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Anxiety Non-pharmacologic Management

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181. Joint AAD-NPF guidelines of care for the management and treatment of psoriasis with awareness and attention to comorbidities

Joint AAD-NPF guidelines of care for the management and treatment of psoriasis with awareness and attention to comorbidities Joint AAD-NPF guidelines of care for the management and treatment of psoriasis with awareness and attention to comorbidities - Journal of the American Academy of Dermatology Email/Username: Password: Remember me Search JAAD & JAAD Case Reports Search Terms Search within Search Access provided by Volume 80, Issue 4, Pages 1073–1113 Joint AAD-NPF guidelines of care (...) for the management and treatment of psoriasis with awareness and attention to comorbidities x Craig A. Elmets Affiliations University of Alabama, Birmingham, Alabama , MD ((Co-Chair)) a , x Craig L. Leonardi Affiliations Central Dermatology, St. Louis, Missouri , MD b , x Dawn M.R. Davis Affiliations Mayo Clinic, Rochester, Minnesota , MD c , x Joel M. Gelfand Affiliations University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania , MD, MSCE d , x Jason Lichten Affiliations National

2019 American Academy of Dermatology

182. Translation and implementation of the Australian-led PCOS guideline: clinical summary and translation resources from the International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome

; emotional wellbeing; healthy lifestyle; pharmacological treatment for non-fertility indications; and assessment and treatment of infertility. Changes in management as a result of this guideline: •Diagnosis:▪when the combination of hyperandrogenism and ovulatory dysfunction is present, ultrasound examination of the ovaries is not necessary for diagnosis of PCOS in adult women;▪requires the combination of hyperandrogenism and ovulatory dysfunction in young women within 8 years of menarche, with ultrasound (...) or management of excess weight are important. Depressive and anxiety symptoms should be screened, assessed and managed with the need for awareness of other impacts on emotional wellbeing. Combined oral contraceptive pills are firstline pharmacological management for menstrual irregularity and hyperandrogenism, with no specific recommended preparations and general preference for lower dose preparations. Metformin is recommended in addition or alone, primarily for metabolic features. Letrozole is first-line

2018 MJA Clinical Guidelines

183. BTS/SIGN British Guideline on the Management of Asthma

Doughty Street London WC1N 2PL www.brit-thoracic.org.uk SIGN and BTS consent to the photocopying of this guideline for the purpose of implementation in the NHS in England, Wales, Northern Ireland and Scotland.Contents 1 Introduction 1 1.1 The need for a guideline 1 1.2 Remit of the guideline 1 1.3 Statement of intent 4 2 Key recommendations 6 2.1 Diagnosis 6 2.2 Monitoring 7 2.3 Supported self management 7 2.4 Non-pharmacological management 7 2.5 Pharmacological management 7 2.6 Inhaler devices 8 2.7 (...) Predicting future risk of asthma attacks 32 4.4 Physiological measures 36 4.5 Other approaches 37 5 Supported self management 38 5.1 Effectiveness of supported self management 38 5.2 Components of a self-management programme 38 5.3 Self management in specific patient groups 42 5.4 Adherence and concordance 45 5.5 Implementation in practice 48 6 Non-pharmacological management 50 6.1 Primary prevention 50 6.2 Secondary prevention 557 Pharmacological management 62 7.1 Intermittent reliever therapy 63 7.2

2019 British Thoracic Society

184. Management of Osteoporosis in Survivors of Adult Cancers With Nonmetastatic Disease

Management of Osteoporosis in Survivors of Adult Cancers With Nonmetastatic Disease Management of Osteoporosis in Survivors of Adult Cancers With Nonmetastatic Disease: ASCO Clinical Practice Guideline | Journal of Clinical Oncology Search in: Menu Article Tools ASCO SPECIAL ARTICLES Article Tools OPTIONS & TOOLS COMPANION ARTICLES No companion articles ARTICLE CITATION DOI: 10.1200/JCO.19.01696 Journal of Clinical Oncology - published online before print September 18, 2019 PMID: Management (...) 10 Massachusetts General Hospital Cancer Center, Boston, MA 11 University of South Florida Health, Tampa, FL 12 University of Chicago Medicine, Chicago, IL 13 Medical College of Wisconsin, Milwaukee, WI Abstract Section: PURPOSE The aim of this work is to provide evidence-based guidance on the management of osteoporosis in survivors of adult cancer. METHODS ASCO convened a multidisciplinary Expert Panel to develop guideline recommendations based on a systematic review of the literature. RESULTS

2019 American Society of Clinical Oncology Guidelines

185. Neuro-Linguistic Programming for the Treatment of Adults with Post-Traumatic Stress Disorder, General Anxiety Disorder, or Depression

details the process of the study selection. Summary of Study Characteristics A SIGN clinical guideline published in 2010 developed recommendations based on evidence of non-pharmaceutical management of depression in adults such as psychological therapies including NLP, self-help, life style modification, herbal and nutritional supplements, complementary and alternative therapies. 13 The guideline carried out an explicit literature search strategy from 1998 to 2008 with specific criteria on patient (...) group (adult patients with only mild to moderate depression given the nature of treatment approaches, with formal diagnosis by ICD (International Classification of Disease) 9 or 10, DSM (Diagnostic Statistical Manual) III or IV, no comorbidities) and outcomes. Summary of Critical Appraisal The SIGN guideline “Non-pharmaceutical management of depression in adults” is a rigorous guideline, with clear scope and purpose, based on a comprehensive systematic literature review, formulating recommendations

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

186. Dropping out of virtual reality exposure therapy for anxiety: comparison with in-vivo exposure therapy

is. This blog looks at a meta-analysis by Benbow and Anderson (2018) that used previous research to compare virtual reality exposure therapy (VRET) with real life (otherwise known as ‘in vivo’) exposure therapy (ET) for anxiety disorders. The authors were particularly interested in seeing whether there was a difference in how many people dropped out (also called ‘attrition’ or ‘non-adherence’) and their reasons. Exposure therapy involves people facing their fears in a real world situation alongside (...) Dropping out of virtual reality exposure therapy for anxiety: comparison with in-vivo exposure therapy Dropping out of virtual reality exposure therapy for anxiety Search National Elf Service Search National Elf Service » » » » Dropping out of virtual reality exposure therapy for anxiety: comparison with in-vivo exposure therapy Feb 13 2019 Posted by Virtual reality (VR) is pretty cool. I should know; I’ve had an Oculus Rift to play with for the past few days. In mental health (where, let’s

2019 The Mental Elf

187. Nonpharmacological Versus Pharmacological Treatments for Adult Patients With Major Depressive Disorder

Those who do not achieve remission following initial pharmacological treatment require a different treatment strategy. Accordingly, various other interventions—such as medication combinations, psychotherapy, or CAM treatments—are options for patients and clinicians. Scope and Key Questions This review for the Effective Health Care Program of the Agency for Healthcare Research and Quality (AHRQ) examines the evidence base for primary care management of MDD for the first two treatment attempts, after (...) Nonpharmacological Versus Pharmacological Treatments for Adult Patients With Major Depressive Disorder Pharmacological Treatments for Adult Patients With Major Depressive Disorder Comparative Effectiveness Review Number 161 Nonpharmacological Versus Comparative Effectiveness Review Number 161 Nonpharmacological Versus Pharmacological Treatments for Adult Patients With Major Depressive Disorder Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services

2015 Effective Health Care Program (AHRQ)

188. Non-Drug Interventions for Chronic Non-Cancer Pain

disease: an evidence-based analysis. Ont Health Technol Assess Ser [Internet]. 2013 September [cited 2014 Feb 4];13(9):1–60. http://www.hqontario.ca/Portals/0/documents/eds/ohtas/full-report-self-managment- support-cd-130906-en.pdf See Results by Health Status Outcome: Pain, page 20. Systematic Reviews and Meta-Analyses Patients with Chronic Back Pain 9. Aladro-Gonzalvo AR, Araya-Vargas GA, Machado-Diaz M, Salazar-Rojas W. Pilates- based exercise for persistent, non-specific low back pain (...) of directional preference management for low back pain: a systematic review. Phys Ther. 2012 May;92(5):652-65. PubMed: PM22247407 30. van der Giessen RN, Speksnijder CM, Helders PJ. The effectiveness of graded activity in patients with non-specific low-back pain: a systematic review. Disabil Rehabil. 2012;34(13):1070-6. PubMed: PM22148906 31. Wang XQ, Zheng JJ, Yu ZW, Bi X, Lou SJ, Liu J, et al. A meta-analysis of core stability exercise versus general exercise for chronic low back pain. PLoS ONE [Internet

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

189. Psychological and Psychosocial Interventions for Depression and Anxiety in Patients With Age-Related Macular Degeneration: A Systematic Review. (PubMed)

searches of PubMed, Cochrane library, EMBASE, Global Health, Web of Science, EBSCO, and Science Direct were conducted to include all articles published up to April 21, 2018.Of a total of 398 citations retrieved, the authors selected 12 eligible studies published between 2002 and 2016. The authors found nine randomized controlled trials (RCT), and three non-randomized intervention (NRI) studies. RCT studies suggested that interventions using group self-management techniques and individual behavioral (...) activation plus low vision rehabilitation can be effective to treat and prevent depression in patients with AMD, and one study suggested that a stepped-care intervention using cognitive-behavioral techniques can be effective to manage anxiety and depression over time. NRI studies highlighted a positive effect of self-help and emotion-focused interventions to reduce depression.Clinical practice with patients with AMD can rely on some tailored cognitive-behavioral therapeutic protocols to improve patients

2019 The American Journal of Geriatric Psychiatry

190. Music therapy reduces stress and anxiety in critically ill patients: a systematic review of randomized clinical trials. (PubMed)

Music therapy reduces stress and anxiety in critically ill patients: a systematic review of randomized clinical trials. The underlying clinical condition and the ICU environment make critical illness a stressful event. Although the usual management consists of sedation, non-pharmacological interventions such as music therapy have been suggested for their drug-sparing effect. Aim of the present review is to assess the current evidence on the effectiveness of music therapy in reducing stress (...) and anxiety in critically ill, adult patients.A systematic review of publications was undertaken using MEDLINE, CINAHL, Cochrane Library, Scopus, Web of Science, Indice Italiano di Letteratura di Scienze Infermieristiche. We included studies of critically ill patients that assessed any effect of music therapy on stress and anxiety, which were variably assessed according to each study's definition.11 studies were included (10 RCTs and one quasi-experimental design), for a total of 959 patients (range 17

2019 Minerva anestesiologica

191. A systematic review of technology-based preoperative preparation interventions for child and parent anxiety. (PubMed)

yr old) receiving elective surgery under general anesthesia.Thirty-eight studies that provided level II or level III evidence were included (33 randomized-controlled trials and five non-randomized-controlled studies). Of the 38 studies, preoperative anxiety (measured by various indices of anxiety) was significantly reduced in children and parents in 25 and 11 studies, respectively. For children, tablet and handheld devices with interactive components were the most encouraging strategies. Video (...) preparation alone may provide sufficient information to manage preoperative anxiety in parents.The available literature is extremely heterogeneous and limits the ability to make definitive conclusions about the efficacy of technology-based preoperative preparation interventions. The available literature suggests that, for children, tablet and handheld devices with interactive capacity may represent a viable option to address preoperative anxiety. The findings are more mixed for parents, with video

2019 Canadian Journal Of Anaesthesia

192. Classical psychedelics for the treatment of depression and anxiety: A systematic review. (PubMed)

Classical psychedelics for the treatment of depression and anxiety: A systematic review. Depression and anxiety are prevalent psychiatric disorders that carry significant morbidity. Pharmacological and psychosocial interventions are used to manage these conditions, but their efficacy is limited. Recent interest into the use of psychedelic-assisted therapy using ayahuasca, psilocybin or lysergic acid diethylamide (LSD) may be a promising alternative for patients unresponsive to traditional (...) treatments. This review aims to determine the efficacy and tolerability of psychedelics in the management of resistant depression.Clinical trials investigating psychedelics in patients with depression and/or anxiety were searched via MEDLINE, EMBASE and PsychINFO. Efficacy was assessed by measuring symptom improvement from baseline, and tolerability was evaluated by noting the incidence and type of adverse effects reported. Risk of bias was assessed.Seven studies, with 130 patients, were analysed

2019 Journal of Affective Disorders

193. The efficacy of a transdiagnostic emotion-focused exposure treatment for chronic pain patients with comorbid anxiety and depression: a randomized controlled trial. (PubMed)

The efficacy of a transdiagnostic emotion-focused exposure treatment for chronic pain patients with comorbid anxiety and depression: a randomized controlled trial. The comorbidity between chronic pain and emotional problems has proven difficult to address with current treatment options. This study addresses the efficacy of a transdiagnostic emotion focused exposure treatment ("hybrid") for chronic pain patients with comorbid emotional problems. Adults (n=115) with chronic musculoskeletal pain (...) , functional and emotional problems were included in a two centre, parallel randomized controlled, open label trial comparing this treatment to an active control condition receiving a guided internet delivered pain management treatment based on CBT principles (iCBT). The hybrid treatment (n=58, 10-16 sessions) integrates exposure in vivo for chronic pain based on the fear-avoidance model with an emotion regulation approach informed by procedures in Dialectical Behavior Therapy. The iCBT (n=57; 8 treatment

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2019 Pain Controlled trial quality: uncertain

194. The Effects of Cognitive-Behavioral Model-Based Intervention on Depression, Anxiety, and Self-Efficacy in Alcohol Use Disorder. (PubMed)

The Effects of Cognitive-Behavioral Model-Based Intervention on Depression, Anxiety, and Self-Efficacy in Alcohol Use Disorder. Exercise is constantly gaining attention as adjuvant treatment for alcohol use disorder (AUD), supplementing classical pharmacological and psychotherapeutic approaches. The aim of this study was to determine the effects of cognitive-behavioral model-based (CBM-based) intervention on the depression, anxiety, and self-efficacy levels in AUD. This quasi-experimental study (...) and 4-month follow-up test in the Beck Depression Inventory (BDI) as well as the difference between mean posttest scores in the Beck Anxiety Inventory (BAI) and Self-Efficacy Scale (SES) were found to be statistically significant ( p < .05). In the intragroup comparisons, a significant difference was found between the "BDI," "BAI," and "SES" measurement times ( p < .05). It was concluded that CBM-based intervention was effective in reducing depression and anxiety, increasing self-efficacy

2019 Clinical nursing research Controlled trial quality: uncertain

195. An Experimental Investigation into the Effect of State-Anxiety on State-Paranoia in People Experiencing Psychosis. (PubMed)

An Experimental Investigation into the Effect of State-Anxiety on State-Paranoia in People Experiencing Psychosis. There is strong evidence to suggest that anxiety is associated with paranoia in clinical and non-clinical samples. However, no research to date has directly manipulated anxiety to investigate if state-anxiety has a causal role in state-paranoia in clinical populations.To investigate whether an anxious-mood induction leads to greater paranoia than a neutral-mood induction in people (...) experiencing psychosis and paranoia and, if so, whether this is predicted by anxiety over and above other variables.22 participants with a psychosis-spectrum diagnosis took part in a two condition cross-over experimental design. Participants underwent a neutral-mood and an anxious-mood induction with levels of state-anxiety, state-affect and state-paranoia being measured before and after each condition.State-paranoia was significantly higher after the anxious condition compared with the neutral condition

2019 Behavioural and cognitive psychotherapy Controlled trial quality: uncertain

196. The impact of dental treatment and age on salivary cortisol and alpha-amylase levels of patients with varying degrees of dental anxiety. (PubMed)

The impact of dental treatment and age on salivary cortisol and alpha-amylase levels of patients with varying degrees of dental anxiety. The purpose of this study was to assess the salivary cortisol and salivary alpha-amylase levels in children aged between 6 and 9 years, 3 months and 1 year after the successful completion of dental treatment through either pharmacological or non-pharmacological behavior management techniques.A total of 1567 patients aged between 6 and 9 years who had completed (...) . There was no significant difference between the salivary cortisol levels of anxious and phobic patients. These findings were replicated on 1-year recall.Within the limitations of this study we can conclude that salivary amylase is an indicator of of acute stress that can differentiate between anxiety and dental fear; while salivary cortisol appears to be a marker of long-term stress that lacks the sensitivity to differentiate between the two.

2019 BMC Oral Health

197. Seeking and accessing professional support for child anxiety in a community sample. (PubMed)

help-seekers and non help-seekers. We conducted a survey of help-seeking in parents of 222 children (aged 7-11) with elevated anxiety symptoms identified through screening in schools, 138 children of whom met diagnostic criteria for an anxiety disorder. Almost two-thirds (64.5%) of parents of children with an anxiety disorder reported seeking help from a professional; in 38.4% of cases parents reported that their child had received support from a professional to help manage and overcome (...) their anxiety difficulties, and < 3% had received evidence-based treatment (CBT). Frequently reported parental barriers related to difficulties differentiating between developmentally appropriate and clinically significant anxiety, a lack of help-seeking knowledge, perceived negative consequences of help-seeking, and limited service provision. Non-help seekers were more likely than help seekers to report barriers related to thinking a child's anxiety may improve without professional support, and the absence

2019 European child & adolescent psychiatry

198. Effects of easy listening music intervention on satisfaction, anxiety, and pain in patients undergoing colonoscopy: a pilot randomized controlled trial. (PubMed)

for patients undergoing colonoscopy. Measures comprised of the State-Trait Anxiety Inventory, visual analog scales of pain level, procedure satisfaction and satisfaction with pain management, the use of sedative and analgesic drugs, heart rate, and blood pressure data were collected at baseline (T0), during (T1) and 30 mins after the procedure (T2). Results: Eighty participants (40 music vs 40 control) completed the study with no attrition. Participants in the music group reported significantly higher (...) levels in both procedure satisfaction (p=0.043) and satisfaction with pain management (p=0.045) than those in the control group. No significant difference was found between groups on anxiety, pain, additional sedative and analgesic use, heart rate, and systolic and diastolic blood pressure (p>0.05). Nevertheless, most participants appreciated the songs provided in MP3 and found it helpful for relaxation during the procedure and would prefer it again (p<0.001). Conclusion: Easy music listening can

2019 Clinical interventions in aging Controlled trial quality: uncertain

199. Vocational rehabilitation in relation to health outcomes and non-health outcomes for people with inflammatory arthritis

to benefit. ? Qualitative studies emphasise the need to tailor interventions to the perspectives, needs and goals of individual patients and highlight the importance of symptom management, particularly in relation to fatigue. What is the evidence for the effectiveness and cost- effectiveness of vocational rehabilitation in relation to health outcomes and non-health outcomes for people with inflammatory arthritis? Number 68 June 2017 In response to an enquiry from the Scottish Society for Rheumatology 68 (...) between vocational rehabilitation and treatment- related rehabilitation interventions. The report states that: “Vocational rehabilitation depends on work-focused healthcare and accommodating workplaces. To make a real and lasting difference, both need to be addressed and coordinated”. A Cochrane review on non-pharmacological interventions for preventing job loss in workers with inflammatory arthritis set out intervention parameters 14 . Study interventions had to fulfill at least two of the following

2017 Evidence Notes from Healthcare Improvement Scotland

200. Frailty in Older Adults - Early Identification and Management

visits, ambulance crew attendance, adult day clinics, hospitalization, home support, referral to residential care). 7 Encounters with health and social care professionals present an opportunity to identify older adults with frailty or vulnerable to frailty and take steps to reduce or manage associated risks. 7,14–18 Signs and Symptoms Use a diligent case finding approach to identify warning signs of frailty. Older adults may have a number of non-specific concerns that may suggest frailty (...) Frailty in Older Adults - Early Identification and Management Frailty in Older Adults - Early Identification and Management - Province of British Columbia theme_3_collection theme_3_frontend theme_3_collection theme_3_frontend Birth, Adoption, Death, Marriage & Divorce theme_1_collection theme_1_frontend theme_1_collection theme_1_frontend British Columbians & Our Governments theme_data_collection data_frontend theme_data_collection data_frontend Data theme_5_collection theme_5_frontend

2017 Clinical Practice Guidelines and Protocols in British Columbia

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