Cognitive behavior therapy for white coat hypertension-causing latrophobia in adults: Randomized controlled trial

Shafique, Muhammad Nadeem; Khan, Rana; Razi, Muhammad Saeed; Muhammad, Saleh; Akhtar, Syed Hassan; Hussain, Muhammad Zunnurain

doi:10.5455/jpma.28788

Cited by 3 publications

(3 citation statements)

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“…[14][15][16][17] Furthermore, guidelines from the European Society of Hypertension Working Group on Blood Pressure Monitoring emphasize the importance of distinguishing patients presenting with office BP elevations from those with awake ambulatory BP measurements. 18 Moreover, our study echoes the potential therapeutic implications of addressing anxiety in the management of WCH, as evidenced by the efficacy of cognitive behavior therapy demonstrated in a randomized controlled trial conducted in a kidney center in Sialkot, Pakistan. This underscores the clinical significance of our findings, emphasizing the need for holistic approaches encompassing both physiological and psychological dimensions in the management of WCH.…”

Section: Discussionsupporting

confidence: 68%

Assessing White Coat Hypertension Prevalence and Anxiety Levels Using Beck Anxiety Inventory: A Study in Outpatient Settings

Rehman,

Noor,

Bashir

et al. 2024

Pak Heart J

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This study aimed to determine the prevalence of white coat hypertension (WCH) compared to home-based blood pressure (BP) measurements and assess anxiety levels among individuals with WCH using the Beck Anxiety Inventory. An observational cross-sectional study was conducted from March 2021 to April 2022 on individuals visiting the Outpatient Departments (OPDs) of Khyber Teaching Hospital, Peshawar. In-hospital and home BP recordings were performed, and anxiety levels were assessed using the Beck Anxiety Inventory. A sample size of 213 normotensive individuals was selected using a non-probability convenience sampling technique. Data were collected using structured questionnaires, analyzed using IBM SPSS version 26 and MS Excel 2019, and presented in tables and charts. Among the 213 respondents aged 14-67 years, comprising 164 (77%) males and 49 (23%) females, 22 (10.3%) exhibited BP readings above 140/90 in the OPD, indicative of WCH, while registering normal readings below 140/90 at home. The Beck anxiety index scores of these 22 individuals revealed varying degrees of anxiety, with 2 (9.1%) classified as Minimal, 6 (27.3%) as mild, 12 (54.5%) as Moderate, and 2 (9.1%) as severe anxiety. The prevalence of WCH underscores its clinical significance in predicting prehypertension, cardiovascular diseases (CVDs), and target organ damage. However, the propensity for labile BP in clinical environments may lead to misinterpretation, prompting unnecessary pharmacological interventions and exacerbating physical, mental, and financial distress for patients. Thus, widespread education on WCH among healthcare professionals and the public is crucial. Additionally, home-based BP measurements and ambulatory BP monitoring are advocated as preferred alternatives to mitigate the potential risks associated with WCH.

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Section: Discussionsupporting

confidence: 68%

Assessing White Coat Hypertension Prevalence and Anxiety Levels Using Beck Anxiety Inventory: A Study in Outpatient Settings

Rehman,

Noor,

Bashir

et al. 2024

Pak Heart J

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“…This can initially be achieved by changing the image of the clinic that accommodates children as well as the appearance of health professionals. Thus, the uniform could be more cheerful with the use of colours and designs and the display of children's drawings and use of bright colours can make the clinical setting a childfriendly environment [5] .…”

Section: Discussionmentioning

confidence: 99%

“…Greece and Denmark) by a tunic and trousers, usually in white colour. This attire provides healthcare professionals with comfort and more mobility [5] . Finally, there is a variety of different colours and fabrics available to choose from and thus patients can only identify health care professional such as doctors, nurse and nursing assistants by their name tag.…”

Section: Introductionmentioning

confidence: 99%

A Comparison between Greek and Danish Citizens' Perceptions of the Nursing Uniform and the Impact on Patients’ Health

Bakalis

Fabiola

Spyropoulou

et al. 2022

ijirms

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Background & Objectives: Since the 1800s, when nursing attire appeared, it has undergone many changes to offer greater practicality and flexibility during nursing tasks. The study aims to identify and compare Greek and Danish citizens perceptions of the nursing uniform and the impact it may have on patients’ health. Methods: A questionnaire was designed with a total of 33 items. Convenience sampling was used. The total sample (n=1008) included Greek (nG=469) and Danish citizens (nD=539). Results were analysed using the statistical program SPSS24. Results: The white nursing uniform prevalent in current hospitals does not negatively affect patient's health (p<0.05), and specifically does not cause patients symptoms such as anxiety (p<0.05), fear (p<0.05), increased heart rate (p<0.05), tendency to faint (p<0.05), sweating (p<0.05), shortness of breath (p<0.05) and panic attacks (p<0.05). Conclusions: A large percentage of citizens believe that nursing attire should differ in clinics that accommodate children and patients with mental illnesses.

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Assessment of Basic Life Support Knowledge among Dental Surgeons: A Descriptive Cross-Sectional Study

Sohail Raja,

Fazal,

Farah Mehmood

et al. 2023

PJHS

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This study was carried out to evaluate the knowledge and aptitude of dental surgeons regarding Basic life support in case of medical emergencies. Objective: To evaluate knowledge of BLS among dental surgeons and to see if they have adequate training to tackle medical emergencies on a dental chair. Methods: A structured pre validated questionnaire based study was conducted among dentists working in teaching hospitals of Islamabad. Participants were asked to fill in a Performa which consisted of 17 questions. A score of 1 was given in case of correct answer and 0 in case of incorrect response to all the participants. The data analysis was done using SPSS (23.0) and ANOVA test applied to the variables. Results: Age and Years of experience showed considerable difference of the knowledge with a p value of <0.05.The highest score recorded was only 14 by only 1 of the participants (0.3%). 68 out of 370 participants (almost 18.4%) scored 7 out of 17. The most correct question with 65% of positive rate was management of patient undergoing syncope on a dental chair. Out of all the 370 participants, less than 50% knowledge in 290 participants and greater than 50% knowledge was found in only 80 participants. Conclusions: This study showed limited knowledge of BLS amid practicing dental surgeons henceforth the dire need for continuous training on BLS.

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Cognitive behavior therapy for white coat hypertension-causing latrophobia in adults: Randomized controlled trial

Cited by 3 publications

References 0 publications

Assessing White Coat Hypertension Prevalence and Anxiety Levels Using Beck Anxiety Inventory: A Study in Outpatient Settings

Assessing White Coat Hypertension Prevalence and Anxiety Levels Using Beck Anxiety Inventory: A Study in Outpatient Settings

A Comparison between Greek and Danish Citizens' Perceptions of the Nursing Uniform and the Impact on Patients’ Health

Assessment of Basic Life Support Knowledge among Dental Surgeons: A Descriptive Cross-Sectional Study

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