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Anxiety Non-pharmacologic Management

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181. Management of obesity

, when used in the treatment of type 2 diabetes mellitus ? lithium ? sodium valproate ? sulphonylureas, including chlorpropamide, glibenclamide, glimepiride and glipizide ? thiazolidinediones, including pioglitazone ? tricyclic antidepressants, including amitriptyline. ?1 + 1 ++ 1 ++ 4 4 2 - 15 6 IDENTIFYING HIGH RISK GROUPS IN ADUlTS Adjunctive non-pharmacological weight management interventions are effective in reducing or attenuating antipsychotic induced weight gain when compared with treatment (...) in the community is around 3% compared with around 30% in patients seeking weight management services. Amongst those in weight loss programmes, BED was significantly more common in females (29.7%) compared with males (21.8%, p=0.02). 124,125 People with BED are heavier, are more likely to be overweight as a child, demonstrate weight cycling, and have higher levels of psychological comorbidity including anxiety, depression and personality disorders compared to those without BED. 126,127 A systematic review

2010 SIGN

182. Management of diabetes

, as are recommendations for the management of cardiovascular, kidney and foot diseases. Guidance for all people with diabetes to prevent visual impairment, and specific advice for pregnant women with diabetes is provided. A new section on the management of psychosocial issues, drawn partially from evidence originally contained in other sections, is now included. Finally, a section on the management of type 1 diabetes has been added. Implementation of these recommendations will encourage the provision and development (...) diabetes is recommended. ? In children this should include eating disorders, behavioural, emotional and family functioning problems. ? In adults this should include anxiety, depression and eating disorders. A Children and adults with type 1 and type 2 diabetes should be offered psychological interventions (including motivational interviewing, goal setting skills and CBT) to improve glycaemic control in the short and medium term.6 MANAGEMENT OF DIABETES 2.3 MANAGEMENT OF TYPE 1 DIABETES B An intensified

2010 SIGN

183. Diagnosis and management of psoriasis and psoriatic arthritis in adults

practitioner haDs Hospital Anxiety and Depression Scale haQ Health Assessment Questionnaire hcP healthcare professional hr hazard ratio htn hypertension iBD inflammatory bowel disease iM intramuscular irr incidence rate ratio Mi myocardial infarction aBBreViations48 Diagnosis anD ManageMent of Psoriasis anD Psoriatic arthritis in aDults MM malignant melanoma Mra minimal residual activity Mta multiple technology appraisal nBuVB narrow band ultraviolet B phototherapy nhs Qis NHS Quality Improvement Scotland (...) Diagnosis and management of psoriasis and psoriatic arthritis in adults Diagnosis and management of psoriasis and psoriatic arthritis in adults A national clinical guideline October 2010 121 Scottish Intercollegiate Guidelines Network Part of NHS Quality Improvement Scotland SIGN Help us to improve SIGN guidelines - click here to complete our survey KEY TO EVIDENCE STATEMENTS AND GRADES OF RECOMMENDATIONS LEVELS OF EVIDENCE 1 ++ High quality meta-analyses, systematic reviews of RCTs, or RCTs

2010 SIGN

184. Management of Pulmonary Arterial Hypertension

and will be reviewed in 2015 or sooner if new evidence becomes available. These guidelines provide: a) A description of Pulmonary Arterial Hypertension (PAH) which reflects the devastating nature of PAH that have crucial bearing on the patient’s management b) A description of the basic pathophysiology of PAH c) A brief discussion on the Dana Point Classification (2008) and WHO Functional Class Classification d) Guidance on the recognition of clinical features and diagnostic approach of PAH. e) An algorithm (...) Society of Cardiology (ESC) These guidelines were presented to the Technical Advisory Committee for Clinical Practice Guidelines, and the Health Technology Assessment and Clinical Practice Guidelines Council, Ministry of Health Malaysia for review and approval. OBJECTIVES GENERAL OBJECTIVES To provide evidence-based guidance in the diagnosis and management of PAH in adults and pediatric patients. SPECIFIC OBJECTIVES ? To guide early diagnosis of PAH in adults and pediatric patients so as to enable

2011 Ministry of Health, Malaysia

185. General Palliative Care Guidelines for the Management of Pain at the End of Life in Adult Patients

dimensions to be addressed on an individual basis 3,4 this document focuses on pain assessment and pharmacological approaches for adult patients at the end of life. It will make reference to non- pharmacological approaches or interventions and direct the reader to seek appropriate specialist advice when required. a short 2 page summary captures some of the key points and provides a user friendly visual aid to support community and hospital-based practitioners in practical issues of managing pain (...) In CognItIve IMP aIrMent 59 PaIn assessMent and ManageMent In 61 learnIng dIsabIlItIes aPPendIx 1 PaIn assessMent Chart 63 aPPendIx 2 hosPItal anxIety & dePressIon sCale 65 aPPendIx 3 nICe ClInICal guIdelInes For 66 neuroP athIC PaIn aPPendIx 4 PatIent InForMatIon leaFlet oPIoIds 68 aPPendIx 5 audIt assessMent tool 73 aPPendIx 6 draFt suMMary Poster 74 aPPendIx 7 sPeCIalIst PallIatIve Care ContaCt 82 InForMatIon aPPendIx 8 MeMbershIP oF PaIn guIdelInes 84 workstrand aPPendIx 9 abbrevIatIons 86 reFerenCes

2011 Regulation and Quality Improvement Authority

186. 2011 update to NHFA and CSANZ guidelines for the prevention, detection and management of chronic heart failure in Australia

of symptoms in CHF 8 Table 4.2 Recommendations for diagnostic investigation of CHF 13 Table 5.1 Recommendations for discussion with patients with CHF 16 Table 6.1 Recommendations for non-pharmacological management of CHF 23 Table 7.1 Therapies for other cardiovascular conditions shown to reduce CHF incidence 25 Table 7.2 Recommendations for preventing CHF and treating asymptomatic LV dysfunction 25 Table 7.3 Recommendations for pharmacological treatment of symptomatic CHF 29 Table 8.1 Recommendations (...) of these guidelines Healthy heart Death Cardiac remodelling Acute cardiac event Stable Predisposing risk factors Clinically unstable Stable Clinically unstable Symptomatic CHF End-stage/Refractory CHF 6 Non-pharmacological management 7 Pharmacological therapy 8 Devices 9 Surgery 10 Acute exacerbations of CHF 11 HFPSF 12 Treatment of associated disorders 13 Post-discharge management programs Relevant section 2 Comment on de? nition 3 Aetiology Appendix III: Epidemiology and public health signi? cance Appendix III

2011 Clinical Practice Guidelines Portal

187. Guidelines for the prevention, detection and management of chronic heart failure (updated October 2011)

for diagnostic investigation of CHF 13 Table 5.1 Recommendations for discussion with patients with CHF 16 Table 6.1 Recommendations for non-pharmacological management of CHF 23 Table 7.1 Therapies for other cardiovascular conditions shown to reduce CHF incidence 25 Table 7.2 Recommendations for preventing CHF and treating asymptomatic LV dysfunction 25 Table 7.3 Recommendations for pharmacological treatment of symptomatic CHF 29 Table 8.1 Recommendations for device-based treatment of symptomatic CHF 38 Table (...) of these guidelines Healthy heart Death Cardiac remodelling Acute cardiac event Stable Predisposing risk factors Clinically unstable Stable Clinically unstable Symptomatic CHF End-stage/Refractory CHF 6 Non-pharmacological management 7 Pharmacological therapy 8 Devices 9 Surgery 10 Acute exacerbations of CHF 11 HFPSF 12 Treatment of associated disorders 13 Post-discharge management programs Relevant section 2 Comment on de? nition 3 Aetiology Appendix III: Epidemiology and public health signi? cance Appendix III

2011 Clinical Practice Guidelines Portal

188. Treating interstitial cystitis: pharmacologic and non-pharmacologic options

Treating interstitial cystitis: pharmacologic and non-pharmacologic options The AFP Community Blog: Treating interstitial cystitis: pharmacologic and non-pharmacologic options | Monday, January 26, 2015 - Jennifer Middleton, MD, MPH An in the United States have interstitial cystitis (IC), a syndrome that can cause a variety of bothersome and uncomfortable urinary tract symptoms. The January 15 issue of AFP ; although researchers have yet to identify an effective long-term pharmacologic (...) -line treatments, advising patient education, "self-care practices," "behavioral modification," and "stress management practices" as first-line treatments. In line with those recommendations is a recent study that found a high rate of co-morbid mood symptoms in patients with IC. ; correlation does not necessarily equal causation, of course, and it's unclear if these symptoms co-exist with IC, predate IC, or come as a result of the frustrating symptoms of IC. Regardless, the for co-morbid depression

2015 The AFP Community Blog

189. Virtual Reality Distraction for Procedural Pain Management in Children With Burn Injuries: a Randomized Controlled Trial

. Indeed, children with burn injuries still experience severe pain intensity during procedures despite the fact that doses of analgesics used with this population has almost doubled in the last twenty years. Current guidelines on pediatric procedural pain management recommend the combination of non-pharmacological and pharmacological interventions to enhance pain management and decrease the numerous side effects of analgesics. Distraction has been identified among the most effective non-pharmacological (...) Prototype Other: Standard Pharmacological Treatment Not Applicable Detailed Description: BACKGROUND: Preliminary data from the pilot study showed that the virtual reality prototype installed around the tank in the hydrotherapy room is a feasible and acceptable method of distraction that doesn't interfere with the work of healthcare professionals and could be used as a non-pharmacological method for pain management. A clinical trial is needed to assess the effectiveness of this intervention

2016 Clinical Trials

190. Cognitive Behavioral Group Therapy for the Management of Menopause Symptoms in Mood Disorders

Sponsor: Danette Conklin, PhD Information provided by (Responsible Party): Danette Conklin, PhD, University Hospitals Cleveland Medical Center Study Details Study Description Go to Brief Summary: The general objective of this study is to advance insight into non-pharmacological treatments for maturing women that impact psychological health and wellbeing of women adapting to menopause, a natural but often challenging developmental milestone. Condition or disease Intervention/treatment Phase Bipolar (...) of a Manualized Cognitive Behavior Group Therapy Treatment for the Management of Menopause Symptoms in a Mood and Anxiety Disorder Population Actual Study Start Date : July 2016 Actual Primary Completion Date : October 2018 Actual Study Completion Date : October 2018 Resource links provided by the National Library of Medicine related topics: related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental: Cognitive Behavioral Group Therapy The six CBGT sessions are outlined in the manual

2016 Clinical Trials

191. Participatory Research for Fine-tuning of a 2.0 System to Optimise Home Management of Oral Cancer Therapies.

Not Applicable Detailed Description: This is a prospective, interventional, non pharmacological study for testing-validation of a new app for optimising home management of oral therapies for cancer treatment. All patients will be treated according to the local clinical practice. Enrolment period: 8 (training step) + 12 (validation step) months. Total duration of the study: 36 months. This is a multicenter study. Objective of the study is to assess the capability of a newly developed interactive health care (...) : NCT02921724 Recruitment Status : Recruiting First Posted : October 3, 2016 Last Update Posted : November 9, 2018 See Sponsor: Istituto Scientifico Romagnolo per lo Studio e la cura dei Tumori Collaborator: Kessler Foundation Information provided by (Responsible Party): Istituto Scientifico Romagnolo per lo Studio e la cura dei Tumori Study Details Study Description Go to Brief Summary: This is a prospective testing-validation, interventional, non-pharmacological study on a new app for oral anticancer

2016 Clinical Trials

192. External Cold and Vibration Stimulation (Buzzy®) for Procedural Pain Management in Children Undergoing Needle-Related Procedures

Department (ED). Needle-related procedures are the most important source of pain and anxiety and children. Since it is impossible to completely eliminate the pain and anxiety experienced by children during painful procedures, use of non-pharmacological and/or pharmacological interventions might be beneficial. Most methods used for relief of procedural pain and anxiety for children require time or extra staff, which represent barriers to their implantation in the ED. An easy-to-use and rapid non (...) -pharmacological intervention could overcome these constraints and optimize procedural pain and anxiety relief in children undergoing a needle-related procedure. The primary objective of this study is to determine if a device combining cold and vibration (Buzzy®) is non-inferior (no worse) than a topical anesthetic cream (lidocaine liposomal 4%) for procedural pain management in children undergoing needle-related procedures in the ED. Investigators strongly believe that the use of the Buzzy® device in the ED

2015 Clinical Trials

193. Management of the respiratory distress symptom cluster in lung cancer: a randomised controlled feasibility trial. (Full text)

Management of the respiratory distress symptom cluster in lung cancer: a randomised controlled feasibility trial. Breathlessness, cough and fatigue are distressing symptoms for patients with lung cancer. There is evidence that these three symptoms form a discreet symptom cluster. This study aimed to feasibly test a new non-pharmacological intervention for the management of the Respiratory Distress Symptom Cluster (breathlessness-cough-fatigue) in lung cancer.This was a multi-centre, randomised (...) , Hospital Anxiety and Depression scale, Lung Cancer Symptom Scale and the EQ-5D-3L, collected at baseline, week 4 and week 12.One hundred seven patients were randomised over 8 months; however, six were removed from further analysis due to protocol violations (intervention group n = 50 and control group n = 51). Of the ineligible patients (n = 608), 29 % reported either not experiencing two or more symptoms or not being 'bothered' by at least two symptoms. There was 29 % drop-out by week 4, and by week

2015 Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer Controlled trial quality: uncertain PubMed abstract

194. Observational Study Linking Genetic Variants With Clinical Outcomes in Pain Management

to medications or non-pharmacological treatments and improvements in pain, functional ratings, or patient satisfaction. Concomitantly, this study will use the collected genetic and clinical data to create a data registry in order to examine novel correlations and associations between single nucleotide polymorphisms and longitudinal datasets. The results of this study will elucidate potential predictive variables of chronic pain development and/or treatment that will assist in making better healthcare (...) information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Sampling Method: Non-Probability Sample Study Population Subjects will be adult patients seeking treatment at the Pain Clinic at the University of Southern California, Keck School of Medicine, in Los Angeles. Patients will have a chronic pain diagnosis and are receiving routine medical visits for their care. Treatment includes pharmacological, non-pharmacological

2015 Clinical Trials

195. The Effect of Music on Anxiety and Cardiovascular Indices in Patients Undergoing Coronary Artery Bypass Graft: A Randomized Controlled Trial. (Full text)

consecutive measurements (P > 0.05).Music therapy is effective in decreasing anxiety among patients undergoing CABG. However, the intervention was not effective on cardiovascular indices. Music can effectively be used as a non-pharmacological method to manage anxiety after CABG. (...) The Effect of Music on Anxiety and Cardiovascular Indices in Patients Undergoing Coronary Artery Bypass Graft: A Randomized Controlled Trial. The instability of cardiovascular indices and anxiety disorders are common among patients undergoing coronary artery bypass graft (CABG) and could interfere with their recovery. Therefore, improving the cardiovascular indices and anxiety is essential.This study aimed to investigate the effect of music therapy on anxiety and cardiovascular indices

2016 Nursing and midwifery studies Controlled trial quality: uncertain PubMed abstract

196. Psychotherapies for depression and anxiety in dementia

issues can reduce independence and are linked to higher carer burden (Rozzini et al., 2009), it is important to address any anxiety or depressive symptoms as part of the treatment for dementia and MCI. Both depression and anxiety are treated by medication, such as selective serotonin reuptake inhibitors (SSRIs), but are often completed by non-pharmacological, psychological treatments. There is a multitude of psychological treatments, such as exercise therapy, cognitive stimulation, counselling (...) improvements in these areas as well. This review highlights that once a diagnosis of dementia or MCI are made, there may be other comorbidities that require additional attention. It is important not to neglect them by focusing all the attention on managing the dementia. It’s important that practitioners don’t let dementia get in the way of other health problems, such as depression or anxiety. Links Primary paper Orgeta V, Qazi A, Spector A, Orrell M. (2015) . Br J Psychiatry 2015 Oct;207(4):293-8. doi

2015 The Mental Elf

197. Decreasing REcurrent Pain and Anxiety in Medical Procedures With a Pediatric Population: Trial

pain management and decrease the numerous side effects of analgesics. Virtual reality (VR) has gained growing consideration as a non-pharmacological method as it engages multiple senses and allows interactions with a virtual world. Oculus Rift ® is a new technology in VR that provides more immersiveness, at a relatively low cost, and could probably improve the management of pain and anxiety in burn care. It also has the potential, with appropriate custom software designed for burn pediatric (...) distraction Oculus rift Virtual world Virtual environment Procedural pain Procedural anxiety Acute pain Pain management Anxiety Children, Child Kid, Kids Pediatric, Pediatrics Young children Burns Burn injuries Burn unit Physiotherapy Physical therapy Burn dressing Dressing change Non-pharmacological, nonpharmacological Clinical Research Nursing Practice Additional relevant MeSH terms: Layout table for MeSH terms Anxiety Disorders Mental Disorders Morphine Analgesics, Opioid Narcotics Central Nervous

2016 Clinical Trials

198. Cognitive Behavioural Group Therapy for Perinatal Anxiety

treatments exist. Further, since many pregnant or postpartum women are unable or choose not to take medication for their mental health symptoms, establishing an effective non-pharmacological alternative is imperative. Cognitive-behavioural therapy is a well established psychological treatment for anxiety and mood disorders, with moderate to large effect sizes (Cohen's d = 0.5-1.3). The investigators developed a novel group-based cognitive-behavioural treatment program (CBGT) for perinatal women (...) Cognitive Behavioural Group Therapy for Perinatal Anxiety Cognitive Behavioural Group Therapy for Perinatal Anxiety - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Cognitive Behavioural Group Therapy

2016 Clinical Trials

199. Decreasing REcurrent Pain and Anxiety in Medical Procedures With a Pediatric Population: a Pilot Study

and pharmacological interventions to enhance pain management and decrease the numerous side effects of analgesics. Virtual reality (VR) has gained growing consideration as a non-pharmacological method as it engages multiple senses and allows interactions with a virtual world. Oculus Rift ® (OR) is a new technology in VR that provides more immersiveness, at a relatively low cost, and could probably improve the management of pain and anxiety in wound care. Overall hypothesis: Distraction by VR via (...) Acute pain Pain management Anxiety Children, Child Kid, Kids Pediatric, Pediatrics Young children Burns Burn injuries Burn unit Physiotherapy Physical therapy Burn dressing Dressing change Non-pharmacological, nonpharmacological Clinical Research Nursing Practice Trauma Additional relevant MeSH terms: Layout table for MeSH terms Anxiety Disorders Mental Disorders

2016 Clinical Trials

200. Effect of Qigong on the Symptom Clusters of Dyspnea, Fatigue, and Anxiety.

Behavioral: Qigong Not Applicable Detailed Description: Background: Patients with lung cancer experience a variety of symptoms. The number of symptoms ranged from 7.8 to 13.2, and most of them were at a moderate level of severity. Dyspnea, fatigue, and anxiety arose as the most problematic symptoms of lung cancer. Non-pharmacological approaches to manage of symptom among lung cancer patients showed either no or mild effects. Qigong is hypothesized to alleviate these adverse outcomes; however, all trial (...) Effect of Qigong on the Symptom Clusters of Dyspnea, Fatigue, and Anxiety. Effect of Qigong on the Symptom Clusters of Dyspnea, Fatigue, and Anxiety. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Effect

2016 Clinical Trials

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