Association between anxiety, depression, and emotional distress and hypoglossal nerve stimulator adherence

Objective To assess the effectiveness of Problem-Solving Therapy (PST) on family caregivers through the use of scales to measure anxiety, depression and emotional distress; and to explore facilitating factors and obstacles for its use based on the narrative of nurses. Method A clinical trial and an exploratory focus group with the use of mixed analysis methodology. The study was conducted in a primary health care center in Tarragona, Spain, and the sample consisted of 122 family caregivers who were included in the home care service, and 10 nurses who participated in the intervention group. Family caregivers with evident symptoms of anxiety, depression and emotional distress received PST in the intervention group. The intervention group also consisted of a discussion with eight nurses, which was transcribed and submitted to content analysis. Conclusion Problem-Solving Therapy proved to be effective in reducing perceived anxiety, depression and emotional distress. We identified its strong points and obstacles as described by nurses.  

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Hypoglossal Nerve Stimulator Implantable Pulse Generator Exchange for Battery Depletion

Otolaryngology ◽

10.1177/0194599820925767 ◽

2020 ◽

Vol 163 (2) ◽

pp. 389-390

Author(s):

Andrew J. Goates ◽

Erik K. St Louis ◽

Michael D. Olson

Keyword(s):

Hypoglossal Nerve ◽

Pulse Generator ◽

Nerve Stimulator ◽

Implantable Pulse Generator

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0674 Association Between Lateral Wall Collapse On Drug-induced Sleep Endoscopy And MRI Findings In Hypoglossal Nerve Stimulator Patients

SLEEP ◽

10.1093/sleep/zsaa056.670 ◽

2020 ◽

Vol 43 (Supplement_1) ◽

pp. A257-A257

Author(s):

Y Liu ◽

A Wiemken ◽

A Steffen ◽

R Schwab ◽

R Dedhia

Keyword(s):

Hypoglossal Nerve ◽

Lateral Wall ◽

Inverse Association ◽

Sleep Endoscopy ◽

Nerve Stimulator ◽

Mri Findings ◽

Drug Induced ◽

Drug Induced Sleep Endoscopy ◽

Obstructive Sleep ◽

The Mean

Abstract Introduction Hypoglossal nerve stimulator (HNS) is an effective and safe alternative therapy for obstructive sleep apnea (OSA) in selected patients. Emerging evidence demonstrates that the outcome of HNS is variable, especially for patients with lateral wall collapse on drug-induced sleep endoscopy (DISE). Awake magnetic resonance imaging (MRI) offers detailed visualization of soft tissue. The aim of this study was to determine whether lateral wall collapse on DISE is associated with awake MRI findings in prospective HNS patients. Methods Patients from the ADHERE Registry, an international outcomes study for UAS were used for this study. At baseline, awake, supine MRI scans of each subject’s head and neck region were collected. The distance between the lateral walls was measured at the level of the hard palate, located by the appearance of the posterior nasal spine, using axial T2 turbo spin echo MRI. DISE assessments of the upper airway were recorded using the VOTE classification. All statistical analyses were performed using SPSS IBM 19.0 software program. Kendall’s Tau-b was performed to compare the association between VOTE scoring and MRI findings. Results Twenty-seven patients (N = 3 female, AHI = 28.8±10.5, BMI = 28.8 ±3.8 kg/m2, age = 53±9.9 years) were included in this study. The mean overall VOTE score and lateral wall score was 5.6±1.1 and 0.5±0.5, respectively. The mean lateral wall distance was 18.8±3.2 mm. A significant, inverse association was found between MRI lateral wall measurement and oropharyngeal lateral wall scoring on DISE (T=-.332,p=0.042) but not other anatomic subsites on DISE. Conclusion In our study, greater lateral wall collapse on DISE corresponded to narrower lateral airway distance on MRI. The utility of static imaging modalities such as MRI as patient selection tools for HNS warrants further study. Support Drs. Dedhia and Schwab receive related support for this project from the National Institutes of Health (NHBLI R01HL144859)

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Emergence of Cheyne-Stokes Breathing After Hypoglossal Nerve Stimulator Implant in a Patient With Mixed Sleep Apnea

JAMA Otolaryngology–Head & Neck Surgery ◽

10.1001/jamaoto.2018.4077 ◽

2019 ◽

Vol 145 (4) ◽

pp. 389 ◽

Cited By ~ 2

Author(s):

Kathleen M. Sarber ◽

Stacey L. Ishman ◽

Reena Dhanda Patil

Keyword(s):

Sleep Apnea ◽

Hypoglossal Nerve ◽

Nerve Stimulator ◽

Cheyne Stokes Breathing

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ATTRIBUTIONS FOR BLAME AND RESPONSIBILITY AMONG FEMALE INCEST VICTIMS

Social Behavior and Personality An International Journal ◽

10.2224/sbp.1990.18.1.157 ◽

1990 ◽

Vol 18 (1) ◽

pp. 157-167 ◽

Cited By ~ 2

Author(s):

Kathleen Carson Heath ◽

Hugh Donnan ◽

Gerald W. Halpin

Keyword(s):

Emotional Distress ◽

Causal Attributions ◽

Female Victims ◽

Blame Attributions ◽

Main Effect ◽

Incest Victims ◽

Anxiety Depression

Attributions concerning blame and responsibility for incest were assessed prior to therapy among 40 female victims. Also, relationships between causal attributions and emotional distress were investigated. Assessments of blame as attributed to “offender”, “victim”, “society”, and “situation” were obtained and correlated with measures of anxiety, depression, and hostility. Beliefs about responsibility for resolution of the incest problem were assessed and delineated also. An ANOVA on blame scores revealed a significant main effect (F = 78.62, df = 3, 117 p < .0001). Comparison procedures indicated the victims blamed the offender (p < .01) more than society, the situation, or the victim. However, there was no difference between societal and situational blame. Society and the situation were blamed (p < .01) more than the victim. No significant correlations between the blame attributions and distress levels were found. Victims' beliefs concerning responsibility for resolution of the incest problem were analyzed. An ANOVA performed on “offender”, “victim”, “society”, and “situational” responsibility items did not yield a significant main effect.

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