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1.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde, LIS-bvsms | ID: lis-LISBR1.1-46833

RESUMO

Founded in 1979, the Anxiety and Depression Association of America (ADAA) is an international nonprofit organization dedicated to the prevention, treatment, and cure of anxiety, depression, OCD, PTSD, and co-occurring disorders through education, practice, and research.


Assuntos
Ansiedade , Depressão , Transtorno de Pânico , Suicídio , Transtornos Dismórficos Corporais , Transtornos da Alimentação e da Ingestão de Alimentos , Transtorno Obsessivo-Compulsivo , Transtornos de Estresse Pós-Traumáticos , Transtorno Bipolar , Agorafobia , Mutismo , Transtornos do Sono-Vigília , Fobia Social , Transtornos Fóbicos
2.
Psychiatr Hung ; 34(3): 311-321, 2019.
Artigo em Húngaro | MEDLINE | ID: mdl-31570662

RESUMO

Edvard Munch was a Norwegian expressionist painter. His painting The Scream is one of the most wellknown visual art in the world. His works present psychologically significant topics such as anxiety, love, illness, and death. He was capable of displaying social and personal uncertainties and tensions in his artworks. In order to get to know the psychological functioning of his creativity, we used a special case study method of personality research - psychobiography - which aims to analyze the lives of culturally significant individuals through psychological theories and research. The focus of the publication was on The Frieze of Life series, which according to the creator, most express his artistic concept and his message. To interpret his creativity, we used the theory of Winnicott, Klein, and existential psychology. We especially emphasize the role of potential space, reparation and the benefits of the consciousness of death. According to our results, Munch kept the anxiety and tension caused by early object-relation disturbances under control with artistic sublimation and it was also the driving force for his artistic activity. However, the sublimation activity could not solve the internal tensions in the long run, which eventually led to a collapse.


Assuntos
Ansiedade , Criatividade , Morte , Amor , Pinturas/história , Pinturas/psicologia , Pessoas Famosas , História do Século XIX , História do Século XX , Humanos , Masculino , Teoria Psicológica
3.
Medicine (Baltimore) ; 98(38): e17184, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31567960

RESUMO

Although both multiple sclerosis (MS) and neuromyelitis optica (NMO) are demyelinating diseases, their psychiatric disturbances may differ given differences in the neurological manifestations. We used subjective and objective measurements to compare the psychiatric disturbances in patients with MS and NMO.Psychiatric disturbances were assessed in 24 MS and 35 NMO patients using the Beck Hopelessness Scale, Symptom Checklist-95 and the brief version of World Health Organization Quality of Life. Personality was assessed using the Big Five Inventory-10. Disease-related function was assessed using the Fatigue Severity Scale, Short-Form McGill Pain Questionnaire, and the Global Assessment of Function. Positivity offset (PO) and negativity bias (NB) and heart rate variability (HRV) were measured using a modified implicit affect test and photoplethysmograph, respectively. Data were analyzed using analysis of covariance with age and sex as covariates.MS patients had higher levels of depression, anxiety, panic attacks, obsessive-compulsiveness, aggression, paranoia, interpersonal sensitivity, self-regulation problems, stress vulnerability, and lower psychological quality of life (QOL) compared with NMO patients. The PO and NB and HRV values were not significantly different between groups. However, NMO patients had lower QOL, and higher levels of hopelessness, suicidality, and fatigue than the normal range. Disease duration was associated with hopelessness in NMO patients and with several psychiatric disturbances, but not hopelessness, in MS patients.Subjective psychiatric disturbances were more severe in patients with MS than in those with NMO, whereas PO and NB and HRV in patients with NMO were comparable with those of MS patients. Our findings highlight the need for different clinical approaches to assess and treat psychiatric disturbances in patients with MS and NMO.


Assuntos
Transtornos Mentais/etiologia , Esclerose Múltipla/psicologia , Neuromielite Óptica/psicologia , Adulto , Ansiedade/etiologia , Depressão/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Esclerose Múltipla/complicações , Neuromielite Óptica/complicações , Transtorno Obsessivo-Compulsivo/etiologia , Transtorno de Pânico/etiologia , Transtornos Paranoides/etiologia , Escalas de Graduação Psiquiátrica , Qualidade de Vida/psicologia , Estresse Psicológico/etiologia
4.
Medicine (Baltimore) ; 98(39): e16720, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31574792

RESUMO

BACKGROUND: Although chronic fatigue syndrome (CFS) sometimes referred to as myalgic encephalomyelitis (ME) is a very challenging condition to treat, there is evidence that individual cognitive behavioral therapy (ICBT) can be effective for treatment and management of its symptoms. Furthermore, group cognitive behavioral therapy (GCBT) is emerging as promising treatment for the condition.The aim of the present study was to explore further the effectiveness of GCBT in a routine clinical setting and to investigate associated positive psychological effects related to GCBT. METHODS: In this pragmatic, non-randomized, controlled trial, 28 people acted as their own waiting list control by completing a range of measures 8 weeks prior to taking part in the GCBT. The intervention consisted of 8 consecutive weeks of 2.5-hour sessions. RESULTS: Repeated measures analysis of covariance revealed significant improvements in physical fatigue (F = 28.31, P < .01, effect size d = 0.52), mental fatigue (F = 7.72, P < .01, effect size d = 0.22), and depressive symptoms (Beck depression inventory-fast screen for medical individuals [BDI-FS]: F = 11.43, P < .01, effect size d = 0.30; hospital anxiety and depression scale [HADS-D]: F = 16.72, P < .01, effect size d = 0.38) compared with the waiting list. Improvements in quality of life (F = 7.56, P < .01, effect size d = 0.23), hope (F = 15.15, P < .01, effect size d = 0.36), and optimism (F = 8.17, P < .01, effect size d = 0.23) were also identified, but no change was reported for anxiety levels. Global outcome measures revealed that the majority of the individuals found the treatment beneficial and were satisfied with the results. CONCLUSION: GCBT is a beneficial and cost-effective treatment that individuals find amenable in routine clinical practice for CFS. Additionally we have described important effects emerged on positive psychological dimensions such as hope and optimism potentially enhancing the overall benefit.


Assuntos
Terapia Cognitivo-Comportamental , Síndrome de Fadiga Crônica/psicologia , Síndrome de Fadiga Crônica/terapia , Listas de Espera , Adulto , Ansiedade/complicações , Ansiedade/terapia , Depressão/complicações , Depressão/terapia , Síndrome de Fadiga Crônica/complicações , Feminino , Esperança , Humanos , Masculino , Pessoa de Meia-Idade , Otimismo , Qualidade de Vida
5.
Medicine (Baltimore) ; 98(39): e17307, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31574859

RESUMO

To investigate the cognitive and psychological outcomes of pediatric allogeneic HSCT survivors in China.A total of 135 3 to 18 years old children and adolescents who underwent allo-HSCT and survived at least 3 months post-HSCT were recruited and completed the assessments. Cognitive and psychological functions were assessed via age-appropriate standardized measures. Clinical information was extracted from the medical records.Forty one 3 to 6 years old children completed Psychological Questionnaires for 3 to 6 years Children. The scores of 21(51.2%) children in cognitive development dimension, 18(43.9%) in motor development dimension, 16(39.0%) in language development and social development dimension, 15(36.6%) in emotion and will dimension and 14(34.1%) in living habits dimension were less than the standard. Fifty six 8 to 16 years old children and adolescents completed the Depression Self-rating Scale for Children and 9 (16.1%) of these met the criteria of depression. Sixty nine 7 to 16 years old children and adolescents completed the screening for Child Anxiety Related Disorders and 7 (10.1%) of these met the criteria of anxiety, especially social phobia and school phobia. Eighty nine 6 to 18 years old children and adolescents completed the Symptom Checklist-90 and 43.8% to 77.5% of these experienced mild symptoms like obsession-compulsion (77.5%), hostility (64%), and interpersonal sensitivity (60.7%). Children treated with total body irradiation (TBI) showed more cognitive impairments like motor deficits than those without TBI. Also older children and adolescents had more symptoms like psychoticism.These findings demonstrated cognitive and psychological late effects of pediatric allo-HSCT survivors in a single center in China and highlighted that the survivors conditioned with TBI had more cognitive impairments and older children and adolescents had more symptoms. Early intervention in these children and adolescents might minimize the cognitive losses and psychological effects.


Assuntos
Ansiedade , Disfunção Cognitiva , Depressão , Transplante de Células-Tronco Hematopoéticas , Complicações Pós-Operatórias , Qualidade de Vida , Adolescente , Ansiedade/diagnóstico , Ansiedade/etiologia , Ansiedade/prevenção & controle , Criança , Pré-Escolar , China/epidemiologia , Cognição , Disfunção Cognitiva/diagnóstico , Disfunção Cognitiva/etiologia , Disfunção Cognitiva/prevenção & controle , Depressão/diagnóstico , Depressão/etiologia , Depressão/prevenção & controle , Intervenção Médica Precoce/métodos , Feminino , Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Transplante de Células-Tronco Hematopoéticas/métodos , Humanos , Masculino , Destreza Motora , Avaliação de Processos e Resultados (Cuidados de Saúde) , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/prevenção & controle , Técnicas Psicológicas , Sobreviventes/psicologia
6.
Z Psychosom Med Psychother ; 65(3): 288-303, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-31476999

RESUMO

Is the influence of religiousness on fearful, depressive and somatic symptoms and psychic traumatization overestimated? A representative cross-sectional study Objectives: The aim of this study is to prove if religious faith, spirituality and religious praxis are joined with lower depression, anxiety and physical pain-level and if subjects with traumatic experiences report more spirituality. Methods: In this consecutive study, 2508 adults of a representative sample in Germany were interviewed about religious faith and spirituality in relation to depression, anxiety, physical disorders as well as traumatic experiences. Results: Unlike our hypotheses people who are charged with mental (PHQ-4; Löwe et al. 2010) or physical disorders (GBB_8; Kliem et al. 2017) report more spirituality and more private religious/spiritual praxis than people without mental or physical problems. As expected people with traumatic experiences in their childhood (CTS; Grabe et al. 2012) describe significantly more spirituality than people without these experiences. Conclusions: Other than expected people with more mental or physical disorders report more spirituality and more private religious/spiritual praxis. It is to discuss if spirituality is less a protective factor for mental or physical disorders than disorders activate to look for spirituality and private religious/spiritual praxis.


Assuntos
Ansiedade/psicologia , Depressão/psicologia , Medo/psicologia , Sintomas Inexplicáveis , Trauma Psicológico/psicologia , Religião e Psicologia , Espiritualidade , Adulto , Ansiedade/epidemiologia , Criança , Estudos Transversais , Depressão/epidemiologia , Alemanha/epidemiologia , Humanos , Entrevistas como Assunto , Trauma Psicológico/epidemiologia
7.
RECIIS (Online) ; 13(3): 557-568, jul.-set. 2019. ilus
Artigo em Português | LILACS | ID: biblio-1016984

RESUMO

Considerado uma 'epidemia global' pela Organização Mundial de Saúde (OMS), o estresse figura como um dos principais transtornos contemporâneos. Neste artigo, examinamos as construções discursivas do estresse feminino, ou seja, aquele especificamente relacionado às mulheres. Para isso, realizamos uma análise discursiva da revista Veja de 2000 a 2018. Nosso intuito é observar como o semanário trata as consequências da chamada 'emancipação feminina' em termos de estresse, a partir de duas principais vertentes: (1) a relação entre estresse, hormônios e TPM; (2) o estresse como consequência da 'tripla jornada' (o acúmulo dos papéis de profissional, esposa e mãe). Concluímos que tais discursos sobre o estresse feminino colaboram para reassegurar que certas fontes de tensão, bem como a forma de lidar com elas, sejam moralmente e fisiologicamente concernentes às mulheres.


Considered as a 'global epidemic' by the World Health Organization (WHO), stress figures as one of the major contemporary disorders. In this article, we examine the discursive constructions on female stress, that is, when the term is specifically related to women. In order to do so, we conduct a discursive analysis of the brazilian Veja magazine from 2000 to 2018. Our intention is to observe the ways in which the magazine reviews the consequences of the so-called 'feminine emancipation' in terms of stress from two main sources:(1) the relationship between stress, hormones and PMS; (2) stress as a consequence of the 'triple working time' (the accumulation of the roles played by women: worker, wife and mother). We conclude that such discourses on female stress collaborate to confirm that certain sources of tension, as well as how to deal with them, are regard as been morally and physiologically concerned to women.


Considerado una 'epidemia global' por la Organización Mundial de la Salud (OMS), el estrés figura como uno de los principales trastornos contemporáneos. En este artículo, examinamos las construcciones discursivas sobre el estrés femenino, o sea, cuando el término está específicamente relacionado con las mujeres. Para cumplir nuestro objetivo, se realizó un análisis del discurso de la revista brasileña Veja de 2000 a 2018. Nuestra intención es observar las formas como esta revista estima las consecuencias de la 'emancipación de la mujer' concerniente al estrés a partir de dos aspectos principales: (1) la relación entre estrés, hormonas y TPM; (2) el estrés como consecuencia de la 'triple jornada de trabajo' (la acumulación de sus papeles de profesional, esposa y madre). Concluimos que tales discursos sobre el estrés femenino colaboran para asegurar que algunas fuentes de tensión, así como el modo de hacer frente a ellas, sean moralmente y fisiológicamente relacionadas con las mujeres.


Assuntos
Humanos , Qualidade de Vida , Estresse Psicológico , Mulheres Trabalhadoras , Identidade de Gênero , Ansiedade , Publicações Seriadas , Jornada de Trabalho , Menopausa , Saúde da Mulher , Feminização , Estilo de Vida
8.
Braz J Med Biol Res ; 52(9): e8533, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31483000

RESUMO

This study aimed to evaluate the effect of a newly designed intensive caregiver education program (ICEP) on reducing cognitive impairment, anxiety, and depression in acute ischemic stroke (AIS) patients. One hundred and ninety-six AIS patients were divided into ICEP group and Control group in a 1:1 ratio using blocked randomization method. In the ICEP group, the caregivers received ICEP, while in the Control group caregivers received usual education and guidance. All patients received conventional rehabilitation treatment. Cognitive impairment (assessed by Mini Mental State Examination (MMSE) score and Montreal Cognitive Assessment (MoCA) score), anxiety (assessed by Hospital Anxiety and Depression Scale (HADS)-A score and Self-rating Anxiety Scale (SAS) score), and depression (assessed by HADS-D score and Self-rating Depression Scale (SDS) score) were assessed at baseline (M0), 3 months (M3), 6 months (M6), and 12 months (M12). Cognitive impairment score at M12 and cognitive impairment score change (M12-M0) were increased, while cognitive impairment rate at M12 was reduced in the ICEP group compared with the Control group. Anxiety score change (M12-M0), anxiety score at M12, and anxiety rate at M12 were decreased in the ICEP group compared with the Control group. Depression score change (M12-M0), depression score at M12, and depression rate at M12 were lower in the ICEP group compared with the Control group. Further subgroup analysis based on baseline features also provided similar results. In conclusion, ICEP effectively reduced cognitive impairment, anxiety, and depression in AIS patients.


Assuntos
Transtornos de Ansiedade/prevenção & controle , Ansiedade/prevenção & controle , Cuidadores , Disfunção Cognitiva/prevenção & controle , Transtorno Depressivo/prevenção & controle , Educação em Saúde/métodos , Acidente Vascular Cerebral/enfermagem , Adulto , Ansiedade/etiologia , Transtornos de Ansiedade/etiologia , Estudos de Casos e Controles , Disfunção Cognitiva/etiologia , Transtorno Depressivo/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/psicologia , Reabilitação do Acidente Vascular Cerebral
9.
Bratisl Lek Listy ; 120(9): 695-698, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31475557

RESUMO

OBJECTIVES: The objective of the study was to evaluate prevalence of depression and anxiety among college students studying at Comenius University in Bratislava. The secondary aim was to evaluate the impact of depression and anxiety on various domains of social functioning. METHODS: The data were collected through a cross-sectional online survey. The sample consisted of 1,331 students. We administered scales measuring the depression, anxiety, satisfaction with life, and social functioning as part of a larger survey. RESULTS: When using a customary cut­off score for PHQ-9 and GAD-7, a proportion of 35.5 % and 25.5 % of students were above the threshold for depression and anxiety, respectively. When using more stringent criteria, the prevalence rates for depression and anxiety were 16.4 % and 9.3 %, respectively. Both conditions co­occur in 6.8 % of students. Symptom domains were related to satisfaction with life and social functioning. CONCLUSION: Depression and anxiety are prevalent among college students. We found that symptoms of mood and anxiety disorders were associated with lower satisfaction with life and lower level of functioning at school as well as in social and family lives. The implications for mental health policies at universities are discussed (Tab. 2, Ref. 27).


Assuntos
Ansiedade/epidemiologia , Depressão/epidemiologia , Estudos Transversais , Humanos , Transtornos do Humor/epidemiologia , Satisfação Pessoal , Prevalência , Eslováquia/epidemiologia , Estudantes , Universidades
10.
Isr Med Assoc J ; 21(7): 449-453, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31507119

RESUMO

BACKGROUND: Fibromyalgia is a syndrome of unknown etiology that is characterized by widespread pain, which severely impairs quality of life. Several forms of occupational and alternative therapy have demonstrated beneficial effects in fibromyalgia patients. OBJECTIVES: To assess the effects of participation in a floral design course on physical and psychiatric symptoms in a cohort of fibromyalgia patients. METHODS: This study was conducted as an observational study. Women diagnosed with fibromyalgia over the age of 18 were recruited to participate in one of two 12-week flower design (floristry) courses. Demographic details, disease activity indices, and anxiety and depression scores were calculated for all participants at baseline, week 12, and study completion. Physical and mental health of the two groups were compared throughout the study time-points. RESULTS: The study was completed by 61 female fibromyalgia patients who were included in the final analyses; 31 patients participated in the first floristry course and 30 in the second. Significant improvements in the 36-Item Short Form Survey physical and mental health components, visual analog scale, Fibromyalgia Impact Questionnaire, Hamilton Anxiety Rating Scale, and Hamilton Depression Rating Scale scores for the entire study population and for each group separately could be seen following participation in each floristry course. CONCLUSIONS: Participation in a floristry course may lead to a significant improvement in pain and psychiatric symptoms in fibromyalgia patients. These findings highlight the potential benefit of utilizing occupational therapy programs, such as a floristry course, for improving quality of life in fibromyalgia.


Assuntos
Ansiedade/terapia , Terapias Complementares/métodos , Depressão/terapia , Fibromialgia/terapia , Qualidade de Vida , Adulto , Idoso , Ansiedade/psicologia , Estudos de Coortes , Depressão/psicologia , Feminino , Fibromialgia/fisiopatologia , Fibromialgia/psicologia , Flores , Humanos , Pessoa de Meia-Idade , Medição da Dor , Escalas de Graduação Psiquiátrica , Inquéritos e Questionários
11.
Nan Fang Yi Ke Da Xue Xue Bao ; 39(8): 998-1002, 2019 Aug 30.
Artigo em Chinês | MEDLINE | ID: mdl-31511223

RESUMO

OBJECTIVE: To explore the effect of mindfulness meditation training for improving anxiety, depression and sleep disorders in perimenopausal women. METHODS: Intervention by menopause meditation training was delivered in 121 perimenopausal women with anxiety, depression or sleep disorders in Baiyun District, Guangzhou. Before and after the intervention, the Self-rating Anxiety Scale, Self-rating Depression Scale and Pittsburg Sleep Quality Index were used for assessment of changes in the conditions of the women. RESULTS: After menopausal meditation training, the perimenopausal women showed significant improvement in the mean scores of Self-rating Anxiety Scale (48.26 ± 6.47; t=3.865, P < 0.01), Selfrating Depression Scale (50.27 ± 6.54; t=4.541, P < 0.01) and Pittsburgh Sleep Questionnaire (10.64 ± 4.38; t=5.596, P < 0.01). The symptom remission rates differed significantly among the women with different self-practice frequencies (P < 0.01). The remission rates of anxiety, depression and sleep disorder increased significantly with the frequency of self-exercise (P < 0.01). CONCLUSIONS: Mindfulness meditation training can effectively alleviate the symptoms of anxiety and depression and improve the quality of sleep in perimenopausal women, and the frequency of the exercise is positively correlated with the improvements. Mindfulness meditation training can be an effective intervention for improving the mental health of perimenopausal women.


Assuntos
Meditação , Atenção Plena , Ansiedade , Depressão , Feminino , Humanos , Perimenopausa , Sono
12.
Medicine (Baltimore) ; 98(37): e17186, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31517876

RESUMO

BACKGROUND: Ashwagandha (Withania somnifera (L.) Dunal) is a herb traditionally used to reduce stress and enhance wellbeing. The aim of this study was to investigate its anxiolytic effects on adults with self-reported high stress and to examine potential mechanisms associated with its therapeutic effects. METHODS: In this 60-day, randomized, double-blind, placebo-controlled study the stress-relieving and pharmacological activity of an ashwagandha extract was investigated in stressed, healthy adults. Sixty adults were randomly allocated to take either a placebo or 240 mg of a standardized ashwagandha extract (Shoden) once daily. Outcomes were measured using the Hamilton Anxiety Rating Scale (HAM-A), Depression, Anxiety, and Stress Scale -21 (DASS-21), and hormonal changes in cortisol, dehydroepiandrosterone-sulphate (DHEA-S), and testosterone. RESULTS: All participants completed the trial with no adverse events reported. In comparison with the placebo, ashwagandha supplementation was associated with a statistically significant reduction in the HAM-A (P = .040) and a near-significant reduction in the DASS-21 (P = .096). Ashwagandha intake was also associated with greater reductions in morning cortisol (P < .001), and DHEA-S (P = .004) compared with the placebo. Testosterone levels increased in males (P = .038) but not females (P = .989) over time, although this change was not statistically significant compared with the placebo (P = .158). CONCLUSIONS: These findings suggest that ashwagandha's stress-relieving effects may occur via its moderating effect on the hypothalamus-pituitary-adrenal axis. However, further investigation utilizing larger sample sizes, diverse clinical and cultural populations, and varying treatment dosages are needed to substantiate these findings. TRIAL REGISTRATION: Clinical Trials Registry-India (CTRI registration number: CTRI/2017/08/009449; date of registration 22/08/2017).


Assuntos
Ansiolíticos/uso terapêutico , Ansiedade/tratamento farmacológico , Extratos Vegetais/uso terapêutico , Estresse Psicológico/tratamento farmacológico , Adulto , Ansiolíticos/efeitos adversos , Ansiedade/metabolismo , Sulfato de Desidroepiandrosterona/metabolismo , Método Duplo-Cego , Feminino , Humanos , Hidrocortisona/metabolismo , Masculino , Fitoterapia , Extratos Vegetais/efeitos adversos , Estresse Psicológico/metabolismo , Testosterona/metabolismo , Resultado do Tratamento
13.
Kardiologiia ; 59(9): 29-39, 2019 Sep 17.
Artigo em Russo | MEDLINE | ID: mdl-31540574

RESUMO

PURPOSE: to assess efficacy of correction of anxiety states by anxiolytic drug fabomotizole in ambulatory patients with arterial hypertension (AH) and / or ischemic heart disease (IHD). MATERIALS AND METHODS: In the framework of multicenter cross-sectional study with participation of patients aged ≥55 years with verified AH / IHD we conducted the therapeutic part of the COMETA program in which we included patients with comorbid anxiety state (≥11 points on the Hospital Anxiety and Depression Scale Anxiety [HADS-A] and clinically expressed anxiety state) without clinically expressed depressive symptoms (<11 points on the HADS-Depression). Participants were randomized into main and control groups. Patients in the main group in addition to therapy prescribed because of AH / IHD were given a recommendation to take fabomotizole (10 mg thrice a day), patients of control group received standard therapy. Efficacy of therapy was evaluated by HADS and visual analog scale after 6 and 12 weeks of observation. RESULTS: We included 182 and 104 in the main and control groups, respectively. Most patients in main and control groups had AH (97.3 and 95.2 %, respectively, about one third had IHD (36.8 and 30.8 %, respectively). Social-demographic, clinical characteristics, and recommended for AH / IHD treatment of participants of both groups were similar. Portion of patients with complete reduction of anxiety symptoms (<8 points on HADS-A) was significantly higher already after 6 weeks of fabomotizole therapy (37.9 and 19.2 %, respectively, p<0.001). Analogous picture was noted by the end of observation (66.9 and 32 %, respectively; p<0.001). Mean estimate of chronic psychoemotional stress in the main group decreased by 25 % after 6 weeks (from 6.45±2.20 to 5.05±1.96 points; р<0.001) and by 40 % after 12 weeks (from 6.45±2.20 to 3.98±1.99 points; р<0.001). In the control group it also decreased but degree of lowering was 2 times less than in the main group (11.1 % vs. 25 % after 6 weeks, р=0.016; and 20 % vs. 40 % after 12 weeks, р<0.001, respectively). CONCLUSION: The use of fabomotizole by patients with AH / IHD provided improvement of psychological status (reduction of anxiety symptoms and lowering of the level of chronic psychoemotional stress).


Assuntos
Ansiedade , Hipertensão , Estudos Transversais , Humanos , Pessoa de Meia-Idade , Atenção Primária à Saúde , Federação Russa
14.
Medicine (Baltimore) ; 98(33): e16803, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31415391

RESUMO

BACKGROUND: This proposed study will systematically assess the effect and safety of cognitive-behavioral therapy (CBT) for heart failure (HF). METHODS: We will search the following electronic databases for randomized controlled trials assessing the effect of CBT in patients with HF: PUBMED, EMBASE, Cochrane Library, Web of Science, Scopus, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, VIP Information, and Wanfang Data from their inceptions to present without any language limitations. Two authors will independently conduct the study selection, data extraction, and methodological quality assessment. The methodological quality will be evaluated by Cochrane risk of bias tool. RESULTS: This study will assess the efficacy and safety of CBT for patients with HF. The primary outcomes consist of depression and anxiety. The secondary outcomes comprise of all-cause mortality, change in body weight, urine output, change in serum sodium; and any adverse events. CONCLUSION: The results of this study will summarize the up-to-date evidence on the effect and safety of CBT for HF. PROSPERO REGISTRATION NUMBER: PROSPERO CRD42019135932.


Assuntos
Ansiedade/terapia , Terapia Cognitivo-Comportamental/métodos , Depressão/terapia , Insuficiência Cardíaca/psicologia , Adulto , Idoso , Ansiedade/etiologia , Depressão/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ensaios Clínicos Controlados Aleatórios como Assunto , Projetos de Pesquisa , Revisão Sistemática como Assunto , Resultado do Tratamento
15.
Soins Psychiatr ; 40(323): 29-34, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31402037

RESUMO

Art is used as a form of mediation in care units. In addition to its benefit as an occupational activity, it is rooted in the tangible which can help combat apragmatism and anxiety.While this practice helps patients give meaning to their existence, the group approach and the help of a therapist form part of personalised care projects. Work around the self-portrait is an illustration of this practice, between the occupational and the therapeutic.


Assuntos
Terapia pela Arte/métodos , Transtornos Mentais/terapia , Psicoterapia de Grupo , Autoavaliação , Ansiedade/prevenção & controle , Humanos , Transtornos Mentais/psicologia
16.
Saude e pesqui. (Impr.) ; 12(2): 295-307, maio/ago 2019. tab
Artigo em Português | LILACS | ID: biblio-1015860

RESUMO

A obesidade é considerada epidemia mundial e abrange complexidade, pois sua etiologia é multifatorial. Fatores psicológicos devem ser levados em consideração para se pensar o seu tratamento. Assim, fica clara a necessidade de estudos que se proponham a contribuir para a caracterização da população com excesso de peso. Foram estudados 184 participantes adultos com sobrepeso e obesidade. Os instrumentos utilizados foram as Escalas Beck, a Escala de Compulsão Alimentar Periódica e a Escala de Figura de Silhuetas. O nível médio de depressão, ansiedade e desesperança da amostra foi leve, leve e moderado, respectivamente. As mulheres apresentaram maiores níveis em quase todas as variáveis. Também foram realizadas análises item a item das Escalas Beck. Os escores de depressão, ansiedade e desesperança aparecem na literatura em menor proporção que neste trabalho, podendo ser devido ao fato de que a maior parte da amostra é composta por pessoas com sobrepeso e obesidade grau I, e estudos anteriores mostram correlação positiva entre gravidade dos sintomas psicológicos e níveis de IMC. Pode-se considerar portanto que sintomas de cunho psicológico estão presentes em indivíduos com excesso de peso. Assim, fica clara a importância de considerar os fatores psicológicos na estruturação de intervenções para esta população.


To evaluate psychological symptoms in a sample with weight excess. A transversal study with 184 adults featuring overweight and weight, who are attended to in a multidisciplinary program on feed reeducation. Beck´s scale, Periodic Feed Compulsion and Silhouette Figure. Mean depression, anxiety and hopelessness of the sample was respectively low, low and moderate. Item by item analyses by Beck´s Scale were performed, with no difference with regard to gender, excepting one item. Psychological symptoms exist in overweight people and psychological factors in the structuring of interventions for such a population are highly relevant.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Ansiedade , Depressão , Transtorno da Compulsão Alimentar , Obesidade , Sobrepeso
17.
Sr Care Pharm ; 34(7): 449-455, 2019 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-31383056

RESUMO

OBJECTIVE: To quantify relationship between anxiety and depression symptoms with every-night sleep medication use in the United States. DESIGN: A case-control analysis to measure association between subjects with anxiety and depression symptoms and sleep medication use. SETTING AND PATIENTS: Older adults (N = 7,590) from the National Health and Aging Trends Study. MAIN OUTCOME MEASURE: Sleep medication use every night. RESULTS: Presence of the four anxiety and depression symptoms was associated with nightly sleep medication use. Those who reported "felt down, depressed, or hopeless" almost every day had an odds ratio (OR) of 3.50 (95% confidence interval [CI] 2.28-5.37) compared with those who did not. Those who reported "little interest or pleasure in doing things" almost every day had an OR of 1.86 (95% CI 1.32-2.61) compared with those with symptoms less often. Those who reported "felt nervous, anxious, or on edge" more than half the days had an OR of 3.43 (95% CI 2.68-4.37) compared with those who experienced the symptom less frequently. Those who reported "unable to stop or control worrying" more than half the days had an OR of 2.91 (95% CI 2.25-3.77) compared with those who did not. CONCLUSION: Older adults with anxiety and depression are more likely to use sleep medications every night. Efforts must be undertaken to reduce anxiety and depression to mitigate excess consumption of sedatives.


Assuntos
Ansiedade , Depressão , Transtornos do Sono-Vigília , Idoso , Humanos , Sono , Estados Unidos
18.
Stud Health Technol Inform ; 264: 1728-1729, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438314

RESUMO

This systematic review examined studies aimed at reducing anxiety or depression in African American adults through use of telehealth interventions. Three small independent studies were identified. The findings showed significant reduction of depressive symptoms post-intervention (all p values < .05). However, effectiveness of telehealth intervention compared to face-to-face was not determined. The results highlight the need for additional research into the effectiveness of using telehealth to manage anxiety and depression in this population.


Assuntos
Telemedicina , Adulto , Afro-Americanos , Ansiedade , Depressão , Humanos
19.
Adv Exp Med Biol ; 1155: 801-819, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31468449

RESUMO

Lead (Pb2+) is a developmental neurotoxicant that causes alterations in the brain's excitation-to-inhibition (E/I) balance. By increasing chloride concentration through GABA-ARs, taurine serves as an effective inhibitory compound for maintaining appropriate levels of brain excitability. Considering this pharmacological mechanism of taurine facilitated inhibition through the GABA-AR, the present pilot study sought to explore the anxiolytic potential of taurine derivatives. Treatment groups consisted of the following developmental Pb2+-exposures: Control (0 ppm) and Perinatal (150 ppm or 1000 ppm lead acetate in the drinking water). Rats were scheduled for behavioral tests between postnatal days (PND) 36-45 with random assignments to either solutions of Saline, Taurine, or Taurine Derived compounds (i.e., TD-101, TD-102, or TD-103) to assess the rats' responsiveness to each drug in mitigating the developmental Pb2+-exposure through the GABAergic system. Long Evans Hooded rats were assessed using an Open Field (OF) test for preliminary locomotor assessment. Approximately 24-h after the OF, the same rats were exposed to the Elevated Plus Maze (EPM) and were given an i.p. injection of 43 mg/Kg of the Saline, Taurine, or TD drugs 15-min prior to testing. Each rat was tested using the random assignment method for each pharmacological condition, which was conducted using a triple-blind procedure. The OF data revealed that locomotor activity was unaffected by Pb2+-exposure with no gender differences observed. However, Pb2+-exposure induced an anxiogenic response in the EPM, which interestingly, was ameliorated in a gender-specific manner in response to taurine and TD drugs. Female rats exhibited more anxiogenic behavior than the male rats; and as such, exhibited a greater degree of anxiety that were recovered in response to Taurine and its derivatives as a drug therapy. The results from the present psychopharmacological pilot study suggests that Taurine and its derivatives could provide useful data for further exploring the pharmacological mechanisms and actions of Taurine and the associated GABAergic receptor properties by which these compounds alleviate anxiety as a potential behavioral pharmacotherapy for treating anxiety and other associated mood disorders.


Assuntos
Ansiolíticos/farmacologia , Ansiedade/tratamento farmacológico , Chumbo/efeitos adversos , Exposição Materna/efeitos adversos , Taurina/farmacologia , Animais , Feminino , Masculino , Projetos Piloto , Gravidez , Efeitos Tardios da Exposição Pré-Natal , Distribuição Aleatória , Ratos , Ratos Long-Evans
20.
Adv Exp Med Biol ; 1155: 905-921, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31468456

RESUMO

Taurine is abundant in various tissues including the brain, muscle, heart, spleen, liver and kidney with various physiological functions. Since taurine is produced by cysteine sulfinic acid decarboxylase (CSAD) in the liver and kidney, taurine-deficient mice without CSAD have been investigated for abnormal physiological functions such as retinal development, immune, pancreatic and liver function. In this study, the behavioral effects and abnormal brain development caused by low taurine in the developing brain were examined. In neonatal brains of homozygous CSAD knockout mice (HO), taurine was reduced by 85%, compared to wild-type mice (WT). Taurine was reduced by 35% in the brains of 2 month-old HO, compared to WT. Anxiety, motor coordination and autistic-like behaviors were evaluated at 2 months of age using five behavioral tests: elevated plus maze, open field, social approach, marble burying and accelerating rotarod. Mice were tested from 3 groups including WT, HO and HO with oral treatment of 0.2% taurine in the drinking water (HOT). HOT were born from HO dams treated with taurine from before pregnancy and were continuously treated with taurine in the drinking water after weaning. The taurine levels in the brain and plasma of HOT were restored to WT at 2 months of age. Taurine-deficiency did not lead to changes in autistic-like behaviors as the HO were not significantly different from WT in marble burying and social approach. However, taurine-deficiency increased anxiety-like behavior in HO in the elevated plus maze and open field, compared to WT. Taurine treatment significantly restored the HOT to WT levels of anxiety-like behavior in the elevated plus maze. However, changes in exploratory activity in the open field were not improved with taurine treatment. There was a slight difference in motor ability as the WT mice stayed on the accelerating rotarod longer that the HO and HOT, but the difference was significant in the HOT during the first trial only, compared to WT.These data support hypothesis that taurine is essential for the emotional development of the brain. First, taurine is remarkably low in the neonatal brain of HO, compared to the adult brain of HO. Second, taurine treatment in HO partially improves anxiety-like behavior to WT.


Assuntos
Ansiolíticos/farmacologia , Ansiedade/tratamento farmacológico , Taurina/farmacologia , Animais , Comportamento Animal , Camundongos , Camundongos Knockout
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