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1.
Rev. SPAGESP ; 22(1): 114-127, ene.-jun. 2021. tab
Artículo en Portugués | LILACS, Index Psicología - Revistas técnico-científicas | ID: biblio-1155518

RESUMEN

Esse estudo parte do pressuposto de que o mindfulness poderia estar relacionado com a intimidade conjugal. Investigou-se o papel discriminante da intimidade em dois grupos de indivíduos com maiores e menores níveis de mindfulness. Partiparam 281 sujeitos, maiores de 18 anos, em relacionamento estável e em coabitação. Os mesmos responderam à Escala Filadélfia de Mindfulness e à Escala de Avaliação Pessoal de Intimidade em Relacionamentos (PAIR). Os resultados indicaram que os fatores da intimidade avaliados (comunicação, validação pessoal e abertura ao exterior) discriminaram o grupo com maiores níveis de mindfulness. O estudo sugere que indivíduos com maiores níveis de mindfulness possuem maior facilidade de desenvolver intimidade em seus relacionamentos, contribuindo para o entendimento do papel considerável dessa habilidade na conjugalidade.


This study assumes that mindfulness could be related to conjugal intimacy. The discriminating role of intimacy was investigated in two groups of individuals with higher and lower levels of mindfulness. 281 subjects, over 18 years old, participated in a stable relationship and cohabitation. They responded to the Philadelphia Mindfulness Scale and the Personal Relationship Intimacy Scale in Relationships (PAIR). The results indicated that the factors of intimacy evaluated (communication, personal validation and openness to the outside) discriminated against the group with the highest levels of mindfulness. The study suggests that individuals with higher levels of mindfulness have an easier time developing intimacy in their relationships, contributing to the understanding of the considerable role of this ability in conjugality.


Este estudio asume que la atención plena podría estar relacionada con la intimidad conyugal. El papel discriminador de la intimidad se investigó en dos grupos de individuos con niveles más altos y más bajos de atención plena. 281 sujetos, mayores de 18 años, participaron en una relación estable y en convivencia. Respondieron a la Escala de atención plena de Filadelfia y la Escala de intimidad en las relaciones personales (PAIR). Los resultados indicaron que los factores de intimidad evaluados (comunicación, validación personal y apertura al exterior) discriminaban al grupo con mayores niveles de mindfulness. El estudio sugiere que las personas con niveles más altos de atención plena tienen más facilidad para desarrollar la intimidad en sus relaciones, lo que contribuye a comprender el papel considerable de esta capacidad en la conyugalidad.


Asunto(s)
Humanos , Masculino , Adulto , Rol , Autorrevelación , Comunicación , Terapia de Parejas , Relaciones Familiares , Atención Plena
2.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-48184

RESUMEN

Este mapa de evidências científicas apresenta uma síntese gráfica de revisões sistemáticas sobre a aplicação do Yoga para desfechos como dor crônica e aguda, obesidade e sobrepeso, tabagismo, saúde mental e segurança. A partir de uma ampla busca bibliográfica 37 revisões sistemáticas foram incluídas no mapa e categorizadas por tipo de intervenção e por desfechos. Os estudos avaliaram o efeito de 03 tipos de intervenção: Yoga (diversas técnicas ou não especificada), Hatha yoga e Terapias combinadas com Yoga. Principais achados: Os resultados encontrados foram favoráveis à prática de yoga para redução do Índice de Massa Corporal. A modalidade de Hatha Yoga mostrou efeitos positivos para o controle do tabagismo com relação ao desejo de fumar, abstinência, estágio de prontidão para mudanças de humor. As revisões sistemáticas apresentaram resultados favoráveis à prática de yoga em relação aos cuidados habituais, particularmente nos casos de dor lombar e cervical. Há menos evidências acerca da superioridade do Yoga em comparação a intervenções ativas. Em outras situações estudadas, como a dor associada a fibromialgia, osteoartrite, artrite reumatoide, síndromes do túnel do carpo e do intestino irritável, as evidências são menos consistentes. Pacientes diagnosticados com transtornos depressivos tiveram melhora de suas condições após o yoga relatados na maior parte das revisões, inclusive com efeitos de grande magnitude no curto prazo. Da mesma forma, foram observados efeitos positivos da Yoga na redução de sintomas de ansiedade e depressão em mulheres no período perinatal e em idosos. Resultados conflitantes foram encontrados para a prática de Yoga entre pacientes com transtornos de ansiedade. No entanto, estas evidências devem ser vistas com cautela, uma vez que a confiança nos resultados da maioria das revisões foi considerada baixa ou criticamente baixa na avaliação da qualidade metodológica.


Asunto(s)
Meditación/métodos , Atención Plena/métodos , Obesidad/terapia , Salud Mental , Seguridad , Tabaquismo/terapia , Enfermedades Cardiovasculares/terapia , Resultado del Tratamiento
3.
Int. j. clin. health psychol. (Internet) ; 21(1): 197-197, ene.-abr. 2021. tab, graf
Artículo en Inglés | IBECS | ID: ibc-200210

RESUMEN

BACKGROUND/OBJECTIVE: To assess the differential efficacy between mindfulness-based interventions and cognitive-behavioral Therapy (CBT) on chronic pain across medical conditions involving pain. METHOD: ProQuest, Science Direct, Google Scholar, Pubmed, and Embase databases were searched to identify randomized clinical trials. Measurements of mindfulness, pain, mood, and further miscellaneous measurements were included. RESULTS: 18 studies met the inclusion criteria (fibromyalgia, n = 5; low back pain, n = 5; headache/migraine, n = 4; non-specific chronic pain, n = 4). In fibromyalgia, mindfulness based stress reduction (MBSR) was superior to the usual care and Fibroqol, in impact and symptoms. In low back pain, MBSR was superior to the usual care, but not to CBT, in physical functionality and pain intensity. There were no studies on differential efficacy between mindfulness and CBT for headache and non-specific chronic pain, but Mindfulness interventions were superior to the usual care in these syndromes. CONCLUSIONS: Mindfulness interventions are superior to usual cares in all diagnoses, but it is not possible to conclude their superiority over CBT. Comparisons between mindfulness interventions are scarce, with MBSR being the most studied. In central sensitization syndromes, variables associated with pain tend to improve with treatment. More research is needed to differentiate diagnosis and intervention


INTRODUCCIÓN/OBJETIVO: Estudiar la eficacia diferencial entre terapias basadas en mindfulness y terapia cognitivo-conductual (TCC) en síndromes asociados a dolor crónico. MÉTODO: ProQuest, Science Direct, Google Scholar, Pubmed y Embase fueron las bases utilizadas para identificar los ensayos clínicos aleatorizados. Los resultados fueron medidas de mindfulness, dolor, estado de ánimo y otras. RESULTADOS: 18 estudios cumplieron criterios de inclusión (fibromialgia, n = 5; lumbalgia, n = 5; cefalea/migraña, n = 4; dolor crónico no especificado, n = 4). En fibromialgia, la terapia basada en mindfulness para la reducción del estrés (MBSR, por sus siglas en inglés) fue superior a tratamiento habitual y Fibroqol en impacto y sintomatología. En lumbalgia, MBSR fue superior a tratamiento habitual, pero no frente a TCC, en funcionalidad física e intensidad del dolor. No se encontraron estudios de eficacia diferencial entre mindfulness y TCC en cefalea y dolor crónico no especificado, pero las intervenciones mindfulness fueron superiores a tratamiento habitual en estos síndromes. CONCLUSIONES: Las intervenciones mindfulness son superiores al tratamiento habitual en todos los diagnósticos, pero no es posible concluir su superioridad sobre TCC. Son escasas las comparaciones entre intervenciones mindfulness, siendo MBSR la más estudiada. En síndromes de sensibilización central tienden a mejorar variables asociadas al dolor. Es necesaria más investigación diferenciando diagnóstico e intervención


Asunto(s)
Humanos , Dolor Crónico/terapia , Terapia Cognitivo-Conductual/métodos , Atención Plena/métodos , Dolor Crónico/psicología , Resultado del Tratamiento , Fibromialgia/terapia , Dolor de la Región Lumbar/terapia , Trastornos Migrañosos/terapia , Cefalea/terapia
4.
Complement Ther Clin Pract ; 43: 101377, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33831804

RESUMEN

BACKGROUND: Parkinson's Disease (PD) leads to poor quality of life and caregiver burden. Mindfulness-based stress reduction (MBSR) may improve these symptoms. We assessed the impact of a 9-week MBSR course on people with PD (PwP) and their care partners (CPs). METHODS: Participants completed questionnaires at screening, at the end of the course, and at 3-month follow-up: Parkinson's Disease Quality-39 (PDQ-39, PD only), Zarit Burden Inventory (ZBI, CP only) and Mindful Attention Awareness Scale (MAAS, both). The primary outcome measure was change in PDQ-39 (for PwP) or ZBI (for CP). Patient-reported scales were analyzed quantitatively; qualitative data on perceived effectiveness was collected. RESULTS: 53.8% PwP and 100% CPs completed the course. Among PwP, there was a significant reduction in MAAS(p < 0.001) and in PDQ-39 (p = 0.008). CPs experienced an increase in MAAS (p = 0.02) but no change in ZBI (p = 0.239). Qualitatively, both PwP and CPs expressed satisfaction with the course. DISCUSSION: MBSR improves mindful awareness in CPs and improves health-related quality of life in PwP.


Asunto(s)
Atención Plena , Enfermedad de Parkinson , Cuidadores , Humanos , Enfermedad de Parkinson/terapia , Calidad de Vida , Estrés Psicológico/terapia
5.
Complement Ther Clin Pract ; 43: 101387, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33892386

RESUMEN

PURPOSE: The purpose of this study was to assess physical therapist's beliefs, practice patterns, and barriers of incorporation of mindfulness meditation into the management of individuals with chronic dizziness. METHODS: An electronic survey was sent to physical therapists with experience treating individuals with dizziness and vestibular disorders. Descriptive statistics and chi-square analysis were conducted. RESULTS: The majority of respondents agree that anxiety limits functional and participation outcomes with individuals with chronic dizziness and adoption of a mindfulness meditation practice could be helpful to address this. However, a much smaller percentage of respondents reported currently using these techniques a majority of time during their clinical practice. CONCLUSION: Barriers exist that prevent the widespread implementation of meditation and mindfulness in physical therapy practice. Potential limiting factors highlight that further research is needed to explore these barriers and evaluate the outcomes of patients with chronic dizziness when meditation is applied in practice.


Asunto(s)
Meditación , Atención Plena , Fisioterapeutas , Mareo/terapia , Humanos , Vértigo
6.
J Perinat Neonatal Nurs ; 35(2): 105-109, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33900236

RESUMEN

The Covid-19 pandemic has further illuminated the already existing need for methods of building resilience in perinatal caregivers. Using a scoping review approach, literature was examined to identify evidence-based models of resilience building in a cohort of perinatal clinicians. Research published between January 2015 and 2020 was evaluated using PubMed, CINAHL, EMBASE, and PsycINFO databases. Of the initial 3399 records reviewed, 2 qualitative studies met the inclusion criteria. Given the deleterious effects of Covid-19 on perinatal care providers, and in light of the paucity of available studies, personnel, time, and funding should be allocated for research to address these issues.


Asunto(s)
Agotamiento Profesional , Enfermeras Neonatales/psicología , Estrés Laboral , Atención Perinatal/métodos , Resiliencia Psicológica , Adaptación Psicológica , Agotamiento Profesional/prevención & control , Agotamiento Profesional/psicología , /psicología , Gestión de Recursos de Personal en Salud/métodos , Femenino , Humanos , Recién Nacido , Partería , Atención Plena/métodos , Enfermería Obstétrica/métodos , Estrés Laboral/prevención & control , Estrés Laboral/rehabilitación , Embarazo
7.
BMC Psychiatry ; 21(1): 213, 2021 04 28.
Artículo en Inglés | MEDLINE | ID: mdl-33910549

RESUMEN

BACKGROUND: Given that psychopharmacological approaches routinely used to treat mood-related problems may result in adverse outcomes in mood dysregulated adolescents at familial risk for bipolar disorder (BD), Mindfulness-Based Cognitive Therapy for Children (MBCT-C) provides an alternative effective and safe option. However, little is known about the brain mechanisms of beneficial outcomes from this intervention. Herein, we aimed to investigate the network-level neurofunctional effects of MBCT-C in mood dysregulated adolescents. METHODS: Ten mood dysregulated adolescents at familial risk for BD underwent a 12-week MBCT-C intervention. Resting-state functional magnetic resonance imaging (fMRI) was performed prior to and following MBCT-C. Topological metrics of three intrinsic functional networks (default mode network (DMN), fronto-parietal network (FPN) and cingulo-opercular network (CON)) were investigated respectively using graph theory analysis. RESULTS: Following MBCT-C, mood dysregulated adolescents showed increased global efficiency and decreased characteristic path length within both CON and FPN. Enhanced functional connectivity strength of frontal and limbic areas were identified within the DMN and CON. Moreover, change in characteristic path length within the CON was suggested to be significantly related to change in the Emotion Regulation Checklist score. CONCLUSIONS: 12-week MBCT-C treatment in mood dysregulated adolescents at familial risk for BD yield network-level neurofunctional effects within the FPN and CON, suggesting enhanced functional integration of the dual-network. Decreased characteristic path length of the CON may be associated with the improvement of emotion regulation following mindfulness training. However, current findings derived from small sample size should be interpreted with caution. Future randomized controlled trials including larger samples are critical to validate our findings.


Asunto(s)
Trastorno Bipolar , Terapia Cognitivo-Conductual , Atención Plena , Adolescente , Trastorno Bipolar/genética , Trastorno Bipolar/terapia , Niño , Predisposición Genética a la Enfermedad , Humanos , Imagen por Resonancia Magnética , Proyectos Piloto
8.
Artículo en Inglés | MEDLINE | ID: mdl-33799828

RESUMEN

Background: Hypertension is among the most important risk factors for cardiovascular diseases, which are considered high mortality risk medical conditions. To date, several studies have reported positive effects of mindfulness-based stress reduction (MBSR) interventions on physical and psychological well-being in other medical conditions, but no meta-analysis on MBSR programs for hypertension has been conducted. Objectives: The objective of this study was to determine the effectiveness of MBSR programs for hypertension. Methods: A systematic review and meta-analysis of randomized controlled trials examining the effects of MBSR on systolic and diastolic blood pressure (BP), anxiety, depression, and perceived stress in people with hypertension or pre-hypertension was conducted. The PubMed/MEDLINE and PsycINFO databases were searched in November 2020 to identify relevant studies. Results: Six studies were included. The comparison of MBSR versus control conditions on diastolic BP was associated with a statistically significant mean effect size favoring MBSR over control conditions (MD = -2.029; 95% confidence interval (CI): -3.676 to -0.383, p = 0.016, k = 6; 22 effect sizes overall), without evidence of heterogeneity (I2 = 0.000%). The comparison of MBSR versus control conditions on systolic BP was associated with a mean effect size which was statistically significant only at a marginal level (MD = -3.894; 95% CI: -7.736-0.053, p = 0.047, k = 6; 22 effect sizes overall), without evidence of high heterogeneity (I2 = 20.772%). The higher the proportion of participants on antihypertensive medications was, the larger the effects of MBSR were on systolic BP (B = -0.750, z = -2.73, p = 0.003). Conclusions: MBSR seems to be a promising intervention, particularly effective on the reduction of diastolic BP. More well-conducted trials are required.


Asunto(s)
Hipertensión , Atención Plena , Ansiedad , Presión Sanguínea , Humanos , Hipertensión/terapia , Estrés Psicológico/prevención & control
9.
Artículo en Inglés | MEDLINE | ID: mdl-33800890

RESUMEN

(1) Background: Different investigations relate mindfulness practice as a strategy to cope with and improve negative repetitive thinking states and forgiveness. (2) Methods: The aim is to analyze the mediating processes of mindfulness as a trait and the changes in the anger rumination on forgiveness. This sample comprised 264 undergraduate students (M = 24.13 years, SD = 11.39). The instruments used were the Anger Rumination Scale (ARS), the Five Facet Mindfulness Questionnaire (FFMQ) and the Heartland Forgiveness Scale (HFS). For data analysis, the spillover effect was calculated using 10,000 bootstrap samples for the bootstrap confidence intervals (CI). (3) Conclusions: The results confirm that the relationship between mindfulness practice and forgiveness is mediated by changes in mindfulness trait and anger rumination. Given the results obtained, it is considered appropriate to extend the study to samples from other countries, as well as to contexts of depressive rumination or anxiety.


Asunto(s)
Perdón , Atención Plena , Ira , Ansiedad , Humanos , Encuestas y Cuestionarios
10.
Artículo en Inglés | MEDLINE | ID: mdl-33805835

RESUMEN

"Parenting Forest" is an informed contextual therapy parenting program for improving parental emotion regulation strategies and psychological flexibility. The aim of this study was to evaluate the preliminary effectiveness of a self-guided web-based intervention of the Parenting Forest program. The intervention program consists of six self-applied sequential modules that use strategies from contextual therapies for providing a parenting style open to experience, mindful and committed to its actions. A pilot controlled open trial was conducted. Eligible parents (n = 12) enrolled in the web-based intervention completed baseline (T1) and post-intervention (T2) assessment instruments. Parental psychological flexibility, avoidance, emotional regulation, parental stress, satisfaction with life, children's psychological adjustment and client satisfaction were measured to assess the effects of the intervention. Mood, coping, and value-related actions were assessed as measures of progress. The results showed positive effects on the parents' psychological flexibility and emotion regulation. Parents' mood and coping skills improved throughout the intervention program. These results provide preliminary evidence of the web-based Parenting Forest's efficacy, although further research is needed to assess its effectiveness for prevention and in clinical populations.


Asunto(s)
Regulación Emocional , Intervención basada en la Internet , Atención Plena , Adaptación Psicológica , Niño , Humanos , Responsabilidad Parental
11.
Artículo en Inglés | MEDLINE | ID: mdl-33806518

RESUMEN

Women are exposed to increased burden of mental disorders during the perinatal period: 13-19% experience postpartum depression. Perinatal psychological suffering affects early mother-child relationship, impacting child's emotional and cognitive development. Return-to-work brings additional vulnerability given the required balance between parenting and job demands. The MAternal Mental Health in the WORKplace (MAMH@WORK) project aims to develop and evaluate the effectiveness of a brief and sustainable intervention, promoting (a) maternal mental health throughout pregnancy and first 12 months after delivery, and (b) quality of mother-child interactions, child emotional self-regulation, and cognitive self-control, while (c) reducing perinatal absenteeism and presenteeism. MAMH@WORK is a three-arm randomized controlled trial. A short-term cognitive-behavioral therapy-based (CBT-based) psychoeducation plus biofeedback intervention will be implemented by psychiatrists and psychologists, following a standardized procedure manual developed after consensus (Delphi method). Participants (n = 225, primiparous, singleton pregnant women at 28-30 weeks gestational age, aged 18-40 years, employed) will be randomly allocated to arms: CBT-based psychoeducation intervention (including mindfulness); psychoeducation plus biofeedback intervention; and control. Assessments will take place before and after delivery. Main outcomes (and main tools): mental health literacy (MHLS), psychological wellbeing (HADS, EPDS, KBS, CD-RISC, BRIEF COPE), quality of mother-child interaction, child-mother attachment, child emotional self-regulation and cognitive self-control (including PBQ, Strange Situation Procedure, QDIBRB, SGS-II, CARE-Index), job engagement (UWES), and presenteeism. Intention-to-treat and per-protocol analyses will be conducted; Cohen's d coefficient, Cramer's V and odds ratio will be used to assess the effect size of the intervention. MAMH@WORK is expected to contribute to mental health promotion during the perinatal period and beyond. Its results have the potential to inform health policies regarding work-life balance and maternal mental health and wellbeing promotion in the workplace.


Asunto(s)
Depresión Posparto , Atención Plena , Adolescente , Adulto , Niño , Depresión Posparto/prevención & control , Femenino , Humanos , Salud Mental , Parto , Embarazo , Ensayos Clínicos Controlados Aleatorios como Asunto , Lugar de Trabajo , Adulto Joven
12.
Adv Exp Med Biol ; 1305: 295-310, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33834406

RESUMEN

Recently, the importance of cognitive behavioral therapy (CBT) in the treatment of depression is gradually emerging. Particularly, mindfulness meditation has various approaches related to dialectical behavioral therapy (DBT), acceptance and commitment therapy (ACT), mindfulness-based stress reduction (MBSR), and mindfulness-based cognitive therapy (MBCT), and evidence has been provided that they alleviate depressive symptoms. In particular, as MBCT increases the level of evidence in the treatment of repetitive depressive disorders, guidelines are being recommended to prevent recurrence. Mindfulness may also contribute to improving the patient's symptoms as well as improving the therapeutic relationship with the therapist. For both mindful patients and therapists, positive awareness of internal experiences can be a good way to enrich the mind and overcome depressive disorders.


Asunto(s)
Terapia de Aceptación y Compromiso , Terapia Cognitivo-Conductual , Trastorno Depresivo , Atención Plena , Trastorno Depresivo/terapia , Humanos , Recurrencia , Resultado del Tratamiento
13.
Adv Exp Med Biol ; 1305: 311-332, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33834407

RESUMEN

Major depressive disorder (MDD) represents a key contributor to the global burden of mental illness given its relatively high lifetime prevalence, frequent comorbidity, and disability rates. Evidence-based treatment options for depression include pharmacotherapy and psychotherapy, such as cognitive behavioral therapy (CBT). Beyond traditional CBT, over 15 years ago, Hayes proclaimed a new generation of contextualistic and process-orientated so-called third wave of CBT interventions, including acceptance and commitment therapy (ACT). Using mindfulness and acceptance as well as commitment and behavior change processes, the transdiagnostic ACT approach aims to increase psychological flexibility as universal mechanism of behavior change and to build a value-driven orientation in life. ACT for MDD can be provided as either stand-alone individual, group, or self-help formats (e.g., apps) or combined with other approaches like behavioral activation. To date, a steadily growing empirical support from outcome and process research suggests the efficacy of ACT, which appears to work specifically through the six proposed core processes involved in psychological flexibility, such as defusion. In view of an ongoing interest of clinicians in "third-wave" CBTs and the important role of clients' preferences in providing therapy choices that work, the purpose of this chapter is to give a brief overview on the application of ACT in the treatment of MDD in adults.


Asunto(s)
Terapia de Aceptación y Compromiso , Terapia Cognitivo-Conductual , Trastorno Depresivo Mayor , Atención Plena , Adulto , Trastorno Depresivo Mayor/terapia , Humanos , Solución de Problemas , Resultado del Tratamiento
14.
Artículo en Inglés | MEDLINE | ID: mdl-33923868

RESUMEN

Health professionals are among the most vulnerable to work stress and emotional exhaustion problems. These health professionals include tutors and resident intern specialists, due to the growing demand for the former and the high work overload of the latter. Mindfulness training programs can support these professionals during times of crisis, such as the current global pandemic caused by the coronavirus-19 disease. The objective of this study was to compare the effectiveness of an abbreviated Mindfulness-Based Stress Reduction (MBSR) and Mindful Self-Compassion (MSC) training program in relation to a standard training program on the levels of mindfulness, self-compassion, and self-perceived empathy in tutors and resident intern specialists of Family and Community Medicine and Nursing. A total of 112 professionals attached to six Spanish National Health System teaching units (TUs) participated in this randomized and controlled clinical trial. Experimental Group (GE) participants were included in the standard or abbreviated MBSR programs. The Five Facet Mindfulness Questionnaire (FFMQ), the Self-Compassion Scale short form (SCS-SF), and the Jefferson Scale of Physician Empathy (JSPE) were administered three times during the study: before, immediately after, and 3 months after the intervention. Adjusted covariance analysis (ANCOVA), using pretest scores as the covariate, showed a significant increase in mindfulness (F(2,91) = 3.271; p = 0.042; η2 = 0.067) and self-compassion (F(2,91) = 6.046; p = 0.003; η2 = 0.117) in the post-test visit, and in self-compassion (F(2,79) = 3.880; p = 0.025; η2 = 0.089) in the follow-up visit, attributable to the implementation of the standard training program. The standard MBSR and MSC training program improves levels of mindfulness and self-compassion, and promotes long-lasting effects in tutors and resident intern specialists. New studies are needed to demonstrate the effectiveness of abbreviated training programs.


Asunto(s)
Empatía , Atención Plena , Medicina Comunitaria , Humanos , Estándares de Referencia , España , Especialización
15.
J Nurs Adm ; 51(4): 212-219, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33734181

RESUMEN

OBJECTIVE: To highlight the development, implementation, and initial findings of a brief healthcare professional support program called "GRACE." BACKGROUND: Healthcare professionals face significant work-related stressors that when left unmanaged can negatively affect their overall well-being and contribute to burnout. METHODS: Over a 2-year period, the GRACE program was delivered to 8 clinical units at a midsized southwestern hospital. Questionnaires were administered at baseline and 1 month. RESULTS: Program participants were 36 years old on average, female (81%), and White (68%) and mostly employed as nurses (66%). Attendees reported increased knowledge, understanding, and confidence and found the program to be acceptable. One month after training, participants demonstrated significant improvements in self-compassion. Medical units that received GRACE training saw significantly greater increases in patient satisfaction scores compared with units that did not receive training. CONCLUSIONS: The GRACE program was feasible and acceptable to deliver, and initial proof-of-concept evidence was supported.


Asunto(s)
Agotamiento Profesional/prevención & control , Desgaste por Empatía/prevención & control , Atención Plena/métodos , Personal de Enfermería en Hospital/psicología , Lugar de Trabajo/psicología , Adulto , Agotamiento Profesional/psicología , Desgaste por Empatía/psicología , Empatía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estrés Laboral/prevención & control , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud
16.
J Affect Disord ; 285: 127-135, 2021 04 15.
Artículo en Inglés | MEDLINE | ID: mdl-33647580

RESUMEN

BACKGROUND: . Cognitive-behavioral therapy and mindfulness-based stress reduction (MBSR) are two prominent evidence-based treatments for social anxiety disorder (SAD). It is not clear, however, whether outcomes of these two treatments are moderated by similar factors. For example, whereas anger suppression and anger expression each predict outcomes in cognitive- behavioral group therapy (CBGT), it is unknown whether they differentially influence outcomes in CBGT versus MBSR. METHODS: . One hundred eight participants with SAD were randomized to CBGT, MBSR or Waitlist (WL). WL participants were later randomized to CBGT or MBSR, and their data were combined with data from those originally randomized to CBGT or MBSR. Anger suppression and anger expression were assessed at pre-treatment, and social anxiety was assessed at pre-treatment, post-treatment, and every 3 months throughout a 12-month follow-up period. RESULTS: . From pre- to post-treatment, higher anger suppression was associated with significantly greater reduction in social anxiety in CBGT compared with MBSR. From post-treatment through follow-up, higher anger expression was associated lesser reduction in social anxiety in MBSR but not in CBGT. LIMITATIONS: . Data are limited by sole reliance on self-report and it is unclear whether these findings generalize beyond group-based interventions. CONCLUSIONS: . Individuals with SAD who are higher in anger suppression and/or expression might be better suited to CBGT than MBSR.


Asunto(s)
Terapia Cognitivo-Conductual , Atención Plena , Fobia Social , Psicoterapia de Grupo , Ira , Cognición , Humanos , Fobia Social/terapia , Estrés Psicológico/terapia , Resultado del Tratamiento
17.
Artículo en Inglés | MEDLINE | ID: mdl-33670353

RESUMEN

Depression is one of the most common disorders in psychiatric and primary care settings, and is associated with disability, loss in quality of life, and economic costs. Internet-based psychological interventions have been shown to be effective in depression treatment but present problems with a low degree of adherence. The main aim of this study is to analyze the adherence predictors in three low-intensity interventions programs applied by Information and Communication Technologies (ICTs) for depression. A multi-center, randomized, controlled clinical trial was conducted with 164 participants with depression, who were allocated to: Healthy Lifestyle Program, Positive Affect Promotion Program or Mindfulness Program. Sociodemographic characteristics, Patient Health Questionnaire-9, Visual Analog Scale, Short Form Health Survey, Positive and Negative Affect Schedule, Five Facets Mindfulness Questionnaire, Pemberton Happiness Index and Treatment Expectancy Questionnaire were used to study adherence. Results showed that positive affect resulted in a predictor variable for Healthy Lifestyle Program and Positive Affect Promotion Program. Perceived health was also a negative adherence predictor for the Positive Affect Promotion Program. Our findings demonstrate that there are differences in clinical variables between treatment completers and non-completers and we provide adherence predictors in two intervention groups. Although new additional predictors have been examined, further research is essential in order to improve tailored interventions and increase adherence treatment.


Asunto(s)
Depresión , Atención Plena , Comunicación , Depresión/terapia , Humanos , Atención Primaria de Salud , Calidad de Vida
18.
J Altern Complement Med ; 27(S1): S115-S123, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33788602

RESUMEN

Background: Cancer patients often suffer from high levels of distress. Mobile health (mHealth) applications might be an innovative way to deliver mindfulness and relaxation interventions for cancer patients. However, data about the implementation of apps in health care are lacking. Adherence to mHealth interventions is an important indicator for a successful implementation and might be needed to maximize treatment effects. However, the decrease in distress might reduce the motivation of patients to engage in such self-care tools in the long run. Therefore, the aim of this analysis was to investigate the association between the course of distress over time and the adherence to a relaxation self-care app in cancer patients. Methods: We developed an app for cancer patients (CanRelax) and 83 patients who participated in the prospective observational study used the app at least once. The evaluation was guided by the RE-AIM framework, and this analysis focused on the implementation of the app. Patients were grouped into five subgroups according to their course of distress over 10 weeks (Distress Thermometer). These subgroups of patients were compared with each other to identify different user groups. Findings: About half of the patients were adherent over 10 weeks. However, a decrease in distress was associated with lower adherence to the app intervention, whereas patients with moderate distress or an increase in distress showed more adherence. Conclusion: Adherence to an app intervention might be also driven by patients' distress level. A decrease in distress might reduce patients' motivation to continue with a self-care intervention. The interplay between adherence and treatment outcomes should be explored in upcoming mHealth trials to get a better understanding for the implementation of such interventions. Encouraging patients to continue self-care interventions is a major challenge in integrative medicine if they are delivered digitally. The Clinical Trial Registration number: DRKS00010481.


Asunto(s)
Aplicaciones Móviles , Neoplasias , Cooperación del Paciente , Autocuidado , Adolescente , Adulto , Estudios de Cohortes , Femenino , Humanos , Masculino , Persona de Mediana Edad , Atención Plena , Neoplasias/psicología , Neoplasias/terapia , Calidad de Vida , Terapia por Relajación , Estrés Psicológico/terapia , Telemedicina , Adulto Joven
19.
Arch Psychiatr Nurs ; 35(2): 189-194, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33781399

RESUMEN

BACKGROUND: Burnout rates among nurses have detrimental impact on job satisfaction, teamwork, and patient care. This costs millions of dollars in the healthcare system and challenges nurse leaders to address in order to keep up with the healthcare demands. Furthermore, burnout is especially relevant in our current healthcare climate, as frontline nurses have increased workload and multiple psychosocial stressors during the coronavirus disease (COVID-19) pandemic (Sultana, Sharma, Hossain, Bhattacharya, & Purohit, 2019). Literature also suggests that mindful self-care practices need to be reinforced in order to impact burnout long term (Chamorro-Premuzic & Lusk, 2017). Project7 Mindfulness Pledge© is an accessible and voluntary mindfulness tool that nurses can utilize in their individual practice to reduce burnout and does not require significant time commitment. OBJECTIVE: To evaluate the effectiveness of intentional self-care practices on nurse burnout and workplace environment by measuring job satisfaction and teamwork among nurses. METHODS: Comparisons between inpatient units on data from the National Database of Nursing Quality Indicators (NDNQI) with the Practice Environment Scale (PES), specifically on job enjoyment and teamwork, were done utilizing ANOVA. RESULTS: Results show that nurses in an inpatient unit that implemented Project7 has significantly higher job satisfaction as compared to units that did not implement Project7. CONCLUSIONS: This suggests that this tool provides an effective and accessible mindfulness framework managers and directors can utilize to improve job satisfaction, teamwork, and thereby reduce burnout to create healthier work environments.


Asunto(s)
Agotamiento Profesional/prevención & control , Atención Plena/métodos , Enfermeras y Enfermeros/psicología , Personal de Enfermería en Hospital/psicología , Estrés Laboral/prevención & control , Autocuidado/psicología , /psicología , Estudios Transversales , Femenino , Humanos , Análisis de Series de Tiempo Interrumpido , Satisfacción en el Trabajo , Masculino , Estudios Retrospectivos , Lugar de Trabajo
20.
Crit Rev Oncol Hematol ; 160: 103290, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33675902

RESUMEN

This systematic review and meta-analysis was designed to determine the efficacy of mindfulness-based interventions (MBIs) in improving fatigue-related outcomes in adult cancer survivors. Randomized controlled trials (RCTs) were identified from PubMed, MEDLINE, PsycINFO, CINAHL, Web of Science, and EMBASE databases and reference lists of included studies. Separate random-effects meta-analyses were conducted for fatigue and vitality/vigor. Twenty-three studies reporting on 21 RCTs (N = 2239) met inclusion criteria. MBIs significantly reduced fatigue compared to controls at post-intervention (g = 0.60, 95 % CI [0.36, 0.83]) and first follow-up (g = 0.42, 95 % CI [0.20, 0.64]). Likewise, MBIs significantly improved vitality/vigor at post-intervention (g = 0.39, 95 % CI [0.25, 0.52]) and first follow-up (g = 0.35, 95 % CI [0.03, 0.67]). The evidence grade was low due to risk of bias, substantial heterogeneity, and publication bias among studies. MBIs show promise in improving fatigue and vitality/vigor in cancer survivors. More rigorous trials are needed to address current gaps in the evidence base.


Asunto(s)
Supervivientes de Cáncer , Atención Plena , Neoplasias , Adulto , Fatiga/etiología , Fatiga/terapia , Humanos , Neoplasias/complicaciones , Neoplasias/terapia , Ensayos Clínicos Controlados Aleatorios como Asunto
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