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NCBI: db=pubmed; Term=mind-body therapies[MeSH Terms]
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Is cognitive-behavioural therapy more effective than relaxation therapy in the treatment of anxiety disorders? A meta-analysis.

Thu, 2019-03-21 07:02
Related Articles

Is cognitive-behavioural therapy more effective than relaxation therapy in the treatment of anxiety disorders? A meta-analysis.

Psychol Med. 2018 07;48(9):1427-1436

Authors: Montero-Marin J, Garcia-Campayo J, López-Montoyo A, Zabaleta-Del-Olmo E, Cuijpers P

Abstract
BACKGROUND: It is not clear whether relaxation therapies are more or less effective than cognitive and behavioural therapies in the treatment of anxiety. The aims of the present study were to examine the effects of relaxation techniques compared to cognitive and behavioural therapies in reducing anxiety symptoms, and whether they have comparable efficacy across disorders.
METHOD: We conducted a meta-analysis of 50 studies (2801 patients) comparing relaxation training with cognitive and behavioural treatments of anxiety.
RESULTS: The overall effect size (ES) across all anxiety outcomes, with only one combined ES in each study, was g = -0.27 [95% confidence interval (CI) = -0.41 to -0.13], favouring cognitive and behavioural therapies (number needed to treat = 6.61). However, no significant difference between relaxation and cognitive and behavioural therapies was found for generalized anxiety disorder, panic disorder, social anxiety disorder and specific phobias (considering social anxiety and specific phobias separately). Heterogeneity was moderate (I2 = 52; 95% CI = 33-65). The ES was significantly associated with age (p < 0.001), hours of cognitive and/or behavioural therapy (p = 0.015), quality of intervention (p = 0.007), relaxation treatment format (p < 0.001) and type of disorder (p = 0.008), explaining an 82% of variance.
CONCLUSIONS: Relaxation seems to be less effective than cognitive and behavioural therapies in the treatment of post-traumatic stress disorder, and obsessive-compulsive disorder and it might also be less effective at 1-year follow-up for panic, but there is no evidence that it is less effective for other anxiety disorders.

PMID: 29037266 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

Do Acute Benefits of Interpersonal Psychotherapy for Posttraumatic Stress Disorder Endure?

Thu, 2019-03-21 07:02
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Do Acute Benefits of Interpersonal Psychotherapy for Posttraumatic Stress Disorder Endure?

Can J Psychiatry. 2018 01;63(1):37-43

Authors: Markowitz JC, Choo TH, Neria Y

Abstract
OBJECTIVE: The Psychotherapies for Chronic PTSD randomised trial found that three 14-week psychotherapies acutely benefitted patients with chronic posttraumatic stress disorder (PTSD). Previous research has reported sustained follow-up benefits for prolonged exposure (PE) and relaxation therapy (RT), but few comparable data exist for interpersonal psychotherapy (IPT). We describe 3-month follow-up for acute responders to all 3 treatments.
METHOD: Acute responders, defined a priori as ≥30% improved from baseline, were reevaluated after 3-month no-treatment follow-up by independent evaluators using the Clinician-Administered PTSD Scale (CAPS).
RESULTS: Fifty of 110 initial study entrants met acute responder status at week 14. Forty-three (86%) responders entered follow-up: 23 remitters (CAPS ≤20) and 20 responders. At week 26, 27 had achieved remission status, 10 remained responders, and 6 had relapsed. Of week 14 remitters, 8 of 9 PE, all 8 IPT, and 4 of 6 RT patients remained remitted. Relapse rates were 7% (1/9) for PE, 10% (2/20) for IPT, and 33% (3/9) for RT. At week 26, PE showed greater improvement on CAPS than RT ( P = 0.048) and a trend for superiority over IPT ( P = 0.098), with no significant difference between IPT and RT. Depressive symptoms remained low during follow-up.
CONCLUSIONS: These are the first systematic data on follow-up responder status and persistence of acute treatment benefits in patients receiving individual IPT for chronic PTSD. Patients generally maintained gains across treatments, fluctuating most in RT. Study limitations include small sample size and brief follow-up interval. PTSD research should employ response and remission criteria.

PMID: 28743198 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

Detecting divisions of the autonomic nervous system using wearables.

Thu, 2019-03-21 07:02
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Detecting divisions of the autonomic nervous system using wearables.

Conf Proc IEEE Eng Med Biol Soc. 2016 08;2016:5761-5764

Authors: Natarajan A, Xu KS, Eriksson B

Abstract
The ability to assess a user's emotional reaction from biometrics has applications in personalization, recommendation, and enhancing user experiences, among other areas. Unfortunately, understanding the connection between biometric signals and user reactions has previously focused on black box techniques that are opaque to the underlying physiology of the user. In this paper, we explore a novel user study connecting biometric reaction to external stimuli and changes in the user's autonomic nervous system. Specifically, we focus on two competing responses, namely the sympathetic and parasympathetic nervous system, and how differing activations are related to different user responses. Our experiments demonstrate how prior psychophysiological research distinguishing this activation can be replicated using biometric data collected from wearables. The insights from this work have applications in better understanding emotional state from biometric sensors.

PMID: 28269563 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

Reinforcement learning for stabilizing an inverted pendulum naturally leads to intermittent feedback control as in human quiet standing.

Thu, 2019-03-21 07:02
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Reinforcement learning for stabilizing an inverted pendulum naturally leads to intermittent feedback control as in human quiet standing.

Conf Proc IEEE Eng Med Biol Soc. 2016 Aug;2016:37-40

Authors: Michimoto K, Suzuki Y, Kiyono K, Kobayashi Y, Morasso P, Nomura T

Abstract
Intermittent feedback control for stabilizing human upright stance is a promising strategy, alternative to the standard time-continuous stiffness control. Here we show that such an intermittent controller can be established naturally through reinforcement learning. To this end, we used a single inverted pendulum model of the upright posture and a very simple reward function that gives a certain amount of punishments when the inverted pendulum falls or changes its position in the state space. We found that the acquired feedback controller exhibits hallmarks of the intermittent feedback control strategy, namely the action of the feedback controller is switched-off intermittently when the state of the pendulum is located near the stable manifold of the unstable saddle-type upright equilibrium of the inverted pendulum with no active control: this action provides an opportunity to exploit transiently converging dynamics toward the unstable upright position with no help of the active feedback control. We then speculate about a possible physiological mechanism of such reinforcement learning, and suggest that it may be related to the neural activity in the pedunculopontine tegmental nucleus (PPN) of the brainstem. This hypothesis is supported by recent evidence indicating that PPN might play critical roles for generation and regulation of postural tonus, reward prediction, as well as postural instability in patients with Parkinson's disease.

PMID: 28268275 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

Clinic Outcome Assessment of a Brief Course Neurofeedback for Childhood ADHD Symptoms.

Thu, 2019-03-21 07:02
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Clinic Outcome Assessment of a Brief Course Neurofeedback for Childhood ADHD Symptoms.

J Behav Health Serv Res. 2017 07;44(3):506-514

Authors: Nooner KB, Leaberry KD, Keith JR, Ogle RL

PMID: 27189699 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

Getting to Know You: Familiarity, Stereotypes, and Children's Eyewitness Memory.

Thu, 2019-03-21 07:02
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Getting to Know You: Familiarity, Stereotypes, and Children's Eyewitness Memory.

Behav Sci Law. 2016 Jan;34(1):74-94

Authors: Cordón IM, Silberkleit G, Goodman GS

Abstract
The present study concerned how the acquisition of social information, specifically knowledge about personal characteristics, influences young children's memory and suggestibility. Effects of two sources of knowledge about a target person were systematically examined: familiarity and stereotypes. Children, aged 4-5 and 7-9 years (N = 145), were randomly assigned, per age group, to experimental conditions based on a familiarity (6 hours vs. no prior exposure) × stereotype (negative depiction as messy and clumsy vs. no stereotype) factorial design. Children then watched the target person engage in a target event (a series of contests) at a preschool ("Camp Ingrid"). The children's memory and suggestibility about the target person and target event were tested after a delay of 2 weeks. Results indicated that the negative stereotype resulted in an increase in children's correct responses both to free-recall stereotype-related questions (when children were unfamiliar with the target person) and to closed-ended questions overall (for younger children). However, the stereotype was associated with greater error to stereotype-related closed-ended questions. Moreover, familiarity increased children's accuracy to closed-ended questions. Implications for theory and application are discussed. Copyright © 2016 John Wiley & Sons, Ltd.

PMID: 27117602 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

Effects of multitasking on operator performance using computational and auditory tasks.

Thu, 2019-03-21 07:02
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Effects of multitasking on operator performance using computational and auditory tasks.

Int J Occup Saf Ergon. 2016 Sep;22(3):405-13

Authors: Fasanya BK

Abstract
This study investigated the effects of multiple cognitive tasks on human performance. Twenty-four students at North Carolina A&T State University participated in the study. The primary task was auditory signal change perception and the secondary task was a computational task. Results showed that participants' performance in a single task was statistically significantly different from their performance in combined tasks: (a) algebra problems (algebra problem primary and auditory perception secondary); (b) auditory perception tasks (auditory perception primary and algebra problems secondary); and (c) mean false-alarm score in auditory perception (auditory detection primary and algebra problems secondary). Using signal detection theory (SDT), participants' performance measured in terms of sensitivity was calculated as -0.54 for combined tasks (algebra problems the primary task) and -0.53 auditory perceptions the primary task. During auditory perception tasks alone, SDT was found to be 2.51. Performance was 83% in a single task compared to 17% when combined tasks.

PMID: 26886505 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

Real-Time Neurofeedback to Modulate β-Band Power in the Subthalamic Nucleus in Parkinson's Disease Patients.

Wed, 2019-03-20 07:00
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Real-Time Neurofeedback to Modulate β-Band Power in the Subthalamic Nucleus in Parkinson's Disease Patients.

eNeuro. 2018 Nov-Dec;5(6):

Authors: Fukuma R, Yanagisawa T, Tanaka M, Yoshida F, Hosomi K, Oshino S, Tani N, Kishima H

Abstract
The β-band oscillation in the subthalamic nucleus (STN) is a therapeutic target for Parkinson's disease. Previous studies demonstrated that l-DOPA decreases the β-band (13-30 Hz) oscillations with improvement of motor symptoms. However, it has not been elucidated whether patients with Parkinson's disease are able to control the β-band oscillation voluntarily. Here, we hypothesized that neurofeedback training to control the β-band power in the STN induces plastic changes in the STN of individuals with Parkinson's disease. We recorded the signals from STN deep-brain stimulation electrodes during operations to replace implantable pulse generators in eight human patients (3 male) with bilateral electrodes. Four patients were induced to decrease the β-band power during the feedback training (down-training condition), whereas the other patients were induced to increase (up-training condition). All patients were blinded to their assigned condition. Adjacent contacts that showed the highest β-band power were selected for the feedback. During the 10 min training, patients were shown a circle whose diameter was controlled by the β-band power of the selected contacts. Powers in the β-band during 5 min resting sessions recorded before and after the feedback were compared. In the down-training condition, the β-band power of the selected contacts decreased significantly after feedback in all four patients (p < 0.05). In contrast, the β-band power significantly increased after feedback in two of four patients in the up-training condition. Overall, the patients could voluntarily control the β-band power in STN in the instructed direction (p < 0.05) through neurofeedback.

PMID: 30627648 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

Massage with or without aromatherapy for symptom relief in people with cancer.

Tue, 2019-03-19 06:58
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Massage with or without aromatherapy for symptom relief in people with cancer.

Res Nurs Health. 2018 12;41(6):593-594

Authors: Wilson A

PMID: 30351491 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

Mindfulness-based stress reduction for menopausal symptoms after risk-reducing salpingo-oophorectomy (PURSUE study): a randomised controlled trial.

Tue, 2019-03-19 06:58
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Mindfulness-based stress reduction for menopausal symptoms after risk-reducing salpingo-oophorectomy (PURSUE study): a randomised controlled trial.

BJOG. 2019 Feb;126(3):402-411

Authors: van Driel C, de Bock GH, Schroevers MJ, Mourits MJ

Abstract
OBJECTIVE: To assess the short- and long-term effects of mindfulness-based stress reduction (MBSR) on the resulting quality of life, sexual functioning, and sexual distress after risk-reducing salpingo-oophorectomy (RRSO).
DESIGN: Randomised controlled trial.
SETTING: A specialised family cancer clinic of the university medical center Groningen.
POPULATION: Sixty-six women carriers of the BRCA1/2 mutation who developed at least two moderate-to-severe menopausal symptoms after RRSO.
METHODS: Women were randomised to an 8-week MBSR training programme or to care as usual (CAU).
MAIN OUTCOME MEASURES: Change in the Menopause-Specific Quality of Life Questionnaire (MENQOL), the Female Sexual Function Index, and the Female Sexual Distress Scale, administered from baseline at 3, 6, and 12 months. Linear mixed modelling was applied to compare the effect of MBSR with CAU over time.
RESULTS: At 3 and 12 months, there were statistically significant improvements in the MENQOL for the MBSR group compared with the CAU group (both P = 0.04). At 3 months, the mean MENQOL scores were 3.5 (95% confidence interval, 95% CI 3.0-3.9) and 3.8 (95% CI 3.3-4.2) for the MBSR and CAU groups, respectively; at 12 months, the corresponding values were 3.6 (95% CI 3.1-4.0) and 3.9 (95% CI 3.5-4.4). No significant differences were found between the MBSR and CAU groups in the other scores.
CONCLUSION: Mindfulness-based stress reduction was effective at improving quality of life in the short- and long-term for patients with menopausal symptoms after RRSO; however, it was not associated with an improvement in sexual functioning or distress.
TWEETABLE ABSTRACT: Mindfulness improves menopause-related quality of life in women after risk-reducing salpingo-oophorectomy.

PMID: 30222235 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

The control of a virtual automatic car based on multiple patterns of motor imagery BCI.

Tue, 2019-03-19 06:58
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The control of a virtual automatic car based on multiple patterns of motor imagery BCI.

Med Biol Eng Comput. 2019 Jan;57(1):299-309

Authors: Wang H, Li T, Bezerianos A, Huang H, He Y, Chen P

Abstract
Multiple degrees of freedom (DOF) commands are required for a brain-actuated virtual automatic car, which makes the brain-computer interface (BCI) control strategy a big challenge. In order to solve the challenging issue, a mixed model of BCI combining P300 potentials and motor imagery had been realized in our previous study. However, compared with single model BCI, more training procedures are needed for the mixed model and more mental workload for users to bear. In the present study, we propose a multiple patterns of motor imagery (MPMI) BCI method, which is based on the traditional two patterns of motor imagery. Our motor imagery BCI approach had been extended to multiple patterns: right-hand motor imagery, left-hand motor imagery, foot motor imagery, and both hands motor imagery resulting in turning right, turning left, acceleration, and deceleration for a virtual automatic car control. Ten healthy subjects participated in online experiments, the experimental results not only show the efficiency of our proposed MPMI-BCI strategy but also indicate that those users can control the virtual automatic car spontaneously and efficiently without any other visual attention. Furthermore, the metric of path length optimality ratio (1.23) is very encouraging and the time optimality ratio (1.28) is especially remarkable. Graphical Abstract The paradigm of multiple patterns of motor imagery detection and the relevant topographies of CSP weights for different MI patterns.

PMID: 30101383 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

ENHANCING IMPLICIT LEARNING WITH POSTHYPNOTIC SUGGESTION: An ERP Study.

Tue, 2019-03-19 06:58
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ENHANCING IMPLICIT LEARNING WITH POSTHYPNOTIC SUGGESTION: An ERP Study.

Int J Clin Exp Hypn. 2018 Apr-Jun;66(2):174-210

Authors: Daltrozzo J, Valdez GE

Abstract
Can posthypnotic suggestion (PHS) enhance cognitive abilities? The authors tested behaviorally and with event-related potentials (ERP) if sequential learning (SL), the ability to learn statistical regularities, can be enhanced with PHS. Thirty adults were assessed with the Stanford Hypnotic Susceptibility Scale (Form C) and an auditory SL task. Before this task, half the sample received a PHS to enhance SL, and the other half received the same suggestion under normal waking state. Response times and ERPs indicated a strong effect of PHS. Compared to the control group, PHS inverted, attenuated, or left unaffected the response time SL effect in low, medium, and high hypnotizability participants, respectively. These results suggest that PHS cannot be used to enhance SL.

PMID: 29601280 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

The Effect of Hypnosis on Adherence to Antituberculosis Drugs Using the Health Belief Model.

Tue, 2019-03-19 06:58
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The Effect of Hypnosis on Adherence to Antituberculosis Drugs Using the Health Belief Model.

Int J Clin Exp Hypn. 2018 Apr-Jun;66(2):211-227

Authors: Prasetya H, Murti B, Anantanyu S, Syamsulhadi M

Abstract
An RCT on the efficacy of hypnosis in improving adherence to antituberculosis treatment using the Health Belief Model (HBM). Sixty study subjects were sampled at random from tuberculosis patients who visited the Center for Pulmonary Community Health in Solo, Indonesia. Hypnotherapy with posthypnotic suggestions was delivered once a week over 6 months. The data on pretested 7 HBM constructs were analyzed using t test and path analysis. Hypnotherapy had a positive effect on perceived susceptibility, seriousness, threat, benefit, and self-efficacy. It indirectly had a positive effect on adherence. Hypnotherapy had a negative effect on perceived barrier. This study supports the hypothesis that hypnotherapy effectively improves adherence to tuberculosis treatment, by enhancing health-related perception and beliefs in the HBM.

PMID: 29601278 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

THE EFFECT OF A HYPNOTIC-BASED ANIMATED VIDEO ON STRESS AND PAIN REDUCTION IN PEDIATRIC SURGERY.

Tue, 2019-03-19 06:58
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THE EFFECT OF A HYPNOTIC-BASED ANIMATED VIDEO ON STRESS AND PAIN REDUCTION IN PEDIATRIC SURGERY.

Int J Clin Exp Hypn. 2018 Apr-Jun;66(2):123-133

Authors: Arnon Z, Hanan H, Mogilner J

Abstract
Presurgical stress and its negative influences on postsurgical recovery and pain are well documented in the medical literature. Hence, the reduction of stress is advisable. The present study aimed to reduce stress using a hypnotic-based animated video. Thirty children aged 3 to 16 years hospitalized for ambulatory surgery for undescended testes or umbilical/inguinal hernia were recruited for the study. They watched the video 1 time prior to surgery in the presence of their parents and reported their anxiety and pain pre- and postvideo watching on a visual analogue scale. The results show a statistically significant reduction in both anxiety and pain. The article describes the structuring of the animated video and includes links to English, Hebrew, and Arabic versions of it.

PMID: 29601276 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

EFFECTS OF CONVERSATIONAL HYPNOSIS ON RELATIVE PARASYMPATHETIC TONE AND PATIENT COMFORT DURING AXILLARY BRACHIAL PLEXUS BLOCKS FOR AMBULATORY UPPER LIMB SURGERY:A Quasiexperimental Pilot Study.

Tue, 2019-03-19 06:58
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EFFECTS OF CONVERSATIONAL HYPNOSIS ON RELATIVE PARASYMPATHETIC TONE AND PATIENT COMFORT DURING AXILLARY BRACHIAL PLEXUS BLOCKS FOR AMBULATORY UPPER LIMB SURGERY:A Quasiexperimental Pilot Study.

Int J Clin Exp Hypn. 2018 Apr-Jun;66(2):134-146

Authors: Boselli E, Musellec H, Bernard F, Guillou N, Hugot P, Augris-Mathieu C, Diot-Junique N, Bouvet L, Allaouchiche B

Abstract
This two-center quasiexperimental pilot study was to determine the effect of conversational hypnosis on patient comfort and parasympathetic tone, which may represent a quantitative measure of hypnotic depth, during regional anesthesia. The patients received conversational hypnosis in one center and oral premedication in the other. The patients' subjective comfort (0-10 rating scale) and objective parasympathetic tone, as assessed by the Analgesia/Nociception Index (ANI), were measured before and after regional anesthesia. The parasympathetic tone and comfort scores evidenced a significantly greater increase in the hypnosis patients than in controls. These findings suggest that using conversational hypnosis during regional anesthesia may be followed by a subjective increase in patient comfort and an objective increase in parasympathetic tone, monitored by ANI.

PMID: 29601275 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

REVISITING THE SAFE PLACE:Method and Regulatory Aspects in Psychotherapy when Easing Allostatic Overload in Traumatized Patients.

Tue, 2019-03-19 06:58
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REVISITING THE SAFE PLACE:Method and Regulatory Aspects in Psychotherapy when Easing Allostatic Overload in Traumatized Patients.

Int J Clin Exp Hypn. 2018 Apr-Jun;66(2):147-173

Authors: Gerge A

Abstract
Safe-place inductions are considered important altered states of consciousness (ASC) to be (re)installed during trauma-informed psychotherapy. Coregulation aimed at changing implicit relational knowing and increasing integration and coherence through relational work and hypnotic techniques is crucial, as clients' abilities to self-soothe and regulate have become seriously impaired. Thus, resource-oriented metaphors as inner strength imagery is advocated. Also, methods such as creative-arts therapy and neurofeedback will induce ASCs, as most methods used with complex traumatized clients, due to their high hypnotizability. When positive or soothing imagery or relationally held suggestions for changed attentional focus are added to both psychodynamic psychotherapy and CBT, a hetero-hypnosis will be induced-a prerequisite for phase-specific trauma therapy aimed at changing inner schemas and scripts.

PMID: 29601274 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

Sexual Functioning in Experienced Meditators.

Tue, 2019-03-19 06:58
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Sexual Functioning in Experienced Meditators.

J Sex Marital Ther. 2018;44(5):459-467

Authors: Dascalu I, Brotto LA

Abstract
Given evidence of the benefits of mindfulness for women's sexual difficulties, we investigated the relationship between meditation experience and women's sexual function. Women (N = 450) answered online survey questions about meditation experience, sexual function and desire, interoceptive awareness, health and mood. Women who meditated scored higher than nonmeditators on measures of sexual function and desire, however there was no significant correlation between frequency/length of meditation experience and either of these domains. Global mental health was a significant predictor of both increased sexual function and desire in women who meditate. These findings suggest that, compared to women with no meditation experience, women who meditate to any extent have, on average, improved sexual function associated with better overall mental health.

PMID: 29161518 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

Developing BrightHearts: A Pediatric Biofeedback-Mediated Relaxation App to Manage Procedural Pain and Anxiety.

Tue, 2019-03-19 06:58
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Developing BrightHearts: A Pediatric Biofeedback-Mediated Relaxation App to Manage Procedural Pain and Anxiety.

Pain Pract. 2018 07;18(6):698-708

Authors: Morrow AM, Burton KLO, Watanabe MM, Cloyd BH, Khut GP

Abstract
OBJECTIVE: The objective of this study was to develop a child-friendly biofeedback-mediated relaxation device called BrightHearts.
METHODS: Qualitative data were collected at a tertiary pediatric hospital to inform an iterative design process. Clinicians participated in expert group interviews to identify practical considerations that would facilitate the use of BrightHearts during procedures and provide feedback on prototype designs. Children 7 to 18 years of age participated in interactive exhibitions of the prototypes and were interviewed about their experiences using BrightHearts.
RESULTS: Twenty-four clinicians participated in 6 group interviews. Thirty-nine children participated in interactive exhibitions, and 21 were interviewed. Clinicians placed high value on the following factors in the management of procedural pain: providing children with an element of control, the use of relaxation techniques, and the use of portable electronic devices such as iPads. They highlighted the need for BrightHearts to be cost effective, portable, and capable of engaging children's interest. They confirmed the utility of developing a biofeedback-assisted relaxation device for children. Based on the factors identified by clinicians, BrightHearts was developed as an iPad application (app) paired with a wireless heart rate monitor. The BrightHearts heart rate biofeedback app displays digital geometric artwork that responds to changes in heart rate. Children 7 to 17 years of age understood the concept of biofeedback and operated the app by slowing their heart rates.
CONCLUSION: The BrightHearts app can be used to teach children biofeedback-assisted relaxation. Ongoing studies are evaluating its efficacy for the management of procedural pain in children.

PMID: 29080245 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

Feasibility of the mobile mindfulness-based stress reduction for breast cancer (mMBSR(BC)) program for symptom improvement among breast cancer survivors.

Tue, 2019-03-19 06:58
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Feasibility of the mobile mindfulness-based stress reduction for breast cancer (mMBSR(BC)) program for symptom improvement among breast cancer survivors.

Psychooncology. 2018 02;27(2):524-531

Authors: Lengacher CA, Reich RR, Ramesar S, Alinat CB, Moscoso M, Cousin L, Marino VR, Elias MN, Paterson CL, Pleasant ML, Rodriguez CS, Wang HL, Kip KE, Meng H, Park JY

Abstract
OBJECTIVE: The purpose of this pilot study was to test the feasibility of delivering the mobile mindfulness-based stress reduction for breast cancer (mMBSR(BC)) program using an iPad and to evaluate its impact on symptom improvement.
METHODS: A single group, pre-posttest design was implemented among female stages 0-III breast cancer survivors (BCS) who completed treatment. Data were collected at baseline and week 6 on measures of psychological and physical symptoms and quality of life. The mMBSR(BC) program is a standardized, stress-reducing intervention that combines sitting and walking meditation, body scan, and yoga and is designed to deliver weekly 2-hour sessions for 6 weeks using an iPad.
RESULTS: The mean age of the 15 enrolled BCS was 57 years; one participant was non-Hispanic black, and 14 were non-Hispanic white. Of the 13 who completed the study, there were significant improvements from baseline to 6 weeks post-mMBSR(BC) in psychological and physical symptoms of depression, state anxiety, stress, fear of recurrence, sleep quality, fatigue, and quality of life (P's < .05). Effect sizes for improvements of multiple symptoms ranged from medium to large.
CONCLUSIONS: These results provide preliminary support that the mMBSR(BC) program may be feasible and acceptable, showing a clinical impact on decreasing psychological and physical symptoms. This mobile-based program offers a delivery of a standardized MBSR(BC) intervention to BCS that is convenient for their own schedule while decreasing symptom burden in the survivorship phase after treatment for breast cancer.

PMID: 28665541 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

Dysfunctional voiding: the importance of non-invasive urodynamics in diagnosis and treatment.

Tue, 2019-03-19 06:58
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Dysfunctional voiding: the importance of non-invasive urodynamics in diagnosis and treatment.

Pediatr Nephrol. 2018 03;33(3):381-394

Authors: Clothier JC, Wright AJ

Abstract
In Dysfunctional voiding, failure of the external sphincter-pelvic floor complex to relax during micturition results in bladder outflow obstruction with a spectrum of presentation from more benign lower urinary tract dysfunction including recurrent urinary tract infections, to significant upper tract pathology and end-stage renal failure. There is no underlying neurological or anatomical cause and the condition is postulated to be a largely learnt behavior. Diagnosis relies on non-invasive urodynamics and in particular uroflowmetry, plus or minus EMG, which is also used in biofeedback, the mainstay of treatment. The etiology, presentation, diagnosis, and treatment with particular emphasis on non-invasive urodynamics are covered.

PMID: 28567611 [PubMed - indexed for MEDLINE]

Categories: Mind Body Medicine

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