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
Background: The present study proposes to investigate the benefits of a Therapeutic Approach based on Acceptance and Commitment (ACT) in the face of depression, anxiety, stress and psychological flexibility experienced by women with breast cancer. Methods: This research was conducted using a pre-test and post-test design with 40 breast cancer patients, allocated randomly to the intervention group (n = 20) and the control group (n = 20) through convenience sampling. Unlike the control group, the intervention group benefited from 6 sessions of acceptance and commitment therapy. Participants completed a sociodemographic questionnaire, the Depression, Anxiety and Stress Scale 21, and the Acceptance and Action Questionnaire II. Descriptive analyses (number, percentage, mean and standard deviation), Pearson correlations and analyses of covariance (ANCOVA and MANCOVA) were applied to measure the contribution of this psychotherapeutic approach. Results: The intervention group recorded a significant decrease in levels of depression, anxiety and stress (p < 0.05), and also showed a significant overall increase in levels of acceptance and psychological flexibility after this therapy (p < 0.05), compared with the control group. Conclusion: The Acceptance and Commitment Therapy approach provides real support for women with breast cancer, reducing manifestations of depression and anxiety, and promoting psychological acceptance and flexibility.
- MeSH
- deprese prevence a kontrola terapie MeSH
- lidé MeSH
- nádory prsu psychologie MeSH
- pilotní projekty MeSH
- průzkumy a dotazníky MeSH
- psychický stres etiologie psychologie terapie MeSH
- psychoterapie MeSH
- terapie přijetí a odevzdání * metody MeSH
- úzkost psychologie terapie MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
Depresivní porucha patří mezi časté psychické poruchy. Podstatná část pacientů s touto poruchou se nedostává k adekvátní terapii. Mezi hlavní důvody patří snížená dostupnost péče a strach ze stigmatizace. V řadě západních zemí, jako jsou Švédsko, Austrálie, Německo, Velká Británie, Nizozemí, Švýcarsko nebo Spojené státy, tyto bariéry snižují internetové terapeutické programy, které představují účinnou a nízkonákladovou pomoc jedincům s lehkými až středně závažnými příznaky deprese. Tyto programy zpravidla vychází z principů kognitivně behaviorální terapie a psychoedukace, mají interaktivní obsah a sebezkušenostní cvičení. Většina nabízí i pomoc vyškoleného terapeuta. Programy bez podpory terapeuta jsou také účinné. Ukazuje se však, že intervence s intervencemi terapeuta vykazují vyšší efektivitu. Některé země, jako je Velká Británie, mají bohatou tradici výzkumu účinnosti těchto programů a zařadily je do krokové péče a doporučených postupů léčby. V České republice dosud tyto programy chyběly. Česká platforma Mindwell nabízí internetový KBT program pro jedince s lehkými a středně těžkými příznaky deprese. Tento program má 12 modulů, ve kterých se systematicky rozvíjejí jednotlivé internetové strategie účinné pro zmírňování deprese. V současnosti se dokončuje výzkum uživatelské přívětivosti programu, v blízké budoucnosti bude následovat analýza jeho účinnosti.
Depressive disorder is a common mental disorder. A considerable part of the patients does not receive adequate therapy. The main reasons are the low availability of treatment and fear of stigmatisation. Online therapeutic programs reduce these barriers in many Western countries, such as Sweden, Australia, Germany, the United Kingdom, the Netherlands, Switzerland, and the United States. These programs present efficacious and cost-effective help for individuals with mild and moderate symptoms of depression. They are usually based on principles of cognitive behavioural therapy and psychoeducation and offer interactive content and help from a trained therapist. Purely self-guided programs are also efficacious. However, the guided programs seem more effective. The United Kingdom and several other countries have a rich tradition of researching these programs and integrating them into the stepped care and the guidelines. Until recently, Czech patients did not have the option to access such programs in their mother tongue. The Czech platform Mindwell offers an online CBT program for individuals with mild and moderate symptoms of depression. This program has 12 modules that systematically develop individual online strategies effective for alleviating depressive symptoms. The team finishes a feasibility study, and an effective analysis will follow.
- Klíčová slova
- program Mindwell,
- MeSH
- deprese * prevence a kontrola terapie MeSH
- internetová intervence * MeSH
- kognitivně behaviorální terapie MeSH
- lidé MeSH
- směrnice pro lékařskou praxi jako téma MeSH
- telemedicína MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
Deprese a kardiovaskulární onemocnění jsou více propojené skupiny onemocnění, než by se mohlo na první pohled zdát. Spojuje je nejen vysoký výskyt v populaci a celkově negativní vliv na život člověka, ale i rizikové faktory, průběh léčby a responze na ni. Lékaři jednotlivých specializací by tedy u těchto skupin pacientů měli být obzvláště obezřetní a více než obvykle vnímat pacienta jako celek, protože jak se ukazuje, ovlivnění duševních obtíží může být pozitivní vliv na tělesné zdraví pacienta a naopak.
Depression and cardiovascular disorders are more connected groups of diseases than it might seem at first glance. It is connected not only with a large incidence in the population and an overall negative effect on a person's life, but also with risk factors, the course of treatment and the response to it. Therefore, doctors of individual specialties should be especially careful with these groups of patients and perceive the patient as a whole more than usual, because as it turns out, influencing mental problems can have a positive effect on the physical health of the patient and vice versa.
- MeSH
- deprese * terapie MeSH
- kardiovaskulární nemoci * psychologie MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
Přehledový článek shrnuje nejaktuálnější poznatky o vztahu mezi pohybovou aktivitou, kvalitou života a psychickými obtížemi u pacientů s roztroušenou sklerózou. Cílem je upozornit na negativní vlivy, které ovlivňují kvalitu života s roztroušenou sklerózou, jejich vzájemnou provázanost a možnosti jejich ovlivnění. Zároveň popisuje možnosti pohybových aktivit aerobním, anaerobním tréninkem a fyzioterapií, jejich přínos, vyváženost a omezení. Vztah mezi únavou a depresemi způsobeného samotnou podstatou nemoci jako i vedlejšími účinky farmakologické léčby.
This review article summarizes the most recent findings on the relationship between physical activity, quality of life and psychological difficulties in patients with multiple sclerosis. The aim is to highlight the negative influences that affect the quality of life with multiple sclerosis, their interdependence and the possibilities to influence them. It also describes the possibilities of physical activities by aerobic, anaerobic training and physiotherapy, their benefits, balance and limitations. The relationship between fatigue and depression caused by the very nature of the disease as well as the side effects of pharmacological treatment.
- MeSH
- deprese patologie terapie MeSH
- kvalita života MeSH
- lidé MeSH
- pohybová aktivita * MeSH
- roztroušená skleróza * psychologie rehabilitace MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
- MeSH
- axiální spondyloartritida * MeSH
- deprese etiologie terapie MeSH
- fyzioterapie (techniky) MeSH
- lidé MeSH
- lumbalgie * etiologie terapie MeSH
- následné studie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- dopisy MeSH
- práce podpořená grantem MeSH
- MeSH
- bronchiální astma etiologie MeSH
- deprese diagnóza psychologie terapie MeSH
- lidé MeSH
- mladiství MeSH
- orchiektomie MeSH
- spánková paralýza * diagnóza terapie MeSH
- teratom chirurgie diagnóza MeSH
- testikulární nádory * chirurgie diagnóza komplikace MeSH
- výsledek terapie MeSH
- znalecký posudek * MeSH
- Check Tag
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- deprese etiologie terapie MeSH
- dospělí MeSH
- emoce MeSH
- epilepsie * komplikace psychologie terapie MeSH
- kognitivně behaviorální terapie * metody MeSH
- lidé MeSH
- panická porucha etiologie terapie MeSH
- statistika jako téma MeSH
- topiramat terapeutické užití MeSH
- úzkostné poruchy etiologie klasifikace terapie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- klinická studie MeSH
- práce podpořená grantem MeSH
- přehledy MeSH
BACKGROUND: In time, we may be able to detect the early onset of symptoms of depression and even predict relapse using behavioural data gathered through mobile technologies. However, barriers to adoption exist and understanding the importance of these factors to users is vital to ensure maximum adoption. METHOD: In a discrete choice experiment, people with a history of depression (N = 171) were asked to select their preferred technology from a series of vignettes containing four characteristics: privacy, clinical support, established benefit and device accuracy (i.e., ability to detect symptoms), with different levels. Mixed logit models were used to establish what was most likely to affect adoption. Sub-group analyses explored effects of age, gender, education, technology acceptance and familiarity, and nationality. RESULTS: Higher level of privacy, greater clinical support, increased perceived benefit and better device accuracy were important. Accuracy was the most important, with only modest compromises willing to be made to increase other factors such as privacy. Established benefit was the least valued of the attributes with participants happy with technology that had possible but unknown benefits. Preferences were moderated by technology acceptance, age, nationality, and educational background. CONCLUSION: For people with a history of depression, adoption of technology may be driven by the desire for accurate detection of symptoms. However, people with lower technology acceptance and educational attainment, those who were younger, and specific nationalities may be willing to compromise on some accuracy for more privacy and clinical support. These preferences should help shape design of mHealth tools.
- MeSH
- deprese * diagnóza terapie MeSH
- lidé MeSH
- pacientova volba MeSH
- stupeň vzdělání MeSH
- telemedicína * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
