Mindfulness Therapy Research Articles

Occupational Stress among Psychiatric Nurses: A Literature Review

Background: Occupational stress among psychiatric nurses is a well-documented issue in the literature. This research can be regarded as the first recent investigation that offers a comprehensive review of contemporary literature examining occupational stress among psychiatric nurses. Purpose: This study aims to analyze previous research on occupational stress among psychiatric nurses. Methods: Multiple electronic databases were selected as follows: PubMed, MEDLINE, PsycINFO, CINAHL. Proquest, Scopus, and Web of Science. The researchers used different combinations of keywords that mainly incorporate: “occupational stress, psychiatric nurses, and work environment". The studies were included if they were published between 2017 and 2023, and reported in English. This review included a total of twenty-five studies. Results: This review indicated that previous studies have identified various degrees and factors of stress that impact psychiatric nurses. These nurses utilized several coping methods to handle occupational stress, such as being confident in their capabilities and self-assurance. The previous literature also investigated the effects of several stress reduction interventions, such as educational interventions, mindfulness therapy, stress management training programs, and self-care activities. Conclusion: This literature review highlights the significant levels and sources of stress experienced by psychiatric nursing groups. By analyzing research published in different databases about occupational stress, this review provides a comprehensive overview of contemporary findings on the topic. Implications for Nursing: Identification of various levels and sources of stress highlights the need for targeted interventions tailored to the unique stressors experienced by psychiatric nurses. Keywords: Occupational stress, Work environment, Psychiatric nurses, Literature review

Comparison of Cognitive Behavioral Therapy and Mindfulness on Anxiety, and Positive and Negative Affect in Female Students

Objective: The aim of the present research was to compare cognitive behavioral therapy and mindfulness on anxiety, and positive and negative affect in female students of Sari city. Methods and Materials: The design of the current study was applied in purpose and quasi-experimental in execution, with a pre-test and post-test design, two experimental groups, one control group, and a follow-up period of two months. The research population consisted of all female students who visited a private counseling center in Sari city in 2023, from whom 30 individuals were selected through convenience sampling and randomly assigned to two experimental groups and one control group. Furthermore, to collect information, the Positive and Negative Affect Scale by Tellegen and Watson (1985) and the Zung Self-Rating Anxiety Scale (1971) were used. For statistical analysis of the data, SPSS-26 software and three-way repeated measures analysis of variance and Bonferroni post hoc test were utilized. Findings: The findings indicate that there was a significant difference between the pre-test and post-test scores for both approaches for negative affect, positive affect, and anxiety (p < .01), demonstrating the significant effectiveness of these two therapeutic methods. Moreover, no significant difference was observed between the post-test scores and the follow-up stage (p > .05). Analysis using the Bonferroni test reveals that the difference in effectiveness between the two teachings on problem-solving components is not significant (p > .05). Conclusion: Based on the findings, it can be concluded that both cognitive behavioral therapy and mindfulness therapy can be used to reduce depression and negative emotions and to increase positive emotions in female students, with no significant difference in the effectiveness of these therapeutic methods.

Comparison of the Effectiveness of Mindfulness Therapy and Schema Therapy on Early Maladaptive Schemas in Students

Objective: This study aimed to compare the effectiveness of two therapeutic approaches, schema therapy and mindfulness, on early maladaptive schemas in students. Methodology: This quasi-experimental study utilized a pretest-posttest control group design. The statistical population consisted of second-grade high school students in Tehran, from which 45 students were selected through convenience sampling and randomly assigned to two experimental groups (15 students each) and a control group (15 students). The experimental groups participated in either schema therapy (8 sessions of 120 minutes each over 8 weeks) or mindfulness therapy (7 sessions of 90 minutes each over 7 weeks). The research instrument used was the Young Schema Questionnaire (1998), administered in both the pretest and posttest phases. Findings: Analysis of covariance revealed that both therapeutic approaches led to a significant reduction in early maladaptive schemas compared to the control group. However, schema therapy was found to be more effective than mindfulness in improving these schemas, particularly in components such as emotional deprivation, abandonment, mistrust, social isolation, and defectiveness/shame. Conclusion: Based on the findings, it can be concluded that schema therapy, with its deeper focus on the cognitive and emotional roots of schemas, is more effective than mindfulness in improving and modifying early maladaptive schemas. Schema therapy can be considered a valuable approach for treating psychological disorders associated with early maladaptive schemas.

"Close your eyes and relax": the role of hypnosis in reducing anxiety, and its implications for the prevention of cardiovascular diseases.

Anxiety is the most common form of mental health disorder, affecting millions of people worldwide. Psychosocial interventions such as mindfulness and cognitive behavioral therapy (CBT) have been suggested as an effective treatment in the management of general anxiety and anxiety disorders, with emerging evidence also suggesting the effectiveness of hypnosis. Moreover, anxiety has shown to be linked to the onset and development of several cardiovascular diseases (CVD), which are the leading cause of global death. In this paper, we review the current literature to examine the role that anxiety has on the onset and development of CVD and summarize the current knowledge on the role that hypnosis and hypnotherapy have in reducing anxiety, also explaining how this can impact the cardiovascular system and the prevention of CVD. Review of the evidence suggests that hypnosis and hypnotherapy are effective in treating anxiety and may positively affect the heart and the cardiovascular system, reducing sympathetic activation and increasing parasympathetic tone, potentially preventing the onset of CVD related to increased sympathetic activation. However, further studies are required to further understand how hypnosis and hypnotherapy affect the cardiovascular system through investigation of the neurophysiological components of the hypnotic state and of the mind-body relationship. Healthcare systems should embed mental health screening in patients at risk of developing CVD as part of the clinical pathway and consider the role that hypnosis and hypnotherapy may play in the management of CVD.

Awakening the senses to change our relationship with the body. A group experiment with people suffering from obesity

People living with obesity frequently have low self-esteem and a negative body image. Their relationship with their body is painful, which can lead them to dissociate themselves from it. This detachment is not conducive to lasting behavioural change. The "Awakening the Senses" programme offered to a group of patients at the Therapeutic Patient Education Unit combines aspects of cognitive behavioural therapy, mindfulness and art therapy. Its aim is to help patients reconnect with their bodies through sensory and creative experiences. This article presents the programme, the clinical observations made and the results of the various evaluations carried out.

The Effectiveness of Positive Mindfulness Therapy on Covert Relational Aggression and Marital Life Quality of Women Suffering from Marital Maladjustment

Background and Objective: Women suffering from marital maladjustment face many problems in their married life, especially in psychological fields, including covert relational aggression and marital life quality. The present research was conducted with the aim of determining the effectiveness of positive mindfulness therapy on covert relational aggression and marital life quality of women suffering from marital maladjustment. Methods and Materials: This research was a semi-experimental with a pretest and posttest design with a control group. The research population were all women suffering from marital maladjustment who referred to counseling centers in the three cities of Tehran city in the autumn season of 2023 year; So that the sample size for each group was considered to be 20 people and these people after checking the inclusion criteria were selected by purposeful sampling method and randomly assigned into two equal groups. The experimental group underwent 10 sessions of 90 minutes of positive mindfulness therapy and the control group remained on the waiting list for therapy. To collect data were used from scales of covert relational aggression (Nelson and Carroll, 2006), marital quality life (Zhang et al., 2013) and marital adjustment (Spanier, 1976), and for data analysis were used from multivariate analysis of covariance in SPSS version 26 software. Findings: The results showed that positive mindfulness therapy significantly reduced the covert relational aggression and increased the marital life quality of women suffering from marital maladjustment (P<0.001). Conclusion: According to the mentioned results, therapists, counselors and psychologists can use positive mindfulness therapy to reduce the covert relational aggression and increase the marital life quality of vulnerable groups, including women suffering from marital maladjustment.

Differences Between Spiritual Mindfulness and Mindfulness Caring in Reducing Academic Pathological Stress in Nursing Students

Introduction:Academic pathological stress currently often occurs in students. Mindfulness-based therapy has proven effective in reducing pathological stress among nursing students. Methods: However, there are several differences in the methods of administering mindfulness therapy, so further research is needed to find out these differences. This research aims to determine the difference in the influence of spiritual mindfulness and caring mindfulness in reducing pathological stress in nursing students. This study employed a pre-posttest quasi-experimental design with a control group. The sample was taken using a purposive sampling technique with the inclusion criteria of final-level Nursing undergraduate students who experienced academic pathological stress and were willing respondents (n=36). The sample was then randomly divided into 2 groups, namely spiritual mindfulness (n =18) and mindfulness caring (n=18). Data on pathological stress were collected using the questions in the DASS-42 questionnaire, which are 14 questions about pathological stress. Data analysis used paired t-tests and unpaired t-tests. Results:This research found that both interventions can reduce pathological stress in nursing students. However, there was a difference between spiritual mindfulness intervention (Mean ± SD = 11.39 ± 5.81) and mindfulness caring (Mean ± SD = 16.39 ± 3.55) with a mean difference of 6.38 and a p-value <0.001. Conclusion:In conclusion, although the two interventions provided effective results in reducing academic pathological stress in respondents, it was found that spiritual mindfulness was more able to reduce aggressive stress responses in nursing students. Further research is recommended to reevaluate the sample group, incorporating individuals with diverse mental health issues for re-testing

Effectiveness of Mindfulness Therapy on Mental Pain, Distress Tolerance, and Psychological Hardiness in Patients with Breast Cancer

Effectiveness of Mindfulness Therapy on Mental Pain, Distress Tolerance, and Psychological Hardiness in Patients with Breast Cancer

Psychological interventions for decreasing anxiety in people with multiple sclerosis (MS): A systematic review

Objective. Multiple sclerosis (MS) has unpleasant psychological consequences including anxiety and besides it has been accompanied with physical harms. According to this, the current study was conducted with the purpose of reviewing psychological interventions for decreasing anxiety in people with multiple sclerosis (MS). Materials and methods. This study was conducted by using a systematic review in researches published from January 2012 to November 2022. Indexing databases as PubMed and Scopus, Google Scholar were examined. For searching articles, the words as multiple sclerosis, psychological interventions, psychotherapy, anxiety, psychology, clinical trials and randomized clinical trial were examined. Eventually, 16 articles were analyzed. Results. The results demonstrated that cognitive behavioral therapy (CBT), mindfulness, acceptance and commitment therapy (ACT) have considered as the most practical therapeutic methods in treating anxiety in patients affected by MS. Moreover, the results showed that dialectical behavior therapy (DBT), Mindfulness-integrated cognitive behavior therapy, Logotherapy and internet-based cognitive behavioral therapy (ICBT) and self-management have had an influential role in decreasing the anxiety of these patients. Conclusion. According to this, it can be concluded that cognitive behavioral therapy (CBT), mindfulness, acceptance and commitment therapy (ACT) have been placed in the first line of treatment for the treating anxiety in patients affected by MS. Therefore, it is suggested to implement these interventions owning to improve the psychological health of these patients.

Circulating mitochondrial long non-coding 7S RNA in primary health care patients with depression/anxiety

BackgroundThe significant role of long non-coding 7S RNA in controlling mitochondrial transcription highlights its importance in mitochondrial function. Considering the suggested connection between mitochondrial dysfunction and the onset of mental disorders, this study aimed to explore the potential involvement of 7S RNA in the context of depression/anxiety. ResultsA total of 181 patients in primary health care (age 20–64 years) with depression/anxiety and 59 healthy controls were included in the study. 7S RNA was measured using quantitative real-time PCR in plasma samples collected before (baseline) and after 8 weeks of treatment (mindfulness or cognitive-based behavioral therapy). Upon adjustment for age and sex, the baseline plasma levels of 7S RNA were significantly higher in patients than in healthy controls (p < 0.001). Notably, post-treatment, there was a significant reduction in 7S RNA levels (p = 0.03). These changes in 7S RNA were related to the treatment response, as indicated by HADS-D (Hospital Anxiety and Depression Scale) scores (ß = −0.04, p = 0.04), even after accounting for baseline scores and other cofounders. ConclusionThe findings of this study indicate an association between plasma 7S RNA levels and depression/anxiety, as well as treatment response. While further confirmatory analyses are necessary, plasma 7S RNA holds promise as a potential predictive biomarker for both depression/anxiety and the treatment response within these disorders.

Psychotherapy for Irritable Bowel Syndrome: A Systematic Review.

Psychotherapy has many forms, such as cognitive behavioral therapy (CBT), mindfulness therapy (MFT), and hypnotherapy, to name a few. Cognitive behavioral therapy is the gold standard in therapy-based treatment and is used for cognitive restructuring to reduce safety-seeking and avoidant behaviors. While the main application of psychotherapy is psychological disorders, recent studies have found that it is beneficial for somatic and physiological symptoms such as chronic pain or even irritable bowel syndrome (IBS). Irritable bowel syndrome is a common but debilitating gastrointestinal condition that has a prevalence of 12% in the United States and costs the average patient $9,776 annually in 2023. Irritatable bowel syndrome is a condition of exclusion but consists of abdominal discomfort or pain and must be associated with altered bowel habits as stated in the Rome IV criteria. At least half of these patients also exhibit extracolonic symptoms, most commonly psychological disorders like anxiety and stress. The true etiology of IBS is not understood, but ideas such as the brain-gut axis, stress response system, and gut microbiota have been evaluated. Treatment of IBS is extensive and heavily relies on the patient-physician interaction, but pharmacologic therapies have been employed and are sometimes unsuccessful. Irritable bowel syndrome impacts an individual as a whole, making them hesitate whether or not they eat a particular food or even go out to do an activity because of the unpredictable bowel pattern. Finding a better solution is essential to improving the patient's quality of life (QoL), especially by addressing how they perceive the illness, how they adjust to it, and even how they determine what foods to consume. This paper aims to evaluate whether or not psychotherapy can be employed to improve all aspects of IBS, as well as if it can reduce the cost of IBS treatment.

Effect of Mindfulness-Based Stress Reduction (MBSR) on Oxytocin Levels and Stress in Breastfeeding Mothers

The prevalence of exclusive breastfeeding in various cities of Bangka Belitung Province varies, where in 2018 from January to June, the prevalence of exclusive breastfeeding in Bangka Belitung Islands Province was relatively low (57.6%). The problem of milk production is influenced by the reduced stimulation of oxytocin hormone. One of the non-pharmacological therapies that can be done is relaxation by doing Mindfulness therapy. The aim was to determine the effect of mindfulness-based stress reduction (MBSR) on oxytocin levels and stress in breastfeeding mothers for 2 weeks consisting of 8 sessions in 3 meetings. The research method used was quantitative with a quasi experimental research design (pretest-posttest control group design). Penelitian ini dilakukan at Regional General Hospital Dr. (HC) Ir. Soekarno, Bangka Belitung Province in 2023. Dilaksanakan pada bulan Januari sampai dengan Maret 2023. The population in this study were breastfeeding mothers at Regional General Hospital Dr. (HC) Ir. Soekarno, Bangka Belitung Province with a sample of 36 using purposive sampling technique. Data were collected using a questionnaire. Data analysis was univariate and bivariate dengan uji t-test and Mann Whitney test . The results of mindfulness-based stress reduction increased oxytocin hormone levels in breastfeeding mothers for 2 weeks consisting of 8 sessions in 3 meetings lasting 150 minutes per meeting and mindfulness-based stress reduction decreased stress scores in breastfeeding mothers for 2 weeks consisting of 8 sessions in 3 meetings lasting 150 minutes per meeting. It is recommended that midwives provide information about Mindfulness therapy to increase the hormone oxytocin in breastfeeding mothers and can play an active role in overcoming the problems of breastfeeding mothers who experience anxiety or worry about producing breast milk and breastfeeding babies.

Enhancing Psychological Hardiness and Distress Tolerance in Mothers of Hard of Hearing Children: The Efficacy of Mindfulness Integrated with Spiritual Therapy

Background: Hard of hearing is a prevalent disability among children that presents challenges not only for the children themselves but also for their parents. The identification of a child’s hard of hearing often triggers a series of crises within the family, particularly for the mother. Objectives: This study aimed to investigate the effectiveness of integrating mindfulness and spiritual therapy in enhancing the psychological hardiness and distress tolerance among mothers of hard-of-hearing children. Methods: This quasi-experimental study included a pretest-posttest method and two follow-up stages with a control group. A sample 0f 60 mothers who had children with hard of hearing were selected by convenience sampling method and were randomly assigned to either the experimental group, which received mindfulness integrated with spiritual therapy (n = 30), or the control group (n = 30). Two post-test stages were conducted in both experimental and control groups and psychological hardiness and distress tolerance were evaluated using the Ahvaz Hardiness Inventory (AHI) and Distress Tolerance Scale (DTS) data were analyzed using analysis of covariance with repeated measures. Results: The mindfulness integrated with spiritual therapy had a significant effect on enhancing distress tolerance and the psychological hardiness of mothers of hard-of-hearing children There was a significant difference in the total scores of AHI and DTS between the experimental and control groups (P &lt; 0.05). Furthermore, there was a significant difference between the pre-test, post-test, and follow-ups (P &lt; 0.05). Conclusions: The present study supports the efficacy of integrating mindfulness and spiritual therapy for improving psychological hardiness and distress tolerance among mothers of hard-of-hearing children.

Arts therapies for mental disorders in COVID-19 patients: a comprehensive review.

The COVID-19 global pandemic has necessitated the urgency for innovative mental health interventions. We performed a comprehensive review of the available literature on the utility and efficacy of arts therapies in treating mental health problems, with special emphasis on their deployment during the COVID-19 pandemic, aiming to provide some evidence for the application of this therapy. The potential studies were systematically sourced from five authoritative databases: PubMed, Embase, the Cochrane Library, Web of Science, and the CNKI database. The evaluation of these studies was conducted based on stringent criteria, including validity, suitability, therapeutic potential, and consistency. Each piece of included literature was meticulously scored in accordance with these criteria, thus ensuring the inclusion of only the most robust studies in this review. The data from these Randomized Controlled Trials (RCTs) were carefully extracted using the PICO(S) framework, ensuring a comprehensive and systemic approach to data collection. In order to emphasize the variability in the effects of differing arts therapies on COVID-19-induced psychiatric disturbances, the sourced literature was systematically categorized and scrutinized based on distinct modalities. Out of the 7,250 sourced articles, 16 satisfied the inclusion conditions. The therapies were predominantly meditation (n = 7), supplemented by individual studies on color therapy (n = 3), music therapy (n = 2), and single studies on horticultural therapy, dance therapy, mindfulness and music therapy, and yoga and music therapy (n = 4 collectively). These various forms of arts therapies had a positive short to medium-term impact on the mental health of COVID-19 patients. Besides improving patients' physical and mental health, these therapies can also be employed to mitigate mental health issues among healthcare professionals. The COVID-19 pandemic has profound and long-lasting implications for public mental health. Diverse forms of arts therapies are potentially effective in addressing related psychiatric symptoms. The integration of artificial intelligence might further enhance the efficacy and scalability of arts therapies in future implementations.

The Effects of a Mindfulness-Based Intervention on Mental Health Outcomes in Pregnant Woman: A Systematic Review and Meta-Analysis.

Pregnancy stress, anxiety, and depression increase the risk of short-term and long-term health problems for the mother and fetus. Mindfulness-based intervention (MBI) is one of the most popular, nonpharmacological interventions used to treat mental health problems. The results of prior research indicate MBI has a less consistent effect on mental health problems in pregnant women. The purpose of this systematic review and meta-analysis was to clarify and determine the effect of MBI on mental health outcomes in pregnant women. Six databases, including Embase, Ovid MEDLINE, CINAHL, EBSCOhost, Cochrane Library, and ScienceDirect, were searched from their dates of inception to November 2021. Google Scholar was also used for the literature inquiry. The inclusion criteria followed the PICO (Patient/Problem, Intervention, Comparison, and Outcome) model in terms of only including studies that used mindfulness therapy, reported mental health outcomes, and applied randomized controlled trial and quasi-experimental approaches. The Cochrane risk of bias tool was applied to evaluate the quality of the studies. Review Manager 5 software with random effect with a standardized mean difference (SMD) was used to analyze level of effect. Thirteen studies (10 randomized controlled trials and three quasi-experimental studies) were included. MBI was found to have a small effect on mental health outcomes in pregnant women (p < .0001, SMDs = -0.48, 95% CI [-0.74, -0.22], I2 = 87%). Specifically, MBI had moderate effects on stress and anxiety (SMDs = -0.59, 95% CI [-1.09, -0.09], and SMDs = -0.55, 95% CI [-1.00, -0.10], respectively) and no significant effect on depression (SMDs = -0.33, 95% CI [-0.74, 0.08]). MBIs have a small but notable effect on mental health in pregnant women. The high heterogeneity found in this review may reflect the different types and durations of interventions used. Notably, none of the studies in the review examined intervention effects by trimester. Future research should use larger sample sizes and assess the effects of therapy for each trimester of pregnancy.

P58: Interventions to Reduce Ageism. Systematic Review

Objective:The purpose of this article is to review all the interventions that researchers have used to reduce ageist attitudes in the population.Methods:We performed a literature search using PubMed database including the following MeSH terms: (“Ageism”[Mesh] OR “ageism”[tiab] OR “Age discrimination”[tiab]) AND (intervention* [tiab] OR therapy * [tiab] OR training* [tiab] OR prevention* [tiab]). 257 studies were found and only 18 were selected based on their language (only Spanish and English ones were included) and according our inclusion criteria.Result:To date, most widely strategies used in previous studies included: Intergenerational contact, education or both. Other techniques such as performing arts (theater and cinema), museums exhibitions and the simulation of activities for the elderly have been also studied with successful results. Likewise, two of the articles mentioned mindfulness and cognitive behavioral therapy as a preventive ageism strategy have not been demonstrated yet.Conclusion:Different interventions have been tried to reduce ageist attitudes. The greatest benefits have been seen with the combination of intergenerational contact and population education. Ageism is an important problem that concerns today's society; further studies focused on strategies to reduce ageist attitudes in the general population are needed.

The efficacy of mindfulness-based interventions on mental health among university students: a systematic review and meta-analysis.

We aimed to estimate the effect of mindfulness therapy on mental health. Two researchers searched 12 databases to identify relevant trials that were published from 1 January 2018 to 1 May 2023. We performed a meta-analysis to determine the effect of mindfulness therapy on depression, which was measured by the Beck Depression Inventory (BDI), Patient Health Questionnaire-9 (PHQ-9), Quick Inventory of Depressive Symptomatology (QIDS), Hamilton Depression Rating Scale (HDRS), Patient-Reported Outcomes Measurement Information System (PROMIS), Hospital Anxiety and Depression Scale (HADS), and Depression Anxiety Stress Scales (DASS); anxiety, which was measured by the Beck Anxiety Inventory (BAI), PROMIS, and DASS, Generalized Anxiety Disorder-7 (GAD-7); stress, which was measured by the Perceived Stress Scale (PSS), DASS, and GAD-7; mindfulness, which was measured by the GAD-7, Five Facet Mindfulness Questionnaire (FFMQ), Mindful Attention Awareness Scale (MAAS), Short Form-12 Mental Component Score (SF-12 MCS) and Short Form-12 Physical Component Score (SF-12 PCS); and sleep quality, which was measured by the Pittsburgh Sleep Quality Index (PSQI). After screening studies based on the inclusion and exclusion criteria, 11 randomized controlled trials (RCTs) involving 1,824 participants were ultimately included. All these studies demonstrated positive effects of mindfulness therapy on depression (SMD = -0.33, 95% CI: [-0.44, -0.22], p < 0.00001, I2 = 29%), anxiety (SMD = -0.35, 95% CI: [-0.46, -0.25], p < 0.00001, I2 = 40%), stress (SMD = -0.39, 95% CI: [-0.48, -0.29], p < 0.00001, I2 = 69%) and sleep quality scores (SMD = -0.81, 95% CI: [-1.54, -0.09], p = 0.03, I2 = 0%). However, there was no significant difference in mindfulness (SMD = -0.12, 95% CI: [-0.36, -0.12], p = 0.34, I2 = 34%) between the mindfulness therapy group and the control group. In future studies, it is necessary to consider the investigation on whether the strategies of improving the mindfulness therapy in adherence and fidelity can work on the improvement of the outcomes in mental health. https://www.crd.york.ac.uk/PROSPERO/, https://www.crd.york.ac.uk/PROSPERO/, identifier [CRD42023469301].

Edukasi Therapi Mindfulness Spritual pada Orang Dengan HIV dan AIDS (ODHA)

ODHA are people with HIV (Human Immunodeficiency Virus) and AIDS (Acquired Immuno Deficiency Syndrome). Changes in the character of ODHA cannot be separated from psychological and social pressure and make many ODHA become depressed. The psychological and social pressure experienced by ODHA also has a negative impact so that ODHA become embarrassed, physically exhausted, limit their activities, are afraid, and don't know what to do in the future. The treatment used to deal with these problems is still based on cognitive therapy and has not been integrated with awareness of ODHA. Apart from that, the therapy carried out does not yet enable ODHA to be able to deal with the problems they experience in the long term. To overcome this problem, intervention is needed aimed at ODHA which is carried out independently based on self-awareness, namely spiritual mindfulness therapy. Mindfulness as a type of psychotherapy facilitated by nurses uses the concept of self-care theory where nurses become nursing agencies to facilitate the self-deficit experienced by ODHA who experience mental problems. Educational activities were carried out from December 2021 to February 2022, providing education to 23 participants for 30 minutes through lectures, discussions and questions and answers. Delivery of material using power point and leaflet media. During the activities carried out, the pre-test results were 6.04 and post-test 7.43. ODHA patients understand mindfulness therapy as an alternative therapy that calms emotions. The patient's response was feeling relieved and comfortable after participating in therapy.

Adding Virtual Reality Mindful Exposure Therapy to a Cancer Center's Tobacco Treatment Offerings: Feasibility and Acceptability Single-Group Pilot Study.

Smoking contributes to 1 in 3 cancer deaths. At the Stanford Cancer Center, tobacco cessation medication management and counseling are provided as a covered benefit. Patients charted as using tobacco are contacted by a tobacco treatment specialist and offered cessation services. As a novel addition, this study examined the acceptability of a virtual reality (VR) mindful exposure therapy app for quitting smoking called MindCotine. The objective of this study was to determine the feasibility and acceptability of offering 6 weeks of MindCotine treatment as a part of Stanford's Tobacco Treatment Services for patients seen for cancer care. As part of a single-group pilot study, the MindCotine VR program was offered to English- or Spanish-speaking patients interested in quitting smoking. Given the visual interface, epilepsy was a medical exclusion. Viewed from a smartphone with an attachable VR headset, MindCotine provides a digital environment with audiovisual content guiding mindfulness exercises (eg, breathing techniques, body awareness, and thought recognition), text-based coaching, and cognitive behavioral therapy-based self-reflections for quitting smoking. Interested patients providing informed consent were mailed a MindCotine headset and asked to use the app for 10+ minutes a day. At the end of 6 weeks, participants completed a feedback survey. Of the 357 patients reached by the tobacco treatment specialist, 62 (17.3%) were ineligible, 190 (53.2%) were not interested in tobacco treatment services, and 78 (21.8%) preferred other tobacco treatment services. Among the 105 eligible and interested in assistance with quitting, 27 (25.7%) were interested in MindCotine, of whom 20 completed the informed consent, 9 used the program, and 8 completed their end-of-treatment survey. Participants using MindCotine completed, on average, 13 (SD 20.2) program activities, 19 (SD 26) journal records, and 11 (SD 12.3) coaching engagements. Of the 9 participants who used MindCotine, 4 (44%) reported some dizziness with app use that resolved and 7 (78%) would recommend MindCotine to a friend. In total, 2 participants quit tobacco (22.2% reporting, 10% overall), 2 others reduced their smoking by 50% or more, and 2 quit for 24 hours and then relapsed. In a feasibility and acceptability pilot study of a novel VR tobacco treatment app offered to patients at a cancer center, 4 of 9 (44%) reporting and 4 of 20 (20%) overall substantially reduced or quit using tobacco after 6 weeks and most would recommend the app to others. Further testing on a larger sample is warranted. ClinicalTrials.gov NCT05220254; https://clinicaltrials.gov/study/NCT05220254.

Pengaruh Latihan Mindfulness Terhadap Penurunan Tekanan Darah Pada Ibu Preeklamsia Di Puskesmas Pajarakan Kabupaten Probolinggo

Preeclampsia is a collection of symptoms or syndromes that affect pregnant women over 20 weeks of gestation with the main signs being hypertension and proteinuria. Preeclampsia is a multisystem disorder that characteristically affects 2% - 5% of pregnancies and is one of the causes of most maternal and infant deaths. Several risk factors for preeclampsia are caused by maternal age, occupation, parity, gestational age, history of hypertension and education. Mothers who have many risk factors and previously suffered from preeclampsia have a 20% risk of experiencing preeclampsia. The aim of this research is to determine the effect of mindfulness training on reducing blood pressure in preeclamptic women at the Pajarakan Community Health Center, Probolinggo Regency. This research design uses pre-experimental using the one-group pre-post test design method. The total population was 30 respondents with a sampling technique using total sampling with a total of 30 research samples. The measuring tool uses mindfulness therapy SOPs and blood pressure observation sheets. The research results were processed with the help of SPSS 23 for Windows using the Wilcoxon statistical test. The results of the research: Blood pressure in preeclamptic mothers before being given mindfulness training was systolic blood pressure with a mean value of 148.53; median 147.50; SD 5,036; The minimum value is 141 and the maximum value is 159. Meanwhile, the diastolic blood pressure value is 137.77; median 138.00 ; SD 2,800 ; The minimum value is 130 and the maximum value is 142. Meanwhile, the blood pressure results in preeclamptic mothers after being given mindfulness training are systolic blood pressure with a mean value of 90.57; median 91.00 ; SD 3,954; The minimum value is 81 and the maximum value is 96. Meanwhile, the diastolic blood pressure value is 80.90; median 80.00 ; SD 3,680; The minimum score is 70 and the maximum score is 86. There is an effect of mindfulness training on reducing blood pressure in preeclamptic mothers at the Pajarakan Community Health Center, Probolinggo Regency with a value of ρ = 0.000 &lt; α = 0.05.