Effect of Anger Management Education on Aggression in Bipolar Disorder Hospitalized Patients: A Pilot Study

2021 ◽  
Vol 18 ◽  
Author(s):  
Hossein Rezai ◽  
Efat Sadeghian ◽  
Farshid Shamsaei ◽  
Mohammad Ebrahim Ghafari
Keyword(s):  
Bipolar Disorder ◽  
Repeated Measures ◽  
Anger Management ◽  
Management Education ◽  
Anger Expression ◽  
Psychiatric Ward ◽  
Repeated Measures Design ◽  
Significant Difference ◽  
Bipolar Type

Background: Aggression is one of the symptoms of bipolar disorder. This expression can be associated with negative personal and social effects Objective: This study aimed to determine the effect of anger management education on aggression in bipolar disorder. Method: This semi-experimental study with a repeated measures design was conducted in Hamadan, Iran, 2018. Fifty-two bipolar type-1 disorder patients were randomly selected from the Psychiatric Ward of Farshian Hospital through the convenience sampling method. The anger management education intervention included four sessions. Also, the State-Trait Anger Expression Inventory-2 (STAXI-2) was completed by the subjects before, immediately, and two weeks after the educational intervention. Data analysis was performed in SPSS16, using Mauchly’s sphericity test and the least significant difference. Results: The mean aggression score was 61.38±11.59 before the intervention, which reduced to 27.18±8.61 and 18.86±6.45 immediately and two weeks after the intervention, respectively. The repeated measures test showed that the decreasing trend of scores was statistically significant (P<0.001). Moreover, pairwise comparison of study stages demonstrated a significant difference between the first and second stages (P<0.001) and the second and third stages (P<0.001). Conclusion: Anger management education reduced the level of aggression in bipolar type-1 disorder. Therefore, it can be incorporated into nursing care programs

scholarly journals The Efficacy of Probiotics for Treatment of Bipolar Disorder- Type 1: A Randomized, Double-Blind, Placebo-Controlled Trial

2020 ◽  
Author(s):  
Mahin Eslami Shahrbabaki ◽  
Saleheh Sabouri ◽  
Abdolreza Sabahi ◽  
Delaram Barfeh ◽  
Parisa Divsalar ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Placebo Group ◽  
Mental Disorders ◽  
Repeated Measures ◽  
Rating Scale ◽  
Controlled Trial ◽  
Bipolar Disorders ◽  
Significant Difference ◽  
Disorder Type

Objective: Bipolar disorders are among the most common chronic mental disorders. Despite the recent improvement in controlling psychiatric disorders, treatment of bipolar disorders remains a challenge. The aim of this study was to determine the effect of consuming probiotics in patients with bipolar disorder-type 1 compared to the placebo group. Method: This was a permuted blocked randomized clinical trial conducted in Shahid Beheshti mental hospital in Kerman, Iran, from October 2017 to October 2018. Two psychiatrists diagnosed and hospitalized all 38 patients with type 1 bipolar disorder based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Using blind randomized blocking method size 4, patients were divided into 2 groups of placebo and probiotic. Young Mania Rating Scale (YMRS) and Hamilton's Depression Rating Scale (HDRS) were completed at the beginning, week 4, and week 8 of the study by a psychiatry resident. Independent t test, Mann-Whitney and repeated measures ANOVA tests were used. Data were analyzed using SPSS software version 20. Results: There was no significant difference between the 2 groups in age, sex, and severity of mania and depression. Consumption of probiotics reduced the scores of YMRS and HDRS over time in the probiotic group more than the placebo group, but it was not significant. Conclusion: Consumption of probiotics had non-significant effects on improvement and treatment of bipolar type 1 patients. It is suggested that future studies be conducted with different probiotic microbial strains and longer period of treatment.

The Effects of Receiver Placement on Probe Microphone, Performance, and Subjective Measures with Open Canal Hearing Instruments

2010 ◽  
Vol 21 (04) ◽  
pp. 249-266 ◽  
Author(s):  
Lynzee N. Alworth ◽  
Patrick N. Plyler ◽  
Monika Bertges Reber ◽  
Patti M. Johnstone
Keyword(s):  
Repeated Measures ◽  
Hearing Aid ◽  
Clinical Importance ◽  
Ease Of Use ◽  
Subjective Measures ◽  
Repeated Measures Design ◽  
Hearing Instruments ◽  
Data Collection And Analysis ◽  
Significant Difference ◽  
Occlusion Effect

Background: Open canal hearing instruments differ in method of sound delivery to the ear canal, distance between the microphone and the receiver, and physical size of the devices. Moreover, RITA (receiver in the aid) and RITE (receiver in the ear) hearing instruments may also differ in terms of retention and comfort as well as ease of use and care for certain individuals. What remains unclear, however, is if any or all of the abovementioned factors contribute to hearing aid outcome. Purpose: To determine the effect of receiver location on performance and/or preference of listeners using open canal hearing instruments. Research Design: An experimental study in which subjects were exposed to a repeated measures design. Study Sample: Twenty-five adult listeners with mild sloping to moderately severe sensorineural hearing loss (mean age 67 yr). Data Collection and Analysis: Participants completed two six-week trial periods for each device type. Probe microphone, objective, and subjective measures (quiet, noise) were conducted unaided and aided at the end of each trial period. Results: Occlusion effect results were not significantly different between the RITA and RITE instruments; however, frequency range was extended in the RITE instruments, resulting in significantly greater maximum gain for the RITE instruments than the RITA instruments at 4000 and 6000 Hz. Objective performance in quiet or in noise was unaffected by receiver location. Subjective measures revealed significantly greater satisfaction ratings for the RITE than for the RITA instruments. Similarly, preference in quiet and overall preference were significantly greater for the RITE than for the RITA instruments. Conclusions: Although no occlusion differences were noted between instruments, the RITE did demonstrate a significant difference in reserve gain before feedback at 4000 and 6000 Hz. Objectively; no positive benefit was noted between unaided and aided conditions on speech recognition tests. These results suggest that such testing may not be sensitive enough to determine aided benefit with open canal instruments. However, the subjective measures (Abbreviated Profile of Hearing Aid Benefit [APHAB] and subjective ratings) did indicate aided benefit for both instruments when compared to unaided. This further suggests the clinical importance of subjective measures as a way to measure aided benefit of open-fit devices.

scholarly journals Effect of acute antagonist static stretching on upper-body agonist power

2019 ◽  
Vol 15 (1) ◽  
pp. 53-59
Author(s):  
Dave Elliott ◽  
Dayne Massey
Keyword(s):  
Repeated Measures ◽  
Effective Means ◽  
Upper Body ◽  
Static Stretching ◽  
Repeated Measures Design ◽  
Significant Difference ◽  
Potential Benefits ◽  
Upper Body Power ◽  
The Impact ◽  
Practical Implications

There are many studies showing acute static stretching to be detrimental to power generation. However, the majority have focused upon the impact of stretching the agonist musculature. To date, few have examined the potential benefits of acute antagonist static stretching; none have focused on upper-body power. Utilising a repeated-measures design, 30 male participants were randomly assigned to one of two groups whereupon they performed four bench-throw tests; two control (NO-STRETCH) and two experimental (STRETCH), in a counter-balanced manner. Prior to the experimental measures, participants undertook a series of static antagonist stretches. Mean Pmax (SD) in the NO-STRETCH trials was 862.76 (146)W and 898.50 (144)W, respectively. For STRETCH trial 1, Pmax = 930.10 (146)W and trial 2, Pmax = 953.36 (136)W. When compared to the respective NO-STRETCH trials, antagonist static stretching did have a significant effect on Pmax for both the initial ( P < 0.01, d = 1.33) and the re-stretching procedures ( P < 0.01, d = 1.35). A significant difference was also found between the STRETCH trials ( P < 0.01, d = 0.46). The results have practical implications for those involved in upper-body power activities. Specifically, incorporating upper-body antagonist static stretching into pre-performance routines might offer a simple and effective means of enhancing agonist power.

Treatment of Objective and Subjective Benign Paroxysmal Positional Vertigo

2013 ◽  
Vol 24 (07) ◽  
pp. 600-606 ◽  
Author(s):  
Alexandra C. Huebner ◽  
Susan R. Lytle ◽  
Steven M. Doettl ◽  
Patrick N. Plyler ◽  
James T. Thelin
Keyword(s):  
Repeated Measures ◽  
Benign Paroxysmal Positional Vertigo ◽  
Head Position ◽  
Subjective Report ◽  
Repeated Measures Design ◽  
Positional Vertigo ◽  
Data Collection And Analysis ◽  
Significant Difference ◽  
Before And After ◽  
Paroxysmal Positional Vertigo

Background: Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo in adults and is a result of otolithic particles or debris that become free floating within a semicircular canal or adhere to the cupula. Characteristics of BPPV include brief episodes of latent onset vertigo that occur with changes in head position, transient rotary nystagmus beating toward the dependent ear, and reversed nystagmus upon sitting up. Both the vertigo and nystagmus fatigue quickly while maintaining the same head position. The BPPV may be classified as objective or subjective. Objective BPPV presents all the aforementioned symptoms whereas subjective BPPV presents all the symptoms without nystagmus. The accepted method of treatment for objective BPPV is canalith repositioning maneuvers (CRM); however, CRM are not traditionally used as the method of treatment for cases of subjective BPPV. Purpose: The purpose of the study was to determine if the subjective report of dizziness using the Dizziness Handicap Inventory (DHI) was different in patients with objective and subjective BPPV and to determine if the two groups showed similar improvements in perceived dizziness handicap following CRM treatment. Research Design: The present study utilized a retrospective, repeated measures design. Study Sample: Sixty-three adults with BPPV that were given the DHI both before and after CRM treatment. Data Collection and Analysis: Pre and post DHI results were analyzed for participants with objective versus subjective BPPV. A five-question DHI subscale was also analyzed between the groups. Results: A significant difference was noted between initial and posttreatment DHI scores for patients in both the subjective and objective groups when using the full-scale and subscale DHI. No significant difference was noted between groups for their initial or posttreatment DHI scores. The two groups also did not differ significantly in their initial or posttreatment DHI subscale scores. Conclusions: The results of the study indicated that individuals with both objective and subjective BPPV demonstrated significant improvement in DHI scores following CRM treatment. Additionally, there was no difference in DHI improvement for the subjective versus objective group suggesting CRM are effective for both subjective BPPV and objective BPPV. This improvement in DHI scores was also noted in the five-question DHI subscale with no significant difference noted between groups. These findings combined with previous studies suggest the presence or absence of nystagmus during Dix-Hallpike maneuvers is not related to the effectiveness of treatment using CRM.

scholarly journals A Clinical Shoulder Proprioception Test Shows Good Reliability, and Decreased Shoulder Joint Position Sense Due to Local Fatigue in Handballers: A Repeated Measures Design

2021 ◽  
Author(s):  
Peter Sutton ◽  
Marie Ohlsson ◽  
Ulrik Röijezon
Keyword(s):  
Shoulder Joint ◽  
Repeated Measures ◽  
Intraclass Correlation ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Good Reliability ◽  
Repeated Measures Design ◽  
Significant Difference ◽  
Specialized Equipment

Abstract Background: Assessment of shoulder proprioception outside the laboratory in the absence of specialized equipment remains a challenge with field-based tests often lacking good reliability, validity and feasibility. This study aimed to enhance the knowledge base surrounding the assessment of shoulder proprioception and investigated the effect of fatigue on shoulder joint position sense (JPS) amongst amateur male handball players.Method: 27 healthy recreationally active participants and 13 amateur male handball players undertook two sessions of active JPS tests using laser pen technology and a calibrated 2-dimensional target to assess test-retest reliability. The active JPS test was then utilized on the subgroup of handball players who were subjected to five bouts of a repeated throwing task in order to investigate the effect of local fatigue on shoulder JPS. Results: The intraclass correlation coefficient for the active JPS test was 0.78 (95% CI = [0.57; 0.89]). Standard error of measurement between trials was 0.70° (range 0.57°-0.90°). For the throwing task, repeated measures analysis of variance revealed a significant interaction for arm x bout (F5=2.74, p=0.028) and a significant effect for arm (F1=5.85, p=0.034). Post hoc analysis showed a significant difference between throwing arm and non-throwing arm after throwing bout one (p=0.036), three (p=0.026) and four (p=0.041). Conclusion: Assessment of the active JPS test showed acceptable reliability and measurement error. Repeated throwing to fatigue decreased shoulder JPS in amateur male handball players which indicate validity of the test to identify reduced proprioception.

scholarly journals Effect of resource-based instructions on pre-service biology teachers’ motivation toward learning biology

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Josiane Mukagihana ◽  
Florien Nsanganwimana ◽  
Catherine M. Aurah
Keyword(s):  
Small Group ◽  
Repeated Measures ◽  
Academic Motivation ◽  
Private University ◽  
Public University ◽  
Control Group ◽  
Biology Teachers ◽  
Repeated Measures Design ◽  
Significant Difference ◽  
Post Assessment

Linking motivation and learning is central to understanding students’ motivation toward learning and learning itself as complex cognitive phenomena. Some studies focused on students’ motivation toward learning biology in general; however, the shortage of studies on the effect of animation-based instruction and small-group laboratory activities as Resource-based Instructions (RBIs) on pre-service biology teachers was realized. The present study aimed to determine the effect of resource-based Instructions on pre-service biology teachers’ academic motivation toward learning biology at private and public Universities in Rwanda. Pre-service biology teachers were grouped into three groups at a public teacher traning University and received a pre-and post-assessment.  Quasi-experimental, pre and post-test control group design was used at a public university, while a repeated measures design was used at a private university. The standard academic motivation scale for learning biology (AMSLB) yielded a Cronbach alpha coefficient of 0.71 before use. The t-Test was computed to measure the statistically significant difference between the pre-and post-assessment scores and group of RBI interventions. Multivariate analysis (MANOVA) was computed to measure the effect of RBIs vis à vis the AMSLB factors. Findings revealed no statistically significant difference (df=18, p=.458) in the motivation of learning biology of pre-service teachers before and after learning via traditional instruction at a public university. However, a statistically signficant difference was found with animation instruction (df=18, p=.002) and lab instruction (df=18, p=.014).  The motivation of learning biology increased at a public university than at a private university. However, animations and small-group lab activities increased pre-service biology teachers’ intrinsic and extrinsic—career motivation of learning biology at both universities. Therefore, the study recommends using RBIs to improve pre-service biology teachers’ motivation toward learning biology.

Comparison of music stimuli to support mindfulness meditation

2019 ◽  
pp. 030573561987849 ◽  
Author(s):  
Abbey L Dvorak ◽  
Eugenia Hernandez-Ruiz
Keyword(s):  
Repeated Measures ◽  
Mindfulness Meditation ◽  
Analysis Of Covariance ◽  
Auditory Stimuli ◽  
Harmonic Progression ◽  
Repeated Measures Design ◽  
Significant Difference ◽  
Within Subjects ◽  
Mindful Attention Awareness Scale ◽  
Post Hoc

The purpose of this study was to compare the effectiveness of and preference for different auditory stimuli in supporting mindfulness meditation. Undergraduate non-musicians ( N = 57) listened to four different auditory stimuli guiding them in a mindfulness meditation: script only (i.e., Script), steady beat (i.e., Beat), beat and harmonic progression (i.e., Harmony), and beat, harmony, and melody (i.e., Melody). This study used a within-subjects repeated-measures design with the four conditions counterbalanced and randomized across participants. Participants rated responses using the Mindful Attention Awareness Scale (MAAS), completed the Absorption in Music Scale (AIMS), and ranked auditory stimuli according to preference and usefulness for mindfulness meditation. A repeated-measures analysis of covariance (ANCOVA) on the MAAS scores, using the AIMS as a covariate, indicated no statistically significant difference between auditory stimuli. However, with the AIMS removed, the analysis revealed significant differences between stimuli, indicating that levels of absorption in music may moderate participants’ responses to auditory stimuli for mindfulness meditation. Friedman analyses of variance (ANOVAs) and post hoc analyses indicated that participant rankings of usefulness and preference were significantly different among conditions, with the Melody and Harmony conditions ranked highest.

scholarly journals Effectiveness of nonviolent communication (NVC) workshop on marital adjustment

2017 ◽  
Vol 26 (1) ◽  
pp. 69-75
Author(s):  
Shaheen Islam ◽  
Roufun Naher
Keyword(s):  
Repeated Measures ◽  
Marital Adjustment ◽  
Positive Impact ◽  
Control Group ◽  
Nonviolent Communication ◽  
Repeated Measures Design ◽  
Significant Difference ◽  
Post Test ◽  
Experimental Group

The present study examined the effectiveness of nonviolent communication (NVC) workshop on marital adjustment. The hypothesis was receiving nonviolent communication (NVC) workshop has positive impact on marital adjustment. The independent variable was NVC workshop and the dependent variable was marital adjustment score. For conducting this research, repeated measures design was followed and 20 Bangladeshi married people participated in it. The results have shown that there was a statistically significant difference (F = 16.790, p < 0.05) in marital adjustment score of experimental group over the three time periods and pairwise comparisons indicate that there was significant difference between pretest and post-test and also between pretest and follow- up test at the 0.05 level. Results also have shown that, there was statistically significant difference of marital adjustment score between experimental and control group in posttest (t = 4.276, p < 0.05) and follow-up test (t = 4.176, p < 0.05). Thus, after receiving NVC workshop the marital adjustment score of experimental group increased significantly (F = 16.79, p < 0.001) in post-test measure and also remain constant in follow-up, whereas the marital adjustment score of control group had no significant change. This implied a significant positive impact of participation in NVC workshop on marital adjustment. Dhaka Univ. J. Biol. Sci. 26(1): 69-75, 2017 (January)

Technique for Differentiating Cortical Hemispheric Activity following Exercise

1982 ◽  
Vol 54 (3) ◽  
pp. 923-932 ◽  
Author(s):  
Richard R. Powell
Keyword(s):  
Left Hemisphere ◽  
Repeated Measures ◽  
Cortical Activation ◽  
Treadmill Running ◽  
Exhaustive Exercise ◽  
Significant Shift ◽  
Critical Flicker Fusion ◽  
Repeated Measures Design ◽  
Significant Difference ◽  
Flicker Fusion

Peripheral Critical Flicker Fusion technology was explored as a basis for inferred differences between right and left cortical hemispheric activity following exercise. 18 subjects underwent three treatments presented in randomized order with 1-wk. intervals in between them. Conditions included a control, 30 min. of steady-state treadmill running, and 20 min. of treadmill running followed by progressively increasing speed until exhaustion intervened. Immediately following each treatment, subjects were given a test of peripheral critical flicker fusion as measured in both peripheral retinal fields. Differences between right and left peripheral retinal field perception were analyzed for the three conditions with a one-way analysis of variance using a repeated-measures design. A significant difference was found among the three treatments for peripheral CFF differences between right and left peripheral fields. A Newman-Keuls test demonstrated a significant shift in cortical activation toward the left hemisphere following the exhaustive exercise. The inferred shift in cortical activity inferred from peripheral CFF, occurs following exhaustive exercise. The left hemisphere was viewed as the dominant locus of cortical activation in that fatigue state.

Artifact in Pediatric Oculomotor Findings during Videonystagmography: A Retrospective Analysis

2017 ◽  
Vol 28 (04) ◽  
pp. 314-324 ◽  
Author(s):  
Steven M. Doettl ◽  
Patrick N. Plyler ◽  
Devin L. McCaslin
Keyword(s):  
Eye Movements ◽  
Retrospective Analysis ◽  
Smooth Pursuit ◽  
Repeated Measures ◽  
Pediatric Population ◽  
Age Group ◽  
Repeated Measures Design ◽  
Significant Difference ◽  
Artifact Rejection ◽  
The Impact

Background: Accurate measurement of oculomotor function using videonystagmography (VNG) is imperative for diagnosis and management of patients with reported dizziness. The oculomotor evaluation during VNG utilizes video-oculography providing valuable information regarding the central structures and pathways that control eye movements. Artifact may have an effect on the overall validity and reliability of VNG oculomotor tracings and can result from patient and/or recording errors. It is postulated that artifact could occur more frequently in the pediatric population due to both patient and equipment factors. Purpose: The purpose of this study was to systematically evaluate the occurrence and impact of artifact on saccades, smooth pursuit, and optokinetic (OPK) testing in normal pediatric and adult subjects using commercially available clinical VNG equipment and standard clinical protocols for oculomotor testing. Research Design: The present study utilized a retrospective analysis of a repeated measures design. Study Sample: Oculomotor results from a total of 62 participants were analyzed. Portions of these data have been presented in a previous research study. Group 1 consisted of twenty-nine 4- to 6-yr-olds with an average age of 4.86 (SD = 0.88) yr. Group 2 consisted of thirty-three 22- to 44-yr-olds with an average age of 25.2 (SD = 5.34) yr. Data Collection and Analysis: Raw oculomotor recordings were analyzed “offline” by a single masked, trained investigator. Each tracing was evaluated for instances of artifact including eye blinks, eye closure, eyes moving in opposite direction of the target, eye tracking software problems, and overall poor morphology. The number of instances of artifact were noted and recorded for each participant in both groups. Individual eye movements not affected by artifact were included for final analysis. Artifact rejection techniques were also compared. Results: The results indicated increased artifact for the pediatric group for saccade and smooth pursuit testing. Additionally, a significant decrease in instances of artifact was noted with an increase in age in months for both saccade and smooth pursuit findings. OPK results did not indicate any significant difference in instances of artifact between the pediatric and adult groups or any decrease in instances of artifact with increasing age in the pediatric group. Artifact rejection technique did not have a significant effect on oculomotor measures for either age group. Conclusions: Pediatric patients exhibit increased instances of artifact during VNG oculomotor testing, specifically during saccade and smooth pursuit testing, at least for the 4- to 6-yr-old population. A general age effect was also noted in this age group, with decreased artifact noted with increasing age. Artifact rejection technique was not a significant factor suggesting standard compared based strategies may be sufficient for use in the pediatric population. Additional study into the effect of artifact on oculomotor results for infants to age 3 yr and ages 7- to 18-yr-old, in the disordered population, and with additional equipment manufacturers is needed to confirm these results and further describe the impact of artifact on oculomotor findings in the pediatric population.

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