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.

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.

- 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

This study was planned and performed to evaluate the effect of foot and hand massage on pain and anxiety management, which is one of the nonpharmacological pain relief methods in patients who undergo laparoscopic cholecystectomy. The present study was designed and conducted in the randomized controlled manner to determine the impacts of foot and hand massage on postoperative pain and anxiety scores of patients who receive laparoscopic cholecystectomy. The universe of the study consisted of the patients who received laparoscopic cholecystectomy between April 2018 and January 2019. The study was completed with 196 patients as 63 patients in the foot massage group, 65 patients in the hand massage group, and 68 patients in the control group. To collect the data, the "Descriptive Characteristics Form," "Visual Analog Scale," and "State-Trait Anxiety Inventory" were used. The pain intensity of patients in the foot massage group and hand massage group were less than in the control group at 90 and 150 minutes after intervention (P<0.05). A significant reduction was determined in the need for analgesics for the patients in the foot massage group and hand massage group compared with the control group (P<0.05). A significant positive relationship was found between pain intensity and state anxiety levels in patients of the foot massage group and hand massage group. Foot and hand massage are influential in decreasing pain and anxiety levels after surgeries for patients who undergo laparoscopic cholecystectomy.

Background: Rates of anxiety and depression are increasing among children and young people. Recent policies have focused on primary prevention of mental disorders in children and young people, with schools at the forefront of implementation. There is limited information for the comparative effectiveness of the multiple interventions available.

Methods: We did a systematic review and network meta-analysis, searching MEDLINE, Embase, PsycINFO, and Cochrane Central Register of Controlled trials for published and unpublished, passive and active-controlled randomised and quasi-randomised trials. We included educational setting-based, universal, or targeted interventions in which the primary aim was the prevention of anxiety and depression in children and young people aged 4-18 years. Primary outcomes were post-intervention self-report anxiety and depression, wellbeing, suicidal ideation, or self-harm. We assessed risk of bias following the Cochrane Handbook for Systematic Reviews of Interventions. We estimated standardised mean differences (SMD) using random effects network meta-analysis in a Bayesian framework. The study is registered with PROPSERO, number CRD42016048184.

Findings: 1512 full-text articles were independently screened for inclusion by two reviewers, from which 137 studies of 56 620 participants were included. 20 studies were assessed as being at low risk of bias for both random sequence generation and allocation concealment. There was weak evidence to suggest that cognitive behavioural interventions might reduce anxiety in primary and secondary settings. In universal secondary settings, mindfulness and relaxation-based interventions showed a reduction in anxiety symptoms relative to usual curriculum (SMD -0·65, 95% credible interval -1·14 to -0·19). There was a lack of evidence to support any one type of intervention being effective to prevent depression in universal or targeted primary or secondary settings. Comparison-adjusted funnel plots suggest the presence of small-study effects for the universal secondary anxiety analysis. Network meta-analysis was not feasible for wellbeing or suicidal ideation or self-harm outcomes, and results are reported narratively.

Interpretation: Considering unclear risk of bias and probable small study effects for anxiety, we conclude there is little evidence that educational setting-based interventions focused solely on the prevention of depression or anxiety are effective. Future research could consider multilevel, systems-based interventions as an alternative to the downstream interventions considered here.

L'anxiété s'attaque au plaisir de vivre. Elle génère la souffrance morale, le ressentiment, la dépendance affective, la frustration, l'agressivité et le découragement. Ultimement, ces profonds malaises peuvent mener aux crises de panique, à l'épuisement professionnel, à la dépression, à la perte de soi. Or, il est possible de se sortir du cercle vicieux de ces cancers de l'âme. Louise Reid apporte des solutions rapides, efficaces et durables aux personnes atteintes de désordres anxieux. Grâce à la « psychologie chirurgicale », une approche originale et révolutionnaire, elle réussit à bien cerner ce trouble pour en déterminer et éradiquer la source. Ce guide pratique présente la problématique de l'anxiété de façon claire et concise, offre des outils d'autoguérison faciles à mettre en oeuvre et propose des moyens d'intervenir concrètement pour reprendre le contrôle sur sa vie.

Vous souffrez de crises de panique, de stress, de phobies, de troubles anxieux ? Vous aimeriez retrouver, en quelques semaines, une vie plus sereine et joyeuse ?Ce livre de référence est fait pour vous !Klaus Bernhardt, psychothérapeute, vous propose une méthode très éloignée des traitements qui attendent généralement les personnes anxieuses. Ici, pas d'exercices de respiration, de recherche d'antécédents dans l'enfance, d'antidépresseurs, ni de tranquillisants. Sa thérapie, radicalement différente, s'appuie sur les dernières découvertes scientifiques sur le cerveau et son fonctionnement.Découvrez dans cet ouvrage :les causes des crises d'angoisse ;les signes annonciateurs des crises ;des exercices et des techniques simples, rapides et efficaces pour stopper les peurs, fondés sur les dernières recherches en neurosciences, comme la méthode des 10 affirmations (un entraînement mental pour reprogrammer son cerveau) et la technique des 5 canaux sensoriels.

Nous éprouvons tous de l'anxiété, mais les troubles anxieux sont une tout autre affaire. Le présent guide examine la différence entre l'anxiété normale et les divers troubles anxieux, dont le trouble panique, l'anxiété généralisée et les phobies spécifiques. Il étudie les causes des troubles anxieux et il présente une vue d'ensemble des psychothérapies et des traitements médicamenteux. Le guide présente également des stratégies à long terme pour la gestion de l'anxiété et suggère des moyens pour les familles de contribuer au rétablissement d'un être cher.