Brief cognitive behavioural intervention for depression and anxiety symptoms improves quality of life in chronic haemodialysis patients

AbstractThe aim of this study was to explore the relationship between the quantity and quality of self-monitoring and per cent fat loss in overweight and obese adolescents participating in a weight-loss intervention. Participants were 55 (33F) over-weight and obese adolescents taking part in a 20-week cognitive–behavioural intervention aimed at improving eating and physical activity behaviours. Food and physical activity self-monitoring from the first 9 weeks of the intervention was coded using 24 components assessing the quantity (20) and quality (4) of self-monitoring. Those who completed treatment (n= 42) were split into groups: Losers (n= 30) and Gainers (n= 12) of per cent body fat as measured by DXA. Group analyses showed that Losers and Gainers could be differentiated by both quantitative and qualitative measures of self-monitoring. The strongest associations were with the classifications of food and drink items into food groups. The number of days monitored and the average number of items recorded did not differentiate the groups. Quantity and quality measures of self-monitoring completed early in treatment could also differentiate those who completed treatment and those who did not complete treatment (n= 13), and the strongest associations were with the amounts of food and drink items recorded, an association not found with treatment outcome. The results indicate that both quantity and quality of self-monitoring may be important predictors of both treatment completion and outcome. Based on these findings a framework of self-monitoring requirements is offered to reduce homework burden while maximising treatment efficacy.

Download Full-text

Sleep disorder prevalence in at-risk adolescents and potential effects of nightmare triad syndrome

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2017-0125 ◽

2018 ◽

Vol 0 (0) ◽

Author(s):

Natalia D. McIver ◽

Barry Krakow ◽

Jessica Krakow ◽

Michael R. Nadorff ◽

Victor A. Ulibarri ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

At Risk ◽

High School Students ◽

Sleep Disorders ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

School Students ◽

At Risk Adolescents

Abstract Objective At-risk high school students, those considered to have a higher probability for academic failure or dropping out, were assessed for various sleep disorders. Effects were compared between students with and without the nightmare triad syndrome (NTS+), the sleep disorders’ cluster of frequent nightmares, insomnia disorder and suspected sleep-disordered breathing (SDB). Methods Data were gathered at a charter school for at-risk youth using: computer based surveys, physical airway exams, and mental health interviews by school social worker. Ninety-two students were enrolled, and 70 completed all study components. Results Students were teenaged [17.10 (1.50) years], male (52.2%) slightly overweight [BMI 25.50 (6.41)] Hispanics (87.0%); two-thirds (65 of 92) subjectively reported a sleep problem. Frequent nightmares (39.1%), insomnia (ISI ≥ 12, 41.3%), and SDB risk (79.3%) were common. Several presumptive sleep disorders (insomnia, SDB risk, parasomnia, or nightmares) were associated with worse sleep quality and lower quality of life. Nineteen students met criteria for NTS. Compared to NTS−, NTS+ showed significantly lower quality of life (p < 0.003, g = 0.84). Regression analyses revealed higher levels of depression and anxiety symptoms in NTS+ students. NTS was associated with reduced quality of life independent of anxiety symptoms. Conclusion Prevalence of presumptive sleep disorders was high with a tendency for clusters of sleep disorders in the same individual. Students with NTS+ showed worse outcomes and reduced quality of life, mediated partially by depression and anxiety. To examine relationships between sleep disorders and mental health in at-risk adolescents, research investigations must include both subjective and objective measurements of sleep.

Download Full-text

The Influence of Depression and Anxiety Symptoms on Health-Related Quality of Life in Patients With Atrial Fibrillation and Atrial Flutter

The Journal of Cardiovascular Nursing ◽

10.1097/jcn.0000000000000107 ◽

2015 ◽

Vol 30 (1) ◽

pp. 66-73 ◽

Cited By ~ 22

Author(s):

Bimbola Fola Akintade ◽

Deborah Chapa ◽

Erika Friedmann ◽

Sue Ann Thomas

Keyword(s):

Quality Of Life ◽

Atrial Fibrillation ◽

Atrial Flutter ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

Health Related Quality ◽

Related Quality ◽

Health Related

Download Full-text

A study protocol for a non-randomised comparison trial evaluating the feasibility and effectiveness of a mobile cognitive–behavioural programme with integrated coaching for anxious adults in primary care

BMJ Open ◽

10.1136/bmjopen-2017-019108 ◽

2018 ◽

Vol 8 (1) ◽

pp. e019108 ◽

Cited By ~ 4

Author(s):

Eva Szigethy ◽

Francis Solano ◽

Meredith Wallace ◽

Dina L Perry ◽

Lauren Morrell ◽

...

Keyword(s):

Quality Of Life ◽

Primary Care ◽

Anxiety Disorder ◽

Healthcare Utilisation ◽

Anxiety Symptoms ◽

Generalised Anxiety Disorder ◽

Cognitive Behavioural ◽

Care Practices ◽

Primary Care Practices

IntroductionGeneralised anxiety disorder (GAD) and subclinical GAD are highly prevalent in primary care. Unmanaged anxiety worsens quality of life in patients seen in primary care practices and leads to increased medical utilisation and costs. Programmes that teach patients cognitive–behavioural therapy (CBT) techniques have been shown to improve anxiety and to prevent the evolution of anxiety symptoms to disorders, but access and engagement have hampered integration of CBT into medical settings.Methods and analysisThis pragmatic study takes place in University of Pittsburgh Medical Center primary care practices to evaluate a coach-supported mobile cognitive– behavioural programme (Lantern) on anxiety symptoms and quality of life. Clinics were non-randomly assigned to either enhanced treatment as usual or Lantern. All clinics provide electronic screening for anxiety and, within clinics assigned to Lantern, patients meeting a threshold level of mild anxiety (ie, >5 on Generalised Anxiety Disorder 7-Item Questionnaire (GAD-7)) are referred to Lantern. The first study phase is aimed at establishing feasibility, acceptability and effectiveness. The second phase focuses on long-term impact on psychosocial outcomes, healthcare utilisation and clinic/provider adoption/sustainable implementation using a propensity score matched parallel group study design. Primary outcomes are changes in anxiety symptoms (GAD-7) and quality of life (Short-Form Health Survey) between baseline and 6-month follow-ups, comparing control and intervention. Secondary outcomes include provider and patient satisfaction, patient engagement, durability of changes in anxiety symptoms and quality of life over 12 months and the impact of Lantern on healthcare utilisation over 12 months. Patients from control sites will be matched to the patients who use the mobile app.Ethics and disseminationEthics and human subject research approval were obtained. A data safety monitoring board is overseeing trial data and ethics. Results will be communicated to participating primary care practices, published and presented at clinical and scientific conferences.Trial registration numberNCT03035019.

Download Full-text

Measurement of quality of life, depression and anxiety symptoms inchronic venous insufficiency

Ortadoğu Tıp Dergisi ◽

10.21601/ortadogutipdergisi.311445 ◽

2018 ◽

Vol 10 (1) ◽

pp. 38-44

Author(s):

Mehmet Kabalcı ◽

Ali Bolat ◽

Turgut Kültür ◽

Yıldırım Gültekin ◽

Serap Yörübulut

Keyword(s):

Quality Of Life ◽

Venous Insufficiency ◽

Anxiety Symptoms ◽

Depression And Anxiety

Download Full-text

A Text Messaging Enhanced Intervention for African American Heart Failure Patients With Depression and Anxiety (TXT COPE-HF): Protocol for a Pilot Feasibility Study (Preprint)

10.2196/preprints.32550 ◽

2021 ◽

Author(s):

Judith Cornelius ◽

Charlene Whitaker-Brown ◽

Jaleesa Smoot ◽

Sonia Hart ◽

Zandria Lewis ◽

...

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

African American ◽

Text Messaging ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

Post Intervention ◽

Heart Failure Patients ◽

Pilot Feasibility Study

BACKGROUND African Americans have a higher rate of having heart failure (HF) with an earlier age of onset when compared to other racial/ethnic groups. Scientific literature suggests that by 2030 African Americans will have a 30% increased prevalence rate of HF coupled with depression and anxiety. In addition to depression, anxiety is a predictor of worsening functional capacity, decreased quality of life, and increased hospital readmissions. Currently, there is no consensus on the best way to treat HF patients with depression and anxiety. One promising type of treatment-cognitive behavior therapy (CBT) – has shown to significantly improve patients’ quality of life and treatment compliance but CBT has not been used with text messaging reminders to enhance the effect of reducing symptoms of depression and anxiety in minority heart failure patients. OBJECTIVE The purpose of this study is to: 1) Adapt/modify the COPE curriculum for delivery to HF patients using a text-messaging component to improve depression and anxiety symptoms; 2) Administer the adapted intervention to 10 patients to examine feasibility and acceptability of the approach and modify as needed; and 3) Examine trends in depression and anxiety symptoms post-intervention. We hypothesize that patients will show an improvement in depression scores and anxiety symptoms post-intervention. METHODS This study will comprise a mixed methods approach. We will use the 8-steps of the ADAPT-ITT model to adapt the intervention. The first step in this exploratory feasibility research involves assembling individuals of the targeted population (n= 10) to discuss questions on a specific topic. We will gather data in focus groups during both phases by creating an environment that encourages participants to discuss their beliefs, perceptions, and points of view on the COPE for young adults curriculum and its applicability to African-American HF patients with enhanced text messaging reminders (TXT COPE HF). In Phase 2, we will examine the feasibility and acceptability of the enhanced text messaging intervention; (TXT COPE HF) and its preliminary effects with 10 participants. The Beck Depression Inventory will assess depression and the State Trait Anxiety Inventory will assess their anxiety. Changes will be compared from baseline to endpoint using paired t-tests. An exit focus group (n=10) will be held to examine facilitators and barriers with the text messaging protocol. RESULTS The pilot feasibility study was funded in November 2019. Institutional review board approval was delayed due to COVID but was obtained April 2021. Recruitment will occur June to August 2021 and results are expected by December 2021. CONCLUSIONS The findings of this study will add to the body of literature on the treatment of patients with heart failure.

Download Full-text