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Treating Anxiety in 2017

Jing Guo, Yang Chen, Zhengjie Li, Shirui Cheng, Chenjian Tang, Xiaohui Dong, Wenhua He, Yong Huang, Bao Yin, Yu Sheng, Jun Zhou, Aijia Li, Fang Zeng, Lei Lan, Fanrong Liang
BACKGROUND: Acupuncture is safe and effective for reducing the symptoms of knee osteoarthritis (KOA), but the underlying mechanisms of acupuncture for treating KOA are not fully understood. METHODS/DESIGN: In total, 108 participants diagnosed with KOA will be recruited. They will be blinded to group assignment and randomized to either verum acupuncture, sham acupuncture or waiting-list groups with 36 patients in each group. Each patient in the acupuncture group will receive five treatments per week for 2 weeks...
February 13, 2019: Trials
Eric T Dobson, Michael H Bloch, Jeffrey R Strawn
OBJECTIVE: To evaluate the efficacy and tolerability of pharmacotherapy in pediatric anxiety disorders using network meta-analysis. DATA SOURCES: PubMed, Cochrane Database, Web of Science, PsycNET, and were searched for double-blind, controlled pharmacotherapy trials in youth with anxiety disorders from 1966 to September 2017. DATA SELECTION: All double-blind, placebo-controlled trials of pharmacotherapy in the treatment of pediatric patients with generalized, social, and/or separation anxiety disorders were included...
January 29, 2019: Journal of Clinical Psychiatry
Saho Wada, Ryoichi Sadahiro, Yutaka J Matsuoka, Yosuke Uchitomi, Takuhiro Yamaguchi, Ken Shimizu
BACKGROUND: Preoperative anxiety and postoperative delirium affect both short- and long-term prognoses in patients with cancer; therefore, these conditions require early prevention and treatment. However, no standard preventive or therapeutic methods have been established for them. Yokukansan, a Japanese herbal medicine for the treatment of insomnia and anxiety, causes relatively few adverse drug reactions and effectively improves the behavioral and psychological symptoms of dementia...
February 8, 2019: Trials
Roseanne Moody Fairchild, Shiaw-Fen Ferng-Kuo, Stephanie Laws, Hicham Rahmouni, Daniel Hardesty
BACKGROUND: Telehealth has been proposed as an important care delivery strategy to increase access to behavioral health care, especially in rural and medically-underserved settings where mental health care provider shortage areas predominate, to speed access to behavioral health care, and reduce health disparities. INTRODUCTION: This study was conducted to determine the effects of telehealth-based care delivery on clinical, temporal, and cost outcomes for behavioral health patients in rural emergency departments (EDs) of four Midwestern critical access hospitals (CAHs)...
February 8, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Ashley D Radomski, Lori Wozney, Patrick McGrath, Anna Huguet, Lisa Hartling, Michele P Dyson, Kathryn Bennett, Amanda S Newton
BACKGROUND: Internet-based cognitive behavioral therapy (iCBT) is a persuasive system as its design combines therapeutic content, technological features, and interactions between the user and the program to reduce anxiety for children and adolescents. How iCBT is designed and delivered differs across programs. Although iCBT is considered an effective approach for treating child and adolescent anxiety, rates of program use (eg, module completion) are highly variable for reasons that are not clear...
February 5, 2019: Journal of Medical Internet Research
Anao Zhang, Cynthia Franklin, Shijie Jing, Lindsay A Bornheimer, Audrey Hang Hai, Joseph A Himle, Dexia Kong, Qingying Ji
BACKGROUND: Depressive and anxiety disorders are highly prevalent and detrimental in primary care settings. However, there are gaps in the literature concerning effectiveness and generalizability of empirically supported interventions and treatment of both depression and anxiety in primary care settings. The aim of this review is to systematically assess and meta-analyze the effectiveness of brief empirically-supported psychotherapies for treating depression and/or anxiety in primary care...
February 15, 2019: Journal of Affective Disorders
Sophie W Galson, John W Stanifer, Julian T Hertz, Gloria Temu, Nathan Thielman, Temitope Gafaar, Catherine A Staton
OBJECTIVES: Globally, hypertension affects one billion people and disproportionately burdens low-and middle-income countries. Despite the high disease burden in sub-Saharan Africa, optimal care models for diagnosing and treating hypertension have not been established. Emergency departments (EDs) are frequently the first biomedical healthcare contact for many people in the region. ED encounters may offer a unique opportunity for identifying high risk patients and linking them to care. METHODS: Between July 2017 and March 2018, we conducted a prospective cohort study among patients presenting to a tertiary care ED in northern Tanzania...
2019: PloS One
Joshua McDonough, Jaklin Eliott, Susan Neuhaus, Jessica Reid, Phyllis Butow
OBJECTIVE: Health-related quality of life (HRQoL), psychosocial distress, and unmet health needs are important patient-reported outcomes (PROs) for patients with sarcoma treated with curative intent. Syntheses of data on these PROs in patients with sarcoma is limited. METHODS: A systematic review of peer-reviewed literature published between 2007 and 2017 was conducted using five databases, guided by the PRISMA and Cochrane reporting guidelines. RESULTS: Of 7,240 articles identified, 31 were included in this review...
January 24, 2019: Psycho-oncology
Jing Lu, Zhaohui Zhang
To analyze the application of ear-acupuncture for post-operative syndromes of breast cancer so as to provide method and evidence for the syndromes. The related clinical literature was retrieved from CNKI, WANFANG and VIP databases from the database establishment time to August 30, 2017. We found ear-acupuncture are mainly used in treating nausea and vomiting caused by radiation and chemotherapy (shenmen (TF4 ), jiaogan (AH6a ), wei (CO4 ), pi (CO13 ), etc), insomnia in the rehabilitation period (xin (CO15 ), pizhixia (AT4 ), shenmen (TF4 ), etc), depression and anxiety (pizhixia (AT4 ), shenmen (TF4 ), pi (CO13 ), wei (CO4 ), xin (CO15 ), gan (CO12 ), etc), and joint pain (pain point), etc...
November 12, 2018: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
Chenjian Tang, Xiaohui Dong, Wenhua He, Shirui Cheng, Yang Chen, Yong Huang, Bao Yin, Yu Sheng, Jun Zhou, Xiaoli Wu, Fang Zeng, Zhengjie Li, Fanrong Liang
BACKGROUND: Celecoxib is frequently prescribed to treat knee osteoarthritis (KOA), but how celecoxib influences the activity of the central nervous system to alleviate chronic pain remains unclear. METHODS: One hundred eight patients with KOA will be enrolled in this study. Patients will be allocated randomly to three groups: the celecoxib group, the placebo group, and the waiting list group. The patients in the celecoxib group will orally take celecoxib 200 mg once daily and the patients in placebo group with placebo 200 mg every day for 2 weeks...
January 16, 2019: Trials
Margarita Alegría, Irene Falgas-Bague, Francisco Collazos, Rodrigo Carmona Camacho, Sheri Lapatin Markle, Ye Wang, Enrique Baca-García, Benjamin Lê Cook, Ligia M Chavez, Lisa Fortuna, Lizbeth Herrera, Adil Qureshi, Zorangeli Ramos, Claudia González, Paloma Aroca, Lucía Albarracín García, Lucía Cellerino, Ana Villar, Naomi Ali, Kim T Mueser, Patrick E Shrout
Importance: Immigrants are at an increased risk for co-occurring mental health and substance misuse symptoms; however, effective treatments are lacking. Objective: To evaluate the effectiveness of the Integrated Intervention for Dual Problems and Early Action (IIDEA) program compared with enhanced usual care. Design, Setting, and Participants: This effectiveness randomized clinical trial was conducted from September 2, 2014, to February 2, 2017, in 17 clinics or emergency departments and 24 community sites in Boston, Massachusetts, as well as in Madrid and Barcelona, Spain...
January 4, 2019: JAMA network open
Natalie Silver, Justin Dourado, Kathryn Hitchcock, Amy Fullerton, Kristianna Fredenburg, Peter Dziegielewski, Deepa Danan, Patrick Tighe, Chris Morris, Robert Amdur, William Mendenhall, Roger B Fillingim
OBJECTIVES/HYPOTHESIS: Head and neck cancer pain is a prevalent problem, and the current opioid crisis has highlighted concerns raised in chronic pain management. This study assessed the characteristics of opioid use in patients undergoing treatment for oropharynx cancer and identified risk factors associated with chronic opioid use. STUDY DESIGN: Retrospective cohort study. METHODS: A study was conducted of 198 eligible patients who underwent radiotherapy as part of their treatment for oropharynx cancer at a single institution from 2012 to 2017...
January 6, 2019: Laryngoscope
Rodrigo Barros, Alex Schul, Paulo Ornellas, Leandro Koifman, Luciano A Favorito
OBJECTIVE: To conduct a comprehensive assessment of sexual function of patients undergoing surgical treatment of penile fracture (PF), covering psychological aspects related to trauma. METHODS: Patients undergoing surgical treatment of PF from January 2014 to august 2017 were followed-up in our department for at least 6 months. Those patients were underwent a detailed clinical follow-up, including physical examination and interviewed about any evidence of erectile dysfunction, penile nodules or curvature acquired after surgery, besides psychological sexual problems...
December 31, 2018: Urology
John R Weisz, Sofie Kuppens, Mei Yi Ng, Rachel A Vaughn-Coaxum, Ana M Ugueto, Dikla Eckshtain, Katherine A Corteselli
With the development of empirically supported treatments over the decades, have youth psychotherapies grown stronger? To investigate, we examined changes over time in treatment effects for four frequently treated youth mental-health problems: anxiety, depression, attention-deficit hyperactivity disorder (ADHD), and conduct disorders. We used PubMed and PsycINFO to search for randomized controlled trials (RCTs) that were published between January 1960 and May 2017 involving youths between the ages of 4 and 18 years...
December 20, 2018: Perspectives on Psychological Science: a Journal of the Association for Psychological Science
Akshya Vasudev, Susana G Torres-Platas, Karin Kerfoot, Angela Potes, Joseph Therriault, Anthony Gifuni, Marilyn Segal, Karl J Looper, Vasavan Nair, Helen Lavretsky, Soham Rej
BACKGROUND: Current pharmacological treatments and psychotherapeutic approaches often have adverse effects or ineffective in late-life cognitive and mental illnesses. Mind-body interventions offer a holistic approach and are of interest because of potential patient acceptability and scalability. OBJECTIVE: To synthesize current evidence on mind-body interventions in treating or preventing mental illnesses and cognitive disorders in older adults. SEARCH STRATEGY: A search was conducted using Ovid MEDLINE, EMBASE, and PsycINFO articles published from 1993 to 2017...
November 3, 2018: American Journal of Geriatric Psychiatry
Arnold Y L Wong, Dino Samartzis, Prudence W H Cheung, Jason Pui Yin Cheung
BACKGROUND: Adolescent idiopathic scoliosis (AIS) is the most common spine deformity in adolescent patients. Although structural deformity may affect spinal biomechanics of patients with AIS, little is known regarding various period prevalence proportions of back pain and chronic back pain and factors associated with back pain in such patients. QUESTIONS/PURPOSES: (1) What are the period prevalence rates of back pain among teenagers with AIS? (2) Is back pain in patients with AIS associated with curve severity? METHODS: A total of 987 patients with AIS who were treated without surgery were recruited from a single center's scoliosis clinic...
November 13, 2018: Clinical Orthopaedics and related Research
Roberta Perkovic, Ana Sucic, Ivan Vasilj, Branko Kristo
Introduction: The most common mental disorders in elderly, beside dementia, are depression and anxiety, which are important public health problem, although they are diagnosed and treated in under 20% of the population. Mental health care for elderly is one of the indicators of quality or omissions in the health system of a country. Aim: The aim of the study was to examine the incidence of depression and anxiety among the elderly in the Livno area. Material and methods: Across-sectional study was carried out in the Livno area through June 2017 on a sample of 100 respondents (N=100)...
October 2018: Materia Socio-medica
Maria Lalouni, Brjánn Ljótsson, Marianne Bonnert, Richard Ssegonja, Marc Benninga, Johan Bjureberg, Jens Högström, Hanna Sahlin, Magnus Simrén, Inna Feldman, Erik Hedman-Lagerlöf, Eva Serlachius, Ola Olén
BACKGROUND & AIMS: Scalable and effective treatments are needed for children with functional abdominal pain disorders (FAPDs). We performed a randomized controlled trial of the efficacy and cost effectiveness of cognitive behavioral therapy delivered online (internet CBT) compared to usual therapy. METHODS: We studied children (8-12 years old) diagnosed with FAPDs, based on the Rome IV criteria, in Sweden from September 2016 through April 2017. The patients were randomly assigned to groups that received 10 weeks of therapist-guided, internet-delivered cognitive behavioral therapy (internet CBT, n=46) or usual treatment (treatments within the healthcare and school systems, including medications and visits to doctors and other healthcare professionals; n=44)...
November 28, 2018: Clinical Gastroenterology and Hepatology
Ghazaleh Rostaminia, Cecilia Chang, Joseph B Pincus, Peter K Sand, Roger P Goldberg
INTRODUCTION AND HYPOTHESIS: Multiple publications have demonstrated the efficacy of percutaneous tibial nerve stimulation (PTNS) for overactive bladder syndrome (OAB). However, patient characteristics associated with successful treatment have not been well established. The aim of this study was to identify prognostic factors for successful PTNS treatment. METHODS: This was a retrospective chart review of women who underwent PTNS therapy for OAB between January 2011-Decemeber 2017...
November 29, 2018: International Urogynecology Journal
X G Yan, X Gao, Z F Sun, Y C Guo, L Y Yao, J Liu, W Xiao, Q W Lyu, Y X Wei
Objective: To explore the clinical effects and the influence factors of olfactory training in the treatment of olfactory dysfunction. Methods: A total of 86 patients with olfactory dysfunction (49 post-infectious and 37 post-traumatic) in Beijing Anzhen Hospital during Dec 2016 to May 2017 were recruited in this prospective study. The clinical data of patients were analyzed, including gender, age, body mass index (BMI), course of disease, smoking history, drinking history, diabetes history, hypertension history, hyperlipidemia history, and anxiety visual analogue score (VAS)...
November 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
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