scholarly journals Insomnia During the COVID-19 Outbreak in Brazil

2020 ◽  
Vol 11 (1) ◽  
pp. 84-86
Author(s):  
Marco Antônio Orsini ◽  
Jacqueline Stephanie Fernandes do Nascimento ◽  
Marco Azizi ◽  
Carlos Eduardo Cardoso ◽  
Renata Castro ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Behavioral Therapy ◽  
Future Research ◽  
Web Conferencing ◽  
Brazilian Literature ◽  
Bibliographic Search ◽  
The Moment ◽  
Political Uncertainties ◽  
Anxiety Depression

Introduction: The outbreak of COVID-19 among humans in Brazil and its spread around the world is strongly impacting mental health. Health problems such as anxiety, depression, insomnia and fear were the most related to. High levels of stress during the day can impair quality and time of sleep. Method: The purpose of this article was to update, through a bibliographic search, the effects of the pandemic on sleep disorders, with insomnia being the most related. A systematic search had been carried out in the main databases: Lilacs, Bireme and PubMed. The languages used in the search were Portuguese and English, from articles published this year. Using the following keywords: Sleep quality, COVID-19, Insomnia, Cognitive behavioral therapy. Discussion: The concern about financial and political uncertainties, feelings of impotence and fear of self-contamination and of family members are factors that corroborate with the worsening of the sleep quality of the population and health professionals’ working on the front lines of the fight against the pandemic, leading to increased cases of insomnia. Behavioral Cognitive Therapy, hypnotherapy and social interaction mediated by Web conferencing tools are the best ways to treat these symptoms at the moment. Even so, the brazilian literature on the subject is extremely scarce, making it an extremely relevant subject for future research.

scholarly journals Understanding and Describing PTSD in Kosovo: A Systematic Evidence-Based Review

SAGE Open ◽  
2017 ◽  
Vol 7 (4) ◽  
pp. 215824401773458 ◽  
Author(s):  
Naim Fanaj ◽  
Erika Melonashi
Keyword(s):  
Mental Health Problems ◽  
Psychological Trauma ◽  
Health Concern ◽  
Future Research ◽  
Prevalence Rates ◽  
Psychological Constructs ◽  
Methodological Problems ◽  
Anxiety Depression ◽  
Exposure To Trauma

Mental health problems related to the psychological trauma of war still represent a public health concern in postwar Kosovo. Despite the universal character of exposure to trauma, there are suggestions that the manifestation posttraumatic stress disorder (PTSD) or related psychosocial factors might vary across cultures. The aim of the present article was to provide a critical overview of research on PTSD in the specific sociocultural context of Kosovo by examining prevalence rates, as well as related demographic and psychosocial variables. For this purpose, 51 studies were evaluated. Results showed that, even 10 years postwar prevalence rates for PTSD are still high among civilians exposed to trauma, refugees, and veterans. As regards psychiatric and psychological constructs correlating with PTSD, studies suggested the following: anxiety, depression, suicidal ideation, anger, and revenge thoughts. Moreover, socioeconomic factors and social support were identified as highly influential on quality of life of individuals with PTSD. Nonetheless the studies considered for review had numerous methodological problems such as sample size, self-selection, nonrandomized process, and lack of control groups, findings of existing studies still need to be carefully considered and future research is necessary.

scholarly journals Mindfulness in Motion for People with Multiple Sclerosis: A Feasibility Study

2017 ◽  
Vol 19 (5) ◽  
pp. 225-231 ◽  
Author(s):  
Rachel M. Gilbertson ◽  
Maryanna D. Klatt
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Multiple Sclerosis ◽  
Mindfulness Meditation ◽  
Short Form ◽  
Physical Symptoms ◽  
Future Research ◽  
Five Facet Mindfulness Questionnaire ◽  
Anxiety Depression

Background: Mindfulness in Motion is an 8-week mindfulness-based intervention that uses yoga movement, mindfulness meditation, and relaxing music. This study examined the feasibility of using Mindfulness in Motion in people with multiple sclerosis (MS) and the effect of this program on stress, anxiety, depression, fatigue, and quality of life in people with MS. Methods: Twenty-two people with MS completed the 8-week mindfulness program as well as assessments 1 week before and after the intervention. Results: Pre/post comparison of four self-reported questionnaires—the Mental Health Inventory, 36-item Short Form Health Status Survey, Modified Fatigue Impact Scale, and Five Facet Mindfulness Questionnaire—showed significant improvement in physical functioning, vitality, and mental health. Specifically, improvements were seen in anxiety, depression, and positive affect; cognitive, psychosocial, and overall functioning regarding fatigue; and mindfulness in the areas of observing, acting with awareness, nonjudgment, and nonreactivity. Conclusions: Due to the uncertainty in disease progression associated with MS, and the multiplicity of mental and physical symptoms associated with it, programming that addresses anxiety, depression, and fatigue is a key area of future research in MS disease management. Mindfulness in Motion proved to be a feasible program yielding positive results, supporting the need for research to determine the extent to which the program can improve quality-of-life outcomes for people with MS.

scholarly journals DIFFERENTIATION OF HEALTH-RELATED QUALITY OF LIFE OUTCOMES BETWEEN FIVE DISEASE AREAS: RESULTS FROM AN INTERNATIONAL SURVEY OF PATIENTS

2018 ◽  
Vol 34 (5) ◽  
pp. 498-506 ◽  
Author(s):  
Olina Efthymiadou ◽  
Jean Mossman ◽  
Panos Kanavos
Keyword(s):  
Quality Of Life ◽  
Policy Decision ◽  
Future Research ◽  
Common Disease ◽  
Health Related Quality ◽  
Health Policy Decision ◽  
Related Quality ◽  
Health Related ◽  
Anxiety Depression

Objectives:Health-related quality of life (HRQoL) data generated by generic, preference-based instruments (i.e., EQ-5D) are highly demanded in health policy decision making, because they allow for direct comparisons of HRQoL outcomes between disease areas. We aimed to quantify HRQoL outcomes in breast cancer (BC), rheumatoid arthritis (RA), multiple sclerosis (MS), rare cancers (RC), and rare disease (RD) patients and understand the patterns that differentiate HRQoL outcomes between these disease areas, and more specifically between rare and more common disease population groups.Methods:An international, Web survey of patients measured HRQoL (EQ-5D-5L), self-perceived health (EQ-5D-5L Visual Analogue Scale), and additional QoL dimensions, such as patient disability level.Results:We received 675 completed responses. Average utility loss was 53.5 percent, 32.5 percent, and 33.3 percent for RD, RA, and MS patients, respectively, in contrast to 18.6 percent for BC and RC patients. Statistically significant differences (p < .05) were observed between disease groups in all EQ-5D-5L domain outcomes, apart from that of “Anxiety/Depression.” Severe and/or extreme problems were reported in performing usual activities for RD and RC (34 percent and 13 percent of overall problems reported respectively), mobility for MS (18 percent), pain/discomfort for RA (13 percent), and anxiety/depression for BC (7 percent) patients.Conclusions:We demonstrated significant differences in the dimensions that drive HRQoL outcomes between rare and more common diseases and showcased that the same EQ-5D utility may reflect very different severities depending on the patient population under investigation. Future research should examine whether outcomes in other, critical HRQoL domains not included in generic measures also highlight significant differences across disease areas.

scholarly journals Passion for an activity: a new predictor of sleep quality

SLEEP ◽  
2020 ◽  
Vol 43 (12) ◽  
Author(s):  
Jocelyn J Bélanger ◽  
Karima A Raafat ◽  
Claudia F Nisa ◽  
Birga M Schumpe
Keyword(s):  
Sleep Quality ◽  
Well Being ◽  
Depressive Mood ◽  
Future Research ◽  
Sleep Habits ◽  
Harmonious Passion ◽  
Obsessive Passion ◽  
Mood Symptoms ◽  
The Relationship

Abstract Study Objectives The present research examines the relationship between people’s frequent involvement in an activity they like and find important (i.e., a passion) and the quality of their sleep. Research on the dualistic model of passion has widely documented the relationship between individuals’ type of passion—harmonious versus obsessive—and the quality of their mental and physical health. However, research has yet to examine the relationship between passion and sleep quality. Building on prior research has shown that obsessive (vs harmonious) passion is related to depressive mood symptoms—an important factor associated with sleep problems—we hypothesized that obsessive passion would be associated with overall worse sleep quality, whereas harmonious passion would predict better sleep quality. Methods A sample of 1,506 Americans filled out an online questionnaire on sleep habits and passion. Sleep quality was measured using the Pittsburgh Sleep Quality Index. Hierarchical linear regressions and mediation analyses were carried out with results confirming our hypotheses. Results Obsessive passion for an activity was associated with worse sleep quality, whereas harmonious passion was associated with better sleep quality, adjusting for demographics, the type of passionate activity and its self-reported importance, alcohol and tobacco consumption, BMI, self-reported health, and diagnosed health conditions. The relationship between both types of passion and sleep quality was mediated by depressive mood symptoms. Conclusions Our study presents evidence of a strong relationship between sleep quality and passion, opening the door for future research to create new interventions to improve people’s sleep and, consequently, their well-being.

scholarly journals Quality of life trajectories during the first three years after diagnosis of breast cancer: the NEON-BC study

2019 ◽  
Author(s):  
Luisa Lopes-Conceição ◽  
Mariana Brandão ◽  
Natália Araújo ◽  
Milton Severo ◽  
Teresa Dias ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Sleep Quality ◽  
Patient Reported Outcomes ◽  
Life Questionnaire ◽  
European Organization ◽  
Life Trajectories ◽  
Patient Reported ◽  
Anxiety Depression

Abstract Background We aimed to identify and characterize quality of life trajectories up to 3 years after breast cancer diagnosis. Methods A total of 460 patients were evaluated at baseline (before treatments), and after 1- and 3-years. Patient-reported outcomes, including quality of life (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30, QLQ-C30), anxiety, depression and sleep quality, were assessed in all evaluations. Model-based clustering was used to identify quality of life trajectories. Results We identified four trajectories without intersection during 3 years. The two trajectories characterized by better quality of life depicted relatively stable scores; in the other trajectories, quality of life worsened until 1 year, though in one of them the score at 3 years improved. Sociodemographic and clinical characteristics at baseline did not differ between trajectories, except for mastectomy, which was higher in the worst trajectory. Anxiety, depression and poor sleep quality increased from the best to the worst trajectory. Conclusions The type of surgery and the variation of other patient-reported outcomes were associated with the course of quality of life over 3 years. More research to understand the heterogeneity of individual trajectories within these major patterns of variation is needed.

scholarly journals USE OF THE BIBLIOGRAPHIC REFERENCE MANAGER IN THE SELECTION OF PRIMARY STUDIES IN INTEGRATIVE REVIEWS

2019 ◽  
Vol 28 ◽  
Author(s):  
Karina Dal Sasso Mendes ◽  
Renata Cristina de Campos Pereira Silveira ◽  
Cristina Maria Galvão
Keyword(s):  
Future Research ◽  
Synthesis Methods ◽  
Bibliographic Reference ◽  
Management Tools ◽  
Brazilian Literature ◽  
Support Tool ◽  
Health Area ◽  
Reference Manager ◽  
Selection Of

ABSTRACT Objective: present the use of the bibliographic reference manager EndNote( as a support tool in the construction of a database and the selection of primary studies to develop integrative reviews. Method: a reflection study was undertaken, based on the international and the Brazilian literature. Results: the elaboration of an integrative review permits summarizing the knowledge about the theme of interest delimited in the health area, which can contribute by providing recommendations based on research results for clinical practice, as well as by identifying knowledge gaps, driving future research development. The use of bibliographic reference management tools is important for the selection of primary studies, permitting the location of repeated references, identification of languages, selection of publication periods and the creation of citations in the elaboration of the scientific text, among other resources. Conclusion: the advance in technologies, particularly the software EndNote(, has provided resources for the practicability of knowledge synthesis methods, in a transparent and replicable manner, consequently entailing a better quality of this type of study.

scholarly journals Current Pharmacological and Nonpharmacological Options for the Management of Insomnia

2013 ◽  
Vol 5 ◽  
pp. CMT.S10239 ◽  
Author(s):  
Wilfred R. Pigeon ◽  
Todd M. Bishop ◽  
Jonathan A. Marcus
Keyword(s):  
Detrimental Effect ◽  
Behavioral Therapy ◽  
Empirical Support ◽  
Health Concern ◽  
Future Research ◽  
Pharmacological Treatments ◽  
Public Health Concern ◽  
The Past ◽  
Care Costs

Insomnia continues to be a major public health concern and to have a pronounced and detrimental effect on health care costs, productivity, and quality of life. Efficacious pharmacological and nonpharmacological interventions have emerged over the past few decades, giving providers several options for addressing this disruptive condition; these are herein reviewed. Benzodiazepines have long been the pharmacological treatment of choice for insomnia; however, novel hypnotics being developed by the pharmaceutical industry show promise in addressing insomnia with fewer side effects. From the nonpharmacological perspective, several different single-component interventions such as stimulus control have been shown to be effective, although a combination of these approaches (eg, cognitive-behavioral therapy for insomnia) also enjoy strong empirical support. Future research should continue to examine how sequencing of treatment components, treating different patient cohorts, and combinations of pharmacological and non-pharmacological treatments influence patient outcome.

scholarly journals Health outcomes among adults initiating medical marijuana for chronic pain: A 3-month prospective study incorporating ecological momentary assessment (EMA)

Cannabis ◽  
2021 ◽  
Vol 4 (2) ◽  
pp. 69-83
Author(s):  
Yan Wang ◽  
Jennifer Jacques ◽  
Zhigang Li ◽  
Kimberly Sibille ◽  
Robert Cook
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Sleep Quality ◽  
Prospective Study ◽  
Ecological Momentary Assessment ◽  
Medical Cannabis ◽  
Ecological Momentary ◽  
Anxiety Depression ◽  
Momentary Assessment

In response to the need of more rigorous data on medical cannabis and chronic pain, we conducted a 3-month prospective study incorporating ecological momentary assessment (EMA) to examine the effects of medical cannabis on pain, anxiety/depression, sleep, and quality of life. Data were collected from 46 adults (Mean age=55.7±11.9, 52.2% male) newly initiating medical cannabis treatment for chronic pain. Participants completed a baseline survey, EMA for approximately 1 week pre- and up to 3 weeks post- medical cannabis treatment, and a 3-month follow-up survey. The self-reported EMA data (2535 random and 705 daily assessments) indicated significant reductions in momentary pain intensity (b = -16.5, p < .001, 16.5 points reduction on 0-100 visual analog) and anxiety (b = -0.89, p < .05), and significant increase in daily sleep duration (b = 0.34, p < .01) and sleep quality (b = 0.32, p <.001) after participants initiated medical cannabis for a few weeks. At 3 months, self-reported survey data showed significantly lower levels of worst pain (t = -2.38, p < .05), pain interference (t = -3.82, p < .05), and depression (t = -3.43, p < .01), as well as increased sleep duration (t = 3.95, p < .001), sleep quality (t = -3.04, p < .01), and quality of life (t = 4.48, p < .001) compared to baseline. In our sample of primarily middle-aged and older adults with chronic pain, medical cannabis was associated with reduced pain intensity/inference, lower anxiety/depression, and improved sleep and quality of life.

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