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Anxiety Non-pharmacologic Management

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81. Cartoons are promising for reducing dental anxiety in children

anxiety levels and improved children’s cooperation during treatment, according to the studies that used self-reports (nine trials) and behaviour rating scales (seven trials). What does current guidance say on this issue? The British Society of Paediatric Dentistry provides 2011 guidance on non-pharmacological behaviour management techniques, including on the use of distraction techniques. Some of these methods aim to improve communication during the treatment process, while others are intended (...) -pharmacological behaviour management techniques, including on the use of distraction techniques. Some of these methods aim to improve communication during the treatment process, while others are intended to eliminate disruptive behaviour or reduce dental anxiety. On audiovisual distraction for children, the guidance notes an existing lack of consensus on effectiveness. What are the implications? Audiovisual distraction appears to be a promising approach which may help reduce children’s dental anxiety

2019 NIHR Dissemination Centre

82. Talking therapy may relieve high levels of anxiety about health conditions

. What does current guidance say on this issue? The 2016 NICE guideline on multiple health conditions doesn’t specifically address health anxiety, although it does recommend being alert for anxiety or depression that may exist alongside medical conditions. The NICE guideline from 2011 on common mental health problems recommends cognitive behavioural therapy in the management of depression and anxiety disorders but does not cover health anxiety. What are the implications? This study highlights (...) cognitive behavioural therapy in the management of depression and anxiety disorders but does not cover health anxiety. What are the implications? This study highlights a common but largely hidden problem that is not currently addressed by healthcare services. It demonstrates that it is feasible to train health professionals to provide cognitive behavioural therapy for health anxiety in the outpatient setting and that it may help. However, the low participation rate is a problem. People with health

2019 NIHR Dissemination Centre

83. CRACKCast E112 – Anxiety Disorders

behaviour leading to self-harm or harm to others Prevent end-organ dysfunction Improve patient comfort and satisfaction [7] List 6 non-pharmacologic therapies for anxiety Reduction of environmental stimulants (quiet, private room) Dimming of lights, with music/aromatherapy Collateral help from family, social worker Breathing techniques Avoidance of caffeine and EtOH Psychotherapy High intensity, supervised exercise Because anxiety states cause an increase in metabolic demands, they can cause (...) , obtrusive, unwanted thoughts (obsessions), such as fears of contamination, or compulsive behaviors or mental acts (compulsions) that a person feels compelled to perform, such as hand-washing or counting Generalized Anxiety Disorder (GAD) GAD is defined as excessive worry that occurs most days over a 6-month period involving several events or activities. The anxiety must cause significant distress or impairment in functioning. [6] List ED management goals for patients with anxiety Avoid escalating

2017 CandiEM

84. Depression and anxiety common in people with heart disease

, white males, so the findings may not apply to everyone. Patients considered a nurse-led intervention to personalise care was acceptable. The intervention included optimising medicines and facilitating referrals for psychological support. When asked, people with depression and coronary heart disease generally favoured non-medical treatments. These findings provide an insight into the scale of depression and anxiety amongst people with coronary heart disease. Overall costs of NHS care were increased (...) antidepressants or both. In their 2011 guidance on managing anxiety, NICE recommends that primary care professionals are aware of the potential signs of anxiety in people with chronic health problems. What are the implications? This multi-component study found that people with coronary heart disease were likely to experience depression and anxiety, reinforcing the need for primary care professionals to look out for these conditions in their patients. When discussing treatment, primary care professionals

2019 NIHR Dissemination Centre

85. Music can reduce pain and anxiety following surgery

live or recorded. The 7,385 adults undergoing surgery had an average age of 52 years. Only a quarter of studies included more than 110 patients. Musical styles ranged from relaxing classical music to heavy rock and were often chosen by the patient. Around a fifth of studies used a non-active control intervention, such as headphones without music or with alternative noises. Most studies evaluating anxiety outcomes used an index of a visual scale and the studies evaluating pain outcomes used a visual (...) (2012) that the nurse will ensure that the patient is reasonably pain-free by means of analgesia, distraction therapy and comfort measures. The environment should be planned to reduce anxiety including the use of music. What are the implications? NICE is developing a guideline on perioperative care in adults and will cover support for patients before, during and after operations, including pain management services. More practical evaluations of how to integrate music into usual practice might answer

2019 NIHR Dissemination Centre

86. Nonpharmacologic Versus Pharmacologic Treatment of Adult Patients With Major Depressive Disorder: A Clinical Practice Guideline From the American College of Physicians

of Physicians' Guideline Grading System* Peer Review The AHRQ evidence review was sent to invited peer reviewers and posted on the AHRQ Web site for public comments. The guideline was peer-reviewed through the journal and was posted online for comments from ACP Governors and Regents. Comparative Benefits of Pharmacologic Versus Nonpharmacologic Treatment Options for Initial Management Refer to and the accompanying systematic review ( ) for additional details of the evidence. Appendix Table 1. First-Line (...) no difference between augmenting with bupropion or buspirone for serious adverse events or discontinuation due to adverse events ( ). Comparative Harms of Pharmacologic Versus Nonpharmacologic Treatment Options for Initial Treatment Management SGA Versus Psychological Interventions SGA Versus CBT Monotherapy. Moderate-quality evidence from 4 trials ( , , , ) showed no difference in overall discontinuation rates between SGAs (fluoxetine, fluvoxamine, or paroxetine) and CBT at 8 to 14 weeks of follow-up. Low

2016 American College of Physicians

87. Anxiety, Gambling Activity, and Neurocognition: A Dimensional Approach to a Non-Treatment-Seeking Sample (PubMed)

Anxiety, Gambling Activity, and Neurocognition: A Dimensional Approach to a Non-Treatment-Seeking Sample Background and aims Previous analyses have highlighted significant associations between gambling disorder (GD)/subsyndromal GD and increased rates of anxiety symptoms and anxiety disorders relative to the general population. However, less is known about how anxiety symptoms influence the clinical presentation of gambling problems. The objective of this study was to evaluate the association (...) between anxiety symptoms, gambling activity, and neurocognition across the spectrum of gambling behavior. Methods The sample consisted of 143 non-treatment-seeking young adults (aged 18-29 years), in which 63 individuals (44.1%) were classified as recreational gamblers, 47 (32.9%) as having subsyndromal GD, and 33 (23.1%) met criteria for GD. Results The main findings were: (a) there was a positive correlation between anxiety severity and gambling severity measured by the number of DSM-5 GD criteria

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2016 Journal of behavioral addictions

88. Diagnosis and pharmacological management of Parkinson’s disease

The need for a guideline 1 1.2 Remit of the guideline 1 1.3 Definitions 2 1.4 Statement of intent 3 2 key recommendations 5 2.1 Diagnosis 5 2.2 Pharmacological management 5 3 narrative review of publications describing patient issues 6 3.1 Content of narrative review 6 3.2 Communication 6 3.3 Attitudes to drug therapy 6 3.4 Information needs 7 3.5 Needs of the family/carer 7 3.6 Non-motor symptoms 8 3.7 Multidisciplinary team working 8 4 Diagnosis 9 4.1 Clinical diagnosis compared with pathological (...) team, which comprises several different professionals and services. This guideline provides recommendations based on current evidence for best practice in the diagnosis and pharmacological management of PD. It includes comparisons of the accuracy of diagnoses carried out by different healthcare professionals, and the value of different diagnostic tests for differentiating PD from other associated conditions. It includes a comprehensive assessment of pharmacological management of motor and non-motor

2010 SIGN

89. The Development of a Psychoeducational Tool to Manage Anxiety in People With Autism Spectrum Disorders

The Development of a Psychoeducational Tool to Manage Anxiety in People With Autism Spectrum Disorders The Development of a Psychoeducational Tool to Manage Anxiety in People With Autism Spectrum Disorders - 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. The Development of a Psychoeducational Tool to Manage Anxiety in People With Autism Spectrum Disorders (MANAGE) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02797379 Recruitment Status : Unknown Verified September 2016 by King's College London

2016 Clinical Trials

90. Virtual Reality Distraction for Procedural Pain Management and Anxiety in Children With Burn Injuries : A Pilot Study

few studies have tested the efficacy of distraction by virtual reality on procedural pain and anxiety in children with burn injuries. The aim of this study is to assess the feasibility and preliminary efficacy of a virtual reality prototype developed specifically for the hydrotherapy room of children under seven years old for the relief of procedural pain and anxiety in children with burn injuries. HYPOTHESES: a) VR distraction is a feasible non-pharmacological intervention for pain management (...) : April 2017 Keywords provided by Sylvie Le May, St. Justine's Hospital: Virtual reality Immersive distraction 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 Hydrotherapy Burn dressing Non-pharmacological Clinical Research Nursing Practice Additional relevant MeSH terms: Layout table for MeSH terms Anxiety Disorders Burns Pain, Procedural Mental

2016 Clinical Trials

91. Service evaluation of a nurse-led dental anxiety management service for adult patients. (PubMed)

Service evaluation of a nurse-led dental anxiety management service for adult patients. Objective Evaluate patients' and professionals' experiences of a nurse-led dental anxiety management service (NDAMS).Design Service evaluation.Setting The NDAMS operates as part of the Sheffield Salaried Primary Dental Care Service.Subjects and methods Questionnaire survey of anxious patients and qualitative interviews with patients and professionals.Interventions Dental nurses delivered low-level (...) were reported. Professionals highlighted the importance of integrated working, adequate support and training, and assessing the suitability of patients for NDAM.Conclusion ICPs that combine pharmacological and psychological management approaches can help meet the needs of dentally anxious patients; however, early identification of patients most likely to benefit from psychological intervention should be a priority.

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2016 British Dental Journal

92. The Use of Mind-body Medicine in Chronic Pain Management: Differential Trends and Session-by-Session Changes in Anxiety (PubMed)

a reciprocal relationship. Thus, the purpose of the current study was to determine the differential impact that mind-body medical interventions have on anxiety among Veterans with chronic, non-cancer pain. The current study utilized multiple, repeated assessments of anxiety to better understand changes made over time between two mind-body interventions (Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT)) used for chronic pain management. Ninety-six Veterans elected (...) The Use of Mind-body Medicine in Chronic Pain Management: Differential Trends and Session-by-Session Changes in Anxiety The evidence to date suggests that the use of mind-body medicine in chronic pain management can improve physical and psychological symptoms. However, past research evidence has largely relied on global measures of distress at pre- and post-intervention. Even though it is plausible that reported anxiety occurs in the context of pain, there is also evidence to suggest

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2016 Journal of pain management & medicine

93. Strategies to manage patients with dental anxiety and dental phobia: literature review (PubMed)

, pharmacological interventions, or a combination of both, depending on the level of dental anxiety, patient characteristics, and clinical situations. Psychotherapeutic interventions are either behaviorally or cognitively oriented. Pharmacologically, these patients can be managed using either sedation or general anesthesia. Behavior-modification therapies aim to change unacceptable behaviors through learning, and involve muscle relaxation and relaxation breathing, along with guided imagery and physiological (...) Strategies to manage patients with dental anxiety and dental phobia: literature review Dental anxiety and phobia result in avoidance of dental care. It is a frequently encountered problem in dental offices. Formulating acceptable evidence-based therapies for such patients is essential, or else they can be a considerable source of stress for the dentist. These patients need to be identified at the earliest opportunity and their concerns addressed. The initial interaction between the dentist

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2016 Clinical, cosmetic and investigational dentistry

94. Research Protocol: Development, implementation and evaluation of a cognitive behavioural therapy-based intervention programme for the management of anxiety symptoms in South African children with visual impairments. (PubMed)

Research Protocol: Development, implementation and evaluation of a cognitive behavioural therapy-based intervention programme for the management of anxiety symptoms in South African children with visual impairments. Childhood anxiety presents a serious mental health problem, and it is one of the most common forms of psychological distress reported by youth worldwide. The prevalence of anxiety symptoms amongst South African youth is reported to be significantly higher than in other parts (...) of the world. These high prevalence rates become even more significant when viewed in terms of children with visual impairments, as it is suggested that children with physical disabilities may be more prone, than their non-disabled peers, for the development of psychological difficulties.The main aim of this study is to develop, implement and evaluate a specifically tailored anxiety intervention programme for use with South African children with visual impairments.A specifically tailored cognitive

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2015 African journal of disability Controlled trial quality: uncertain

95. Effectiveness and cost-effectiveness of a self-management training for patients with chronic and treatment resistant anxiety or depressive disorders: design of a multicenter randomized controlled trial. (PubMed)

Effectiveness and cost-effectiveness of a self-management training for patients with chronic and treatment resistant anxiety or depressive disorders: design of a multicenter randomized controlled trial. Many patients with anxiety or depressive disorders achieve no remission of their symptoms after evidence-based treatment algorithms. They develop a chronic course of the disorder. Current care for these patients usually consists of long-term supportive contacts with a community psychiatric nurse (...) and pharmacological management by a psychiatrist. Data on the effectiveness of these treatments is lacking. A psychosocial rehabilitation approach, where self-management is an increasingly important part, could be more suitable. It focuses on the restoration of functioning and enhancement of patients' autonomy and responsibility. Treatment with this focus, followed by referral to primary care, may be more (cost-)effective.A multicenter randomized controlled trial is designed for twelve participating specialized

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2016 BMC Psychiatry Controlled trial quality: uncertain

96. Cost effectiveness of internet-based cognitive behaviour therapy and behavioural stress management for severe health anxiety. (PubMed)

Cost effectiveness of internet-based cognitive behaviour therapy and behavioural stress management for severe health anxiety. Internet-delivered exposure-based cognitive behaviour therapy (ICBT) has been shown to be effective in the treatment of severe health anxiety. The health economic effects of the treatment have, however, been insufficiently studied and no prior study has investigated the effect of ICBT compared with an active psychological treatment. The aim of the present study (...) was to investigate the cost effectiveness of ICBT compared with internet-delivered behavioural stress management (IBSM) for adults with severe health anxiety defined as Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) hypochondriasis. ICBT was hypothesised to be the more cost-effective treatment.This was a cost-effectiveness study within the context of a randomised controlled trial conducted in a primary care/university setting. Participants from all of Sweden could apply

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2016 BMJ open Controlled trial quality: uncertain

97. Pharmacological Dental Anxiety Management with Ketamine and Midazolam in Uncooperative Children

Pharmacological Dental Anxiety Management with Ketamine and Midazolam in Uncooperative Children UTCAT447, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Pharmacological Dental Anxiety Management with Ketamine and Midazolam in Uncooperative Children Clinical Question In young uncooperative children, will ketamine be more effective than midazolam in reducing dental anxiety? Clinical Bottom Line The benzodiazepine (...) midazolam was more effective than ketamine in reducing dental anxiety in young uncooperative children. (See Comments on the CAT below) Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Damle/2008 Uncooperative children 2-6 years of age. Randomized Controlled Trial Key results Dental anxiety was lower with the use of ketamine than with midazolam. Heart rate and respiratory rate were marginally higher

2009 UTHSCSA Dental School CAT Library

98. Fluocinolone acetonide intravitreal implant for treating recurrent non-infectious uveitis

People with recurrent non-infectious uv eople with recurrent non-infectious uveitis affecting the posterior segment of the eitis affecting the posterior segment of the e ey ye will welcome a new treatment option e will welcome a new treatment option 3.1 Patient experts described the anxiety associated with having uveitis because of potentially worsening sight, if they will be able to continue working and how it affects their relationships and independence. They explained that existing treatments (...) benefits. Clinical management The de The dexamethasone implant is a rele xamethasone implant is a relevant compar vant comparator ator 3.2 The clinical experts explained that non-infectious uveitis is treated differently depending on whether the disease is: active (that is, current inflammation in the eye) or inactive (that is, limited inflammation, usually because of treatment with corticosteroids or immunosuppressants) Fluocinolone acetonide intravitreal implant for treating recurrent non-infectious

2019 National Institute for Health and Clinical Excellence - Technology Appraisals

99. Evidence based guidelines for the pharmacological management of substance abuse, harmful use, addiction and comorbidity

in the substance misuse field, non- specialists, patients and their families. This revision was undertaken to update the guidelines in the light of new evidence focussing on areas not covered by guidelines published since the original BAP guidelines (e.g. from NICE). We have searched for new evidence concerning pharmacological management of alcohol, nicotine, opi- oids, benzodiazepines, stimulants and associated comorbidity with mental health problems and substance use or abuse in pregnancy. In addition we (...) Evidence based guidelines for the pharmacological management of substance abuse, harmful use, addiction and comorbidity Journal of Psychopharmacology 0(0) 1 –54 © The Author(s) 2012 Reprints and permission: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0269881112444324 jop.sagepub.com Introduction The first British Association for Psychopharmacology evidence- based guidelines for ‘the pharmacological management of substance misuse, addiction and comorbidity’ were published in 2004

2012 British Association for Psychopharmacology

100. Social anxiety apps: a systematic review and assessment of app descriptors across mobile store platformsEditor's Choice

Social anxiety apps: a systematic review and assessment of app descriptors across mobile store platformsEditor's Choice Social anxiety apps: a systematic review and assessment of app descriptors across mobile store platforms | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username (...) and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Social anxiety apps: a systematic review and assessment of app descriptors across mobile store platforms Article Text Systematic review Social anxiety apps

2017 Evidence-Based Mental Health

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