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Artigo em Inglês | MEDLINE | ID: mdl-35886176


The aim of the present study was to assess the impact of a relaxation training program (RT), a cognitive training program (CT), and the combination of both on changes in cognitive status, emotional status, and experience of pain in older adults with mild cognitive impairment (MCI). Fifty care home residents underwent either RT (26 participants) or CT (24 participants) in the first training period, followed by the combined relaxation and cognitive training program in the second. Psychological tests on cognitive performance, mood disturbance/well-being, depression, and experience of pain were implemented at three time points of measurement, before (t1), after (t2) the first training period, and after the second training period (t3). Both RT and CT with the subsequent combined training program in the second training period, respectively, increased cognitive performance and well-being, and reduced mood disturbance, depression, and the experience of pain. The study showed the non-inferiority of RT in respect of cognitive and emotional status in care home residents with MCI compared to the more frequently implemented CT. Both training programs are high in acceptability and positive outcomes on cognitive, emotional, and pain status support the use of a combination of RT and CT.

Cognição , Disfunção Cognitiva , Idoso , Disfunção Cognitiva/psicologia , Disfunção Cognitiva/terapia , Emoções , Humanos , Dor , Terapia de Relaxamento
Artigo em Inglês | MEDLINE | ID: mdl-35682056


Introduction: People with depression often complain of dysfunction in cognitive processes, particularly attention. Pharmacotherapy is one of the most commonly used methods of treating depressive disorders and related attention difficulties. Patients also benefit from various forms of psychotherapy and frequently support themselves with alternative therapeutic methods. The purpose of this study was to examine whether a 15-min-long relaxation training session could improve the efficiency of attention and perceptiveness in individuals diagnosed with depressive disorders. Methods: Forty-two individuals participated in the study, including 20 individuals diagnosed with recurrent depressive disorder (rDD) and 22 healthy subjects (comparison group, CG). The so-called continuous performance test in the Polish version (Attention and Perceptiveness Test, APT) was applied in the study. In the first stage, the participants completed the 6/9 version of the APT test and then took part in a 15-min relaxation training session (autogenic training developed by the German psychiatrist Johannes Heinrich Schultz). The next step of the study was to perform APT again (parallel version-3/8). Results: The analyses showed statistically significant differences (p < 0.001) in the results obtained in the two versions of APT between the studied groups (rDD versus CG) in terms of the perceptual speed index. These differences were seen both before and after the introduction of the relaxation training. There was a statistically significant difference in the value of the perceptual speed index before and after the applied relaxation training for the subjects with depression (p = 0.004) and for the whole study group (p = 0.008). A significant correlation of illness symptom severity with decreased attentional efficiency was observed in the rDD group (perceptual speed index)-both before (r = -0.864; p < 0.001) and after the relaxation training (r = -0.785; p < 0.001). Conclusions: The continuous performance test (APT) is a reliable indicator of impaired attention efficiency among patients with depressive symptoms compared to healthy subjects. 15-min-long one-time relaxation exercise has a beneficial effect on attention efficiency measured by APT in people with depression.

Depressão , Transtorno Depressivo , Atenção , Depressão/psicologia , Transtorno Depressivo/psicologia , Humanos , Testes Neuropsicológicos , Terapia de Relaxamento
Artigo em Inglês | MEDLINE | ID: mdl-35742483


Virtual Reality Environments (VREs) are widely deployed in mental health treatments, often associated with relaxation techniques. The personalization of natural VR-based scenarios is a key element that can further facilitate users' sense of presence and relaxation. This study explored the role of VREs' personalization in the user experience with an environment supporting relaxation, by deploying mixed methods. METHODS: A non-clinical sample of 20 individuals participated in exposure to a supportive body-scan-guided relaxation VRE. In the personalized conditions, the participants had the option of choosing the context (e.g., sea, mountain, or countryside) and including in the scenario different types of sounds, visual elements, and changing the time of day and weather. In the standard conditions, individuals were exposed to a relaxing VRE, but they could choose neither the context nor the auditory and visual elements. The order of presentation of the personalized vs non-personalized environments was randomized. Measures regarding relaxation, state-anxiety perceived levels, VRE-related symptoms, the usability of the Virtual Reality (VR) setting, sense of presence, pleasure, activation, engagement, and level of immersion experienced were collected before and after exposure to the VR environments. RESULTS: Findings showed that personalized VREs were preferred by users. Participants generally preferred to experience a greater immersivity, pleasure, engagement, and relaxation in the personalized virtual settings. CONCLUSION: The study further confirms the role of personalization as a component positively contributing to relaxation and engagement. Future research may further assess this effect in the context of large-scale controlled studies involving clinical and non-clinical populations.

Realidade Virtual , Ansiedade , Transtornos de Ansiedade , Humanos , Relaxamento , Terapia de Relaxamento/métodos
Complement Ther Clin Pract ; 48: 101606, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35613519


Reflexology is a complementary therapy focusing mainly on the application of pressure on the feet, hands and ears. A small but growing evidence base suggests that positive outcomes can be gained in the management and improvement of symptoms across a range of conditions. Biological plausibility is a key concept in the determination of the usefulness of therapies. Research which tests for safety and efficacy alongside the underpinning mechanism of action are therefore important. This paper explores the potential mechanism of action for the outcomes associated with reflexology treatment as reflected in the current evidence. The influences of therapeutic touch, relaxation, placebo effects and the similarities with other therapeutic methods of structural manipulation are considered. The lack of clarity around the precise definition of reflexology and the challenges of researching the therapy as a treatment tailored to individual need are discussed. A deeper understanding of the mechanism of action for reflexology may help to further develop research into safety and efficacy. Such an understanding may lead to the integration of knowledge which may provide both symptomatic support and longer term preventative health benefits.

Manipulações Musculoesqueléticas , Terapias Complementares/métodos , Orelha , , Mãos , Humanos , Massagem , Manipulações Musculoesqueléticas/métodos , Efeito Placebo , Terapia de Relaxamento , Toque Terapêutico
Holist Nurs Pract ; 36(3): 139-148, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35435875


This study aimed to investigate the effects of the Benson relaxation technique combined with music therapy on fatigue, anxiety, and depression levels of patients undergoing hemodialysis. This randomized controlled study was conducted with 61 patients (30 patients in the intervention group, 31 patients in the control group) in a province located in Turkey. This 8-week, randomized, clinical trial was carried out in 2 hemodialysis units. After the patients in both groups were informed about the study, the Piper Fatigue Scale and the Hospital Anxiety and Depression Scale were administered to the patients. All subdomain scores of the Piper Fatigue Scale in the intervention group were significantly lower at weeks 4, 8, and 10 than those of the control group (P < .05). The intervention group had significantly lower Anxiety subscale scores than those of the control group at week 10 (P < .05). Similarly, Depression subscale scores were significantly lower in the intervention group at weeks 8 and 10 than those in the control group (P < .05). The findings suggest that Benson relaxation technique combined with music therapy is an effective approach to manage fatigue, anxiety, and depression symptoms related to hemodialysis.

Musicoterapia , Terapia de Relaxamento , Ansiedade/etiologia , Ansiedade/terapia , Depressão/terapia , Fadiga/etiologia , Fadiga/terapia , Humanos , Musicoterapia/métodos , Diálise Renal/efeitos adversos
Clin Rehabil ; 36(7): 883-899, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35410503


OBJECTIVE: To establish the effectiveness of relaxation and related therapies in treating Multiple Sclerosis related symptoms and sequelae. DATA SOURCES: PsycINFO, PubMed, Embase, CINAHL, ProQuest Dissertations and Theses Global databases were searched. METHODS: We included studies from database inception until 31 December 2021 involving adult participants diagnosed with multiple sclerosis or disseminated sclerosis, which featured quantitative data regarding the impact of relaxation interventions on multiple sclerosis-related symptoms and sequelae. Studies which examined multi-modal therapies - relaxation delivered in combination with non-relaxation interventions - were excluded. Risk of bias was assessed using the Revised Risk of Bias tool for randomised trials - ROB2, Risk of Bias in Non-Randomised Studies of Interventions ROBINS-I), and within and between-group effects were calculated (Hedges' g). RESULTS: Twenty-eight studies met inclusion criteria. Twenty-three of these were randomised controlled trials, with 1246 total participants. This review reports on this data, with non-randomised study data reported in supplemental material. Post -intervention relaxation was associated with medium to large effect-size improvement for depression, anxiety, stress and fatigue. The effects of relaxation were superior to wait-list or no treatment control conditions; however, comparisons with established psychological or physical therapies were mixed. Individual studies reported sustained effects (≤ 6 months) with relaxation for stress, pain and quality of life. Most studies were rated as having a high/serious risk of bias. CONCLUSION: There is emerging evidence that relaxation therapies can improve outcomes for persons with multiple sclerosis. Given the high risk of bias found for included studies, stronger conclusions cannot be drawn.

Esclerose Múltipla , Qualidade de Vida , Adulto , Ansiedade/terapia , Transtornos de Ansiedade/terapia , Humanos , Esclerose Múltipla/terapia , Ensaios Clínicos Controlados Aleatórios como Assunto , Terapia de Relaxamento
Artigo em Inglês | MEDLINE | ID: mdl-35409619


This study aims to test the associations of nature contact with multiple dimensions of psychological functioning. A total of 90 university employees were randomly assigned to spend their lunch breaks on (1) a 30-min structured protocol of nature contact and (2) a control group for 10 consecutive weekdays. Psychological distress, psychological well-being, and work-related psychological outcomes were assessed at baseline (T1), the day after the 10-day intervention (T2), and three months after the intervention (T3). Mixed-design analyses of variance (ANOVA) were conducted. Overall, significant intervention effects were found in the structured protocol of nature contact on psychological distress, well-being outcomes, and work engagement (all p < 0.05), whereas the 3-month post-intervention effects were non-significant. Our study showed that nature-based activities during lunch breaks could enhance office workers' mental health in general, but the effects could be short-lived, calling for regular nature-based programs in occupational settings.

Saúde Mental , Saúde do Trabalhador , Terapia de Relaxamento , Humanos , Almoço
BMC Complement Med Ther ; 22(1): 86, 2022 Mar 24.
Artigo em Inglês | MEDLINE | ID: mdl-35331226


BACKGROUND: Various mind-body practices are used by people living with HIV to promote their general well-being. Among these is autogenic training (AT), a self-guided relaxation technique requiring regular practice for observable benefits. However, little has been written about the process of learning this technique, which is obviously a prerequisite to regular practice. This study therefore aims to describe the process by which people living with HIV learn AT. METHODS: The study is a descriptive qualitative study using semi-structured interviews and a thematic analysis with a mixed approach. Fourteen participants living with HIV completed sessions to learn autogenic training over a period of 3 months. RESULTS: The process of learning AT was approached through three themes: initiating the learning process, taking ownership of the technique, and observing its benefits on wellness. To initiate learning, participants had to express a need to take action on an aspect of their well-being and their openness to complementary approaches to care. Taking ownership of the technique was facilitated by guidance from the nurse researcher, the participants' personal adaptations to overcome barriers to their practice, regular practice, and rapid observation of its benefits. Finally, the participants reported the observation of benefits on their wellness, including personal development, mainly in terms of the creative self, the essential self, and the coping self. This perception of the technique's benefits was part of the learning process, as it contributed both to the participants' ownership of the technique and to reinforcing their AT practice. CONCLUSIONS: People living with HIV see learning AT as a progressive process, in which wellness is a major outcome and a contributing factor in developing a regular practice.

Treinamento Autógeno , Infecções por HIV , Adaptação Psicológica , Infecções por HIV/terapia , Humanos , Pesquisa Qualitativa , Terapia de Relaxamento
BMC Psychiatry ; 22(1): 204, 2022 03 19.
Artigo em Inglês | MEDLINE | ID: mdl-35305587


BACKGROUND: Cognitive behavioural therapy (CBT) is the recommended first-line treatment for children and adolescents with obsessive-compulsive disorder (OCD), but evidence concerning treatment-specific benefits and harms compared with other interventions is limited. Furthermore, high risk-of-bias in most trials prevent firm conclusions regarding the efficacy of CBT. We investigate the benefits and harms of family-based CBT (FCBT) versus family-based psychoeducation and relaxation training (FPRT) in youth with OCD in a trial designed to reduce risk-of-bias. METHODS: This is an investigator-initiated, independently funded, single-centre, parallel group superiority randomised clinical trial (RCT). Outcome assessors, data managers, statisticians, and conclusion drawers are blinded. From child and adolescent mental health services we include patients aged 8-17 years with a primary OCD diagnosis and an entry score of ≥16 on the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS). We exclude patients with comorbid illness contraindicating trial participation; intelligence quotient < 70; or treatment with CBT, PRT, antidepressant or antipsychotic medication within the last 6 months prior to trial entry. Participants are randomised 1:1 to the experimental intervention (FCBT) versus the control intervention (FPRT) each consisting of 14 75-min sessions. All therapists deliver both interventions. Follow-up assessments occur in week 4, 8 and 16 (end-of-treatment). The primary outcome is OCD symptom severity assessed with CY-BOCS at end-of-trial. Secondary outcomes are quality-of-life and adverse events. Based on sample size estimation, a minimum of 128 participants (64 in each intervention group) are included. DISCUSSION: In our trial design we aim to reduce risk-of-bias, enhance generalisability, and broaden the outcome measures by: 1) conducting an investigator-initiated, independently funded RCT; 2) blinding investigators; 3) investigating a representative sample of OCD patients; 3) using an active control intervention (FPRT) to tease apart general and specific therapy effects; 4) using equal dosing of interventions and therapist supervision in both intervention groups; 5) having therapists perform both interventions decided by randomisation; 6) rating fidelity of both interventions; 7) assessing a broad range of benefits and harms with repeated measures. The primary study limitations are the risk of missing data and the inability to blind participants and therapists to the intervention. TRIAL REGISTRATION: : NCT03595098, registered July 23, 2018.

Terapia Cognitivo-Comportamental , Transtorno Obsessivo-Compulsivo , Adolescente , Criança , Terapia Cognitivo-Comportamental/métodos , Terapia Familiar , Humanos , Transtorno Obsessivo-Compulsivo/psicologia , Avaliação de Resultados em Cuidados de Saúde , Ensaios Clínicos Controlados Aleatórios como Assunto , Terapia de Relaxamento , Resultado do Tratamento
J Healthc Eng ; 2022: 8422903, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35186241


This paper analyzes various effects of acceptance and commitment therapy combined with music relaxation therapy on the self-identity of the college students. Through open recruitment and following the principle of voluntary and confidential, 80 college students were selected from our school, and then they were divided into two groups: the control group (40 cases) and the observation group (40 cases). The observation group received acceptance and commitment therapy combined with music relaxation therapy. For the control group, conventional mental health interventions were administered. Two months after intervention, psychological status, mental resilience, and quality of life scores were compared between the two groups. Before intervention, there was no significant difference in SAS and SDS scores between the two groups (P > 0.05). After intervention, SAS and SDS scores were significantly higher than those in the control group, and the difference between the two groups was statistically significant (P < 0.05). Before intervention, there was no significant difference in the scores of toughness, strength, and optimism between the two groups (P > 0.05). After intervention, the scores of toughness, strength, and optimism in the two groups were all improved, and the scores of mental resilience in the observation group were higher than those in the control group, with statistical significance (P < 0.05). Before intervention, there was no significant difference in the quality of life scores between the observation group and the control group (P > 0.05). After intervention, the quality of life score of the observation group was higher than that of the control group, and the difference between the two groups was statistically significant (P < 0.05). The combined application of acceptance and commitment therapy and music relaxation therapy can help college students to improve their mental state, improve their mental resilience, enhance their evaluation of life quality, improve their sense of self-identity, and reduce the probability of the occurrence of unhealthy emotions such as depression.

Terapia de Aceitação e Compromisso , Música , Humanos , Qualidade de Vida , Terapia de Relaxamento , Estudantes
J Neurosci Nurs ; 54(2): 86-91, 2022 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-35149625


ABSTRACT: BACKGROUND: In addition to the available medical treatment options, multiple sclerosis (MS) patients may tend toward complementary and integrative therapies. Relaxation techniques are a nonpharmacological and side-effect-free therapy option currently available to alleviate the symptoms of many different chronic diseases. The aim of this study was to examine and compare the effects of relaxation techniques on the pain, fatigue, and kinesiophobia in MS patients. METHODS: This 3-arm randomized controlled trial consisted of 80 MS patients. Relaxation techniques, progressive muscle relaxation and Benson relaxation technique were applied to 2 intervention groups, the third was the control group. The study lasted 12 weeks, and the patient information form, visual analog scale, Fatigue Severity Scale, and Tampa Scale for Kinesiophobia were used for data collection. RESULTS: There was a statistically significant decrease in pain, fatigue, and kinesiophobia levels in the intervention groups compared with the control group (P < .05). Progressive muscle relaxation was more effective than Benson relaxation technique (P < .05). CONCLUSION: Relaxation techniques are recommended for the management of symptoms of pain, fatigue, and kinesiophobia, which can often cause disability in MS patients, because they have no side effects and are practical administrations. These exercises are also promising in the rehabilitation process of MS patients.

Esclerose Múltipla , Terapia de Relaxamento , Fadiga/etiologia , Fadiga/terapia , Humanos , Esclerose Múltipla/complicações , Esclerose Múltipla/terapia , Dor , Medição da Dor , Qualidade de Vida , Terapia de Relaxamento/métodos
Neuropsychopharmacol Rep ; 42(2): 158-165, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35182048


AIM: To determine the effectiveness of the progressive muscle relaxation (PMR) technique on anxiety caused by Covid-19 in pregnant women under the auspices of comprehensive health service centers in the nineteenth district of Tehran University of Medical Sciences. METHOD: This study is a randomized clinical trial. A total of 126 pregnant women were randomly allocated to the intervention group (N = 63) and control group (N = 63). All participants completed demographic questionnaires and the Corona Disease Anxiety Scale electronically. The intervention was held in six sessions through Sky Room (three times a week). It consisted of training and practicing the PMR. The intervention group was re-evaluated with the related questionnaires immediately after the intervention and 2 weeks later, and the control group 2 and 4 weeks after the baseline. RESULTS: There was a significant difference between the control and intervention groups at the baseline (P = .05). Nevertheless, analysis of variance test results showed that the difference between the intervention and control groups was found to be significantly different statistically; (22.92 ± 6.07) for intervention versus (28.13 ± 6.93) for control, with the second follow up (P = .01). CONCLUSIONS: Progressive muscle relaxation is used as a useful intervention to reduce anxiety in pregnant women during coronavirus pandemics educated and recommended with more emphasis and sensitivity in pregnancy care by healthcare providers.

Treinamento Autógeno , COVID-19 , Ansiedade/terapia , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Gravidez , Gestantes , Terapia de Relaxamento/métodos
Enfoque Revista Científica de Enfermería ; 30(26): [1-22], ene.-jun.2022. ilus
Artigo em Espanhol | LILACS, BDENF - Enfermagem | ID: biblio-1372778


RESUMEN La enfermería como profesión, con sus procesos de trabajo directamente afectados por la pandemia, encuentra en tecnologías ligeras la escucha calificada y guiada como estrategias para mejorar la relación interpersonal que se establece con el equipo de salud, la familia y el paciente (Rodrigues, Belarmino, Custódio, & Ferreira Júnior, 2020). Esta comunicación ante la pandemia ha tenido que modificarse, sin embargo, sigue siendo fundamental para el cuidado de enfermería. Objetivo: Describir los beneficios que tiene la relación interpersonal en el cuidado de enfermería. Métodos: revisión integrativa realizada entre el 14 de julio y el 30 de agosto del 2021, y parte de la pregunta estructurada ¿Qué beneficios tiene la relación interpersonal en la satisfacción del cuidado de enfermería en tiempos de pandemia? La línea de investigación: Práctica de Enfermería. Las estrategias de búsqueda utilizadas son las bases de datos MEDLINE con su buscador PUBMED, EBSCO Host, Lilacs, Redalyc y EMBASE; en el idioma inglés y español. La pesquisa de información se realizó por especificidad restringida a términos MESH y DECS y para ampliar la búsqueda se realizaron combinaciones y los motores booleanos. Conclusiones: El proceso de comunicación no es una tarea fácil y requiere mucho esfuerzo entre los involucrados. La comunicación resultó satisfactoria para el paciente y la familia cuando apunta a la calidad de la salud y a los objetivos de seguridad del paciente. Hay comunicación interpersonal de insatisfacción cuando se dan actualizaciones insuficientes sobre la condición del paciente y cuando la familia no es consultada sobre la toma de decisiones de su familiar.

ABSTRACT Nursing as a profession, with its work processes directly affected by the pandemic, finds qualified and guided listening in communication in light technologies as strategies to improve the interpersonal relationship established with the health team, the family and the patient (Rodríguez, Belarmino, Custódio, & Ferreira Júnior, 2020). Although this communication had to be modified in the face of the pandemic, it continues to be essential for nursing care. Objective: To describe the benefits of interpersonal relationships in nursing care. Methods: integrative review, January 2020- July 2021, and starts with the research question, What benefits does the interpersonal relationship have in the satisfaction of nursing care in times of pandemic? The line of research: Nursing Practice. The search strategies used were the MEDLINE databases with its PUBMED search engine, EBSCO Host, Lilacs, Redalyc and EMBASE; in English and Spanish. The information search was done by restricted specificity to MESH and DECS terms and to broaden the search, combinations and Boolean engines were performed. Conclusions: The communication process is not an easy task and requires a lot of effort among those involved. The communication was satisfactory for the patient and the family when it aims at the quality of health and the objectives of patient safety. There is interpersonal communication of dissatisfaction when insufficient updates are given on the patient's condition and when the family is not consulted on the decision-making of their relative.

RESUMO A enfermagem como profissão, com seus processos de trabalho diretamente afetados pela pandemia, encontra em tecnologías ligeiras a escuta qualificada e orientada como estratégia para melhorar a relação interpessoal estabelecida com a equipe de saúde, a família e o paciente (Rodríguez, Belarmino, Custódio, & Ferreira Júnior, 2020). Essa comunicação em face da pandemia teve de ser modificada, no entanto, continua sendo fundamental para o cuidado de enfermagem. Objetivo: Descrever os benefícios da relação interpessoal nos cuidados da enfermagem. Métodos: revisão integrativa, janeiro de 2020 a julho de 2021, e parte da questão estruturada, Quais benefícios tem a relação interpessoal na satisfação do cuidado de enfermagem em tempos de pandemia? A linha de pesquisa: Prática de Enfermagem. As estratégias de pesquisa utilizadas foram os bancos de dados MEDLINE com seus mecanismos de busca PUBMED, EBSCO Host, Lilacs, Redalyc e EMBASE; em inglês e espanhol. A pesquisa de informações foi realizada por especificidade restrita aos termos MESH e DECS e para ampliar foram utilizadas combinações de pesquisa e motores Booleanos. Conclusões: O processo de comunicação não é uma tarefa fácil e requer muito esforço entre os envolvidos. A comunicação foi satisfatória para o paciente e para a família quando abordou a qualidade das metas de saúde e segurança do paciente. Há comunicação interpessoal de insatisfação quando são dadas atualizações insuficientes sobre a condição do paciente e quando a família não é consultada sobre a tomada de decisões de seus familiares.

Humanos , Masculino , Feminino , História do Século XXI , Bases de Dados Bibliográficas , Pandemias , Relações Enfermeiro-Paciente , Terapia de Relaxamento/enfermagem , Relações Familiares , Relações Interpessoais
J Health Psychol ; 27(3): 581-588, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-32873114


Many people find it difficult to practice progressive muscle relaxation (PMR) regularly. We attempted to improve relaxation quantity (i.e. adherence), and relaxation quality via placebo. A total of 100 women were randomly assigned to a standard group, which practiced PMR at home every day for two weeks, or a placebo group, which practiced PMR for two weeks with additional daily placebo treatment. To monitor adherence to relaxation practice, we used a smartphone app. The placebo group practiced more often than the standard group. Both groups did not differ in their reported relaxation level after the daily exercises.

Aplicativos Móveis , Efeito Placebo , Treinamento Autógeno , Exercício Físico , Feminino , Humanos , Terapia de Relaxamento
Clin Nurs Res ; 31(1): 122-135, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34159828


This study aimed to evaluate the efficacy of Benson's relaxation technique on anxiety and depression among patients undergoing hemodialysis. A systematic review of randomized controlled trials was conducted. Searching databases included EBSCO Host, PubMed, ProQuest, Science Direct, Sage Journals, Ovid, and Google Scholar from January 2000 to September 2020. Five randomized controlled trials were identified. Findings revealed a statistically significant decrease in anxiety score. Concerning depression; one RCT showed a statistically significant decrease and two RCTs revealed a non-significant difference in depression level. The overall quality of the RCTs was not high. Despite that the RCTs showed benefits of BRT in managing anxiety. However, this is not the same for depression. The lack of high-quality scientific evidence supporting its retinue use indicates that additional well designed randomized controlled trials in multiple countries are warranted to support the efficacy of Benson's relaxation technique on anxiety and depression among patients undergoing hemodialysis.

Depressão , Terapia de Relaxamento , Ansiedade/terapia , Depressão/terapia , Humanos , Diálise Renal
Rev. Bras. Cancerol. (Online) ; 68(1)jan./fev./mar. 2022.
Artigo em Inglês, Português | LILACS | ID: biblio-1370454


Introdução: O câncer de mama ocupa uma das primeiras posições das neoplasias malignas em mulheres. Entre os tipos de tratamento, está a radioterapia que, apesar de ser um método seguro, traz diversos efeitos colaterais que prejudicam a qualidade de vida relacionada à saúde. Objetivo: Avaliar o efeito da prática integrativa e complementar de relaxamento com visualização guiada na melhora da qualidade de vida relacionada à saúde de mulheres com câncer de mama submetidas à radioterapia. Método: Pesquisa quantitativa, quase-experimental, do tipo pré e pós-teste, realizada com 25 mulheres com câncer de mama submetidas à radioterapia em um Centro de Oncologia do Sul de Minas Gerais, entre julho de 2019 a março de 2020. Foram coletados dados sobre aspectos sociodemográficos e clínicos, e utilizado o instrumento Quality of Life Questionnaire-Core 30 da European Organization for Research and Treatment of Cancer (EORTC QLQ-C30) para avaliação da qualidade de vida, aplicado em três momentos do tratamento. As seções de relaxamento foram aplicadas três vezes na semana durante todo o tratamento radioterápico. Resultados: A maioria das pacientes se encontrava na faixa etária de 41-60 anos, com nível médio de escolaridade, aposentadas, católicas, brancas, casadas e em estadiamento IIA. Os escores relacionados às escalas funcionais apresentaram melhora ao longo do tratamento. Para a escala de sintomas, os prevalentes foram insônia, constipação e fadiga. Conclusão: A prática de relaxamento foi eficaz na melhora dos domínios da qualidade de vida relacionada à saúde, sendo uma prática de baixo custo que pode ser aplicada por profissionais treinados

Introduction: Breast cancer is one of the leading malignant neoplasms in women. Radiotherapy is among the types of treatment which, although safe, causes several side effects that impair health-related quality of life. Objective: To evaluate the effect of integrative and complementary practice of relaxation with guided visualization in improving health-related quality of in women with breast cancer undergoing radiotherapy. Method: Quantitative, quasi-experimental, pre-and post-test study, conducted with 25 women with breast cancer undergoing radiotherapy at an Oncology Center in the South of Minas Gerais, between July 2019 and March 2020. Sociodemographic and clinical data were collected, the Quality-of-Life Questionnaire-Core 30 of the European Organization for Research and Treatment of Cancer (EORTC QLQ-C30) was used to assess quality of life, applied at three stages of the treatment. The relaxation sections were applied three times a week during the entire radiotherapy treatment. Results: Most of the patients were aged 41-60 years, with an average level of education, retired, Catholic, white, married and in IIA staging. The scores related to the functional scales showed improvement throughout the treatment. The prevalent symptoms for the symptom scale were insomnia, constipation and fatigue. Conclusion: The practice of relaxation was effective in improving the domains of health-related quality of life, being a low-cost practice that can be applied by trained professionals

Introducción: El cáncer de mama ocupa una de las primeras posiciones de las neoplasias malignas en la mujer. Entre los tipos de tratamiento se encuentra la radioterapia que, a pesar de ser un método seguro, tiene varios efectos secundarios que perjudican la calidad de vida relacionada con la salud. Objetivo: Evaluar el efecto de la práctica integradora y complementaria de la relajación con visualización guiada en la mejora de la calidad de vida relacionada con la salud de mujeres con cáncer de mama sometidas a radioterapia. Método: Cuantitativo, cuasiexperimental, tipo pre y posprueba, realizado con 25 mujeres con cáncer de mama sometidas a radioterapia en un Centro de Oncología del Sur de Minas Gerais, entre julio de 2019 y marzo de 2020 Datos sociodemográficos y clínicos Se recogieron aspectos y se utilizó el instrumento Quality of Life QuestionnaireCore 30 de la Organización Europea para la Investigación y el Tratamiento del Cáncer (EORTC QLQ-C30) para evaluar la calidad de vida, aplicado en tres etapas del tratamiento. Las secciones de relajación se aplicaron tres veces por semana durante todo el tratamiento de radioterapia. Resultados: La mayoría de los pacientes tenían entre 41 y 60 años, con nivel educativo medio, jubilados, católicos, blancos, casados y en estadificación IIA. Las puntuaciones relacionadas con las escalas funcionales mostraron mejoría a lo largo del tratamiento. Los síntomas prevalentes para la escala de síntomas fueron insomnio, estreñimiento y fatiga. Conclusión: la práctica de la relajación resultó efectiva para mejorar los dominios de la calidad de vida relacionada con la salud, siendo una práctica de bajo costo que puede ser aplicada por profesionales capacitados

Humanos , Feminino , Qualidade de Vida , Terapias Complementares , Neoplasias da Mama/radioterapia , Terapia de Relaxamento
J. bras. psiquiatr ; 70(4): 338-344, out.-dez.2021.
Artigo em Inglês | LILACS | ID: biblio-1350963


Schizencephaly is an extremely rare developmental birth defect or malformation characterized by abnormal clefts in the cerebral hemispheres of the brain, extending from the cortex to the ventricles, which may be unilateral or bilateral. This case report describes the general characteristics of a psychological home care program, reporting the main theoretical and technical elements in a 12-years-old case of type II Schizencephaly. The aims of the psychological home treatment were acceptance of the new treatment reality, a reduction in aggression and anxiety, and psychological support for the patient and family. In the psychological home care, patient's awareness of illness was developed, along with family orientation, psychoeducation, relaxation techniques, and cognitive distraction. It can be observed that a significant improvement in the affective and emotional state was achieved within the patient's clinical framework.

A esquizencefalia é um defeito ou malformação congênita do desenvolvimento extremamente raro, caracterizado por fendas anormais nos hemisférios cerebrais, estendendo-se do córtex aos ventrículos, que podem ser unilaterais ou bilaterais. Este relato de caso descreve as características gerais de um programa de atenção psicológica domiciliar, relatando os principais elementos teóricos e técnicos de um paciente de 12 anos de idade com esquizencefalia tipo II. Os objetivos do tratamento psicológico domiciliar eram a aceitação da nova realidade do tratamento, a redução da agressividade e da ansiedade e o apoio psicológico ao paciente e à família. No atendimento psicológico domiciliar, a consciência do paciente sobre a doença foi desenvolvida, juntamente com a orientação familiar, psicoeducação, técnicas de relaxamento e distração cognitiva. Pode-se observar que houve melhora significativa do estado afetivo e emocional no quadro clínico do paciente.

Humanos , Feminino , Criança , Psicoterapia/métodos , Esquizencefalia/diagnóstico , Esquizencefalia/terapia , Serviços de Assistência Domiciliar , Equipe de Assistência ao Paciente , Relações Profissional-Família , Terapia de Relaxamento , Resultado do Tratamento
J Oleo Sci ; 70(11): 1661-1668, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34732636


The volatile components of kuromoji oil (Lindera umbellata Thunb.) obtained in Shizuoka Pref. were analyzed by GC/MS. Linalool, α-pinene, limonene, camphene, cis- and trans-dihydrocarvone, 1,8-cineol, 4-terpinenol, α-terpineol, piperitone, geranyl acetate, geraniol, and trans-nerolidol were identified as major components. Using enantio-MDGC-MS, the enantiomeric ratio ((R)-(-) vs (S)-(+)) of linalool in this oil was determined to be 67.8/32.2. Touch care treatment while sniffing this oil was done on cancer patients. We found that the relaxation effect persisted longer after the treatment compared to treatment without aroma.

Aromaterapia/métodos , Lindera/química , Neoplasias/terapia , Óleos Voláteis/química , Fitoterapia , Óleos Vegetais/química , Terapia de Relaxamento/métodos , Compostos Orgânicos Voláteis/isolamento & purificação , Compostos Orgânicos Voláteis/uso terapêutico , Monoterpenos Acíclicos/isolamento & purificação , Monoterpenos Acíclicos/uso terapêutico , Cromatografia Gasosa-Espectrometria de Massas , Frequência Cardíaca , Humanos , Neoplasias/fisiopatologia , Óleos Voláteis/isolamento & purificação , Óleos Vegetais/isolamento & purificação , Estereoisomerismo