Acupuncture Tonification

1976 ◽  
Vol 04 (01) ◽  
pp. 73-79 ◽  
Author(s):  
Aristide H. Esser ◽  
Stephen T. Botek ◽  
Christopher Gilbert
Keyword(s):  
Blood Pressure ◽  
Psychiatric Patients ◽  
Well Being ◽  
Physiological Change ◽  
Treatment Frequency ◽  
Physiological Homeostasis ◽  
Psychological Improvement ◽  
Chronic Psychiatric Patients

Our aims was to "tonify" chronic psychiatric patients, i.e., restore their physiological homeostasis and sense of well-being by using standardized acupuncture. In eighteen subjects, eleven diagnosed as schizophrenic, feelings of well-being lasting no longer than three days were obtained in over 60% of the treatments. In more than two-thirds of the cases normalization of blood pressure values tending to 120/80 was evident. Degree of physiological change did not appear to be associated with overall psychological improvement; neither was the number of treatments associated with long-term improvement. For further studies, increased treatment frequency and less rigidly controlled procedures are suggested.

scholarly journals Sustained Long-Term Effectiveness of an Energy Management Training Course on Employee Vitality and Purpose in Life

2019 ◽  
Vol 34 (2) ◽  
pp. 177-188 ◽  
Author(s):  
Sai Krupa Das ◽  
Shawn T. Mason ◽  
Taylor A. Vail ◽  
Caroline M. Blanchard ◽  
Meghan K. Chin ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Repeated Measures ◽  
Short Form ◽  
Depression Scale ◽  
Purpose In Life ◽  
Well Being ◽  
Sf 36

Purpose: Programs designed to sustainably improve employee well-being are urgently needed but insufficiently researched. This study evaluates the long-term effectiveness of a commercial well-being intervention in a worksite setting. Design: A pre/postintervention repeated analysis with follow-up at 6, 12, and 18 months. Setting: Office-based worksites (for-profit, nonprofit, and mixed work-type; n = 8). Participants: One hundred sixty-three employees with a mean age of 47 (11) years (57% female). Intervention: A 2.5-day group-based behavioral program emphasizing vitality and purpose in life (PiL). Measures: Rand Medical Outcomes Survey (MOS) 36-Item Short Form (SF-36) with a focus on vitality (primary outcome), Ryff PiL Scale, Center for Epidemiologic Studies Depression Scale, Profile of Mood States, Rand MOS Sleep Scale, physical activity, body weight, blood pressure, and blood measures for glucose and lipids at baseline, 6, 12, and 18 months. Analysis: General linear models with repeated measures for mean values at baseline and follow-up. Results: At 18-month follow-up, sustained improvements were observed for vitality, general health, and mental health domains of SF-36 and PiL ( P < .001 for all measures). Sleep, mood, vigor, physical activity, and blood pressure were also improved at 18 months ( P < .05 for all measures). Conclusions: An intensive 2.5-day intervention showed sustained improvement in employee quality of life, PiL, and other measures of well-being over 18 months.

scholarly journals Blood Pressure Changes in 1610 Subjects With and Without Antihypertensive Medication During Long‐Term Fasting

2020 ◽  
Vol 9 (23) ◽  
Author(s):  
Franziska Grundler ◽  
Robin Mesnage ◽  
Andreas Michalsen ◽  
Françoise Wilhelmi de Toledo
Keyword(s):  
Blood Pressure ◽  
Antihypertensive Medication ◽  
Daily Intake ◽  
Well Being ◽  
Unique Identifier ◽  
Good Tolerability ◽  
Mean Values ◽  
Glucose Levels ◽  
Pressure Changes

Background We investigated daily blood pressure (BP) changes during fasting periods ranging from 4 to 41 (10.0±3.8) days in a cohort of 1610 subjects, including 920 normotensive, 313 hypertensive nonmedicated, and 377 hypertensive medicated individuals. Methods and Results Subjects underwent a multidisciplinary fasting program with a daily intake of ≈250 kcal. Weight and stress scores decreased during fasting, and the well‐being index increased, documenting a good tolerability. BP mean values decreased from 126.2±18.6/81.4±11.0 to 119.7±15.9/77.6±9.8 mm Hg (mean change, −6.5/3.8 mm Hg). BP changes were larger for hypertensive nonmedicated subjects (>140/90 mm Hg) and reduced by 16.7/8.8 mm Hg. This reduction reached 24.7/13.1 mm Hg for hypertensive nonmedicated subjects (n=76) with the highest BP (>160/100 mm Hg). In the normotensive group, BP decreased moderately by 3.0/1.9 mm Hg. Interestingly, we documented an increase of 6.3/2.2 mm Hg in a subgroup of 69 female subjects with BP <100/60 mm Hg. In the hypertensive medicated group, although BP decreased from 134.6/86.0 to 127.3/81.3 mm Hg, medication was stopped in 23.6% of the subjects, whereas dosage was reduced in 43.5% and remained unchanged in 19.4%. The decrease in BP was larger in subjects fasting longer. Baseline metabolic parameters, such as body mass index and glucose levels, as well as age, can be used to predict the amplitude of the BP decrease during fasting with a machine learning model. Conclusions Long‐term fasting tends to decrease BP in subjects with elevated BP values. This effect persisted during the 4 days of stepwise food reintroduction, even when subjects stopped their antihypertensive medication. Registration URL: https://www.drks.de/drks_web/ ; Unique identifier: DRKS00010111.

An assessment of the psychoeducational needs of long-term psychiatric patients

1999 ◽  
Vol 16 (3) ◽  
pp. 104-108 ◽  
Author(s):  
Pat Gibbons ◽  
Grace Hogan ◽  
Sheila McGauran
Keyword(s):  
Psychiatric Patients ◽  
Baseline Measure ◽  
Life Issues ◽  
One Year ◽  
Amount Of Knowledge ◽  
General Aspects ◽  
Chronic Psychiatric Patients ◽  
Specific Illness

AbstractObjectives: We aimed to identify which illness related topics were of most interest to chronic psychiatric patients in our catchment area service, and to obtain a baseline measure of the amount of knowledge which patients with schizophrenia had about their illness.Method: Patients attending for a minimum of one year were recruited from the outpatient clinic and day centre. Participants completed three instruments: a brief questionnaire which asked about the details of their diagnosis and drug treatment regimen, the ‘Educational Needs Questionnaire’ (ENQ), and a modified form of the ‘Understanding Schizophrenia Scale’ (USS).Results: Forty-seven patients with a chronic psychotic illness participated in the study. Despite having attended the service for an average of 14 years, the majority of patients were unable to correctly identify their diagnosis. Most patients were able to name the drugs which they had been prescribed; but were not able to describe the dosage of these drugs. According to the ENQ results, patients expressed most interest in learning about general aspects of their illness, such as ‘how to cope with stress’, and less in how to manage specific illness related symptoms. Similarly, schizophrenia patients were found to know more about general aspects of their illness, such as rehabilitation and non-medical aspects of treatment, than about medication.Conclusion: Chronic psychiatric patients, especially those with schizophrenia, have very limited knowledge of their illness and its treatment. The focus of psychoeducation should be extended from insight and compliance to include broader ‘quality of life’ issues which appear to be of more concern to patients themselves. Patient participation in psychoeducation can thus be improved by including topics identified by such instruments as the ENQ. It is encouraging that cognitive deficits and negative symptomatology do not seem to prevent long-term psychiatric patients from benefiting from such inputs.

L'hôpital psychiatrique: d'hier à demain

1986 ◽  
Vol 31 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Céline Mercier ◽  
Et Gaston P. Harnois
Keyword(s):  
Psychiatric Hospital ◽  
Long Term Care ◽  
Psychiatric Patients ◽  
Community Resources ◽  
Second Line ◽  
Service Network ◽  
Term Care ◽  
Permanent Home ◽  
Chronic Psychiatric Patients

A study carried out in a psychiatric hospital in the Montreal region reveals that in spite of deinstitutionalization, long-term stay remains an important factor in the use of beds. For some patients the hospital remains a permanent home, either from their first admission or from the time they are institutionalized after multiple admissions. For both in- and out-patients, return to the hospital and long-term care are almost inevitable. Generally speaking, the services of the hospital are used by the same long-term patients, and this to the extent that the hospital cannot provide services to other establishments or play its second-line role. This is frustrating for other institutions in the network, even though they accept the inevitability of the situation given the lack of adequate community resources for these patients. One of the primary functions of a psychiatric hospital also seems to be to fill in the gaps in the service network. In this regard, its expertise in the field of intervention in chronic psychiatric patients must not be overlooked. Given the current situation, the hospital's responsibility in regard to second-line services cannot be clarified until it has been determined just how much of the responsibility for care of psychiatric patients can be assumed by the community itself.

scholarly journals Effect of Animal-Assisted Therapy on Patients in the Department of Long-Term Care: A Pilot Study

2019 ◽  
Vol 16 (8) ◽  
pp. 1362 ◽  
Author(s):  
Kristýna Machová ◽  
Radka Procházková ◽  
Petra Eretová ◽  
Ivona Svobodová ◽  
Ilja Kotík
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Barthel Index ◽  
Great Influence ◽  
Well Being ◽  
Animal Assisted Therapy ◽  
Control Group ◽  
Term Care ◽  
Experimental Group

Long-term hospital stays might have a negative psychosocial impact on our patients. One way to positively activate hospitalized patients is to introduce animal-assisted therapy (AAT). A total of 72 individuals participated in this research. The experimental group comprised 33 patients (8 males, 25 females), while the control group contained 39 patients (11 men, 28 women). The participants in the control group were aged from 58 to 100 years and the experimental group featured participants aged from 51 to 95, for whom AAT was included alongside standard care. Blood pressure, heart rate, Barthel index, and general mood were measured in both groups. Results did not reveal any changes in blood pressure, heart rate, or Barthel index in comparison between groups. A great influence was noted in assessment of the mood of the patients. The inclusion of AAT did not affect physiological parameters, but it exerted a significant effect on the psychological well-being of the patients.

Assessment schedules for chronic psychiatric patients

1987 ◽  
Vol 17 (2) ◽  
pp. 485-493 ◽  
Author(s):  
E. Sturt ◽  
Til Wykes
Keyword(s):  
Social Role ◽  
Psychiatric Patients ◽  
Occupational Activity ◽  
Chronic Patients ◽  
The Social ◽  
Ninth Edition ◽  
Active Rehabilitation ◽  
State Examination ◽  
Chronic Psychiatric Patients

SynopsisThe Social Behaviour Schedule (SBS) was examined as a measure of disability in a series of 66 chronic psychiatric patients, who were also assessed using the Social Role Performance Schedule (SRP) and the ninth edition of the Present State Examination (PSE). All three schedules have been used in previous studies in their present form. SBS and SRP measures were correlated with each other and neither showed any relationship with subjectively described current PSE symptoms. SBS deficit was associated with a clinical diagnosis of schizophrenia and with problems in supervised occupational activity. Long-term hospital residents showed greater SBS deficit than chronic patients in active rehabilitation programmes, although impaired SRP was the major correlate with the type of supervision provided. SRP measures can be compared with population norms, unlike measures derived from the SBS, which cover more severe ranges of disability.

The Course of Tardive Dyskinesia in Patients on Long-Term Neuroleptics

1989 ◽  
Vol 154 (4) ◽  
pp. 523-528 ◽  
Author(s):  
J. A. Bergen ◽  
E. A. Eyland ◽  
J. A. Campbell ◽  
P. Jenkings ◽  
K. Kellehear ◽  
...  
Keyword(s):  
Tardive Dyskinesia ◽  
Psychiatric Patients ◽  
Involuntary Movement ◽  
Neuroleptic Treatment ◽  
Community Based ◽  
Abnormal Involuntary Movement Scale ◽  
History Of ◽  
Significant Change ◽  
Chronic Psychiatric Patients

Results are presented of five consecutive annual examinations using the Abnormal Involuntary Movement Scale for 101 community-based chronic psychiatric patients. These 101 patients had a history of longer and more consistent neuroleptic treatment than the 231 patients who initially entered the study, so no conclusions about prevalence of TD can be drawn. At each examination two-thirds of this group showed signs of TD; however, only 45% were TD positive at most examinations and 24% were best described as having fluctuating TD status. Of those patients who were consistently TD positive, 82% showed no overall significant change in summed AIMS scores, 11% improved and 7% became worse.

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