University students frequently encounter stress and anxiety, impacting their autonomic nervous system and mental health. Rhythmic photic stimulation (RPS) at various frequencies is considered a potential intervention for anxiety and depression, but its effectiveness is not fully understood. This research aimed to assess the impact of RPS at theta (6 Hz), alpha (10 Hz), and beta (25 Hz) frequencies on autonomic nervous system regulation in university students, comparing the effects between those with and without depression symptoms. Conducted at a southern Taiwan university, this quasi-experimental study involved RPS interventions at specified frequencies, with pre and post assessments of heartbeat, blood pressure, and heart rate variability. Among 62 participants (average age 20.29±0.61), those without depression showed a notable blood pressure reduction following theta-frequency RPS compared to other frequencies (p<0.05). A similar pattern was observed when comparing non-depressed and depressed participants after theta-RPS, with depressed individuals experiencing an increase in sympathetic activity (p<0.05). RPS, particularly at theta frequency, can significantly influence the autonomic nervous system, suggesting a potential for reducing anxiety-related physiological markers in university students. Further verification with a larger and longitudinal study is warranted. Key words Binaural beat, Rhythmical photic stimulation, Autonomic nervous system, University student.
- MeSH
- autonomní nervový systém * fyziologie MeSH
- deprese patofyziologie psychologie MeSH
- krevní tlak fyziologie MeSH
- lidé MeSH
- mladý dospělý MeSH
- srdeční frekvence * fyziologie MeSH
- studenti * psychologie MeSH
- světelná stimulace * metody MeSH
- univerzity MeSH
- úzkost patofyziologie MeSH
- Check Tag
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
Článek se zabývá souvislostmi mezi idiopatickými střevními záněty (IBD – inflammatory bowel disease) a psychiatrickými onemocněními. Zaměřuje se na úzkostnou a depresivní poruchu, které jsou nejčastější. Zmiňuje současné poznatky o epidemiologii těchto psychiatrických poruch u pacientů s IBD. Stručně popisuje patofyziologické mechanizmy. Autorky článku zdůrazňují výhodu časné diagnostiky už v ambulanci gastroenterologa, nabízí možnosti screeningových metod – dotazníků na úzkost (GAD-7) a depresi (PHQ-9). Přestože je vhodná spolupráce s psychiatry a psychoterapeuty, možnost léčby úzkostných a depresivních příznaků může využít i gastroenterolog. Článek zmiňuje nejčastější psychoterapeutické postupy a možnosti farmakologické léčby. Cílem článku je pomoci gastroenterologům v diagnostice a léčbě úzkostné a depresivní poruchy u pacientů s IBD.
The article deals with the connections between inflammatory bowel disease (IBD) and psychiatric diseases. It focuses on anxiety and depressive disorders, which are the most common. It outlines current knowledge about the epidemiology of these psychiatric disorders in patients with IBD. It briefly describes the pathophysiological mechanisms. The authors emphasize the advantage of early diagnosis in gastroenterological practices, and offer options for screening methods such as questionnaires for anxiety (GAD-7) and depression (PHQ-9). Although cooperation with psychiatrists and psychotherapists is desirable, gastroenterologists can also treat anxiety and depressive symptoms by themselves. The article mentions the most common psychotherapeutic procedures and pharmacological treatment. The aim of the article is to help gastroenterologists in the diagnosis and treatment of anxiety and depressive disorders in patients with IBD.
- MeSH
- deprese diagnóza etiologie patofyziologie MeSH
- duševní poruchy * diagnóza epidemiologie klasifikace patofyziologie MeSH
- idiopatické střevní záněty * diagnóza psychologie MeSH
- lidé MeSH
- průzkumy a dotazníky MeSH
- psychoterapie metody MeSH
- rizikové faktory MeSH
- úzkostné poruchy diagnóza etiologie patofyziologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
Edice IR
Vydání 1. 340 stran : ilustrace ; 21 cm
Publikace se zaměřuje na dezinformace, propagandu, politiku a farmaceutické společnosti a jejich vztah k nedávným pandemiím. Určeno široké veřejnosti.
- MeSH
- dějiny 21. století MeSH
- dezinformace MeSH
- farmaceutický průmysl MeSH
- komunikační média MeSH
- pandemie MeSH
- politika MeSH
- strach MeSH
- vakcinace MeSH
- Check Tag
- dějiny 21. století MeSH
- Publikační typ
- monografie MeSH
- populární práce MeSH
- Konspekt
- Sociální procesy
- NLK Obory
- sociologie
Vydání 1. 284 stran : ilustrace ; 24 cm
Příručka, která se zaměřuje na poporodní úzkost a depresi a stres a na kognitivně-behaviorální terapii. Určeno široké veřejnosti.
Aim: The main objective was to determine how hospitalized patients subjectively perceive sleep disturbances. The study also assessed the influence of selected factors (physiological, physical, environmental, and psychological) and clinical and demographic variables on sleep disruption. Design: A multicenter descriptive study. Methods: Conducted in seven Czech hospitals from February to May 2023, the study included 397 patients in general wards. Data were collected using a modified questionnaire on sleep disturbances, and the results were analyzed using non-parametric statistical tests. Results: The sample comprised 193 males (48.6 %) and 204 females (51.4%). Females reported more sleep disturbances than males (p = 0.023). Psychological and physical factors had a greater impact on females. Younger patients reported poorer sleep quality (p = 0.015). Pain was the strongest clinical factor that negatively affected sleep (Ra = 0.730). Environmental factors were the leading cause of sleep disturbance in patients (Ra = 0.836). The variability associated with all the factors studied (environmental, psychological, physiological, and physical) accounted for 97.6% of the total variability in sleep disturbance. Conclusion: Females and younger patients experienced more sleep disturbance. Pain and environmental factors were the primary causes of disrupted sleep. Differences were noted in the factors affecting sleep between genders.
BACKGROUND: Reminiscence therapy (RT) is a widely used approach to promote well-being among older adults and is an effective intervention method for older adults with diverse health conditions, including community-dwelling older adults. OBJECTIVES: The aim of the study was to determine the impact of group RT on assessments of depression, anxiety and self-esteem in older adults living in the community. METHODS: We implemented sessions of group simple RT. The sample consisted of 24 older adults living in the community who attended a 12-week RT course. The duration of each reminiscence session was 60 min. The average age of the sample was 74.7 years. We used the Geriatric Depression Scale, the Geriatric Anxiety Inventory, the Rosenberg self-esteem scale, the Older adults' Quality of Life-Brief version and the Sense of Coherence scale to assess mental health outcomes before and after intervention. RESULTS: After intervention, we observed statistically significant improvements in assessments of depression (p < 0.001), anxiety (p = 0.011), self-esteem (p = 0.007) and the comprehensibility dimension of the sense of coherence scale (p = 0.039). Depression showed the largest effect size (Cohen's d = 0.870; 95% CI: 0.392 to 1.335), indicating a large effect, followed by self-esteem (Cohen's d = 0.612; 95% CI: -1.044 to -0.170) and anxiety (Cohen's d = 0.543; 95% CI: 0.108 to 0.967), both of which demonstrated a moderate effect. CONCLUSIONS: We found group RT to be effective for several outcomes among older adults. Reminiscence is a good non-invasive treatment for the promotion of mental health in community-dwelling older adults. IMPLICATIONS FOR PRACTICE: As research has now established RT to be an essential component of activities for older adults in senior care facilities, we should also offer it to those living in the community as an effective activity for the promotion of healthy aging among older adults.
- MeSH
- deprese * terapie psychologie MeSH
- geriatrické hodnocení MeSH
- kvalita života MeSH
- lidé MeSH
- samostatný způsob života * MeSH
- sebepojetí * MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- skupinová psychoterapie metody MeSH
- úzkost * terapie MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
Vydání první 127 stran : ilustrace ; 21 cm
Příručka, která se zaměřuje na úzkostné a panické poruchy a na záchvaty úzkosti a paniky a na jejich zvládání. Určeno široké veřejnost.
- MeSH
- behaviorální terapie MeSH
- panická porucha MeSH
- panika MeSH
- péče o sebe MeSH
- psychosomatické poruchy MeSH
- úzkost * MeSH
- úzkostné poruchy MeSH
- Publikační typ
- populární práce MeSH
- příručky MeSH
- Konspekt
- Psychiatrie
- NLK Obory
- psychiatrie
- psychoterapie
- zdravotní výchova
An important part of the side effects of combined oral contraceptives (COC) usage is its psychological impact, which includes mood changes, anxiousness and depression. The psychological impacts are expected to be caused by physiological fluctuations of sex hormone levels during the menstrual cycle; this cycling is, however, suppressed in COC users. In our study, we assessed the differences in emotional awareness and anxiousness between women long term users of anti-androgenic COC (AA) and women with no COC use in their medical history (C). We also searched for intraindividual differences by comparing the results of both groups for the follicular and luteal phase of their cycle. A total of 45 women aged 18 to 22 participated in this study. The respondents were given our battery of questionnaires at the beginning of their follicular phase - this battery included two State-Trait Anxiety Inventory questionnaires (STAI-I, STAI-II), as well as a Levels of Emotional Awareness Scale (LEAS) test. The respondents were given only STAI-I in their luteal phase. We also analyzed the hormonal profile of our respondents. Our results show a significant difference in the LEAS analysis, implying the possibility of altered emotional awareness in AA group. STAI-I and STAI-II analysis did not yield any significant results, showing that anxiety levels of COC users probably do not differ from the general female population. We therefore discovered lower emotional awareness in COC using women (AA). Key words LEAS, STAI, Combined oral contraceptives, Anxiety, Hormonal profile.
- MeSH
- dospělí MeSH
- emoce * účinky léků MeSH
- kontraceptiva orální hormonální škodlivé účinky MeSH
- kontraceptiva orální kombinovaná škodlivé účinky MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- pilotní projekty MeSH
- průzkumy a dotazníky MeSH
- uvědomování si MeSH
- úzkost * psychologie chemicky indukované MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
OBJECTIVE: Face transplantation is a groundbreaking and complex surgical intervention offering profound physical and psychological benefits to patients with severe facial disfigurements. This report provides an update on the long-term psychosocial outcome of eight face transplant recipients. METHOD: All transplant recipients were initially transplanted at Brigham and Women ́s Hospital (Boston, USA) between 2011 and 2020 and seen as outpatient patients at Yale New Haven Hospital (New Haven, USA). A mixed-methods approach was used to assess the psychological and social well-being of these patients. The Short-Form 12, Brief-COPE, EQ-VAS and CES-D were administered between October 2022 and October 2023. RESULTS: Older age of face transplant recipients was significantly and positively associated with better mental health and increased use of both emotional and instrumental support (Brief-COPE). The initial enhancement in patients' self-reported quality of life, as assessed by the EQVAS, declined on the EQ-VAS score at the last follow-up. Similarly, an increase in depression score was observed (CES-D score) up through the last follow-up assessment. Both of the latter results, however, did not reach statistical significance. CONCLUSIONS: These results underscore the importance of ongoing psychological support throughout the long-term journey of recovery for face transplant recipients. These findings emphasize the need for a comprehensive, patient-centered approach that also addresses the complex psychological dimensions and contributes to our understanding of the mental health dynamics involved in face transplantation, stressing the need for guidelines and continued research in this evolving field.
- MeSH
- deprese psychologie MeSH
- dospělí MeSH
- kvalita života * psychologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- příjemce transplantátu psychologie MeSH
- senioři MeSH
- sociální opora MeSH
- transplantace obličeje * psychologie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- MeSH
- astigmatismus MeSH
- kontraindikace léčebného výkonu MeSH
- lidé středního věku MeSH
- lidé MeSH
- multifokální intraokulární čočky * MeSH
- refrakční vady terapie MeSH
- senioři MeSH
- úzkost komplikace MeSH
- zraková ostrost MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH