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1.
J Burn Care Res ; 43(2): 381-388, 2022 03 23.
Artigo em Inglês | MEDLINE | ID: mdl-34329456

RESUMO

Pain anxiety and dysfunction are among the most prevalent complications of burns, impacting the quality of life (QOL) of patients with burn injuries. As a nonpharmaceutical approach, recreational therapy can be effective in reducing the complications of burns. This study aimed to examine the effect of a recreational therapy program on the pain anxiety and QOL of patients with burn injuries. This controlled randomized clinical trial was conducted on 58 patients admitted to the burn center of Imam Reza Hospital in Mashhad, Iran. These patients were randomly allocated to the intervention and control group. The intervention group received a recreational therapy program three sessions a week, for 2 weeks. The control group performed routine daily activities. As the main variable of the study, the Burn Specific Pain Anxiety Scale and Burn Specific Health Scale-Brief were completed for both groups before and 2 weeks after the intervention. After controlling confounders, the pain anxiety score in the intervention group was significantly lower than in the control group (P = .002). The total QOL score was significantly higher in the intervention group than the control group (P = .001). In addition, the intervention significantly increased the scores of QOL in the physical (P < .001), emotional (P = .009), and social (P < .001) dimensions. As it reduces pain anxiety and promotes the QOL of patients with burn injuries, this recreational therapy program is recommended for promoting the mental health and QOL of these patients.


Assuntos
Queimaduras , Terapia Recreacional , Ansiedade/etiologia , Ansiedade/psicologia , Ansiedade/terapia , Queimaduras/complicações , Queimaduras/terapia , Humanos , Dor/etiologia , Dor/psicologia , Qualidade de Vida
2.
JNCI Cancer Spectr ; 5(6)2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34950851

RESUMO

Background: Recreational physical activity (RPA) is associated with improved survival after breast cancer (BC) in average-risk women, but evidence is limited for women who are at increased familial risk because of a BC family history or BRCA1 and BRCA2 pathogenic variants (BRCA1/2 PVs). Methods: We estimated associations of RPA (self-reported average hours per week within 3 years of BC diagnosis) with all-cause mortality and second BC events (recurrence or new primary) after first invasive BC in women in the Prospective Family Study Cohort (n = 4610, diagnosed 1993-2011, aged 22-79 years at diagnosis). We fitted Cox proportional hazards regression models adjusted for age at diagnosis, demographics, and lifestyle factors. We tested for multiplicative interactions (Wald test statistic for cross-product terms) and additive interactions (relative excess risk due to interaction) by age at diagnosis, body mass index, estrogen receptor status, stage at diagnosis, BRCA1/2 PVs, and familial risk score estimated from multigenerational pedigree data. Statistical tests were 2-sided. Results: We observed 1212 deaths and 473 second BC events over a median follow-up from study enrollment of 11.0 and 10.5 years, respectively. After adjusting for covariates, RPA (any vs none) was associated with lower all-cause mortality of 16.1% (95% confidence interval [CI] = 2.4% to 27.9%) overall, 11.8% (95% CI = -3.6% to 24.9%) in women without BRCA1/2 PVs, and 47.5% (95% CI = 17.4% to 66.6%) in women with BRCA1/2 PVs (RPA*BRCA1/2 multiplicative interaction P = .005; relative excess risk due to interaction = 0.87, 95% CI = 0.01 to 1.74). RPA was not associated with risk of second BC events. Conclusion: Findings support that RPA is associated with lower all-cause mortality in women with BC, particularly in women with BRCA1/2 PVs.


Assuntos
Neoplasias da Mama/genética , Neoplasias da Mama/mortalidade , Exercício Físico , Predisposição Genética para Doença , Terapia Recreacional , Adulto , Fatores Etários , Idoso , Causas de Morte , Exercício Físico/estatística & dados numéricos , Feminino , Seguimentos , Genes BRCA1 , Genes BRCA2 , Humanos , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/epidemiologia , Recidiva Local de Neoplasia/genética , Segunda Neoplasia Primária/epidemiologia , Segunda Neoplasia Primária/genética , Modelos de Riscos Proporcionais , Terapia Recreacional/estatística & dados numéricos , Fatores de Tempo , Adulto Jovem
3.
Games Health J ; 10(4): 220-227, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34264757

RESUMO

Objective: Postpartum hemorrhage (PPH) is a leading cause of maternal mortality. Surgical interventions, such as uterine artery ligation and utero-ovarian arteries ligation (UAL and UOAL), are considered as effective methods to control PPH. Owing to PPH's severe outcomes, various educational tools have been developed to train surgical residents. A potential educational medium for this purpose could be serious digital games. In this pilot study, we assessed the usability and effectiveness of a serious game to promote the surgical skills of UAL/UOAL among obstetrics and gynecology (OB/GYN) residents. Methods: We designed and developed the Play and Learn for Surgeons (PLS) game to train OB/GYN residents. We assessed and compared the usability challenges of PLS before and after revising the game. To assess the effectiveness of PLS, residents were allocated randomly in control and intervention groups. Surgical skills of the residents were assessed pre- and post-test using the Objective Structured Assessment of Technical Skills checklist. Setting: This pilot study took place at the OB/GYN wards of Omolbanin Hospital (Mashhad University of Medical Sciences) and Imam Ali Hospital (Zahedan University of Medical Sciences) in Iran. Participants: Thirteen subject matter experts (nine OB/GYN experts and four senior clinical assistants) participated in the user interface design and usability assessment of PLS. Total of 46 OB/GYN residents participated in the educational effectiveness analysis of PLS. All participants were female with mean ages of 40.6, 29.9 and 28.0 years for OB/GYN experts, assistants, and residents, accordingly. Results: All participants completed the study. PLS significantly improved the skills of residents for UAL (P-value = 0.018) and UOAL (P-value <0.001) procedures. Conclusion: Serious games can be an effective and affordable approach in training OB/GYN residents for UAL and UOAL procedures. Approval number: (# IR.MUMS.fm.REC.1396.345) Trial registration number: (# IRCT2017092436366N1).


Assuntos
Terapia Recreacional/psicologia , Cirurgiões/psicologia , Artéria Uterina/cirurgia , Adulto , Educação Médica/métodos , Educação Médica/normas , Feminino , Humanos , Internato e Residência/métodos , Ligadura/métodos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Terapia Recreacional/instrumentação , Artéria Uterina/fisiopatologia
4.
Behav Brain Res ; 410: 113357, 2021 07 23.
Artigo em Inglês | MEDLINE | ID: mdl-33989729

RESUMO

Post-stroke cognitive impairment (PSCI) is one of the most common complications of stroke, it is also an important reason for the poor prognosis in stroke patients with motor and speech dysfunction. Enriched Environment (EE), a novel and easy-to-implement rehabilitation treatment strategy, is thought to be a potential intervention for PSCI recently. In this paper, we review the therapeutic effects and related mechanisms of EE in PSCI from the level of animal research and clinical application. Besides, we further discuss the application prospects and limitations of EE in PSCI patients.


Assuntos
Disfunção Cognitiva/reabilitação , Meio Ambiente , Avaliação de Resultados em Cuidados de Saúde , Terapia Recreacional , Reabilitação do Acidente Vascular Cerebral , Acidente Vascular Cerebral/terapia , Animais , Disfunção Cognitiva/etiologia , Humanos , Acidente Vascular Cerebral/complicações
5.
PLoS One ; 15(11): e0241763, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33237906

RESUMO

TRIAL REGISTRATION: The authors confirm that all ongoing and related trials for this intervention are registered. The studies reported in this manuscript are registered as clinical trials at ISRCTN: Pilot ID- ISRCTN15325073 RCT ID- ISRCTN59395217.


Assuntos
Adaptação Fisiológica , Terapia Recreacional , Transtornos de Estresse Pós-Traumáticos/psicologia , Veteranos/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Transtornos de Estresse Pós-Traumáticos/patologia
6.
Rev. psicopatol. salud ment. niño adolesc ; (36): 47-57, nov. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-202150

RESUMO

Aventúrate es el primer programa que utiliza la Terapia a través de la Aventura (TA) con jóvenes con Trastorno del Espectro Autista (TEA) en España. Un total de 15 jóvenes participaron en un programa de siete días que combina terapia grupal e individual, así como actividades varias al aire libre. El objetivo de este estudio es comprobar la efectividad de esta intervención. Los resultados muestran un tamaño del efecto que oscila entre pequeño y moderado, con mejoras más relevan­tes en la autoestima, el apego entre iguales y la reparación emocional


Aventurate is the first programme in Spain to use therapy through adventure with young people with Autism Spectrum Disorder (ASD) in Spain. A total of 15 young people participated in a 7-day programme combining group and individual therapy as well as various outdoor activities. The aim of this study is to test the effectiveness of this intervention. The results show that the effect's range is from small to moderate, and that it has more relevant improvements in self-esteem, peer bond and emotional repair


Aventúrate és el primer programa que utilitza la Teràpia a través de l'Aventura (TA) amb joves amb trastorn de l'espectre autista (TEA) a Espanya. Un total de 15 joves van participar en un programa de set dies que combina teràpia grupal I individual, així com activitats diverses a l'aire lliure. L'objectiu d'aquest estudi és comprovar l'efectivitat d'aquesta intervenció. Els resultats mostren un impacte de l'efecte que oscil·la entre petit I moderat, amb millores més rellevants en l'autoestima, l'aferrament entre iguals I la reparació emocional


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Síndrome de Asperger/terapia , Psicoterapia/métodos , Terapia Recreacional/métodos , Terapia Recreacional/psicologia , Autoimagem , Testes Psicológicos , Espanha , Resultado do Tratamento , Habilidades Sociais
7.
Bull Menninger Clin ; 84(Supplement A): 12-33, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33074022

RESUMO

Studies investigating the impact of depressive symptoms on obsessive-compulsive disorder (OCD) treatment have yielded mixed findings. The purpose of the study is to extend previous research, which primarily used outpatient samples, to determine whether depression affects OCD treatment outcome among patients receiving intensive residential treatment. OCD patients receiving residential treatment based primarily on exposure and response prevention (ERP) provided data regarding symptoms of depression and OCD at admission and discharge. Patients reported large and significant reductions in OCD symptoms over the course of treatment. Change in OCD symptoms was not significantly affected by depressive symptoms, including patients with severe depressive symptoms. Change in depressive symptoms over the course of treatment was, however, robustly related to change in OCD symptoms, especially among patients who began treatment with severe symptoms of depression. These findings suggest that cognitive-behavior therapy delivered in a residential treatment setting drastically reduces OCD symptoms regardless of depressive symptoms.


Assuntos
Transtorno Depressivo/complicações , Transtorno Depressivo/terapia , Transtorno Obsessivo-Compulsivo/complicações , Transtorno Obsessivo-Compulsivo/terapia , Psicoterapia/métodos , Tratamento Domiciliar/métodos , Adulto , Terapia Cognitivo-Comportamental , Feminino , Humanos , Terapia Implosiva , Masculino , Psicotrópicos/uso terapêutico , Terapia Recreacional , Resultado do Tratamento
8.
Artigo em Inglês | MEDLINE | ID: mdl-33076316

RESUMO

As China's population rapidly ages, research and discussion on how to better optimize public spaces for the elderly's health and benefit continue to deepen. This study uses observational surveys and questionnaires to investigate the elderly visitors of Nanjing's urban parks and explore the impact the parks' amenity buildings (structures built to provide visitors with conveniences, e.g., shelters and pavilions) has on their health and associated socialization tendencies. Data were collected from ten amenity buildings in ten separate parks to compose a total dataset of 728 activity statistics and 270 valid questionnaires. The study's results indicate that amenity buildings significantly increase opportunities for older adults to socialize and thereby can increase this demographic's associated health benefits. The social activities formed around amenity buildings are found to improve social interactions and connectedness among older adults more compared to other age groups. Elderly participation in social activities is also found to positively correlate with environmental characteristics. High-quality landscapes ensure healthy development of social activities within amenity buildings and promote the occurrence and continuation of social interactions. In order of highest to lowest impact on elderly activities, the following factors were identified and scored: amenity building scale, lighting, comprehensive surrounding environment, surrounding amenities, water features, and vegetation. This research also reveals that among existing amenity buildings, there is insufficient support for certain activities and therefore, parks need to be improved to address this deficiency. Overall, this study indicates that under China's current aging trends, amenity buildings have become an especially important infrastructure within urban public space, and their design trend is to incorporate the dual characteristics of "recreation + society".


Assuntos
Parques Recreativos , População Urbana , Idoso , China , Feminino , Humanos , Masculino , Organizações , Terapia Recreacional , Inquéritos e Questionários
9.
Artigo em Inglês | MEDLINE | ID: mdl-33050206

RESUMO

This study gathered previous research on the effects of therapeutic recreation programs for the elderly conducted in Korea in order to investigate the average effect size as well as the factors that influence the effect sizes. This study connoted findings of individual studies related to therapeutic recreation programs for the elderly from 2000 to 2018. A total of 15 papers were selected for meta-analysis. To analyze the data, a comprehensive meta-analysis 2.0 software program was used. Firstly, the overall mean effect size of the therapeutic recreation programs for the elderly was 0.644, and it was medium size. Secondly, for each dependent variable, the mean effect size on social emotional domain was 0.739, the mean effect size on physical domain was 0.548, and the mean effect size on cognitive domain was 0.485. Thirdly, major factors that influence the effect of therapeutic recreation programs for the elderly appeared to be the program period and hours per session. The results of this study prove that therapeutic recreation programs for the elderly can be an effective way to bring along a positive change, and show that the program period and hours per session are crucial factors in the design of therapeutic recreation programs for the elderly.


Assuntos
Terapia Recreacional , Idoso , Feminino , Humanos , Masculino , Terapia Recreacional/normas , Terapia Recreacional/estatística & dados numéricos , República da Coreia , Resultado do Tratamento
10.
J Aging Phys Act ; 29(1): 142-161, 2020 07 28.
Artigo em Inglês | MEDLINE | ID: mdl-32723928

RESUMO

The objective of this study was to explore and synthesize evidence on the effectiveness and implementation of recreational therapy programs to enhance mobility outcomes (e.g., balance, functional performance, fall incidence) for older adults in long-term care. The authors conducted a scoping review of 66 studies following the PRISMA guidelines. Two independent reviewers evaluated each article, and a third reviewer resolved discrepancies. Randomized controlled studies provided strong to moderate evidence that tai chi programs, walking, dancing, and ball games improve flexibility, functional mobility, and balance. Studies assessing program implementation highlighted that program delivery was facilitated by clear instruction, encouragement, attendance documentation, and minimal equipment. This review elucidated the benefit of recreational therapy programs on mobility. It also identified the need for customized programs based on individuals' interests and their physical and mental abilities. These findings and recommendations will assist practitioners in designing effective and feasible recreational therapy programs for long-term care.


Assuntos
Acidentes por Quedas/prevenção & controle , Promoção da Saúde/métodos , Terapia Recreacional , Tai Ji , Idoso , Humanos , Assistência de Longa Duração , Caminhada
11.
Int J Soc Psychiatry ; 66(6): 553-559, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32475294

RESUMO

BACKGROUND: The lack of 6-year follow-up studies that test the effect of recreational activities in the recovery of social phobia and shyness symptoms is the reason to conduct this study. AIM: The purpose is to follow the effect of the 12-week recreational activity program found to eliminate social phobia and shyness symptoms after the completion of university studies in its sixth year. METHODS: At the end of the 12-week recreational activity program that treats the symptoms of social phobia and shyness in university prep school students, 83 students who participated in the posttest both from intervention and control groups were invited to the study. In the sixth-year follow-up study, a total of 51 voluntary students - 32 from the intervention group and 19 from the control group - were administered the Liebowitz Social Anxiety Scale, the Shyness Scale and the Coopersmith Self-Esteem Inventory. RESULTS: When the pretests and the sixth-year scores are compared, it is seen that it still has an improving effect on social phobia and shyness; when the posttests and the sixth-year tests are compared, no difference is seen regarding social phobia whereas it is seen that recovery still continues regarding the symptoms of shyness, and a decrease is seen in self-esteem. DISCUSSION: While the improving effect of recreational activities on shyness and social phobia symptoms still continues, their effect on self-esteem decreases. CONCLUSION: It is suggested that recreational activities should be included in the programs at universities regarding personal and professional development, and the reasons for the decrease in self-esteem scores should be determined through more detailed studies.


Assuntos
Fobia Social , Transtornos Fóbicos , Terapia Recreacional , Seguimentos , Humanos , Fobia Social/terapia , Transtornos Fóbicos/terapia , Recreação , Autoimagem , Timidez
12.
Dev Med Child Neurol ; 62(1): 140-146, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31353456

RESUMO

AIM: To explore the relationship between rehabilitation therapies and development in children with cerebral palsy (CP). METHOD: We conducted a prospective, longitudinal study involving 656 children with CP (mean age [SD] 6y [2y 8mo] at study entry; 1y 6mo-11y 11mo; 287 females, 369 males), and their parents. Children were assessed two to five times over 2 years by therapists using standardized measures of balance and walking endurance. Parents completed questionnaires on demographics, rehabilitation therapies, and their children's performance in self-care and participation in recreation. Therapists and parents collaboratively classified children's Gross Motor Function Classification System (GMFCS) levels. We created longitudinal graphs for each GMFCS level, depicting change across time using centiles. Using multinomial models, we analyzed the relationship between therapies (amount, focus, family-centeredness, and the extent therapies met children's needs) and whether change in balance, walking endurance, and participation was 'more than' and 'less than' the reference of 'as expected'. RESULTS: Children were more likely to progress 'more than expected' when participating in recreation when therapies were family-centered, met children's needs, and focused on structured play/recreation. A focus on health and well-being was positively associated with participation and self-care. The amount of therapy did not predict outcomes. INTERPRETATION: Therapy services that are family-centered, consider the needs of the child, and focus on structured play/recreational activities and health/well-being may enhance the development of children with CP. WHAT THIS PAPER ADDS: Family-centered rehabilitation therapies were positively associated with greater participation in family/recreation activities and walking endurance. Parental perception that rehabilitation therapies met children's needs was associated with greater participation in family/recreation activities. Structured play, recreational activities, and health/well-being are important for self-care and participation when planning rehabilitation therapy. The amount of rehabilitation therapy was not related to developmental outcomes.


Assuntos
Paralisia Cerebral/reabilitação , Família , Terapia Ocupacional , Avaliação de Processos e Resultados em Cuidados de Saúde , Satisfação do Paciente , Modalidades de Fisioterapia , Terapia Recreacional , Fonoterapia , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Estudos Longitudinais , Masculino , Índice de Gravidade de Doença
13.
Neuropsychol Rehabil ; 30(2): 233-248, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29681224

RESUMO

The Heads Together organisation provides a weekend camping programme for children with an acquired brain injury (ABI) and their families. Utilising a qualitative approach, this study explored family experiences of the Heads Together Camp (HTC) from the perspective of parents. Semi-structured interviews were conducted with 11 parents who had attended the camp. Thematic analysis identified six themes: ABI and the family; Apprehension and discomfort; Connections and community; Hope and perspective; Fun, relaxation and respite; and Family functioning. Families experienced initial feelings of apprehension at camp, which attenuated as connections developed between camp attendees. These connections were grounded in shared experiences of ABI and enabled families to become part of an accepting community, feel less alone and share information. The camp environment also facilitated fun and relaxation, provided families with hope and perspective, and led to improvements in family relationships. Overall, recreational camps may mitigate some stressors experienced by families affected by ABI. Camps could be used to support families by providing them with connections, fun and relaxation, a sense of normality and hope for the future. Thus, recreational camps may represent an effective allied support service for this population.


Assuntos
Lesões Encefálicas/reabilitação , Acampamento , Família , Satisfação do Paciente , Terapia Recreacional , Apoio Social , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pais , Desenvolvimento de Programas , Pesquisa Qualitativa
14.
Burns ; 46(1): 33-43, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-30638667

RESUMO

OBJECTIVES: Child and adolescent burn survivors benefit from skills to cope with the physical and mental challenges associated with their injuries. Burn camps can offer an opportunity to build these skills. In this study, we systematically review the best available evidence on burn camps in order to better assess their impact on burn survivors. METHOD: A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. A total of 815 articles on recreational therapeutic camps for burn survivors were retrieved from PubMed, PsycINFO, CINAHL and Scopus restricted to the English language and published before or by May 2018. Critical Appraisal Skills Programme (CASP) for Qualitative Studies Checklist and the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for non-randomized experimental studies were used to assess the methodological rigour of the quantitative studies. RESULTS: Quantitative data did not support any long-lasting impacts on psychosocial wellbeing. Qualitative data showed children, parents and staff all perceived benefits from camp attendance, including companionship and belonging. CONCLUSION: Further research is required to understand the lack on congruence between qualitative and quantitative data. Qualitative data suggests burn camps are beneficial for children with burn injuries.


Assuntos
Queimaduras/reabilitação , Terapia Recreacional/métodos , Sobreviventes/psicologia , Adaptação Psicológica , Adolescente , Queimaduras/fisiopatologia , Queimaduras/psicologia , Acampamento , Criança , Ajustamento Emocional , Humanos , Sistemas de Apoio Psicossocial , Autoimagem , Ajustamento Social
15.
Environ Health Prev Med ; 24(1): 70, 2019 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-31787069

RESUMO

AIMS: This study focused on the newest evidence of the relationship between forest environmental exposure and human health and assessed the health efficacy of forest bathing on the human body as well as the methodological quality of a single study, aiming to provide scientific guidance for interdisciplinary integration of forestry and medicine. METHOD: Through PubMed, Embase, and Cochrane Library, 210 papers from January 1, 2015, to April 1, 2019, were retrieved, and the final 28 papers meeting the inclusion criteria were included in the study. RESULT: The methodological quality of papers included in the study was assessed quantitatively with the Downs and Black checklist. The methodological quality of papers using randomized controlled trials is significantly higher than that of papers using non-randomized controlled trials (p < 0.05). Papers included in the study were analyzed qualitatively. The results demonstrated that forest bathing activities might have the following merits: remarkably improving cardiovascular function, hemodynamic indexes, neuroendocrine indexes, metabolic indexes, immunity and inflammatory indexes, antioxidant indexes, and electrophysiological indexes; significantly enhancing people's emotional state, attitude, and feelings towards things, physical and psychological recovery, and adaptive behaviors; and obvious alleviation of anxiety and depression. CONCLUSION: Forest bathing activities may significantly improve people's physical and psychological health. In the future, medical empirical studies of forest bathing should reinforce basic studies and interdisciplinary exchange to enhance the methodological quality of papers while decreasing the risk of bias, thereby raising the grade of paper evidence.


Assuntos
Ensaios Clínicos Controlados como Assunto , Exposição Ambiental , Florestas , Depressão/prevenção & controle , Depressão/terapia , Humanos , Saúde Mental , Aptidão Física/fisiologia , Terapia Recreacional
17.
Complement Ther Clin Pract ; 36: 18-28, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31383437

RESUMO

BACKGROUND: Although childhood cancer mortality rates are decreasing, intensive treatment modalities and missed school days may leave childhood cancer patients psychologically and socially vulnerable. Children with cancer often have increased anxiety, lower levels of self-esteem, and higher rates of depression, all of which may impair their psychosocial wellbeing. Specialized camps for children with cancer are becoming increasingly popular, as they provide a stress-free, outdoor environment in which children are able to interact with individuals similar to themselves, while experiencing the joys of a "normal childhood." OBJECTIVE: The aim of this review was to explore how camp participation impacts the psychosocial wellbeing of childhood cancer patients and survivors. METHODS: Six databases (MEDLINE, PsychINFO, EMBASE, CINHAL, Sociological Abstracts, Social Sciences Citation Index) were systematically searched for English literature published between 2007 and 2018. The search generated 1707 titles, and after being evaluated for relevance, 18 articles met the inclusion criteria. A thematic analysis was conducted. RESULTS: A variety of camp programs and methodologies were employed among the studies. Camp participation led to improved social health, followed by enhanced constructions of the self, quality of life, sense of normalcy, and attitude. CONCLUSION: This review demonstrates the potential ability of camp to buffer psychosocial losses for children affected by cancer. Addressing limitations, such as the lack of child-centered methodologies employed in camp settings, may not only help to guide future research on therapeutic recreation experiences for children with cancer, but also expand the evidence base for children living with other chronic illnesses and disabilities.


Assuntos
Acampamento , Sobreviventes de Câncer/psicologia , Neoplasias , Terapia Recreacional , Adolescente , Criança , Feminino , Humanos , Masculino , Neoplasias/psicologia , Neoplasias/reabilitação
18.
NeuroRehabilitation ; 44(4): 545-554, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31282434

RESUMO

BACKGROUND: Neurosensory stimulation is effective in enhancing the recovery process of severely brain-injured patients with disorders of consciousness. Multisensory environments are found in nature, recognized as beneficial to many medical conditions. Recent advances detected covert cognition in patients behaviorally categorized as un- or minimally responsive; a state described as cognitive motor dissociation (CMD). OBJECTIVE: To determine effectiveness of a neurosensory stimulation approach enhanced by outdoor therapy, in the early phases of recovery in patients presenting with CMD. METHODS: A prospective non-randomized crossover study was performed. A two-phase neurosensory procedure combined identical individually goal assessed indoor and outdoor protocols. All sessions were video-recorded and observations rated offline. The frequency of volitional behavior was measured using a behavioral grid. RESULTS: Fifteen patients participated in this study. The outdoor group patients had statistically significant higher number of intentional behaviors than the indoor group on seven features of the grid. Additionally, for all items assessed, total amount of behaviors in the outdoor condition where higher than those in the indoor condition. CONCLUSIONS: Although preliminary, this study provides robust evidence supporting the effectiveness and appropriateness of an outdoor neurosensory intervention in patients with covert cognition, to improve adaptive goal-oriented behavior. This may be a step towards helping to restore functional interactive communication.


Assuntos
Lesões Encefálicas/terapia , Transtornos Cognitivos/terapia , Cognição/fisiologia , Recuperação de Função Fisiológica/fisiologia , Terapia Recreacional/métodos , Sensação/fisiologia , Adulto , Idoso , Lesões Encefálicas/fisiopatologia , Lesões Encefálicas/psicologia , Transtornos Cognitivos/fisiopatologia , Transtornos Cognitivos/psicologia , Estado de Consciência/fisiologia , Estudos Cross-Over , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Terapia Ocupacional/métodos , Terapia Ocupacional/psicologia , Modalidades de Fisioterapia/psicologia , Estudos Prospectivos , Terapia Recreacional/psicologia , Adulto Jovem
19.
Am J Nurs ; 119(8): 7, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31356303
20.
Sante Publique ; S1(HS): 135-143, 2019 05 13.
Artigo em Francês | MEDLINE | ID: mdl-31210473

RESUMO

Humans have enjoyed forest environments for ages because of the quiet atmosphere, beautiful scenery, mild climate, pleasant aromas, and fresh, clean air. In Japan, since 2004, serial studies have been conducted to investigate the effects of forest environments on human health. We have established a new medical science called Forest Medicine. The Forest Medicine is a new interdisciplinary science, belonging to the categories of alternative medicine, environmental medicine and preventive medicine, which encompasses the effects of forest environments on human health. It has been reported that forest environments have the following beneficial effects on human health:1. Increase human natural killer (NK) activity, the number of NK cells, and the intracellular levels of anti-cancer proteins, suggesting a preventive effect on cancers.2. Reduce blood pressure, heart rate, and stress hormones, such as urinary adrenaline and noradrenaline and salivary cortisol.3. Increase the activity of parasympathetic nerves and reduce the activity of sympathetic nerves.4. Increase the levels of serum adiponectin and dehydroepiandrosterone sulfate.5. In the Profile of Mood States (POMS) test, reduce the scores for anxiety, depression, anger, fatigue, and confusion, and increase the score for vigor, showing psychological effects as well.These findings suggest that forest environments may have preventive effects on lifestyle-related diseases.


Assuntos
Depressão/prevenção & controle , Florestas , Hipertensão/prevenção & controle , Terapia Recreacional/métodos , Estresse Psicológico/terapia , Humanos , Japão , Estilo de Vida , Árvores , Caminhada
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