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المؤلفون: Christina M. Luberto, Lauren Stahl, Jeffrey R. Strawn, Wade Weber, Sian Cotton, Richard W. Sears, James C. Eliassen, Melissa P. DelBello, L. Rodrigo Patino
المصدر: Journal of Child and Adolescent Psychopharmacology. 26:372-379
مصطلحات موضوعية: Male, medicine.medical_specialty, Bipolar Disorder, Mindfulness, Adolescent, medicine.medical_treatment, Neuropsychological Tests, Audiology, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, medicine, Humans, Pharmacology (medical), Longitudinal Studies, Bipolar disorder, Child, Psychiatry, Mindfulness-based cognitive therapy, Cognitive Behavioral Therapy, medicine.diagnostic_test, Separation anxiety disorder, Brain, Original Articles, medicine.disease, Anxiety Disorders, Magnetic Resonance Imaging, 030227 psychiatry, Psychiatry and Mental health, Treatment Outcome, Pediatrics, Perinatology and Child Health, Cognitive therapy, Anxiety, Female, medicine.symptom, Functional magnetic resonance imaging, Psychology, Insula, 030217 neurology & neurosurgery
الوصف: We sought to evaluate the neurophysiology of mindfulness-based cognitive therapy for children (MBCT-C) in youth with generalized, social, and/or separation anxiety disorder who were at risk for developing bipolar disorder.Nine youth (mean age: 13 ± 2 years) with a generalized, social, and/or separation anxiety disorder and a parent with bipolar disorder completed functional magnetic resonance imaging (fMRI) while performing a continuous processing task with emotional and neutral distractors (CPT-END) prior to and following 12 weeks of MBCT-C.MBCT-C was associated with increases in activation of the bilateral insula, lentiform nucleus, and thalamus, as well as the left anterior cingulate while viewing emotional stimuli during the CPT-END, and decreases in anxiety were correlated with change in activation in the bilateral insula and anterior cingulate during the viewing of emotional stimuli (p 0.05, uncorrected; p 0.005 corrected; cluster size, 37 voxels).MBCT-C treatment in anxious youth with a familial history of bipolar disorder is associated with increased activation of brain structures that subserve interoception and the processing of internal stimuli-functions that are ostensibly improved by this treatment.
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المصدر: The Journal of Alternative and Complementary Medicine. 20:A71-A72
مصطلحات موضوعية: Complementary Therapies, Male, medicine.medical_specialty, Adolescent, Adolescent, Hospitalized, MEDLINE, Anxiety, Retrospective database, Chart review, medicine, Humans, Pain Management, Child, Retrospective Studies, Integrative Medicine, Massage, business.industry, Retrospective cohort study, Original Articles, Pain management, Complementary and alternative medicine, Physical therapy, Female, Integrative medicine, medicine.symptom, business, Child, Hospitalized
الوصف: Complementary or integrative care therapies are promising adjunctive approaches to pain management for pediatric inpatients that are currently underused and understudied. The purpose of this study was to examine the potential benefits of integrative care therapies delivered to hospitalized children and adolescents at a large Midwestern academic pediatric medical center over a 1-year period.A retrospective chart review of an inpatient clinical database maintained by integrative care therapists over a 1-year period was used for the current study. Pre/post pain and relaxation scores associated with the delivery of inpatient integrative care therapies (primarily massage therapy and healing touch) were examined.Five-hundred nineteen hospitalized children and adolescents were treated by integrative care therapists for primarily pain or anxiety needs. Patients had a mean age of 10.2 years (standard deviation, 7.0), 224 were female (43%), 383 were white (74%), and most (393 [77%]) received massage therapy. Mean pain and relaxation scores decreased significantly from pre- to post-therapy across all demographic and clinical subgroups (p≤.001).Although integrative care therapies are increasingly requested and offered in children's hospitals, provision of these approaches is driven primarily by consumer demand rather than evidence-informed practice. Future controlled studies should examine the incremental effects of integrative care therapies as an adjunct to conventional treatment, assess how these therapies work mechanistically, and determine whether they improve outcomes, such as pain and cost, for hospitalized children and adolescents.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5ef368a174cd6b83b120e9b1f1869dab
https://doi.org/10.1089/acm.2014.5187.abstract
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