Search

Objective: The aim of this study was to investigate the effectiveness of statebased relaxation therapy on externalizing/internalizing problems in students with Intermittent Explosive Disorder (IED). Methods and Materials: The research method was a quasi-experimental design with a pretest-posttest and follow-up with a control group. The statistical population included all adolescents aged 12-18 years with IED in the 2023-2024 academic year, who were studying in schools in Tehran. The sample size consisted of 30 individuals (15 in the experimental group and 15 in the control group) selected from the statistical population using convenience sampling and assigned to experimental and control groups. The experimental group received state-based relaxation therapy, while the control group remained on the waiting list. The research instruments included the Intermittent Explosive Disorder Questionnaire (Coccaro et al., 2017) and the Achenbach Emotional and Behavioral Problems Questionnaire (Achenbach & Rescorla, 2003). Data were analyzed using repeated measures analysis of variance (ANOVA) and SPSS-27 software. Findings: The results indicated that state-based relaxation therapy had a significant effect on externalizing/internalizing problems in the posttest and follow-up stages. Conclusion: The findings of this study provide useful information regarding statebased relaxation therapy, and psychologists and psychiatrists can use this intervention to improve externalizing/internalizing problems in students with IED. [ABSTRACT FROM AUTHOR]

Background: Despite advancements in treatment, heart failure (HF) remains a leading cause of death. Anxiety and depression (A&D) are highly prevalent among patients with HF, negatively impacting their mortality, and morbidity. The Benson relaxation technique (BRT) is a non-pharmacological approach that is easy to learn, use, and apply for reducing A&D. This study aimed to investigate the effectiveness of the BRT in reducing A&D among patients with HF in Jordan. Methods: This quasi-experimental pre and post-design study involved a consecutive sample of 204 participants with a confirmed diagnosis of HF. Data were collected from four hospitals in Jordan. Results: A total of 204 patients participated in this study, with 138 males and 66 females. The mean A&D scores for the sample at baseline were 11.09±2.60 and 10.80±2.30, respectively. In the intervention group, there was a statistically significant difference between pre-intervention anxiety and post-intervention anxiety levels (P<0.001), as well as between pre-intervention depression and post-intervention depression levels (P<0.001). In contrast, the control group showed no statistically significant differences between pre-intervention and post-intervention A&D levels (P=0.83 and P=0.34) respectively. Conclusions: BRT can be used as an adjunctive intervention for patients with HF to reduce A&D. Healthcare professionals should consider incorporating BRT into treatment plans, while nursing departments can lead its implementation. [ABSTRACT FROM AUTHOR]

Objective To evaluate the physiological and psychological changes in cancer survivors who engage in repeated forest therapy in a living environment. Methods This study included stay-based forest therapy for female cancer survivors aged ≥40 years. The program was conducted in two cycles, each spanning 3 weeks and consisting of a 2-night, 3-day stay, followed by daily life integration. The cycles were repeated from July 2, 2022, to August 18, 2022. Participant assessment included standard physical health parameters and a questionnaire on general characteristics, lifestyle habits, stress levels, and health status. Results Thirty-seven female cancer survivors participated in the forest healing program, 56.8% of whom had a history of breast cancer. The median body mass index (BMI) was 23.80 kg/m2 (range, 21.00-25.60). More than half of the patients reported mild-to-moderate fatigue, chronic pain, and mild-to-moderate depression (81%, 65%, and 73%, respectively). After two cycles of forest therapy, no significant differences were observed in terms of fatigue, pain, or BMI levels. However, significant improvements were found in quality of life measures, particularly the psychological quality of life (mean score 12.54 at baseline vs. 13.48 after cycle 2; P=0.007). Positive improvements were also observed in terms of stress (mean score 17.03 vs. 13.76; P=0.002) and depression (mean score 8.35 vs. 6.11; P=0.002) levels. Conclusion Our forest-healing program demonstrated that nature-based therapies improve the mental health and quality of life of female cancer survivors, suggesting the need for further research on nature-based interventions to better support cancer survivors.

Background: Impaired sleep quality is a common problem experienced by nurses working shifts, and if not treated properly, it can impact their work performance and overall health. Spiritual Emotional Freedom Technique (SEFT) therapy has been proven to improve sleep quality. However, its effectiveness has never been studied in nurses who experience sleep disorders due to working shifts. Objective: To investigate the influence of spiritual relaxation therapy on sleep quality among nurses experiencing sleep disturbances due to shift work. Method: This is a Quasi-Experimental study with a pre-test-posttest control group design. A total of 38 nurses who experience sleep disorders due to working shifts were included in this study. The PSQI questionnaire was utilized as the instrument to measure sleep quality. Data analysis involved the Mann-Whitney test. Results: The average sleep quality before the intervention was in the mild category; after the intervention, most were in the good category. The results showed that the sleep quality of nurses who received spiritual relaxation was better than the control group (p

Immersive reality technology, such as virtual reality (VR) and augmented reality (AR), has the potential to benefit patients receiving palliative or end-of-life care. VR has been shown to provide pain relief and emotional fulfillment for patients, allowing them to access virtual environments and achieve personal goals. It can also enhance person-centered decision making by providing patients with more control over their care. However, there are concerns about the emotional distress and discomfort that immersive reality technology may cause, as well as issues of accessibility for marginalized or disadvantaged patients. It is important for patients and loved ones to consider the limitations and potential benefits of immersive technology before incorporating it into their care. [Extracted from the article]

Copyright of Environmental & Social Management Journal / Revista de Gestão Social e Ambiental is the property of Environmental & Social Management Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Stress and pain are high among patients undergoing hemodialysis. Benson's Relaxation technique affected a wide range of physical and psychological signs and symptoms among patients undergoing hemodialysis. Objective: To evaluate the effectiveness of Benson's Relaxation Technique in reducing stress and pain among patients undergoing maintenance hemodialysis. Materials and Methods: A systematic review of randomized controlled trials was conducted. A systematic literature search was carried out from 2000 to 2023. Searched databases included EBSCO-Host "Academic Search, Cochrane, CINAHL, Health Business, MEDLINE, Psychology and Behavioral Sciences, SPORTDiscus", PubMed, Ovid, and Google Scholar. The Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines were conducted. RCTs were critically appraised using the Cochrane's Risk of Bias Tool. Four RCTs met the inclusion criteria and included in this review since they were applicable to practice. Results: Four randomized controlled trials were identified supporting the use of Benson's relaxation technique as a nursing treatment in managing stress and pain among patients undergoing maintenance hemodialysis, as it achieved a significant decrease in stress and pain scores. The overall quality of the randomized controlled trials was judged to be low to relatively moderate. Conclusions: Most of the randomized controlled trials lacked details on intervention adherence. It is recommended to conduct additional longitudinal randomized controlled trials in different countries with bigger sample sizes, to provide more evidence for generalizing outcomes. [ABSTRACT FROM AUTHOR]

• Electroacupuncture therapy (EAT) can effectively alleviate the effect of zolpidem on sleep quality in insomnia patients. • EAT and relaxation treatment intervention effectively promoted the recovery of deep sleep time in patients. • EAT can reduce nerve stress function and has a sedative effect, so it has a good effect on insomnia. To explore therapeutic interventions after drug withdrawal reduction for insomnia patients who used zolpidem excessively for a long time. A total of 86 patients with simple insomnia were randomly rolled into treatment (Tre) group (electroacupuncture therapy under low-dose zolpidem+relaxation treatment intervention, n=40) and control (Ctrl) group (low-dose zolpidem+relaxation treatment intervention, n=40), all of which received treatment and intervention for four weeks. As a result, after the dosage of zolpidem was gradually reduced, the deep sleep time of patients in the two groups was reduced in the first stage. However, with the prolongation of treatment time, the reduction trend of the two groups was gradually alleviated, but no great difference was found between groups (P >0.05). In the second stage of treatment, the deep sleep time of patients in the two groups gradually recovered and increased, and that in Tre group was greater than that in Ctrl group, and the upward trend was significant but differed slightly between groups (P >0.05). After treatment, the insomnia severity index (ISI) scores of the two groups gradually decreased, and that in Tre group was drastically inferior to those of Ctrl group on days 14 and 28 after treatment (both P s<0.05). In summary, electroacupuncture therapy can effectively alleviate the effect of zolpidem on sleep quality in patients with insomnia after drug discontinuation and promote the recovery of deep sleep time in patients, thereby alleviating the side effects and drug dependence of patients. [ABSTRACT FROM AUTHOR]

The effects of Rational Emotive Behavioural Therapy (REBT) and Relaxation Therapy (RT) on mathematics anxiety (MA) were examined among Deaf learners (DLs) in Oyo State in Nigeria. The randomized controlled study adopted a purposive sampling procedure to select three schools for the Deaf and Deaf learners (DLs) in Oyo State. A random sampling procedure was employed to select 60 DLs who were assigned to two experimental groups REBT (n = 25; male = 10; female = 15), RT (n = 17; male = 8; female = 9), and a control group (n = 20; male = 11; female = 9). The Mathematics Anxiety Scale (MAS) was used to screen the participants. The data gathered were analysed using the analysis of variance and descriptive charts. The findings revealed the efficacy of the two therapeutic interventions in reducing MA among DLs. The estimated mean difference between the treatment and control groups showed the following: REBT (15.66), RT (11.63), and control group (9.99). This study, therefore, concluded that REBT and RT were effective at drastically reducing Deaf learners’ anxiety regarding mathematics. Appropriate recommendations were made and implications were highlighted for practice, policy, and research, based on the findings

Key Points: Question: Which psychotherapies are associated with the most effective and acceptable outcomes for adults with generalized anxiety disorder? Findings: In this systematic review and network meta-analysis of 65 studies comprising 5048 participants, cognitive behavior therapy (CBT), third-wave CBTs, and relaxation therapy outperformed treatment as usual for measures of effectiveness; after removing studies with high risk of bias, only CBT and third-wave CBTs remained superior to treatment as usual, and only CBT was associated with long-term effectiveness. Treatment as usual was not outperformed by any psychotherapy in terms of treatment acceptability. Meaning: Considering the trade-off between effectiveness and acceptability, effectiveness in the long term, and certainty in the level of evidence, CBT should be considered a first-line choice for treatment of generalized anxiety disorder. Importance: Generalized anxiety disorder (GAD) is one of the most common mental disorders in adults. Psychotherapies are among the most recommended treatments for GAD, but which should be considered as first-line treatment needs to be clarified. Objective: To use a network meta-analysis to examine the short- and long-term associations of different psychotherapies with outcomes of effectiveness and acceptability in adults with GAD. Data Sources: MEDLINE, Embase, PsycINFO, and the Cochrane Register of Controlled Trials were searched from database inception to January 1, 2023, to identify randomized clinical trials (RCTs) of psychotherapies for adults with GAD. Study Selection: RCTs comparing any type of psychotherapy against another or with a control condition for the treatment of adults (≥18 years, both sexes) with a primary diagnosis of GAD were eligible for inclusion. Data Extraction and Synthesis: This study followed Cochrane standards for extracting data and assessing data quality and used the PRISMA guideline for reporting. Risk of bias of individual studies was assessed using the second version of the Cochrane risk of bias tool, and the Confidence in Network Meta-Analysis was used to rate the certainty of evidence for meta-analytical results. Main Outcomes and Measures: Eight psychotherapies were compared against one another and with 2 control conditions. Primary outcomes were severity of GAD symptoms and acceptability of the psychotherapies. Random-effects model pairwise and network meta-analyses were conducted. For effectiveness, standardized mean differences (SMDs) were pooled, and for acceptability, relative risks with 95% CIs were calculated. Results: Data from 65 RCTs were included. Effect size estimates on data from 5048 participants (mean [SD], 70.9% [11.9%] women; mean [SD] age, 42.2 [12.5] years) suggested that third-wave cognitive behavior therapies (CBTs) (SMD, −0.76 [95% CI, −1.15 to −0.36]; certainty, moderate), CBT (SMD, −0.74 [95% CI, −1.09 to −0.38]; certainty, moderate), and relaxation therapy (SMD, −0.59 [95% CI, −1.07 to −0.11]; certainty, low) were associated with reduced GAD symptoms vs treatment as usual. Relative risks for all-cause discontinuation (indication of acceptability) signaled no differences compared with treatment as usual for all psychotherapies (eg, relative risk, 1.04 [95% CI, 0.64-1.67] for CBT vs treatment as usual). When excluding studies at high risk of bias, relaxation therapy lost its superiority over treatment as usual (SMD, −0.47; 95% CI, −1.18 to 0.23). When considering anxiety severity at 3 to 12 months after completion of the intervention, only CBT remained significantly associated with greater effectiveness than treatment as usual (SMD, −0.60; 95% CI, −0.99 to −0.21). Conclusions and Relevance: Given the evidence in this systematic review and network meta-analysis for its associations with both acute and long-term effectiveness, CBT may represent the first-line therapy of GAD. Third-wave CBTs and relaxation therapy were associated with short-term effectiveness and may also be offered. This systematic review and network meta-analysis of randomized clinical trials assesses the associations of various psychotherapies with short- and long-term effectiveness and acceptability for treatment of generalized anxiety disorder among adults. [ABSTRACT FROM AUTHOR]

Background: People with aphasia experience depression and anxiety associated with negative outcomes across a range of time post-stroke. Stroke clinicians are well-positioned to facilitate low-intensity psychotherapeutic interventions after aphasia (e.g. mood screening, behavioural activation, problem-solving therapy, relaxation therapy); however, they self-report a lack of knowledge, skills and confidence to do so. The Theoretical Domains Framework (TDF) provides a lens through which to view and target clinician behaviours and training needs in this area of practice. The aim of this study was to develop and gain consensus on items for a rating scale of clinical competencies in facilitating individual-based, low-intensity psychotherapeutic interventions for people with aphasia. Methods: An e-Delphi methodology using focus groups and survey rounds was used to gain consensus on clinical competencies considered important. Results: Eight stroke clinicians (speech pathologists and psychologists), two people with aphasia and three family members participated in one of four focus groups. Four themes were derived from the data: (1) Communication support, (2) Assessment and therapy structure, (3) Interpersonal skills, and (4) Needs of the significant other (family or friend). Themes informed an initial list of 23 self-rated and observer-rated competency items. Following two rounds of e-Delphi surveys, 11 stroke clinicians (six speech pathologists and five psychologists) reached consensus (80–100%) for 19 competencies. Conclusions: The Psychological Care in Aphasia Rehabilitation Competency scale offers a preliminary list of items to guide and train clinicians to implement low-intensity psychotherapeutic interventions for people with aphasia. People with aphasia after stroke can have difficulty with conversations, healthcare decisions, relationships and returning to work. Aphasia can have negative impacts on psychological and mental health, such as depression and anxiety. Stroke clinicians report a lack of knowledge and skills in how to best support communication and psychological care needs. Consumers with lived experience of aphasia and expert clinicians contributed to the identification of a preliminary list of clinical competencies to guide clinician skill development. This article belongs to the Collection Clinical Implementation to Optimise Outcomes. [ABSTRACT FROM AUTHOR]

Introduction: As the global population continues to age, the demand for palliative care is progressively increasing. This growing trend highlights the pressing need for groundbreaking interventions that can effectively manage palliative symptoms and improve the quality of end-of-life care. We present a brief, structured, personalized, and innovative psychological intervention named Flourishing-Life-Of-Wish Virtual Reality Therapy (FLOW-VRT)®, which capitalizes on the distinctiveness of virtual reality (VR) as an advanced technology for symptom management. FLOW-VRT is theoretically based on self-determination theory, stress coping theory, flow theory, and attention restoration theory. With a special focus on relaxation, "FLOW-VRTRelaxation" is designed to enhance end-of-life coping through personalized VR relaxation. Asmost studies on the use of VR in palliative care have been feasibility or pilot studieswith small sample sizes, there is a need for a randomized controlled trial with sufficient statistical power. Methods: The current study used a randomized controlled trial (n = 128) to test the efficacy of FLOW-VRT-Relaxation by comparing it to traditional relaxation practice in palliative care. Results: Our results showed that following a FLOW-VRT-Relaxation session, the symptoms of distress that patients in palliative care have to endure significantly reduced, whether physical or emotional in nature. Discussions: The current findings provide promising results regarding the therapeutic potential of using FLOW-VRT-Relaxation as a cost-effective, scalable, and personalized VR relaxation for patients in palliative care. [ABSTRACT FROM AUTHOR]

Abstract Background Caring for hemodialysis patients could be a heavy burden on family caregivers, causing them to become fatigued and decrease their quality of life. This study aimed to investigate whether Jacobson’s relaxation can help alleviate the fatigue of family caregivers of hemodialysis patients. Methods This randomized controlled trial was conducted in 2021. Sixty-six family caregivers of hemodialysis patients were recruited by convenience sampling from a referral hospital in Tehran, Iran, and assigned randomly by coin toss to two groups of experimental (n = 32) and control (n = 34). Caregivers in the experimental group performed Jacobson’s relaxation three times a week, each time for 30–45 min, for 30 days. The score and severity of fatigue before, 2 weeks after, and 1 month after the intervention were measured with the Fatigue Severity Scale. Data analysis was performed in the statistics software SPSS using descriptive statistics (frequency, percentage, mean, and standard deviation) and analytic statistics (Independent Samples t-test, Mann–Whitney U test, Chi-Square test, Fisher’s exact test, and RM-ANOVA test). The significance level was less than 0.05. Results The fatigue scores of the experimental and control groups were not significantly different before the intervention (4.42 ± 0.42 vs. 4.38 ± 0.42, P = 0.696). However, the experimental group had significantly lower fatigue scores than the control group 2 weeks after the intervention (4.11 ± 0.63 vs. 4.39 ± 0.42, P = 0.036) and 1 month after the intervention (3.5 ± 0.71 vs. 4.4 ± 0.44, P = 0.001). The results also showed a significant drop in the fatigue score of the experimental group after the intervention (P

Therapeutic communication towards decreasing anxiety levels in preoperative patients. Through a deeper understanding of the role of therapeutic communication in caring for preoperative patients, we can improve the quality of health care and patient well-being. The purpose of the study was to determine the effect of therapeutic communication on anxiety levels in preoperative patients. This research design uses quasi-experiments with the Non-Equivalent Control Group research design which in this design consists of a control group and an experimental groupThe Wilcoxon test shows that the p-value obtained is 0.001, and the Z value is -3.256. A P-value of 0.317, Mann Whitney U-Test statistical test with computerized assistance and obtained a Z value of -3.867 with Asymp Sig of 0.000It can be concluded that the provision of therapeutic communication has an effect on reducing anxiety levels in preoperative patients. Providing therapeutic communication in preoperative patients with an empathetic, informative, and supportive communication approach can have a positive effect on reducing anxiety levels in patients. By listening, providing clear information, providing emotional support, providing questioning opportunities, and teaching relaxation techniques, medical personnel can help patients feel calmer, overcome uncertainty, and feel better prepared for surgical procedures. This can contribute to patient comfort and minimize the negative impact of anxiety on the surgical process and postoperative recovery

Background: Caring for hemodialysis patients could be a heavy burden on family caregivers, causing them to become fatigued and decrease their quality of life. This study aimed to investigate whether Jacobson's relaxation can help alleviate the fatigue of family caregivers of hemodialysis patients. Methods: This randomized controlled trial was conducted in 2021. Sixty-six family caregivers of hemodialysis patients were recruited by convenience sampling from a referral hospital in Tehran, Iran, and assigned randomly by coin toss to two groups of experimental (n = 32) and control (n = 34). Caregivers in the experimental group performed Jacobson's relaxation three times a week, each time for 30–45 min, for 30 days. The score and severity of fatigue before, 2 weeks after, and 1 month after the intervention were measured with the Fatigue Severity Scale. Data analysis was performed in the statistics software SPSS using descriptive statistics (frequency, percentage, mean, and standard deviation) and analytic statistics (Independent Samples t-test, Mann–Whitney U test, Chi-Square test, Fisher's exact test, and RM-ANOVA test). The significance level was less than 0.05. Results: The fatigue scores of the experimental and control groups were not significantly different before the intervention (4.42 ± 0.42 vs. 4.38 ± 0.42, P = 0.696). However, the experimental group had significantly lower fatigue scores than the control group 2 weeks after the intervention (4.11 ± 0.63 vs. 4.39 ± 0.42, P = 0.036) and 1 month after the intervention (3.5 ± 0.71 vs. 4.4 ± 0.44, P = 0.001). The results also showed a significant drop in the fatigue score of the experimental group after the intervention (P < 0.0001), but no such change in the control group (P = 0.662). Conclusion: Jacobson's relaxation technique was effective in alleviating the fatigue of family caregivers of hemodialysis patients. Nurses are therefore recommended to promote the technique as a safe and easy method of fatigue management for family caregivers. [ABSTRACT FROM AUTHOR]

Context: The diagnosis of oral squamous cell carcinoma [OSCC] and its treatment phase is emotionally demanding for the patient and challenging for the surgeon. The induction of stress and anxiety is unavoidable in these patients. It becomes very important for the patient to have psychological as well as physical stability during this treatment phase. Various studies have reported the beneficial effect of meditation along with relaxation therapy on healthy individuals but the beneficial effect of meditation and relaxation therapy [MRT] to reduce stress and anxiety preoperatively in OSCC patients has not been reported in scientific literature. Aim: The aim of this study was to study the effect of MRT on preoperative anxiety and stress in OSCC patients undergoing for oral and maxillofacial surgery. Settings and Design: An experimental, parallel study design was carried out with randomization of patients into experimental[25] and control group[25] with allocation ratio 1:1 in 50 patients diagnosed with OSCC [stage II or III] scheduled for oral and maxillofacial surgery with general anesthesia. Materials and Methods: The biopsy which was the prerequisite for the diagnosis was taken. Twenty-one days before surgery in experimental group, patients were oriented about meditation and relaxation exercises. The reorientation of MRT was done from the day of admission twice a day till the day of surgery. Physiological parameters for stress and anxiety like heart rate [HR], blood pressure [BP], pulse rate [PR], and respiratory rate [RR] were evaluated on 1st day of MRT at 9 am and on the day of surgery. The serum cortisol which was quantitative parameter for stress was evaluated 1st day of MRT at 9 am fasting and on the day of surgery. The qualitative analysis for anxiety was done preoperatively using visual analog scale on the 1st day before MRT and compared with the values on the day of surgery after MRT at a specific time. Statistical Analysis: Paired t-test analysis was used intragroup whereas unpaired t-test was used intergroup between experimental and control groups with significance at P = 0.05 and highly significant at P = 0.0001. Results: The serum cortisol was significantly less in the experimental group over control group with t = 7.04 and P = 0.0001. The systolic and diastolic BP, pulse rate, respiratory rate, and anxiety in the experimental group reported significantly less rate compared to the control group with t = 5.66, t = 22.2, t = 11.93, t = 27.71, and P = 0.0001. Conclusion: In our study, MRT in the form of Sukhasana, Anulom Vilom, Omkar chanting, and Shavasana for 30 min twice daily has shown positive effect to reduce stress and anxiety. The serum cortisol as a quantitative parameter has been effectively evaluated in this benchmark study. [ABSTRACT FROM AUTHOR]

Objective: To review and assess the peer‐reviewed literature on the utility of mind‐body therapy (MBT) as an adjunct treatment in the management of otolaryngologic disease. Data Sources: PubMed, Embase, and Cochrane. Review Methods: Randomized control trials (RCTs) of MBTs in the management of otolaryngologic disease from 2002 to 2022 were identified and included according to predefined criteria. Interventions requiring expensive equipment were excluded because the goal of MBT is to be cost‐conscious. All studies were subjected to a two‐stage blinded screening, extraction, and appraisal process. The outcomes of the intervention and control groups were compared. Conclusion: RCTs of MBTs, including breathing exercises (4), aromatherapy (2), biofeedback (2), meditation, (2), and yoga (2), have been studied in several otolaryngologic conditions, including septoplasty/rhinoplasty (3), head and neck cancer (2), facial palsy (2), and tinnitus (2). Most studies were of moderate risk of bias on appraisal, and each MBT studied was found to significantly reduce subjective and objective distress associated with the otolaryngologic condition in question. Implications for Practice: Despite a paucity of strong evidence supporting the universal use of MBTs, our review suggests that MBTs are cost‐effective and easily deployable complementary tools in the management of otolaryngologic disease. Future large, methodologically rigorous RCTs are needed to address the limitations of the included studies, such as improper blinding and inappropriate statistical analysis. As MBTs are studied further, a case for their current use can be made because of their low cost and minimal risk to patients. [ABSTRACT FROM AUTHOR]

There is yet a concerted effort directed to ameliorate mathematics anxiety (MA) among deaf learners especially in Nigeria. Hence, this study examined the effects of rational emotive behavioural and relaxation therapies on MA among deaf learners. The study adopted the quantitative quasi‐experimental research design. A purposive sampling method was adopted to select three schools for the deaf in Oyo state. A random sampling procedure was employed to select 60 deaf learners who were assigned to two experimental groups and the control group. The Mathematics Anxiety Scale was used to screen participants, while a Mathematics Achievement Test was used for data collection. Data gathered were analysed using analysis of covariance and a descriptive chart. Findings revealed the efficacy of the two therapeutic interventions on the reduction of MA among the participants. The estimated mean difference between the treatments (rational emotive behavioural therapy = 5.537; relaxation therapy = 3.867) and control groups (1.670) showed higher potency of rational emotive behavioural therapy for reduction in MA among deaf learners than relaxation therapy. Based on the findings, it is important that mathematics teaching environment should be rich with tangible instructional materials that speak specifically to the emotion and cognitions of deaf learners. [ABSTRACT FROM AUTHOR]

Purpose: Although many studies have investigated the effect of this method on cancer patients, no review of the available literature has been done. So, a literature review is conducted to evaluate all published literature on the Benson relaxation technique in cancer patients. Methods: A systematic literature search was conducted. A systematic search of online electronic databases including PubMed/MEDLINE, Scopus Web of Science, PsycINFO, and EMBASE was performed using keywords extracted from Medical Subject Headings such as “Benson Relaxation Technique,” “Cancer Patients,” “Malignancy,” and “Neoplasia” from the beginning to April 27, 2023. A total of 810 publications were assessed for relevance by title and abstract. The remaining 31 articles were examined using inclusion criteria for all Persian and English-language publications that evaluate the effectiveness of the Benson relaxation technique on cancer patients. We did not have gray literature in our review. The methodological quality of the included studies was appraised using specific checklists. Results: Finally, nine studies were included in this systematic review. Studies on breast cancer patients showed improvement in fatigue, nausea, vomiting, pain, shortness of breath, insomnia, anorexia, constipation, diarrhea, treatment side effects, breast symptoms, arm symptoms, worry about hair loss, and scores of hope. Two studies were conducted among cervical cancer patients that showed a decrease in anxiety scores and an improvement in the quality of sleep. Another study on gastric cancer patients showed decreased Chemotherapy-Induced Nausea, Vomiting, and Retching scores. Conclusion: Overall, this systematic review showed that the Benson relaxation method could improve sleep quality, appetite, anxiety, and quality of life. Therefore, using the Benson relaxation technique is suggested to improve health-related outcomes in cancer patients. [ABSTRACT FROM AUTHOR]

Background: Sleep disorder is common in women with mastectomy. Previous studies have shown that relaxation technique improves sleep quality. However, the effects of these interventions on the sleep quality of breast cancer patients who underwent mastectomy surgery is still unclear. This study aimed to determine the effect of the Benson relaxation technique (BRT) on sleep quality in women with breast cancer after mastectomy. Methods: This randomized clinical trial study was performed on 72 eligible patients who were referred to the screening and chemotherapy center of Shahid Modares Hospital of Kashmar City from April to July 2021. The patients were selected through convenient sampling and randomly allocated to intervention (n = 36) and control (n = 36) groups. In the intervention group, in addition to the routine treatments, BRT was performed once in the morning and once in the evening for 2 months, each time for 20 minutes. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the score of sleep quality at the beginning of the study and 2 months later. Data were analyzed using the paired t test and independent t test at 95% CI. Results: The mean score of sleep quality before the intervention in the intervention and control groups was 9.25 ± 2.50 and 8.47 ± 2.13, respectively. After the intervention, the mean score of sleep quality in the intervention and control groups was 6.63 ± 1.92 and 8.41 ± 2.15, respectively, and the difference was significant between the 2 groups (P = 0.001) Conclusion: The Benson relaxation technique improves sleep quality in women with breast cancer after mastectomy. Therefore, it can be considered an adjunct therapy to improve the sleep quality in these people.

Aim: This study was done for the efficacy assessment of cognitive behavioral therapy (CBT) and various relaxation techniques in patients with suicidal tendencies. Methodology: The study was conducted among 150 patients of attempted suicide for a period of 2 years (January 2017 to January 2019). The participants were randomly allocated into three groups, with 50 patients each receiving CBT, JPMR, and combined treatment (groups I, II, and III, respectively). The Beck Scale for Suicide Ideation (BSI) and the Columbia-Suicide Severity Rating Scale (C-SSRS) score were used for pre- and postassessment of depression in the patients. Student's t- and Chi-square tests were used for analyzing the data recorded. Results: We observed that in group II, the index scores did not change after a period of 2 years with a P > 0.05. However, in groups I and II, the scores significantly decreased with P < 0.001. Conclusion: A combination of relaxation techniques and CBT will help improve the depression related to suicidal tendencies. [ABSTRACT FROM AUTHOR]

Introduction: PreOperative is a stage that begins when there is a decision to perform the surgical intervention and ends when the patient is sent to the operating table. Objective: Know the level of anxiety in preoperative patients. Method: This study uses a descriptive analysis design with a case study approach. Researchers made observations on two study subjects, and the study will be measured using the Hamilton Rating Scale for Anxiety (HARS) questionnaire. Result; Based on the results of measuring the level of anxiety in two samples during the visit, it showed a very significant decrease in the stress level. This is because both clients have been given therapy breath relaxation techniques in combination with dhikr therapy, which can improve alveoli ventilation, maintain gas exchange, prevent pulmonary atelectasis, and reduce physical and emotional stress. Conclusion; The application of breath relaxation techniques in combination with dhikr therapy can lower the level of anxiety in preoperative patients. It is therefore advisable for subsequent studies with more samples and a long time of therapy administration regarding applying breath relaxation techniques in combination with dhikr therapy to the anxiety of preoperative patients.

Introduction: Higher education, particularly university, is a challenge for many students that can lead to their mental health being seriously affected. The stress to which they are subject throughout their time at university can lead to anxiety and depression. "Third wave" psychotherapies, including compassion-based therapy, have been used to improve psychological outcomes, such as stress, anxiety, emotional distress and well-being. There are some signs that third wave psychotherapies reduce psychological distress in university students, but more and higher-quality studies are needed. In this randomised controlled trial (RCT), we hypothesise that the provision of attachment-based compassion therapy (ABCT) will be more effective than an active control group based on relaxation therapy for improving psychological distress in university students. Methods and analysis: A two-arm RCT will be conducted involving 140 university undergraduate and postgraduate students from the University of Zaragoza and the National University of Distance Education (UNED) who reside in the autonomous community of Aragon, Spain. Interventions with either ABCT or relaxation therapy will be implemented, with an allocation ratio of 1:1 between groups. Both interventions will last six weeks and consist of six weekly group sessions lasting 1.5 h each. Data will be collected before and after the intervention, and there will be a follow-up at six months. The primary outcome will be psychological distress at post-intervention. Secondary outcomes will be depression, anxiety, stress and burnout symptoms, affectivity and emotional regulation. Attachment style, experiential avoidance, compassion (for others/oneself) and mindfulness skills will be measured as potential mechanistic variables. Intention-to-treat analysis will be performed using linear mixed regression models. The clinical significance of improvements will be calculated. Potential side effects will be monitored by an independent clinical psychologist. Ethics and dissemination: This study was approved by the Clinical Research Ethics Committee of Aragón. Participant data will remain anonymous, and results will be submitted to peer-reviewed open-access journals and disseminated via conferences. [ABSTRACT FROM AUTHOR]

Background: In palliative care, the needs of people with life-limiting illnesses must be addressed with the support of a multidisciplinary team. Occupational therapy is a profession that focuses on activity and participation. In Germany, there are no surveys to date that demonstrate the work of occupational therapists in palliative care and which problems can occur in this field. Aim: The aim of this study is to describe the work and problems of occupational therapists in German palliative care. Design: The survey consists of 17 questions and could be conducted anonymously. Descriptive statistics and a thematic analysis of the free text responses were used to analyze data. Setting/participants: Respondents were German occupational therapists who are members of the "German Association of Occupational Therapy". Results: A total of 281 valid responses were evaluated, of which 120 respondents work in the context of palliative care. Most of them provide needs-based therapies (74%), train relatives (69%), or help patients with positioning (69%) or relaxation therapy (66%). Four themes were developed in the free text responses that describe problems in the utilization of occupational therapy in palliative care. Conclusions: The evaluation shows that occupational therapy in palliative care offers a variety of possible applications and approaches. The findings urgently need to be implemented in daily practice to improve the status of occupational therapists. This requires appropriate billing modalities and clear guidelines. There is still a significant need for research and training in this area. [ABSTRACT FROM AUTHOR]

Background: Informal caregivers of COVID-19 patients, who are in direct contact with patients and the virus, experience many psychological issues and are prone to Illness Anxiety Disorder (IAD). Accordingly, this study aims to determine the effects of virtual training of the Benson Relaxation Technique (BRT) on IAD in the informal caregivers of COVID-19 patients. Methods: This randomized clinical trial study was conducted on 54 informal caregivers of COVID-19 patients who scored X ≥20 on the health anxiety inventory (HAI) by Salkovskis. They were randomly divided into control (n=28) and intervention (n=26) groups. The intervention group received the BRT audio file and pamphlet through messengers, and applied this technique twice a day, each for 20 min, for 3 weeks. However, the control group did not receive any training. Subsequently, after 3 weeks, HAI was completed by both groups again. Data analysis was done using SPSS software, version 22. Results: The mean score of IAD in the informal caregivers of the patients before the intervention in the experimental and the control groups was 24.88±5.89 and 23.27±5.64, respectively. After the intervention, the mean score of the IAD in the informal caregivers of the patients in the intervention and the control groups changed to 17.30±7.15 and 19.78±7.14, respectively. The result of the t-test showed a significant difference between the changes in the IAD scores of the two groups after the implementation of the intervention (P=0.046). Conclusion: The findings show that the virtual training of BRT, as a comprehensive, simple, and inexpensive method, reduces IAD in the informal caregivers of COVID-19 patients. The healthcare systems can take steps to support these people who are exposed to IAD by providing virtual training of BRT to informal caregivers of COVID-19 patients.

A study conducted in Jordan found that the Benson relaxation technique (BRT), a form of meditation therapy, effectively reduces anxiety and depression in patients with heart failure. The study involved patients with severe heart failure and administered BRT twice daily for 10 minutes over 8 weeks. Significant improvements in anxiety and depression were observed in the treatment group compared to the control group. The study suggests that behavioral therapies like BRT could be beneficial in improving the prognosis of heart failure patients, but further investigation is needed to explore modifications and potential integration with pharmacological treatments. [Extracted from the article]

ABSTRACT Objectives: to evaluate the effect of guided imagery relaxation through virtual reality on anxiety in women with cervical cancer undergoing radiochemotherapy. Methods: randomized, non-blinded, single-center clinical trial conducted at a cancer reference hospital. 52 women participated, with randomized allocation of 24 in the control group and 28 in the experimental group (12 sessions of guided imagery relaxation through virtual reality, applied three times a week). The outcome was evaluated using the State-Trait Anxiety Inventory and statistical analysis was performed using the Generalized Linear Mixed Model. Results: n the experimental group, women presented significant anxiety traits (p=0.010) before the intervention. Between the 4th and 12th week of follow-up, there was a reduction in anxiety levels, without statistical significance. Conclusions: guided imagery relaxation through virtual reality provided evidence of anxiety reduction in women with cervical cancer undergoing radiochemotherapy and may contribute to clinical practice. Brazilian Clinical Trial Registry: RBR-7ssvytb.

Copyright of Die Gastroenterologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Problems arising during menstruation include pain before or during menstruation. Progressive muscle relaxation (PMR) techniques and endorphin massage (EM) therapy are effective in controlling menstrual pain. This study aims to determine the difference in the effectiveness of pain intensity carried out by PMR therapy and EM therapy. Methods: This study was a quasi-experimental research with a two-group pretest and posttest design. Respondents were selected using a purposive sampling technique with inclusion and exclusion criteria. The inclusion criteria included students who experienced dysmenorrhea and do not have a genetic abnormality. The respondents who met the criteria were 80 respondents. The respondents were randomly selected using computerized to divide them into two groups. Forty respondents received PMR intervention and another 40 respondents received EM intervention. Bivariate analysis was performed using Wilcoxon test. Identification of respondents who fit the criteria, i.e. adolescents aged 13-14 years who experience menstrual pain, and do not have genetic abnormalities. Pain measurement was performed with a Numeric Rating Scale (NRS) and analyzed using the Mann-Whitney test. Results: PMR is more effective in lower intensity painful menstruation compared to EM proven that the average painful menstruation after PMR was 2.42±0.675, while the average painful menstruation after EM was 2.90±0955 with a difference of 4.8 points with a significance level of 0.000. Menstrual pain can be reduced by blocking nerve impulses from reaching the brain, including PMR therapy to control tension and anxiety. Conclusion: PMR therapy is more effective for controlling menstrual pain. PMR therapy can be done alone by adolescents when menstrual pain appears. [ABSTRACT FROM AUTHOR]

Background: While growing evidence suggests the efficacy of various behavioral approaches to the preventive treatment of migraine, it remains largely unclear which behavioral interventions are indicated for which type of patient. This exploratory study aimed to identify moderators for the outcome between migraine-specific cognitive-behavioral therapy and relaxation training. Methods: In this secondary analysis of an open-label randomized controlled trial, the data of N = 77 adults (completer sample) with migraine (mean age = 47.4, SD = 12.2, 88% female), who were allocated to either migraine-specific cognitive-behavioral therapy or relaxation training, was examined. Outcome was the frequency of headache days at the 12-month follow-up. We analyzed baseline demographic or clinical characteristics and headache-specific variables (disability, emotional distress, trigger sensitivity and avoidance, pain acceptance, self-efficacy) as candidate moderators. Results: Higher headache-related disability (assessed via the Headache Impact Test, HIT-6, B = –0.41 [95% CI: –0.85 to –0.10], p =.047), higher anxiety (assessed via the subscale Anxiety of the Depression, Anxiety and Stress scales, DASS-A, B = –0.66 [95% CI: –1.27 to –0.02], p =.056), and the presence of a comorbid mental disorder (B = –4.98, [95% CI: –9.42 to –0.29], p =.053), moderated the outcome in favor of migraine-specific cognitive-behavioral therapy. Conclusion: Our findings contribute to an individualized treatment selection and suggest that preference for complex behavioral treatment (migraine-specific cognitive-behavioral therapy) should be given to patients with high headache-related disability, increased anxiety, or a comorbid mental disorder. Study Registration: Original study registered in the German Clinical Trials Register (https://drks.de/search/de; DRKS-ID: DRKS00011111). [ABSTRACT FROM AUTHOR]

(1) Introduction: Chronic insomnia (CI) reduces quality of life and may trigger depression and cardiovascular diseases. The European Sleep Research Society recommends cognitive behavioural therapy (CBT-I) as the first-line treatment. Because a recent study in Switzerland demonstrated that this recommendation was inconsistently followed by primary care physicians, we hypothesised that pharmacists also deviate from these guidelines. The aim of this study is to describe current treatment practices for CI recommended by pharmacists in Switzerland, compare them to guidelines and examine their attitudes towards CBT-I. (2) Methods: A structured survey was sent to all the members of the Swiss Pharmacists Association, containing three clinical vignettes describing typical CI pharmacy clients. Treatments had to be prioritised. The prevalence of CI, and the pharmacists' knowledge and interest in CBT-I were assessed. (3) Results: Of 1523 pharmacies, 123 pharmacists (8%) completed the survey. Despite large variations, valerian (96%), relaxation therapy (94%) and other phytotherapies (85%) were most recommended. Although most pharmacists did not know about CBT-I (72%) and only 10% had recommended it, most were very interested (64%) in education. Missing financial compensation hampers the recommendation of CBT-I. (4) Conclusions: Contrary to existing European guidelines, community pharmacists in Switzerland mostly recommended valerian, relaxation therapy and other phytotherapies for treating CI. This might be connected to the client's expectation of pharmacy services, e.g., medication dispensing. While pharmacists recommend sleep hygiene regularly, most did not know of CBT-I as an overarching concept but were willing to learn. Future studies should test the effects of dedicated training about CI and changes in the financial compensation for counselling for CI in pharmacies. [ABSTRACT FROM AUTHOR]

Music plays several significant roles in life, one of which is as a medium for healing and therapy. The objective of this study was to identify and describe the utilization of music as a therapeutic medium at the Kyai Ageng Majapahit Orphanage Foundation in Semarang. The use of music as a therapeutic medium at the Kyai Ageng Majapahit Orphanage Foundation in Semarang is evident in terms of the musical form and the application process. This study employed qualitative descriptive method. The data collection techniques included observation, interviews, and documentation. The data analysis used interactive model, and data validity was ensured through triangulation of data, sources, and time. The findings reveal that the form of music employed in music therapy activities at the Kyai Ageng Majapahit Orphanage Foundation in Semarang involves the use of tambourine musical instrument. The process of music therapy itself takes place in the school building's hall owned by the Kyai Ageng Majapahit Orphanage Foundation in Semarang, and employs specific methods and considers various crucial aspects throughout the music therapy process. The objective of music therapy activities utilizing tambourine is not only entertainment but also serves as a relaxation therapy medium for foster children, particularly those with anxiety disorders. [ABSTRACT FROM AUTHOR]

Background. The SMART Moms/Mamás LÍSTAS Project was a randomized control trial that tested the efficacy of a prenatal stress management program in reducing stress and cortisol levels among low-income women. The current study is a process evaluation of the stress management program (intervention arm of the original randomized controlled trial) and assessed whether implementation fidelity factors (i.e., intervention delivery, receipt, and enactment) were associated with lower stress (perceived stress, salivary cortisol), improved negative and positive mood states (Positive and Negative Affect Schedule), and increased confidence to use relaxation and coping skills. Method. Fifty-five low-income pregnant women (71% Latina, 76% annual income

Background: Compared to Western countries, palliative and hospice care services are used less often in Asian countries. While both types have been implemented in mainland China in recent years, their utilization rates have not increased satisfactorily. Moreover, few hospitals in mainland China implement hospice care using the hospice shared care model. Objective: This study investigated a case in which the hospice shared care model was implemented for one patient with advanced colon cancer who had received treatment at a general tertiary hospital in mainland China. Methods: Critical points of care included pain symptom management, nutritional support, application of the SHARE model for disease notification, family meetings to assist medical decision-making, relaxation therapy to relieve depressive symptoms, provisions to address end-of-life wishes, and support for primary caregivers. Results: The patient's basic pain was controlled (Numeric Rating Scale, NRS2-3), and the score of the Depression Screening Scale (PHQ-9) decreased from 15 to 10 after intervention during hospitalization. In the end, the patient died comfortably and peacefully at home. Conclusion: The hospice shared care team helped the patient with her physical and psychological pain, met her end-of-life wishes, and provided support for the families. [ABSTRACT FROM AUTHOR]

Introduction. Phantom limb pain is a pain sensation experienced in the area of the missing body part. The pain generally appears in the first few days after surgery. PLP could occur in teeth, tongue, breast, eyes, rectum, bladder, testicles, and penis. Phantom pain in the penis is not only felt as pain but sometimes as an erection or urination, even after the removal of the penis. Clinical Case. A 35-year-old man was referred to the psychiatrist due to phantom erection after undergoing reimplantation of the penis by the urologist. A few days before the referral, he was admitted to the emergency department after a penile amputation that his wife performed. During the recovery phase after the penile reimplantation procedure, the patient worried about his penis' outcome and became depressed. The patient was in severe anxiety and moderate-to-severe depression status. Treatment. The patient was given nonpsychopharmacology such as supportive psychotherapy, family psychoeducation, relaxation and marital therapy, and psychopharmacology, such as amitriptyline 12.5 Mg PO two times a day and clobazam 10 Mg PO each day for 3 months. One and a half months later, his anxiety and depression were better. Conclusion. A psychiatric approach was needed in an amputated limb patient with psychopathologic symptoms. Nonpsychopharmacotherapy and psychopharmacotherapy were needed if the patient had symptoms. Further studies with a large number will be necessary to validate the psychiatric approach in amputated limb patients with psychopathologic symptoms cases. [ABSTRACT FROM AUTHOR]

Several randomised controlled trials (RCT) have demonstrated the superiority of transdiagnostic group cognitive-behavioural therapy (TD-CBT) to treatment as usual (TAU) for emotional disorders in primary care. To date, however, no RCTs have been conducted to compare TD-CBT to another active intervention in this setting. Our aim is to conduct a single-blind RCT to compare group TD-CBT plus TAU to progressive muscle relaxation (PMR) plus TAU in adults (age 18 to 65 years) with a suspected emotional disorder. We expect that TD-CBT + TAU will be more cost-effective than TAU + PMR, and that these gains will be maintained at the 12-month follow-up. Seven therapy sessions (1.5 hours each) will be offered over a 24-week period. The study will be carried out at four primary care centres in Cantabria, Spain. The study will take a societal perspective. Psychological assessments will be made at three time points: baseline, post-treatment, and at 12-months. The following variables will be evaluated: clinical symptoms (anxiety, depression, and/or somatic); functioning; quality of life (QoL); cognitive-emotional factors (rumination, worry, attentional and interpretative biases, emotion regulation and meta-cognitive beliefs); and satisfaction with treatment. Data on health service use, medications, and sick days will be obtained from electronic medical records. Primary outcome measures will include: incremental cost-effectiveness ratios (ICER) and incremental cost-utility ratios (ICURs). Secondary outcome measures will include: clinical symptoms, QoL, functioning, and treatment satisfaction. Bootstrap sampling will be used to assess uncertainty of the results. Secondary moderation and mediation analyses will be conducted. Two questionnaires will be administered at sessions 1, 4, and 7 to assess therapeutic alliance and group satisfaction. If this trial is successful, widespread application of this cost-effective treatment could greatly improve access to psychological treatment for emotional disorders in the context of increasing demand for mental healthcare in primary care. Trial registration: ClinicalTrials.gov: Cost-effectiveness of a Transdiagnostic Psychological Treatment for Emotional Disorders in Primary Care (PsicAP). NCT05314920. [ABSTRACT FROM AUTHOR]

Background: Although psychological interventions for stress relief, such as cognitive behavioral therapy (CBT) and mindfulness-based stress reduction (MBSR), have been developed, they have not been widely used in treating depression. The use of mobile devices can increase the possibility of actual use by integrating interventions and reducing the difficulty and cost burden of treatment application. This study aims to determine whether "inMind," an integrated mobile application for stress reduction, developed for the general population, decreases stress for patients with mild to moderate major depressive disorder during the pharmacological treatment period. Methods: This study is a single-blind, multicenter, randomized, controlled crossover trial. The App, developed in Republic of Korea, provides integrated interventions for stress reduction for the general population through three modules based on mindfulness-based stress reduction, cognitive behavior therapy, and relaxation sounds that are known to be effective in stress reduction ("meditation," "cognitive approach," and "relaxation sounds," respectively). Participants (n D 215) recruited via medical practitioner referral will be randomized to an App first group (fAPP) or a wait list crossover group (dAPP). The study will be conducted over 8 weeks; the fAPP group will use the App for the first 4 weeks and the dAPP group for the next 4 weeks. During all study periods, participants will receive their usual pharmacological treatment. The Depression Anxiety Stress Scale-21 is the primary outcome measure. The analysis will employ repeated measurements using a mixedmodel approach. Discussion: The App can potentially be an important addition to depression treatment because of its applicability and the comprehensive nature of the interventions that covers diverse stress-relieving models. [ABSTRACT FROM AUTHOR]

Background: Informal caregivers of COVID-19 patients, who are in direct contact with patients and the virus, experience many psychological issues and are prone to Illness Anxiety Disorder (IAD). Accordingly, this study aims to determine the effects of virtual training of the Benson Relaxation Technique (BRT) on IAD in the informal caregivers of COVID-19 patients. Methods: This randomized clinical trial study was conducted on 54 informal caregivers of COVID-19 patients who scored X ≥20 on the health anxiety inventory (HAI) by Salkovskis. They were randomly divided into control (n=28) and intervention (n=26) groups. The intervention group received the BRT audio file and pamphlet through messengers, and applied this technique twice a day, each for 20 min, for 3 weeks. However, the control group did not receive any training. Subsequently, after 3 weeks, HAI was completed by both groups again. Data analysis was done using SPSS software, version 22. Results: The mean score of IAD in the informal caregivers of the patients before the intervention in the experimental and the control groups was 24.88±5.89 and 23.27±5.64, respectively. After the intervention, the mean score of the IAD in the informal caregivers of the patients in the intervention and the control groups changed to 17.30±7.15 and 19.78±7.14, respectively. The result of the t-test showed a significant difference between the changes in the IAD scores of the two groups after the implementation of the intervention (P=0.046). Conclusion: The findings show that the virtual training of BRT, as a comprehensive, simple, and inexpensive method, reduces IAD in the informal caregivers of COVID-19 patients. The healthcare systems can take steps to support these people who are exposed to IAD by providing virtual training of BRT to informal caregivers of COVID-19 patients. [ABSTRACT FROM AUTHOR]

Anxiety is a state of mind that university students often manifest in exam situations, which can negatively impact their grades. This study aimed to evaluate the effect of different relaxation techniques, including guided breathing and social support, on test anxiety among nursing students a few minutes before taking the final knowledge assessment test. For this purpose, a factorial study with a post-intervention measurement was carried out with three groups of nursing students. One group used the full yogic breathing relaxation technique (abdominal, thoracic, and clavicular), another used a social support technique, and the last group did not receive any intervention. Of 119 participants, 98.2% showed a moderate-high level of anxiety. Regarding the anxiety scale score, it was found that participants with moderate anxiety levels had higher scores on the knowledge test (Rho = −0.222; p = 0.015). The present study found no differences in anxiety levels between the study groups. Combining these relaxation techniques with others shown to be effective could reinforce their positive effect. Starting to work on this anxiety from the beginning of nursing courses appears to be a good strategy, striving to improve students' confidence in their abilities. [ABSTRACT FROM AUTHOR]

Benson's relaxation affects many symptoms among hemodialysis patients. A cluster-randomized active control clinical trial with three repeated measures; pre, 1-week, and 1-month post-intervention sought to evaluate the effectiveness of Benson's Relaxation on pain and perceived stress (P&PS) among hemodialysis patients. Two governmental hospitals were randomly assigned to intervention and control. Thirty-six participants were randomly selected; 18 were intervention, and 18 were controlled. The intervention group performed Benson's Relaxation twice a day for 10 minutes for 8 weeks after a training session. The control group received an educational session about Progressive Relaxation. Findings revealed a statistically significant reduction in the PSS-10 and PRI scores between pre-intervention and 1 month after-intervention (p <.001) and at 1 week after intervention and 1 month after-intervention (p <.001). A non-statistically significant reduction between pre-intervention and 1 week after-intervention (p >.05). Benson's Relaxation significantly relieved P&PS among hemodialysis patients but not after only 1 week of practicing. [ABSTRACT FROM AUTHOR]

Objective. To determine the acceptability of using extended reality (XR) relaxation training as a preventive treatment for pediatric migraine. Methods. Youths aged 10–17 years old with migraine were recruited from a specialty headache clinic and completed baseline measures evaluating their vestibular symptoms and attitudes about technology. The patients were then instructed in three XR-based relaxation training conditions (fully immersive virtual reality with and without neurofeedback, and augmented reality with neurofeedback), in counterbalanced order, and completed acceptability and side effect questionnaires after each. The patients also took XR equipment home for one week to use for relaxation practice and again completed the measures about their experience. The acceptability and side effect data were compared against predetermined acceptable thresholds and were evaluated for their association with the participant characteristics. Results. The aggregate acceptability questionnaire scores exceeded our minimum threshold of 3.5/5, with the two fully immersive virtual reality conditions preferred over augmented reality for relaxation training (z = −3.02, p = 0.003, and z = −2.31, p = 0.02). The endorsed side effects were rated by all but one participant as mild, with vertigo being the most common. The acceptability ratings were not reliably associated with age, sex, typical hours per day of technology use, or technology attitudes, but were inversely related to the side effect scores. Conclusions. The preliminary data on acceptability and tolerability of immersive XR technology for relaxation training among youths with migraine supports further intervention development work. [ABSTRACT FROM AUTHOR]

PurposeWe evaluated the effects of device guided, slow-paced respiration on urgency associated urinary symptoms, perceived stress and anxiety, and autonomic function in women with overactive bladder syndrome.Materials and methodsWe performed a randomized, parallel group trial of slow-paced respiration to improve perceived stress and autonomic dysfunction as potential contributors to overactive bladder. Ambulatory women who reported at least 3 voiding or incontinence episodes per day associated with moderate to severe urgency were randomized to use a portable biofeedback device to practice daily, slow, guided breathing exercises or a control device which appeared identical and was reprogrammed to play music without guiding breathing. During 12 weeks we evaluated changes in urinary symptoms by voiding diaries, perceived stress and anxiety by validated questionnaires, and autonomic function by heart rate variability and impedance cardiography.ResultsIn the 161 randomized participants, including 79 randomized to paced respiration and 82 randomized to the control group, the average ± SD baseline frequency of voiding or incontinence associated with moderate to severe urgency was 6.9 ± 3.4 episodes per day. Compared to controls the participants randomized to paced respiration demonstrated greater improvement in perceived stress (average Perceived Stress Scale score decrease 2.8 vs 1.1, p=0.03) but not in autonomic function markers. During 12 weeks the average frequency of voiding or incontinence associated with moderate to severe urgency, which was the study primary outcome, decreased by a mean of 0.9 ± 3.2 episodes per day but no significant between group difference was detected.ConclusionsAmong women with overactive bladder slow-paced respiration was associated with a modest improvement in perceived stress during 12 weeks. However, it was not superior to a music listening control for reducing urinary symptoms or changing autonomic function.

ObjectiveBehavioral economic theory suggests that a reduction in alcohol use is most likely when there is an increase in rewarding substance-free activities. Anxiety has also been linked to heavy drinking, and strategies to reduce anxiety may enhance alcohol interventions. The goal of this 2-site randomized controlled clinical trial was to evaluate the efficacy of a brief alcohol intervention that was supplemented with either a behavioral economic substance-free activity session (SFAS) or a relaxation training (Relaxation training [RT]) session.MethodParticipants were 393 college students (61% female, mean age = 18.77 years) who reported 2 or more past-month heavy drinking episodes. Participants were randomized to 1 of 3 conditions: (a) assessment; (b) alcohol brief motivational intervention (BMI) plus SFAS; or (c) BMI plus RT. Both treatment conditions included 2 in-person sessions plus a phone booster session. Outcomes were evaluated 1-, 6-, 12-, and 16-months postintervention.ResultsGeneralized linear mixed models indicated that the combination of a BMI plus either the SFAS or RT was associated with significant reductions in alcohol use and problems across the 16-month follow-up compared with assessment only. There were no significant differences between the two active treatment conditions. Changes in proportional reinforcement from substance-related activities, and protective behavioral strategies mediated treatment effects.ConclusionTwo-session (plus booster) interventions that combine BMI and either substance-free activity enhancement or RT can result in enduring reductions in alcohol misuse among college drinkers. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Background: Nurses are one of the main professions in the hospital to recover patients from their abnormal health conditions. The activity of nurses is intimately connected to shift work. Daily shift work results in increased workload and mental stress, which leads to sleep disorder and delayed adaptation for young nurses to shift work, this may cause the nurse's difficulty falling asleep or insomnia. There is compelling evidence that shift work has a negative impact on sleep, alertness, and exhaustion, which may contribute to mental health issues and sleep issues. Aim: This study aims to find the effectiveness of Jacobson's relaxation technique and yoga in insomnia among shift nurses. Methodology: In phase 1: The survey was conducted among 100 nurses through Google forms using ISI questionnaires. They were chosen with the help of the convenience sampling technique. Among 100 responded participants, 54% were diagnosed to have insomnia based on the total score range. 20% of selected nurses disagreed to participate in the experimental study (phase 2). Ultimately, 30 nurses were chosen to take part in the experimental trial based on the inclusion and exclusion criteria of phase 2. The participants in the study who had sleeplessness received two therapies. 30 selected nurses were randomly allocated into two groups, 15 in each group. One group was given yoga (Group Y) and another group was given Jacobson's relaxation technique (Group J). It was given for a time period of 4 days per week for a duration of one month. Results: A statistically significant difference between Group Y (Yoga) and Group J (Jacobson's relaxation technique) was found by statistical analysis of the statistical data. In comparison to Group J, Group Y had lower PSQI values. As a result, group Y and group J differ statistically significantly from one another. Conclusion: It has been concluded that both yoga and Jacobson's relaxation technique were more effective in improving sleep in nurses with insomnia, among them yoga is more effective than Jacobson's relaxation technique. [ABSTRACT FROM AUTHOR]

Introduction: Mind-body therapies, such as guided imagery relaxation, which are among the main integrative practices used by cancer patients, are essential for maintaining a healthy balance between sympathetic and parasympathetic arousal in the brain. Objective: To evaluate the effect of guided image relaxation, with the use of virtual reality, on the health-related quality of life of women with cervical cancer undergoing concomitant treatment with chemoradiotherapy. Materials and Method: A quasi-experimental study, carried out in an oncology referral hospital in southern Brazil, from October 2019 to January 2021. 52 women participated, divided into two groups, experimental (relaxation intervention guided by imagery with virtual reality), and control (default routine). The Functional instrument was used to assess health-related quality of life scores. Assessment of Cancer therapy cervix cancer, applied before, 14 days after and at the end of treatment, in approximately 35 days. The analyzes were performed using the mixed generalized linear model, with an autoregressive covariance matrix of order 1, and the significance was confirmed by the Sidak test. Results: There was a statistically significant difference for the experimental group in the physical (p =0.02), functional (p =0.00), specific symptoms of cervical cancer and treatment effects (p =0.03) and overall quality of life (p =0.02). Conclusion: Guided Image Relaxation contributed to an improvement in the Health-Related Quality of Life of patients with cervical cancer during treatment with chemoradiation. [ABSTRACT FROM AUTHOR]

Copyright of Revista Brasileira de Medicina do Esporte is the property of Redprint Editora Ltda. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Brasileira de Medicina do Esporte is the property of Redprint Editora Ltda. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)