The Contribution of Yoga to the Psychosocial Rehabilitation and Social Reintegration of Incarcerated Individuals: A Systematic Review.
Konstantinos Georgiadis, Giorgos Tzigkounakis, Katerina Simati, Konstantinos Tasios, Ioannis Michopoulos, Vasileios Giannakidis, Athanasios Douzenis
Healthcare December 27, 2025 DOI: 10.3390/healthcare14010070 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Systematic review Randomized Preregistered Peer reviewed |
|---|---|
| Sample size | 1,815 |
| Population | Incarcerated individuals |
| Interventions | Hatha-based protocols Krimyoga trauma-informed approaches multicomponent programs |
| Topics | Meditation |
| Keywords | Correctional health Emotional regulation Incarceration Prison interventions Rehabilitation Trauma recovery Yoga |
| Citations | 2 |
| Key findings | Yoga interventions in correctional settings appear feasible and associated with reduced psychological distress, anger, and trauma-related symptoms, as well as improved mood, self-regulation, and mindfulness, though methodological limitations prevent firm conclusions. |
Abstract
Background/Objectives: Incarcerated people experience high rates of trauma, psychological distress, and social marginalization. Yoga has been introduced in prisons as a trauma-sensitive mind-body practice, yet its rehabilitative contribution remains uncertain. This systematic review aimed to synthesize evidence on the feasibility and effectiveness of yoga interventions delivered in correctional settings.
Methods: Following PRISMA guidelines and a preregistered PROSPERO protocol, we searched PubMed, PsycINFO, Cochrane CENTRAL, and Scopus for peer-reviewed publications from May 2012 to November 2025. Eligible studies involved structured yoga interventions for incarcerated populations and reported psychological, behavioral, or institutional outcomes. Two reviewers independently performed screening, data extraction, and quality appraisal using the Mixed-Methods Appraisal Tool (MMAT).
Results: Ten studies reported in twelve publications and involving 1815 incarcerated individuals met the inclusion criteria. Interventions included Hatha-based protocols, Krimyoga, trauma-informed approaches, and multicomponent programs. Across randomized, quasi-experimental, and pre-post designs, yoga was feasible and acceptable. Reported benefits included reduced psychological distress, negative affect, anger, and trauma-related symptoms, as well as improved mood, self-regulation, and mindfulness. Evidence specific to women and girls was limited, but the available trauma-informed and gender-responsive studies suggested potential reductions in post-traumatic stress, depression, and anxiety, alongside increases in self-compassion. One large quasi-experimental cohort found lower reincarceration rates among yoga participants, although institutional outcomes were otherwise limited. Evidence was constrained by small samples, heterogeneous intervention formats, short follow-up, and variable outcome measures.
Conclusions: Yoga appears to be a promising adjunct to rehabilitation in correctional settings. However, methodological limitations prevent firm conclusions. Larger, well-controlled studies with standardized outcomes and longer follow-up are needed to clarify effectiveness and support integration into correctional health and rehabilitation policy.
Comparable studies
Other systematic reviews and meta-analyses on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Meditation Programs for Psychological Stress and Well-being Diverse adult clinical populations | 2014 | Meta-analysis | n = 3,515 |
| Mindfulness-Based Stress Reduction for Stress Management in Healthy People: A Review and Meta-Analysis Healthy subjects | 2009 | Systematic review and meta-analysis | |
| The psychological effects of meditation: A meta-analysis. Nonclinical groups of adult meditators | 2012 | Meta-analysis | n = 163 |
| Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse Adults with recurrent depression in full or partial remission | 2016 | Meta-analysis of individual patient data from randomized controlled trials | n = 1,258 |
| Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy – a systematic review of randomized controlled trials | 2011 | Systematic review |
Citations in the library
Cites 11
- A narrative review of yoga and mindfulness as complementary therapies for addiction. Complementary Therapies in Medicine June 1, 2013
- A Systematic Review and Meta-Analysis of Yoga and Mindfulness Meditation in Prison International Journal of Offender Therapy and Comparative Criminology August 28, 2015
- Meta-analysis of a mindfulness yoga exercise intervention on depression - based on intervention studies in China. Frontiers in Psychology 2023
- A Pilot Study of Yoga with Incarcerated Youth Using the Prison Yoga Project Approach. International Journal of Yoga Therapy December 1, 2023
- The Effect of Mindfulness-Based Intervention on Brain-Derived Neurotrophic Factor (BDNF): A Systematic Review and Meta-Analysis of Controlled Trials Frontiers in Psychology September 15, 2020
and 6 more in the library