scholarly journals A Case-Series Evaluation of a Brief, Psycho-Social Approach Intended for the Prevention of Relapse in Psychosis

2014 ◽  
Vol 10 (4) ◽  
pp. 756-782
Author(s):  
Petrina Brett ◽  
John Sorensen ◽  
Helena Priest
Keyword(s):  
Relapse Prevention ◽  
Perceived Control ◽  
Statistical Power ◽  
Management Strategies ◽  
Case Series ◽  
Attrition Rate ◽  
Self Management ◽  
Future Research ◽  
Internal States

There is a wealth of research into relapse prevention in psychosis; however, specific research into the effectiveness of short-term, self-management strategies aimed to prevent relapse is lacking. This pilot study aimed to evaluate the effects of Sorensen’s ‘Relapse Prevention in Schizophrenia and Other Psychoses’ manual-based therapy (Sorensen, 2006b) with 11 participants in one UK National Health Service Trust. The intervention was delivered over four sessions and interviews were conducted pre and post intervention. The effect of the intervention on measures of hopelessness, perceived control over internal states, and satisfaction were recorded using validated questionnaires at one week, one month and two months follow-up, supported by measures taken from visual analogue scales. Data analysis revealed significant improvements on hopelessness, perceived control over internal states, and satisfaction at one week follow-up, although these results were not maintained at one and two months follow-up. Additionally, the attrition rate meant that results lacked statistical power at one and two months follow-up. The study also considered the clinical significance of the research findings with the Jacobson-Truax (Jacobson & Truax, 1991) method for measuring reliable change. A substantial number of clients attained clinically significant changes with regards to hopelessness and perceived control over internal states. Future research is required in order to evaluate the use of self-management strategies to prevent relapse. It would be valuable to repeat the current study with the additional use of booster sessions in order to assess whether the positive impacts on hopelessness and perceived control over illness can be maintained at the longer term follow up.

scholarly journals A qualitative investigation of LGBTQ+ young people’s experiences and perceptions of self-managing their mental health

2021 ◽  
Author(s):  
Rosa Town ◽  
Daniel Hayes ◽  
Peter Fonagy ◽  
Emily Stapley
Keyword(s):  
Mental Health ◽  
Young People ◽  
Management Strategies ◽  
Intervention Development ◽  
Community Support ◽  
Self Management ◽  
Future Research ◽  
Youth Groups ◽  
Coping Methods ◽  
Group A

AbstractThere is evidence that young people generally self-manage their mental health using self-care strategies, coping methods and other self-management techniques, which may better meet their needs or be preferable to attending specialist mental health services. LGBTQ+ young people are more likely than their peers to experience a mental health difficulty and may be less likely to draw on specialist support due to fears of discrimination. However, little is known about LGBTQ+ young people’s experiences and perceptions of self-managing their mental health. Using a multimodal qualitative design, 20 LGBTQ+ young people participated in a telephone interview or an online focus group. A semi-structured schedule was employed to address the research questions, which focussed on LGBTQ+ young people’s experiences and perceptions of self-managing their mental health, what they perceived to stop or help them to self-manage and any perceived challenges to self-management specifically relating to being LGBTQ+ . Reflexive thematic analysis yielded three key themes: (1) self-management strategies and process, (2) barriers to self-management and (3) facilitators to self-management. Participants’ most frequently mentioned self-management strategy was ‘speaking to or meeting up with friends or a partner’. Both barriers and facilitators to self-management were identified which participants perceived to relate to LGBTQ+ identity. Social support, LGBTQ+ youth groups and community support were identified as key facilitators to participants’ self-management of their mental health, which merits further investigation in future research. These findings also have important implications for policy and intervention development concerning LGBTQ+ young people’s mental health.

Self-management program improves participation in patients with neuromuscular disease

Neurology ◽  
2019 ◽  
Vol 93 (18) ◽  
pp. e1720-e1731 ◽  
Author(s):  
Yvonne Veenhuizen ◽  
Edith H.C. Cup ◽  
Marianne A. Jonker ◽  
Nicoline B.M. Voet ◽  
Bianca J. van Keulen ◽  
...  
Keyword(s):  
Usual Care ◽  
Social Participation ◽  
Relapse Prevention ◽  
Conservation Management ◽  
Intervention Group ◽  
Chronic Fatigue ◽  
Repeated Measurements ◽  
Self Management ◽  
Satisfaction Scale

ObjectiveTo investigate the effectiveness of Energetic, a self-management group program combining aerobic training, energy conservation management, and relapse prevention to improve social participation in patients with neuromuscular disease (NMD) and chronic fatigue.MethodsIn this multicenter, assessor-blinded, 2-armed randomized controlled trial with repeated measurements, 53 patients with various types of NMD and chronic fatigue were randomly allocated to Energetic, a 4-month group intervention, or to usual care. The primary endpoint was social participation assessed with the Canadian Occupational Performance Measure (COPM) performance scale immediately postintervention. Secondary outcomes included COPM satisfaction scale, 6-Minute Walk Test (6MWT), and Checklist Individual Strength–subscale fatigue. Participants were followed for 11 months postintervention. Data were analyzed with linear models that account for repeated measurements.ResultsDirectly after intervention, the mean group difference for COPM-performance was 1.7 (95% confidence interval [CI] 1.0–2.4; p < 0.0001) in favor of the intervention group (n = 29), adjusted for baseline, sex, diagnosis, and work status. This effect was retained at 11 months follow-up (0.9; 95% CI 0.0–1.7; p = 0.049). The COPM satisfaction scale and 6MWT improved more in the intervention group compared to usual care. After 3 and 11 months follow-up, most beneficial effects on social participation and functional endurance were retained.ConclusionEnergetic led to sustainable improvements in social participation and functional endurance compared to usual care in patients with NMD and chronic fatigue.Clinicaltrials.gov identifierNCT02208687.Classification of evidenceThis study provides Class III evidence that a combination of aerobic training, energy conservation management, and relapse prevention improves social participation in patients with NMD and chronic fatigue.

Training Teachers to Manage Students with Asperger's Syndrome in an Inclusive Classroom Setting

2008 ◽  
Vol 25 (2) ◽  
pp. 34-48 ◽  
Author(s):  
Sharon Hinton ◽  
Kate Sofronoff ◽  
Jeanie Sheffield
Keyword(s):  
Asperger's Syndrome ◽  
Asperger’S Syndrome ◽  
Controlled Trial ◽  
Management Strategies ◽  
Future Research ◽  
Inclusive Classroom ◽  
Classroom Setting ◽  
Teacher Competence ◽  
Problem Behaviours

AbstractThis controlled trial of a teacher training intervention aimed to increase teacher competence in managing the problem behaviours associated with Asperger's syndrome, as manifested in a classroom setting. All teacher-participants currently managed a student with Asperger's syndrome in an inclusive classroom setting. Measures were taken on two occasions: pre-workshop and 6-week follow-up. Variables of interest were number of problem behaviours, success of teacher strategies used to manage problem behaviours and teacher self-efficacy in managing behaviours. Qualitative data assessing both the utility of the workshop and effectiveness of the individual management strategies was also gathered. At 6-week follow up, teachers reported increased confidence in their ability to manage the student with Asperger's syndrome, fewer problem behaviours displayed by the student and increased success in using strategies to manage the student in the classroom. The utility of both the workshop itself and individual management strategies were also endorsed by all teacher-participants. Suggestions for future research and limitation of the study are also discussed.

scholarly journals Effects of a Motivational Self-Talk Intervention for Endurance Athletes Completing an Ultramarathon

2018 ◽  
Vol 32 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Alister McCormick ◽  
Carla Meijen ◽  
Samuele Marcora
Keyword(s):  
Perceived Control ◽  
Endurance Athletes ◽  
Future Research ◽  
Control Group ◽  
Adverse Conditions ◽  
Randomized Controlled ◽  
Self Talk ◽  
Group A ◽  
Randomized Controlled Experiment

This study examined the effects of strategic, motivational self-talk for runners completing a 60-mile, overnight ultramarathon using a randomized, controlled experiment. Data were collected before, during, and after an annual ultramarathon. Twenty-nine ultramarathon runners were randomly allocated to a motivational self-talk group or an alternative control group. A condition-by-time mixed ANOVA indicated that learning to use motivational self-talk did not affect preevent self-efficacy or perceived control. A t-test and magnitude-based inference indicated that motivational self-talk did not affect performance. Nevertheless, follow-up data suggested that most participants found the intervention helpful and continued to use it six months after their research commitment, particularly in endurance events and to a lesser extent in training. Participants continued to use self-talk to cope with exertion, as well as other stressors such as blister discomfort and adverse conditions. Suggestions are offered for future research examining the effects of psychological interventions on performance in endurance events.

scholarly journals Rosai-Dorfman disease of cranial and spinal origin - A case series

2020 ◽  
Vol 11 ◽  
pp. 298
Author(s):  
Saleh Salah Safi ◽  
Khaled Murshed ◽  
Arshad Ali ◽  
Surjith Vattoth ◽  
Abdulrazzaq Haider ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Inflammatory Diseases ◽  
Management Strategies ◽  
Case Series ◽  
Current Management ◽  
Rosai Dorfman Disease ◽  
Lymph Node Enlargement ◽  
Long Term Follow Up

Background: Rosai-Dorfman disease (RDD) is an idiopathic nonneoplastic lymphadenopathy disorder which is characterized by lymph node enlargement, but it may also presents primarily involving a variety of extranodal sites, including central nerves system and craniospinal axis. This study reports five cases of craniospinal RDD, with review of epidemiology, clinical presentation, imaging, and histopathological features with current management strategies. Case Description: Five cases of RDD are diagnosed at Hamad General Hospital, Qatar, during 2013–2018. Two cases had dural-based cranial lesions with overlying cranial involvement while three cases were having extradural thoracic spine lesions. All cases underwent surgical intervention and confirmed by histopathology. Conclusion: Craniospinal RDD is a rare clinical presentation and poses significant diagnostic challenges preoperatively due to its similarity with other neoplastic or inflammatory diseases. Surgical option to remove compressive neural pathology provides a good clinical outcome with no recurrence in long-term follow-up.

ANCA-Associated Vasculitis Management in the United States: Data from the Rheumatology Informatics System for Effectiveness (RISE) Registry

2021 ◽  
pp. jrheum.201330
Author(s):  
Zachary S. Wallace ◽  
Huifeng Yun ◽  
Jeffrey R. Curtis ◽  
Lang Chen ◽  
John H. Stone ◽  
...  
Keyword(s):  
United States ◽  
Management Strategies ◽  
Research Priorities ◽  
The United States ◽  
Future Research ◽  
Treatment Preferences ◽  
Informatics System ◽  
Anca Associated Vasculitis ◽  
Laboratory Test Results

Objective ANCA-associated vasculitis (AAV) management has evolved substantially over the last two decades. We sought to characterize AAV treatment patterns in the United States. Methods We identified AAV patients in the Rheumatology Informatics System for Effectiveness (RISE) registry who had at least two rheumatology clinician visits between January 1st, 2015 and December 31st, 2017. Demographics, medications, laboratory test results, and billing codes were extracted from the medical record. Demographic and prescription trends were assessed overall and across US regions. Results We identified 1,462 AAV patients, 259 (18%) with new or relapsing AAV. The majority were classified as having granulomatosis with polyangiitis (GPA, 75%). The mean age was 59.8 years and 59% were female. The majority of patients were in the South (45%) followed by the Mid-West (32%), West (12%), and Northeast (8%). Patients had a median of 3 visits and follow-up of 579 days. The most commonly prescribed medications during the study period were glucocorticoids (86%) followed by rituximab (45%), methotrexate (33%), azathioprine (32%) and mycophenolate mofetil (18%); cyclophosphamide was rarely used (97, 7%). At the most recent visits in RISE, 47% of patients were on glucocorticoids. Prescription trends were similar across regions. Conclusion This is the first study to evaluate the demographics and management of AAV by rheumatologists outside of major referral centers. Management strategies vary widely but cyclophosphamide is rarely used. These observations can be used to inform future research priorities. Additional studies are needed to characterize AAV severity in RISE and patient and provider treatment preferences.

Temporal Bone Fractures Caused by Ballistic Projectiles: A Systematic Review

2020 ◽  
pp. 019459982096879
Author(s):  
Kenneth L. Kennedy ◽  
Elizabeth Cash ◽  
Jessica Petrey ◽  
Jerry W. Lin
Keyword(s):  
Temporal Bone ◽  
Bone Fractures ◽  
Case Reports ◽  
Case Series ◽  
Gunshot Wounds ◽  
Individual Case ◽  
Future Research ◽  
Wide Range ◽  
Intracranial Complications

Objective Ballistic injuries to the temporal bone are uncommon but devastating injuries that damage critical neurovascular structures. This review describes outcomes after ballistic injuries to the temporal bone and offers initiatives for standardized high-quality future research. Data Sources A systematic search of PubMed, Embase, and Cochrane. Review Methods Studies in the review included adults who experienced temporal bone fractures due to gunshot wounds and survived longer than 48 hours. Individual case reports were excluded. The various searches returned 139 results, of which 6 met inclusion criteria. Results Most of the included studies are case series with low-level evidence that report a wide range of outcomes and follow-up. Outcomes include demographic patient information, audiologic outcomes, vascular injuries, intracranial complications, facial nerve function, and surgical indications. Conclusion This review is the first to characterize the nature and progression of patients who experienced gunshot wounds to the temporal bone. Although all patients share an etiology of injury, they often have vastly different hospital courses and outcomes. This review provides a basis for future studies to guide care for these injuries, as most of the existing literature includes small dated case series.

Mentoring and Self-Management Career Strategies for Entrepreneurs

2000 ◽  
Vol 1 (2) ◽  
pp. 99-108 ◽  
Author(s):  
Ellen A. Ensher ◽  
Susan E. Murphy ◽  
Charles M. Vance
Keyword(s):  
Career Development ◽  
Goal Setting ◽  
Career Success ◽  
Management Strategies ◽  
Self Management ◽  
Future Research ◽  
Role Modelling ◽  
Self Talk ◽  
Career Strategies ◽  
Management Career

The purpose of this article is to examine the literature on self-management and mentoring to develop practical methods of enhancing the career success of entrepreneurs. The authors believe that both behavioural and cognitive self-management strategies can be useful to entrepreneurs. These techniques include goal-setting, self-observation, self-rewards, cueing, self-talk, visualization and the active reframing of obstacles into opportunities. In addition, the varying roles and functions of mentors, including emotional, vocational and role modelling support, will have many positive benefits for both entrepreneurial protégés and mentors. Recommendations for future research and an entrepreneurial model of career development are provided.

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