Decrease In Anxiety Levels Research Articles

Changes in mental health and illness perception in patients with hypertrophic cardiomyopathy referred to hybrid cardiac telerehabilitation in comparison to usual care - a randomised-control trial

Abstract Purpose Hypertrophic cardiomyopathy (HCM) is a complex cardiac disorder, that influences patients' physical capacity and quality of life, as well as the risk of sudden cardiac death (SCD). Patients with HCM often experience emotional distress due to the uncertainty of their condition and have a threatening illness perception (the way individuals make sense of their illness, which can have a significant impact on adherence to treatment). Current studies suggest that some HCM patients could benefit from hybrid cardiac telerehabilitation (HCTR) in terms of somatic and psychological status. This study is part of a research project investigating the safety and effectiveness of hybrid cardiac telerehabilitation for HCM patients. The specific focus of this part is to evaluate the changes in mental health status and illness perception of HCM patients who have been referred for cardiac telerehabilitation compared to those receiving usual care. Methods An RCT study was conducted, with the inclusion criteria for the study of being above 18 y.o., HCM without LVOT obstruction, NYHA Class II or III, LVEF ≥ 50%, and having CIED. The study involved telerehabilitation (HCTR) and control (CG) groups. Both groups were completing questionnaires assessing illness perception (Brief IPQ) and overall psychosocial distress (GHQ-28) with its 4 domains: somatic symptoms, anxiety, social impairment, and depression. Psychological assessment was performed at the beginning and at the end of telerehabilitation/outpatient care, and at 3, 6 and 12 months after the end of care (T1/T2/T3/T4/T5). Results There was a significant improvement in the overall distress level in the HCTR group (p=0.003) but not in the CG (p=0.559). It remained significant in the HCTR group for the T2 (p<0.001), T3 (p=0.008), and T4 (p<0.001). The positive change was observed in somatic symptoms only in the HCTR group: for T2 (p=0.025) and T3 (p=0.032) compared to the T1. The gradual decrease in anxiety level was observed in the HCTR group, but not in the CG, with a significant difference for T4 (p=0.013) compared to T1. Although there was an improvement in social impairment in both groups (p=0.049 for the CG, and p=0<0.001 for the HCTR group), only in the HCTR group it held a stable pattern after the intervention (p<0.001 for T2; p=0.013 for T3; p=0.032 for T4). There were no changes in the level of depressive symptoms in either of the compared groups. There were also no significant differences in the illness perception (p=0.200 for the HCTR group and p=0.090 for the CG), although the HCTR group showed short-term improvement after three months of HCTR (T2) (p=0.032). Conclusions There are significant benefits of hybrid cardiac telerehabilitation for mental health, level of distress, and illness perception in HCM patients. It is worth noticing that this improvement is short-term, and prolonged effects might require providing additional support during extended care.overall distress in HCTR vs CGsubscales of GHQ_28 in HCTR vs CG

Hypnotherapy Technique to Reduce Anxiety Levels in Elderly with Hypertension

Background: One of the non-pharmacological intervention that can be used is hypnotherapy. This intervention uses suggestions that will relax the client's condition so that the brain produces the hormones serotonin, endorpine, and activation of autonomic nerve responses. At the same time the neuroendocrine system will also lower levels of cortisol, glucocorticoids, gonadocorticoids, epinephrine, norepinephrine and will act directly on the alpha androgenic receptors of vascular smooth muscle, thus causing vasodilation of blood vessels, lowering total peripheral pressure and decreasing blood pressure, pulse, and breathing. Objectives: This study is to determine the effect of hypnotherapy techniques on reducing anxiety levels in elderly families with hypertension at RT 10/RW 05 Lenteng Agung, South Jakarta. Methods: This study employed a quantitative pre-experimental design with a one-group pre-test post-test approach to examine the effect of an intervention on anxiety levels in elderly individuals with hypertension. The study population consisted of 39 elderly individuals, with 15 participants meeting the inclusion criteria. Data were collected in 2023, and the sample was selected using total sampling, consisting of 9 women and 6 men. Participants were observed before and after the intervention to assess changes in anxiety levels. Results: This study showed that after being given hypnotherapy technique treatment, the majority experienced a decrease in anxiety levels, namely mild anxiety as many as 11 elderly (73.3%) and respondents who experienced moderate anxiety as many as 4 elderly (46.7%) Conclusion: The majority of elderly individuals with hypertension experienced severe anxiety before receiving hypnosis techniques. After the application of hypnosis, most experienced a reduction in anxiety to mild levels. This demonstrates that hypnosis techniques have a significant effect in reducing anxiety levels in elderly individuals with hypertension

Determining the Impact of Adaptive Games on the Individuals’ Psycho-Emotional State among Different Age Groups in Poland and Ukraine

Objectives. The study aimed to determine the effectiveness of implementating projects for the introduction of adaptive sports games on the psycho-emotional state of different population groups in Poland and Ukraine. Materials and methods. A total of 341 individuals were involved in the study: 117 children (8-12 years old), 118 middle-aged people (35-60 years old), and 116 elderly people (60 years and older). The participants of the study were divided into two groups: those who took part in the Polish project “Academic Center of Sports and Health Games for Activation of People with Special Needs” (56 children, 65 adults, 73 elderly people), and those who took part in the Polish-Ukrainian project, which was conducted directly in Ukraine, “Ukrainian Center of Occupational Therapy through Adaptive Games” (61 children, 53 adults, 44 elderly people). All study participants were engaged in adaptive games (Cornhole, Jacollo, Elastik, Kulbutto, Boccia, Paka laka) for the first time. At the beginning and end of the event on adaptive games, a survey of participants was conducted. To determine the psycho-emotional state of children, the WAM method (well-being, activity, mood) was used, and the features of adults’ psychological state were assessed using the standard test AWAMW (anxiety, working capacity, activity, mood, well-being). Results. The analysis of the obtained study results revealed positive changes in the psycho-emotional state of different population groups in Poland and Ukraine under the influence of adaptive sports games. Furthermore, the adult population, including the elderly of Poland and Ukraine, demonstrated decreased anxiety levels and a significant enhancement in activity, mood and well-being due to engaging in adaptive sports games. Conclusions. This study emphasizes the potential of adaptive sports games to improve the mental health of different population groups. The findings also indicate the effectiveness of implementating projects for the introduction of adaptive games on the psycho-emotional state of different population groups both in Poland and Ukraine.

Exploring the physiological response differences of β-caryophyllene, linalool and citral inhalation and their anxiolytic potential

Essential oils with β-caryophyllene, citral, and linalool as key compounds often exhibit some anti-anxiety like effects in aromatherapy. However, evidence of the effect of these three compounds through human inhalation remains limited. It is worth exploring their potential anxiolytic effect through the olfactory pathway, and finding out whether the three compounds lead to different physiological responses. A total of 48 subjects were randomly assigned to three odor (β-caryophyllene, citral, and linalool) inhalation groups and one control (odorless jojoba oil) group. Stress stimulation was induced using n-back and mental arithmetic tasks. The odor was administered before the task test session. Assessments including the State-Trait Anxiety Inventory (STAI), electroencephalogram (EEG) activities, facial expressions, several physiological indicators, and a self-report scale of subjective perception of the odor environments were carried out. The changes before and after inhalation, as well as the inter-group differences, were analyzed. Both β-caryophyllene and citral inhalation led to a significant decrease in anxiety levels, while only β-caryophyllene resulted in a notable reduction across both sub-scales of STAI. Following the odor inhalation, heart rate significantly decreased in all three groups, with the β-caryophyllene group exhibiting the most pronounced decline. While the systolic blood pressure of the linalool group demonstrated a statistically significant difference. Regarding facial expressions, β-caryophyllene significantly increased the ratio of 'Happiness' and decreased the ratio of ‘Fear'. In the non-task state, citral reduced the power of frontal alpha, delta, and theta waves while β-caryophyllene had a similar effect. All odor inhalation groups showed increased delta and theta waves after the task compared with the control group, with the β-caryophyllene group having notably lower frontal beta waves. β-Caryophyllene and citral exhibited good anti-anxiety effects. Subjects receiving different odors showed different EEG and physiological responses, indicating the differences in emotional regulation ways among the three compounds.

Anxiety of Patients Undergoing Magnetic Resonance Imaging (MRI): The Effectiveness of Guided Mental Imagery.

Since magnetic resonance imaging (MRI) is an extensively used and fundamental diagnostic imaging method and anxiety is one of the most important confounding factors in its performance, using guided imagery is recommended. This study aimed to assess the effectiveness of guided imagery on the anxiety of patients undergoing MRI in 2023. 88 patients were randomly assigned to intervention and control groups. The intervention group listened to the nature-based guided imagery audio file during their scan, and the control group did not receive any intervention. Data were collected using demographic information and the Spielberger Anxiety Questionnaire before and after the scan. There was no significant difference between the 2 groups before the intervention regarding demographic data and anxiety. In the intervention group, the mean anxiety decreased from 104.0 ± 14.6 to 92.4 ± 9.0, showing a significant reduction in the level of anxiety in both subscales (state and trait) and the total score (P < 0.001), compared with the control group and before the intervention. The results showed that using guided imagery could decrease anxiety levels in patients undergoing MRI. Since patients' anxiety is one of the most important nursing diagnoses, performing cognitive methods, including guided imagery, as a simple, safe, inexpensive, and effective intervention should be considered.

Calcium Hexacyanoferrate (III) Nanocatalyst Enables Redox Homeostasis for Autism Spectrum Disorder Treatment.

Autism spectrum disorder (ASD) is a multifaced neurodevelopmental disorder with considerable heterogeneity, in which over-generated reactive oxygen species (ROS) induce a cascade of pathological changes, including cellular apoptosis and inflammatory responses. Given the complex etiology of ASD, no effective treatment is available for ASD. In this work, a specific catalytic nanoenzyme, calcium hexacyanoferrate (III) nanocatalysts (CaH NCs), is designed and engineered for efficient ASD treatment. CaH NCs can mimic the activities of natural enzymes including superoxide dismutase, peroxidase, catalase, and glutathione peroxidase, which mitigates intracellular excessive ROS and regulates redox equilibrium. These CaH NCs modulate mitochondrial membrane potential, elevate B-cell lymphoma-2 levels, and suppress pro-apoptotic proteins, including Caspase-3 and B-cell lymphoma-2-associated X, thus effectively reducing cellular apoptosis. Importantly, CaH NCs alleviate inflammation by upregulating anti-inflammatory cytokine interleukin-10 and downregulating pro-inflammatory factors, resulting in attenuated activation of microglial and astrocytic and subsequent reduction in neuroinflammation. Subsequently, CaH NCs enhance social abilities, decrease anxiety levels, ameliorate repetitive behaviors, and improve learning and memory in ASD animal models through inflammation regulation and apoptosis inhibition. The CaH NCs in managing and preventing ASD represents a paradigm shift in autism treatment, paving the alternative but efficient way for clinical interventions in neurological conditions.

STUDI KASUS: COGNITIVE BEHAVIOR THERAPY UNTUK MENGURANGI KECENDERUNGAN KECEMASAN SOSIAL PADA SISWA SEKOLAH DASAR

Excessive feelings of fear characterize students with social anxiety and worry and avoidance of social situations, especially in the school environment. Students quickly feel nervous and anxious when they are in a crowded environment or public place, such as avoiding appearing in front of the class, not daring to refuse or reprimand others, speaking in a low voice, not daring to answer or ask questions, not looking the other person in the eye, and being afraid. Others poorly view them. This case study involves a fifth-grade elementary school (Sekolah Dasar/SD) student who has experienced social anxiety for the past year. The subject feels uncomfortable in crowded places and has negative thoughts about other people's views of him. Assessment is carried out by observation, interviews, psychological tests (WISC, CSCT, graphic), and the Liebowitz social anxiety scale. The intervention provided to reduce social anxiety in subjects used a cognitive-behavioral approach, namely, Cognitive Behavior Therapy, carried out for nine sessions. The intervention results showed that the subjects could identify irrational thoughts and change them to be more rational, decreasing anxiety levels when appearing in front of the class and interacting with other people in the class and school environment according to the predetermined intervention targets.

Shared decision-making and disease management in advanced cancer and chronic kidney disease using patient-reported outcome dashboards.

To assess the use of a co-designed patient-reported outcome (PRO) clinical dashboard and estimate its impact on shared decision-making (SDM) and symptomatology in adults with advanced cancer or chronic kidney disease (CKD). We developed a clinical PRO dashboard within the Northwestern Medicine Patient-Reported Outcomes system, enhanced through co-design involving 20 diverse constituents. Using a single-group, pretest-posttest design, we evaluated the dashboard's use among patients with advanced cancer or CKD between June 2020 and January 2022. Eligible patients had a visit with a participating clinician, completed at least two dashboard-eligible visits, and consented to follow-up surveys. PROs were collected 72 h prior to visits, including measures for chronic condition management self-efficacy, health-related quality of life (PROMIS measures), and SDM (collaboRATE). Responses were integrated into the EHR dashboard and accessible to clinicians and patients. We recruited 157 participants: 66 with advanced cancer and 91 with CKD. There were significant improvements in SDM from baseline, as assessed by collaboRATE scores. The proportion of participants reporting the highest level of SDM on every collaboRATE item increased by 15 percentage points from baseline to 3 months, and 17 points between baseline and 6-month follow-up. Additionally, there was a clinically meaningful decrease in anxiety levels over study period (T-score baseline: 53; 3-month: 52; 6-month: 50; P < .001), with a standardized response mean (SRM) of -0.38 at 6 months. PRO clinical dashboards, developed and shared with patients, may enhance SDM and reduce anxiety among patients with advanced cancer and CKD.

Reducing anxiety and enhancing satisfaction in thyroid patients with DietLens application during radioactive iodine therapy: A quasi-experimental study

Hyperthyroidism and thyroid cancer significantly impact health, and often require Radioactive Iodine (RAI) therapy. Anxiety is common in patients undergoing RAI, particularly related to dietary compliance. This study aimed to assess the effectiveness of the mobile health application, DietLens in reducing anxiety and increasing satisfaction in patients preparing for RAI therapy, focusing on low-iodine diet (LID). A quasi-experimental study was conducted in a Singapore tertiary hospital outpatient department from March 13, 2019 to March 27, 2020, involving patients scheduled for their first RAI treatment. Participants were divided into a control group receiving standard care and an intervention group using DietLens alongside standard care. Anxiety levels were assessed using the Zung Self-Rating Anxiety Scale, and satisfaction levels were measured through self-reported questionnaires. In the study, 56 participants were initially divided into control (n = 28) and intervention (n = 28) groups. After accounting for dropouts, 50 participants finished the study, with each group comprising 25 individuals. Anxiety levels were similar between groups pre-intervention. Post-intervention, the intervention group displayed a significant decrease in anxiety levels compared to the control group (independent t-test: t (48) = 2.50, p = 0.02). The multivariate linear regression analysis indicated that being in the intervention group was significantly associated with a decrease in post-intervention anxiety score (β = −4.03, 95 % CI: −7.33 to −0.72, p = 0.02). Fisher's Exact Test revealed a borderline significant difference in satisfaction with educational materials and the overall treatment process, with 100 % of the intervention group expressing satisfaction compared to 80 % in the control group, resulting in a p-value of 0.052 in both instances. DietLens was effective in reducing anxiety and enhancing satisfaction related to RAI therapy preparation, particularly in managing a LID, highlighting a beneficial role for digital interventions in healthcare settings.

Effects of Sensory-Motor Perception and Movement Trainings in 2-6 Years Old Children Having Developmental Problems on Development Area and Emotional and Behavioral Problems

This study aimed to examine the effects of sensory-motor perception and movement training on the developmental areas and emotional and behavioral problems of children with neurodevelopmental problems. The sensory-motor perception and movement training program applied in this work focused on the personal and social, fine and gross motor, receptive and expressive language, emotion, and behavior issues of 15 children aged 2 to 6 years consisting of nine children with Autism Spectrum Disorder, three children having Speech Disorder, and three children having General Development Delay. The program was applied for 18 weeks, six days a week and two hours per day, for a total of 216 hours. The Denver-II development scale and the Child Behavior Checklists (separately for ages of 2-3 and 4-6) were used to create the pretest-posttest design. Using these data, the positive impacts of training on development areas as well as emotional and behavioral issues were measured. According to the Wilcoxon signed-rank test results, children’s Denver-II development scale and its sub-dimensions’ scores after sensory-motor perception and movement training improved significantly (p&amp;lt;0.05). When the pretest and posttest averages of Child Behavior Checklist for children aged 2-3 and 4-6 were compared, internalizing, externalizing, and overall scores decreased significantly after sensory-motor perception and movement training (p&amp;lt;0.05). In conclusion, children with developmental problems aged 2 to 6 who received sensory-motor, perception, and movement training showed significant decrease in anxiety levels, significant reduction in aggressive and destructive behavior, and significant improvement in fine- and gross-motor abilities as well as language and social skills.

Examining the Mediating Role of Resilience and Life Satisfaction in the Relationship Between Anxiety Sensitivity and Perceived Stress.

This study examines the mediation role of life satisfaction and resilience variables in the relationships between anxiety sensitivity and perceived stress. The data was collected with the Anxiety Sensitivity Index-3, Life Satisfaction Scale, Perceived Stress Scale, and Brief Psychological Resilience Scale from 347 university students (Mage = 23.15, SD = 5.15; 70% girls, 30% boys). The analyses were examined by structural equation modeling using AMOS 24. The findings suggest that students with high anxiety sensitivity and perceived stress have low resilience and life satisfaction levels. More importantly, resilience and life satisfaction were found to have partial mediation. As a result, it is seen that anxiety sensitivity has a significant effect on reducing perceived stress by increasing students' resilience and life satisfaction. Therefore, this situation facilitates decreased anxiety levels, greater satisfaction with life, and more robust mental health.

Relationship between stress, anxiety and family environment in Turkish married individuals

ABSTRACT The purpose of this study is to determine how the family environment affects the stress and anxiety levels of married women and men living in the city center of Antalya. The study was defined as a descriptive quantitative research and 455 married individuals attended. Between 20 February and 20 April 2022, data were gathered at parks, bazaars, markets, streets, restaurants, and private workplaces in the Antalya city center’s Kepez, Konyaaltı, and Muratpaşa districts. The findings showed that there was a positive and weak correlation (r = 0.306) between stress and anxiety that the participants felt. The family environment had a weak and negative correlation with anxiety. The increase in the perceptions of the participants about the anxiety state elevated their stress levels (R2=.093). The increased perceptions of the family environment also decreased anxiety levels (R2=.052). It can be asserted that the family environment had a direct effect on the anxiety level of individuals and an indirect impact on their stress levels. Psychosocial interventions offer important and valuable insight for helping married individuals reduce their anxiety and stress levels.

A Systematic Review of Resilience, Anxiety, and Suicidal Ideation in Adolescents

Suicide is a big challenge in India. Adolescents frequently experience anxiety and suicidal ideation worldwide. Resilience is the capacity to bounce back from adversity and adjust to challenging circumstances. The purpose of this research is to understand the relationship between anxiety and resilience in suicidal ideation. We studied 54 citations of which 13 were found to be relevant and included in this study. The finding of the study is that there is a significant relationship between the level of anxiety with suicidal ideation. It is also found that resilience is negatively correlated with suicidal ideation. Internal elements (personal traits, positive self-esteem and coping abilities) and external factors (inclusive environments and social support systems) all contribute to youth resilience, with age, gender, and indigenous identity playing crucial intersecting roles. Throughout the result, it can be concluded that a significant positive correlation was found between suicidal ideation and anxiety in adolescents. Adolescent suicide ideation decreases with decreasing anxiety levels. Suicidal ideation and resilience were discovered to be strongly and negatively associated to each other. The main strategy to prevent youth suicide is to foster resilience, however it's unclear how exactly these factors could shield young people from suicidality. From the conclusion, it is suggested that more intervention techniques be introduced that promote resilience among adolescents specifically, should be taken into consideration and incorporated into the school, and college curriculum.

Empowering families intervention and elderly groups to reduce the anxiety levels of elderly with diabetes mellitus in Indonesia

Optimal care for elderly individuals with diabetes mellitus requires the involvement of both family members and elderly groups. This research investigated the impact of empowering elderly caregivers and families to provide independent care for individuals with diabetes mellitus and decrease their anxiety levels. The study utilized a quasi-experimental design with a comparison group design involving intervention and comparison groups comprising 128 elderly individuals and 128 families. The HARS questionnaire and researchers' family capability questions were used in a two-month intervention aimed at assisting elderly people with diabetes mellitus to manage their anxiety levels independently. Families in independent care received weekly assistance from elderly individuals and nurses. The intervention given to the elderly and their families in the intervention group was an elderly and family empowerment program for caring for elderly patients with diabetes mellitus. Following the intervention, a post-test was administered to respondents to assess their anxiety levels using the HARS questionnaire, which was analyzed using both independent and dependent T tests. The intervention significantly improved the family's knowledge, attitudes, and skills in caring for the elderly (p = 0.001). The intervention group showed a significant decrease in anxiety levels, as indicated by a p-value of 0.003. In conclusion, empowering families and the elderly group enhances their ability to care for elderly people with diabetes mellitus independently at home and reduces their anxiety levels. This study emphasizes the significance of education and support for families and elderly caregivers in enhancing their caregiving abilities, improving outcomes, and reducing anxiety.

Using a Biofeedback-Based Mindfulness Practice System to Enhance Mindfulness and Alleviate Anxiety in College Students: A Randomized Controlled Trial.

Objective: College students experience intense anxiety, for which biofeedback mindfulness techniques show effectiveness in relief. However, typical biofeedback products often lead to user fatigue and boredom because of a single or fixed feedback and lack of focus on mindfulness enhancement. Materials and Methods: In this research, we developed Mindjourney, a VR-based respiratory feedback mindfulness system, designed to enhance mindfulness and alleviate anxiety through continuous/noncontinuous feedback and nonjudgmental reward/punishment for self-perception and attention management. A randomized controlled trial involved 72 college students, split equally into short-term (n = 34, age: 23.11 ± 1.729) and 4-week long-term (n = 38, age: 24.12 ± 1.408) groups, with equal randomization for intervention and control groups. Pre/postintervention tests were measured by using Trait Anxiety Inventory (TAI) and Five Facet Mindfulness Questionnaire (FFMQ) for long-term groups and Galvanic Skin Response and State Anxiety Inventory (SAI) for short-term groups. Results: Results showed that the long-term intervention group showed a significant increase in mindfulness (P = 0.001 for FFMQ total score). Furthermore, observe and act with awareness subscales showed significant increase after intervention (P = 0.034 for observe, P < 0.001 for act with awareness) compared with the control group. Both intervention groups demonstrated a significant decrease in anxiety levels compared with the control groups (P = 0.049 for SAI, P = 0.01 for TAI). Moreover, participants expressed high interest in this biofeedback mindfulness system and willingness for long-term usage. Conclusion: The proposed biofeedback mindfulness practice system could potentially facilitate mindfulness practice and serve as a convenient tool for anxiety relief in campus college students.

Efektivitas Terapi Relaksasi Hand Massage Dalam Mengurangi Kecemasan Pra-Operasi Pada Pasien Kistektomi: Studi Kasus

Background: A study showed that 23.99% of patients experienced severe preoperative anxiety and had adverse effects such as increased blood pressure, contraction of arteries, tachycardia, decreased pressure in some tissues which stimulates the sympathetic nervous system which will affect the healing process, so treatment is necessary pharmacologically and non-pharmacologically. Hand massage is a non-pharmacological way to reduce anxiety. Objective: To measure the effect of hand massage relaxation therapy on anxiety levels in pre-cystectomy patients. Method: This research is a case study with nursing intervention carried out, namely hand massage relaxation therapy on the level of anxiety in Mrs. R pre-operative cystectomy patients for 3 days with a massage duration of 15 minutes and evaluation of anxiety scores using the HARS assessment. Results: The results of this study showed that there was a decrease in anxiety levels using the HARS score from scale 18 with mild anxiety on the first day and scale 7 with no anxiety on the third day. A decrease in the HARS score of 11 indicates that hand massage therapy is effective in reducing anxiety in pre-operative patients. Conclusion: These findings indicate that hand massage therapy can be an effective intervention to reduce pre-operative patient anxiety.

Effectiveness of Preoperative Alpha Wave Entrainment in Pediatric Dental Patients: A Randomized Controlled Trial.

Background Pediatric dental anxiety is a significant barrier to effective dental care, necessitating non-pharmacological interventions. Alpha wave entrainment has shown promise in adult studies for reducing procedural anxiety and pain perception, but its effectiveness in pediatric dental settings remains underexplored. Objective This study aims to evaluate the effectiveness of preoperative alpha wave entrainment in alleviating anxiety in gender-specific participants to the interventions. Methods We conducted a randomized controlled trial involving 252 pediatric patients (aged 7-12) with cooperative dispositions. Participants were randomly assigned to either an experimental group receiving alpha wave entrainment or a control group receiving conventional behavior management techniques. The experimental interventioninvolved 10-minute sessions of binaural beats with visualstimulation designed to induce alpha-wave synchronization. Anxiety levels were assessed using physiological measures (heart rate and blood pressure), both pre- and post-interventions. Results The intervention group demonstrated a significant reduction in heart rate and systolic blood pressure post-intervention compared to the control group. These changes indicate a decrease in anxiety levels, with no significant gender differences in the response to the intervention. Conclusion Alpha wave entrainment effectively reduces dental anxiety in pediatric patients, with similar efficacy observed across genders. This study supports the incorporation of alpha wave entrainment into pediatric dental practices as a viable alternative to traditional anxiety management techniques.

The Effect of Five-Finger Relaxation Technique on Anxiety and Stress in Non-Hemorrhagic Stroke Patients at the Inpatient Installation of RSUD Cimacan Cianjur District

Aims: The purpose of this study was to examine the effect of five-finger relaxation technique on anxiety and stress in hemorrhagic stroke patients at Cimacan Hospital. Methods: This study used quasi-experiment with nonequivalent control group design. Sample collection using purposive sampling. The sample was 40 people and divided into two groups with 20 people each for the intervention group and control group. Data analysis using Paired Sample T-Test and Independent Sample T-Test. Results: The results showed that after the five-finger relaxation technique was performed on the intervention group, there was a decrease in anxiety levels (p = 0.000) and stress (p = 0.000) in stroke patients, while in the control group there was a decrease in anxiety (p = 0.000) and stress (p = 0.000), and there was a difference between anxiety levels (p = 0.000) and stress (p = 0.000) in the intervention and control groups. Conclusion: There is an effect of five-finger relaxation technique on anxiety and stress in non-hemorrhagic stroke patients, and there are differences in anxiety and stress in the control and intervention groups. It is hoped that this five-finger relaxation technique can be used as an evidence base nursing on non-pharmacological treatment as a form of independent nursing intervention by a nurse in providing nursing care to help in the process of reducing anxiety and stress in stroke patients.

Effectiveness of psychotherapeutic nursing intervention on infertility stress, uncertainty, anxiety and implantation rate among women undergoing in-vitro fertilization treatment: A single centre pilot randomized controlled trial.

Background: Within the realm of mental distress experienced by women who are unable to conceive, tension, uncertainty, and anxiety are prevalent concerns. The multitude of unpredictable elements that occur during IVF treatment process can cause anxiety and stress. This unpleasant feeling has an impact on the psycho-neurological pathways of women who are unable to conceive. As a consequence, fertilisation and implantation are inhibited, leading to adverse effects on pregnancy. The individual's experience will vary depending on the extent of social support, the coping mechanisms employed, the quality of the marital connection, and the level of stress caused by infertility. Material and method: The study was carried out on 20 women undergoing IVF treatment. Participants were selected by simple random sampling technique. (COMPI) Fertility Problem Stress Scale, Uncertainty Scale for Infertile Women and Short Version of the Spielberger State—trait Anxiety Inventory were used to assess the level of stress, uncertainty and anxiety. Results: The findings of the current study indicate that 80% of women undergoing IVF in the experimental group experienced a moderate degree of stress prior to the intervention. However, this percentage decreased to 60% after receiving intervention. In case of uncertainty maximum of women had mild level of uncertainty and it remain unchanged in experimental group after intervention However, there was a significant decrease in anxiety levels (both STAIS and STAIT) in the experimental group following the intervention. Participants that received psychotherapeutic nursing intervention showed a higher rate of implantation. Conclusion: Psychotherapeutic nursing intervention can decrease the anxiety among women undergoing in vitro fertilisation treatment and also enhance the implantation rate.

An In Vivo Study to Evaluate and Compare Anxiety and Behavior Management of Pediatric Patients Using Distraction Techniques.

To compare the efficacy of virtual reality (VR) glasses and on-screen distraction techniques in managing anxiety and behavior in children receiving dental treatments. Forty patients aged 4-8 years requiring restoration were divided into two groups: group I with 20 members using audio-visual distraction aid in the form of VR glasses and group II with 20 participants utilizing on-screen distraction techniques. Each child underwent two appointments one week apart; their anxiety and behavior levels were assessed at each visit using the Facial Image Scale and Frankel's Behavior rating scale. The Wilcoxon signed-rank and Chi-squared test were utilized to assess the correlation between two categorical variables, with VR demonstrating a notable divergence from on-screen distraction. Both on-screen distraction and VR applications decreased anxiety levels and improved behavior. However, VR was substantially more effective in managing these areas.