Journal of psychosomatic research
-
Randomized Controlled Trial Comparative Study
A pilot randomized control trial investigating the effect of mindfulness practice on pain tolerance, psychological well-being, and physiological activity.
To investigate the effect of mindfulness training on pain tolerance, psychological well-being, physiological activity, and the acquisition of mindfulness skills. ⋯ Mindfulness training did increase pain tolerance, but this was not related to the acquisition of mindfulness skills.
-
Randomized Controlled Trial
Cost-effectiveness of a nurse-led case management intervention in general medical outpatients compared with usual care: an economic evaluation alongside a randomized controlled trial.
The objective of this study was to evaluate the cost-effectiveness of a nurse-led, home-based, case-management intervention (NHI) after hospital discharge in addition to usual care. ⋯ NHI is not a cost-effective intervention. We do not recommend the implementation of this intervention in populations that do not consist of severely vulnerable and complex patients. Future studies should include complexity assessment on inclusion and evaluate the effectiveness and cost-effectiveness of this intervention in patients with more complex profiles.
-
Randomized Controlled Trial
Effectiveness of a meditation-based stress management program as an adjunct to pharmacotherapy in patients with anxiety disorder.
The objective of this study was to examine the effectiveness of a meditation-based stress management program in patients with anxiety disorder. ⋯ A meditation-based stress management program can be effective in relieving anxiety symptoms in patients with anxiety disorder. However, well-designed, randomized, and controlled trials are needed to scientifically prove the worth of this intervention prior to treatment.
-
Randomized Controlled Trial Comparative Study
Cognitive and emotional factors in placebo analgesia.
Information that a painkiller has been administrated induces an expectancy of reduced pain, and the expectancy has been shown to reduce pain. This is termed placebo analgesia. We hypothesized that an expectancy of reduced pain reduces stress. ⋯ Placebo analgesia is not related to stress and is influenced by the social context in which pain is recorded.
-
Randomized Controlled Trial Comparative Study
A 1-year prospective study of individual variation in distress, and illness perceptions, after treatment for breast cancer.
The primary objective was to conduct a detailed analysis of individual variation in psychological morbidity in the year following surgery for breast cancer. The salience of the patients' "illness perceptions" to morbidity was examined as a secondary objective. ⋯ There is marked individual variation in psychological morbidity in the year following breast cancer surgery, which is reliably predicted by the patient's immediate postoperative state of distress, her perception of the impact of the symptoms and the time line of the disease. Subgroups of patients with chronically high distress are characterised by factors including personality and negative perceptions and beliefs about their illness.