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1.
J Holist Nurs ; : 8980101241273860, 2024 Aug 16.
Artigo em Inglês | MEDLINE | ID: mdl-39150318

RESUMO

Aim: Nurses are well-qualified to deliver integrative complementary therapy interventions, a holistic approach to assist individuals experiencing anxiety and stress. Self-regulated, controlled breathing exercises (a clinical approach) are reported to decrease anxiety and increase stress tolerance. The aim of this systematic review was to evaluate the effectiveness of breathing exercise interventions on the psychological and physiologic outcomes of anxiety and stress among adults and assess the state of the science in the post-COVID-19 population. Methods: A systematic review was conducted, and four scientific databases were searched: PubMed, CINAHL, EMBASE, and Web of Science. Inclusion criteria included: (1) peer-reviewed studies, (2) adults over 18, (3) breathing exercise interventions, and (4) anxiety or stress as outcomes. Results: Out of 309 studies identified, 19 were included. Twelve reported significant improvements in anxiety and nine reported significant improvements in stress following varying breathing exercise interventions (p < .05). No adverse events were reported. Conclusions: Breathing exercises were found to be effective in reducing anxiety and stress in adults, however, there continues to be limited evidence that includes large randomized controlled trials. Breathing exercises are a holistic care approach that can be safely implemented by nurses to decrease symptomatology among adults, including the post-COVID population.

2.
Cancer Nurs ; 2024 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-38899949

RESUMO

BACKGROUND: The influence of self-efficacy-enhancing interventions on quality of life (QOL) is not clear with recent randomized controlled trials (RCTs) because current reviews only evaluated self-efficacy as an outcome. OBJECTIVES: We conducted a systematic review to examine the effect of self-efficacy-enhancing interventions on QOL among patients with cancer and to summarize the effective determinants for designing self-efficacy-enhancing interventions. METHODS: A systematic search was performed on studies published from January 2003 to May 2023 using PubMed, CINAHL, PsycINFO, and Web of Science. Included studies were RCTs, adults diagnosed with cancer, interventions with explicit self-efficacy components, and QOL as the outcome. RESULTS: Nineteen RCTs were included. Risk-of-bias assessment revealed 12 studies with some concerns and 7 with high risk of bias. The mean intervention adherence rate was 88.2%; the most frequently listed reason for dropout was medical conditions and mortality. Self-efficacy interventions were shown to significantly improve at least 1 subscale of QOL in 9 of 19 studies, of which 7 studies used Bandura's 4 sources of self-efficacy. The interventions with between-session intervals shorter than 2 weeks, of 12-week duration, and with an in-person delivery approach were the most effective. CONCLUSIONS: Self-efficacy-enhancing interventions show potential beneficial effects on QOL among cancer survivors. Interventions that use Bandura's 4 sources of self-efficacy strategies and have between-session intervals shorter than 2 weeks, an in-person approach, and 12-week intervention duration are recommended. IMPLICATIONS FOR PRACTICE: Properly designed self-efficacy-enhancing interventions can facilitate behavioral change and improve QOL in cancer survivors.

3.
Liberabit ; 21(2): 221-233, jul.-dic. 2015. ilus
Artigo em Espanhol | LILACS, LIPECS | ID: lil-788672

RESUMO

Presentamos un resumen y una breve historia del creciente campo de Intervenciones Basadas en mindfulness o conciencia plena. En los últimos tiempos, existe un gran interés en este modelo terapéutico para reducir la vulnerabilidad al estrés crónico y distrés emocional. Mindfulness requiere intencionalmente enfocar nuestra atención a las experiencias que ocurren en el momento presente. A medida que la investigación avanza en esta temática, es vital definir cuidadosamente la estructura de mindfulness y comprender mejor sus mecanismos de acción neurocognitiva. Este informe presenta un marco conceptual que enfatiza el papel central de control atencional y mecanismos de sostenibilidad para desarrollar las habilidades de conciencia plena. También, repasamos la estructura de mindfulness y la autorregulación de las emociones; luego describimos brevemente nuestra investigación relacionada con nuestro programa de Reducción del Estrés en Cáncer de Mama basado en Mindfulness (MBSR-AC) en la University of South Florida. Se presenta, a partir de esta premisa, un modelo propuesto que explica nuestros mecanismos cognitivos basados en la lógica del modelo de biocomportamental.


We are presenting an overview and a brief history of the growing field of Mindfulness Based Interventions. There has been a significant interest in this therapeutic model to reduce vulnerability to chronic stress and emotional distress in recent times. Mindfulness requires intentionally bringing our attention to the experiences that occur in the present moment. As the research advances in this line of inquiry, it is vital to carefully define the construct of Mindfulness and better understand its neurocognitive mechanisms of action. This review presents conceptual framework that emphasizes the central role of attentional control and sustainability mechanisms to build mindfulness skills. We also review the construct of Mindfulness and self-regulation of emotions; then describe briefly our research related to our Mindfulness Based-Stress Reduction Breast Cancer (MBSR-BC) program at the University of South Florida. With this premise, we present a model explaining our proposed cognitive mechanisms based on the Logic of the Biobehavioral Model.


Assuntos
Atenção Plena , Estresse Psicológico , Neurociência Cognitiva , Terapia Cognitivo-Comportamental
4.
Psicooncología (Pozuelo de Alarcón) ; 9(2/3): 277-288, dic. 2012. tab
Artigo em Inglês | IBECS (Espanha) | ID: ibc-110986

RESUMO

The purpose of this research was to present the latest development of the The Perceived Emotional Distress Inventory (PEDI) as a brief 15-item self-report measure intended to be used for the assessment of psychological distress in cancer patients. Factor Analyses of Principal Components with promax rotations were performed with a combined male and female sample of 481 cancer patients at St. Joseph’s hospital Cancer Institute in Tampa, Florida, to provide further evidence of construct validity. The factor structure, internal consistency, and Pearson correlation coefficients of the PEDI are presented in this report. The factor analysis identified three factors comparable to those found in previous samples in USA: The first factor, anxiety/depression; second factor, hopelessness; and third factor, anger expression. Global alpha coefficient of 0.92 for the inventory indicates strong internal consistency. Pearson correlations between the subscales of the instrument is impressive for such a brief measure. This study emphasizes the need for a brief, self-report instrument to assess anger expression, anxiety, depression and hopelessness as components of perceived emotional distress in cancer patients, while explicitly excluding the potentially confounding effects of somatic symptoms commonly associated with cancer treatments. Further research will be needed to provide information about the PEDI’s use in populations other than cancer patients including attempts to replicate these findings in more heterogeneous populations (AU)


El propósito de este estudio fue evaluar la estructura factorial del Inventario de Malestar Emocional Percibido (IDEP), un instrumento de medición del malestar emocional de 15 ítems, en una muestra de 481 pacientes con cáncer que iniciaron sus tratamientos con radioterapia y/o quimioterapia en el Instituto de cancer del hospital St. Joseph’s en la ciudad de Tampa, Florida, USA. Se llevó a cabo un análisis factorial de componentes principales y método de rotación promax con autovalores superiores a 1. El primer factor contiene seven ítems correspondientes a síntomas de ansiedad y depresión. El segundo factor está agrupado por cuatro ítems relacionados con sentimientos de desesperanza, mientras un tercer factor presenta cuatro ítems que manifiestan la expresión de ira. Los resultados obtenidos nos indican que el Inventario de malestar emocional presenta una estructura factorial consistente con el marco conceptual en el cual se basó la construcción del instrumento, El coeficiente alpha de Cronbach para el instrumento total del IDEP es de 0,92, lo cual es significativamente elevado, como también los coeficientes alpha para sus cuatro sub-escalas. Los resultados observados demuestran evidencia empírica acerca de la validez de constructo y la consistencia interna del IDEP. Es necesario un mayor esfuerzo con el propósito de replicar estos mismos resultados en pacientes con otros tipos de diagnostico y en culturas diferentes (AU)


Assuntos
Humanos , Neoplasias/psicologia , Estresse Psicológico/diagnóstico , Depressão/diagnóstico , Ansiedade/diagnóstico , Psicometria/instrumentação , Fatores de Risco
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