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Fear avoidance

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https://www.readbyqxmd.com/read/28343266/the-influence-of-general-health-on-the-need-for-dental-general-anaesthesia-in-children
#1
P Rajavaara, S Rankinen, M-L Laitala, H Vähänikkilä, H Yli-Urpo, S Koskinen, V Anttonen
AIM: To analyse the occurrence and causes of dental general anaesthesia (DGA) in healthy and medically compromised children, and to investigate if there are differences between those groups considering factors associated with DGA and DGA procedures. METHODS: The data was collected from medical records of children under 7 years of age treated under DGA in the years 2009 and 2010 at the Oulu University Hospital, Finland. The children were divided into two groups: 0-35-month-olds and ≥36-month olds...
March 25, 2017: European Archives of Paediatric Dentistry: Official Journal of the European Academy of Paediatric Dentistry
https://www.readbyqxmd.com/read/28340127/do-interoceptive-sensations-provoke-fearful-responses-in-adolescents-with-chronic-headache-or-chronic-abdominal-pain-a-preliminary-experimental-study
#2
Florentina Flack, Christiane A Pané-Farré, Boris Zernikow, Luca Schaan, Tanja Hechler
Objective : To determine whether fear can be triggered when experiencing interoceptive sensations locally proximal to the primary pain region.  Two groups of adolescents (11-18 years) with chronic headache ( n  = 20) or chronic abdominal pain (CAP; n  = 20) completed three muscle tensing tasks to induce proximal versus distal sensations: (1) "frown" task (proximal for chronic headache; distal for CAP), (2) "tighten stomach" task (proximal for CAP; distal for chronic headache), and (3) safe comparison task (clench fist)...
March 18, 2017: Journal of Pediatric Psychology
https://www.readbyqxmd.com/read/28340064/the-influence-of-state-and-trait-anxiety-on-the-memory-of-pain
#3
Przemyslaw Babel
Objective. : The study aimed to assess the accuracy of memories of both pain and the state anxiety that accompanies experimentally induced pain and to investigate the factors that influence the memory of experimental pain. Methods. : Forty-nine healthy female volunteers participated in the study. The participants received three electrocutaneous pain stimuli during the first phase of the study and rated the pain intensity, pain unpleasantness, and state anxiety they felt at that moment...
March 13, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28337924/making-sense-of-the-public-stigma-of-suicide
#4
Patrick W Corrigan, Lindsay Sheehan, Maya A Al-Khouja
BACKGROUND: Research suggests that stigma is a barrier to care for individuals who have attempted suicide. While extensive work has examined the stigma of mental illness, less research has focused on the public stigma of suicide. Existing measures of suicide stigma have lacked a conceptual foundation or have failed to include the perspectives of suicide stakeholders. AIMS: This research draws on previous qualitative research with suicide stakeholders to create a measure of public suicide stigma...
March 24, 2017: Crisis
https://www.readbyqxmd.com/read/28336484/lumbar-mri-findings-in-patients-with-and-without-waddell-signs
#5
J S Cox, S Blizzard, H Carlson, J Hiratza, J U Yoo
BACKGROUND CONTEXT: Waddell Signs (WS), introduced as a method to establish patients with substantial psychosocial components to their low back pain, carry a negative association despite no literature evaluating whether physical disease is associated with them. PURPOSE: To compare lumbar MRI findings between the patients with and without Waddell's Signs. STUDY DESIGN: Retrospective cohort study based on prospectively collected data PATIENT SAMPLE: Thirty patients aged 35-55 with an ODI score >50 randomly selected such that there was an even distribution of patients based on number of WS OUTCOME MEASURES: ODI and SF-12 scores, number of WS, presence and severity of spinal pathology METHODS: MRIs were reviewed by three spine specialists blinded to clinical exam findings, number of WS, and patient identity...
March 20, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28331799/commonalities-and-differences-in-the-neural-substrates-of-threat-predictability-in-panic-disorder-and-specific-phobia
#6
Anna Luisa Klahn, Isabelle A Klinkenberg, Ulrike Lueken, Swantje Notzon, Volker Arolt, Christo Pantev, Peter Zwanzger, Markus Junghoefer
Different degrees of threat predictability are thought to induce either phasic fear or sustained anxiety. Maladaptive, sustained anxious apprehension is thought to result in overgeneralization of anxiety and thereby to contribute to the development of anxiety disorders. Therefore, differences in threat predictability have been associated with pathological states of anxiety with specific phobia (SP) representing phasic fear as heightened response to predictable threat, while panic disorder (PD) is characterized by sustained anxiety (unpredictable threat) and, as a consequence, overgeneralization of fear...
2017: NeuroImage: Clinical
https://www.readbyqxmd.com/read/28331505/fear-of-vomiting-and-low-body-weight-in-two-pediatric-patients-diagnostic-challenges
#7
Charlotte Maertens, Jennifer Couturier, Christina Grant, Natasha Johnson
Fear of vomiting can be a symptom associated with several disorders, including Eating Disorders (ED), Specific Phobia (Emetophobia), Avoidant Restrictive Food Intake Disorder (ARFID) and Obsessive Compulsive Disorder (OCD), making proper diagnosis challenging. At this time the literature exploring this symptom is limited, and to our knowledge very few cases have been described in the child and adolescent population. We report here the cases of one child and one adolescent presenting with significant weight loss, food restriction and fear of vomiting...
2017: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/28328697/the-fear-avoidance-components-scale-facs-responsiveness-to-functional-restoration-treatment-in-a-chronic-musculoskeletal-pain-disorder-cmpd-population
#8
Randy Neblett, Tom G Mayer, Mark J Williams, Sali Asih, Antonio I Cuesta-Vargas, Meredith M Hartzell, Robert J Gatchel
OBJECTIVES: To assess the clinical validity and factor structure of the Fear-Avoidance Components Scale (FACS), a new fear-avoidance (FA) measure. METHODS: In this study, 426 chronic musculoskeletal pain disorder (CMPD) patients were admitted to a functional restoration program (FRP). They were categorized into five FACS severity levels, from Subclinical to Extreme, at admission, and again at discharge. Associations with objective lifting performance and other patient-reported psychosocial measures were determined at admission and discharge, and objective work outcomes for this predominantly disabled cohort, were assessed one-year later...
March 21, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28328377/catholic-social-teaching-and-the-duty-to-vaccinate
#9
Paul J Carson, Anthony T Flood
Since the last century, vaccination has been one of the most important tools we possess for the prevention and elimination of disease. Yet the tremendous gains from vaccination are now threatened by a growing hesitance to vaccinate based on a variety of concerns or objections. Geographic clustering of some families who choose not to vaccinate has led to a number of well-publicized outbreaks of vaccine-preventable diseases. Of note is that some of these outbreaks are centered within some Christian religious groups that increasingly avoid vaccination due to moral concerns, fears about safety, or doubts about the necessity of vaccines...
April 2017: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/28325082/-i-do-like-the-activities-which-i-can-do%C3%A2-leisure-participation-experiences-of-children-with-movement-impairments
#10
Parimala S Kanagasabai, Hilda Mulligan, Leigh A Hale, Brigit Mirfin-Veitch
AIM: To explore in depth the leisure participation experiences of children with movement impairments. METHODS: We used Interpretative Phenomenological Analysis approach to interpret and understand the experiences of 22 children with movement impairments, aged between 6 and 12 years. Children expressed their views through flexible child-centred methods of data collection that allowed the children to draw, paint, use stickers, and demonstrate their leisure activities and equipment while communicating about their experiences...
March 21, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28322068/greater-avoidance-behavior-in-individuals-with-posttraumatic-stress-disorder-symptoms
#11
Jony Sheynin, Christine Shind, Milen Radell, Yasheca Ebanks-Williams, Mark W Gilbertson, Kevin D Beck, Catherine E Myers
While avoidance is a core symptom of PTSD, little is known about whether individuals with PTSD show a general cognitive bias to acquire and express avoidance, in situations not related to trauma or fear. Here, we used a computer-based task to examine operant acquisition and extinction of avoidance in participants with and without severe self-reported PTSD symptoms. A total of 119 participants (77 male, 42 female; 74 veteran, 45 civilian) with symptoms (PTSS; n = 63) or with few/no symptoms (noPTSS; n = 56) performed a task, in which they controlled a spaceship and could shoot a target to gain points or hide in "safe areas" to escape or avoid on-screen aversive events...
March 21, 2017: Stress: the International Journal on the Biology of Stress
https://www.readbyqxmd.com/read/28320331/a-multi-component-cognitive-behavioural-intervention-for-the-treatment-of-fear-of-falling-after-hip-fracture-fit-hip-protocol-of-a-randomised-controlled-trial
#12
Maaike N Scheffers-Barnhoorn, Jolanda C M van Haastregt, Jos M G A Schols, Gertrudis I J M Kempen, Romke van Balen, Jan H M Visschedijk, Wilbert B van den Hout, Eve M Dumas, Wilco P Achterberg, Monica van Eijk
BACKGROUND: Hip fracture is a common injury in the geriatric population. Despite surgical repair and subsequent rehabilitation programmes, functional recovery is often limited, particularly in individuals with multi-morbidity. This leads to high care dependency and subsequent use of healthcare services. Fear of falling has a negative influence on recovery after hip fracture, due to avoidance of activity and subsequent restriction in mobility. Although fear of falling is highly prevalent after hip fracture, no structured treatment programme is currently available...
March 20, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28319317/p-hacking-can-be-avoided-with-core-outcome-sets
#13
J van 't Hooft, K S Khan
The article by Thornton et al. establishes with data from progestogen trials something we have always feared, i.e. the corruption of reported results through selective publication of outcomes. In their analysis, trials with a predefined primary outcome showed no effect of progesterone consistently; trials that did not report a predefined primary outcome, however, had a tendency to show more promising results. Indeed this problem is so ingrained that even prospective registration of trials has not fully addressed it...
March 20, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28318937/semantics-surplus-meaning-and-the-science-of-fear
#14
Joseph E LeDoux
When subjective state words are used to describe behaviors, or brain circuits that control them nonconsciously, the behaviors and circuits take on properties of the subjective state. Research on fear illustrates the problems that can result. Subjective state words should be limited to the description of inner experiences, and avoided when referring to circuits underlying nonsubjectively controlled behaviors.
March 15, 2017: Trends in Cognitive Sciences
https://www.readbyqxmd.com/read/28315576/control-of-lower-extremity-edema-in-patients-with-diabetes-double-blind-randomized-controlled-trial-assessing-the-efficacy-of-mild-compression-diabetic-socks
#15
Stephanie C Wu, Ryan T Crews, Melissa Skratsky, Julia Overstreet, Sai V Yalla, Michelle Winder, Jacquelyn Ortiz, Charles A Andersen
AIMS: Persons with diabetes frequently present with lower extremity (LE) edema; however, compression therapy is generally avoided for fear of compromising arterial circulation in a population with a high prevalence of peripheral arterial disease. This double blind randomized controlled trial (RCT) assessed whether diabetic socks with mild compression could reduce LE edema in patients with diabetes without negatively impacting vascularity. METHODS: Eighty subjects with LE edema and diabetes were randomized to receive either mild-compression knee high diabetic socks (18-25mmHg) or non-compression knee high diabetic socks...
February 27, 2017: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/28301208/measures-to-prevent-air-embolism-in-transthoracic-biopsy-of-the-lung
#16
Bernhard Glodny, Elisabeth Schönherr, Martin C Freund, Melanie Haslauer, Johannes Petersen, Alexander Loizides, Astrid E Grams, Florian Augustin, Franz J Wiedermann, Rafael Rehwald
OBJECTIVE: Systemic air embolism (AE) is a rare but feared complication of transthoracic biopsy with potentially fatal consequences. The aim of the study was to assess the effect of patient positioning during transthoracic biopsy on preventing systemic AE. MATERIALS AND METHODS: We compared a historical control group of 610 patients (group 1) who underwent transthoracic biopsy before the implementation of measures to prevent systemic AE during transthoracic biopsy and a group of 1268 patients (group 2) who underwent biopsy after the measures were implemented...
March 16, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28301083/age-specific-autistic-like-behaviors-in-heterozygous-fmr1-ko-female-mice
#17
Manon Gauducheau, Valerie Lemaire-Mayo, Francesca R D'Amato, Diego Oddi, Wim E Crusio, Susanna Pietropaolo
Fragile X syndrome (FXS) is a major developmental disorder and the most frequent monogenic cause of autism. Surprisingly, most existing studies on the Fmr1-KO mouse model for FXS have focused on males, although FX women, who are mostly heterozygous for the Fmr1 mutation, are known to exhibit several behavioral deficits, including autistic-like features. Furthermore, most animal research has been carried out on adults only; so that little is known about the age progression of the behavioral phenotype of Fmr1 mutants, which is a crucial issue to optimize the impact of therapeutic interventions...
March 16, 2017: Autism Research: Official Journal of the International Society for Autism Research
https://www.readbyqxmd.com/read/28295530/the-fanny-pack-no-ifs-ands-or-buts
#18
Kaiane Habeshian, Anna Yasmine Kirkorian, Kalyani Marathe
Although the white coat is central to the practice of adult medicine, pediatricians often shed it to avoid creating negative associations and provoking fear in children. In our pediatric dermatology practice, the fanny pack (FP) has replaced many of the functional elements of the white coat. The FP is a kid-friendly way to readily carry key medical supplies from one patient encounter to the next. It is more hygienic, light weight, and affordable than traditional doctor's bags and white coats. In this article we outline the benefits of the FP, which include storage, ergonomics, efficiency, cleanliness, kid-friendliness, and cost-effectiveness...
March 10, 2017: Pediatric Dermatology
https://www.readbyqxmd.com/read/28295505/is-there-an-association-between-fear-avoidance-beliefs-and-pain-and-disability-in-patients-with-orofacial-pain
#19
Susan L Edmond, Carla S Enriquez, Michelle H Millner, Cibele Nasri-Heir, Gary M Heir
BACKGROUND: Numerous psychosocial factors have been shown to contribute to the development and perpetuation of orofacial pain. One well-recognized model for explaining the link between psychosocial factors and chronic pain is the Fear Avoidance Model. To date, this proposed link has not been studied in subjects with orofacial pain. METHODS: During the initial evaluation of subjects with orofacial pain, we collected data on fear avoidance beliefs using the Fear Avoidance Beliefs Questionnaire, and disability and pain...
March 10, 2017: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/28294471/ultra-brief-behavioral-skills-trainings-for-blood-injection-injury-phobia
#20
Alicia E Meuret, Erica Simon, Lavanya Bhaskara, Thomas Ritz
BACKGROUND: Blood injection injury (BII) phobia is common, with debilitating consequences to the health and well being of many of its sufferers. BII phobia presents with a unique fear response that can involve drops in blood pressure and ultimately fainting. The aim of this study was to provide proof of concept for a line of brief, easy to implement, video-based interventions for reducing phobic avoidance and fears in BII sufferers. One of the interventions was a novel Hypoventilation Respiratory Training (HRT) aimed at reducing the exaggerated ventilation response (hyperventilation) seen in BII phobia...
March 15, 2017: Depression and Anxiety
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