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Documents  Anxiété | enregistrements trouvés : 26

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Anxiety, Depression, and Social Skills in Girls with Fragile X Syndrome: Understanding the Cycle to Improve Outcomes | Décembre 2022 H

Article (Pédiatrie, néonatologie et périnatalité)

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Objective: Female patients with fragile X syndrome (FXS), a genetic condition associated with a mutation in the FMR1 gene, are at significantly elevated risk for developing anxiety and depression. This study is designed to better understand these symptoms in school-age girls, particularly as they relate to age, social skills, and functional outcomes.

Methods: We compared 58 girls aged 6 to 16 years with FXS with 46 age-matched, sex-matched, and developmentally matched peers without FXS on measures of anxiety, depression, social skills, adaptive behavior, and quality of life.

Results: Girls with FXS 10.5 years and older demonstrated significantly higher levels of depression, withdrawal, and social avoidance than girls younger than 10.5 years with FXS (p-values < 0.01). Girls in the comparison group did not show any age-related differences on these measures. The older FXS cohort also showed associations between social communication and interaction skills, adaptive behavior, and measures of anxiety and depression (p-values < 0.05) not seen in the comparison group, regardless of age.

Conclusion: We found that age seems to play an important role in the development of mood symptoms and that such symptoms are uniquely correlated with social communication and reciprocal social interaction behaviors and adaptive functioning in girls with FXS after puberty. These data suggest a critical window of intervention for girls with FXS in the improvement of social interaction skills and the prevention of social avoidance and symptoms of anxiety and depression, with the ultimate goal of improving quality of life and promoting greater independence.
Objective: Female patients with fragile X syndrome (FXS), a genetic condition associated with a mutation in the FMR1 gene, are at significantly elevated risk for developing anxiety and depression. This study is designed to better understand these symptoms in school-age girls, particularly as they relate to age, social skills, and functional outcomes.

Methods: We compared 58 girls aged 6 to 16 years with FXS with 46 age-matched, sex-matched, and ...

Anxiété ; Angoisse ; Dépression ; Communication ; Compétence de communication chez l'enfant ; Anxiété chez l'enfant ; Angoisse chez l'enfant ; Dépression chez l'enfant

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Anxiety Disorders in Children | Novembre 2022 H

Article (Pédiatrie, néonatologie et périnatalité)

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Anxiety disorders are the most common mental health disorders in children with clearly defined and empirically based treatment. However, assessment and treatment pose several obstacles for pediatric providers. A child who may have age-appropriate communication skills will still struggle to accurately report the presence, timing, and severity of symptoms. Reports from parents, caregivers, and teachers are often subjective and can focus on 1 aspect of the child’s behavior. Untreated, anxiety disorders have an adverse effect on a child’s functioning, and impairments in physical health, academic performance, and social competence can lead to lifelong consequences. Well-validated and rapidly administered screening tools can be used to gather data from schools and other resources to inform the diagnosis, guide treatment recommendations, and track improvements. Limited training on behavioral health diagnosis and fear of “black box warnings” have left many pediatric clinicians reluctant to prescribe medications. There are readily available practice guidelines for these medications, and data documenting the efficacy of these medications for children should encourage their use.
Anxiety disorders are the most common mental health disorders in children with clearly defined and empirically based treatment. However, assessment and treatment pose several obstacles for pediatric providers. A child who may have age-appropriate communication skills will still struggle to accurately report the presence, timing, and severity of symptoms. Reports from parents, caregivers, and teachers are often subjective and can focus on 1 ...

Anxiété ; Anxiété chez l'enfant ; Peur chez l'enfant ; CANDIDAT ; Angoisse chez l'enfant

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Abstract: Data are equivocal on the consequences of COVID-19 pandemic on pain and well-being for individuals with chronic pain. Furthermore, little is known regarding its impact on the health of young adults with chronic pain. We conducted a longitudinal study to compare pain, psychological functioning, and substance use before and during the pandemic of 196 young adults with chronic pain. Participants aged 18 to 24 years (M = 21.1 years; 79.6% females) reported on pain, anxiety, depression, and substance use before (October 2018-August 2019) and during the pandemic (October 2020-November 2020), in addition to the assessment of COVID-19 exposure and its impact. Before the pandemic, young adults experienced mild-to-moderate pain intensity (M = 3.75, SD = 2.33) and pain interference (M = 3.44, SD = 2.69). Findings were that pain intensity, pain interference, and depression symptoms remained stable during the pandemic. In contrast, anxiety symptoms increased significantly (M = 8.21, SD = 5.84 vs M = 8.89, SD = 5.95, P = 0.04). Tobacco, alcohol, and cannabis use were unchanged. Mixed linear models revealed that COVID-19 exposure and impact were not associated with changes in pain intensity or interference, with female sex associated with increased pain intensity ([beta] = 0.86, P = 0.02) and pain interference ([beta] = 0.87, P = 0.02). Our findings indicated relative stability of pain symptoms experienced by young adults with chronic pain. However, the increases in anxiety highlight the need to facilitate treatment access for mental health services to mitigate downstream impact.
Abstract: Data are equivocal on the consequences of COVID-19 pandemic on pain and well-being for individuals with chronic pain. Furthermore, little is known regarding its impact on the health of young adults with chronic pain. We conducted a longitudinal study to compare pain, psychological functioning, and substance use before and during the pandemic of 196 young adults with chronic pain. Participants aged 18 to 24 years (M = 21.1 years; 79.6% ...

Douleur chronique ; Jeunes adultes ; COVID-19 ; Anxiété ; Dépression

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Abstract: This study examined the efficacy of internet-delivered cognitive and behavioural interventions for adults with chronic pain AND explored the role of clinical and study characteristics as moderators of treatment effects. PubMed, Embase, PsycINFO, CENTRAL and CINAHL were searched to identify randomized controlled trials published up to October 2021. A meta-analysis of 36 studies (5778 participants) was conducted, which found small effect sizes for interference/disability (Hedges' g = 0.28; 95% confidence interval [CI] 0.21-0.35), depression (g = 0.43; 95% CI 0.33-0.54), anxiety (g = 0.32; 95% CI 0.24-0.40), pain intensity (g = 0.27; 95% CI 0.21-0.33), self-efficacy (g = 0.39; 95% CI 0.27-0.52) and pain catastrophizing (g = 0.31; 95% CI 0.22-0.39). Moderator analyses found that interventions which involved clinician guidance had significantly greater effect sizes for interference/disability (g = 0.38), anxiety (g = 0.39), and pain intensity (g = 0.33) compared with those without (g = 0.16, g = 0.18, and g = 0.20, respectively). Studies using an inactive control had greater effects for depression (g = 0.46) compared with active control trials (g = 0.22). No differences were found between treatments based on traditional cognitive behaviour therapy vs acceptance and commitment therapy. Sample size, study year, and overall risk of bias (Cochrane rating) did not consistently moderate treatment effects. Overall, the results support the use of internet-delivered cognitive and behavioural interventions as efficacious and suggest guided interventions are associated with greater clinical gains for several key pain management outcomes.
Abstract: This study examined the efficacy of internet-delivered cognitive and behavioural interventions for adults with chronic pain AND explored the role of clinical and study characteristics as moderators of treatment effects. PubMed, Embase, PsycINFO, CENTRAL and CINAHL were searched to identify randomized controlled trials published up to October 2021. A meta-analysis of 36 studies (5778 participants) was conducted, which found small effect ...

Télémédecine ; Psychothérapie ; Douleur chronique ; Dépression ; Anxiété ; Thérapie d'acceptation et d'engagement

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Background: Neuropsychiatric symptoms are common following traumatic brain injury (TBI), but their etiological onset remains unclear. Mental health research implicates neuroinflammation in the development of psychiatric disorders. The presence of neuroinflammatory responses after TBI thus prompts an investigation of their involvement in the emergence of neuropsychiatric disorders postinjury.

Objective: Review the literature surrounding the role of neuroinflammation and immune response post-TBI in the development of neuropsychiatric disorders.

Methods: A search of scientific databases was conducted for original, empirical studies in human subjects. Key words such as "neuroinflammation," "TBI," and "depression" were used to identify psychopathology as an outcome TBI and the relation to neuroinflammatory response.

Results: Study results provide evidence of neuroinflammation mediated post-TBI neuropsychiatric disorders including anxiety, trauma/stress, and depression. Inflammatory processes and stress response dysregulation can lead to secondary cell damage, which promote the development and maintenance of neuropsychiatric disorders postinjury.

Conclusion: This review identifies both theoretical and empirical support for neuroinflammatory response as feasible mechanisms underlying neuropsychiatric disorders after TBI. Further understanding of these processes in this context has significant clinical implications for guiding the development of novel treatments to reduce psychiatric symptoms postinjury. Future directions to address current limitations in the literature are discussed.
Background: Neuropsychiatric symptoms are common following traumatic brain injury (TBI), but their etiological onset remains unclear. Mental health research implicates neuroinflammation in the development of psychiatric disorders. The presence of neuroinflammatory responses after TBI thus prompts an investigation of their involvement in the emergence of neuropsychiatric disorders postinjury.

Objective: Review the literature surrounding the role ...

Anxiété ; Dépression ; Inflammation (Pathologie) ; Neuropsychiatrie ; Cerveau - Lésions et blessures ; Traumatisme cranio-cérébral

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Objectives
Despite increasing rates of legalization of medical cannabis worldwide, the current evidence available on its effect on mental health outcomes including anxiety is of mixed results. This study assesses the effect of medical cannabis on generalized anxiety disorder 7-item (GAD-7) scores in adult patients between 2014 and 2019 in Ontario and Alberta, Canada.

Methods
An observational cohort study of adults authorized to use medical cannabis. The GAD-7 was administered at the time of the first visit to the clinic and subsequently over the follow-up time period of up to 3.2 years. Overall changes in GAD-7 scores were computed (mean change) and categorized as: no change (<1 point); improvement; or worsening—over time.

Results
A total of 37,303 patients had initial GAD-7 scores recorded and 5,075 (13.6%) patients had subsequent GAD-7 follow-up scores. The average age was 54.2 years (SD 15.7 years), 46.0% were male, and 45.6% noted anxiety symptoms at the baseline. Average GAD-7 scores were 9.11 (SD 6.6) at the baseline and after an average of 282 days of follow-up (SD 264) the average final GAD-7 score recorded was 9.04 (SD 6.6): mean change −0.23 (95% CI, −0.28 to −0.17, t[5,074]: −8.19, p-value <0.001). A total of 4,607 patients (90.8%) had no change in GAD-7 score from their initial to final follow-up, 188 (3.7%) had a clinically significant decrease, and 64 (1.3%) noted a clinically significant increase in their GAD-7 scores.

Conclusions
Overall, there was a statistically significant decrease in GAD-7 scores over time (in particular, in the 6–12-month period). However, this change did not meet the threshold to be considered clinically significant. Thus, we did not detect clinical improvements or detriment in GAD-7 scores in medically authorized cannabis patients. However, future well-controlled clinical trials are needed to fully examine risks or benefits associated with using medical cannabis to treat anxiety conditions.
Objectives
Despite increasing rates of legalization of medical cannabis worldwide, the current evidence available on its effect on mental health outcomes including anxiety is of mixed results. This study assesses the effect of medical cannabis on generalized anxiety disorder 7-item (GAD-7) scores in adult patients between 2014 and 2019 in Ontario and Alberta, Canada.

Methods
An observational cohort study of adults authorized to use medical ...

Anxiété ; Troubles anxieux ; Cannabis - Emploi en thérapeutique

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Objectives
To examine the effectiveness of group cognitive behavioural therapy (CBT) for postpartum depression (PPD) delivered by public health nurses with little to no previous psychiatric training at improving depression, worry, social support and the mother-infant relationship.

Methods
Mothers (n = 141) living in Ontario, Canada with Edinburgh Postnatal Depression Scale Scores ≥10 and an infant <12 months of age were randomized to receive nine weekly 2-h sessions of in-person group CBT for PPD delivered by two public health nurses plus treatment as usual (TAU; experimental group) or TAU alone (control group). Primary outcomes were change in EPDS score and current major depressive disorder (Mini International Neuropsychiatric Interview) assessed immediately post-treatment (T2). Secondary outcomes included maternal worry, social support, and quality of the mother-infant relationship. All outcomes were assessed again six months post-treatment (T3).

Results
Participants in the experimental group had statistically significantly greater reductions in PPD symptoms immediately post-treatment (T2) (B = -5.35, p < 0.01), were more likely to manifest a clinically significant improvement in EPDS scores (≥4 points; OR = 3.44, 95%CI: 1.49–7.94), and no longer have symptoms consistent with current MDD (OR = 5.31, 95% CI: 1.78–15.83). Six months post-treatment (T3), experimental group participants had higher odds of clinically significant PPD improvement (OR = 5.10, 95%CI: 1.89–13.78), while 25% of the experimental group and 70% of remaining control group participants reported current MDD (p < 0.01). Statistically significant improvements in worry and the mother-infant relationship were also observed, decreases maintained at six months post-treatment.

Conclusions
Public health nurses with little to no previous psychiatric training can be trained to deliver effective group CBT for PPD to improve depression, worry, and the mother-infant relationship. Task shifting PPD treatment with group CBT to public health nurses could improve treatment uptake and lead to better outcomes for mothers, families, and the healthcare system.

(Trial Registration NCT03039530)
Objectives
To examine the effectiveness of group cognitive behavioural therapy (CBT) for postpartum depression (PPD) delivered by public health nurses with little to no previous psychiatric training at improving depression, worry, social support and the mother-infant relationship.

Methods
Mothers (n = 141) living in Ontario, Canada with Edinburgh Postnatal Depression Scale Scores ≥10 and an infant <12 months of age were randomized to receive ...

Dépression ; Anxiété ; Santé publique ; SOINS INFIRMIERS ; Dépression du post-partum

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Effective Holistic Approaches to Reducing Nurse Stress and Burnout During COVID-19 | Mai 2022 H

Article (Soins infirmiers généraux)

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Background: Prolonged exposure to work-related stress can lead to nurse burnout, potentiating clinical and medication errors and low-quality patient care. Holistic approaches (such as mindfulness training, "zen rooms," and massage chairs, among others) have been shown to reduce nurses' anxiety, stress, and burnout.

Purpose: To evaluate the use of "serenity lounges" (dedicated rooms where nurses can take workday breaks for the purposes of relaxation and rejuvenation) and massage chairs on nurses' anxiety, stress, and burnout.

Methods: This quality improvement project analyzed 67 paired responses to surveys filled out by nurses before and after their use of serenity lounges at a medical center in Los Angeles between November 2020 and May 2021. Following successful implementation of a serenity lounge on a pilot unit, this project was expanded to a total of 10 units, including COVID-19 cohort units. As part of this expansion, massage chairs were added to 10 serenity lounges, along with items such as wipes, gloves, and shoe covers to enable nurses to adhere to infection control protocols.

Results: Analysis of the 67 paired responses to pre- and post-lounge-use surveys revealed a significant reduction in feelings of emotional exhaustion, burnout, frustration, being worn out, stress, and anxiety after use of the serenity lounge. Improvements in feelings of emotional exhaustion, being worn out, and being anxious were also noted after using the massage chair for at least 10 to 20 minutes.

Conclusions: These results highlight the importance of providing a holistic approach, including a serene space, massage equipment, and other amenities, to help nurses reduce feelings of anxiety, stress, and burnout, particularly during challenging times such as the COVID-19 pandemic.
Background: Prolonged exposure to work-related stress can lead to nurse burnout, potentiating clinical and medication errors and low-quality patient care. Holistic approaches (such as mindfulness training, "zen rooms," and massage chairs, among others) have been shown to reduce nurses' anxiety, stress, and burnout.

Purpose: To evaluate the use of "serenity lounges" (dedicated rooms where nurses can take workday breaks for the purposes of ...

Anxiété ; Épuisement professionnel ; COVID-19 ; SOINS INFIRMIERS ; Stress

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Background: Patients with gastrointestinal cancers experience moderate to high levels of sleep disturbance during chemotherapy that decreases their functional status and quality of life (QOL).

Objective: The objectives of this study were to identify subgroups of patients with gastrointestinal cancers with distinct sleep disturbance profiles and evaluate for differences among these subgroups in demographic, clinical, and sleep characteristics, as well as co-occurring symptoms and QOL outcomes.

Methods: Patients (n = 405) completed questionnaires 6 times over 2 cycles of chemotherapy. Latent profile analysis was used to identify subgroups of patients with distinct sleep disturbance profiles.

Results: Three distinct sleep disturbance profiles (ie, low, high, very high) were identified. Compared with the low class, patients in the other 2 classes were significantly younger and less likely to be married and to exercise on a regular basis and received a higher number of previous treatments. Compared with the low class, patients in the other 2 classes reported higher levels of anxiety, depressive symptoms, morning and evening fatigue, and pain and lower levels of attentional function and QOL scores at enrollment.

Conclusions: This study is the first to use latent profile analysis to identify subgroups of patients with gastrointestinal cancers with distinct sleep disturbance profiles. Findings provide new insights on the associations between sleep disturbance and multiple co-occurring symptoms in these patients.

Implications for Practice: Clinicians can identify patients who are at the highest risk for sleep disturbance and recommend a variety of sleep hygiene interventions (eg, establishment of a bedtime routine), as well as initiate interventions for other co-occurring symptoms.
Background: Patients with gastrointestinal cancers experience moderate to high levels of sleep disturbance during chemotherapy that decreases their functional status and quality of life (QOL).

Objective: The objectives of this study were to identify subgroups of patients with gastrointestinal cancers with distinct sleep disturbance profiles and evaluate for differences among these subgroups in demographic, clinical, and sleep characteristics, ...

Anxiété ; Dépression ; Chimiothérapie ; Sommeil ; Fatigue ; Tractus gastro-intestinal - Cancer - Traitement ; Douleur ; Qualité de la vie ; Troubles du sommeil

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Importance Transgender and nonbinary (TNB) youths are disproportionately burdened by poor mental health outcomes owing to decreased social support and increased stigma and discrimination. Although gender-affirming care is associated with decreased long-term adverse mental health outcomes among these youths, less is known about its association with mental health immediately after initiation of care.

Objective To investigate changes in mental health over the first year of receiving gender-affirming care and whether initiation of puberty blockers (PBs) and gender-affirming hormones (GAHs) was associated with changes in depression, anxiety, and suicidality.

Design, Setting, and Participants This prospective observational cohort study was conducted at an urban multidisciplinary gender clinic among TNB adolescents and young adults seeking gender-affirming care from August 2017 to June 2018. Data were analyzed from August 2020 through November 2021.

Exposures Time since enrollment and receipt of PBs or GAHs.

Main Outcomes and Measures Mental health outcomes of interest were assessed via the Patient Health Questionnaire 9-item (PHQ-9) and Generalized Anxiety Disorder 7-item (GAD-7) scales, which were dichotomized into measures of moderate or severe depression and anxiety (ie, scores ≥10), respectively. Any self-report of self-harm or suicidal thoughts over the previous 2 weeks was assessed using PHQ-9 question 9. Generalized estimating equations were used to assess change from baseline in each outcome at 3, 6, and 12 months of follow-up. Bivariate and multivariable logistic models were estimated to examine temporal trends and investigate associations between receipt of PBs or GAHs and each outcome.

Results Among 104 youths aged 13 to 20 years (mean [SD] age, 15.8 [1.6] years) who participated in the study, there were 63 transmasculine individuals (60.6%), 27 transfeminine individuals (26.0%), 10 nonbinary or gender fluid individuals (9.6%), and 4 youths who responded “I don’t know” or did not respond to the gender identity question (3.8%). At baseline, 59 individuals (56.7%) had moderate to severe depression, 52 individuals (50.0%) had moderate to severe anxiety, and 45 individuals (43.3%) reported self-harm or suicidal thoughts. By the end of the study, 69 youths (66.3%) had received PBs, GAHs, or both interventions, while 35 youths had not received either intervention (33.7%). After adjustment for temporal trends and potential confounders, we observed 60% lower odds of depression (adjusted odds ratio [aOR], 0.40; 95% CI, 0.17-0.95) and 73% lower odds of suicidality (aOR, 0.27; 95% CI, 0.11-0.65) among youths who had initiated PBs or GAHs compared with youths who had not. There was no association between PBs or GAHs and anxiety (aOR, 1.01; 95% CI, 0.41, 2.51).

Conclusions and Relevance This study found that gender-affirming medical interventions were associated with lower odds of depression and suicidality over 12 months. These data add to existing evidence suggesting that gender-affirming care may be associated with improved well-being among TNB youths over a short period, which is important given mental health disparities experienced by this population, particularly the high levels of self-harm and suicide.
Importance Transgender and nonbinary (TNB) youths are disproportionately burdened by poor mental health outcomes owing to decreased social support and increased stigma and discrimination. Although gender-affirming care is associated with decreased long-term adverse mental health outcomes among these youths, less is known about its association with mental health immediately after initiation of care.

Objective To investigate changes in mental ...

Transgenres - Psychologie ; Dépression ; Anxiété ; Suicide

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The Effect of Paternal Skin-to-Skin Care: A Systematic Review and Meta-Analysis of Randomized Control Trials | Février 2022 H

Article (Pédiatrie, néonatologie et périnatalité)

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Background: Research about skin-to-skin care (SSC) experiences in early period after birth has focused on mothers and infants.

Purpose: The purpose of this study was to determine the outcomes of paternal skin-to-skin care (P-SSC) in both fathers and infants.

Methods: The Cochrane Central Register of Controlled Trials (CENTRAL), PubMed/MEDLINE, Embase, CINAHL, PsycInfo, Airiti Library, and Google Scholar were searched for randomized controlled trials (RCTs) that reported outcomes of P-SSC in both fathers and infants. We calculated pooled mean differences (MDs) and 95% confidence intervals (CIs) using RevMan 5.3 for the meta-analysis [PROSPERO: CRD42018106790].

Results: Seven RCTs including a total of 552 participants were eligible for inclusion. Compared to the maternal skin-to-skin care (M-SSC), fathers in the P-SSC exhibited no significant differences in salivary oxytocin levels (MD: -0.35 pg/mL; 95% CI: -0.75, 0.05), salivary cortisol levels (MD: 0.25 [mu]g/dL; 95% CI: -0.82, 1.33), or anxiety scores (MD: -0.17; 95% CI: -0.57, 0.22) during the period of SSC. Similarly, there were no significant differences in the salivary cortisol levels (MD: -0.11 [mu]g/dL; 95% CI: -0.05, 0.28) among preterm infants between the 2 groups. However, the crying time was less among full-term infants in the P-SSC group compared with infants in the incubator care or cot care groups.

Implications for Practice and Research: P-SSC had similar effects as M-SSC on stress-related outcomes during and after SSC among fathers and infants in the early stages after birth. We recommend that P-SSC be implemented in the early stages after birth. Further RCTs with a longitudinal design and large samples are needed to better understand the long-term effects of P-SSC on fathers and infants.
Background: Research about skin-to-skin care (SSC) experiences in early period after birth has focused on mothers and infants.

Purpose: The purpose of this study was to determine the outcomes of paternal skin-to-skin care (P-SSC) in both fathers and infants.

Methods: The Cochrane Central Register of Controlled Trials (CENTRAL), PubMed/MEDLINE, Embase, CINAHL, PsycInfo, Airiti Library, and Google Scholar were searched for randomized controlled ...

Anxiété ; Angoisse ; Stress ; Parents et enfants

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The Role of MicroRNA and Microbiota in Depression and Anxiety | Février 2022 H

Article (Neurologie et neuropsychologie)

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Depression and anxiety are devastating disorders. Understanding the mechanisms that underlie the development of depression and anxiety can provide new hints on novel treatments and preventive strategies. Here, we summarize the latest findings reporting the novel roles of gut microbiota and microRNAs (miRNAs) in the pathophysiology of depression and anxiety. The crosstalk between gut microbiota and the brain has been reported to contribute to these pathologies. It is currently known that some miRNAs can regulate bacterial growth and gene transcription while also modulate the gut microbiota composition, suggesting the importance of miRNAs in gut and brain health. Treatment and prevention strategies for neuropsychiatric diseases, such as physical exercise, diet, and probiotics, can modulate the gut microbiota composition and miRNAs expressions. Nonetheless, there are critical questions to be addressed to understand further the mechanisms involved in the interaction between the gut microbiota and miRNAs in the brain. This review summarizes the recent findings of the potential roles of microbiota and miRNA on the neuropathology of depression and anxiety, and its potential as treatment strategies.
Depression and anxiety are devastating disorders. Understanding the mechanisms that underlie the development of depression and anxiety can provide new hints on novel treatments and preventive strategies. Here, we summarize the latest findings reporting the novel roles of gut microbiota and microRNAs (miRNAs) in the pathophysiology of depression and anxiety. The crosstalk between gut microbiota and the brain has been reported to contribute to ...

Anxiété ; Dépression ; Microbiote

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Introduction : La rétention des professionnels de la santé (PS) dans le réseau de la santé durant une pandémie telle que celle de la COVID-19 est un enjeu crucial. Mieux comprendre les facteurs pouvant motiver ou dissuader les PS de fournir des soins aux personnes atteintes de la COVID-19 permettrait la mise en place de mesures favorisant le maintien et la qualité des soins.
Objectif : Cette étude vise à identifier les facteurs modulant l’intention des PS à éviter de prendre soin de personnes atteintes de la COVID-19.
Méthode : Les PS du Québec (Canada) ont été invités à répondre à un questionnaire en ligne, entre les mois d’avril et août 2020, durant la première vague de la pandémie de la COVID-19 dans ce pays. Ce questionnaire portait sur leur intention de prendre soin des personnes atteintes de la COVID-19, leur expérience dans la prise en charge de tels patients et leur niveau d’anxiété par rapport à la pandémie. Des analyses statistiques descriptives et des régressions multiples ont été réalisées afin de déterminer si certains PS présentaient un profil différent en regard de l’intention d’éviter de prendre soin d’une personne atteinte de la COVID-19.
Résultats : Un total de 430 PS ont répondu au questionnaire. Les PS étaient en majorité des femmes (87 %) et des infirmières (50 %). De ce nombre, certains ont dit avoir pensé (12 %) ou avoir pris des mesures (5 %) pour se soustraire à l’administration de soins aux personnes atteintes de la COVID-19. Dix-huit pour cent ont dit être prêts à saisir une occasion qui leur permettrait de ne pas prendre soin de tels patients. Être médecin (RC : 0,47 IC 0,23-0,94) et avoir antérieurement prodigué des soins à des personnes atteintes de la COVID-19 (RC : 0,56 IC 0,36-0,86) étaient significativement associés à une intention moindre d’éviter de prendre soin de personnes atteintes de la COVID-19. Une plus grande intention d’éviter de travailler avec de tels patients a été associée positivement avec l’augmentation du score d’anxiété des PS (RC : 1,06 IC 1,04-1,08).
Conclusion : Avoir antérieurement prodigué des soins à une personne atteinte de la COVID-19 et le fait d’être médecin étaient associés à une intention d’évitement moindre à soigner des patients infectés par la COVID-19. L’anxiété représenterait un facteur prédictif de la volonté des PS de se retirer de la prise en charge de personnes atteintes de la COVID-19. L’identification des déterminants de l’anxiété chez les PS et des facteurs pouvant les motiver à fournir des soins aux personnes atteintes de la COVID-19 pourrait permettre l’élaboration de stratégies adaptées visant le bien-être global et la rétention du personnel de santé en temps de pandémie.
Introduction : La rétention des professionnels de la santé (PS) dans le réseau de la santé durant une pandémie telle que celle de la COVID-19 est un enjeu crucial. Mieux comprendre les facteurs pouvant motiver ou dissuader les PS de fournir des soins aux personnes atteintes de la COVID-19 permettrait la mise en place de mesures favorisant le maintien et la qualité des soins.
Objectif : Cette étude vise à identifier les facteurs modulant ...

COVID-19 ; Coronavirus ; Anxiété ; Motivation en éducation ; Personnel médical - Responsabilité professionnelle ; Infirmières - Rôle professionnel ; Médecins - Responsabilité professionnelle ; Soins de santé primaires ; Santé publique - Enquêtes

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- 110 p.
Cote : WM172 C132 2021

- L'évaluation des troubles anxieux
- La thérapie cognitivo-comportementale pour l'anxiété : conceptualisation et principes d'intervention
- Compréhension psychodynamique de l'angoisse et de l'anxiété au service d'une pratique clinique de la régulation psychique et de l'accueil de la singularité
- Anxiété et meilleures pratiques en intervention systémique
- Troubles anxieux en contexte d'évaluation neuropsychologique : devrait-on s'en inquiéter ?
- Anxiété, pharmacologie et prise en charge médicale
- L'anxiété chez les enfants et les adolescents : enjeux spécifiques
- L'anxiété d'évaluation en milieu scolaire : un facteur de risque pour un développement optimal du potentiel de l'élève
- L'anxiété chez les personnes âgées : démystifier les symptômes pour mieux intervenir
- Les troubles anxiodépressifs : la collaboration interprofessionnelle pour favoriser l'accès à la psychothérapie en première ligne
- Aider une personne ayant un trouble anxieux à s'accomplir dans son travail
- Anxiété et diversité culturelle
- L'évaluation des troubles anxieux
- La thérapie cognitivo-comportementale pour l'anxiété : conceptualisation et principes d'intervention
- Compréhension psychodynamique de l'angoisse et de l'anxiété au service d'une pratique clinique de la régulation psychique et de l'accueil de la singularité
- Anxiété et meilleures pratiques en intervention systémique
- Troubles anxieux en contexte d'évaluation neuropsychologique : devrait-on s'en inquiéter ...

Anxiété ; Troubles anxieux ; Troubles anxieux - Thérapie ; Angoisse ; Anxiété chez l'enfant ; Anxiété chez l'adolescent ; Anxiété chez les personnes âgées

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- 221 p.
Cote : WM172 A845j 2021

Anxiété, surmenage, burn-out... ce n'est pas que dans la tête! L'épuisement est une réalité physiologique, et ce livre vous donne les clés pour lutter efficacement contre lui.

Dans ce livre, Cathy Assenheim vous éclaire et vous aide à:
* comprendre les causes nerveuses et hormonales des symptômes typiques;
* interpréter les signaux d'alerte physiologiques avant qu'il ne soit trop tard;
* faire le point sur votre état de résistance grâce à différents questionnaires.

Elle vous donne également (et surtout!) un guide pratique pour réagir concrètement lorsque la fatigue s'est installée ou qu'un diagnostic d'épuisement a été posé:
* un programme d'action globale pour agir tant sur le corps que sur la tête : organiser les journées pour s'économiser, réguler le système nerveux, calmer l'anxiété, gérer les émotions, diminuer les troubles du sommeil, optimaliser l'alimentation, etc. ;
* des réponses aux questions les plus fréquentes: par qui se faire aider? quelles sont les analyses médicales à effectuer? comment gérer l'entourage ? comment gérer l'arrêt de travail et éviter les rechutes lors de la reprise?

Vous êtes épuisé-e, mais à présent vous savez quoi faire pour aller mieux!
Anxiété, surmenage, burn-out... ce n'est pas que dans la tête! L'épuisement est une réalité physiologique, et ce livre vous donne les clés pour lutter efficacement contre lui.

Dans ce livre, Cathy Assenheim vous éclaire et vous aide à:
* comprendre les causes nerveuses et hormonales des symptômes typiques;
* interpréter les signaux d'alerte physiologiques avant qu'il ne soit trop tard;
* faire le point sur votre état de résistance grâce à ...

Anxiété ; Épuisement professionnel

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Open Access

The COVID-19 pandemic has had adverse effects on many people’s mental and physical health. As such, this book explores research, theories, biopsychosocial perspectives, and intercultural studies about the pandemic with the ultimate goal to promote better quality of life, resilience, and psychological wellbeing of the general population during this period.

Pandémies ; Résilience ; Anxiété ; Bien-être ; Anthropologie ; PSYCHOLOGIE

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- 322 p.
Cote : WM420.5.P5 D741i 2020

Si les thérapies brèves sont une méthode alternative aux approches traditionnelles et permettent une solution rapide pour un certain nombre de troubles psychologiques, elles bouleversent toutefois la relation d'aide dans le domaine psychologique, médical et psychiatrique mais aussi social. C'est pourquoi il est nécessaire d'apporter au thérapeute un éclairage clinique approfondi lui permettant de mieux maîtriser toutes les dimensions de ces thérapies. Par leur approche très pragmatique de ces différentes situations, les auteurs répondent ainsi aux questions que se posent les thérapeutes sur des thèmes aussi variés que les troubles anxieux, la dépression, l'alcoolisme, l'utilisation de la thérapie brève sous contrainte dans un service fermé ou avec des patients psychotiques. Pour cette nouvelle édition, entièrement mise à jour et augmentée, deux nouveaux chapitres viennent enrichir l'ouvrage :

– le premier s'attache à l'apport des thérapies brèves systémiques dans l'accompagnement des troubles du spectre autistique ;
– le second se concentre sur la contribution des thérapies brèves plurielles dans l'accompagnement et les soins en fin de vie.

Quant au chapitre auparavant dévolu à l'alcoolisme, il s'élargit et est désormais consacré à l'addictologie dans son aspect plus général. Cet ouvrage s'adresse ainsi aux psychiatres, psychologues, psychothérapeutes, équipes soignantes et travailleurs sociaux.
Si les thérapies brèves sont une méthode alternative aux approches traditionnelles et permettent une solution rapide pour un certain nombre de troubles psychologiques, elles bouleversent toutefois la relation d'aide dans le domaine psychologique, médical et psychiatrique mais aussi social. C'est pourquoi il est nécessaire d'apporter au thérapeute un éclairage clinique approfondi lui permettant de mieux maîtriser toutes les dimensions de ces ...

Psychothérapie brève ; Psychothérapie ; Anorexie mentale ; Boulimie ; Tabagisme ; Anxiété ; Dépression ; Suicide ; Autisme ; Soins palliatifs

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- 191 p.
Cote : BF412 A845m 2020

Ce guide propose de comprendre ce qui se passe dans le cerveau dans un contexte d'hypersensibilité ou de haut potentiel, expose les problèmes conséquents et présente des moyens d'action concrets à mettre en place : des techniques de régulation du système nerveux, des méthodes de gestion du stress ou encore des exercices de libération émotionnelle.

Surdoués ; Hypersensibilité (Psychologie) ; Surdoués (Psychologie) ; Hypersensibilité ; Gestion du stress ; Émotions ; Anxiété

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Type
Auteurs
Date de parution
Descripteurs

Anxiété [26]

Dépression [10]

Angoisse [8]

Gestion du stress [4]

Stress [4]

Anxiété chez l'enfant [3]

Biblio-Santé - Santé mentale [3]

COVID-19 [3]

Psychothérapie [3]

Angoisse chez l'enfant [2]

Douleur chronique [2]

Épuisement professionnel [2]

SOINS INFIRMIERS [2]

Suicide [2]

Troubles anxieux [2]

Troubles anxieux - Thérapie [2]

Troubles du sommeil [2]

Alimentation - Aspect psychologique [1]

Alimentation - Comportement compulsif [1]

Angoisse - Traitement [1]

Anorexie mentale [1]

Anthropologie [1]

Anxiété chez l'adolescent [1]

Anxiété chez les jeunes [1]

Anxiété chez les personnes âgées [1]

Autisme [1]

Bien-être [1]

Boulimie [1]

CANDIDAT [1]

Cannabis - Emploi en thérapeutique [1]

Cerveau - Lésions et blessures [1]

Cerveau - Maladies - Aspect nutritionnel [1]

Cerveau - Maladies - Prévention [1]

Cerveau - Physiologie [1]

Chimiothérapie [1]

Communication [1]

Compétence de communication chez l'enfant [1]

Coronavirus [1]

Dépression chez l'enfant [1]

Dépression du post-partum [1]

Douleur [1]

Émotions [1]

Fatigue [1]

Hypersensibilité [1]

Hypersensibilité (Psychologie) [1]

Infirmières - Rôle professionnel [1]

Inflammation (Pathologie) [1]

Jeunes adultes [1]

Médecins - Responsabilité professionnelle [1]

Méditation - Emploi en thérapeutique [1]

Microbiote [1]

Motivation en éducation [1]

Neuropsychiatrie [1]

Pandémies [1]

Parents et enfants [1]

Personnel médical - Responsabilité professionnelle [1]

Peur [1]

Peur chez l'enfant [1]

Phobies scolaires [1]

Phobies scolaires - Thérapeutique [1]

Pleine conscience (Psychologie) [1]

PSYCHOLOGIE [1]

Psychopathologie [1]

Psychothérapie brève [1]

Qualité de la vie [1]

Résilience [1]

Risques alimentaires [1]

Santé mentale - Aspect nutritionnel [1]

Santé publique [1]

Santé publique - Enquêtes [1]

Soins de santé primaires [1]

Soins palliatifs [1]

Sommeil [1]

Stress - Prévention [1]

Surdoués [1]

Surdoués (Psychologie) [1]

Tabagisme [1]

Télémédecine [1]

Thérapie d'acceptation et d'engagement [1]

Tractus gastro-intestinal - Cancer - Traitement [1]

Transgenres - Psychologie [1]

Traumatisme cranio-cérébral [1]

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