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1.
Medicina (Kaunas) ; 57(1)2021 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-33430427

RESUMO

Background and objectives: Limited evidence exists exploring perceptions of which aspects of a pain management program are perceived as valuable and impactful. The aim of this study was to explore patient beliefs about which aspects of a pain management program were valued and/or had perceived impact. Materials and Methods: One-on-one structured interviews were conducted with 11 adults three months after their completion of the Spark Pain Program at Westmead Hospital, Sydney, Australia. Concepts in the transcripts were inductively identified and explored, utilizing thematic analysis to better understand their relevance to the study aim. Results: Four themes emerged: (1) "The program overall was positive, but…"; (2) "I valued my improved knowledge and understanding of pain, but…"; (3) "I valued the stretching/relaxation/pacing/activity monitoring"; and (4) "I valued being part of a supportive and understanding group". Participants reported that they liked being treated as an individual within the group. A lack of perceived personal relevance of key messages was identified in some participants; it appears that patients in pain programs must determine that changes in knowledge, beliefs, and attitudes are personally relevant in order for the changes to have a significant impact on them. Conclusions: This study provides new insights into aspects of a pain management program that were perceived as valuable and impactful, areas that "missed the mark", and hypotheses to guide the implementation of service delivery and program redesign.


Assuntos
Dor Crônica/terapia , Terapia por Exercício , Conhecimentos, Atitudes e Prática em Saúde , Exercícios de Alongamento Muscular , Manejo da Dor/métodos , Educação de Pacientes como Assunto , Terapia de Relaxamento , Adulto , Idoso , Atitude Frente a Saúde , Austrália , Duração da Terapia , Feminino , Objetivos , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Percepção , Resolução de Problemas , Pesquisa Qualitativa
2.
Trials ; 21(1): 1023, 2020 Dec 14.
Artigo em Inglês | MEDLINE | ID: mdl-33317615

RESUMO

BACKGROUND: The prevalence of mental health disorders is increasing globally, and the prevalence of COVID-19 has made it worse. Evidence has indicated a major mental health burden and elevated anxiety associated with the new coronavirus outbreak in the general population. This study aims to evaluate an evidence-based web application (Naranj) for stress management among Iranian college students. METHODS AND DESIGN: This study aims to present a protocol related to a randomized controlled trial among Iranian college students. The study will be conducted on 100 students from two colleges of Shiraz University of Medical Sciences in Iran. The participants will be randomly assigned to the intervention and control groups. The intervention group participants will be provided with a web application, whereas the control group ones will be provided with an app unrelated to stress management. The primary outcome for this study will be the Perceived Stress Scale, and the two groups will be compared with respect to stress level and sleep quality. DISCUSSION: A web application will be developed according to psychological theories and will be scientifically approved for managing college students' stress and improving their sleep quality during the COVID-19 outbreak. TRIAL REGISTRATION: Iranian Registry of Clinical Trials IRCT20160427027647N2 . Registered on 14 May 2020.


Assuntos
Intervenção Baseada em Internet , Estresse Psicológico/terapia , Estudantes/psicologia , Terapia de Aceitação e Compromisso , Adulto , Exercícios Respiratórios , Medicina Baseada em Evidências , Humanos , Irã (Geográfico) , Ensaios Clínicos Controlados Aleatórios como Assunto , Terapia de Relaxamento , Sono , Estresse Psicológico/psicologia , Resultado do Tratamento , Universidades , Adulto Jovem
3.
R I Med J (2013) ; 103(9): 30-33, 2020 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-33126784

RESUMO

BACKGROUND: Traditional rehabilitation services, whether they are cardiac, pulmonary, or vascular, consist of 6-36 center-based, supervised sessions; however, due to COVID-19, in-person visits were suspended. This study sought to implement a transitional home-based treatment plan (HBTP) to patients. METHOD: Patients enrolled in a rehabilitation service at the Miriam Hospital during the time of temporary closure were provided with a HBTP that was individualized to their needs and multi-disciplinary in nature. Patients were called weekly for continual guidance and support. RESULTS: Of the 129 patients that received a HBTP, 115 (89%) participated in follow-up correspondence (63±12 years, 83% white, 66% male, 81% enrolled in cardiac rehab). Nearly 70% of patients continued to participate in regular exercise and upon re-opening, 69 (60%) of patients returned to center-based care. Psychosocial factors appeared to inhibit treatment adherence. CONCLUSIONS: Patients are receptive to an HBTP and subsequent follow-up throughout temporary closure of rehabilitation services.


Assuntos
Reabilitação Cardíaca/métodos , Infecções por Coronavirus , Terapia por Exercício/métodos , Cardiopatias/reabilitação , Pneumopatias/reabilitação , Pandemias , Pneumonia Viral , Doenças Vasculares/reabilitação , Adaptação Psicológica , Idoso , Betacoronavirus , Terapia por Exercício/organização & administração , Feminino , Serviços de Assistência Domiciliar/organização & administração , Humanos , Masculino , Pessoa de Meia-Idade , Terapia Nutricional/métodos , Melhoria de Qualidade , Terapia de Relaxamento/métodos
5.
Actas esp. psiquiatr ; 48(5): 200-208, sept.-oct. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-ET6-1322

RESUMO

OBJETIVO: Valorar la efectividad del programa estructurado Bienestar y Sofrología para reducir los síntomas de ansiedad y depresión en pacientes con un nivel medio o alto de ansiedad que acuden a un centro de asistencia sanitaria CAP. MÉTODO: Estudio prospectivo controlado de 70 pacientes, con una puntuación HAD-A > 8 (Escala de Ansiedad y Depresión Hospitalaria), que fueron distribuidos de forma aleatoria en 2 grupos; el grupo de intervención (N = 35) con el programa Bienestar y Sofrología y el grupo control (N = 35) con el programa Hábitos Saludables a nivel Psicocorporal. El HADS y el Inventario de Ansiedad Estado-Rasgo (STAI) fueron apli-cados al inicio y al final de las 12 sesiones de una hora, asignadas en 3 sesiones a la semana durante 4 semanas seguidas. RESULTADOS: Finalizaron el estudio 66 participantes. El abandono fue 2,9 % para el grupo de intervención (N = 1) y 11,4 % para el grupo control (N = 4). El grupo de intervención mostró mejora estadísticamente significativa a nivel intragrupo (p < 0,001) e intergrupal (p = 0,001 a 0,046), en todos los parámetros del HADS y STAI, independientemente del género y edad. El tamaño del efecto, según la (d) de Cohen para la ansiedad y depresión, fue grande para el grupo de intervención (TE = 0,84 a 1,36) y entre pequeño y medio para el grupo control (TE = 0,28 a 0,49). CONCLUSIÓN: El programa estructurado e intensivo de 4 semanas de duración Bienestar y Sofrología ha mostrado eficacia para reducir los síntomas de ansiedad y depresión en pacientes de asistencia primaria con niveles medio o alto de ansiedad


BACKGROUND: The aim of this study is to determine the effectiveness of an intensive four-week structured group re-laxation-training program (sophrology's dynamic relaxation) on anxiety and depression symptoms in primary care patients with moderate and high anxiety levels. Method. In an experimental study, seventy patients, ac-cording to the Hospital Anxiety Depression Scale - Anxiety subscale (HADS-A), cut-off > 8, were randomized to the "well-being and sophrology" or a control program based on physical and mental health recommendations (PMHR). Hospital Anxiety and Depression Scale (HADS) and the State-trait Anxiety Inventory (STAI) ratings were obtained before and after 12 one-hour sessions for 4 consecutive weeks. RESULTS: Sixty-five patients completed the study. The dropout rate was 2.9 % (N=1) for the intervention group and 11.4% (N=4) for the control group. Sophrology showed statistically significant improvements in all HADS and STAI subscales for with-in group (p < 0.001) and be-tween groups analysis (p = 0.001 to 0.046), regardless of gender or age. The pre-post effect sizes (Cohen's d) for anxiety and depression symptoms were large for sophrology (ES=0.84 to 1.36) and small to moderate for the control (ES=0.28 to 0.49). CONCLUSION: An intensive four-week structured group relaxation-training program "well-being and sophrology" is highly effective in reducing anxiety and depression symptoms in primary care patients with moderate and high anxiety levels


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Ansiedade/terapia , Depressão/terapia , Terapia de Relaxamento/métodos , Atenção Primária à Saúde , Estudos Prospectivos , Ansiedade/psicologia , Depressão/psicologia , Escalas de Graduação Psiquiátrica , Resultado do Tratamento , Fatores de Tempo , Inquéritos e Questionários , Análise de Variância , Inventário de Personalidade
6.
Cochrane Database Syst Rev ; 9: CD011216, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32871021

RESUMO

BACKGROUND: Pain after caesarean sections (CS) can affect the well-being of the mother and her ability with her newborn. Conventional pain-relieving strategies are often underused because of concerns about the adverse maternal and neonatal effects. Complementary alternative therapies (CAM) may offer an alternative for post-CS pain. OBJECTIVES: To assess the effects of CAM for post-caesarean pain. SEARCH METHODS: We searched Cochrane Pregnancy and Childbirth's Trials Register, LILACS, PEDro, CAMbase, ClinicalTrials.gov and the WHO International Clinical Trials Registry Platform (ICTRP) (6 September 2019), and checked the reference lists of retrieved articles. SELECTION CRITERIA: Randomised controlled trials (RCTs), including quasi-RCTs and cluster-RCTs, comparing CAM, alone or associated with other forms of pain relief, versus other treatments or placebo or no treatment, for the treatment of post-CS pain. DATA COLLECTION AND ANALYSIS: Two review authors independently performed study selection, extracted data, assessed risk of bias and assessed the certainty of evidence using GRADE. MAIN RESULTS: We included 37 studies (3076 women) which investigated eight different CAM therapies for post-CS pain relief. There is substantial heterogeneity among the trials. We downgraded the certainty of evidence due to small numbers of women participating in the trials and to risk of bias related to lack of blinding and inadequate reporting of randomisation processes. None of the trials reported pain at six weeks after discharge. Primary outcomes were pain and adverse effects, reported per intervention below. Secondary outcomes included vital signs, rescue analgesic requirement at six weeks after discharge; all of which were poorly reported, not reported, or we are uncertain as to the effect Acupuncture or acupressure We are very uncertain if acupuncture or acupressure (versus no treatment) or acupuncture or acupressure plus analgesia (versus placebo plus analgesia) has any effect on pain because the quality of evidence is very low. Acupuncture or acupressure plus analgesia (versus analgesia) may reduce pain at 12 hours (standardised mean difference (SMD) -0.28, 95% confidence interval (CI) -0.64 to 0.07; 130 women; 2 studies; low-certainty evidence) and 24 hours (SMD -0.63, 95% CI -0.99 to -0.26; 2 studies; 130 women; low-certainty evidence). It is uncertain whether acupuncture or acupressure (versus no treatment) or acupuncture or acupressure plus analgesia (versus analgesia) has any effect on the risk of adverse effects because the quality of evidence is very low. Aromatherapy Aromatherapy plus analgesia may reduce pain when compared with placebo plus analgesia at 12 hours (mean difference (MD) -2.63 visual analogue scale (VAS), 95% CI -3.48 to -1.77; 3 studies; 360 women; low-certainty evidence) and 24 hours (MD -3.38 VAS, 95% CI -3.85 to -2.91; 1 study; 200 women; low-certainty evidence). We are uncertain if aromatherapy plus analgesia has any effect on adverse effects (anxiety) compared with placebo plus analgesia. Electromagnetic therapy Electromagnetic therapy may reduce pain compared with placebo plus analgesia at 12 hours (MD -8.00, 95% CI -11.65 to -4.35; 1 study; 72 women; low-certainty evidence) and 24 hours (MD -13.00 VAS, 95% CI -17.13 to -8.87; 1 study; 72 women; low-certainty evidence). Massage We identified six studies (651 women), five of which were quasi-RCTs, comparing massage (foot and hand) plus analgesia versus analgesia. All the evidence relating to pain, adverse effects (anxiety), vital signs and rescue analgesic requirement was very low-certainty. Music Music plus analgesia may reduce pain when compared with placebo plus analgesia at one hour (SMD -0.84, 95% CI -1.23 to -0.46; participants = 115; studies = 2; I2 = 0%; low-certainty evidence), 24 hours (MD -1.79, 95% CI -2.67 to -0.91; 1 study; 38 women; low-certainty evidence), and also when compared with analgesia at one hour (MD -2.11, 95% CI -3.11 to -1.10; 1 study; 38 women; low-certainty evidence) and at 24 hours (MD -2.69, 95% CI -3.67 to -1.70; 1 study; 38 women; low-certainty evidence). It is uncertain whether music plus analgesia has any effect on adverse effects (anxiety), when compared with placebo plus analgesia because the quality of evidence is very low. Reiki We are uncertain if Reiki plus analgesia compared with analgesia alone has any effect on pain, adverse effects, vital signs or rescue analgesic requirement because the quality of evidence is very low (one study, 90 women). Relaxation Relaxation may reduce pain compared with standard care at 24 hours (MD -0.53 VAS, 95% CI -1.05 to -0.01; 1 study; 60 women; low-certainty evidence). Transcutaneous electrical nerve stimulation TENS (versus no treatment) may reduce pain at one hour (MD -2.26, 95% CI -3.35 to -1.17; 1 study; 40 women; low-certainty evidence). TENS plus analgesia (versus placebo plus analgesia) may reduce pain compared with placebo plus analgesia at one hour (SMD -1.10 VAS, 95% CI -1.37 to -0.82; 3 studies; 238 women; low-certainty evidence) and at 24 hours (MD -0.70 VAS, 95% CI -0.87 to -0.53; 108 women; 1 study; low-certainty evidence). TENS plus analgesia (versus placebo plus analgesia) may reduce heart rate (MD -7.00 bpm, 95% CI -7.63 to -6.37; 108 women; 1 study; low-certainty evidence) and respiratory rate (MD -1.10 brpm, 95% CI -1.26 to -0.94; 108 women; 1 study; low-certainty evidence). We are uncertain if TENS plus analgesia (versus analgesia) has any effect on pain at six hours or 24 hours, or vital signs because the quality of evidence is very low (two studies, 92 women). AUTHORS' CONCLUSIONS: Some CAM therapies may help reduce post-CS pain for up to 24 hours. The evidence on adverse events is too uncertain to make any judgements on safety and we have no evidence about the longer-term effects on pain. Since pain control is the most relevant outcome for post-CS women and their clinicians, it is important that future studies of CAM for post-CS pain measure pain as a primary outcome, preferably as the proportion of participants with at least moderate (30%) or substantial (50%) pain relief. Measuring pain as a dichotomous variable would improve the certainty of evidence and it is easy to understand for non-specialists. Future trials also need to be large enough to detect effects on clinical outcomes; measure other important outcomes as listed lin this review, and use validated scales.


Assuntos
Cesárea/efeitos adversos , Terapias Complementares/métodos , Dor Pós-Operatória/terapia , Acupressão , Analgesia por Acupuntura , Adolescente , Adulto , Analgesia Obstétrica/métodos , Analgésicos/administração & dosagem , Aromaterapia , Viés , Terapia Combinada/métodos , Feminino , Humanos , Massagem , Musicoterapia , Placebos/uso terapêutico , Gravidez , Ensaios Clínicos Controlados Aleatórios como Assunto , Terapia de Relaxamento , Toque Terapêutico , Estimulação Elétrica Nervosa Transcutânea , Adulto Jovem
7.
Adv Mind Body Med ; 34(3): 11-17, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32931457

RESUMO

Context: The experience of pain strongly influences sustained attention, which is important for neurocognitive performance. Yoga-based relaxation techniques may be effective in improving sustained attention by attenuating pain in patients with low back pain. Hence, we aimed to investigate the effect of a yoga-based relaxation technique on sustained attention and self-reported pain disability in patients with low back pain. Methods: A total of 22 men aged 30 to 50 years with low back pain were recruited for the study. They were randomly assigned to either the yoga (n = 11) or control (n = 11) groups. The yoga group practiced a yoga-based relaxation technique (YBRT) 1 hour a day for 4 weeks and the control group maintained their usual physical activity regimen. Assessments included the Sustained Attention to Response Task (SART) and the Oswestry Low Back Pain Disability Questionnaire (OLBPDQ) measured before and after the 4-week intervention. Results: The study showed a significant reduction in all self-reported OLBPDQ domains and improvement in sustained attention in a before and after comparison 4 weeks following the yoga intervention. Pearson's correlation also showed a positive correlation between sustained attention and pain reduction following the yoga intervention. Conclusion: The findings indicate that yoga practice reduces pain and simultaneously improves information processing speed with impulse control during the performance of a sustained attention task.


Assuntos
Dor Lombar , Ioga , Adulto , Atenção , Humanos , Dor Lombar/terapia , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Terapia de Relaxamento , Resultado do Tratamento
8.
Nursing ; 50(9): 64-68, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32826681

RESUMO

PURPOSE: To examine the effect of Benson's relaxation technique on occupational stress in midwives working in a Labor and Delivery (L&D) unit. METHODS: This pre- and post-quasi-experimental study involved 65 midwives with a minimum 1 year of experience using convenience sampling. After training, the participants performed Benson's relaxation technique twice a day for 4 weeks. RESULTS: Occupational stress was measured using standard questionnaires of occupational stress. Data were analyzed using the Statistical Package for Social Sciences software. Statistical analysis was performed using the Kolmogorov-Smirnov goodness-of-fit test, Student's t-test, and Wilcoxon signed rank test. CONCLUSION: This study demonstrated that Benson's relaxation technique may be effective in reducing occupational stress among midwives in L&D units.


Assuntos
Enfermeiras Obstétricas/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/prevenção & controle , Terapia de Relaxamento/métodos , Adulto , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Pessoa de Meia-Idade , Enfermeiras Obstétricas/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Unidade Hospitalar de Ginecologia e Obstetrícia , Estresse Ocupacional/epidemiologia , Gravidez , Inquéritos e Questionários , Adulto Jovem
9.
Artigo em Inglês | MEDLINE | ID: mdl-32842490

RESUMO

In this paper the scientific literature on the association between forests, stress relief and relaxation is reviewed with the purpose to understand common patterns of research, the main techniques used for analysis, findings relevant to forest-therapy-oriented management, and knowledge gaps. The database of studies was collected with a keyword search on the Web, which returned a set of 32 studies that were included in the analysis. The main findings and patterns were identified with a text mining analysis of the abstract to search for keyword patterns across studies. The analysis indicates that most studies compared rest and relaxation performances across urban and forest environments and used a combination of self-reported measure of stress or rest collected with validate scales, e.g., the Profile of Mood of States (POMS) and the Restoration Outcome Scale (ROS), and a minority-only set of these two groups of indicators. Results of this review indicate that primary studies identified a positive association between forest exposure and mental well-being, in particular when compared to urban environments, thus suggesting that forest are effective in lowering stress levels. This study found that, to date, the characteristics of forests and characteristics of the visit are little investigated in the literature. For this reason, more research with a focus on forest variables such as tree species composition, tree density and other variables affecting forest landscape should be further investigated to inform forest management. Similarly, the characteristics of the visits (e.g., length of visit and frequency) should be further explored to provide robust forest therapy guidelines.


Assuntos
Florestas , Terapia de Relaxamento , Relaxamento , Estresse Psicológico , Árvores , Saúde Mental , Recreação , Estresse Fisiológico , Estresse Psicológico/terapia
10.
Soins Psychiatr ; 41(327): 27-30, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32718458

RESUMO

Nature and humans are inseparable creators. Since time immemorial, humans have created in nature to express themselves, unburden themselves, heal themselves and transform themselves. By providing the conditions for rediscovering this form of authentic creative expression, land art therapy enables anyone whatever their problem (psychosomatic disorders, psychological pathologies, addictive behaviour, etc.) to liberate their stifled body, to rediscover their vital force, to reconstruct a real link between the body and the mind and to become a subject again.


Assuntos
Terapia pela Arte/métodos , Terapia de Relaxamento , Criatividade , Humanos , Transtornos Psicofisiológicos/psicologia , Transtornos Psicofisiológicos/terapia
11.
Arch Phys Med Rehabil ; 101(10): 1771-1779, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32682936

RESUMO

OBJECTIVES: This study assessed the utility of the Multidimensional Patient Impression of Change (MPIC) questionnaire in a pediatric pain population after interdisciplinary treatment. DESIGN: Observational study with retrospective chart review. The observed treatment program included psychological counseling, relaxation training, physical therapy, occupational therapy, and physician management. SETTING: Outpatient pain management center affiliated with an academic rehabilitation hospital. PARTICIPANTS: A heterogeneous group of pediatric patients with chronic pain (N=202) who completed an interdisciplinary pain management program. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Measures assessing pain, mood, development, social functioning, physical functioning, and family functioning were administered pre- and posttreatment, and the MPIC was administered posttreatment. RESULTS: Statistically significant improvements were observed in all outcomes (P<.05). The majority of patients perceived themselves to be improved (minimally to very much) in all clinical domains of the MPIC, ranging from 60% (medication efficacy) to 96% (coping with pain). The MPIC ratings were significantly correlated with improvements in most of the outcome measures. The MPIC domains accounted for more than half of the unique variance in predictive models when added to the Patient Global Impression of Change, and most of the variance when added to the models first. CONCLUSIONS: The MPIC was found to be an effective screening tool for assessing patient perceived progress in a pediatric chronic pain population.


Assuntos
Dor Crônica/reabilitação , Medição da Dor/métodos , Medição da Dor/normas , Inquéritos e Questionários/normas , Adaptação Psicológica , Adolescente , Afeto , Criança , Estudos de Coortes , Aconselhamento/organização & administração , Relações Familiares , Feminino , Humanos , Relações Interpessoais , Masculino , Terapia Ocupacional , Equipe de Assistência ao Paciente/organização & administração , Desempenho Físico Funcional , Modalidades de Fisioterapia , Psicometria , Terapia de Relaxamento/métodos , Reprodutibilidade dos Testes , Estudos Retrospectivos
12.
Ann Otol Rhinol Laryngol ; 129(12): 1195-1209, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32527140

RESUMO

OBJECTIVES: To explore long-term patient reported outcome (PRO) measures of pediatric paradoxical vocal cord motion (PVCM) including ease of diagnosis, management, symptom duration and effect on quality of life. METHODS: All children >8 years of age diagnosed with PVCM at a tertiary pediatric hospital between 2006 and 2017 were invited to complete a survey addressing study objectives. RESULTS: 21/47 eligible participants could be contacted and 18/21 (86%) participated. 78% were female with a mean age at diagnosis of 11.6 and 15.0 years at survey completion. Common PVCM symptoms reported were dyspnea (89%), globus sensation (56%), and stridor (50%). The median time to diagnosis was 3 months (IQR 2-5 months). Nearly all reported being misdiagnosed with another condition, usually asthma, until being correctly diagnosed usually by an otolaryngologist. Participants reported undergoing 3.7 diagnostic studies (range 0-8); pulmonary function testing was most common. Of numerous treatments acknowledged, breathing exercises were common (89%) but only reported helpful by 56%. Use of biofeedback was recalled in 1/3 of subjects but reported helpful in only 14% of them. Anti-reflux, allergy, anticholinergics, inhalers and steroids were each used in >50%, but rarely reported effective. PVCM was reportedly a significant stressor when initially diagnosed but despite 2/3 of participants still reporting ongoing PVCM symptoms, the perceived stress significantly decreased over time (Z = 3.26, P = 0.001). CONCLUSIONS: This first PVCM PRO study endorses that diagnosis is often delayed and prescribed treatments often viewed as ineffective. While biofeedback and breathing exercises may be critical for short-term control of PVCM episodes, lifestyle changes and stress reduction are likely necessary for long-term management. Increased awareness and improvements in management are needed for this condition.


Assuntos
Biorretroalimentação Psicológica , Exercícios Respiratórios , Dispneia/fisiopatologia , Sensação de Globus/fisiopatologia , Sons Respiratórios/fisiopatologia , Estresse Psicológico/psicologia , Disfunção da Prega Vocal/terapia , Adolescente , Asma/diagnóstico , Criança , Erros de Diagnóstico , Feminino , Refluxo Gastroesofágico/diagnóstico , Humanos , Masculino , Medidas de Resultados Relatados pelo Paciente , Terapia de Relaxamento , Hipersensibilidade Respiratória/diagnóstico , Disfunção da Prega Vocal/diagnóstico , Disfunção da Prega Vocal/fisiopatologia , Disfunção da Prega Vocal/psicologia
13.
Top Magn Reson Imaging ; 29(3): 157-163, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32568978

RESUMO

Positive patient care and healthcare facility outcomes are associated with using various psychological interventions during magnetic resonance imaging and interventional radiology procedures. Interventions such as hypnosis, relaxation, guided imagery, and empathic communication can improve anxiety, pain, and hemodynamic stability during procedures, as well as improve claustrophobia and anxiety during magnetic resonance imaging. Little is understood as to the potential underlying mechanisms of how these interventions operate and contribute to positive outcomes. Thus, this article seeks to address that question by integrating autonomic nervous system functioning, neuropsychological concepts, and common factors theory of psychotherapy as potential underlying mechanisms. Opportunities for future directions in the field are also included.


Assuntos
Imagem por Ressonância Magnética/métodos , Imagem por Ressonância Magnética/psicologia , Psicoterapia/métodos , Ansiedade/etiologia , Ansiedade/psicologia , Ansiedade/terapia , Humanos , Hipnose/métodos , Imagens, Psicoterapia/métodos , Radiologia Intervencionista/métodos , Terapia de Relaxamento/métodos
14.
Environ Health Prev Med ; 25(1): 23, 2020 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-32571202

RESUMO

The aim in this literature review was (1) to explore the physiologically and psychologically therapeutic benefits of forest bathing on adults suffering from pre-hypertension or hypertension, and (2) to identify the type, duration, and frequency of an effective forest bathing intervention in the management of pre-hypertension and hypertension, so as to provide directions for future interventions or research. The electronic databases PubMed, Cochrane Library, CINAHL, PsyINFO, and the China Academic Journals (CAJ) offered through the Full-text Database (CNKI) were searched for relevant studies published from the inception of the databases to April 2019. Of the 364 articles that were identified, 14 met the criteria for inclusion in this review. The synthesis of the findings in the included studies revealed that forest bathing interventions were effective at reducing blood pressure, lowering pulse rate, increasing the power of heart rate variability (HRV), improving cardiac-pulmonary parameters, and metabolic function, inducing a positive mood, reducing anxiety levels, and improving the quality of life of pre-hypertensive or hypertensive participants. Forest walking and forest therapy programs were the two most effective forest bathing interventions. Studies reported that practicing a single forest walking or forest therapy program can produce short-term physiological and psychological benefits. It is concluded that forest bathing, particularly forest walking and therapy, has physiologically and psychologically relaxing effects on middle-aged and elderly people with pre-hypertension and hypertension.


Assuntos
Florestas , Hipertensão/prevenção & controle , Pré-Hipertensão/prevenção & controle , Terapia de Relaxamento/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
15.
Stroke ; 51(8): 2297-2306, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32576090

RESUMO

BACKGROUND AND PURPOSE: Disabling anxiety affects a quarter of stroke survivors but access to treatment is poor. We developed a telemedicine model for delivering guided self-help cognitive behavioral therapy (CBT) for anxiety after stroke (TASK-CBT). We aimed to evaluate the feasibility of TASK-CBT in a randomized controlled trial workflow that enabled all trial procedures to be carried out remotely. In addition, we explored the feasibility of wrist-worn actigraphy sensor as a way of measuring objective outcomes in this clinical trial. METHODS: We recruited adult community-based stroke patients (n=27) and randomly allocated them to TASK-CBT (n=14) or relaxation therapy (TASK-Relax), an active comparator (n=13). RESULTS: In our sample (mean age 65 [±10]; 56% men; 63% stroke, 37% transient ischemic attacks), remote self-enrolment, electronic signature, intervention delivery, and automated follow-up were feasible. All participants completed all TASK-CBT sessions (14/14). Lower levels of anxiety were observed in TASK-CBT when compared with TASK-Relax at both weeks 6 and 20. Mean actigraphy sensor wearing-time was 33 days (±15). CONCLUSIONS: Our preliminary feasibility data from the current study support a larger definitive clinical trial and the use of wrist-worn actigraphy sensor in anxious stroke survivors. Registration: URL: https://www.clinicaltrials.gov. Unique identifier: NCT03439813.


Assuntos
Ansiedade/terapia , Terapia Cognitivo-Comportamental/métodos , Estudo de Prova de Conceito , Acidente Vascular Cerebral/terapia , Telemedicina/métodos , Actigrafia/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Ansiedade/etiologia , Ansiedade/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Terapia de Relaxamento/métodos , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/psicologia
16.
Artigo em Inglês | MEDLINE | ID: mdl-32560522

RESUMO

Women experience more stress in middle age than in other life stages, and health in middle age is vital, because it influences the quality of life in old age. In this study, the effects of a forest therapy program on physiological changes in 53 middle-aged women (divided into two groups) who lived in the city were examined. One group participated in a three-day program in the forest, followed by three days in the city; the other group participated in a three-day program in the city, followed by three days in the forest. Forest experiments were conducted in a "healing forest," and urban experiments were conducted near a university campus. Blood tests were performed to evaluate the physiological effects of forest therapy. Differences in serotonin levels and vitamin D levels were verified before and after the forest (experimental group) and urban (control group) programs through paired t-tests. Statistically significant increases in serotonin levels were noted for participants in the forest program; vitamin D levels also increased, but not by statistically significant values. The findings of this study verify that forest therapy programs promote health among middle-aged women, and may prevent disease and improve quality of life.


Assuntos
Envelhecimento/fisiologia , Envelhecimento/psicologia , Florestas , Fadiga Mental , Terapias Mente-Corpo/métodos , Terapia de Relaxamento/métodos , Adaptação Psicológica/fisiologia , Adulto , Idoso , Envelhecimento/sangue , Cidades , Feminino , Promoção da Saúde/métodos , Envelhecimento Saudável/sangue , Envelhecimento Saudável/fisiologia , Envelhecimento Saudável/psicologia , Humanos , Massagem/psicologia , Meditação/psicologia , Fadiga Mental/sangue , Fadiga Mental/fisiopatologia , Fadiga Mental/psicologia , Pessoa de Meia-Idade , Terapias Mente-Corpo/psicologia , Angústia Psicológica , Qualidade de Vida/psicologia , Terapia de Relaxamento/psicologia , República da Coreia , Serotonina/sangue , Estresse Fisiológico/fisiologia , Saúde da População Urbana , População Urbana , Vitamina D/sangue , Caminhada/fisiologia , Caminhada/psicologia , Ioga/psicologia
17.
Inf. psiquiátr ; (240): 27-42, abr.-jun. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-194756

RESUMO

La fibromialgia afecta en gran medida a la calidad de vida de las personas que la sufren, así como a su funcionalidad, especialmente si la persona presenta síntomas comórbidos de ansiedad y/o depresión, lo que resalta la importancia del tratamiento psicológico. El objetivo del presente trabajo es comparar la eficacia de dos tratamientos cognitivo-conductuales breves en personas con diagnóstico de fibromialgia y con afectación emocional. Participaron un total de 44 personas (42 mujeres y 2 hombres) divididos en dos grupos de tratamiento: uno de ellos elaborado únicamente con componentes convencionales de la terapia cognitivo-conductual (grupo A) y el otro con los mismos componentes más un componente añadido de expresión emocional a través del dibujo (grupo B). Se encontraron puntuaciones significativamente mejores (p < 0,05) después de aplicar cualquiera de los dos tratamientos en las siguientes áreas: funcionalidad, percepción del dolor, ansiedad, depresión, catastrofismo, miedo al movimiento, estrategias de afrontamiento activo y percepción de autoeficacia. Se concluye que los resultados obtenidos apoyan la eficacia de ambos tratamientos cognitivo conductuales para personas con fibromialgia y afectación emocional


Fibromyalgia largely affects the life quality of people suffering from it, as well as its functionality, especially if the person has comorbid symptoms of anxiety and/or depression, which highlights the importance of psychological treatment. The objective of this study is to compare the efficacy of two brief cognitive-behavioral treatments in people with a fibromyalgia diagnosis and emotional involvement. A total of 44 people enrolled in the study (42 female, 2 male), divided within two treatment groups: one of them made only with conventional components of cognitive-behavioral therapy (group A) and the other with the same components plus an added component of emotional expression through drawing (group B). Significantly better scores were found (p < 0.05) after applying any of the two treatments in the following areas: functionality, pain perception, anxiety, depression, catastrophism, fear of movement, active coping strategies and self-efficacy perception. It is concluded that the results obtained support the efficacy of both cognitive-behavioral treatments for people with fibromyalgia and emotional involvement


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Fibromialgia/psicologia , Terapia Cognitivo-Comportamental/métodos , Resultado do Tratamento , Qualidade de Vida/psicologia , Terapia Focada em Emoções/métodos , Ansiedade/psicologia , Depressão/psicologia , Fibromialgia/diagnóstico , Inquéritos e Questionários , Medição da Dor/métodos , Escalas de Graduação Psiquiátrica Breve , Terapia de Relaxamento , Adaptação Psicológica , Análise de Variância
18.
Enferm. clín. (Ed. impr.) ; 30(supl.5): 175-178, jun. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-196663

RESUMO

Anxiety is a psychological response that is often experienced by patients with chronic renal failure undergoing hemodialysis. The purpose of this study was to determine the effect of Dhikr therapy on anxiety levels in chronic kidney failure patients undergoing hemodialysis at RSUD Dr. Drajat Prawiranegara attack in 2019. This type of research is quasi-experimental without control, with 72 respondents selected using purposive sampling technique. The results of univariate analysis showed that in the first measurement before getting therapeutic intervention Dhikr most respondents condition that is anxious as many as 10 respondents (55.6%). After getting the Dhikr therapy intervention, the condition of the respondents' anxiety level experienced a change to a mild anxiety level of 9 (50%). The result of bivariate analysis is p value 0.000 with α<0.005, so it can be concluded that there is an effect of Dhikr therapy on the level of anxiety in patients with chronic renal failure undergoing hemodialysis at RSUD Dr. drajat prawiranegara attack in 2019. Further researchers are advised to examine the support of family relationships to the level of anxiety in patients with chronic renal failure in the hemodialysis room


No disponible


Assuntos
Humanos , Insuficiência Renal Crônica/enfermagem , Diálise Renal/métodos , Ansiedade/terapia , Terapia de Relaxamento/enfermagem , Transtornos de Ansiedade/terapia , Insuficiência Renal Crônica/psicologia , Indonésia , Inquéritos e Questionários
19.
J Zhejiang Univ Sci B ; 21(5): 400-404, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32425006

RESUMO

Public health crises, such as the outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) since Dec. 2019, are widely acknowledged as severe traumatic events that impose threats not only because of physical concerns but also because of the psychological distress of infected patients. We designed an internet-based integrated intervention and evaluated its efficacy on depression and anxiety symptoms in patients infected by SARS-CoV-2.


Assuntos
Ansiedade/terapia , Infecções por Coronavirus/psicologia , Depressão/terapia , Internet , Pneumonia Viral/psicologia , Autocuidado/métodos , Adulto , Betacoronavirus , Telefone Celular , China , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atenção Plena , Pandemias , Estudos Prospectivos , Angústia Psicológica , Terapia de Relaxamento
20.
Artigo em Inglês | MEDLINE | ID: mdl-32408692

RESUMO

Many men have poor mental health and need help to recover. However, designing a rehabilitation intervention that appeals to men is challenging. This study protocol aims to describe the 'Wildman Programme', which will be a nature-based rehabilitation programme for men on long-term sick leave due to health problems such as stress, anxiety, depression, post-cancer and chronic cancer, chronic obstructive pulmonary disease (COPD), cardiovascular disease, or diabetes type II. The programme will be a nature-based rehabilitation initiative combining nature experiences, attention training, body awareness training, and supporting community spirit. The aim of the study will be to examine whether the 'Wildman Programme' can help to increase quality of life and reduce stress among men with health problems compared to treatment as usual. The study will be a matched control study where an intervention group (number of respondents, N = 52) participating in a 12-week nature-based intervention will be compared to a control group (N = 52) receiving treatment as usual. Outcomes are measured at baseline (T1), post-treatment (T2), and at follow up 6 months post-intervention (T3). The results of this study will be important to state whether the method in the 'Wildman Programme' can be implemented as a rehabilitation offer in the Danish Healthcare System to help men with different health problems.


Assuntos
Doença Crônica , Qualidade de Vida , Terapia de Relaxamento , Licença Médica , Estresse Psicológico , Doença Crônica/reabilitação , Dinamarca , Humanos , Masculino , Projetos de Pesquisa
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