Nurse-Led Body-Mind-Spirit Based Relapse Prevention Intervention for People With Diagnosis of Alcohol Use Disorder at a Mental Health Care Setting, India: A Pilot Study.

BACKGROUND: Alcohol dependence is associated with alcohol-related problems and persistent vulnerability to relapse. Despite newer medications, frequent relapses continue to occur. Hence, there is a need to look at holistic approaches to deal with this problem. OBJECTIVE: Evaluate the effectiveness of nurse-led body-mind-spirit (BMS)-based relapse prevention intervention on craving and quantity and frequency of alcohol consumption among alcohol-dependent individuals. METHODS: Randomized control trial was adopted, and the study was conducted at a mental health care setting in India. Sixty individuals with alcohol use disorder were randomly assigned to a BMS group (n = 30) and a treatment-as-usual (TAU) group (n = 30) between June 2017 and March 2018. Subjects of both groups were initially assessed for craving and quantity and frequency of alcohol consumption. BMS subjects received seven sessions of BMS intervention and routine treatment at de-addiction wards. The interventions comprise of body, mind, and spirit strategies that aid in handling triggers, accept responsibility for their own well-being and take charge of self health. TAU group subjects received only routine treatment. All the participants were followed up over 3 months postdischarge. RESULTS: Over 3 months of follow-up, BMS group subjects (vs. TAU group) reported significantly lesser quantity of alcohol consumption (F = 9.74, p < .001, η = .144), fewer drinking days (F = 14.04, p < .001, η = .195), lower relapse rates (14 vs. 28), and lesser craving (F = 14.01, p < .001, η = .195). Regression analysis showed that number of previous attempts (>1) and increased baseline drinking were associated with relapse. CONCLUSION: Findings provide evidence of BMS intervention in reducing craving and drinking outcomes among alcohol-dependent individuals in India.

Two-month breathing-based walking improves anxiety, depression, dyspnoea and quality of life in chronic obstructive pulmonary disease: A randomised controlled study.

AIMS AND OBJECTIVES: To examine the effects of the two-month breathing-based walking intervention and its follow-up on anxiety, depression, dyspnoea and quality of life in patients with chronic obstructive pulmonary disease. BACKGROUND: Mind-body-related exercises improve bio-psychological symptoms and quality of life in chronic diseases, but these improvements are not proven for chronic obstructive pulmonary disease. DESIGN: This was a randomised controlled study and applied the Consolidated Standards of Reporting Trials (CONSORT) statement. METHODS: Outpatients diagnosed with chronic obstructive pulmonary disease were recruited from a medical centre in Taiwan and randomly assigned to two groups. The walking group (n = 42) received breathing, meditation and walking for two months, and the control group (n = 42) did not. Data from the outcomes of anxiety, depression, dyspnoea and quality of life were collected at baseline and in Month 1, Month 2 and Month 3. Clinical trial registration was done (ClinicalTrials.gov.: NCT03388489). FINDINGS: The results showed significant changes in anxiety, depression, dyspnoea and quality of life in the walking group across three months, compared to those in the control group and at baseline. CONCLUSION: This breathing-based walking intervention is promising to achieve bio-psychological well-being for patients with chronic obstructive pulmonary disease. RELEVANCE TO CLINICAL PRACTICE: This breathing-based walking, as a mind-body exercise, could serve as an evidence-based nursing care that contributes to improving anxiety, depression, dyspnoea and quality of life in stable chronic obstructive pulmonary disease outpatients. The feasibility and acceptability of the breathing-based walking were met the requirement of the chronic obstructive pulmonary disease outpatients, which could be considered as home-based exercise.

Conocimiento, experimentación y uso habitual de las terapias complementarias en función del nivel de estudios en la ciudad de Burgos / Knowledge, experience and regular use of complementary therapies based on the level of education in the city of Burgos

Objetivo: describir las terapias complementarias (TC) que la población refiere como más conocidas, experimentadas ocasionalmente o llevadas a cabo de manera habitual, y analizar la relación de su uso con el nivel de estudios de los burgaleses. Método: se realizó un estudio descriptivo trasversal usando un muestreo no probabilístico por cuotas en función del nivel de educación (n= 278). Se administró un cuestionario de 13 preguntas diseñado ad hoc y previamente pilotado, que incluyó variables sociodemográficas y relacionadas con el grado de experimentación de terapias complementarias (conocimiento, experimentación ocasional o utilización habitual). Se realizaron índices descriptivos y análisis bivariantes. Resultados: se obtuvieron 293 cuestionarios válidos. Las TC más conocidas y experimentadas fueron yoga, acupuntura y homeopatía. Un 39,9% de los burgaleses era usuario habitual. Se encontraron diferencias estadísticamente significativas en el uso habitual de TC en función del nivel de estudios, tanto en el dato global como para los grupos de terapia "sistemas integrales complejos", "prácticas de manipulación y basadas en el cuerpo" , "técnicas de la mente y el cuerpo", siendo este mayor entre quienes tienen estudios superiores (p< 0,05). Conclusiones: las TC se llevan a cabo en menor proporción de lo que se conocen; sin embargo, debido a la posible repercusión sobre la salud, se recomienda diseñar intervenciones educativas dirigidas a la población para fomentar la confianza en los cuidados basados en evidencias

Objective: to describe those complementary therapies (CTs) reported by the population as more widely known, occasionally experienced, or regularly used, and to analyze the association between their use and the level of education of the Burgos population. Method: a cross-sectional descriptive study was conducted, using non-probability quota sampling, based on level of education (n= 278). A 13-question questionnaire was designed ad hoc and administered; there was a previous pilot test, and it included sociodemographical variables and those associated with the level of experience with complementary therapies (knowledge, occasional experience or regular use). Descriptive indexes and bivariate analysis were conducted. Results: in total, 293 valid questionnaires were obtained. The most widely known and experienced CTs were yoga, acupuncture and homeopathy; 39.9% of the Burgos population were regular users. Statistically significant differences were found regarding the regular use of CT based on level of education, both in the overall data and for the following therapy groups: "complex comprehensive systems", "handling and body-based practices", "mind and body techniques"; this was higher among those with higher education (p< 0.05). Conclusions: CTs are experienced in a lower proportion than they are known; however, due to their potential impact on health, it is recommended to design educational interventions targeted to the population, in order to promote trust in evidence-based care

Mind & body practices in the treatment of adolescent anxiety.

Although anxiety is the most common mental health condition among adolescents in the United States, the current standards of practice for treatment are expensive, may be difficult to obtain, and potentially harmful. Although mind and body practices show great promise in the treatment of adolescent anxiety, financial constraints, lack of education, and structural barriers can hinder the integration of these practices into primary care.

Stopping the tsunami of stress in primary care.

This article provides an overview of the psychoneuroimmunologic impact of stress on illness along with a review of mind/body therapies to counteract the effects of stress. Primary care providers are encouraged to promote stress reduction and translate evidence into practice by recommending mind/body therapies.

Pilot Study: Use of Mindfulness, Self-Compassion, and Yoga Practices With Low-Income and/or Uninsured Patients With Depression and/or Anxiety.

PURPOSE: This pilot study was conducted to determine the effectiveness of mindfulness practices, including self-compassion and yoga, on depression and/or anxiety in uninsured and/or low-income patients. DESIGN: The design was repeated measures with one group. METHOD: Patients received 8 weeks of mindfulness training including self-compassion and yoga. Depression and anxiety symptoms, self-compassion, and psychological well-being were measured four times. FINDINGS: Interventions were effective in helping uninsured and low-income patients reduce depression and/or anxiety symptoms. CONCLUSION: This study may have implications for a cost-effective treatment for these disorders. The findings from this study can provide useful information to health care providers.

Mind-body therapies for sleep disturbances in women at midlife.

Multiple factors contribute to sleep disturbances in women at midlife. Poor sleep is a common occurrence in women transitioning through midlife and is associated with significant morbidity. Factors that are known to disturb sleep in women at midlife include vasomotor symptoms, nocturia, sleep apnea, and stress. Stress in particular has a significant impact on sleep. Various treatments, pharmacologic and nonpharmacologic, are available to treat sleep disturbances. One nonpharmacologic option includes mind-body medicine, which encompasses several therapies. Practices within this realm have been shown to moderate the experience of stress and help restore sleep quality. Each woman's experience of disturbed sleep and transition through midlife is unique. By having a broad awareness of all evidence-based therapeutics, the clinician is able to present a diverse set of options for women at midlife who are affected by poor sleep.

Making connections: integration of psychiatric and medical-surgical nursing and relationship-based care.

There is a growing recognition of mind-body connection in our culture. Relationship-based care (RBC) represents a theoretical foundation for the application of the mind-body connection in the clinical setting. This article describes ways to incorporate mind-body and RBC concepts into nursing classroom and clinical experiences.

Reflection of a 7-year patient care program: implementing and sustaining an integrative hospital program.

Integrative alternative therapies, also known as holistic therapies, have many applications in hospitals and health centers. These may include relaxation therapies, meditation, massage, reflexology, and Reiki or healing touch. Patients today are looking for these services, and institutions continue to explore ways to provide them without affecting their bottom line. The Integrative Cardiac Wellness Program is such a service, and its growth and longevity comes out of the personal investment of the staff to the program and to their patients. The literature review on the permanence of caring practice shows that caring about your work with patients, not just the job, is critical in longevity (Graber & Mitcham, 2004). The holistic nurses' and staff 's commitment to their professional growth within their specialty and their personal spiritual practice as experts in the field forms the backbone of the Integrative Wellness Program's success. It has been in existence for 7 years, providing integrative healing therapies to more than 7,000 patients, making it one of the most experienced. The program now serves cardiac surgery patients, and patients who have been diagnosed with cancer.

Creating family: a holistic milieu at a geriatric adult day center.

Many older persons no longer have traditional "family members" to rely on and live isolated lives, with little or no contact with either family or community. In response to this profound need for family among isolated older adults, the Geriatric Adult Day Health Center at The Jewish Home and Hospital in the Bronx, New York, created a holistic milieu that involves clients in their care and facilitates healing and growth in mind, body, and spirit. The positive experience of the group, as members participate in the holistic modalities, strengthens and validates each individual. The holistic modalities used in this care model foster a sense of family and community that serves as structure and support for healing, in an atmosphere of self-responsibility.