Immediate Effects of a Telerehabilitation Program Based on Aerobic Exercise in Women with Fibromyalgia

Background: We analyzed the immediate effects of a Telerehabilitation Program (TP) based on aerobic exercise in women with fibromyalgia (FM) syndrome during the lockdown declared in Spain due to the COVID-19 pandemic. Methods: A single-blind randomized controlled trial was designed. Thirty-four women with FM were randomized into two groups: TP group and Control group. The intervention lasted 15 weeks, with 2 sessions per week. The TP based on aerobic exercise was guided by video and the intensity of each session was monitored using the Borg scale. Pain intensity (Visual Analogue Scale), mechanical pain sensitivity (algometer), number of tender points, FM impact (Revised Fibromyalgia Impact Questionnaire), pain catastrophizing (Pain Catastrophizing Scale), physiological distress (Hospital Anxiety and Depression Scale), upper (Arm Curl Test) and lower-limb physical function (6-min Walk Test) were measured at baseline and after the intervention. Results: The TP group improved pain intensity (p = 0.022), mechanical pain sensitivity (p < 0.05), and psychological distress (p = 0.005), compared to the Control group. The Control group showed no statistically significant changes in any variable (p > 0.05). Conclusions: A TP based on aerobic exercise achieved improvements on pain intensity, mechanical pain sensitivity, and psychological distress compared to a Control group during the lockdown declared in Spain due to COVID-19 pandemic.

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Alleviating psychological distress associated with a positive cervical cancer screening result: a randomized control trial

BMC Women s Health ◽

10.1186/s12905-021-01207-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Yukari Isaka ◽

Ai Hori ◽

Rie Tanaka ◽

Masao Ichikawa

Keyword(s):

Cervical Cancer ◽

Psychological Distress ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Controlled Trial ◽

Intervention Group ◽

Control Group ◽

Control Groups ◽

And Control ◽

Screening Result

Abstract Background The method of communicating a positive cancer screening result should seek to alleviate psychological distress associated with a positive result. We evaluated whether the provision of information through a leaflet would help reduce psychological distress in a randomized controlled trial. Methods The participants were women aged 20–69 years who were about to undergo cervical cancer screening at health centers. Before the screening, they received hypothetical screening results, with a leaflet (intervention group, n = 493) or without it (control group, n = 479), randomly. Their psychological distress and intention to undergo further examination were then compared between the intervention and control groups. Results After the intervention (providing a leaflet with hypothetical screening results), psychological distress appeared to be higher in the control group than in the intervention group among those who received a hypothetical positive screening result (odds ratio: 2.57, 95% confidence interval: 1.87–3.54), while 95% and 97% of those in the intervention and control groups, respectively, reported that they would undergo further examination. Conclusions Information provision might help reduce psychological distress but not hinder further examination among women who screen positive for cervical cancer. Trial registration: UMIN Clinical Trials Registry UMIN000029894. Date of Registration: November 2017.

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Effect of Exercise Program on Fatigue and Depression among Geriatric Patients Undergoing Hemodialysis

International Journal of Advanced Nursing Studies ◽

10.14419/ijans.v8i2.29316 ◽

2019 ◽

Vol 8 (2) ◽

pp. 23

Author(s):

Soad Hassan Abd Elhameed ◽

Doaa El Sayed Fadila

Keyword(s):

Geriatric Patients ◽

Controlled Trial ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Exercise Program ◽

Structured Interview ◽

University Hospital ◽

Control Group ◽

Control Groups ◽

And Control

Background: Fatigue is one of the foremost common complications faced the hemodialysis elderly patients. Fatigue not only impact the daily lives and activities of patients but it conjointly influences their quality of life, which can afterwards result in magnified depression, tiny social interactions and increase dependency on others.Aim: Determine the effect of exercise program on fatigue and depression among geriatric patients undergoing hemodialysis.Design: Randomized controlled trial (pretest post-test) design was used.Setting: The study was carried out in the dialysis units of Mansoura University Hospital and New Mansoura General Hospital.Subjects: A purposive sample of 62 geriatric patients undergoing hemodialysis was selected and randomly allocated into two equal groups, study group (n = 31) and control group (n =31).Tools: Three tools were used; Structured interview questionnaire sheet, Multidimensional Fatigue Inventory Scale and Geriatric Depression Scale Short Form.Results: The mean age of the study and control groups was 63.45±4.49 and 64.7±5.25 respectively. A high statistically significant change in fatigue and depression score (pre and post 2 months) between the study and the control groups was observed (P=0.000). Moreover, a statistically significant relation was observed between fatigue and age of the hemodialysis geriatric patients after implementation of the exercise program (P= 0.002).Conclusion: Implementation of the exercise program proved to be effective in improving the level of fatigue and depression among geriatric patients undergoing hemodialysis in the study group.Recommendation: Encourage geriatric patients undergoing hemodialysis to perform regularly range of motion and relaxation exercises in order to alleviate fatigue and overcome depression.

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Therapeutic Exercise and Pain Neurophysiology Education in Female Patients with Fibromyalgia Syndrome: A Feasibility Study

Journal of Clinical Medicine ◽

10.3390/jcm9113564 ◽

2020 ◽

Vol 9 (11) ◽

pp. 3564

Author(s):

Luis Ceballos-Laita ◽

María Teresa Mingo-Gómez ◽

Francisco Navas-Cámara ◽

Elena Estébanez-de-Miguel ◽

Santos Caudevilla-Polo ◽

...

Keyword(s):

Quality Of Life ◽

Psychological Distress ◽

Pain Intensity ◽

Pain Sensitivity ◽

Fibromyalgia Syndrome ◽

Pain Catastrophizing ◽

Therapeutic Exercise ◽

Short Term

Background: We compared the effects of therapeutic exercise (TE) combined with pain neurophysiology education (PNE) to those of TE in isolation on pain intensity, general fibromyalgia impact, mechanical pain sensitivity, pain catastrophizing, psychological distress and quality of life in women with fibromyalgia syndrome (FMS). Methods: A feasibility study with a 3 month follow-up was designed. Thirty-two patients with FMS were randomly assigned to PNE + TE group (n = 16) or to TE group (n = 16). Both groups received 30 sessions of TE (3 per week), and the PNE + TE group received eight face-to-face educational sessions. The measuring instruments used were the visual analogue scale, a standard pressure algometer, the Revised Fibromyalgia Impact Questionnaire, the Pain Catastrophizing Scale, the Hospital Anxiety and Depression Scale and the Health Assessment Questionnaire. Results: The PNE + TE group showed a statistically significant decrease on pain intensity compared to TE group at short term (p = 0.015). No between-groups differences were found for mechanical pain sensitivity, general fibromyalgia impact, pain catastrophizing, psychological distress or quality of life (p > 0.05). Conclusions: The combination of PNE and TE was more effective than TE for reducing pain intensity in the short-term. No differences were found for psychological distress, pain catastrophizing and quality of life after the intervention or at 3 months of follow-up.

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Efficacy of hypnotherapy on pain intensity and psychological distress among women with premenstrual dysphoric disorder, applicability of suggestions focused on cognitive flexibility and ego strength

10.21203/rs.3.rs-835578/v1 ◽

2021 ◽

Author(s):

Nader Abazari ◽

Leila Heydarinasab ◽

Hamid Yaghubi ◽

Hojjatollah Farahani

Keyword(s):

Psychological Distress ◽

Pain Intensity ◽

Cognitive Flexibility ◽

Controlled Trial ◽

Premenstrual Dysphoric Disorder ◽

Physical Symptoms ◽

Panic Attacks ◽

Control Group ◽

Ego Strength ◽

Food Cravings

Abstract Background: Premenstrual dysphoric disorder PMDD is a health difficulty that is so similar to premenstrual syndrome PMS but is more serious Many women with PMDD may also have anxiety or depression, in this way, lasting irritability or anger that may affect other people, feelings of sadness or despair, or even thoughts of suicide, feelings of tension or anxiety, panic attacks, mood swings or crying often, lack of interest in daily activities and relationships, trouble thinking or focusing, tiredness or low energy, food cravings or binge eating, trouble sleeping, feeling out of control, physical symptoms such as cramps, bloating, breast tenderness, headaches, and joint or muscle pain are some of prevalent symptoms suffer women with PMDDMethods: The present research was a randomized controlled trial. In order to control variables pain intensity and psychological distress among patients with PMDD, the participants were selected accidently from female students of Shahed University of Tehran who consulted to psychology in order to assess their premenstrual symptoms and randomly divided into two groups. Each of groups encompassed 30 women between 20 up to 35-year-old whom diagnosed by PMDD via PSST from winter 2019 to spring 2020. In this study, one group received hypnotherapy and the other group received no intervention. Results: There are significant differences between the two groups. The efficacy of the procedure of hypnotherapy in the experimental group was more than that in the control group, (sig = 0.05).Conclusion The present study findings revealed that hypnotherapy with suggestions focused on cognitive flexibility and ego strength affected pain intensity and psychological distress among females with PMDD significantly. (sig=0.05)

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Alleviating psychological distress associated with a positive cervical cancer screening result: a randomized control trial

10.21203/rs.3.rs-19034/v1 ◽

2020 ◽

Author(s):

Yukari Isaka ◽

Ai Hori ◽

Rie Tanaka ◽

Masao Ichikawa

Keyword(s):

Cervical Cancer ◽

Psychological Distress ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Controlled Trial ◽

Intervention Group ◽

Control Group ◽

Control Groups ◽

And Control ◽

Screening Result

Abstract Background: The method of communicating a positive cancer screening result should seek to alleviate psychological distress associated with a positive result. We evaluated whether the provision of information through a leaflet would help reduce psychological distress.Methods: This study design was a simple randomized controlled trial that randomly assigned individual participants to the intervention and control groups and measured outcomes before and after the intervention. The analysis included 972 women. Women received hypothetical cervical cancer screening results, with a leaflet (intervention group) or without it (control group), randomly. Outcomes were psychological distress and intention to undergo further examination.Results: After the intervention, psychological distress appeared to be higher in the control group than in the intervention group among those who received a hypothetical positive screening result (odds ratio: 2.57, 95% confidence interval: 1.87–3.54), while 95% and 97% of those in the intervention and control groups, respectively, reported that they would undergo further examination.Conclusions: Information provision might help reduce psychological distress but not hinder further examination among women who screen positive for cervical cancer.Trial registration: UMIN Clinical Trials Registry UMIN000029894. Date of Registration: November 2017.

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Mamma Mia – A randomized controlled trial of an internet-based intervention for perinatal depression

Psychological Medicine ◽

10.1017/s0033291718002544 ◽

2018 ◽

Vol 49 (11) ◽

pp. 1850-1858 ◽

Cited By ~ 11

Author(s):

Silje Marie Haga ◽

Filip Drozd ◽

Carina Lisøy ◽

Tore Wentzel-Larsen ◽

Kari Slinning

Keyword(s):

Depressive Symptoms ◽

Controlled Trial ◽

Intervention Group ◽

Depression Scale ◽

Control Group ◽

Group Data ◽

Perinatal Depressive Symptoms ◽

Group 2 ◽

And Control

AbstractBackgroundStudies suggest that 10–15% of perinatal women experience depressive symptoms. Due to the risks, problems with detection, and barriers to treatment, effective universal preventive interventions are needed. The aim of this study was to assess the effectiveness of an automated internet intervention (‘Mamma Mia’) on perinatal depressive symptoms. Mamma Mia is tailored specifically to the perinatal phase and targets risk and protective factors for perinatal depressive symptoms.MethodsA total of 1342 pregnant women were randomized to an intervention (‘Mamma Mia’) and control group. Data were collected at gestational week (gw) 21–25, gw37, 6 weeks after birth, and 3 and 6 months after birth. We investigated whether (1) the intervention group displayed lower levels of depressive symptoms compared with the control group, (2) the effect of Mamma Mia changed over time, (3) the effect on depressive symptoms was moderated by baseline depressive symptoms, previous depression, and parity, and (4) this moderation changed by time. Finally, we examined if the prevalence of mothers with possible depression [i.e. Edinburgh Postnatal Depression Scale (EPDS)-score ⩾10] differed between the intervention and control group.ResultsParticipants in the Mamma Mia group displayed less depressive symptoms than participants in the control group during follow-up [F(1) = 7.03, p = 0.008]. There were indications that the effect of Mamma Mia was moderated by EPDS score at baseline. The prevalence of women with EPDS-score ⩾10 was lower in the Mamma Mia group at all follow-up measurements.ConclusionsThe study demonstrated the effects of the automated web-based universal intervention Mamma Mia on perinatal depressive symptoms.

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Alleviating psychological distress associated with a positive cervical cancer screening result: a randomized control trial

10.21203/rs.3.rs-19034/v2 ◽

2020 ◽

Author(s):

Yukari Isaka ◽

Ai Hori ◽

Rie Tanaka ◽

Masao Ichikawa

Keyword(s):

Cervical Cancer ◽

Psychological Distress ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Controlled Trial ◽

Intervention Group ◽

Control Group ◽

Control Groups ◽

And Control ◽

Screening Result

Abstract Background: The method of communicating a positive cancer screening result should seek to alleviate psychological distress associated with a positive result. We evaluated whether the provision of information through a leaflet would help reduce psychological distress in a randomized controlled trial.Methods: The participants were women aged 20–69 years who were about to undergo cervical cancer screening at health centers. Before the screening, they received hypothetical screening results, with a leaflet (intervention group, n = 493) or without it (control group, n = 479), randomly. Their psychological distress and intention to undergo further examination were then compared between the intervention and control groups.Results: After the intervention (providing a leaflet with hypothetical screening results), psychological distress appeared to be higher in the control group than in the intervention group among those who received a hypothetical positive screening result (odds ratio: 2.57, 95% confidence interval: 1.87–3.54), while 95% and 97% of those in the intervention and control groups, respectively, reported that they would undergo further examination.Conclusions: Information provision might help reduce psychological distress but not hinder further examination among women who screen positive for cervical cancer.Trial registration: UMIN Clinical Trials Registry UMIN000029894. Date of Registration: November 2017.

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Comparative effect of electroacupuncture with different frequency on headache attacks in migraine outpatients: study protocol for a randomized controlled trial

10.21203/rs.3.rs-29726/v1 ◽

2020 ◽

Author(s):

Na Nie ◽

Le Chen ◽

Tong Li ◽

Chuanlong Zhou ◽

Bangwei Li ◽

...

Keyword(s):

Controlled Trial ◽

Life Quality ◽

Depression Scale ◽

Secondary Outcome ◽

Control Group ◽

Life Questionnaire ◽

Comparative Effect ◽

Clinical Trial Registry ◽

Self Rating ◽

And Control

Abstract Background: Headache attacks severely impaired life quality and increase economic burden of migraineurs. Electroacupuncture (EA) has been used world-widely to treat several pain-related diseases including migraine. However, whether EA with low- or high-frequency exerts distinct analgesic effect remains unknown and need to further study.Methods/Design: This study is a randomized, prospective randomized trial with three parallel arms. A total of 129 migraine outpatients will be randomly allocated to 2Hz EA group, 100Hz EA group and control group. Twelve treatment sessions will be performed over a four-week period. The primary outcome will be measured by frequency of migraine attacks at baseline, four-week of treatment and consecutive four-week follow-up. Secondary outcome measures will be number of days with migraine, frequency of taking ibuprofen, Visual Analogue Scale (VAS), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) and Migraine Specific Quality of Life questionnaire (MSQ), safety and compliance evaluation.Discussion: This trial is expected to comparative effect of electroacupuncture with different frequency on headache attacks in migraineur.Trial registration: Chinese Clinical Trial Registry, ChiCTR-1800017259.Registered on 20 July 2018.Registered on 20 July 2018.

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Effects of dry needling on pain, disability, kinesiophobia, pain catastrophizing and psychological distress in patients with chronic neck pain: A randomized controlled pilot study

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-200322 ◽

2021 ◽

pp. 1-9

Author(s):

Luis Ceballos-Laita ◽

Ricardo Medrano-de-la-Fuente ◽

Teresa Mingo-Gómez ◽

Ignacio Hernando-Garijo ◽

Elena Estébanez-de-Miguel ◽

...

Keyword(s):

Psychological Distress ◽

Patient Education ◽

Neck Pain ◽

Pain Intensity ◽

Pain Catastrophizing ◽

Chronic Neck Pain ◽

Control Group ◽

Dry Needling ◽

Randomized Controlled ◽

Pain Disability

BACKGROUND: Myofascial trigger points (MTrPs) in neck muscles seem to be related to the main symptoms of patients with chronic neck pain. OBJECTIVE: The objective was to investigate the effects of dry needling (DN) on pain, disability, kinesiophobia, pain catastrophizing and psychological distress in patients with chronic neck pain. METHODS: A double blind randomized controlled pilot trial was designed. Twenty-one patients with chronic neck pain were randomly allocated to the DN group (n= 7), Sham-DN group (n= 7) or Control group (n= 7). All groups received a Transcutaneous Electrical Nerve Stimulation and Therapeutic Ultrasound (TENS/US) protocol with patient education. The DN and Sham-DN groups received two sessions of DN and sham DN, respectively. The primary outcome was pain intensity. Secondary outcomes were disability, kinesiophobia, pain catastrophizing, psychological distress, self-reported improvement and success of blinding. RESULTS: The DN group showed a greater decrease in pain intensity, disability and pain catastrophizing compared to the Sham-DN group (p< 0.05) and the Control group (p< 0.05). The DN group showed the highest self-reported improvement. CONCLUSION: Adding two sessions of DN in active MTrPs in upper trapezius, levator scapulae and sternocleidomastoid muscles to a TENS/US protocol with patient education decreased pain intensity, disability and pain catastrophizing in patients with chronic neck pain.

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572Randomized Controlled Trial Investigating the Effect of an Educational Intervention on Paternal Postpartum Depression Risk

International Journal of Epidemiology ◽

10.1093/ije/dyab168.305 ◽

2021 ◽

Vol 50 (Supplement_1) ◽

Author(s):

Yuichi Ichinose ◽

Kevin Urayama ◽

Makoto Okamura ◽

Naomi Sugiura ◽

Maiko Suto ◽

...

Keyword(s):

Confidence Interval ◽

Educational Intervention ◽

Odds Ratio ◽

Controlled Trial ◽

Intervention Group ◽

Significant Risk ◽

Depression Scale ◽

Control Group ◽

Parallel Group ◽

And Control

Abstract Background Postpartum paternal depression (PPPD) is under-acknowledged worldwide compared to maternal depression, despite PPPD prevalence being reported to be just as high. Although PPPD has clear health consequences, even on other family members, preventive methods have been under-studied. We investigated the association between an educational intervention and risk of PPPD. Methods We performed a parallel-group, randomized controlled trial in an obstetrics clinic in Japan that included expecting fathers and their pregnant partners at 28-32 weeks gestation. The intervention comprised an educational booklet created for fathers that was distributed during pregnancy. For the primary outcome, Edinburg Postnatal Depression Scale (EPDS) was administered at one and three months post-delivery, and EPDS of 8 or greater was considered at risk for depression. Results In total, the intervention and control groups comprised 286 and 282 couples, respectively. At follow-up, depressive symptoms were observed in 7.2% of fathers in the intervention group and 9.8% in the control group (odds ratio [OR] = 0.71, 95% confidence interval [CI] = 0.36-1.36). Logistic regression in an adjusted analysis showed a reduced, but non-significant risk of PPPD (odds ratio=0.61, 95% confidence interval=0.31-1.20). Conclusions In the first PPPD intervention study of its kind in Japan, our study suggests that distributing the educational booklet to fathers may be helpful in general, but may not be enough to significantly influence the risk of a major condition like PPPD. Key messages A more personalized preventive approach beyond the simple administration of a booklet may be necessary to significantly impact PPPD occurrences.

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