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Fear avoidance

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https://www.readbyqxmd.com/read/28107329/detecting-distress-introducing-routine-screening-in-a-gynecologic-cancer-setting%C3%A2
#1
Moira O'Connor, Pauline B Tanner, Lisa Miller, Kaaren J Watts, Toni Musiello
BACKGROUND: Cancer results in a wide range of challenges that contribute to patient distress. Detecting distress in patients can result in improved patient outcomes, and early intervention can avoid patients having unmet needs. 
. OBJECTIVES: The aims were to determine the prevalence of distress in patients with gynecologic cancers, identify specific problems, and explore staff perceptions of distress screening.
. METHODS: A mixed-methods design was used...
February 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28106914/classification-of-childhood-onset-eating-disorders-a-latent-class-analysis
#2
Leora Pinhas, Dasha Nicholls, Ross D Crosby, Anne Morris, Richard M Lynn, Sloane Madden
This study tested the hypothesis that latent class analysis (LCA) would successfully classify eating disorder (ED) symptoms in children into categories that mapped onto DSM-5 diagnoses and that these categories would be consistent across countries. Childhood onset ED cases were ascertained through prospective active surveillance by the Australian Paediatric Surveillance Unit, the Canadian Paediatric Surveillance Program, and the British Paediatric Surveillance Unit for 36, 24, and 14 months, respectively. Pediatricians and child psychiatrists reported symptoms of any child aged ≤ 12 years with a newly diagnosed restrictive ED...
January 20, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28101764/diazepam-in-the-treatment-of-moderate-to-severe-alcohol-withdrawal
#3
Steven J Weintraub
Benzodiazepines ameliorate or prevent the symptoms and complications of moderate to severe alcohol withdrawal, which can include autonomic hyperactivity, agitation, combativeness, hallucinations, seizures, delirium, and death. The benzodiazepines most commonly used for this purpose are lorazepam, chlordiazepoxide, oxazepam, and diazepam. It is widely asserted that no member of this group is superior to the others for treatment of alcohol withdrawal. However, of these, diazepam has the shortest time to peak effect, which facilitates both rapid control of symptoms and accurate titration to avoid over-sedation...
January 18, 2017: CNS Drugs
https://www.readbyqxmd.com/read/28100203/diaphragmatic-breathing-during-virtual-reality-exposure-therapy-for-aviophobia-functional-coping-strategy-or-avoidance-behavior-a-pilot-study
#4
Youssef Shiban, Julia Diemer, Jana Müller, Johanna Brütting-Schick, Paul Pauli, Andreas Mühlberger
BACKGROUND: Although there is solid evidence for the efficacy of in vivo and virtual reality (VR) exposure therapy for a specific phobia, there is a significant debate over whether techniques promoting distraction or relaxation have impairing or enhancing effects on treatment outcome. In the present pilot study, we investigated the effect of diaphragmatic breathing (DB) as a relaxation technique during VR exposure treatment. METHOD: Twenty-nine patients with aviophobia were randomly assigned to VR exposure treatment either with or without diaphragmatic breathing (six cycles per minute)...
January 18, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28093086/do-children-s-previous-dental-experience-and-fear-affect-their-perceived-oral-health-related-quality-of-life-ohrqol
#5
Leena Merdad, Azza A El-Housseiny
BACKGROUND: Oral health-related quality of life (OHRQoL) has been used to describe the consequences of oral health conditions and treatments in children. A better understanding of OHRQoL and its relationship with dental fear and previous dental experience is necessary to improve children's oral health status. The aim of this study was to investigate the association of dental history and experience with dental fear and the OHRQoL of children aged 11 to 14 years. METHODS: A cross-sectional study was conducted using a multi-stage stratified sample of 1,312 middle school children...
January 16, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/28087231/psychosocial-outcome-in-adult-men-born-with-hypospadias
#6
L Örtqvist, M Andersson, A Strandqvist, A Nordenström, L Frisén, G Holmdahl, A Nordenskjöld
INTRODUCTION: Hypospadias, which is a surgically treated congenital malformation of the male urethra, may have a negative impact on quality of life. This aspect has previously been subject to limited research. This study examined the long-term psychosocial outcome of a large cohort of adult males born with hypospadias. OBJECTIVE: The purpose of this case-control study was to assess a possible negative influence on the psychosocial outcome in adult males with hypospadias...
September 9, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28079724/explaining-how-cognitive-behavioural-approaches-work-for-low-back-pain-mediation-analysis-of-the-back-skills-training-trial
#7
Bethany Fordham, Chen Ji, Zara Hansen, Ranjit Lall, Sarah E Lamb
STUDY DESIGN: .: This is secondary research examining the longitudinal mediation effect within a structural equation model. OBJECTIVE: .: To identify possible mechanisms which mediate the effects of a cognitive behavioural approach upon disability and pain in low back pain patients. SUMMARY OF BACKGROUND DATA: .: Cognitive behavioural interventions (CBIs) can improve pain and disability in low back pain (LBP) but the mechanisms of action are unclear...
January 10, 2017: Spine
https://www.readbyqxmd.com/read/28079649/factors-affecting-the-ability-of-people-with-diabetes-to-avoid-hypoglycemia
#8
Fei-Ling Wu, En-Chang Wu, Yue-Cune Chang, Wen-Yu Hu, Jyuhn-Huarng Juang, Mei Chang Yeh
BACKGROUND: Hypoglycemia is recognized as a limiting factor in diabetes management. Fear of experiencing hypoglycemia may lead to lower quality of life, impaired glycemic control, and emotional distress, all of which impair the ability of patients to self-manage their diabetes effectively. Problem solving is central to diabetes self-management and may help patients achieve effective self-care of their disease. PURPOSE: The aim of this study was to investigate the ability of people with diabetes to avoid hypoglycemia and to explore associated factors...
January 11, 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28078223/testosterone-therapy-and-prostate-cancer
#9
REVIEW
Alexander W Pastuszak, Katherine M Rodriguez, Taylor M Nguyen, Mohit Khera
The use of exogenous testosterone to treat hypogonadism in the men with a history of prostate cancer (CaP) remains controversial due to fears of cancer recurrence or progression. Due to the detrimental impact of hypogonadism on patient quality of life, recent work has examined the safety of testosterone therapy (TTh) in men with a history of CaP. In this review, we evaluate the literature with regards to the safety of TTh in men with a history of CaP. TTh results in improvements in quality of life with little evidence of biochemical recurrence or progression in men with a history of CaP, or de novo cancer in unaffected men...
December 2016: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28073552/ciguatera-fish-poisoning-incidence-health-costs-and-risk-perception-on-moorea-island-society-archipelago-french-polynesia
#10
Ewen Morin, Clémence Gatti, Tamatoa Bambridge, Mireille Chinain
Ciguatera Fish Poisoning (CFP) is a non-bacterial seafood poisoning well characterized in the remote archipelagos of French Polynesia, yet poorly documented in the Society archipelago, most notably on Moorea, the second most populated island in French Polynesia, which counts a high proportion of fishermen fishing on a regular basis. To address this knowledge gap, a holistic study of the ciguatera issue was conducted on Moorea. First, ciguatera risk was analysed in terms of incidence rate, fish species most commonly involved and risk stratification in Moorea lagoon based on 2007-2013 epidemiological data...
December 2016: Harmful Algae
https://www.readbyqxmd.com/read/28062651/an-activist-s-argument-that-participant-values-should-guide-risk-benefit-ratio-calculations-in-hiv-cure-research
#11
David Evans
The patient empowerment movement, spurred by AIDS activism in the 1980s, quickly evolved to encompass how study participants are considered and treated in clinical research. Initially, people fearing death of AIDS sought early access to experimental medications that had not undergone rigorous testing in hopes of extending their lives. Thirty years on, scientists are asking a different set of ethical questions about clinical research, this time in the pursuit of either a sterilising cure or long-term remission for HIV...
January 6, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28058855/the-first-year-after-diagnosis-psychological-impact-on-people-with-multiple-sclerosis
#12
M F Possa, E Minacapelli, S Canale, G Comi, V Martinelli, M Falautano
The impact of multiple sclerosis (MS) diagnosis on newly diagnosed individuals remains so far little explored. Our aim is to outline affective, personality and quality of life (QoL) correlates of MS patients shortly after MS diagnosis. Thirty-eight (22 F and 16 M) newly-diagnosed MS patients (mean interval from diagnosis communication 4.7 ± 3.8 months, range 1-12 months) underwent the Montgomery-Åsberg Depression Rating Scale and a comprehensive psychological evaluation: Beck Depression Inventory-II, State-Trait Anxiety Inventory, Psychophysiological Questionnaire-Revised, Fear Survey Schedule, Maudsley Obsessional-Compulsive Questionnaire, Impact of Event Scale-Revised, Personal Meaning Questionnaire, Problem Solving Inventory and Multiple Sclerosis Quality of Life-54...
January 6, 2017: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/28057866/evidence-for-opposing-roles-of-celsr3-and-vangl2-in-glutamatergic-synapse-formation
#13
Sonal Thakar, Liqing Wang, Ting Yu, Mao Ye, Keisuke Onishi, John Scott, Jiaxuan Qi, Catarina Fernandes, Xuemei Han, John R Yates, Darwin K Berg, Yimin Zou
The signaling mechanisms that choreograph the assembly of the highly asymmetric pre- and postsynaptic structures are still poorly defined. Using synaptosome fractionation, immunostaining, and coimmunoprecipitation, we found that Celsr3 and Vangl2, core components of the planar cell polarity (PCP) pathway, are localized at developing glutamatergic synapses and interact with key synaptic proteins. Pyramidal neurons from the hippocampus of Celsr3 knockout mice exhibit loss of ∼50% of glutamatergic synapses, but not inhibitory synapses, in culture...
January 5, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28054101/management-of-bilateral-wilms-tumours
#14
REVIEW
Alastair J W Millar, Sharon Cox, Alan Davidson
Wilms tumour is named after Max Wilms. It is an embryonal tumour derived from the metanephros. It is the commonest childhood renal tumour and the third commonest paediatric malignancy. Synchronous bilateral Wilms tumours (BWT) represent 4-7% of all Wilms tumours (WT) and present at a younger age than unilateral Wilms tumours. At least 10% of synchronous BWTs have unfavourable histology, and up to 22% are associated with genitourinary abnormalities, aniridia, WAGR syndrome, Denys-Drash Syndrome, hemihypertrophy, or one of the other overgrowth syndromes...
January 4, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28050706/identifying-disordered-eating-behaviours-in-adolescents-how-do-parent-and-adolescent-reports-differ-by-sex-and-age
#15
Savani Bartholdy, Karina Allen, John Hodsoll, Owen G O'Daly, Iain C Campbell, Tobias Banaschewski, Arun L W Bokde, Uli Bromberg, Christian Büchel, Erin Burke Quinlan, Patricia J Conrod, Sylvane Desrivières, Herta Flor, Vincent Frouin, Jürgen Gallinat, Hugh Garavan, Andreas Heinz, Bernd Ittermann, Jean-Luc Martinot, Eric Artiges, Frauke Nees, Dimitri Papadopoulos Orfanos, Tomáš Paus, Luise Poustka, Michael N Smolka, Eva Mennigen, Henrik Walter, Robert Whelan, Gunter Schumann, Ulrike Schmidt
This study investigated the prevalence of disordered eating cognitions and behaviours across mid-adolescence in a large European sample, and explored the extent to which prevalence ratings were affected by informant (parent/adolescent), or the sex or age of the adolescent. The Development and Well-Being Assessment was completed by parent-adolescent dyads at age 14 (n = 2225) and again at age 16 (n = 1607) to explore the prevalence of 7 eating disorder symptoms (binge eating, purging, fear of weight gain, distress over shape/weight, avoidance of fattening foods, food restriction, and exercise for weight loss)...
January 3, 2017: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/28050703/fear-avoidance-beliefs-are-independently-associated-with-the-prevalence-of-chronic-pain-in-japanese-workers
#16
Kenta Wakaizumi, Keiko Yamada, Hiroyuki Oka, Shizuko Kosugi, Hiroshi Morisaki, Masahiko Shibata, Ko Matsudaira
PURPOSE: Pain is a global public health problem with implications for both personal and social heath. Fear-avoidance beliefs (FABs) have been demonstrated to negatively impact and prolong pain in many Western countries, but little is known about the association between FABs and chronic pain (CP) in Asian countries, including Japan. We examined the relationship between FABs and CP in Japanese white-collar workers, a growing population with a high prevalence of CP. METHODS: Questionnaires and company records were used to gather data from 433 Japanese white-collar workers...
January 3, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28049558/neonatal-handling-enduringly-decreases-anxiety-and-stress-responses-and-reduces-hippocampus-and-amygdala-volume-in-a-genetic-model-of-differential-anxiety-behavioral-volumetric-associations-in-the-roman-rat-strains
#17
Cristóbal Río-Álamos, Ignasi Oliveras, Maria Antonietta Piludu, Cristina Gerbolés, Toni Cañete, Gloria Blázquez, Silvia Lope-Piedrafita, Esther Martínez-Membrives, Rafael Torrubia, Adolf Tobeña, Alberto Fernández-Teruel
The hippocampus and amygdala have been proposed as key neural structures related to anxiety. A more active hippocampus/amygdala system has been related to greater anxious responses in situations involving conflict/novelty. The Roman Low- (RLA) and High-avoidance (RHA) rat lines/strains constitute a genetic model of differential anxiety. Relative to RHA rats, RLA rats exhibit enhanced anxiety/fearfulness, augmented hippocampal/amygdala c-Fos expression following exposure to novelty/conflict, increased hippocampal neuronal density and higher endocrine responses to stress...
December 31, 2016: European Neuropsychopharmacology: the Journal of the European College of Neuropsychopharmacology
https://www.readbyqxmd.com/read/28045311/dental-fear-in-italy-what-is-going-on
#18
L Paglia
If your young patient doesn't feel comfortable and thinks something dreadful is going to happen when he comes to your office, maybe he will develop dental fear. Nowadays, children and teenagers' strong negative emotions related to dental treatment are defined as "Dental Fear and Anxiety" (DFA). Since DFA can result in children's avoidance or delay in undergoing dental visits, this problem represents a relevant social barrier as important as other well-known factors like low family income or parental education...
December 2016: European Journal of Paediatric Dentistry: Official Journal of European Academy of Paediatric Dentistry
https://www.readbyqxmd.com/read/28042922/patient-readmission-for-orthopedic-surgical-site-infection-an-hermeneutic-phenomenological-approach
#19
Lilian Machado Torres, Ruth Natalia Teresa Turrini, Miriam Aparecida Barbosa Merighi
AIM: To explore the individual experience of being readmitted for SSI resulting from orthopedic surgery. BACKGROUND: Surgical site infection has been a cause of concern worldwide and contributes to the greatest number of hospital readmission occurrences. Health professionals must understand the meaning of these readmissions for the individual, as an understanding of these exclusive experiences improve the quality of surgical care. DESIGN: Qualitative research based on the existential phenomenology of Martin Heidegger...
January 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28038506/the-concept-of-death-and-the-growth-of-death-awareness-among-university-students-in-hong-kong
#20
Wai-Ying Wong
This study examined the concept of and attitudes toward death of university students and evaluated the efficacy of the death education courses offered by different universities in Hong Kong. The study adopted a pretreatment and posttreatment comparison approach in assessing the efficacy of the courses. The same set of instruments, Death Attitude Profile-Revised and Semantic Differential Ratings of Life and Death, measuring students' views of and attitudes toward death were administered to the students twice, once at the start of the courses and another at the end...
February 2017: Omega
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