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Journal articles on the topic 'Physical and psychological therapies'
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Xu, Yining, Yang Song, Dong Sun, Gusztáv Fekete, and Yaodong Gu. "Effect of Multi-Modal Therapies for Kinesiophobia Caused by Musculoskeletal Disorders: A Systematic Review and Meta-Analysis." International Journal of Environmental Research and Public Health 17, no. 24 (December 16, 2020): 9439. http://dx.doi.org/10.3390/ijerph17249439.
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This systematic review and meta-analysis aimed to identify the effect of multi-modal therapies that combined physical and psychological therapies for kinesiophobia caused by musculoskeletal disorders compared with uni-modal therapy of only phycological therapy or psychological therapy. The search terms and their logical connector were as following: (1) “kinesiophobia” at the title or abstract; and (2) “randomized” OR “randomized” at title or abstract; not (3) ”design” OR “protocol” at the title. They were typed into the databases of Medline (EBSCO), PubMed, and Ovid, following the different input rules of these databases. The eligibility criteria were: (1) Adults with musculoskeletal disorders or illness as patients; (2) Multi-modal therapies combined physical and psychological therapy as interventions; (3) Uni-modal therapy of only physical or psychological therapy as a comparison; (4) The scores of the 17-items version of the Tampa Scale of Kinesiophobia as the outcome; (5) Randomized controlled trials as study design. As a result, 12 studies were included with a statistically significant polled effect of 6.99 (95% CI 4.59 to 9.38). Despite a large heterogeneity within studies, multi-modal therapies might be more effective in reducing kinesiophobia than the unimodal of only physical or psychological therapy both in the total and subdivision analysis. The effect might decrease with age. What’s more, this review’s mathematical methods were feasible by taking test-retest reliability of the Tampa Scale of Kinesiophobia into consideration.
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Ilyas Bhutta, Nimra, Aneeta Sheikh, and Syed Imran Haider. "PSYCHOLOGICAL HEALTH RELATED QUALITY OF LIFE IN PAKISTANI PHYSICAL THERAPISTS." Rehabilitation Journal 3, no. 2 (December 31, 2019): 116–20. http://dx.doi.org/10.52567/trj.v3i02.16.
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Objectives: To find quality of life (QOL) related to psychological health and its associated factors in Pakistani physical therapists. Mathodology: A cross sectional-analytical study was conducted among Pakistani physical therapists, working in different teaching institutes and hospitals. The sample size was (n=464) qualified physical therapists age between 22-50 years selected through convenient sampling technique. Data was collected through general demographic questionnaire including age, gender qualification, marital status, job type, job nature, financial, family and health issues, job satisfaction, overall satisfaction, and for psychological health WHO Quality of Life (WHO-QOL) was used. Data was analyzed by using SPSS version 21 and the results were presented as mean±SD, frequency (n) and percentages (%) of physical therapist according to their psychological health and p-value and chi-square test was used to identify association between variables. Results: The mean age of study participant was 27.02±3.79 and mean psychological health score was 36.49±17.38 that showed that average population of PTs had poor psychological health. The psychological health showed significant association (p≤0.05) with gender, nature of job, financial issues, health issues and salary satisfaction. Conclusion: The majority of physical therapists have poor psychological health. The male gender, PTs working in both clinical and academic settings, financial issues, family issues their health status and unsatisfied job contribute in poor quality of life related to psychological health. Keywords: Physical therapist, psychological health, quality of life
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Taheri, Arman, Mahbod Lajevardi, Sanaz Shabani, Sara Emami, and Hassan Sharifi. "Could the Addition of Alexander Technique Improve the Effectiveness of Physical Therapy in Reducing Violinists' Neck Pain in Comparison to Physical Therapy Alone?" Medical Problems of Performing Artists 32, no. 1 (March 1, 2017): 60. http://dx.doi.org/10.21091/mppa.2017.1010.
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One hypothesis for the mechanism of neck pain in musicians, particularly string players, is changed behavior of the superficial neck flexor muscles and impairment of the cervical stabilization system. To restore the supporting capacity of neck muscles and reduce neck pain, various types of physical therapies and pain educational modalities have been recommended. However, considering the physio-psychological nature of violinists’ neck pain, its treatment may benefit from addition of therapies that address postural and movement habits. In this regard, we suggest that management of violinists’ neck pain might benefit from additional approaches that may help to decrease muscle overactivity during performance movements.
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Giebel, Clarissa M., Paul Clarkson, and David Challis. "Demographic and clinical characteristics of UK military veterans attending a psychological therapies service." Psychiatric Bulletin 38, no. 6 (December 2014): 270–75. http://dx.doi.org/10.1192/pb.bp.113.046474.
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Aims and methodTo investigate the demographic and clinical characteristics of subgroups of UK veterans attending a dedicated psychological therapies service following the Improving Access to Psychological Therapies (IAPT) treatment model. Veterans accessing a newly established service in the north-west were categorised into three groups: early service leavers, those with a physical disability, and substance and/or alcohol misusers. Anxiety, depression and social functioning were measured pre- and post-treatment.ResultsVeterans vary in their demographic and clinical characteristics as well as in treatment efficacy, as measured by the post-treatment scores on probable depression and anxiety. Therapy appears to be most effective in early service leavers, whereas veterans with a physical disability or a substance or alcohol misuse problem tend not to do as well in terms of symptoms of depression or anxiety.Clinical implicationsThis study highlights the importance of targeting different veteran subgroups for dedicated psychological therapy.
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Dube, K. C., Aditya Kumar, and Sanjay Dube. "Psychiatric Training and Therapies in Ayurved." American Journal of Chinese Medicine 13, no. 01n04 (January 1985): 13–22. http://dx.doi.org/10.1142/s0192415x85000046.
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This paper describes the selection and training procedures, ethical codes, metaphysical theoreis and principles of psychiatric treatments in Ayurved. Three treatment approaches for psychological disorders are: (i) Ministered therapies (psychotherapies), (ii) Performance therapies (rituals), (iii) Auto therapies. Other forms of therapies mentioned are herbal, physical and natural. Treatments were administered with benediction. Man was treated as a whole with a psychosomatic approach. Ayurved is still a living science, though much of its knowledge has passed into oblivion. Resurrection of the lost treasure is advocated if the objective of 'Health for All by 2000 A.D.' is to be achieved for countries like India.
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Ainur, Syafrida, Lucky Herawati, and Melyana Nurul Widyawati. "The Benefits of Holistic Therapy for Psychological Disorders in Postpartum Mother: A Systematic Review." STRADA Jurnal Ilmiah Kesehatan 9, no. 2 (November 24, 2020): 1708–17. http://dx.doi.org/10.30994/sjik.v9i2.524.
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Physical and psychological changes during postpartum period can make postpartum mother vulnerable to psychological disorders such as anxiety and depression. The purpose of this study was to identify and analyze several holistic therapies that are beneficial for reducing psychological disorders during postpartum period. The inclusion criteria in this study were articles in english; samples in the form of postpartum mothers; and experimental research. There are 12 research articles that included in the analysis of this research, research articles on mindfulness (n = 4), massage (n = 4), and aromatherapy (n = 4). Holistic therapy can affect the regulation of the nervous system and reduce levels of cortisol hormone. Holistic therapies such as mindfulness, massage, and aromatherapy have been shown to be beneficial for reducing psychological disorders such as anxiety to depression in postpartum mothers which have an impact on increased relaxation and positive mood.
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Vos, Joël, and Diego Vitali. "The effects of psychological meaning-centered therapies on quality of life and psychological stress: A metaanalysis." Palliative and Supportive Care 16, no. 5 (September 24, 2018): 608–32. http://dx.doi.org/10.1017/s1478951517000931.
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ABSTRACTObjective:Many psychotherapists speak with clients about meaning in life. Meaning is an neutral evidence-based term for a subjective sense of purpose, values, understanding, self-worth, action-directed goals, and self-regulation. Since little is known about its effectiveness, our study aimed to determine the effects of meaning-centered therapies (MCTs) on improving quality of life and reducing psychological stress.Method:Independent researchers selected and scored articles in multiple languages in multiple search engines. Weighted pooled mean effects were calculated following a random-effects model. Sensitivity analyses included moderators, study and sample characteristics, risk of bias, randomization, types of MCT, control condition, and outcome instruments.Results:Some 52,220 citations included 60 trials (total sampleN= 3,713), of which 26 were randomized controlled trials (N= 1,975), 15 nonrandomized controlled trials (N= 709), and 19 nonrandomized noncontrolled trials with pre/post measurements (N= 1,029). Overall analyses showed large improvements from baseline to immediate posttreatment and follow-up on quality of life (Hedges'g= 1.13,SE= 0.12;g= 0.99,SE= 0.20) and psychological stress (g= 1.21,SE= 0.10;g= 0.67,SE= 0.20). As effects varied between studies, further analyses focused only on controlled trials: MCT had large effect sizes compared to control groups, both immediate and at follow-up, on quality of life (g= 1.02,SE= 0.06;g= 1.06,SE= 0.12) and psychological stress (g= 0.94,SE= 0.07,p< 0.01;g= 0.84,SE= 0.10). Immediate effects were larger for general quality of life (g= 1.37,SE= 0.12) than for meaning in life (g= 1.18,SE= 0.08), hope and optimism (g= 0.80,SE= 0.13), self-efficacy (g= 0.89,SE= 0.14), and social well-being (g= 0.81,SE= 13). The homogeneity of these results was validated by the lack of significance of moderators and alternative ways of selecting studies. Metaregression analyses showed that increases in meaning in life predicted decreases in psychological stress (β = –0.56,p< 0.001).Significance of results:MCT strongly improves quality of life and reduces psychological stress. MCT should be made more widely available, particularly to individuals in transitional moments in life or with a chronic or life-threatening physical illness as they explicitly report meaning-centered concerns.
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Nielsen, Mandy, Francis J. Keefe, Kim Bennell, and Gwendolen A. Jull. "Physical Therapist–Delivered Cognitive-Behavioral Therapy: A Qualitative Study of Physical Therapists' Perceptions and Experiences." Physical Therapy 94, no. 2 (February 1, 2014): 197–209. http://dx.doi.org/10.2522/ptj.20130047.
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Background The importance of the biopsychosocial model in assessment and management of chronic musculoskeletal conditions is recognized. Physical therapists have been encouraged to develop psychologically informed practice. Little is known about the process of physical therapists' learning and delivering of psychological interventions within the practice context. Objective The aim of this study was to investigate physical therapists' experiences and perspectives of a cognitive-behavioral–informed training and intervention process as part of a randomized controlled trial (RCT) involving adults with painful knee osteoarthritis. Design A qualitative design was used. Participants were physical therapists trained to deliver pain coping skills training (PCST). Methods Eight physical therapists trained to deliver PCST were interviewed by telephone at 4 time points during the 12-month RCT period. Interviews were audiorecorded, transcribed verbatim into computer-readable files, and analyzed using Framework Analysis. Results Thematic categories identified were: training, experience delivering PCST, impact on general clinical practice, and perspectives on PCST and physical therapist practice. Physical therapists reported positive experiences with PCST and program delivery. They thought that their participation in the RCT had enhanced their general practice. Although some components of the PCST program were familiar, the therapists found delivering the program was quite different from regular practice. Physical therapists believed the PCST program, a 3- to 4-day workshop followed by formal mentoring and performance feedback from a psychologist for 3 to 6 months and during the RCT, was critical to their ability to effectively deliver the PCST intervention. They identified a number of challenges in delivering PCST in their normal practice. Conclusion Physical therapists can be trained to confidently deliver a PCST program. The physical therapists in this study believed that training enhanced their clinical practice. Comprehensive training and mentoring by psychologists was crucial to ensure treatment fidelity.
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Warschausky, Seth, Donald Kewman, and Joshua Kay. "Empirically Supported Psychological and Behavioral Therapies in Pediatric Rehabilitation of TBI." Journal of Head Trauma Rehabilitation 14, no. 4 (August 1999): 373–83. http://dx.doi.org/10.1097/00001199-199908000-00006.
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Sakhaei, Shahriar, Hossein Motaarefi, Soryya Zinalpoor, and Hassan Ebrahimpour Sadagheyani. "Functional Evaluation of Multiple Sclerosis Patients in Khoy (IRAN)." Open Public Health Journal 11, no. 1 (February 14, 2018): 37–43. http://dx.doi.org/10.2174/1874944501811010037.
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Introduction and Purpose:Multiple Sclerosis (MS) is a common, hidden, degenerative, and progressive chronic disease that is more prevalent in women than in men. It is caused by damage to the myelin of central nervous system and results in neuropathy. The clinical pattern of the disease is 70 percent relapsing - remitting, and depending on the severity and type of nervous involvement, results in a variety of physical, psychological and social disabilities. The present study was designed to determine the functional level of MS patients.Methods:In this cross-sectional study, 70 MS female patients referred to the Health Center for Special Diseases at the Madani Hospital of Khoy in 2016 were selected total samplesviaCensus. Two questionnaires were used: the demographic information form and the 29-question MSISS questionnaire that consists of both physical and psychological dimensions. Data analyses were carried out using SPSS v.16 software for an independent sample T-test, and ANOVA.Results:The 69% of the sample was comprised of married women, 74% were housewives, 83% were found to be disabled, 77% had a relapsing-remitting form of illness and 89% had no communication problems. The average age was 35 years and the average duration of illness was 4 years. Severe physical disability was found in 11.4% and 17.1% suffered from severe psychological disability. The general disease-related disability was considered mild in 65.7%. Disability was related to age, lifestyle, the presence or absence of a caregiver, the type of illness and communication problems. Physical and psychological dimensions of disability were unrelated (p<0.001).Conclusion:According to the high rate of psychological disability compared to physical dimension and effects of physical disorders on the soul, it is necessary to minimize the severity of disability by directing and controlling tensions, changes in lifestyle, the use of complementary therapies, rehabilitation Interventions, psychosocial support, and receiving services from the Association for the supportive of MS patients.Because psychological disability was greater than physical disability, therapy needs to address psychological stressors. Changes in lifestyle, use of complementary therapies, rehabilitation interventions and psychosocial support are recommended. Support associations for MS patients can also be helpful.
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Dae, Melanie K., Tyler M. Smith, Stephen Goetz, Erin Schnake, and Anne L. Lambert Wagner. "609 Combined Physical, Occupational, and Psychotherapies in the Holistic Care of the Burn." Journal of Burn Care & Research 42, Supplement_1 (April 1, 2021): S157—S158. http://dx.doi.org/10.1093/jbcr/irab032.259.
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Abstract Introduction Burn patients often experience pain and fear of the recovery process, negatively impacting their engagement in necessary treatments for maximal functional outcomes. Patients routinely exhibit aversions toward physical and occupational therapies (PT and OT). As a result, therapists have been tasked with managing the patient’s psychological reactions while simultaneously providing rehabilitation. We developed a program for our psychologist to co-treat patients with burn physical and occupational therapists to directly address the painful or feared aspects of burn recovery. These multidisciplinary visits offer in-vivo interventions for managing patient distress and allows therapists the ability to focus solely on their specialized interventions. Methods This program has been active for 12 months and was created during therapy to aid a patient with high distress during PT and OT. Therapists now work with psychology to co-treat improving patient engagement in rehabilitative interventions. During co-treatment, the patients are able to engage in PT and OT more effectively and achieve short-term goals. The burn center psychologist and therapists have developed an interventional method to explore potential generalization of co-treatment effectiveness. Patients are identified based on high need for psychological support during therapy sessions. Each patient case is reviewed and discussed to develop individualized treatment plans and establish goals. Through qualitative review of each co-treatment visit, common barriers have been identified as well as strategies to improve engagement and compliance. Results The common barriers encountered had a high association with a history of traumatic experiences and avoidant coping/low distress tolerance. The most effective co-treatment interventions included: collaboratively setting patient goals with PT, OT and psychology; scheduling patient therapy with burn psychology in advance; teaching distress tolerance skills to manage anticipatory and in-vivo distress related to rehabilitation. Conclusions Treating the emotional aspects of burn recovery during moments of acute distress is integral for holistic patient care. This multidisciplinary approach offers patients increased involvement through collaboratively tailored treatment planning and improved ability to tolerate distressing aspects of recovery. Additionally, therapists were taught various approaches to improve patient engagement and adherence.
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RÖSSLER, WULF, CHRISTOPH LAUBER, JULES ANGST, HELENE HAKER, ALEX GAMMA, DOMINIQUE EICH, RONALD C. KESSLER, and VLADETA AJDACIC-GROSS. "The use of complementary and alternative medicine in the general population: results from a longitudinal community study." Psychological Medicine 37, no. 1 (September 26, 2006): 73–84. http://dx.doi.org/10.1017/s0033291706008841.
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Background.Many patients with psychological or physical problems are interested in non-medical approaches. The reasons for the growing popularity of complementary and alternative medicine (CAM) are not well understood considering that evidence of the effectiveness of conventional therapies is greater than ever before. We have examined data from the Zurich Study to determine trends and predictors of CAM use in Switzerland.Method.The Zurich Study is a longitudinal community study that was started in 1979 with a sample of 591 participants born in 1958 and 1959. In 1999, the last of six interview waves with face-to-face interviews was conducted. CAM use was analyzed with data from interviews in 1993 and 1999. Polytomous logistic regression analysis focused on the personal, demographic and sociocultural background of CAM users.Results.CAM use in the last 12 months was reported by 21·9% of the participants in 1993 and by 29·5% in 1999. CAM use among those exhibiting either physical or psychological problems was in the ratio of two to one. There was a trend from alternative variants of CAM (homeopathy) to complementary ones (massage, osteopathy, acupuncture). The vast majority of CAM use was in addition to conventional therapies. Predictors of CAM use were, among others, attribution of physical complaints to stress and other psychological variables, very low education level in parents, and lacking political interest.Conclusions.Besides the sociocultural background, characteristics such as the psychological attribution style play an important role in CAM use. CAM use in Switzerland is mainly of a complementary rather than an alternative nature.
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Cotterell, Phil, Debbie Weight, Sharon Joseph, and Paul Joseph. "Complex Parkinson's disease: review and experiences." British Journal of Healthcare Assistants 13, no. 8 (August 2, 2019): 394–400. http://dx.doi.org/10.12968/bjha.2019.13.8.394.
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The rate of Parkinson's disease progression is highly individual. It is important to identify those in the complex stage of the disease. Non-oral therapies may be appropriate for those in the complex stage of the disease who experience motor fluctuations, but there can be reasons for a failure to explore these options. Complex Parkinson's disease is a challenging time for the patient, their carer/s and for Parkinson's specialists. Changes to independence can be difficult to deal with, and the disease has an impact both physically and psychologically. For carers, the impact of Parkinson's can also result in physical and psychological issues, as well as social and financial problems. Consideration often turns to moving into a care environment, dealing with neuropsychiatric issues and challenging unmet need. Dealing with symptoms and problems using a team and a palliative approach is required.
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Cotterell, Phil, Debbie Weight, Sharon Joseph, and Paul Joseph. "Complex Parkinson's disease: review and experiences." British Journal of Neuroscience Nursing 15, no. 3 (June 2, 2019): 140–45. http://dx.doi.org/10.12968/bjnn.2019.15.3.140.
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The rate of Parkinson's disease progression is highly individual. It is important to identify those in the complex stage of the disease. Non-oral therapies may be appropriate for those in the complex stage of the disease who experience motor fluctuations, but there can be reasons for a failure to explore these options. Complex Parkinson's disease is a challenging time for the patient, their carer/s and for Parkinson's specialists. Changes to independence can be difficult to deal with, and the disease has an impact both physically and psychologically. For carers, the impact of Parkinson's can also result in physical and psychological issues as well as social and financial problems. Consideration often turns to moving into a care environment, dealing with neuropsychiatric issues and challenging unmet need. Dealing with symptoms and problems using a team and a palliative approach is required.
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Fangtham, M., S. Kasturi, R. R. Bannuru, J. L. Nash, and C. Wang. "Non-pharmacologic therapies for systemic lupus erythematosus." Lupus 28, no. 6 (April 8, 2019): 703–12. http://dx.doi.org/10.1177/0961203319841435.
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Background Non-pharmacologic therapies have been deemed as potentially beneficial for patients with systemic lupus erythematosus. We conducted an updated review to determine the effects of these therapies to inform practice. Methods A literature search was performed using PubMed (MEDLINE), EMBASE, Cochrane, PsychINFO, the Cumulative Index to Nursing and Allied Health Literature, Web of Science, and Google Scholar from inception until August 2018. We included randomized controlled trials of non-pharmacologic therapies in systemic lupus erythematosus patients with sample size ≥10. Systemic lupus erythematosus was defined by 1982 or 1997 American College of Rheumatology criteria. Studies were synthesized separately by patient-reported outcomes and disease activity. Due to the heterogeneity of interventions and comparisons, a meta-analysis was not performed. Results A total of 15 randomized controlled trials involving 846 participants met the inclusion criteria. Of the 15 trials, eight used exercise interventions, six used psychological interventions (one group psychotherapy, three cognitive behavioral therapies, one psychoeducation, one mindfulness-based cognitive therapy) and one used electro-acupuncture. Five of 15 studies utilized control groups consisting of usual medical care. Other studies included control interventions of relaxation, attention placebo, symptom monitoring support, education, minimal needling, isotonic and resistance exercise. Compared with the control conditions, non-pharmacological interventions were associated with a significant improvement in fatigue in three out of six studies. Three out of eight studies reported improved anxiety and depression, and one study reported improved pain after interventions. Seven out of 11 studies reported improvement in overall quality of life in at least one domain of the Short-Form Health Survey. Of note, no studies demonstrated an improvement in disease activity after 5–52 weeks of non-pharmacological therapies. Conclusion This review showed promising results for physical exercise and psychological interventions as adjuncts to traditional medical therapy for improvement in fatigue, depression, pain and quality of life for systemic lupus erythematosus. Further high-quality randomized controlled trials with longer follow-up periods are warranted.
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Greub, Becca L., and John R. McNamara. "Alternative therapies in psychological treatment: When is a consultation with a physician warranted?" Professional Psychology: Research and Practice 31, no. 1 (2000): 58–63. http://dx.doi.org/10.1037/0735-7028.31.1.58.
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Menor-Rodríguez, María José, Mar Sevilla Martín, Juan Carlos Sánchez-García, María Montiel-Troya, Jonathan Cortés-Martín, and Raquel Rodríguez-Blanque. "Role and Effects of Hippotherapy in the Treatment of Children with Cerebral Palsy: A Systematic Review of the Literature." Journal of Clinical Medicine 10, no. 12 (June 11, 2021): 2589. http://dx.doi.org/10.3390/jcm10122589.
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Cerebral palsy is described as a group of permanent neuromotor-type disorders caused by non-progressive injuries in the developmental stages of the central nervous system, and which have serious repercussions on the quality of life of affected children due to the physical and psychological damage it entails for them. Today, it is the leading cause of physical disability in childhood. Since there is no cure for this disorder, treatment is based on the improvement of symptoms, which is not always achieved through conventional therapies. For this reason, the need arises to investigate other alternative therapies, such as hippotherapy, to determine the main effects of hippotherapy as a rehabilitation therapy in children with cerebral palsy. The review was performed in accordance with the criteria of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol and was registered under the number CRD42021233003. The databases used were PubMed, Dialnet and the web browser Google Scholar. After applying the inclusion criteria, we included 11 articles. As a conclusion, we found that hippotherapy provides benefits at physical, psychological, cognitive and social levels in children with cerebral palsy, and thus it should be considered as a complementary rehabilitation therapy to conventional treatments.
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Badakhsh, Mahin, Majid Dastras, Zohreh Sarchahi, Mahboobe Doostkami, Adel Mir, and Salehoddin Bouya. "Complementary and alternative medicine therapies and COVID-19: a systematic review." Reviews on Environmental Health 36, no. 3 (April 12, 2021): 443–50. http://dx.doi.org/10.1515/reveh-2021-0012.
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Abstract Objectives Despite the high prevalence of coronavirus and various treatment approaches, including complementary and alternative medicine (CAM), there is still no definitive treatment for coronavirus. The present study aimed to evaluate the effect of CAM interventions on COVID-19 patients. Content Four databases (Web of Science, PubMed, Scopus, and EMBASE) were searched from the inception of databases until July 16, 2020. Keywords included complementary and alternative medicine therapies and Coronavirus. Summary and Outlook Of the 1,137 studies searched, 14 studies performed on 972 COVID-19 patients entered the systematic review final stage. The results showed that different CAM interventions (acupuncture, Traditional Chinese medicine [TCM], relaxation, Qigong) significantly improved various psychological symptoms (depression, anxiety, stress, sleep quality, negative emotions, quality of life) and physical symptoms (inflammatory factors, physical activity, chest pain, and respiratory function) in COVID-19 patients. The results showed that various CAM interventions have a positive effect on improving the various dimensions of coronavirus disease but since there are few studies in this regard, further studies using different CAM approaches are recommended.
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Buchanan, Robert J., Raymond A. Martin, Suojin Wang, and Hyunsu Ju. "Analyses of nursing home residents with multiple sclerosis at admission and one year after admission." Multiple Sclerosis Journal 10, no. 1 (February 2004): 74–79. http://dx.doi.org/10.1191/1352458504ms969oa.
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This research compares profiles of residents with multiple sclerosis (MS) at admission to the nursing facility with profiles of these same residents one year later using the Minimum Data Set (MDS) to determine how their health and care received changed after one year in the facility. We matched MDS admission assessments with their first annual assessment for 1309 residents with MS. These residents with MS demonstrated deterioration in cognitive performance, communication skills, motor performance and bladder/bowel continence after one year in the facility. However, the proportion of residents with urinary tract infections and the proportion of residents with pressure ulcers declined after one year. A significantly larger proportion of these MS residents had a diagnosis of depression one year after admission, with significantly increased use of antipsychotic and antidepressant medications but little and declining use of psychological therapy after one year in the facility. In addition, there was a significant decline after one year in the use of physical, occupatio nal, and speech therapies. These longer stay residents with MS may benefit from support services directed toward mental health and increased use of physical, occupational and psychological therapies provided in the nursing facility.
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McCormack, David, and Trudie Chalder. "Horses for courses: choosing an evidence-based psychological therapy for your patient." BJPsych Advances 24, no. 6 (June 29, 2018): 402–11. http://dx.doi.org/10.1192/bja.2018.30.
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SUMMARYChoosing an intervention for a patient experiencing distressing symptoms and/or suffering with a mental disorder is part of routine practice for clinicians. While there are now many effective pharmacological and psychological therapies for mental health problems, syndromes and persistent physical symptoms (e.g. chronic pain), choosing the ‘right’ therapy can sometimes be a challenge. This can certainly be the case when it comes to psychological therapies. There are many different approaches to choose from and many have not been subjected to rigorous study.In this article, we aim to help inform and guide the busy clinician in choosing a psychological therapy for their patient. We give a brief overview of the major psychotherapy modalities and consider which guidelines to refer to and which psychological therapies have been found to be most effective for the presenting problem(s) seen in clinic. Lastly, we discuss the limitations of the current guidelines in relation to comorbid presentations and consider how this can be best addressed.LEARNING OBJECTIVES•Develop knowledge regarding the major psychotherapy approaches•Be aware that there is no psychotherapy equivalence•Learn that there is good evidence that some approaches are more effective than others for specific problems and be better able to choose a psychological therapyDECLARATION OF INTERESTD. McC. works on research trials funded by the Guy's and St Thomas’ Charity. T. C. receives salary support from the National Institute for Health Research (NIHR) Mental Health Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London, and receives several grants for evaluating the efficacy of different cognitive–behavioural approaches. This article received no specific grant from any funding agency, or from the commercial or not-for-profit sectors. The views expressed in this article are those of the authors and not necessarily those of the NIHR or the NHS.
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Senders, Angela, Helané Wahbeh, Rebecca Spain, and Lynne Shinto. "Mind-Body Medicine for Multiple Sclerosis: A Systematic Review." Autoimmune Diseases 2012 (2012): 1–12. http://dx.doi.org/10.1155/2012/567324.
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Background. Mind-body therapies are used to manage physical and psychological symptoms in many chronic health conditions.Objective. To assess the published evidence for using mind-body techniques for symptom management of multiple sclerosis.Methods. MEDLINE, PsycINFO, and Cochrane Clinical Trials Register were searched from inception to March 24, 2012. Eleven mind-body studies were reviewed (meditation, yoga, biofeedback, hypnosis, relaxation, and imagery).Results. Four high quality trials (yoga, mindfulness, relaxation, and biofeedback) were found helpful for a variety of MS symptoms.Conclusions. The evidence for mind-body medicine in MS is limited, yet mind-body therapies are relatively safe and may provide a nonpharmacological benefit for MS symptoms.
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Mendonça, Tiago, Cécile Bienboire-Frosini, Fanny Menuge, Julien Leclercq, Céline Lafont-Lecuelle, Sana Arroub, and Patrick Pageat. "The Impact of Equine-Assisted Therapy on Equine Behavioral and Physiological Responses." Animals 9, no. 7 (July 1, 2019): 409. http://dx.doi.org/10.3390/ani9070409.
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Equine-assisted therapies (EATs) have been widely used in the treatment of patients with mental or physical conditions. However, studies on the influence of equine-assisted therapy (EAT) on equine welfare are very recent, and the need for further research is often highlighted. The aim of this study was to investigate whether EAT creates negative or positive emotions in horses, and the influence of patients’ expectations (one group of patients had physical and psychological expectations and one group of patients had only psychological expectations) on horses’ emotional responses. Fifty-eight pairs (patient–horse) were involved in this study. Behaviors and heart rate variability (HRV) data were collected during a resting phase, a preparation phase in which the patients brushed and saddled the horse, and a working phase. Behaviors and HRV were compared between phases and among the groups of patients. Our results suggested that the EAT in this study was neither a negative nor a positive event. EATs with patients who had both physical and psychological expectations were more challenging for horses than those with patients who had only psychological expectations. Further research should focus on providing horses with positive stimulation and reinforcement to understand whether a positive association with EAT can be achieved.
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Hamilton, Nancy A., Heather Kitzman, and Stephanie Guyotte. "Enhancing Health and Emotion: Mindfulness as a Missing Link Between Cognitive Therapy and Positive Psychology." Journal of Cognitive Psychotherapy 20, no. 2 (June 2006): 123–34. http://dx.doi.org/10.1891/jcop.20.2.123.
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Mindfulness meditation is an increasingly popular intervention for the treatment of physical illnesses and psychological difficulties. Using intervention strategies with mechanisms familiar to cognitive behavioral therapists, the principles and practice of mindfulness meditation offer promise for promoting many of the most basic elements of positive psychology. It is proposed that mindfulness meditation promotes positive adjustment by strengthening metacognitive skills and by changing schemas related to emotion, health, and illness. Additionally, the benefits of yoga as a mindfulness practice are explored. Even though much empirical work is needed to determine the parameters of mindfulness meditation’s benefits, and the mechanisms by which it may achieve these benefits, theory and data thus far clearly suggest the promise of mindfulness as a link between positive psychology and cognitive behavioral therapies.
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Ramirez-Acuña, Jesus Manuel, Sergio A. Cardenas-Cadena, Pedro A. Marquez-Salas, Idalia Garza-Veloz, Aurelio Perez-Favila, Miguel A. Cid-Baez, Virginia Flores-Morales, and Margarita L. Martinez-Fierro. "Diabetic Foot Ulcers: Current Advances in Antimicrobial Therapies and Emerging Treatments." Antibiotics 8, no. 4 (October 24, 2019): 193. http://dx.doi.org/10.3390/antibiotics8040193.
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Diabetic foot ulcers (DFUs) are very important diabetes-related lesions that can lead to serious physical consequences like amputations of limbs and equally severe social, psychological, and economic outcomes. It is reported that up to 25% of patients with diabetes develop a DFU in their lifetime, and more than half of them become infected. Therefore, it is essential to manage infection and ulcer recovery to prevent negatives outcomes. The available information plays a significant role in keeping both physicians and patients aware of the emerging therapies against DFUs. The purpose of this review is to compile the currently available approaches in the managing and treatment of DFUs, including molecular and regenerative medicine, antimicrobial and energy-based therapies, and the use of plant extracts, antimicrobial peptides, growth factors, ozone, devices, and nano-medicine, to offer an overview of the assessment of this condition.
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Andelic, Nada, Cecilie Røe, Olli Tenovuo, Philippe Azouvi, Helen Dawes, Marek Majdan, Jukka Ranta, et al. "Unmet Rehabilitation Needs after Traumatic Brain Injury across Europe: Results from the CENTER-TBI Study." Journal of Clinical Medicine 10, no. 5 (March 3, 2021): 1035. http://dx.doi.org/10.3390/jcm10051035.
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This study aims to assess rehabilitation needs and provision of rehabilitation services for individuals with moderate-to-severe disability and investigate factors influencing the probability of receiving rehabilitation within six months after traumatic brain injury (TBI). Overall, the analyses included 1206 individuals enrolled in the CENTER-TBI study with severe-to-moderate disability. Impairments in five outcome domains (daily life activities, physical, cognition, speech/language, and psychological) and the use of respective rehabilitation services (occupational therapy, physiotherapy, cognitive and speech therapies, and psychological counselling) were recorded. Sociodemographic and injury-related factors were used to investigate the probability of receiving rehabilitation. Physiotherapy was the most frequently provided rehabilitation service, followed by speech and occupational therapy. Psychological counselling was the least frequently accessed service. The probability of receiving a rehabilitative intervention increased for individuals with greater brain injury severity (odds ratio (OR) 1.75, CI 95%: 1.27–2.42), physical (OR 1.92, CI 95%: 1.21–3.05) and cognitive problems (OR 4.00, CI 95%: 2.34–6.83) but decreased for individuals reporting psychological problems (OR 0.57, CI 95%: 1.21–3.05). The study results emphasize the need for more extensive prescription of rehabilitation services for individuals with disability. Moreover, targeted rehabilitation programs, which aim to improve outcomes, should specifically involve psychological services to meet the needs of individuals recovering from TBI.
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Kellett, Stephen, Kimberley Webb, Nic Wilkinson, Paul Bliss, Tom Ayers, and Gillian Hardy. "Developing Services for Patients with Depression or Anxiety in the Context of Long-term Physical Health Conditions and Medically Unexplained Symptoms: Evaluation of an IAPT Pathfinder Site." Behavioural and Cognitive Psychotherapy 44, no. 5 (May 20, 2016): 553–67. http://dx.doi.org/10.1017/s1352465816000114.
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Background: There are national policy drivers for mental health services to demonstrate that they are effectively meeting the psychological needs of people with long-term health conditions/medically unexplained symptoms (LTC/MUS). Aims: To evaluate the implementation of a stepped-care service delivery model within an Improving Access to Psychological Therapies (IAPT) service for patients with depression or anxiety in the context of their LTC/MUS. Method: A stepped-care model was designed and implemented. Clinical and organizational impacts were evaluated via analyses of LTC/MUS patient profiles, throughputs and outcomes. Results: The IAPT service treated N = 844 LTC and N = 172 MUS patients, with the majority (81.81%) receiving a low intensity intervention. Dropout across the service steps was low. There were few differences between LTC and MUS outcome rates regardless of step of service, but outcomes were suppressed when compared to generic IAPT patients. Conclusions: The potential contribution of IAPT stepped-care service delivery models in meeting the psychological needs of LTC/MUS patients is debated.
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Licht, Thomas, Alain Nickels, David Riedl, Gerhard Rumpold, and Bernhard Holzner. "Evaluation of inpatient cancer rehabilitation by routine electronic patient-reported outcome measures (ePROM): Improvement of quality of life (QoL) and psychological distress." Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): e18294-e18294. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.e18294.
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e18294 Background: Many cancer survivors suffer from psychological distress and poor QoL. Cancer rehabilitation is aimed at improving their condition but the benefit remains controversial, we have thus investigated the outcome. Methods: ePROM were routinely integrated into the inpatient program of a cancer rehabilitation center in Austria. Hospital Anxiety and Depression Scale (HADS) was used to assess distress, and EORTC QLQ-C30 questionnaire for analysis of cancer-related symptoms and functions. Patients answered questions via internet prior to admission (T0). This allowed for allocation of physical therapies and 4-8 psychological counseling sessions according to their needs. Following informed consent, the outcome was investigated likewise by the time of discharge after 3 weeks (T1). Data were analyzed with SPSS software using ANOVA repeated measures. Results: 4198 patients (age 59.2±11.7 yr; range 18-91 years; 61.5% female) participated between January 2015, and August 2018. HADS identified a marked reduction of anxiety and depression, with distress levels similar to the normal population by T1. QLQ-C30 revealed significant increases for global QoL; physical, social, emotional and role functions. All recorded symptoms were improved, in particular fatigue, pain and insomnia. Moreover, subgroup analyses confirmed improvement for 11 investigated entities. Of notice, decrease of anxiety was most prominent in survivors of breast, head/neck and lung cancer patients (p < 0.001). No significant differences were observed between a subgroup of 1122 elderly ( > 70 yr), and younger patients except for the physical function, which improved significantly in older patients (p = 0.003). Conclusions: Our study shows that inclusion of ePROM into inpatient cancer rehabilitation helps allocate therapies according to individual needs. This large series demonstrates significant reduction of psychological distress and improvement of all parameters of QoL. [Table: see text]
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Lin, Kuan-Yin, Yu-Ting Hu, King-Jen Chang, Heui-Fen Lin, and Jau-Yih Tsauo. "Effects of Yoga on Psychological Health, Quality of Life, and Physical Health of Patients with Cancer: A Meta-Analysis." Evidence-Based Complementary and Alternative Medicine 2011 (2011): 1–12. http://dx.doi.org/10.1155/2011/659876.
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Yoga is one of the most widely used complementary and alternative medicine therapies to manage illness. This meta-analysis aimed to determine the effects of yoga on psychological health, quality of life, and physical health of patients with cancer. Studies were identified through a systematic search of seven electronic databases and were selected if they used a randomized controlled trial design to examine the effects of yoga in patients with cancer. The quality of each article was rated by two of the authors using the PEDro Scale. Ten articles were selected; their PEDro scores ranged from 4 to 7. The yoga groups compared to waitlist control groups or supportive therapy groups showed significantly greater improvements in psychological health: anxiety (P=.009), depression (P=.002), distress (P=.003), and stress (P=.006). However, due to the mixed and low to fair quality and small number of studies conducted, the findings are preliminary and limited and should be confirmed through higher-quality, randomized controlled trials.
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Bhargav, PraernaHemant, Arjan Singh, Hemant Bhargav, and Nagarathna Raghuram. "Effect of integrated complimentary therapies on physical and psychological variables of patients suffering from knee osteoarthritis: A pilot feasibility study." International Journal of Yoga - Philosophy, Psychology and Parapsychology 7, no. 2 (2019): 48. http://dx.doi.org/10.4103/ijny.ijoyppp_6_19.
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Lethborg, Carrie, Sanchia Aranda, Shelley Cox, and David Kissane. "To what extent does meaning mediate adaptation to cancer? The relationship between physical suffering, meaning in life, and connection to others in adjustment to cancer." Palliative and Supportive Care 5, no. 4 (October 25, 2007): 377–88. http://dx.doi.org/10.1017/s1478951507000570.
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ABSTRACTObjectives:This study builds on previous work that explored the lived experience of meaning in advanced cancer. The aims were to explore the associations of suffering (physical and existential distress) and coping (via social support) with psychological distress and global meaning using a battery of instruments among adults attending an Australian metropolitan cancer service (n = 100).Methods:The contribution of suffering and coping via social support to psychological distress and meaning were examined using a variety of statistical methods. Multiple regression analyses were conducted to further examine relative contributions to both psychological distress and global meaning.Results:Physical and existential distress were found to be positively associated with psychological distress whereas high social support and personal meaning are related to lower levels of psychological distress. Social support was the strongest correlate of global meaning whereas high levels of existential distress were related to lower levels of global meaning. On the basis of this study, it is concluded that the factors related to suffering clearly promote psychological distress, and the reverse is true for global meaning for those living with cancer.Significance of results:This study speaks to the clinical complexity of the dynamic experience of suffering and meaning in cancer. We need to better understand the impact of physical suffering and meaning in the lives of this population and to actively work toward the enhancement of social support and connection with others for this group. Optimal palliative and family-centered care blended with therapies that promote a sense of meaning of life lived appear crucial to ameliorate suffering.
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Araújo Macedo Scalia, Luana, Omar Pereira de Almeida Neto, Poliana Alves Rodrigues Duarte, Kamila Silva de Miranda, and Cecilia Soares Ferreira Carilli. "Mental health, spirituality and alternative practices for coping with health professionals in the face of the COVID-19 pandemic." International Journal for Innovation Education and Research 8, no. 8 (August 1, 2020): 466–71. http://dx.doi.org/10.31686/ijier.vol8.iss8.2540.
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The new pneumonia caused by coronavirus 2 of severe acute respiratory syndrome (COVID-19) has the potential to develop biopsychosocial instability in the population and is responsible for much of the increase in mental disorders that occur after the beginning of the pandemic, especially among health professionals working on the front line. Physical exhaustion and mental distress leads them to search alternative therapies for harm reduction, such as therapeutic communication therapies, active listening, meditation, mindfulness and yoga. Such actions can decrease stress and have potential harm reduction in relation to the development of posttraumatic stress disorder. In addition, religiosity and/or spirituality reduced the psychological suffering of health workers, not only in moments of pandemic, but in the daily work routines.
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Nor Hashim, Nur Aishah, Florianna Lendai Michael Mulok, and Helmi Sumilan. "Complementary Therapy as an Approach in Managing Occupational Stress." Journal of Cognitive Sciences and Human Development 1, no. 1 (September 1, 2015): 46–62. http://dx.doi.org/10.33736/jcshd.187.2015.
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Occupational stress is caused by various reasons, such as, workload and long working hours. This leads to occurrence of trend in using wellness activities to treat physical and psychological illness that is known as complementary therapy, which is Yoga, Aromatherapy, Qi gong, and Islamic Medical Practices (Ruqyah). Therefore, this research offered a perspective on the use of complementary therapies as a tool in improving and maintaining mental health condition of employees located in Penang, Malaysia. Qualitative method was used where 5 complementary therapy practitioners were interviewed to identify the perceptions towards the use of complementary therapy and to identify the type of therapy that can be practiced to reduce stress, as well as, discuss the benefits of complementary therapies. It was found that complementary therapy is very beneficial as it acts as a holistic treatment, natural way of healing and more empowering, as it helps to improve employee’s mental, emotional and physical health.Keywords: occupational stress; complementary therapy; mental health; holistic; conventional
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Caggiati, Alberto, Marianne De Maeseneer, Attilio Cavezzi, Giovanni Mosti, and Nick Morrison. "Rehabilitation of patients with venous diseases of the lower limbs: State of the art." Phlebology: The Journal of Venous Disease 33, no. 10 (January 23, 2018): 663–71. http://dx.doi.org/10.1177/0268355518754463.
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Background To date, no document comprehensively focused on the complex issue of the rehabilitation of chronic venous diseases of the lower limbs. Method This article overviews and summarizes current strategies concerning venous rehabilitation of lower limbs. Results Venous rehabilitation is based on four main strategies: (1) lifestyle adaptations and occupational therapies; (2) physical therapies; (3) adapted physical activities; (4) psychological and social support. Rehabilitative protocols must be tailored to the specific needs of each patient, depending on the severity of chronic venous disease and on the location and pattern of venous lesion(s), but also on age, motor deficits, co-morbidities and psychosocial conditions. Conclusions Venous rehabilitation consists of non-pharmacologic and non-surgical interventions aiming at prevention of venous disease progression and complications, reduction of symptoms and improvement of quality of life. Well-designed clinical trials are required to evaluate the efficacy of the described rehabilitative protocols in influencing the evolution of venous disorders.
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Allaire, Catherine, Alicia Jean Long, Mohamed A. Bedaiwy, and Paul J. Yong. "Interdisciplinary Teams in Endometriosis Care." Seminars in Reproductive Medicine 38, no. 02/03 (May 2020): 227–34. http://dx.doi.org/10.1055/s-0040-1718943.
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AbstractEndometriosis-associated chronic pelvic pain can at times be a complex problem that is resistant to standard medical and surgical therapies. Multiple comorbidities and central sensitization may be at play and must be recognized with the help of a thorough history and physical examination. If a complex pain problem is identified, most endometriosis expert reviews and guidelines recommend multidisciplinary care. However, there are no specific recommendations about what should be the components of this approach and how that type of team care should be delivered. There is evidence showing the effectiveness of specific interventions such as pain education, physical therapy, psychological therapies, and pharmacotherapies for the treatment of chronic pain. Interdisciplinary team models have been well studied and validated in other chronic pain conditions such as low back pain. The published evidence in support of interdisciplinary teams for endometriosis-associated chronic pain is more limited but appears promising. Based on the available evidence, a model for an interdisciplinary team approach for endometriosis care is outlined.
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Yang, Seoyon, Sang Gyu Kwak, Eun Jae Ko, and Min Cheol Chang. "The Mental Health Burden of the COVID-19 Pandemic on Physical Therapists." International Journal of Environmental Research and Public Health 17, no. 10 (May 25, 2020): 3723. http://dx.doi.org/10.3390/ijerph17103723.
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We evaluated the mental health burden of coronavirus disease (COVID-19) on physical therapists, including their stress and anxiety levels, who were at risk of developing psychological distress and other mental health symptoms. A questionnaire survey was conducted with physical therapists of three university hospitals in South Korea on 10 April 2020. The questionnaires evaluated the presence of anxiety and depression in the respondents. Among the 65 physical therapists who completed our survey, 21 (32.3%) and 12 (18.5%) physical therapists reported having symptoms of anxiety and depression, respectively. If a physical therapist was living with a ≤6-year-old infant or child, the possibility of the presence of anxiety was significantly higher. The risk of depression among those who were in their 30 s and 50 s was significantly higher than among those in their 20 s. Thus, physical therapists living with a ≤6-year-old infant or child and those in their 30 s and 50 s need special attention.
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Maher, Robert L. "The Pharmacological Approach of Behavioral Disturbances in Dementia." Journal of Pharmacy Practice 17, no. 2 (April 2004): 129–32. http://dx.doi.org/10.1177/0897190004263316.
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Behavioral and psychological symptoms in dementia (BPSD) are often overlooked due to the main focus of treating or preventing cognitive decline symptoms. Almost two-thirds of patients with dementia will develop some type of noncognitive symptoms that include symptoms such as wandering, agitation, sexually inappropriate behaviors, physical and verbal aggression, uncooperativeness, and “sun-downing.” Psychological symptoms include depression, anxiety, delusions, hallucinations, and suspiciousness/paranoia. Worsening of these symptoms can lead to caregiver burden and is one of the major reasons for patients with dementia to be institutionalized. A major drawback of treating these symptoms pharmacologically is that the response rate is low with the current available therapies such as antipsychotics, anxiolytics, and antidepressants. In addition, all of these therapeutic classes have drawbacks due to side effect profiles. This article provides an overview of the current recommendations for pharmacological approaches for the treatment of behavioral and psychological symptoms of dementia.
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Kayes, Oliver, and Rauf Khadr. "Recent advances in managing Peyronie’s disease." F1000Research 5 (September 26, 2016): 2372. http://dx.doi.org/10.12688/f1000research.9041.1.
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Peyronie’s disease remains an under-reported and debilitating problem which can result in significant physical and psychological symptoms for some men. The classic symptom complex includes penile curvature, penile plaque, and penile pain. Men can also present with erectile dysfunction, penile instability, and penile shortening, alongside feelings of low mood/libido, dysmorphobia, and low self-esteem. This review highlights the current key publications in the medical literature and provides updates on new clinical therapies whilst postulating about potential future treatments on the horizon.
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Machin, Annabelle, Samantha Hider, Nicky Dale, and Carolyn Chew-Graham. "Improving recognition of anxiety and depression in rheumatoid arthritis: a qualitative study in a community clinic." British Journal of General Practice 67, no. 661 (July 17, 2017): e531-e537. http://dx.doi.org/10.3399/bjgp17x691877.
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BackgroundComorbid anxiety and depression are common in patients with rheumatoid arthritis (RA) but are often under-recognised and treated, contributing to worse outcomes. National Institute for Health and Care Excellence (NICE) recommends that patients with RA should be offered a holistic annual review, including an assessment of mood.AimTo explore patients’ perspectives of anxiety and depression in RA and preferences for disclosure and management of mood problems.Design and settingQualitative interview study with patients recruited from a nurse-led RA annual review clinic in the Midlands, England.MethodPatients attending the clinic who scored ≥3 on the case-finding questions (PHQ-2 and GAD-2) were invited for interview. Data were analysed thematically using principles of constant comparison.ResultsParticipants recognised a connection between their RA and mood, though this was perceived variably. Some lacked candidacy for care, normalising their mood problems. Fear of stigmatisation, a lack of time, and the perception that clinicians prioritise physical over mental health problems recursively affected help-seeking. Good communication and continuity of care were perceived to be integral to disclosure of mood problems. Participants expressed a preference for psychological therapies, though they reported problems accessing care. Some perceived medication to be offered as a ‘quick fix’ and feared potential drug interactions.ConclusionPrior experiences can lead patients with RA and comorbid anxiety and depression to feel they lack candidacy for care. Provision of equal priority to mental and physical health problems by GPs and improved continuity of care could help disclosure of mood concerns. Facilitation of access to psychological therapies could improve outcomes for both mental and physical health problems.
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van Laake-Geelen, Charlotte C. M., Rob J. E. M. Smeets, Suzan P. A. B. Quadflieg, Jos Kleijnen, and Jeanine A. Verbunt. "The effect of exercise therapy combined with psychological therapy on physical activity and quality of life in patients with painful diabetic neuropathy: a systematic review." Scandinavian Journal of Pain 19, no. 3 (July 26, 2019): 433–39. http://dx.doi.org/10.1515/sjpain-2019-0001.
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Abstract Background and aims Approximately 25% of patients with diabetes mellitus type 2 (DMII) develop painful diabetic neuropathy (PDN). PDN is known to affect both mental and physical wellbeing, resulting in anxiety, depression, low quality of life and physical disability. Pharmacological treatment of PDN aims at pain relief and is often ineffective and/or has many side effects. Rehabilitation treatment modalities that are designed to help the patient deal with PDN related complaints, are mostly focussed on either physical (e.g. exercise therapy) or psychological aspects (e.g. cognitive behavioural therapy, CBT). There is emerging evidence that PDN can be approached from a biopsychosocial perspective, in which physical and psychosocial aspects are integrated. From this biopsychosocial approach it is plausible that integrated treatment modalities such as acceptance commitment therapy (ACT) or exposure in vivo (EXP) could be effective in patients with PDN. The objective of this review was to provide an overview of the current evidence on the effects of rehabilitation treatments that combine exercise therapies with psychological therapies in order to improve physical activity (PA) and quality of life (QoL) in patients with PDN. Methods Systematic review of the current literature. EMBASE, MEDLINE, Medline In-Process citations and e-Pubs ahead-of-print, Pedro, Web of Science, PsycINFO, CENTRAL, PubMed and Google Scholar were searched. All studies on interventions combining exercise therapy with psychological interventions in patients with PDN, aged >18 years, were included. Outcome measures were PA, QoL. Results The search resulted in 1603 records after removing duplicates. After screening on titles and abstracts, 100 records remained. From these, not one study reported on interventions that combined exercise therapy with psychological interventions. Through a secondary hand search, a total of three reviews were identified that described a total of five studies regarding either physical or psychological interventions in patients with PDN. These studies reported moderate effects of (1) mindfulness meditation on QoL, (2) CBT on pain severity, (3) mindfulness-based stress reduction intervention on function, health-related QoL, pain catastrophizing and depression, (4) aerobic exercise on QoL and (5) Tai Chi on glucose control, balance, neuropathic symptoms, and some dimensions of QoL in patients with PDN. All studies were of a moderate quality, and results should be interpreted with caution. Conclusions Based on increasing knowledge in the domain of chronic pain, it could be assumed that integrated rehabilitation treatments for patients with PDN are beneficial. There is no literature to support this and more research should be done on integrated biopsychosocial interventions in patients with PDN. Implications This empty review highlights the importance that more research should be done on integrated biopsychosocial interventions in patients with PDN. Currently, our research group is performing a study on the effects of EXP treatment in patients with PDN.
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Takashi, Naoki, Michael J. McCarthy, Rie Suzuki, Kakuya Ogahara, Masako Ono-Kihara, Masahiro Kihara, and Takeo Nakayama. "Association of patient quality of life with the degree of agreement in the perceptions of patient disability within the stroke patient–rehabilitation therapist dyad: a cross-sectional study in postdischarge rehabilitation setting." BMJ Open 11, no. 5 (May 2021): e043824. http://dx.doi.org/10.1136/bmjopen-2020-043824.
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ObjectivesThe purpose of study was to explore the association between patient physical and psychological quality of life (QOL) with the degree of agreement in perceptions of patient disability within the stroke patient–rehabilitation therapist dyad.DesignCross-sectional dyadic study with a tablet-based structured questionnaire.SettingRehabilitation, nursing and long-term care facilities that provide rehabilitation services in the Kanagawa prefecture, Japan.ParticipantsThe 81 dyads of a male patient with stroke living at home and the rehabilitation therapist in charge of the eligible patient were recruited from March 2019 to February 2020.MethodPatient physical and psychological QOL was measured using the WHOQOL BREF. Perceptions of patient disability were measured using the 12-item WHO Disability Assessment Schedule V.2.0 (DAS). DAS scores of patients and therapists were classified into two (high and low) and three (high, medium, low) categories, respectively, and six patterns of agreement about patient function were created and used in the analysis. Generalised estimating equations were used to examine multivariable associations between WHOQOL scores in patients and the degree of agreement within dyads adjusting for other covariates and clustering effects.ResultsAmong 81 enrolled dyads, 48 (59.3%) were classified into one of four disagreement groups (low medium, low high, high medium, high low). When the patient appraised himself as having mild disability, the degree of patient–therapist disagreement was negatively associated with patient’s physical and psychological QOL. When the patient appraised himself as having severe disability, his physical and/or psychological QOL was poorer, regardless of the degree of agreement.ConclusionsDisagreement in the perception of disability within patient–rehabilitation therapist dyad could be associated with patient’s poor QOL, especially when the patient perceives himself as having mild disability. Reaching an agreement about patient disability is needed in the delivery of rehabilitation care for patients with stroke living at home to improve their QOL.
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Sherr, Lorraine, Fiona Lampe, Sally Norwood, Heather Leake-Date, Martin Fisher, Simon Edwards, Gilly Arthur, et al. "Successive switching of antiretroviral therapy is associated with high psychological and physical burden." International Journal of STD & AIDS 18, no. 10 (October 1, 2007): 700–704. http://dx.doi.org/10.1258/095646207782193821.
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HIV treatment and management is constantly evolving. This is as a result of more treatment options coming on stream, tolerance changes and progress in treatment management. HIV infection today, in resource-rich countries and in the presence of combination therapies, is experienced as lifelong treatment punctuated by adjustments to antiretroviral therapy (ART) regimens. People who are diagnosed as HIV positive face a number of challenges and changes around the decision to commence treatment, responses to treatment and changes in treatment regimens. This study was set up to examine the experience of switching treatments and the impact of such switches on psychological parameters. The method used was a cross-sectional questionnaire study. A group of 779 HIV-positive clinic attendees at four clinics in London and South East England participated in the study (86% response rate). They provided detail of their treatment switching experiences as well as demographic details, risk and optimism evaluations, quality of life, symptom burden, adherence and disclosure information. The sample ( n=779) comprised 183 (24%) females, 76 (10%) heterosexual males and 497 gay males (66%). Self-reported ethnicity was 67% white, 25% black, 3% Asian and 5% mixed/other ethnicity. One hundred and fifty-five (21%) were ART-naïve and 624 (79%) were ART experienced; 161 (22%) were receiving their first regimen, 135 (18%) had experienced one regimen switch, 196 (26%) had multiple switches and 99 (13.3%) had stopped treatment. Treatment naïve, non-switchers and single switchers generally reported lower symptom burden and higher quality of life. Multiple switchers reported higher physical symptom burden and higher global symptom distress scores. Those who had stopped treatment had significantly lower quality-of-life scores than all other groups. Suicidal ideation was high across the groups and nearly a fifth of all respondents had not disclosed their HIV status to anyone. Reported adherence was suboptimal – 79% of subjects were at least 95% adherent on self-report measures of doses taken over the preceding week. In conclusion, nearly half this clinic sample will have switched treatments. A holistic approach is needed to understand the psychological effects of such switches if lifelong treatment is to be maintained and those on antiretroviral treatment are to attain good quality of life and minimize symptom burden.
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AUGUSTIN, Luiza Wille, and Célia Cristina de Albuquerque BANDEIRA. "Postura e Intervenções do Gestalt-Terapeuta frente à Violência Psicológica contra a Mulher por Parceiro Íntimo." PHENOMENOLOGICAL STUDIES - Revista da Abordagem Gestáltica 26, Especial (2020): 449–59. http://dx.doi.org/10.18065/2020v26ne.9.
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Psychological intimate partner violence occurs between spouses or boyfriends and often has the woman the victim of this abuse. Since all physical violence was preceded by psychological violence, the importance of this theme is postulated as a form of prevention and alertness to society. The Gestalt-therapist should be prepared to come across these cases and know which positions to take in different contexts. For this, the present study presents a theoretical study on psychological violence by intimate partner based on a research in the main journals of the Gestalt approach in the country. The discussion addresses five terms that have appeared the most in the national works, they are: Environmental Support, Awareness, Phenomenological Reduction, Work with Emotions and Self-esteem. In this discussion, we seek to understand the concepts in light of gestalt theory and its application in the care of women victims of psychological violence by intimate partner.
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Lawlor, Emma R., Nazrul Islam, Simon J. Griffin, Andrew J. Hill, Carly A. Hughes, and Amy L. Ahern. "Third-wave cognitive behaviour therapies for weight management: systematic review and network meta-analysis protocol." BMJ Open 8, no. 7 (July 2018): e023425. http://dx.doi.org/10.1136/bmjopen-2018-023425.
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IntroductionBehavioural and cognitive behavioural programmes are commonly used to assist with weight management, but there is considerable scope to improve their effectiveness, particularly in the longer term. Third-wave cognitive behaviour therapies (CBTs) have this potential and are increasingly used. This systematic review will assess the effect of third-wave CBTs for weight management on weight, psychological and physical health outcomes in adults with overweight or obesity.Methods and analysisThe systematic review will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidance. We will include studies of any third-wave CBTs focusing on weight loss or weight maintenance for adults with a body mass index (BMI) ≥25kg/m2. Eligible study designs will be randomised control trials, non-randomised trials, prospective cohort and case series. Outcomes of interest will be body weight/BMI, psychological and physical health, and adherence. We will search the following databases from inception to 16 January 2018: MEDLINE, CINAHL, Embase, Cochrane database (CENTRAL), PsycINFO, AMED, ASSIA and Web of Science. The search strategy will be based on the concepts: (1) third-wave CBTs and (2) overweight, obesity or weight management. No restrictions will be applied. We will search reference lists of relevant reviews and included articles. Two independent reviewers will screen articles for eligibility using a two-stage process. Two independent reviewers will extract data, assess risk of bias using Risk of Bias 2.0, Risk of Bias in Non-randomised studies of Interventions or Risk of Bias in Non-randomised Studies of Exposures checklist and assess quality using the Grading of Recommendations Assessment, Development and Evaluation tool. A random-effects network meta-analysis of outcomes, and sub-group analyses and meta-regression will be conducted, where data permit. If not appropriate, a narrative synthesis will be undertaken.Ethics and disseminationEthical approval is not required as no primary data will be collected. The completed systematic review will be disseminated in a peer-reviewed journal, presented at conferences and used to inform the development of a weight management programme.PROSPERO registration numberCRD42018088255.
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Morales-Sánchez, Lucía, Violeta Luque-Ribelles, Paloma Gil-Olarte, Paula Ruiz-González, and Rocío Guil. "Enhancing Self-Esteem and Body Image of Breast Cancer Women through Interventions: A Systematic Review." International Journal of Environmental Research and Public Health 18, no. 4 (February 9, 2021): 1640. http://dx.doi.org/10.3390/ijerph18041640.
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Breast Cancer (BC) is the most common neoplasm in women worldwide, considered a global public health problem. Among BC women, some of the most common psychological symptoms in the adaptation to the disease are reduction in self-esteem and distorted body image (BI). Although there are numerous studies with the goal of promoting different psychological variables, BI and self-esteem are often separately observed despite their relationship and their importance in the process of the illness. Moreover, there have been no reviews that have synthesized the findings related to interventions aimed at enhancing both self-esteem and BI in BC women. Therefore, the objective of this review was to identify and examine the implemented interventions aimed at boosting both variables in this population. For this purpose, a systematic review was implemented following the PRISMA statement. A thorough search was performed on the following databases: Web of Science, PubMed, PsychInfo, PsychArticles, and Scopus. Among 287 records, only eight articles met the eligibility criteria. Interventions were grouped into three types according to their characteristics: Group therapies, Physical activity therapies, and Cosmetic and beauty treatments. The levels of effectiveness of the different interventions varied between them, and within each, in their impact on self-esteem and BI. More interventions focused on developing BI and self-esteem in this population are needed due to their ability to predict psychological functioning and quality of life of women with breast cancer.
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Baker, Richard, Fulvio Urso-Baiarda, Claire Linge, and Adriaan Grobbelaar. "Cutaneous Scarring: A Clinical Review." Dermatology Research and Practice 2009 (2009): 1–7. http://dx.doi.org/10.1155/2009/625376.
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Cutaneous scarring can cause patients symptoms ranging from the psychological to physical pain. Although the process of normal scarring is well described the ultimate cause of pathological scarring remains unknown. Similarly, exactly how early gestation fetuses can heal scarlessly remains unsolved. These questions are crucial in the search for a preventative or curative antiscarring agent. Such a discovery would be of enormous medical and commercial importance, not least because it may have application in other tissues. In the clinical context the assessment of scars is becoming more sophisticated and new physical, medical and surgical therapies are being introduced. This review aims to summarise some of the recent developments in scarring research for non-specialists and specialists alike.
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Deng, Gary, and Barrie Cassileth. "Integrative Oncology: An Overview." American Society of Clinical Oncology Educational Book, no. 34 (May 2014): 233–42. http://dx.doi.org/10.14694/edbook_am.2014.34.233.
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Integrative oncology, the diagnosis-specific field of integrative medicine, addresses symptom control with nonpharmacologic therapies. Known commonly as “complementary therapies” these are evidence-based adjuncts to mainstream care that effectively control physical and emotional symptoms, enhance physical and emotional strength, and provide patients with skills enabling them to help themselves throughout and following mainstream cancer treatment. Integrative or complementary therapies are rational and noninvasive. They have been subjected to study to determine their value, to document the problems they ameliorate, and to define the circumstances under which such therapies are beneficial. Conversely, “alternative” therapies typically are promoted literally as such; as actual antitumor treatments. They lack biologic plausibility and scientific evidence of safety and efficacy. Many are outright fraudulent. Conflating these two very different categories by use of the convenient acronym “CAM,” for “complementary and alternative therapies,” confuses the issue and does a substantial disservice to patients and medical professionals. Complementary and integrative modalities have demonstrated safety value and benefits. If the same were true for “alternatives,” they would not be “alternatives.” Rather, they would become part of mainstream cancer care. This manuscript explores the medical and sociocultural context of interest in integrative oncology as well as in “alternative” therapies, reviews commonly-asked patient questions, summarizes research results in both categories, and offers recommendations to help guide patients and family members through what is often a difficult maze. Combining complementary therapies with mainstream oncology care to address patients' physical, psychologic and spiritual needs constitutes the practice of integrative oncology. By recommending nonpharmacologic modalities that reduce symptom burden and improve quality of life, physicians also enable patients to play a role in their care. Critical for most patients, this also improves the physician-patient relationship, the quality of cancer care, and the well-being of patients and their families.
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Silva Guerrero, Alma Viviana, Jenny Setchell, Annicke Maujean, and Michele Sterling. "A Qualitative Comparison of Reassurance Approaches Used by Physical Therapists to Address Fears and Concerns of Patients With Nonspecific Neck Pain and Whiplash-Associated Disorders: An Online Survey." Physical Therapy 100, no. 7 (April 13, 2020): 1132–41. http://dx.doi.org/10.1093/ptj/pzaa058.
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Abstract Objectives The study aimed to identify and compare (1) what physical therapists perceive to be the main concerns, fears, and worries that patients with whiplash-associated disorders (WAD) and nontraumatic neck pain (NTNP) have as a result of their condition, and (2) the strategies used by physical therapists to address these fears and concerns. Methods Using convenience sampling, 30 physical therapists completed 2 online open-ended surveys. The responses were analyzed using 2 descriptive analytic methods (thematic analysis and constant comparative analysis), and then themes were examined for areas of convergence and divergence. Results Four similar themes for both neck pain groups were produced from our analysis of the survey responses: (1) interference with daily life, (2) concerns related to pain, (3) psychological distress, and (4) ``When I will recover?'' Subthemes differed between the groups. For example, the theme “psychological distress” had subthemes of anger and thoughts about no resolution for the WAD group, whereas for the NTNP group, subthemes were anxiety and uncertainty. The only divergent theme was (5) fear avoidance, present in the NTNP group only. Analysis of physical therapist strategies identified 3 consistent themes and 5 divergent themes across the 2 groups. Conclusions Physical therapists described a wealth of reassurance strategies for individuals with NTNP and WAD. There were several shared themes but also some discordant ones. Reassurance is multifactorial and needs to be nuanced and not prescriptive. Impact These qualitative findings may be key to inform the differentiated content of training programs for physical therapists delivering reassurance for these 2 populations.
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Frost, Rachael, Angela Beattie, Cini Bhanu, Kate Walters, and Yoav Ben-Shlomo. "Management of depression and referral of older people to psychological therapies: a systematic review of qualitative studies." British Journal of General Practice 69, no. 680 (February 11, 2019): e171-e181. http://dx.doi.org/10.3399/bjgp19x701297.
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BackgroundDepressive symptoms are common in later life and increase both the risk of functional and cognitive decline and the use of healthcare services. Despite older people expressing preferences for talking therapies, they are less likely to be referred than younger adults, particularly when aged ≥80 years.AimTo explore how healthcare professionals (HCPs) manage older people in relation to depression and referrals to psychological therapies.Design and settingSystematic review and thematic synthesis of qualitative studies.MethodMEDLINE, Embase, PsycINFO, CINAHL, and the Social Sciences Citation Index (inception–March 2018) were searched for studies exploring HCPs’ views regarding management of late-life depression across all settings. Studies of older people’s views or depression management across all ages were excluded.ResultsIn total, 27 studies, were included; these predominantly focused on the views of GPs and primary and community care nurses. Many HCPs felt that late-life depression was mainly attributable to social isolation and functional decline, but treatments appropriate for this were limited. Clinicians perceived depression to have associated stigma for older adults, which required time to negotiate. Limited time in consultations and the complexity of needs in later life meant physical health was often prioritised over mental health, particularly in people with frailty. Good management of late-life depression appeared to depend more on the skills and interest of individual GPs and nurses than on any structured approach.ConclusionMental ill health needs to be a more-prominent concern in the care of older adults, with greater provision of psychological services tailored to later life. This may facilitate future identification and management of depression.
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Rethorn, Zachary D., and Cherie D. Pettitt. "What Is the Effect of Health Coaching Delivered by Physical Therapists? A Systematic Review of Randomized Controlled Trials." Physical Therapy 99, no. 10 (July 16, 2019): 1354–70. http://dx.doi.org/10.1093/ptj/pzz098.
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Abstract Background Health coaching has emerged as an intervention for improving health behaviors. Given the recent increased integration of health coaching into physical therapist practice, there has been a subsequent rise in research examining the effects of health coaching provided by physical therapists. However, there is a lack of literature summarizing the effectiveness of health coaching delivered by physical therapists in changing patient health behaviors. Purpose The purpose of this study was to systematically review the effects of health coaching delivered by physical therapists on promoting participant health behaviors. Data Sources Cochrane, CINAHL, MEDLINE, PEDro, PsycINFO, and Web of Science databases were searched from inception to May 26, 2018, to identify randomized controlled trials examining the effects of health coaching delivered by physical therapists. Study Selection Two reviewers independently screened titles, abstracts, and full texts according to inclusion and exclusion criteria to determine study eligibility. Data Extraction Methodological quality was assessed using Physiotherapy Evidence Database (PEDro) scores. Risk of bias was assessed using the Cochrane Collaboration risk-of-bias assessment tool. Data were extracted using a standardized data extraction form describing study methods, design, and outcomes. Data Synthesis Eleven trials met the inclusion criteria for this study. Health coaching produced positive effects on physical activity (6 studies) as well as physiological and psychological secondary outcomes. Limitations The inclusion of only 11 randomized controlled trials in this review could limit the generalizability of the findings. The heterogeneity of the findings precluded the performance of a meta-analysis. Conclusions Research on the effectiveness of health coaching delivered by physical therapists on health behavior outcomes is mixed. Data indicate statistically significant changes in some health behavior, physiological, and psychological outcomes.
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Sinaga, Mei Rianita Elfrida. "The Effectiveness of the Intervention Depression in the Elderly: A Systematic Review." Jurnal Keperawatan Jiwa 8, no. 4 (November 25, 2020): 529. http://dx.doi.org/10.26714/jkj.8.4.2020.529-540.
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The increasing life expectancy in Indonesia has an impact on the amount of attention on the elderly population. Depression is becoming one of the health problems of elderly people in the world. This research approach using systematic review aims to gain a greater understanding about the effectiveness of interventions against depression in the elderly. Methods a systematic review was conducted by searching the literature related to the theme taken, namely “intervention”, “depression”, “elderly”. Literature search using Scient Direct, PubMed, and Google Scholar, from the years 2017-2020, so that the obtained 18 articles eligible. Article quality was evaluated using the CASP checklist The results of the articles obtained came from several countries including Indonesia. These interventions can be grouped into three categories, the first physical therapy/exercise, psychological therapies, and spiritual therapies to lower the level of depression in the elderly in a variety of settings such as in nursing homes, in correctional institutions, and the general community, including home visits, using an individual approach or group. This review helped inform some of the interventions that can be performed on the elderly, it can save the cost, feasible and easy to do, and effective to reduce the level of depression in the elderly, and can improve the quality of life, overcome other psychological problems.