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https://www.readbyqxmd.com/read/28916294/characteristics-of-older-adults-in-primary-care-who-may-benefit-from-primary-palliative-care-in-the-united-states
#1
Nancy Dudley, Christine S Ritchie, Margaret I Wallhagen, Kenneth E Covinsky, Bruce A Cooper, Kanan Patel, Irena Stijacic-Cenzer, Susan A Chapman
CONTEXT: Older adults with advanced illness and associated symptoms may benefit from primary palliative care, but limited data exist to identify older adults in U.S. primary care to benefit from this care. OBJECTIVES: To describe U.S. primary care visits among adults 65 years and older with advanced illness. METHODS: Cross-sectional analysis of the National Ambulatory and Hospital Ambulatory Medical Care Surveys (2009-2011) was conducted using chi-square tests to compare visits without and with advanced illness to U...
September 12, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28915152/predictors-of-adherence-to-psychological-treatment-for-insomnia-and-pain-analysis-from-a-randomized-trial
#2
Erin Koffel, Michael V Vitiello, Susan M McCurry, Bruce Rybarczyk, Michael Von Korff
OBJECTIVES: Poor adherence to psychological treatment for insomnia is common and limits treatment gains. Very little is known about predictors of adherence among patients with chronic pain, although adherence is theorized to be more critical and more challenging for these patients. This secondary data analysis examines predictors of drop-out and therapy nonattendance in an osteoarthritis population receiving psychological treatment for insomnia and pain. METHODS: Data were analyzed from the "Lifestyles" trial, a randomized controlled trial of a 6-week group cognitive behavioral pain coping skills intervention (CBT-P), group cognitive-behavioral therapy for pain and insomnia (CBT-PI), and an education only attention control group (EOC)...
September 14, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28904508/changes-in-cognitive-function-in-patients-with-primary-insomnia
#3
Hui Guo, Meijie Wei, Wantao Ding
BACKGROUND: Neuropsychological evidence is not sufficient concerning whether there is cognitive impairment in patients with primary insomnia. Further study is needed in this regard. AIMS: To measure the changes in cognitive functioning in patients with primary insomnia. METHODS: 40 patients with insomnia (insomnia group) and 48 normal sleepers (control group) were tested using the Pittsburgh Sleep Quality Index (PSQI), episodic memory test, and Montreal Cognitive Assessment (MoCA)...
June 25, 2017: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/28899535/efficacy-and-safety-of-acupuncture-treatment-on-primary-insomnia-a%C3%A2-randomized-controlled-trial
#4
Xuan Yin, Minghui Gou, Jian Xu, Bo Dong, Ping Yin, Fernand Masquelin, Junyi Wu, Lixing Lao, Shifen Xu
OBJECTIVE: The objective of this study was to evaluate the efficacy and safety of acupuncture treatment for primary insomnia. METHODS: We conducted a single-center, single-blinded, and randomized controlled clinical trial. Seventy-two patients with primary insomnia were randomly assigned into two groups - the acupuncture group, who received acupuncture treatment, and the control group, who received sham acupuncture treatment. The treatment was given three times a week for four weeks...
September 2017: Sleep Medicine
https://www.readbyqxmd.com/read/28899206/randomized-single-blind-multicenter-trial-comparing-the-effects-of-standard-and-augmented-acupuncture-protocols-on-sleep-quality-and-depressive-symptoms-in-patients-with-depression
#5
Xiuyun Wen, Qian Wu, Jianhua Liu, Zhenhua Xu, Li Fan, Xiaokai Chen, Qing He, Rui Ma, Yanan Wu, Shuo Jiang, Shujun Xu, Wenbin Fu
The study was aimed to compare the effects of standard and augmented acupuncture on depressive symptoms and sleep disturbances in patients with depression. This is a randomized, single-blind, multicenter trial. 140 subjects with clinical insomnia (score of ≥ 7 on the Pittsburgh Sleep Quality Index (PSQI)) were randomized to the standard (LI4, LIV3, EX-HN3, and GV20) or augmented (LI4, LIV3, EX-HN3, GV20, LU7, and KID6, including intradermal needles for sustained treatment) acupuncture groups. Participants received two sessions weekly for six weeks...
September 12, 2017: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/28888927/the-effects-of-improving-sleep-on-mental-health-oasis-a-randomised-controlled-trial-with-mediation-analysis
#6
Daniel Freeman, Bryony Sheaves, Guy M Goodwin, Ly-Mee Yu, Alecia Nickless, Paul J Harrison, Richard Emsley, Annemarie I Luik, Russell G Foster, Vanashree Wadekar, Christopher Hinds, Andrew Gumley, Ray Jones, Stafford Lightman, Steve Jones, Richard Bentall, Peter Kinderman, Georgina Rowse, Traolach Brugha, Mark Blagrove, Alice M Gregory, Leanne Fleming, Elaine Walklet, Cris Glazebrook, E Bethan Davies, Chris Hollis, Gillian Haddock, Bev John, Mark Coulson, David Fowler, Katherine Pugh, John Cape, Peter Moseley, Gary Brown, Claire Hughes, Marc Obonsawin, Sian Coker, Edward Watkins, Matthias Schwannauer, Kenneth MacMahon, A Niroshan Siriwardena, Colin A Espie
BACKGROUND: Sleep difficulties might be a contributory causal factor in the occurrence of mental health problems. If this is true, improving sleep should benefit psychological health. We aimed to determine whether treating insomnia leads to a reduction in paranoia and hallucinations. METHODS: We did this single-blind, randomised controlled trial (OASIS) at 26 UK universities. University students with insomnia were randomly assigned (1:1) with simple randomisation to receive digital cognitive behavioural therapy (CBT) for insomnia or usual care, and the research team were masked to the treatment...
September 6, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28884877/self-administered-acupressure-for-insomnia-disorder-a-pilot-randomized-controlled-trial
#7
Wing-Fai Yeung, Fiona Yan-Yee Ho, Ka-Fai Chung, Zhang-Jin Zhang, Branda Yee-Man Yu, Lorna Kwai-Ping Suen, Lily Ying-Tung Chan, Hai-Yong Chen, Lai-Ming Ho, Li-Xing Lao
Self-administered acupressure has potential as a low-cost alternative treatment for insomnia. To evaluate the short-term effects of self-administered acupressure for alleviating insomnia, a pilot randomized controlled trial was conducted. Thirty-one subjects (mean age: 53.2 years; 77.4% female) with insomnia disorder were recruited from a community. The participants were randomized to receive two lessons on either self-administered acupressure or sleep hygiene education. The subjects in the self-administered acupressure group (n = 15) were taught to practise self-administered acupressure daily for 4 weeks...
September 8, 2017: Journal of Sleep Research
https://www.readbyqxmd.com/read/28880713/sexual-violence-as-a-key-contributor-to-poor-mental-health-among-japanese-women-subjected-to-intimate-partner-violence
#8
Tomoko Honda, Karen Wynter, Jinko Yokota, Thach Tran, Yuri Ujiie, Madoka Niwa, Michi Nakayama, Fumie Ito, Yoshiharu Kim, Jane Fisher, Toshiko Kamo
OBJECTIVES: The aim of this study was to examine the impact of sexual intimate partner violence (IPV) on mental health among Japanese women and to explore to what extent sexual IPV is an important contributor to the severity of mental health problems in comparison with physical and psychological IPV. MATERIALS AND METHODS: A cross-sectional analysis was conducted of the medical records of participants during psychiatric consultation at the Institute of Women's Health, Tokyo Women's Medical University, including 62 women who experienced IPV without sexual violence and 83 women who experienced IPV with sexual violence...
September 7, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28872089/-personal-characteristics-of-paradoxical-insomnia-a-case-control-study
#9
Jingping Liao, Shichao Zhu, Qi Zhang, Dingxi Wang, Xiaolin Li
To compare the personal characteristics between the patients with paradoxical insomnia and the patients with primary insomnia or the normal sleepers.
 Methods: A case-control study with the proportion at 1:1:1 was carried out. The patients with paradoxical insomnia were diagnosed in Sleep Medicine Center of West China Hospital of Sichuan University between March 2013 and December 2013. A case of paradoxical insomnia was matched with two controls: a primary insomnia patient and a normal sleeper. A total of 63 matched cases were collected...
August 28, 2017: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
https://www.readbyqxmd.com/read/28869721/the-utility-and-feasibility-of-assessing-sleep-disruption-in-a-men-s-health-clinic-using-a-mobile-health-platform-device-a-pilot-study
#10
Hai H Le, Rachel Marie E Salas, Alyssa Gamaldo, Kevin L Billups, Peter Dziedzic, Seulah Choi, Neftali Bermudez, Roland J Thorpe, Charlene E Gamaldo
INTRODUCTION: Evidence linking sleep disruption and sexual dysfunction in men is mounting; yet the characterisation of sleep patterns and complaints utilising a clinically feasible method within this patient population remain largely under-reported. AIM: A pilot study aiming to demonstrate a clinically feasible method to characterise the sleep patterns and complaints in a representative sample of patients treated in a men's health clinic. METHODS: Male patients (n = 48) completed a battery of validated sleep questionnaires using an mHealth mobile platform, MySleepScript, at the Johns Hopkins Men's Health and Vitality Center...
September 4, 2017: International Journal of Clinical Practice
https://www.readbyqxmd.com/read/28860016/hyperarousal-during-sleep-in-untreated-major-depressed-subjects-with-prodromal-insomnia-a-polysomnographic-study
#11
Matthieu Hein, Christelle Senterre, Jean-Pol Lanquart, Xavier Montana, Gwénolé Loas, Paul Linkowski, Philippe Hubain
In primary insomnia, specific dynamics of hyperarousal are evident during the night. Similarly, in major depression, many elements also favor of the presence of hyperarousal. Thus, it would be interesting to investigate if hyperarousal presents the same dynamic in major depression. Polysomnographic data from 30 healthy controls, 66 patients with major depression and prodromal insomnia, and 86 primary insomnia sufferers recruited from the sleep laboratory database were studied for whole night and thirds of the night...
August 26, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28858412/a-randomized-double-blind-placebo-controlled-8-week-trial-of-the-efficacy-safety-and-tolerability-of-5-10-and-20-mg-day-vortioxetine-in-adults-with-major-depressive-disorder
#12
Akira Nishimura, Yutaka Aritomi, Kiyofumi Sasai, Tadayuki Kitagawa, Atul R Mahableshwarkar
AIM: This study assessed the efficacy and safety of vortioxetine in adults with major depressive disorder. METHODS: In this double-blind, placebo-controlled study, 600 patients with major depressive disorder were randomly assigned (1:1:1:1) to receive vortioxetine 5, 10, or 20 mg, or placebo once daily for 8 weeks. The primary endpoint was change from baseline in Montgomery-Åsberg Depression Rating Scale total score at week 8, evaluated by the last observation carried forward method...
August 31, 2017: Psychiatry and Clinical Neurosciences
https://www.readbyqxmd.com/read/28855344/internet-based-stress-management-for-distressed-managers-results-from-a-randomised-controlled-trial
#13
Robert Persson Asplund, Jesper Dagöö, Ida Fjellström, Linnea Niemi, Katja Hansson, Forough Zeraati, Masha Ziuzina, Anna Geraedts, Brjánn Ljótsson, Per Carlbring, Gerhard Andersson
OBJECTIVE: The aim of this randomised controlled trial (RCT) was to evaluate the efficacy of a guided internet-based stress management intervention (iSMI) among distressed managers compared with a attention control group (AC) with full access to treatment-as-usual. METHOD: A total sample of 117 distressed managers, mainly employed in the healthcare, IT, communication and educational sector, were randomised to either iSMI (n=59) or an AC group (n=58). The iSMI consisted of eight modules including cognitive behavioural stress management and positive management techniques...
August 30, 2017: Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28853423/daytime-sleepiness-more-than-just-obstructive-sleep-apnea-osa
#14
Luigi Ferini-Strambi, Marco Sforza, Mattia Poletti, Federica Giarrusso, Andrea Galbiati
Excessive Daytime Sleepiness (EDS) is a common condition with a significant impact on quality of life and general health. A mild form of sleepiness can be associated with reduced reactivity and modest distractibility symptoms, but more severe symptomatic forms are characterized by an overwhelming and uncontrollable need to sleep, causing sudden sleep attacks, amnesia and automatic behaviors. The prevalence in the general population is between 10 and 25%. Furthermore, EDS has been considered a core symptom of obstructive sleep apnea (OSA), as well as being the main symptom of primary hypersomnias such as narcolepsy types 1 and 2, and idiopathic hypersomnia...
August 28, 2017: La Medicina del Lavoro
https://www.readbyqxmd.com/read/28852567/a-computerized-cognitive-behavioral-therapy-randomized-controlled-pilot-trial-for-insomnia-in-parkinson-disease-accord-pd
#15
Shnehal Patel, Oluwadamilola Ojo, Gencer Genc, Srivadee Oravivattanakul, Yang Huo, Tanaporn Rasameesoraj, Lu Wang, James Bena, Michelle Drerup, Nancy Foldvary-Schaefer, Anwar Ahmed, Hubert H Fernandez
BACKGROUND: Parkinson disease (PD) is associated with a high prevalence of insomnia, affecting up to 88% of patients. Pharmacotherapy studies in the literature addressing insomnia in PD reveal disappointing and inconsistent results. Cognitive behavioral therapy (CBT) is a novel treatment option with durable effects shown in primary insomnia. However, the lack of accessibility and expense can be limiting. For these reasons, computerized CBT for insomnia (CCBT-I) has been developed. The CCBT-I program is a 6-week web-based course consisting of daily "lessons" providing learnable skills and appropriate recommendations to help patients improve their sleep habits and patterns...
2017: Journal of Clinical Movement Disorders
https://www.readbyqxmd.com/read/28836379/home-based-multidimensional-survivorship-programmes-for-breast-cancer-survivors
#16
REVIEW
Karis Kin Fong Cheng, Yee Ting Ethel Lim, Zhi Min Koh, Wilson Wai San Tam
BACKGROUND: The prognosis and survival rate of women with breast cancer have significantly improved worldwide. Effective home-based multidimensional programmes for breast cancer survivors have gained an ever greater emphasis in survivorship care to maximise women's quality of life for their successful transition to rehabilitation and normal life. It is important to summarise the best available evidence to evaluate the effects of home-based multidimensional survivorship programmes on quality of life in women within 10 years of the completion of surgery or adjuvant cancer therapy for breast cancer, or both...
August 24, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28833979/automatic-affective-responses-towards-the-bed-in-patients-with-primary-insomnia-evidence-for-a-negativity-bias
#17
Nicolas Koranyi, Marie Meinhard, Peter Bublak, Otto W Witte, Sven Rupprecht
Ruminating about sleep problems and negatively valenced thinking play a key role in the maintenance of sleep complaints in patients with insomnia. Based on associative learning principles, we hypothesized that repeated co-occurrence of negative thoughts (unconditioned stimulus) and the bedroom environment (conditioned stimulus) results in automatic negative affective responses towards the bed (conditioned response). Twenty-two insomniacs and 22 good sleepers performed a Single-Target Implicit Association Test measuring the strength of automatically triggered affective responses towards the bed...
August 22, 2017: Journal of Sleep Research
https://www.readbyqxmd.com/read/28833562/randomized-placebo-controlled-trial-of-ads-5102-amantadine-extended-release-capsules-for-levodopa-induced-dyskinesia-in-parkinson-s-disease-ease-lid-3
#18
Wolfgang Oertel, Karla Eggert, Rajesh Pahwa, Caroline M Tanner, Robert A Hauser, Claudia Trenkwalder, Reinhard Ehret, Jean Philippe Azulay, Stuart Isaacson, Larissa Felt, Mary Jean Stempien
BACKGROUND: The treatment of levodopa-induced dyskinesia in Parkinson's disease (PD) is an unmet need with no approved drug therapy. OBJECTIVE: The purpose of this study was to investigate the efficacy and safety of 274 mg ADS-5102 (amantadine) extended-release capsules (equivalent to 340-mg amantadine HCl) for levodopa-induced dyskinesia in a randomized controlled trial. METHODS: PD patients with ≥1 hour of troublesome dyskinesia and at least mild functional impact were randomized to placebo or ADS-5102 once daily at bedtime for 13 weeks...
August 21, 2017: Movement Disorders: Official Journal of the Movement Disorder Society
https://www.readbyqxmd.com/read/28828546/altered-resting-state-connectivity-in-right-side-frontoparietal-network-in-primary-insomnia-patients
#19
Shumei Li, Junzhang Tian, Meng Li, Tianyue Wang, Chulan Lin, Yi Yin, Luxian Zeng, Cheng Li, Guihua Jiang
OBJECTIVE: This study investigated alterations of resting-state networks (RSNs) in primary insomnia patients as well as relationships between these changes and clinical features. METHODS: Fifty-nine primary insomnia patients and 53 healthy control subjects underwent a resting-state fMRI scan (rs-fMRI). Ten RSNs were identified using independent component analysis of rs-fMRI data. To assess significant differences between the two groups, voxel-wise analysis of ten RSNs was conducted using dual regression with FSL randomised non-parametric permutation testing and a threshold-free cluster enhanced technique to control for multiple comparisons...
August 21, 2017: European Radiology
https://www.readbyqxmd.com/read/28819532/a-case-of-enterobiasis-presenting-as-post-traumatic-stress-disorder-ptsd-a-curious-case-of-the-infection-with-predominant-mental-health-symptoms-presenting-for-the-first-time-in-the-settings-of-a-refugee-camp
#20
Georgios Karamitros, Nikolaos Kitsos, Fotios Athanasopoulos
Enterobiasis (oxyuriasis) is a common infection in human caused by Enterobius vermicularis (E. vermicularis), a human intestinal helminth. Because of the easy way of its transmission among people, it has an extremely high prevalence in overcrowded conditions, such as nurseries and primary schools. Oxyuriasis's symptoms are extremely diverse in children, ranging from nausea, diarrhea, insomnia, irritability, recurrent cellulitis, loss of appetite, nightmares and endometritis. Here we report a curious case of oxyuriasis in the settings of a refugee camp in Greece...
2017: Pan African Medical Journal
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