scholarly journals Short Term Caloric Restriction and Biofeedback Enhance Psychological Wellbeing and Reduce Overweight in Healthy Women

2021 ◽  
Vol 11 (11) ◽  
pp. 1096
Author(s):  
Alexander Kautzky ◽  
Kathrin Heneis ◽  
Karin Stengg ◽  
Sabine Fröhlich ◽  
Alexandra Kautzky-Willer

Obesity is highly prevalent, causing substantial cardiovascular and mental health morbidity. Women show increased risk for mental health disorders, that is multiplied in obesity and related to cellular and psychological stress that can be targeted by non-pharmacological interventions. A total of 43 women underwent two weeks of caloric restriction, half of which also received 7 h of individualized clinical psychological intervention including psychoeducation, mindfulness, and heart-rate-variability biofeedback. Effects on body mass index (BMI), fatty liver index (FLI), bioimpedance measures, serum parameters, perceived stress (PSS), burn-out susceptibility (burn out diagnostic inventory) and dimensional psychiatric symptom load (brief symptom inventory, BSI) were analyzed with linear mixed effects models. Caloric restriction led to a reduction in BMI, body fat and FLI, decreased serum concentrations of leptin, PSS score, BSI dimensions and global severity index (all p ≤ 0.0001, withstanding Bonferroni–Holm correction). Benefits of add-on biofeedback were observed for BMI reduction (p = 0.041). Caloric restriction was effective in ameliorating both psychological wellbeing and metabolic functions following a BMI reduction. Biofeedback boosted effects on BMI reduction and the combinative therapy may be protective against common progression to mental health and cardiovascular disorders in overweight women while comparing favorably to pharmacological interventions in terms of side-effects and acceptability.

1992 ◽  
Vol 22 (3) ◽  
pp. 213-220 ◽  
Author(s):  
Donna E. Stewart ◽  
Katherine Boydell ◽  
Christine Derzko ◽  
Valerie Marshall

Objective: This study measures psychologic distress in women attending a menopause clinic to determine if significant differences exist between perimenopausal and menopausal women. Method: Consecutive women attending a university hospital menopause clinic were administered the Brief Symptom Inventory (BSI) and a study questionnaire to determine menopausal symptoms, menstrual cycle status, and use of hormone replacement therapy (HRT). The BSI results were compared between menopausal and perimenopausal women, and to a normative sample of middle-aged women who were nonpatients. Results: Two hundred and fifty-nine menopause clinic women completed the questionnaire: 113 perimenopausal and 146 menopausal women. There was significantly greater psychologic distress on the BSI among perimenopausal as compared to menopausal women on the global severity index, and each of the anxiety, hostility, somatization, depression, paranoid, and psychoticism subscales. Perimenopausal women met BSI caseness severity criteria significantly more often than did menopausal women on the global severity index, and on the subscales for depression, anxiety, and psychoticism. On the BSI, menopausal women showed results similar to those of a normative sample of nonpatient middle-aged women. Conclusions: Perimenopausal women attending menopause clinics have significantly higher levels of psychologic distress meeting case severity criteria on the BSI. Further research is warranted to define the subgroups of perimenopausal women who are at increased risk, in the hopes of developing effective interventions.


2010 ◽  
Vol 28 (10) ◽  
pp. 1740-1748 ◽  
Author(s):  
Gisela Michel ◽  
Cornelia E. Rebholz ◽  
Nicolas X. von der Weid ◽  
Eva Bergstraesser ◽  
Claudia E. Kuehni

Purpose To evaluate the degree of psychological distress in adult childhood cancer survivors in Switzerland and to characterize survivors with significant distress. Methods Childhood cancer survivors who were age younger than 16 years when diagnosed between 1976 and 2003, had survived more than 5 years, and were currently age 20 years or older received a postal questionnaire. Psychological distress was assessed using the Brief Symptom Inventory (BSI). Raw scores were transformed into T scores according to the German norm sample, and the proportion of participants being at increased risk for psychological distress was calculated (case rule: T ≥ 63). t tests and univariable and multivariable logistic regressions were used for statistical analyses. Results One thousand seventy-six survivors (63.% of eligible survivors, 71.9% of contacted survivors) returned the questionnaire, 987 with complete data on BSI. Comparison with the norm populations showed lower T scores (T < 50) in the Global Severity Index (GSI; T = 46.2), somatization (T = 47.6), obsessive-compulsive tendencies (T = 46.9), and anxiety (T = 48.4). However, more childhood cancer survivors (especially women) had increased distress for GSI (14.4%), interpersonal sensitivity (16.5%), depression (13.4%), aggression (16.9%), and psychotic tendencies (15.6%) than the expected 10% from the norm population. Caseness was associated with female sex, being a single child, older age at study, and self-reported late effects, especially psychological problems. Conclusion Results show that childhood cancer survivors, on average, have less psychological distress than a norm population but that the proportion of survivors at risk for high psychological distress is disproportionally large. Monitoring psychological distress in childhood cancer survivors may be desirable during routine follow-up, and psychological support should be offered as needed.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yulan Yu ◽  
Chonghua Wan ◽  
Xudong Zhao ◽  
E. Scott Huebner ◽  
Jianfeng Tan ◽  
...  

Abstract Background Despite widespread application of the Symptom Check-List-90-R (SCL-90-R) for Chinese undergraduate students, there are no appropriate norms for them. The aim of this study is to provide norms for the Chinese version of the tool for undergraduate students using a large and representative sample. Methods Four thousand eight hundred sixty students completed the scale of SCL-90. The mean scores obtained in the present study were compared with mean scores from previous normative samples. Results The mean scores for nine subscales of the SCL-90-R ranged from (1.36 ± 0.46) ~ (1.77 ± 0.63) and the mean (standard deviation) Global Severity Index (GSI) was 1.50 (0.49). Relative to previous normative studies, the findings suggested that Chinese undergraduate students’ self-reported mental health symptoms decreased in interpersonal sensitivity, depression, hostility, and paranoid ideation subscales. Conclusion It is necessary to revise the norms of the Chinese version of the SCL-90-R for undergraduate students.


1992 ◽  
Vol 20 (4) ◽  
pp. 235-236 ◽  
Author(s):  
Thomas J. Young

For 53 Native American college students positive, moderate Pearson correlation coefficients were found for scores from the Nowicki-Strickland Internal Locus of Control Scale and the Anxiety and Depression subscales and the Global Severity Index from the Brief Symptom Inventory. These findings, in contrast to previous research with black college men, suggest a relationship between locus of control and self-reported psychopathology for a sample of nonwhite subjects.


2021 ◽  
Vol 43 ◽  
pp. e22-44077
Author(s):  
Ronaldo Cascelli Schelb Scalla Pereira ◽  
Emanuelle Emília Ferreira Parreiras ◽  
Davi Cascelli Schelb Scalla Pereira ◽  
João Eduardo Schelb Scalla Pere Cascelli ◽  
Thaila Vidal de Oliveira ◽  
...  

Introduction: ketamine is a dissociative anesthetic and, recently, its antidepressant properties has been described. Besides, its safety has been proven in the treatment of Stimulant Use Disorders. Objective: to evaluate the use of ketamine in the treatment of Stimulant Use Disorders (specially cocaine and its byproducts). Methods: patient's motivation for change was measured by URICA scale and psychiatric symptoms by EAS-40 score, both before and after the intervention. Results: it was verified, after the comparison between the Readiness Score means, an increase in the motivation for change after ketamine’s single administration, when compared to the moments before and after the intervention. Analyzing the Global Severity Index before and after ketamine administration, by EAS-40 score, we noticed a slight reduction of the psychiatric symptoms before and after the intervention. Conclusion: it was proven that ketamine's single administration led to a quick and lasting improvement on the user's motivation without worsening the mental health status.


Blood ◽  
2006 ◽  
Vol 108 (11) ◽  
pp. 3356-3356
Author(s):  
David H. Henry ◽  
Hema N. Viswanathan ◽  
Shawn M. Wade ◽  
Mariana Servin ◽  
David Cella

Abstract INTRODUCTION: Cancer-related anemia can contribute to fatigue among cancer patients (pts). Few large scale surveys of cancer pts have been conducted to characterize fatigue from the patient’s perspective. This study was conducted to assess the prevalence of fatigue in cancer pts and examine relationships between fatigue, anxiety, depression, and somatization (physical symptoms). METHODS: A cross-sectional survey was conducted from April to May 2006 using a random sample of pts from a chronic illness panel of 550,233 pts. Inclusion criteria were being at least 18 years of age, diagnosed with cancer, and receiving chemotherapy and/or radiotherapy either currently or during the 12 months prior to participating in the study. An 8-item brief fatigue questionnaire developed from four validated instruments (scores ranging from 0–100, higher being better status) and the 13-item Functional Assessment of Cancer Therapy - Fatigue (FACT-F; scores ranging from 0–52, higher being better status) were used to assess fatigue. The 18-item Brief Symptom Inventory (BSI; scores ranging from 0–100, higher being worse status) was used to measure anxiety, depression, somatization and to obtain a global severity index. Single items with numerical rating scales ranging from 0 to 10 were used to assess degree of debilitation related to fatigue and importance of fatigue reduction. Pearson correlation coefficients were used to assess relationships between continuous variables. RESULTS: A total of 1,569 cancer pts were surveyed. Online interviews were conducted with 1,302 pts and phone interviews with 267 pts. No significant differences were found between phone and online respondents. Most patients were white (84%) and 50% were males. Most females were diagnosed with breast cancer (56%) and most males with prostate cancer (40%). Approximately 79% of pts rated fatigue as the most common symptom of cancer treatment. One in three patients considered a reduction in fatigue to be very important. Approximately 54% of patients rated their fatigue to be debilitating (six or higher on a ten point scale). Worse levels of fatigue measured by the FACT-F were significantly associated with higher levels of anxiety (r = −0.56, p < 0.0001), depression (r = −0.63, p < 0.0001), somatization (r = −0.75, p < 0.001), and the global severity index (−0.71, p < 0.001). Scores from the brief fatigue questionnaire confirmed results obtained with the FACT-F. CONCLUSIONS: Fatigue was the most common symptom reported in this study and was significantly associated with anxiety and depression. More research is needed to examine the relationship between physical and psychological symptoms in cancer patients. Table 1. Correlations between Fatigue and Scores from the Brief Symptom Inventory among All Cancer Patients Brief Fatigue Questionnaire (n=1569) FACT-F (n=1569) Variable Pearson’s R Lower CI (95%) Upper CI (95%) Pearson’s R Lower CI (95%) Upper CI (95%) * p < 0.0001 Global Severity Index −0.71* −0.69 −0.73 −0.73 −0.71 −0.75 Anxiety −0.54* −0.5 −0.57 −0.56* −0.53 −0.59 Depression −0.61* −0.58 −0.64 −0.63* −0.6 −0.66 Somatization (physical symptoms) −0.75* −0.73 −0.77 −0.75* −0.73 −0.77


1996 ◽  
Vol 4 (2) ◽  
pp. 117-127 ◽  
Author(s):  
L. Clark Johnson ◽  
Shirley A. Murphy ◽  
Margaret Dimond

The Brief Symptom Inventory (BSI) was administered to parents (N = 260; 171 mothers and 89 fathers) whose adolescent and young adult children died unexpectedly and violently by accident, homicide, or suicide. Summary statistics and reliability coefficients (Cronbach’ s a) for the nine subscales and the Global Severity Index were calculated. A comparison of means and standard deviations confirmed the expectation that this sample is dramatically different from the normative American community standard. Raw scores for the subscales were transformed into standardized T scores and critical values for a screening heuristic presented. An attempt to obtain construct validity using factor analysis suggested that a five-factor solution provided a description of this population of bereaved parents that is more insightful than the nine standard subscales of the BSI. Implications for both clinicians and future research are discussed.


2010 ◽  
Vol 196 (2) ◽  
pp. 122-125 ◽  
Author(s):  
Aina Basilier Vaage ◽  
Per Hove Thomsen ◽  
Derrick Silove ◽  
Tore Wentzel-Larsen ◽  
Thong Van Ta ◽  
...  

BackgroundThere is no long-term prospective study (> 20 years) of the mental health of any refugee group.AimsTo investigate the long-term course and predictors of psychological distress among Vietnamese refugees in Norway.MethodEighty Vietnamese refugees, 57% of the original cohort previously interviewed in 1982 (T1) and 1985 (T2), completed a self-report questionnaire prior to a semi-structured interview. Mental health was measured using the Symptom Checklist–90–Revised (SCL–90–R).ResultsThe SCL–90–R mean Global Severity Index (GSI) decreased significantly fromT1toT3(2005–6), but there was no significant change in the percentage reaching threshold scores (GSI =1.00). Trauma-related mental disorder on arrival and the trajectory of symptoms over the first 3 years of resettlement predicted mental health after 23 years.ConclusionsAlthough the self-reported psychological distress decreased significantly over time, a substantial higher proportion of the refugee group still remained reaching threshold scores after 23 years of resettlement compared with the Norwegian population. The data suggest that refugees reaching threshold scores on measures such as the SCL–90–R soon after arrival warrant comprehensive clinical assessment.


2017 ◽  
Vol 61 (2) ◽  
pp. 121-127 ◽  
Author(s):  
William R. Waynor ◽  
Kenneth J. Gill ◽  
Dawn Reinhardt-Wood ◽  
Garth S. Nanni ◽  
Ni Gao

Rehabilitation counselors provide vocational services to consumers living with serious mental illness (SMI) who have an estimated rate of workforce participation from 10% to 30%. Services, such as supported employment (SE), have strived to overcome these figures. Yet, people living with SMI are often only qualified for employment within the secondary labor market. Human capital theory offers a useful theoretical framework for employment for persons living with SMI. The Brief Symptom Inventory Global Severity Index (GSI) and educational level were used to predict employment outcomes in a sample which consists of 105 individuals with SMI recruited from five SE programs in the mid-Atlantic region. Logistic regression with the predictors of time in SE, GSI, and educational level achieved was used to predict whether someone became employed within the next 6 months. The variable educational level was a significant predictor of successful employment outcome at the 6-month follow-up, Wald χ2 = 7.6, p = .003. The other two variables were not statistically significant. The current study suggests that it is difficult to ignore an individual’s education when considering his or her future achievement in employment. Furthermore, the findings of this study support utilizing human capital theory.


2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Martín Juan Etchevers ◽  
Cristian Javier Garay ◽  
Natalia Inés Putrino ◽  
Natalia Helmich ◽  
Gabriela Lunansky

Background Due to the COVID-19 pandemic, Argentina has been under mandatory quarantine. We have aimed to investigate the state of mental health of the Argentine population and the behaviours adopted to cope with mental distress during quarantine. Method An online survey was conducted using a probabilistic sampling technique and stratified according to the geographic regions of the country. The survey covered days 7-11 (n = 2,631) and days 50-55 (n = 2,068) after compulsory quarantine. The psychological impact was measured using the 27-item Symptom CheckList (SCL-27), which provides a Global Severity Index (GSI). An ad hoc questionnaire registered problematic, healthy and other behaviours. Two network models were estimated using a Mixed Graphical Model. Data from the two periods were compared and analysed. Outcomes Higher GSI scores and greater risk of experiencing mental disorder were found in Period 2 as compared with Period 1. The lowest GSI scores were associated with physical activity in both periods, and meditation and yoga in Period 1. Drug users reported the highest GSI scores in both periods. The Network Comparison Test confirmed a significant change in symptomatology structure over the two quarantine periods. Conclusion This study showed that psychological symptoms and the risk of experiencing mental disorder increased significantly from Period 1 to Period 2. Network analysis suggested that the quarantine might have brought about changes in the relationships between symptoms. Overall results revealed the relevance of mental health and the need to take mental health actions upon imposing quarantine during the current COVID-19 pandemic.


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