Psychology, health & medicine
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Randomized Controlled Trial
Effects of a psychoeducation intervention on fear and anxiety about surgery: randomized trial in patients undergoing coronary artery bypass grafting.
The aim of this study was to examine the impact of a brief psychoeducation group intervention on fear and anxiety in patients undergoing the coronary artery bypass grafting (CABG). Sixty consecutive patients undergoing CABG for the first time were recruited for a clinical trial and randomized into two groups. The control group received routine care. ⋯ There were no differences in anxiety scores before the operation between the psychoeducation and routine care groups. In patients undergoing CABG, adding psychoeducation to routine care had a significant positive effect on fear but not on anxiety scores. A larger study of psychoeducation in these patients is warranted to assess the efficacy of this intervention in greater detail.
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Psychosocial difficulties have been reported in head and neck cancer (HNC) patients, yet only few studies have assessed the impact of altered appearance following HNC treatment using theoretically selected measures of appearance-related distress. This study investigated appearance-related adjustment following HNC, and demographic and socio-cognitive predictors of adjustment. HNC patients (n=49) completed baseline questionnaires and a nine-month postal follow-up (n=20). ⋯ Qualitative responses showed themes of appearance and disability, and coping strategies. Findings suggest that appearance-related adjustment post-HNC varies considerably and psychosocial services working with HNC patients should consider this broad pattern of response. Future research to examine the role of socio-cognitive predictors of appearance-related adjustment could progress development of effective psychological interventions.
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Aim of the study was to test lagged reciprocal effects of depressive symptoms and acute low back pain (LBP) across the first weeks of primary care. ⋯ Reciprocal effects of depressive symptoms and LBP seem to depend on time under medical treatment. Health practitioners should screen for and treat depressive symptoms at the first consultation to improve the LBP treatment.
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Prior work has linked mindfulness with superior physical and psychological health outcomes. However, studies to date have infrequently tested the unique contributions of individual mindfulness facets, inadequately tested links between facets and healthcare utilization, and have not tested whether depression or anxiety may influence these links. In the current report, 40 young, middle aged and older adults (N = 121) completed measures of dispositional mindfulness, health, healthcare utilization and depression/anxiety. ⋯ Across models, observe scores - the tendency to attend to thoughts, sensations and feelings - predicted poorer, and non-reactivity scores better, outcomes even when controlling for demographic and health confounds. Depressed and anxious emotion reduced some but not all mindfulness-health links. Results are discussed in terms of the mechanisms by which greater mindfulness may facilitate better health and health behaviour.
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Burnout is an inherent risk for those working as mental health professionals, given the nature of their work. Due to recent Medicare changes in Australia, private practice psychologists were suspected to face similar burnout risks as non-private practitioners. The aim of the present study was to investigate the relationships among burnout in Australian psychologists, work-setting and years of experience in that setting, mindfulness and career-sustaining behaviours (CSBs). 145 Females and 22 male Australian registered psychologists, with a mean age of 42.47 years (SD = 11.64, range 24-68), were surveyed to determine work-setting, mindfulness, burnout and preferences for CSBs. ⋯ CSB preferences only had weak relationships with burnout, which decreased after controlling for mindfulness. Several CSBs that had a detrimental relationship with burnout were identified and may be worthy of further investigation. Developing strategies to increase mindfulness may prevent burnout in Australian psychologists.