{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T20:47:31Z","timestamp":1790369251266,"version":"4.1.0"},"reference-count":83,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Sexual wellbeing is a key part of health and should be included in concussion recovery. While yoga can improve concussion outcomes, its effects on sexual wellbeing in women with post-concussion symptoms are unclear. We aimed to evaluate the feasibility (Aim 1) of a brain injury\u2013tailored yoga program, and its impact on sexual function (Aim 2a) and mood correlates\u2014depression, anxiety, PTSD (Aim 2b)\u2014in women aged 18+. We also assessed sustainability (Aim 3) and acceptability\/ participant satisfaction with the intervention (Aim 4).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants were recruited from PINK Concussions, a social media support network for female concussion patients with symptoms lasting at least 1\u202fmonth. Twelve participants were enrolled in a 6-week yoga program, and an additional 15 were assigned to a wait-list control condition. Participants received a self-report survey 1-week post- yoga intervention (week 7) and 5\u202fweeks post-intervention (week 11). All participants were yoga novices, defined as practicing yoga once a month or less. Sessions were held over Zoom and led by a certified yoga instructor. The Female Sexual Functioning Index-6 (FSFI-6) was used to assess sexual dysfunction. Participants also completed measures of depression (PHQ-9), anxiety (GAD-7), and PTSD (PCL-5). We used difference in differences estimates to calculate the average treatment effects, and the counterfactual means of the intervention group. We also used Glass\u2019 Delta (\n                      <jats:italic>\u0394<\/jats:italic>\n                      ) to calculate effect sizes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      (Aim 1) Fifty-seven eligible women expressed interest in the yoga program. Invitations were sent in two batches to limit sessions to 15 participants. For Group 1 (Yoga group), 27 women were invited; 16 (59%) confirmed interest, and 12 enrolled after exclusions due to scheduling constraints. Attendance varied, with 6\/12 (50%) completing \u22653 sessions; 5 of these 6 (83%) completed both week-7 and week-11 follow-up surveys. For Group 2 (wait-list controls), 34 women were invited, including those unable to attend Group 1. 15 (44%) confirmed participation, and 11 (73%) completed both follow-up surveys. Outcomes were compared between the yoga and wait-list control groups. At 1-week post-yoga intervention (Aims 2a and 2b), participants reported substantial improvements in their sexual functioning and mood symptoms. Effect sizes: large for sexual function (\n                      <jats:italic>\u0394<\/jats:italic>\n                      \u202f=\u202f\u22120.50), medium for anxiety (\u22120.30), small for PTSD (\u22120.15) and depression (0.05). At 5\u202fweeks (Aim 3), scores declined slightly but stayed above baseline. Sexual function retained a medium effect size (\u22120.34). All other domains had small effect sizes. Acceptability was high, with mean satisfaction scores of 8.7\/10 (Aim 4). Using open-ended text boxes, participants commented on the intervention\u2019s impact on their mental health, physicality, social connection\/isolation\/belonging; and provided suggestions for improvement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Yoga has the potential to improve women\u2019s sexual functioning after concussion and offers a non-pharmacological alternative for treating mood and other important correlates of women\u2019s sexual well-being. Larger randomized trials are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fneur.2026.1705668","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T12:03:35Z","timestamp":1773317015000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Yoga, sexual dysfunction, and female concussions: a mind\u2013body pilot intervention"],"prefix":"10.3389","volume":"17","author":[{"given":"Martina","family":"Anto-Ocrah","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of General Internal Medicine, University of Pittsburgh School of Medicine","place":["Pittsburgh, PA, United States"]},{"name":"Department of Epidemiology, Graduate School of Public Health University of Pittsburgh","place":["Pittsburgh, PA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Garth","sequence":"additional","affiliation":[{"name":"University of Rochester School of Medicine and Dentistry","place":["Rochester, NY, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline F.","family":"Pukall","sequence":"additional","affiliation":[{"name":"Department of Psychology, Queen\u2019s University","place":["Kingston, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele D.","family":"Levine","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Pittsburgh School of Medicine","place":["Pittsburgh, PA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally A.","family":"Sherman","sequence":"additional","affiliation":[{"name":"Physical Activity Research Center, Department of Health & Human Development, University of Pittsburgh","place":["Pittsburgh, PA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Snedaker","sequence":"additional","affiliation":[{"name":"PINK Concussions","place":["Norwalk, CT, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1080","DOI":"10.3171\/2017.10.JNS17352","article-title":"Estimating the global incidence of traumatic brain injury","volume":"130","author":"Dewan","year":"2019","journal-title":"J Neurosurg"},{"key":"ref2","volume-title":"Translational research in traumatic brain injury","author":"Sophie","year":"2016"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1080\/026990599121692","article-title":"Epidemiology and predictors of post-concussive syndrome after minor head injury in an emergency 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