stigmatizing adjunct to conventional mental health services. Further research should explore hybrid models combining yoga with attachment-focused therapies and evaluate long-term developmental impacts to optimize resilience in this marginalized population.
References
Petrowski N, Cappa C, Gross P. Estimating the number of children in formal alternative care: challenges and results. Child Abuse Negl. 2017 Aug;70:388-98. https://doi.org/10.1016/j.chiabu.2016.11.026
Smyke AT, Koga SF, Johnson DE, Fox NA, Marshall PJ, Nelson CA, et al. The caregiving context in institution-reared and family-reared infants and toddlers in Romania. J Child Psychol Psychiatry. 2007 Feb;48(2):210-8. https://doi.org/10.1111/j.1469-7610.2006.01694.x
van IJzendoorn MH, Bakermans-Kranenburg MJ, Duschinsky R, Goldman PS, Gunnar MR, Johnson DE, et al. Institutionalisation and deinstitutionalisation of children: a systematic and integrative review of evidence regarding effects on development. Lancet Psychiatry. 2020 Aug;7(8):703-20. https://doi.org/10.1016/s2215-0366(19)30399-2
Gunnar MR, Reid BM. Early deprivation revisited: contemporary studies of the impact on young children of institutional care. Annu Rev Dev Psychol. 2019 Dec;1:93-118. https://doi.org/10.1146/annurev-devpsych-121318-085013
Kessler RC, Aguilar-Gaxiola S, Alonso J, Benjet C, Bromet EJ, Cardoso G, et al. Trauma and PTSD in the WHO World Mental Health Surveys. Eur J Psychotraumatol. 2017 Jun;8(sup5):1353383. https://doi.org/10.1080/20008198.2017.1353383
Cohen JA, Deblinger E, Mannarino AP. Trauma-focused cognitive behavioral therapy for children and families. Psychother Res. 2018 Jan;28(1):47-57. https://doi.org/10.1080/10503307.2016.1208375
UNICEF. Orphanhood and the living arrangements of children in sub-Saharan Africa [Internet]. 2021 [cited 2024 Jun 22]. Available from: https://data.unicef.org
West J, Liang B, Spinazzola J. Trauma sensitive yoga as a complementary treatment for posttraumatic stress disorder: a qualitative descriptive analysis. Int J Stress Manag. 2017 May;24(2):173-95. https://doi.org/10.1037/str0000040
Betancourt TS, McBain R, Newnham EA, Brennan RT. Trajectories of internalizing problems in war-affected Sierra Leonean youth: examining conflict and post conflict factors. Child Dev. 2013 Mar-Apr;84(2):455-70. https://doi.org/10.1111/j.1467-8624.2012.01861.x
Riley KE, Park CL. How does yoga reduce stress? A systematic review of mechanisms of change and guide to future inquiry. Health Psychol Rev. 2015 Sep;9(3):379-96. https://doi.org/10.1080/17437199.2014.981778
Streeter CC, Gerbarg PL, Saper RB, Ciraulo DA, Brown RP. Effects of yoga on the autonomic nervous system, gamma-aminobutyric acid, and allostasis in epilepsy, depression, and post-traumatic stress disorder. Med Hypotheses. 2012 May;78(5):571-9. https://doi.org/10.1016/j.mehy.2012.01.021
Hillis S, Mercy J, Amobi A, Kress H. Global prevalence of past-year violence against children: a systematic review and minimum estimates. Pediatrics. 2016 Mar;137(3):e20154079. https://doi.org/10.1542/peds.2015-4079
Gallegos AM, Hoerger M, Talbot NL, Krasner MS, Knight JM, Moynihan JA, et al. Toward identifying the effects of the specific components of mindfulness-based stress reduction on biologic and emotional outcomes among older adults. J Altern Complement Med. 2013 Oct;19(10):787-92. https://doi.org/10.1089/acm.2012.0028
van der Kolk BA, Stone L, West J, Rhodes A, Emerson D, Suvak M, et al. Yoga as an adjunctive treatment for posttraumatic stress disorder: a randomized controlled trial. J Clin Psychiatry. 2014 Jun;75(6):e559-65. https://doi.org/10.4088/jcp.13m08561
Hagen I, Nayar US. Yoga for children and young people's mental health and well-being: research review and reflections on the mental health potentials of yoga. Front Psychiatry. 2014 Apr 8;5:35. https://doi.org/10.3389/fpsyt.2014.00035
Purohit SP, Pradhan B. Effect of yoga program on executive functions of adolescents dwelling in an orphan home: a randomized controlled study. J Tradit Complement Med. 2017 Jan;7(1):99-105. https://doi.org/10.1016/j.jtcme.2016.03.001
Telles S, Naveen KV, Dash M. Yoga reduces symptoms of distress in tsunami survivors in the andaman islands. Evid Based Complement Alternat Med. 2007 Dec;4(4):503-9. https://doi.org/10.1093/ecam/nem069
Berger R, Gelkopf M, Heineberg Y. A teacher-delivered intervention for adolescents exposed to ongoing and intense traumatic war-related stress: a quasi-randomized controlled study. J Adolesc Health. 2012 Nov;51(5):453-61. https://doi.org/10.1016/j.jadohealth.2012.02.011
Cramer H, Lauche R, Anheyer D, Pilkington K, de Manincor M, Dobos G, et al. Yoga for anxiety: a systematic review and meta-analysis of randomized controlled trials. Depress Anxiety. 2018 Sep;35(9):830-43. https://doi.org/10.1002/da.22762
Dozier M, Bernard K. Attachment and biobehavioral catch-up: addressing the needs of infants and toddlers exposed to inadequate or problematic caregiving. Curr Opin Psychol. 2017 Apr;15:111-7. https://doi.org/10.1016/j.copsyc.2017.03.003
Sun Y, Lamoreau R, O'Connell S, Horlick R, Bazzano AN. Yoga and mindfulness interventions for preschool-aged children in educational settings: a systematic review. Int J Environ Res Public Health. 2021 Jun 4;18(11):6091. https://doi.org/10.3390/ijerph18116091
Biegel GM, Brown KW, Shapiro SL, Schubert CM. Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: a randomized clinical trial. J Consult Clin Psychol. 2009 Oct;77(5):855-66. https://doi.org/10.1037/a0016241
Diamond G, Rivers AS, Winston-Lindeboom P, Moore S, Levy S, DeJong M. Evaluating attachment-based family therapy in residential treatment in the United States: does adolescents' increased attachment security to caregivers lead to decreases in depressive symptoms? Child Adolesc Psychiatry Ment Health. 2024 Mar 14;18(1):147. https://doi.org/10.1186/s13034-024-00833-w
Khoury B, Sharma M, Rush SE, Fournier C. Mindfulness-based stress reduction for healthy individuals: a meta-analysis. J Psychosom Res. 2015 Jun;78(6):519-28. https://doi.org/10.1016/j.jpsychores.2015.03.009
Gothe NP, Hayes JM, Temali C, Damoiseaux JS. Differences in brain structure and function among yoga practitioners and controls. Front Integr Neurosci. 2018 May 30;12:26. https://doi.org/10.3389/fnint.2018.00026
Perry-Parrish C, Copeland-Linder N, Webb L, Shields AH, Sibinga EM. Improving self-regulation in adolescents: current evidence for the role of mindfulness-based cognitive therapy. Adolesc Health Med Ther. 2016 May 27;7:101-8. https://doi.org/10.2147/ahmt.s65820
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