Integrative Approaches to Stress Management

Carlson, Linda E.; Toivonen, Kirsti; Subnis, Utkarsh

doi:10.1097/ppo.0000000000000395

Cited by 19 publications

(16 citation statements)

References 83 publications

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“…There are different strategies to cope with stressful events, including, for example, cognitive-behavioral skills training, yoga, massage, mindfulness-based interventions, but also medication [3][4][5][6]. Medications may be antidepressants or, to reduce acute stress, benzodiazepines or other GABA (Gamma aminobutyric acid)-like substances, which are known to be linked to the risk of addiction [7].…”

Section: Introductionmentioning

confidence: 99%

Effects of Open-Label Placebos on State Anxiety and Glucocorticoid Stress Responses

2021

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Stress belongs to the most frequent negative feelings people are confronted with in daily life. Strategies against acute stress include, e.g., relaxation techniques or medications, but it is also known that placebos can successfully reduce negative emotional stress. While it is widely held that placebos require deception to provoke a response, recent studies demonstrate intriguing evidence that placebos may work even without concealment (e.g., against anxiety or pain). Most of these studies are based on self-report questionnaires and do not include physiological measures. Here we report results of a study examining whether placebos without deception reduce acute stress. A total of 53 healthy individuals received either placebos without deception or no pills before participating in a laboratory stress test (Maastricht Acute Stress Test, MAST). We recorded self-report stress measures and cortisol responses before and after the MAST. Results showed no significant differences between the placebo and the control group, but when comparing participants with high relative to low beliefs in the power of placebos we found significant lower anxiety and cortisol responses for the placebo believers. These results show that non-deceptive placebos may successfully reduce acute anxiety and stress, but only in participants who had a strong belief in placebos. We discuss the results by suggesting that open-label placebos might be a possible treatment to reduce stress at least for some individuals.

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Section: Introductionmentioning

confidence: 99%

Effects of Open-Label Placebos on State Anxiety and Glucocorticoid Stress Responses

2021

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“…Um ensaio clínico destinado a pacientes com dor crônica propôs comparar modos de entrega de uma MBI, observando que tanto a entrega presencial como por videoconferência trouxera ganhos semelhantes em saúde mental e na redução da catastrofização da dor em relação aos controles (Gardner-Nix et al, 2008). Carlson et al (2019) aponta a relevância de pesquisas com programas de mindfulness entregues por meio de aplicativos, garantindo que pacientes que não possam comparecer em programas guiados online recebam uma "dose" menor de treinamento (Carlson et al, 2019). Desta forma, o objetivo desta revisão integrativa foi analisar os efeitos de MBIs oferecidos via internet, seja no modo síncrono guiado por um instrutor, ou de forma assíncrona ou por meio de aplicativos ou websites, para pessoas com diferentes tipos de câncer.…”

Section: Introductionunclassified

Efeitos de programas baseados em mindfulness oferecidos pela internet para pacientes com câncer: revisão integrativa de ensaios clínicos randomizados.

Souza

Greve

Pinto

et al. 2022

RSD

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Objetivo: Analisar ensaios clínicos randomizados que avaliaram os efeitos de intervenções baseadas em mindfulness oferecidas pela internet, como tratamento complementar para pacientes com diferentes tipos de câncer. Método: Foram construídas estratégias de buscas específicas para cada base de dados, com descritores controlados e não controlados, operadores booleanos e truncamentos. As buscas para seleção dos estudos foram realizadas nas bases de dados: Pubmed/Medline, PsycoInfo, Web of Science e Clinicaltrials.gov. Resultados: Foram incluídos 8 estudos na revisão integrativa, 2 destes ainda estão em desenvolvimento. Participaram dos estudos finalizados 714 indivíduos com diagnóstico de câncer de quaisquer tipo ou localização. As intervenções online baseadas em mindfulness avaliadas nos estudos incluídos, evidenciaram efeitos positivos em desfechos relevantes para saúde psicológica dos pacientes, tais como ansiedade, depressão, humor, sono, qualidade de vida, estresse, fadiga, crescimento pós-traumático, bem-estar, espiritualidade. Conclusão: Intervenções baseadas em mindfulness por meio da internet tem se mostrado terapias promissoras para a promoção da saúde com foco na qualidade de vida e redução do sofrimento psicológico.

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“…This condition will be a high stress or for cancer patients to trigger prolonged depression, anxiety, and stress (Edwards and Clarke, 2004). Furthermore, symptoms that arise due to cancer patients such as fatigue, insomnia, pain, or other symptoms can worsen anxiety and stress experienced (Carlson et al, 2019). Stress can be assessed quantitatively through active biological substances in body luids related to stress.…”

Section: Introductionmentioning

confidence: 99%

“…The biological stress response involves stress hormones such as nor epinephrine, epinephrine, and cortisol. Research shows that psychological stress can increase basal cortisol levels and decrease acute cortisol (Carlson et al, 2019). Research on foot re lexology on cortisol levels has been carried out, such as the (McVicar et al, 2007) study that used caterpillar techniques and (Mackereth and Booth, 2009) using the Ingham method (McVicar et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Foot Reflexology Massage in Reducing Cortisol Saliva Levels as a Biomarker of Stress for Patients with Cancer

Prima¹,

Pangastut²,

Setiyarini³

et al. 2020

ijrps

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Patients with cancer will experience limitations in meeting their daily needs, including psychological problems such as stress. Stress can be assessed through cortisol saliva as a biomarker of stress. Foot Reflexology will help restore the body's energy balance, stimulate relaxation and endorphins, and reduce stress. To determine the effect of foot reflexology to reduce salivary cortisol levels as a biomarker of anxiety for patients with cancer. Adult patients with cancer in stage II and III hospitalized in a Public hospital in Central Java, Indonesia, were invited. Foot reflexology was given once (40 minutes) a day. Saliva collection was carried out two times a day (30 minutes before intervention) and 15 minutes after intervention. Salivary cortisol levels at baseline and post-intervention were measured and compared to determine the effect of foot reflexology. Data were analyzed using the Wilcox on signed-rank and effect size (ES) test. Fifty-five patients (93.2%) participated in this study. We found that the effect size of foot reflexology was 0.82 (ρ = 0.001) with a mean and standard deviation of salivary cortisol levels at baseline and post-intervention were (9.31 ± 5.45 and 6.17 ± 4.55) respectively. These findings indicated the significant effect of giving Foot Reflexology Massage in reducing salivary cortisol levels. Foot Reflexology massage is proven to have a substantial impact on reducing the Salivary cortisol level as a stress biomarker.

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Integrative Approaches to Stress Management

Cited by 19 publications

References 83 publications

Effects of Open-Label Placebos on State Anxiety and Glucocorticoid Stress Responses

Effects of Open-Label Placebos on State Anxiety and Glucocorticoid Stress Responses

Efeitos de programas baseados em mindfulness oferecidos pela internet para pacientes com câncer: revisão integrativa de ensaios clínicos randomizados.

The Effectiveness of Foot Reflexology Massage in Reducing Cortisol Saliva Levels as a Biomarker of Stress for Patients with Cancer

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