270 results on '"Anxiety reduction"'
Search Results
2. Contribution of radiation education to anxiety reduction among Fukushima Daiichi Nuclear Power Plant workers: a cross sectional study using a text mining method
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Reiko Kanda, Arifumi Hasegawa, Koji Mori, Takaaki Kato, Masaoki Kohzaki, Kosuke Mafune, Takuya Hayashi, Ryuji Okazaki, Yoshiya Shimada, Kenichi Satoh, and Naoki Matsuda
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text mining methods ,Cross-sectional study ,Health, Toxicology and Mutagenesis ,radiation knowledge ,Anxiety ,law.invention ,Text mining ,law ,Environmental health ,Nuclear power plant ,medicine ,Data Mining ,Fukushima Nuclear Accident ,Humans ,Radiology, Nuclear Medicine and imaging ,Fundamental Radiation Science ,radiation anxiety ,Response rate (survey) ,Anxiety reduction ,Radiation ,business.industry ,Questionnaire ,questionnaire survey ,Cross-Sectional Studies ,Fukushima daiichi ,Fukushima Daiichi Nuclear Power Plant (FDNPP) workers ,Nuclear Power Plants ,AcademicSubjects/SCI00960 ,AcademicSubjects/MED00870 ,medicine.symptom ,business ,Psychology - Abstract
The purpose of this study is to investigate the frequency of education, knowledge of radiation and workplace anxiety of Fukushima Daiichi Nuclear Power Plant (FDNPP) workers and to analyze what type of words are used for anxiety with a text mining method. An original questionnaire survey was given to FDNPP workers, and a text mining method was used to extract information from free-entry fields. The questionnaires were collected from 1135 workers (response rate: 70.8%). It was found that when workers receive education on radiation, the increased knowledge helps to reduce their anxiety. Among the 1135 workers, 92 of 127 completed the free-entry field with valid entries. Seventy-one words were extracted by the text mining method. The words used differed depending on the degree of anxiety. The text mining method revealed information about the presence or absence of radiation anxiety and the subjects’ working environment and background.
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- 2021
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3. Teacher knowledge of anxiety and use of anxiety reduction strategies in the classroom
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Katherine Raguin, Golda S. Ginsburg, Anneliese DeVito, Robert R. Ogle, Jeffrey E. Pella, and Grace Chan
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Anxiety reduction ,Social Psychology ,education ,Developmental and Educational Psychology ,medicine ,Anxiety ,medicine.symptom ,Psychology ,Education ,Clinical psychology - Abstract
The current study examined elementary (or primary) school teachers’ knowledge of student anxiety and evidence-based anxiety reduction strategies, whether this knowledge was associated with their use of evidence-based anxiety reduction strategies in the classroom, and correlates of teacher knowledge and use of anxiety reduction strategies in the classroom. Fifty-one volunteer elementary teachers (98% female; 98% White) participated and completed questionnaires about: themselves and work-related factors (e.g., years of teaching experience, self-efficacy), knowledge of student anxiety and anxiety treatment (e.g., core manifestations of anxiety such as physiological arousal, behavioural avoidance, and anxious thoughts), and use of anxiety reduction strategies in the classroom (e.g., relaxation strategies, encouraging the use of coping self-talk, and gradual exposure to feared situations). Results indicated that the average score on the knowledge assessment was 57% and knowledge levels were unrelated to self-reported use of anxiety reduction strategies. The most robust correlate of knowledge of anxiety and use of anxiety reduction strategies was teachers’ perceived personal accomplishment. Findings suggest additional teacher training to increase knowledge about student anxiety and use of evidence-based anxiety reduction strategies in the classroom is warranted.
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- 2021
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4. Teacher Anxiety Program for Elementary Students (TAPES): An Open Trial
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Golda S. Ginsburg, Grace Chan, Kate Piselli, and Jeffrey E. Pella
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Anxiety reduction ,media_common.quotation_subject ,education ,Outcome measures ,Fidelity ,Education ,Reducing anxiety ,Intervention (counseling) ,Developmental and Educational Psychology ,medicine ,Anxiety ,Open label ,medicine.symptom ,Psychology ,media_common ,Clinical psychology - Abstract
Problematic anxiety in students impairs academic functioning. Teachers are often the first among school personnel to interact with these students, but they rarely receive training in evidence-based anxiety reduction strategies. This study assessed the feasibility of a brief teacher-administered school-home intervention (TAPES; Teacher Anxiety Program for Elementary Students) to reduce student anxiety symptoms. Eight elementary teachers completed a 1-day training and administered TAPES to 10 students with elevated symptoms of anxiety (M age: 8 years old; 50% female; 90% Caucasian). Feasibility of the intervention was assessed using several indicators, including training and intervention satisfaction as well as fidelity of implementation. Pre–post intervention student outcomes were collected from parents, students, and teachers. Results indicated that the majority of teachers were satisfied with the training and reported the intervention was feasible. Paired t-tests on pre–post outcome measures revealed significant reductions in student anxiety symptoms according to teachers and parents. Preliminary results suggest TAPES is feasible and helpful in reducing anxiety symptoms. Additional evaluation using a randomized controlled design is warranted.
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- 2021
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5. Comparing Aerobic Exercise with Yoga in Anxiety Reduction: An Integrative Review
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Amanda K Cole, Mary C. Knowlton, and Tamera Pearson
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Anxiety reduction ,medicine.medical_specialty ,business.industry ,Yoga ,MEDLINE ,Anxiety ,Anxiety Disorders ,Mental health ,Reducing anxiety ,Health care ,medicine ,Physical therapy ,Humans ,Aerobic exercise ,Pshychiatric Mental Health ,medicine.symptom ,business ,Exercise - Abstract
Anxiety is a common mental health disorder that affects many Americans yet often goes unrecognized or undertreated. The purpose of this article is to review the current literature to assist in determining which alternative and complimentary therapy, aerobic exercise or yoga, is most beneficial in reducing anxiety symptoms. The literature search process resulted in a total of 14 articles included in the review. Results indicate that yoga is more effective in decreasing anxiety symptoms than aerobic exercise. Health care providers can use this information to help recommend an alternative form of therapy for patients.
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- 2021
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6. Patterns of Nutritional Supplement Use in Children with Tourette Syndrome
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Bobbie Smith and Amanda K. Ludlow
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Anxiety reduction ,Pediatrics ,medicine.medical_specialty ,Nutrition and Dietetics ,Sleep quality ,business.industry ,Psychological intervention ,Infant ,Vitamins ,medicine.disease ,Tourette syndrome ,Typically developing ,Surveys and Questionnaires ,Dietary Supplements ,Supplement use ,Humans ,Medicine ,Magnesium ,Pharmacology (medical) ,Child ,business ,Vocal tics ,Special diet ,Tourette Syndrome ,Food Science - Abstract
Very little is known about the use of nutritional supplements in children with Tourette syndrome. The current study aimed to address the frequency of nutritional supplements and the use of special diets in children with Tourette syndrome and typically developing children. Additional data also sought to address the motivations behind using them, their cost and perceived benefits. A total of 76 responses from an anonymous online survey (Tourette syndrome = 42; typically developing = 34) were completed and analyzed. Fifty-six per cent of children with Tourette syndrome compared to 15% of typically developing children were currently taking nutritional supplements, with the majority take two or more. Thirty-five per cent of the Tourette syndrome compared to 6% typically developing were currently or had previously adopted a special diet. Supplements most used for children with TS included probiotics, omega-3, multivitamins and magnesium. For children with TS, supplementation often began around the age of eight, for a duration on average of 35 months. The average cost was £32.44 a month compared to £8.25 for typically developing children. Seventy-five per cent of supplement users in the Tourette syndrome group noted improvement, mainly in motor and vocal tics, sleep quality and anxiety reduction. Most caregivers learned of supplements through the Internet. In almost 42% of the Tourette syndrome group, their pediatrician was unaware of the supplement use and this rose to 65% for special diets. Given the popularity of nutritional supplements, more research on the effectiveness and safety of such interventions is crucial.
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- 2021
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7. Pengaruh Pemberian Jus Selada Pada Pasien Terhadap Tingkat Kecemasan Pasien Pra Operasi Di Jogja Lasik Center Rs Mata 'Dr. Yap' Yogyakarta
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Mira Runy Cendrawasih, Muryani, and Nur Yeti Syarifah
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education.field_of_study ,Anxiety level ,Anxiety reduction ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Population ,LASIK ,Pre-surgery ,tingkat kecemasan ,Internal medicine ,medicine ,Anxiety ,Medicine ,In patient ,medicine.symptom ,education ,business ,jus selada ,pasien preoperasi - Abstract
Background: Anxiety in pre-operative patients affects the success of lasik action and can cause problems such as psychosis and personality disorders. Non-pharmacological interventions that can overcome anxiety are juice drinks. Objective: Knowing the difference in the level of anxiety before and after drinking lettuce juice in patients with pre surgery at the Jogja Lasik Center Eye Hospital "Dr. YAP” Yogyakarta. Method: This type of research is a quasi-experimental with a pretest and posttest approach. The population in this study were all preoperative patients. The sampling technique used total sampling, the number of samples was 16 people, the data analysis used the independent t-test. Result: Results obtained an average difference in anxiety reduction after juice administration of 106.81. There was a difference in anxiety levels in pre-operative patients after being given Juice. Conclusion: Therapy is more effective compared to the juice against the anxiety level of pre-surgery patients at Jogja Lasik Center Rs Mata "Dr. YAP" Yogyakarta.
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- 2021
8. The Effect of Cognitive-Behavioral Therapy (CBT) on Anxiety Reduction in Critical Care Unit (CCU) Patients During Hospitalization
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Nasibe Sharif, Maryam Kheiry, Zohreh Hosseinzadeh, Abdollah Normohammadi, Fatemeh Ghiasi, and Fatemeh Nemati
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Anxiety reduction ,medicine.medical_specialty ,Health (social science) ,business.industry ,medicine.medical_treatment ,Stressor ,Intensive care unit ,Shahid ,law.invention ,Cognitive behavioral therapy ,Psychiatry and Mental health ,Neurology ,law ,Intervention (counseling) ,Developmental and Educational Psychology ,medicine ,Physical therapy ,Anxiety ,Neurology (clinical) ,Analysis of variance ,medicine.symptom ,business ,Applied Psychology - Abstract
Patients admitted to Critical Care Units (CCU) face multiple stressors, and these stressors cause anxiety in patients. Anxiety increases heart function in heart patients. High levels of anxiety in cardiac patients increase in association with hospital complications. The purpose of this study was to determine the effect of Cognitive-Behavioral Therapy (CBT) on reducing the anxiety of patients in CCU during their hospitalization. The study design was quasi-experimental (pre-test and post-test). This study was performed on patients in CCU of Shahid Mostafa Khomeini hospital in 2019; for this purpose, 30 patients in CCU were randomly divided into intervention (n=15) and control (n=15) groups. Before the intervention, the demographic variables questionnaire and DASS-21 anxiety questionnaire were completed by both groups. Then, the intervention group received CBT for eight sessions according to the average number of hospital days (eight days) by the therapist (researcher). The control group did not receive any intervention. After the intervention, the demographic variables questionnaire and DASS-21 questionnaire were completed by the intervention and control groups again. Data analysis was done by SPSS-21 software and descriptive tests, ANOVA, and independent and pairwise t-test. There was no significant difference between the two groups in the mean score of anxiety before treatment, but the mean score of anxiety significantly decreased after treatment in the intervention group (9.63±2.773) compared to the control group (13.23±2.115; p
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- 2021
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9. Simultaneous determination of both kavalactone and flavokawain constituents by different single‐marker methods in kava
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Fangfang Lu, Xueqin Ma, Xiaojun Zhao, Wannian Zhang, Bo Zhang, Ruru Ren, Lingling Yang, Chao Su, Xiaojuan Su, Rong Zong, and Yingli Wang
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Filtration and Separation ,Plant Roots ,01 natural sciences ,Analytical Chemistry ,Lactones ,03 medical and health sciences ,chemistry.chemical_compound ,Chalcone ,0302 clinical medicine ,medicine ,Kavain ,Chromatography, High Pressure Liquid ,Kava ,Mathematics ,Anxiety reduction ,Plants, Medicinal ,Traditional medicine ,Plant Extracts ,Piper methysticum ,Dihydrokavain ,010401 analytical chemistry ,Relative correction ,Kavalactone ,0104 chemical sciences ,chemistry ,Pyrones ,030220 oncology & carcinogenesis ,Dietary Supplements ,Medicinal herbs ,Phytotherapy ,medicine.drug - Abstract
Kava, the rhizomes and roots of Piper methysticum Forst, is a popular edible medicinal herb traditionally used to prepare beverages for anxiety reduction. Since the German kava ban has been lifted by the court, the quality evaluation is particularly important for its application, especially the flavokawains which were believed to be responsible for hepatotoxicity. Now, by employing two different standard references and four different methods to calculate the relative correction factors, eight different quantitative analyses of multicomponents by single-marker methods have been developed for the simultaneous determination of eight major kavalactones and flavokawains in kava. The low standard method difference on quantitative measurement of the compounds among the external standard method and ours confirmed the reliability of the mentioned methods. A radar plot clearly illustrated that the contents of dihydrokavain and kavain were higher, whereas flavokawains A and B were lower in different kava samples. Only one of eight samples did not detect flavokawains that may be related to hepatotoxicity. In summary, by using different agents as an internal standard reference, the developed methods were believed as a powerful analytical tool not only for the qualitative and quantitative of kava constituents but also for the other multicomponents when authentic standard substances were unavailable.
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- 2021
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10. RF Head Coil Design for Anxiety Reduction during Magnetic Resonance Imaging Based on Pattern-Recognition Theory
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Yun Ji Ro and Nam, Wonsuk
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Physics ,Anxiety reduction ,Nuclear magnetic resonance ,medicine.diagnostic_test ,Electromagnetic coil ,Pattern recognition (psychology) ,medicine ,Head (vessel) ,Magnetic resonance imaging - Published
- 2020
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11. The effect of music in anxiety reduction: A psychological and physiological assessment
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Anton Batliner, Björn Schuller, and Emilia Parada-Cabaleiro
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050103 clinical psychology ,Anxiety reduction ,05 social sciences ,Musical ,Self perception ,050105 experimental psychology ,Reducing anxiety ,Electroacoustic music ,medicine ,Anxiety ,0501 psychology and cognitive sciences ,Psychology (miscellaneous) ,ddc:004 ,medicine.symptom ,Psychology ,Music ,Clinical psychology - Abstract
Extensive research has been published on the effects of music in reducing anxiety. Yet, for most of the existing works, a common methodology regarding musical genres and measurement techniques is missing, which limits considerably the comparison between them. In this study, we assess, for the first time, markedly different musical genres with both psychological and physiological measurements. Three previously studied musical samples from different genres—classical (Pachelbel’s Canon in D), Turkish (Hüseyin Makam), and electroacoustic (pure electronic)—were employed to influence “everyday anxiety” in 50 German participants (25 females, 25 males). Psychological (self-perception assessment) and physiological (heart rate measurement) indicators of anxiety, as most typical of prior work, were considered. Our study shows that listening to Pachelbel’s Canon increases the self-perception of calm, whereas listening to the electroacoustic sample decreases it; the Turkish sample is in between. No differences in heart rate are found for any of the musical genres. Our study also suggests that listeners’ self-perception might be biased by the statements used in the psychological evaluation (positive or negative), which are interpreted differently by the subjects depending on their current state.
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- 2020
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12. Music therapy as a tool for anxiety modulation in first-year dental students: A dose-effect study
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Elisabeta Karl, Neha Vazirani, Andrea Mantesso, Zahraa Allohaibi, and Lindsay Anderson
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Anxiety reduction ,Music therapy ,education ,Live music ,Positive perception ,behavioral disciplines and activities ,humanities ,Test (assessment) ,stomatognathic diseases ,Intervention (counseling) ,medicine ,Dose effect ,Anxiety ,medicine.symptom ,Psychology ,Clinical psychology - Abstract
This study aims to investigate whether there is a dose- effect relationship between music intervention and anxiety reduction in first-year dental students. We hypothesized that more frequent sessions of music concerts would result in a larger and longer lasting anxiety reduction outcome. To test our hypothesis, we invited first-year dental students to attend five live string-quartet music concerts over two consecutive academic terms. We assessed anxiety levels (STAI-6) and the students’ music concert perceived experience. Our results demonstrated that first-year dental student posed the highest anxiety levels before the series of concerts initiated. There was an overall significant reduction in anxiety levels, which plateaued over time. Dental students exhibited a strong positive perception of the live music concerts experience and wanted to have the music concert experience more often. We conclude that music concerts are a feasible tool to reduce anxiety in dental students particularly for female dental students.
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- 2020
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13. Literature Review: Therapy Playing Lego as A method of Anxiety Reduction
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Lulu Lutfiyani Solihat
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Anxiety reduction ,Feeling ,therapy play, anxiety, hospitalization ,media_common.quotation_subject ,RT1-120 ,medicine ,Anxiety ,Nursing ,medicine.symptom ,Literature study ,Psychology ,media_common ,Developmental psychology - Abstract
Introduction: Hospitalized still be an unpleseasant experience and cause traumatic for children. So that children express with a feeling of angst, angry, fear, sad therefore need exerts his therapy playing for minimize anxiety on a child. Objective: The purpose of this literature study to find out therapy playing lego as the lower anxiety at the age of a preschool due to the hospitalized. Method: Research using data such as a base Google Scholar, PubMed, Elseveir, Science Direct and Pro-Ques with the key word in period 2015-2020. Results: Once in the 20 journal in accordance with the title and the results of a matrix by the synthesis in the group into three part of of the input, the process and output. Discussion: After done analysis of 20 journal provision therapy playing on the give positive influence of thw anxiety children are heavy became lighter was. Conclusion: Therapy playing lego effective used us a method of anxiety at the age of a preschool, besides being able to improve the remember and feeling and emotions, lego can also reduce anxiety in children due to the hospitalization.
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- 2020
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14. Efficacy of psychotherapy for anxiety reduction in hospital management of women successfully treated for preterm labor: a randomized controlled trial
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Seyyedeh Mahboubeh Mirtabar, Razieh Khazaei, Mahbobeh Faramarzi, and Mohammadreza Dini
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Adult ,Psychotherapist ,Preterm labor ,High anxiety ,Anxiety ,law.invention ,03 medical and health sciences ,Obstetric Labor, Premature ,0302 clinical medicine ,Randomized controlled trial ,Pregnancy ,law ,Surveys and Questionnaires ,medicine ,Humans ,030212 general & internal medicine ,reproductive and urinary physiology ,Anxiety reduction ,030219 obstetrics & reproductive medicine ,business.industry ,Infant, Newborn ,Prenatal Care ,General Medicine ,medicine.disease ,Hospitals ,Pregnancy Complications ,Psychotherapy ,Treatment Outcome ,Socioeconomic Factors ,embryonic structures ,Female ,Pregnant Women ,medicine.symptom ,business ,Stress, Psychological - Abstract
Preterm labor (PTL) is associated with high anxiety and stress in pregnant women. The study investigated the effect of adding psychotherapy to hospital management of pregnant women with successfully treated for PTLon improving anxiety, pregnancy stress, and perceived control. In a randomized controlled trial study, sixty pregnant women with gestational ages of 24 to 37 weeks and successfully treated forPTL were randomly divided into the experimental (n = 30) and control group (n = 30). The experimental group received psychotherapy along with medical care in individual face-to-facesessions, 1 h per day for 6 consecutive days.The control group received medical care for PTL. Objective outcomes were assessed via the State-Anxiety Inventory, Prenatal Distress Questionnaire (NuPDQ), and Perceived Pregnancy Control at pre-trial and post-trial. The results revealed that psychotherapy significantly improved mean pregnancy distress (45.80 ± 2.29 vs. 43.80 ± 1.93), state anxiety (47.46 ± 5.92 vs. 41.60 ± 5.46), and perceived control (2.86 ± 1.59 vs. 5.26 ± 1.38) in women with PTL from beginning to end of the intervention. The findings suggest that adding psychotherapy to hospital management of women successfully treated for PTLcan be considered a potential method to reduce anxiety and pregnancy-specific stress.
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- 2020
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15. Virtual Reality as Distraction Analgesia for Office‐Based Procedures: A Randomized Crossover‐Controlled Trial
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David Y. Goldrich, Sean McKee, Mingyang L. Gray, Satish Govindaraj, Madeleine R. Schaberg, Anthony Del Signore, and Alfred M. Iloreta
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Adult ,Male ,medicine.medical_specialty ,Adolescent ,Crossover ,Anxiety ,Nose ,Virtual reality ,law.invention ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,Distraction ,medicine ,Humans ,In patient ,030212 general & internal medicine ,Aged ,Anxiety reduction ,Office based ,Cross-Over Studies ,business.industry ,Virtual Reality Exposure Therapy ,Endoscopy ,030208 emergency & critical care medicine ,Middle Aged ,Otorhinolaryngologic Surgical Procedures ,Endoscopic sinus surgery ,Ambulatory Surgical Procedures ,Debridement ,Otorhinolaryngology ,Patient Satisfaction ,Physical therapy ,Female ,Surgery ,Analgesia ,business - Abstract
The purpose of this study was to explore the use of immersive and interactive virtual reality (VR) for analgesia, anxiety reduction, and overall satisfaction in patients undergoing outpatient postoperative debridements.Randomized crossover-controlled trial.Academic outpatient clinic.Adult patients who had functional endoscopic sinus surgery and skull base surgery and were undergoing office-based postoperative nasal endoscopy and debridement were recruited and followed for 2 consecutive office visits. Participants were randomized to receive either the control or experimental analgesia for the first postoperative visit (PO1) and crossed over into the opposite treatment arm during the second postoperative visit (PO2). Outcomes included procedural pain, anxiety and satisfaction scores, procedural time, and reflexive head movements per minute (RHM).Eighty-two participants were recruited. At PO1, 39 received standard analgesia, and 43 received an immersive VR experience. At PO1, the VR group experienced significantly less anxiety (VR technology holds promise as a nonpharmacologic analgesic and anxiolytic intervention for otolaryngology office-based procedures. Further study of VR use in other procedures is warranted.1, randomized controlled trial.
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- 2020
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16. The Effectiveness of Cognitive Rehabilitation on Anxiety Reduction and Brainwave Pattern in Patients with Anxiety Disorder
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raheb jafari and hassan bafandeh
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Anxiety reduction ,Rehabilitation ,business.industry ,medicine.medical_treatment ,medicine ,In patient ,Cognitive rehabilitation therapy ,medicine.disease ,business ,Anxiety disorder ,Clinical psychology - Published
- 2020
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17. Effectiveness of anxiety reduction interventions on test anxiety: A comparison of four techniques incorporating sensory modulation
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Julie O’Sullivan, Karen M. Keptner, and Carolyn Fitzgibbon
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Occupational therapy ,Anxiety reduction ,medicine.medical_specialty ,Sensory modulation ,business.industry ,medicine.medical_treatment ,Stressor ,Psychological intervention ,medicine.disease ,Mental health ,Occupational Therapy ,Cognitive therapy ,Medicine ,business ,Test anxiety ,Clinical psychology - Abstract
Introduction Anxiety is one of the most commonly diagnosed mental health disorders on post-secondary campuses, often brought on by stressors unique to the college environment. Traditional psychological approaches to manage anxiety might focus on breathing techniques and progressive muscle relaxation. However, additional techniques that use specific sensory input to reduce anxiety have not received the same attention in the literature. Method This longitudinal study compared four interventions for state anxiety (deep breathing, progressive muscle relaxation, an adapted dive reflex, and use of a weighted lap object) in a cohort of professional occupational therapy students. Results This study found that all four interventions significantly reduced state anxiety. The sensory-based interventions of adapted dive reflex and weighted lap object appeared to have a longer duration of impact than the traditional interventions of deep breathing and PMR. Conclusion These results suggest that both traditional and sensory-based approaches may be effective in reducing anxiety before a testing situation.
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- 2020
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18. Anxiety reduction after pre-procedure meetings in patients with CHD
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Preston J. Boyer, Michael D. Seckeler, Joshua Yell, and Jennifer Andrews
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Parents ,medicine.medical_specialty ,Complete data ,Pilot Projects ,Anxiety ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,Surveys and Questionnaires ,Humans ,Medicine ,In patient ,Prospective Studies ,030212 general & internal medicine ,Prospective cohort study ,Normal range ,Anxiety reduction ,Pre-Procedure ,business.industry ,General Medicine ,Three dimensional printing ,Pediatrics, Perinatology and Child Health ,Physical therapy ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business - Abstract
Background:Cardiac catheterisations for CHD produce anxiety for patients and families. Current strategies to mitigate anxiety and explain complex anatomy include pre-procedure meetings and educational tools (cardiac diagrams, echocardiograms, imaging, and angiography). More recently, three-dimensionally printed patient-specific models can be added to the armamentarium. The purpose of this study was to evaluate the efficacy of pre-procedure meetings and of different educational tools to reduce patient and parent anxiety before a catheterisation.Methods:Prospective study of patients ≥18 and parents of patients Results:Twenty-three patients consented to participate, 16 had complete data for evaluation. Mean State-Trait Anxiety Inventory scores were abnormally elevated at baseline and decreased into the normal range after the pre-procedure meeting (39.8 versus 31, p = 0.008). Physician discussion, angiograms, and three-dimensional models were reported to be most effective at increasing understanding and reducing anxiety.Conclusion:In this pilot study, we have found that pre-catheterisation meetings produce a measurable decrease in patient and family anxiety before a procedure. Discussions of the procedure, angiograms, and three-dimensionally printed cardiac models were the most effective educational tools.
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- 2020
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19. How Does Ritualized Behavior Lower Anxiety? The Role of Cognitive Load and Conscious Preoccupation in Anxiety Reduction
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Aneta Niczyporuk
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Anxiety reduction ,cognitive load ,05 social sciences ,ritualized behavior ,anxiety ,050105 experimental psychology ,ritual ,03 medical and health sciences ,Philosophy ,0302 clinical medicine ,AZ20-999 ,medicine ,Anxiety ,conscious preoccupation ,History of scholarship and learning. The humanities ,0501 psychology and cognitive sciences ,medicine.symptom ,Psychology ,030217 neurology & neurosurgery ,Cognitive load ,Clinical psychology - Abstract
Although rituals are believed to lower anxiety, the underlying mechanism of anxiety reduction has not been explained well enough. According to Boyer and Liénard (2006), ritualized behavior decreases the anxiety levels because it swamps working memory. This blocks anxious thoughts’ access to consciousness. As a result, ritualized behavior lowers anxiety temporarily but maintains it in the long run. In the article, I analyze what processes should be engaged in ritualized behavior to bring the aforementioned outcomes. I propose that ritualized behavior has anxiolytic properties if it preoccupies consciousness without placing too many demands on cognitive control. While conscious preoccupation with ritualized behavior should reduce anxiety, cognitive control load related to efforts to concentrate on ritualized behavior may bring immediate paradoxical effects of self-regulation, i.e., anxiety increases. Moreover, since anxiety disrupts attentional control capabilities, ritualized behavior should not be too cognitively demanding if an anxious person is to perform it.
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- 2020
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20. Treatment Integrity and Social Validity of the FRIENDS for Life Programme in a Northeastern Canadian School System
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Rhonda Joy, Susan Doyle, and Sarah E. Francis
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050103 clinical psychology ,Anxiety reduction ,05 social sciences ,Treatment outcome ,050301 education ,Experimental and Cognitive Psychology ,Context (language use) ,Clinical Psychology ,Prosocial behavior ,Social validity ,medicine ,Anxiety ,0501 psychology and cognitive sciences ,medicine.symptom ,Psychology ,0503 education ,School system ,Clinical psychology - Abstract
The FRIENDS for Life (FFL) programme, a school-based anxiety prevention programme, targets anxiety reduction and resiliency development in elementary school-aged children (Barrett, Sonderegger & Xenos, 2003). In the context of equivocal effectiveness findings regarding FFL in Canadian schools, the present study assessed pre–post changes in anxiety, self-esteem, and prosocial behaviour in a school system in Northeastern Canada. To yield further insight to the potential sources of equivocal FFL effectiveness findings, we also evaluated FFL treatment integrity (TI) and social validity (SV). Few studies have assessed FFL TI at the level of identifying which programme sessions, or within-session content, have or have not been adhered to (Higgins & O'Sullivan S, 2015). Similarly, few studies have provided detailed programme SV data or perceived programme benefits by children and parents. TI and SV can provide programme data beyond anxiety reduction, which is key in prevention programming research, as pre–post changes are challenging to detect in ‘healthy’ samples (Durlak & Wells, 1997). Treatment outcome, TI, and SV data were collected from classrooms across 10 elementary schools administering FFL. The sample included 210 child and 108 parent participants; post-testing occurred 1 week following FFL programme completion. Findings indicated significant decreases from pre- to post-test in child-reported anxiety and self-esteem but no changes in prosocial behaviours. Findings suggest that low TI ratings may have impacted anxiety, self-esteem, and prosocial behaviour results, and that child-reported SV may be more related to programme outcomes than parent-reported SV. Implications for FFL programme developers and future FFL evaluation studies are discussed.
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- 2020
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21. Anxiety Reduction Through Close Communication with Robotic Media in Dementia Patients and Healthy Older Adults
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Hiroko Kase, Shuichi Nishio, Ryuji Yamazaki, and Hiroshi Ishiguro
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0209 industrial biotechnology ,Anxiety reduction ,medicine.medical_specialty ,General Computer Science ,business.industry ,02 engineering and technology ,medicine.disease ,03 medical and health sciences ,020901 industrial engineering & automation ,0302 clinical medicine ,Physical medicine and rehabilitation ,medicine ,Dementia ,Anxiety ,Electrical and Electronic Engineering ,medicine.symptom ,business ,030217 neurology & neurosurgery - Abstract
The purpose of this paper is to provide an overview of the recent research on android robotic media with a focus on its effects on older adults and to present a discussion on the implications of the experimental results. Social isolation of older adults is a leading issue in healthcare. Patients with dementia experience symptoms, such as agitation, which can result in increasing care burden. Android robotic media have been shown to provide a feeling of safety and communication support to older adults. In previous case studies, an increase in prosocial behaviors was observed in participants with dementia; however, the media effects needed to be measured by assessment scales. The current results indicate the effects of robotic media on dementia symptoms, especially the decrease in patients’ anxiety. As demonstrated in another experiment, anxiety reduction can also be expected in healthy older adults; however, certain conditions may be required for both healthy older adults and those with dementia. Key factors for the media effect, namely, dementia type, user’s personality, and personalized dialogue are taken into consideration for the further development of robotic systems. Additionally, we further discuss the significance of long-term data collection, especially from the early life stages because teleoperation or autonomous systems are expected to utilize information that can affect the effect of robotic media.
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- 2020
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22. Implementation and Evaluation of a Basic Life Support and Anaphylaxis Treatment Program on Anxiety Reduction for Faculty Members at Elementary Schools
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Kohei Kobayashi and Kyoko Asazawa
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Anxiety reduction ,medicine.medical_specialty ,Family medicine ,Anaphylaxis treatment ,medicine ,Basic life support ,General Medicine ,Psychology - Published
- 2020
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23. Skilful Surfing Online for Anxiety Reduction (SO-FAR) in Pregnancy
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Amy Leigh Rathbone, Julie Prescott, and Duncan T. Cross
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Pregnancy ,Anxiety reduction ,mental disorders ,medicine ,Psychology ,medicine.disease ,Clinical psychology - Abstract
The development of the Skilful surfing Online For Anxiety Reduction (SO-FAR) in pregnancy (SO-FAR) mental health (mHealth) application (app) was supported by previous research which modelled the theory of Skilful Surfing. The model informed the app development, with each facet of the model corresponding to a different intervention included in the app. The aim of this chapter was to report the development of an mHealth app to relieve pregnancy-specific health anxiety. App content inclusion was based on previous literature and recommendations for mHealth app inclusions. Overall, the chapter provides the reader with a comprehensive account of the development of the SO-FAR app which may reduce levels of pregnancy-specific HA by encouraging women to become more adept when navigating through online health information, self-aware, and educated and promoting the ability to identify triggers and understand when and why they are experiencing maladaptive cognition and rumination in a self-guided manner.
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- 2022
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24. Anxiety Reduction and Improved Concentration in Schoolchildren through Wingwave® Coaching
- Author
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Stefanie Klatt, Marco Rathschlag, and Frank P. G. Weiland
- Subjects
media_common.quotation_subject ,medicine.medical_treatment ,education ,Physical strength ,Coaching ,Pediatrics ,RJ1-570 ,Article ,Intervention (counseling) ,wingwave® coaching ,Eye movement desensitization and reprocessing ,medicine ,media_common ,schoolchildren coaching ,anxiety reduction ,short-term coaching ,concentration enhancement ,Relaxation (psychology) ,business.industry ,Test (assessment) ,Feeling ,Pediatrics, Perinatology and Child Health ,Anxiety ,medicine.symptom ,business ,Psychology ,Clinical psychology - Abstract
(1) Background: For nearly 20 years, the wingwave® method, which combines elements of eye movement desensitization and reprocessing (EMDR) and a muscular strength test, has been used to reduce anxiety and improve relaxation in subjects. Past studies have scientifically evaluated this method in various contexts and have found it to be effective. In this study, we investigated the effects of short-term wingwave® coaching on specific anxiety parameters regarding school, concentration ability, and subjective feelings towards two self-chosen themes in schoolchildren. (2) Methods: A group of 53 schoolchildren aged 11 to 12 years were randomly divided between an experimental and a control group. The experimental group received an intervention of three wingwave® coaching sessions (one hour each). In these sessions, past and present negative feelings towards school as well as psychological resources to face future tasks in school were focused on and utilized. (3) Results: The results showed that the overall text anxiety, manifested anxiety, and dislike of school decreased significantly in the experimental group after the three coaching sessions compared to the control group. Furthermore, both concentration ability and the subjective feeling towards self-chosen subjects improved significantly in the experimental group compared to the control group. (4) Conclusions: Our results indicate that the wingwave® method is an appropriate and effective instrument to reduce school anxiety and to improve concentration performance in schoolchildren—at least in the short and medium term.
- Published
- 2021
25. Design and Preliminary Evaluation of the AID Vest: An Automatic Inflatable Wearable Device for Anxiety Reduction
- Author
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Emily Shannon, Naomi T. Fitter, and Hannah Brown
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Software portability ,Anxiety reduction ,Inflatable ,Computer science ,Human–computer interaction ,ComputingMilieux_PERSONALCOMPUTING ,Soft robotics ,medicine ,VEST ,Wearable computer ,Anxiety ,medicine.symptom ,Haptic technology - Abstract
Deep pressure therapy (DPT) has been widely applied as a form of anxiety relief in children and adults, commonly through the use of heavy weighted vests and blankets. Past work shows that manually-inflated vests can have a similar calming effect on the user. However, current DPT methods present challenges in portability and timely application. In this paper, we propose and design an automatic inflatable vest with the potential for improved convenience compared to past DPT solutions. Preliminary results show that our proposed methods for measuring and inducing anxiety in a future empirical study of the vest are viable, and that the vest may reduce anxiety more than a control (no device) condition. This work can benefit other researchers who are interested in anxiety management, wearable haptic devices, and soft robotics applications.
- Published
- 2021
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26. A Case Study in the Use of Mindfulness-Based Biofeedback for Anxiety Reduction in a Chronic Pain Patient with a Spinal Cord Injury Preparing for Decannulation
- Author
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Urszula Klich
- Subjects
medicine.medical_specialty ,animal structures ,Mindfulness ,media_common.quotation_subject ,medicine.medical_treatment ,Compassion ,Biofeedback ,050105 experimental psychology ,03 medical and health sciences ,0302 clinical medicine ,medicine ,0501 psychology and cognitive sciences ,Spinal cord injury ,media_common ,Anxiety reduction ,business.industry ,05 social sciences ,Chronic pain ,General Medicine ,General Chemistry ,medicine.disease ,030228 respiratory system ,Physical therapy ,Anxiety ,medicine.symptom ,business - Abstract
A clinical approach centered on teaching self-regulation and compassion can assist patients dealing with pain and anxiety to feel more control over their environment. Compassion, found to be a critical variable in the therapeutic benefit of mindfulness-based techniques, can be combined with biofeedback to maximize the advantageous psychological and physical changes that are seen with both. This article will present treatment considerations in a case in which compassion-based strategies within mindfulness-based biofeedback treatment were used with a patient experiencing anxiety related to pain and fear of undergoing a medical procedure for decannulation.
- Published
- 2019
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27. The Effects of Educational Intervention for Anxiety Reduction on Nursing Staffs based on PRECEDE- PROCEED Model
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D. Shojaezadeh and A. Azizzadeh Pormehr
- Subjects
Anxiety reduction ,education ,precede-proceed model ,Health Policy ,media_common.quotation_subject ,Science ,Public Health, Environmental and Occupational Health ,Medicine (miscellaneous) ,Health Informatics ,PRECEDE–PROCEED model ,nursing staffs ,Nursing staffs ,Promotion (rank) ,Health Information Management ,Nursing ,anxiety disorders ,Intervention (counseling) ,Medicine ,Psychology ,media_common - Abstract
Aim: The aim of this study was to determine the examination of relaxation training based on the PRECEDE-PROCEED model in anxiety reduction on nursing staffs. Materials and Methods: Intervention studies were examined in Alzahra hospital on 64 members of the nursing staffs based on Spielberger anxiety questioner with higher anxiety score in 2016. We used Spielberger (State-Trait Anxiety Inventory) questionnaire for the measurement of the anxiety and for assaying predisposing, enabling and reinforcing factors, a questionnaire designed based on the PRECEDE- PROCEED model. Participants were divided randomly into 2 intervention and control groups. The educational training was carried out in 4 sessions for 45-60 minute in the intervention group. Questionnaire completion was done before, immediately and 4 months after the training. Data were analyzed in SPSS 22 (p˂0.05). Findings: The results of this study showed that the mean of anxiety score before of training in two groups did not significantly (p=0.12), but after of training, the anxiety score was decreased significantly in the intervention group (p˂0.01). Also, after training, the amount of predisposing factors, enabling factors, and reinforcing factors increased significantly in the intervention group in comparison to control group (p
- Published
- 2019
28. Beyond Pills: Acupressure Impact on Self-Rated Pain and Anxiety Scores
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Beth Benham, Diane Arney, Lori Ritter, Elizabeth Monson, Erika Elias, Rebekah Bird, Kimberly McCord, Cathy Miller, Tammy Miller, Kami Linden, and Deanna Waggy
- Subjects
medicine.medical_specialty ,Hospitalized patients ,Visual analogue scale ,Population ,Nurses ,Acupressure ,Complementary therapy ,Anxiety ,Retrospective database ,03 medical and health sciences ,0302 clinical medicine ,medicine ,complementary medicine ,Humans ,Pain Management ,bedside treatment ,education ,Original Research ,Retrospective Studies ,education.field_of_study ,business.industry ,anxiety reduction ,nurses health ,pain reduction ,030205 complementary & alternative medicine ,Hospitalization ,Treatment Outcome ,Complementary and alternative medicine ,Pill ,Physical therapy ,medicine.symptom ,business - Abstract
Objectives: To determine impact of an acupressure protocol on self-rated pain and anxiety scores. Design: Retrospective database analysis of self-rated pain and anxiety scores before and immediately after administration of stress release acupressure protocol. Participants: Participants include hospitalized patients, nurses, and public. Intervention: Involves a 16-point stress release acupressure protocol. Outcome measures: Outcome measures involve pre- and post-treatment self-rated pain scores (0–10) with the Wong-Baker Faces Scale and pre- and post-treatment self-rated anxiety scores (0–10) on a visual analog scale. Results: Five hundred and nineteen acupressure treatments were retrospectively analyzed with pre- and post-treatment self-rated pain and anxiety scores, where 0 represented no pain or anxiety and 10 represented the worst pain and anxiety. Overall, participants demonstrated a two-point decrease in pain scores and a four-point decrease in anxiety scores post-treatment. Hospitalized patients demonstrated a four-point decrease in pain scores and a five-point decrease in anxiety scores post-treatment. Nurses demonstrated a three-point decrease in pain scores and four-point decrease in anxiety scores post-treatment. Public population demonstrated a one-point decrease in pain scores and two-point decrease in anxiety scores post-treatment. Seventy-five percent of participants were highly satisfied with acupressure treatments, and 96% of treatments were administered in less than 30 minutes. Conclusions: Acupressure is a highly satisfactory complementary therapy that can demonstrate a clinically significant decrease in self-rated pain and anxiety scores.
- Published
- 2019
29. HIV Anxiety Reduction/Management Program (HAMRT): pilot randomized controlled trial
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Charles Green, Michael J. Zvolensky, Paula Lopez-Gamundi, Daniel J. Paulus, Chad Lemaire, and Charles P. Brandt
- Subjects
Adult ,Male ,medicine.medical_specialty ,Health (social science) ,Adolescent ,Social Psychology ,Human immunodeficiency virus (HIV) ,HIV Infections ,Pilot Projects ,Anxiety ,medicine.disease_cause ,Medication Adherence ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Acquired immunodeficiency syndrome (AIDS) ,Randomized controlled trial ,law ,medicine ,Humans ,030212 general & internal medicine ,Psychiatry ,Depression (differential diagnoses) ,Aged ,Anxiety reduction ,030505 public health ,Cognitive Behavioral Therapy ,Depression ,business.industry ,Public Health, Environmental and Occupational Health ,Community Health Centers ,Middle Aged ,medicine.disease ,Texas ,Mental health ,Treatment Outcome ,Anti-Retroviral Agents ,Female ,Antiretroviral medication ,medicine.symptom ,0305 other medical science ,business - Abstract
Research has indicated that mental health disorders, particularly anxiety, predicts poorer antiretroviral medication adherence among persons living with HIV/AIDS (PLWHA). The present study tests a novel six-session Cognitive-Behavioral Therapy-based integrated treatment/management program for PLWHA with concurrent anxiety delivered in community health clinics Houston, Texas. Twenty-Seven PLWHA (
- Published
- 2019
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30. The effect of patient-selected or preselected music on anxiety during cesarean delivery: a randomized controlled trial
- Author
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Lawrence Ching Tsen, William Camann, Mario I Lumbreras-Marquez, Michaela K. Farber, and Dan M. Drzymalski
- Subjects
medicine.medical_specialty ,Postoperative pain ,Anxiety ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Patient satisfaction ,Randomized controlled trial ,Pregnancy ,030202 anesthesiology ,law ,medicine ,Humans ,Prospective Studies ,030212 general & internal medicine ,Cesarean delivery ,Prospective cohort study ,Pain, Postoperative ,Anxiety reduction ,Cesarean Section ,business.industry ,Obstetrics and Gynecology ,medicine.disease ,Pediatrics, Perinatology and Child Health ,Physical therapy ,Female ,medicine.symptom ,business ,Music - Abstract
Background: Women undergoing cesarean delivery may have significant anxiety prior to surgery. Nonpharmacological approaches to anxiety reduction are favored in this patient population.Objective: Th...
- Published
- 2019
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31. Cold application for pain and anxiety reduction following chest tube removal : A systematic review and meta-analysis
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Sheng-Han Tsai, Chia-Te Chen, Jiun Ling Wang, Yen-Chin Chen, Yen-Ta Huang, Heng-Hsin Tung, and Teh-Fu Hsu
- Subjects
Chest tube ,medicine.medical_specialty ,Anxiety reduction ,Text mining ,business.industry ,medicine.medical_treatment ,Meta-analysis ,medicine ,Physical therapy ,General Medicine ,business ,General Nursing - Abstract
To conduct a systematic review and meta-analysis to evaluate the effects of cold application on pain and anxiety reduction after chest tube removal (CTR).The act of removing the chest tube often causes pain among cardiothoracic surgery patients. Most guidelines regarding CTR do not mention pain management. The effects of cold application on reducing pain and anxiety after CTR are inconsistent.Systematic review and meta-analysis.We searched six databases, including Embase, Ovid Medline, Cochrane Library, Scopus, the Index to Taiwan Periodical Literature System and Airiti Library, to identify relevant articles up to the end of February 2021. We limited the language to English and Chinese and the design to randomised controlled trials (RCTs). All studies were reviewed by two independent investigators. The Cochrane Collaboration's tool was used to assess the risk of bias, Review Manager 5.4 was used to conduct the meta-analysis. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology was used for assessing certainty of evidence (CoE).Ten RCTs with 683 participants were included in the meta-analysis. The use of cold application could effectively reduce pain and anxiety after CTR. The subgroup showed that a skin temperature drops to 13°C of cold application was significantly more effective for the immediate reduction in pain intensity after CTR compared with control group. The GRADE methodology demonstrated that CoE was very low level.Cold application is a safe and easy-to-administer nonpharmacological method with immediate and persistent effects on pain and anxiety relief after CTR. Skin temperature drops to 13°C or lasts 20 min of cold application were more effective for immediate reduction of pain intensity following CTR.In addition to pharmacological strategy, cold application could be used as evidence for reducing pain intensity and anxiety level after CTR.
- Published
- 2021
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32. The unbearable burden of endometriosis: Results from a large cohort about anxiety reduction during the first outpatient evaluation
- Author
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Marco Ambrosio, Federica Manzara, Benedetta Orsini, Paolo Casadio, Renato Seracchioli, Jacopo Lenzi, Diego Raimondo, Eugenia Degli Esposti, Alessandro Arena, Arena A., Orsini B., Degli Esposti E., Manzara F., Ambrosio M., Raimondo D., Lenzi J., Casadio P., and Seracchioli R.
- Subjects
medicine.medical_specialty ,Endometriosis ,Anxiety ,03 medical and health sciences ,0302 clinical medicine ,Surveys and Questionnaires ,Outpatients ,medicine ,Humans ,Surveys and Questionnaire ,030212 general & internal medicine ,Prospective Studies ,Endometriosi ,Anxiety reduction ,Internet ,business.industry ,Outpatient ,Psychological health ,medicine.disease ,Large cohort ,Psychiatry and Mental health ,Clinical Psychology ,Distress ,Prospective Studie ,Generalized anxiety ,Physical therapy ,Observational study ,Female ,medicine.symptom ,business ,030217 neurology & neurosurgery ,State-Trait Anxiety Inventory ,Chronic pelvic pain ,Human - Abstract
Objective: To evaluate the impact of the first outpatient evaluation on anxiety levels in women with suspected endometriosis. Secondarily, we investigated which individual characteristics exerted the greatest influence on distress levels. Methods: Women referred to our academic center between January 2019 and March 2020 on the suspicion of endometriosis were enrolled in this prospective, observational study. Before the visit, participants answered questionnaires such as the Generalized Anxiety Disorder-7 (GAD) and the Spielberg State Trait Anxiety Inventory (STAI) Y6. After the visit, the STAI-Y6 was resubmitted to each woman, along with the Patient Global Impression of Improvement (PGI–I) questionnaire. Women's and physicians' satisfaction with the visit were also evaluated using a 5-point scale. Results: One hundred and four women were enrolled. Anxiety levels decreased after the evaluation (STAI-Y6 60.0 ± 15.0 vs 40.8 ± 14.2, P
- Published
- 2021
33. Customizing Your Demons: Anxiety Reduction via Anthropomorphizing and Destroying an 'Anxiety Avatar'
- Author
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Sri Kalyanaraman and Daniel Pimentel
- Subjects
lcsh:BF1-990 ,Psychological intervention ,self-discrepancy theory ,01 natural sciences ,050105 experimental psychology ,Personalization ,Cognitive dissonance ,medicine ,Psychology ,0501 psychology and cognitive sciences ,Self-discrepancy theory ,General Psychology ,0105 earth and related environmental sciences ,Avatar ,Original Research ,Anxiety reduction ,010505 oceanography ,05 social sciences ,anthropomorphism ,ComputingMilieux_PERSONALCOMPUTING ,avatar ,anxiety ,Mental health ,lcsh:Psychology ,Anxiety ,medicine.symptom ,Social psychology ,mental health ,customization - Abstract
Character customization is a prominent feature in digital games, affording users the ability to tailor one’s virtual self-representation (avatar) to match aspects of their actual or ideal self, influencing psychological well-being. The mental health implications of character customization can be partially explained by self-discrepancy theory, which argues that achieving congruence with one’s avatar reduces cognitive dissonance. However, the role of undesirable self-concepts such as mental health ailments have largely been overlooked in this context despite forming part of one’s identity. In theory, customization of an avatar representing undesirable self-concepts presents a self-regulatory paradox: individuals desire to reduce discrepancies with a self-representation, yet they also desire to enlarge discrepancies with a disliked-self. To reconcile this, two experiments explored the psychological implications of imbuing avatars with undesirable self-concepts. In Study 1 (N= 90), participants customized an avatar to represent anxiety within themselves (i.e., an anxiety avatar). Customization significantly reduced state anxiety compared to a control group, supporting the proposed discrepancy-reduction mechanism. Study 2 (N= 122) employed a 2 (customization: yes, no) × 2 (destruction: yes, no) between-subjects design, with participants either destroying or observing an anxiety avatar. Destruction of customized anxiety avatars resulted in the largest reduction in anxiety among all conditions, supporting the proposed discrepancy-enlargement mechanism. Theoretical and practical implications for the use of avatar-based e-mental health interventions are discussed.
- Published
- 2020
34. Non-pharmacological anxiety reduction with immersive virtual reality for first-trimester dilation and curettage: a pilot study
- Author
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Ryan Woodson, Aparna Sridhar, Zhang Shiliang, and Lorna Kwan
- Subjects
Adult ,medicine.medical_specialty ,medicine.medical_treatment ,Analgesic ,Pilot Projects ,Virtual reality ,Anxiety ,Dilatation and Curettage ,03 medical and health sciences ,Dilation and curettage ,Young Adult ,0302 clinical medicine ,Pregnancy ,medicine ,Humans ,Pain Management ,Pharmacology (medical) ,030212 general & internal medicine ,Non pharmacological ,Anxiety reduction ,030219 obstetrics & reproductive medicine ,business.industry ,Virtual Reality ,Obstetrics and Gynecology ,medicine.disease ,Los Angeles ,First trimester ,Pregnancy Trimester, First ,Reproductive Medicine ,Patient Satisfaction ,Physical therapy ,Female ,medicine.symptom ,business - Abstract
Most women experience moderate to severe pain during first-trimester surgical termination of pregnancy despite the application of various analgesic techniques. Studies have shown that virtual reality (VR) is effective in reducing anxiety among a range of women in differing circumstances. Our study objectives were to assess the feasibility of using VR during first-trimester dilation and curettage under local anaesthesia and understand the effect of VR on procedure-related anxiety during first-trimester dilation and curettage.A pilot feasibility study was conducted in a convenience sample of 30 women (15 in the intervention group and 15 in the control group). Anxiety scores were recorded before, during and after the procedure. In-depth interviews were conducted after the procedure.Participants reported that VR was either very effective (53%) or somewhat effective (40%) in relieving anxiety during and after the procedure. Eleven participants used the VR device for the entire procedure and four participants removed it during the procedure. The anxiety scores before the procedure were not significantly different between the groups. The intervention group had a median five point post-procedure decrease in anxiety score rated on a visual analogue scale, which was significantly different from that of the control group. Overall, participants had a positive experience but there were some technological frustrations.Women undergoing dilation and curettage in the first trimester were able to use a VR device during the procedure. VR-induced distraction and relaxation helped to reduce anxiety in some participants both during and after the procedure.
- Published
- 2020
35. Knowledge Attitude and Practice of Usage of Anti-Anxiety Drugs in Paediatric Patients among General Dental Practitioners
- Author
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M. Dhanraj and Ahsana A
- Subjects
Drug ,Anti anxiety ,Anxiety reduction ,medicine.medical_specialty ,business.industry ,Health, Toxicology and Mutagenesis ,media_common.quotation_subject ,Toxicology ,Pathology and Forensic Medicine ,Family medicine ,Medicine ,Anxiety ,medicine.symptom ,business ,Adverse effect ,Law ,media_common ,Paediatric patients - Abstract
Aim : To assess the knowledge attitude and practice of usage of anti-anxiety drugs among the general dentalpractitioners.Background: Anti-anxiety drugs can act as effective way to manage patients with anxiety and dental fearmainly children. Adequate knowledge is necessary for using anti-anxiety drugs. Usage of anti-anxiety drugscan help to treat the patients in an effective way.Material and Methods: Questionnaires consisting of 15 questions was distributed to 80 general dentalpractitioners practicing in private dental hospitals and clinics in Chennai city in June 2017. The questionnairewas designed to enquire about the knowledge and usage of anti anxiety drug in childrenResults: 83.75% of dentists are aware of the pharmacological means of anxiety reduction. 51.25% are awareof the side effects and over dosage reaction of using anti anxiety drugs. 12% of dentists are aware of themethod of managing side effects and over dosage reaction of using anti anxiety drugsConclusion : Anti-anxiety drugs can act as a better alternative and also an adjunct to the conventionalbehaviour management. Proper knowledge about its mechanism of action, dosage, adverse effects areessential for the dentist to use anti-anxiety drugs in an effective way. Hence the usage of anti-anxiety drugscan be recommended and encouraged among dentists provided they have a sound knowledge about the drug
- Published
- 2020
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36. Weighted Blankets: Anxiety Reduction in Adult Patients Receiving Chemotherapy
- Author
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Jaime Vinson, Jan Powers, and Kelly Mosesso
- Subjects
Adult ,medicine.medical_specialty ,Visual analogue scale ,medicine.medical_treatment ,Anxiety ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,medicine ,Humans ,In patient ,General Environmental Science ,Pain Measurement ,Chemotherapy ,Anxiety reduction ,030504 nursing ,Adult patients ,business.industry ,Bedding and Linens ,Crossover study ,030220 oncology & carcinogenesis ,Physical therapy ,General Earth and Planetary Sciences ,medicine.symptom ,0305 other medical science ,business - Abstract
Background Weighted blankets have been used as a deep touch pressure (DTP) tool to alleviate anxiety in many patient populations. Patients with cancer can experience anxiety related to diagnosis and treatments, such as chemotherapy infusions. Research on the effectiveness of weighted blankets as a DTP tool to alleviate anxiety in patients receiving chemotherapy is limited. Objectives This study assessed the effectiveness of a medical-grade therapeutic weighted blanket on anxiety in patients receiving their first and second chemotherapy infusions at an outpatient infusion center. Methods A randomized controlled trial with a crossover design was performed with new patients in the outpatient chemotherapy infusion center. Patients were randomized to one of two study arms (given the weighted blanket during their first infusion or given the weighted blanket during their second infusion). Anxiety was measured using an anxiety inventory and a visual analog scale. Findings Anxiety was reduced among patients receiving chemotherapy when the weighted blanket was used. Based on the results, a standard-weight, medical-grade therapeutic weighted blanket can be safely used to reduce anxiety in patients of various weights, and a visual analog scale can be a reliable indicator of patients' state anxiety.
- Published
- 2020
37. Contracting Students for the Reduction of Foreign Language Classroom Anxiety: An Approach Nurturing Positive Mindsets and Behaviors
- Author
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Yinxing Jin, Peter D. MacIntyre, and Lawrence Jun Zhang
- Subjects
Foreign language ,education ,lcsh:BF1-990 ,English as a foreign language ,positive mindsets and behaviors ,050105 experimental psychology ,Developmental psychology ,03 medical and health sciences ,0302 clinical medicine ,English ,foreign language classroom anxiety intervention ,Intervention (counseling) ,medicine ,Psychology ,0501 psychology and cognitive sciences ,Student learning ,contracting speaking ,General Psychology ,Original Research ,Anxiety reduction ,05 social sciences ,Chinese-first-language university students ,Learning engagement ,lcsh:Psychology ,Anxiety ,medicine.symptom ,030217 neurology & neurosurgery - Abstract
The quasi-experimental study reported in this paper investigated whether contracting students’ speaking in the foreign language (FL) classroom could effectively mitigate their FL classroom anxiety. It also explored the working mechanisms of this approach to the reduction of classroom anxiety and examined the attitudes FL students had toward it. To these ends, 42 Chinese-as-the-first-language university students learning English as a foreign language (EFL) were recruited and placed into the experimental (n = 20) and comparison groups (n = 22). Both groups were tested for anxiety before and after completing a 1-week contract and a non-contracting treatment, respectively. The experimental group participants’ diaries were also collected, and their attitudes toward the intervention were elicited. Results showed that the experimental group’s level of anxiety decreased significantly more as compared with that of the comparison group, suggesting the better efficacy of contracting speaking in FL anxiety reduction. Diary analyses also suggested that contracting speaking could increase learners’ FL learning engagement; enhance their self-efficacy; facilitate their self-reflection of weaknesses and strengths as an FL learner; cultivate their character strengths and positive emotions; and diminish their fear, nervousness, and worries in class. Furthermore, the experimental group participants generally did not feel uncomfortable with the intervention. These findings were discussed in relation to classroom pedagogy for more effective delivery of FL education.
- Published
- 2020
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38. Anxiety Reduction and Maternal Aggression in Postpartum Nonhuman Mammals
- Author
-
Michael Numan
- Subjects
Anxiety reduction ,business.industry ,Medicine ,Maternal aggression ,business ,hormones, hormone substitutes, and hormone antagonists ,Clinical psychology - Abstract
Chapter 6 explores the neural mechanisms that regulate the decrease in anxiety and increase in maternal aggression that co-occur in postpartum mammals. Too much anxiety antagonizes maternal aggression. Therefore, postpartum anxiety reduction promotes maternal aggression. The neural circuitry of maternal aggression includes projections from the ventromedial nucleus of the hypothalamus to the periaqueductal gray and to other brainstem sites. Anxiety-related behaviors are mediated by corticotropin-releasing factor (CRF) neurons, and the projection of central nucleus of amygdala (CeA) CRF neurons to the dorsal bed nucleus of the stria terminalis is involved. Neural circuits are described to show how enhanced CRF release can depress maternal aggression. These circuits are typically downregulated in postpartum females, and oxytocin (OT) is involved. OT exerts anxiolytic effects and one mechanism of OT action is to depress the output of CeA.
- Published
- 2020
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39. Mechanisms of Anxiety Reduction in Animal-Assisted Interventions for Adolescents
- Author
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Heather L. Urry, Megan K. Mueller, Eric C. Anderson, and King Ek
- Subjects
PsyArXiv|Social and Behavioral Sciences ,Anxiety reduction ,bepress|Social and Behavioral Sciences|Psychology|Clinical Psychology ,Text mining ,business.industry ,Animal assisted interventions ,bepress|Social and Behavioral Sciences ,Medicine ,PsyArXiv|Social and Behavioral Sciences|Emotion ,business ,PsyArXiv|Social and Behavioral Sciences|Clinical Psychology ,Clinical psychology - Abstract
Animal-assisted interventions (AAIs) are increasingly popular as treatments to reduce anxiety. However, there is little empirical evidence testing the mechanisms of action in AAIs, especially among adolescents. We examined whether two possible mechanisms, social interaction and/or physical contact with a therapy dog, might reduce anxiety during a social stressor. To test these mechanisms, we randomly assigned 75 adolescents with low, middle, and high levels of social anxiety to complete a laboratory-based social evaluative stressor in one of three conditions: social interaction with a therapy dog (no physical interaction), social plus physical interaction with a therapy dog, or no interaction with a therapy dog. We found no evidence that the presence of a real dog, with or without the opportunity to touch it, reduced anxiety or autonomic reactivity or improved cognitive performance relative to the presence of a stuffed dog in the control condition, regardless of levels of preexisting social anxiety.
- Published
- 2020
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40. To see or not to see: Importance of color perception to color therapy
- Author
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Domicele Jonauskaite, Loyse Bürki, Irina Tremea, Christine Mohr, and Cécile N. Diouf
- Subjects
Chromotherapy ,medicine.medical_specialty ,Anxiety reduction ,genetic structures ,Color vision ,General Chemical Engineering ,05 social sciences ,Human Factors and Ergonomics ,General Chemistry ,Audiology ,01 natural sciences ,050105 experimental psychology ,010309 optics ,body-mind, chromotherapy, color interventions, color psychology, health, meditation ,0103 physical sciences ,medicine ,Anxiety ,0501 psychology and cognitive sciences ,medicine.symptom ,Psychology ,Color Therapy ,Color psychology - Abstract
Color therapy, healing through color, supposedly works through the physical exposure to color. In two studies, we assessed stress and anxiety reduction after color exposure using a commercially available relaxation‐through‐color routine. Participants either completed the routine by looking at the accompanying color disks or at a white patch. In study 1 (longitudinal), 60 participants completed the routine three times, each testing session separated by a week. In study 2 (cross‐sectional), 63 participants completed half of the trials once. In both studies, we recorded a decrease in stress and anxiety levels comparing before‐after scores. In study 1, we recorded incremental decreases with each week. Crucially, decreases were the same whether participants (a) physically saw colors or not, and (b) completed the full or shortened version. We conclude that other factors but physical exposure to color explain changes in affective states associated with this and probably other color therapy routines.
- Published
- 2020
41. Preoperative Patient Education
- Author
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Angie Balfour and Jennie Burch
- Subjects
medicine.medical_specialty ,Anxiety reduction ,Patient satisfaction ,Enhanced recovery ,business.industry ,Medicine ,After discharge ,Set (psychology) ,business ,Intensive care medicine ,Hospital stay ,Patient education - Abstract
Preoperative preparation is the first stage in the enhanced recovery pathway. Preoperative preparation includes a variety of processes required to set appropriate expectations for patients and their families and ensure fitness for surgery and transference of information. The latter, preoperative education is the focus of this chapter. Preoperative education although a fundamental part of the enhanced recovery pathway is one element of the pathway that is poorly researched. Although logically it could be assumed that it is necessary to educate patients, the majority of evidence is anecdotal. This chapter explores why educating patients prior to surgery is essential and how and by whom it should be undertaken. The limited details on the specifics involved in undertaking preoperative education are explored. Preoperative education appears in the main to be provided by nurses, and there is evidence that this information meets the patient’s needs. Additionally patient education empowers patients to be involved in their surgical pathway, which potentially results in a shorter hospital stay with fewer complications in hospital and after discharge home.
- Published
- 2020
- Full Text
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42. A Comparison of Two In-Class Anxiety Reduction Exercises Before a Final Exam
- Author
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Stacy Meester and Virginia Clinton
- Subjects
Introductory psychology ,Class (computer programming) ,Anxiety reduction ,Mindfulness ,education ,05 social sciences ,050301 education ,Metacognition ,050109 social psychology ,medicine.disease ,Education ,Test (assessment) ,Developmental psychology ,medicine ,Anxiety ,0501 psychology and cognitive sciences ,medicine.symptom ,Psychology ,0503 education ,General Psychology ,Test anxiety - Abstract
The purpose of this quasi-experiment is to test two different methods for helping students reduce anxiety before an exam. Students in two introductory psychology courses ( N = 111) engaged in either a focused breathing exercise or an expressive writing exercise before their final exam. Results indicated that, compared with previous exam performance, both focused breathing and expressive writing improved performance for students with high levels of trait test anxiety. However, there was no effect on final exam performance for either method for students with low levels of trait test anxiety. Both the exercises appeared to reduce state anxiety for students, although the reduction was greater for students with high levels of trait test anxiety. These findings can be used to assist students who struggle with trait test anxiety.
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- 2018
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43. The Effectiveness of Structured Coloring Activities for Anxiety Reduction
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Laura E. Ashlock, Cindy Miller-Perrin, and Elizabeth J. Krumrei-Mancuso
- Subjects
030203 arthritis & rheumatology ,Complementary and Manual Therapy ,030506 rehabilitation ,Anxiety reduction ,genetic structures ,Art therapy ,Likert scale ,03 medical and health sciences ,Clinical Psychology ,0302 clinical medicine ,medicine ,Anxiety ,medicine.symptom ,0305 other medical science ,Psychology ,Clinical psychology - Abstract
This study compared the effects of 4 different coloring activities on state anxiety scores to determine whether adult coloring books are as effective as other coloring activities in reducing anxiet...
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- 2018
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44. Knowledge, attitude and use of complementary and alternative medicine among nurses: A systematic review
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Seyed Afshin Shorofi, Hosien Shahdadi, Abdolghani Abdollahimohammad, Gholamhossein Mahmoudirad, Abbas Balouchi, and Marie Hastings-Tolsma
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Complementary Therapies ,Health Knowledge, Attitudes, Practice ,medicine.medical_specialty ,Attitude of Health Personnel ,education ,MEDLINE ,Scopus ,Alternative medicine ,Nurses ,Prospective data ,03 medical and health sciences ,0302 clinical medicine ,Documentation ,Nursing ,Humans ,Medicine ,Prospective Studies ,030212 general & internal medicine ,Nurse education ,Curriculum ,Anxiety reduction ,Practice Patterns, Nurses' ,030504 nursing ,business.industry ,Complementary and alternative medicine ,0305 other medical science ,business - Abstract
Objectives The purpose of this study was to systematically review the literature to describe the knowledge, attitude and practice of CAM by nurses. Methods Three databases were searched for relevant studies from launch through September of 2017 and included MEDLINE, Scopus and Web of science. Results The average knowledge of CAM therapies by nurses was 62.2% with attitude about use averaging 65.7%. Close to two-thirds (65.9%) reported use of CAM therapies with patients. The primary reasons nurses suggested use of CAM were for stress and anxiety reduction and health improvement. Conclusion Current evidence demonstrates the need for nurse education programs to integrate and strengthen CAM content into existing curricula. Similarly, documentation of the nature and extent of nurse use of CAM therapies in the clinical setting, as well as patient-reported use and preferences for CAM therapies, would provide valuable prospective data.
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- 2018
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45. Effectiveness of Coloring Mandala Designs to Reduce Anxiety in Graduate Counseling Students
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Nicole A. Stargell, Gary W. Mauk, and Kim Duong
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030506 rehabilitation ,Anxiety reduction ,Mindfulness ,media_common.quotation_subject ,fungi ,05 social sciences ,food and beverages ,Creativity ,050106 general psychology & cognitive sciences ,03 medical and health sciences ,Psychiatry and Mental health ,Clinical Psychology ,Mandala ,medicine ,Anxiety ,0501 psychology and cognitive sciences ,medicine.symptom ,0305 other medical science ,Psychology ,media_common ,Clinical psychology - Abstract
An exploration of the role that creativity can play in anxiety reduction was conducted using a quantitative study design. Participants completed the State Anxiety Inventory (SAI) before and after c...
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- 2018
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46. EFFECTIVENESS OF PSYCHOEDUCATION REGARDING ANXIETY REDUCTION AMONG CAREGIVERS OF CANCER PATIENTS: A PRE-EXPERIMENTAL STUDY
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S. Hemalatha, M. Bhagyalakshmi, and P. Sravani
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Anxiety reduction ,business.industry ,medicine.medical_treatment ,Psychoeducation ,Medicine ,Cancer ,business ,medicine.disease ,Clinical psychology - Published
- 2018
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47. “Maybe I Made Up the Whole Thing”: Placebos and Patients’ Experiences in a Randomized Controlled Trial.
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Kaptchuk, Ted J., Shaw, Jessica, Kerr, Catherine E., Conboy, Lisa A., Kelley, John M., Csordas, Thomas J., Lembo, Anthony J., and Jacobson, Eric E.
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MEDICINE , *PLACEBOS , *CLINICAL trials , *HEALING , *IRRITABLE colon - Abstract
Patients in the placebo arms of randomized controlled trials (RCT) often experience positive changes from baseline. While multiple theories concerning such “placebo effects” exist, peculiarly, none has been informed by actual interviews of patients undergoing placebo treatment. Here, we report on a qualitative study (n = 27) embedded within a RCT (n = 262) in patients with irritable bowel syndrome. Besides identical placebo acupuncture treatment in the RCT, the qualitative study patients also received an additional set of interviews at the beginning, midpoint, and end of the trial. Interviews of the 12 qualitative subjects who underwent and completed placebo treatment were transcribed. We found that patients (1) were persistently concerned with whether they were receiving placebo or genuine treatment; (2) almost never endorsed “expectation” of improvement but spoke of “hope” instead and frequently reported despair; (3) almost all reported improvement ranging from dramatic psychosocial changes to unambiguous, progressive symptom improvement to tentative impressions of benefit; and (4) often worried whether their improvement was due to normal fluctuations or placebo effects. The placebo treatment was a problematic perturbation that provided an opportunity to reconstruct the experiences of the fluctuations of their illness and how it disrupted their everyday life. Immersion in this RCT was a co-mingling of enactment, embodiment and interpretation involving ritual performance and evocative symbols, shifts in bodily sensations, symptoms, mood, daily life behaviors, and social interactions, all accompanied by self-scrutiny and re-appraisal. The placebo effect involved a spectrum of factors and any single theory of placebo—e.g. expectancy, hope, conditioning, anxiety reduction, report bias, symbolic work, narrative and embodiment—provides an inadequate model to explain its salubrious benefits. [ABSTRACT FROM AUTHOR]
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- 2009
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48. A systematic review comparing open-book and closed-book examinations: Evaluating effects on development of critical thinking skills
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Jill Moore, Beth Johanns, and Amber Dinkens
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education ,Higher-order thinking ,Rote learning ,Education ,Skill sets ,Thinking ,03 medical and health sciences ,Nursing ,Humans ,Medicine ,General Nursing ,Medical education ,Anxiety reduction ,030504 nursing ,business.industry ,Books ,05 social sciences ,050301 education ,Education, Nursing, Baccalaureate ,Problem-Based Learning ,General Medicine ,humanities ,Critical thinking skills ,Active learning ,Students, Nursing ,Educational Measurement ,0305 other medical science ,business ,0503 education ,Working environment - Abstract
The advantages of using traditional closed-book examinations are closely compared to the advantages of using open-book examinations for the development of critical thinking skills in nursing students. The use of critical thinking skills is vital among nurses to assess patient needs and modify standard approaches to individualize care for better patient outcomes. The following areas are compared and contrasted for both closed-book and open-book examinations: examination preparation, rote memorization versus active learning, intellectual engagement, simulation of working environment, higher order thinking skills, anxiety reduction and student satisfaction. During investigation of closed-book examinations and open-book examinations, the use of collaborative testing was unveiled. Collaborative testing combines areas from both closed-book and open-book examinations. Based on the systematic review of literature, the recommendation is to use a mixed method of examination types throughout the course of the nursing program. Each type of examination helps develop different skill sets in the nursing student.
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- 2017
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49. The 'What' and 'Hows' of Mindfulness: Using DBT's Mindfulness Skills to Reduce Test Anxiety
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Kirk D. Mochrie and John Lothes
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Economics and Econometrics ,Anxiety reduction ,Student population ,Psychotherapist ,Mindfulness ,mindfulness ,medicine.medical_treatment ,lcsh:Public aspects of medicine ,education ,Psychological intervention ,test anxiety ,Forestry ,lcsh:RA1-1270 ,medicine.disease ,anxiety ,Dialectical behavior therapy ,Intervention (counseling) ,Materials Chemistry ,Media Technology ,medicine ,Anxiety ,medicine.symptom ,Psychology ,Test anxiety ,Clinical psychology - Abstract
Background: Many studies have shown the positive effects of extended mindfulness interventions on anxiety reduction in several different populations; however, few have yet to examine the effects of mindfulness interventions on test anxiety in a college student population. Aim: This study assesses the effects of overall test anxiety reduction through the use of Dialectical Behavior Therapy's (DBT's) mindfulness skills over an eight-week period among college students. Methods: Participants included 16 college students that were trained in mindfulness, which included an eight-week mindfulness training using DBT's "What" and "How" skills of the mindfulness module. Participants were assessed on text anxiety, general anxiety, and mindfulness at the beginning, mid-way point, and end of the study. A weekly schedule of mindfulness practices was given to participants to complete on their own at home. Results: Participants showed significant within-group reductions in test anxiety from the start of the study ( Mean = 56, SD = 11.47) to the end of the study ( Mean = 37.56, SD = 9.98). Conclusions: It is likely a mindfulness intervention that specifically teaches the “What” and “How” skills of DBT can help students reduce not only test anxiety, but overall anxiety, as well as increase individual levels of mindfulness based on the self-reported mindfulness questionnaire. Further research is needed to more definitively assess these results matched against a wait-list control group.
- Published
- 2017
50. Parental acculturation level moderates outcome in peer-involved and parent-involved CBT for anxiety disorders in Latino youth
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Jeremy W. Pettit, Daniella Vaclavik, Wendy K. Silverman, Victor Buitron, Yasmin Rey, and Carla E. Marin
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Cultural Studies ,050103 clinical psychology ,Social Psychology ,medicine.medical_treatment ,behavioral disciplines and activities ,Article ,law.invention ,Group psychotherapy ,Randomized controlled trial ,law ,medicine ,0501 psychology and cognitive sciences ,Applied Psychology ,Anxiety reduction ,05 social sciences ,Mean age ,Cognition ,Moderation ,Acculturation ,Clinical Psychology ,Anthropology ,Anxiety ,medicine.symptom ,Psychology ,050104 developmental & child psychology ,Clinical psychology - Abstract
Cognitive behavioral therapies (CBTs) are efficacious treatments for anxiety disorders in Latino youth. However, there is a gap in knowledge about moderators of CBT outcomes in Latino youth. This study addresses this gap by examining parental acculturation as a moderator of youth anxiety outcomes in a randomized controlled trial of parent-involved CBT (CBT/P) and peer-involved group CBT (GCBT) in 139 Latino youth (ages 6 to 16 years; mean age = 9.68 years). Comparable youth anxiety reduction effects were found for CBT/P and GCBT. Parental acculturation to majority US culture, but not identification with country of origin, significantly moderated youth anxiety outcomes: at low levels of parental acculturation to majority US culture, youth posttreatment anxiety scores were lower in GCBT than CBT/P; at high levels of parental acculturation to majority US culture, youth posttreatment anxiety scores were lower in CBT/P than GCBT. These findings provide further evidence for the efficacy of CBTs for anxiety disorders in Latino youth and also provide guidance for moving toward personalization of CBTs' selection depending on parental acculturation levels.
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- 2017
- Full Text
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