Reduce Anxiety Levels Research Articles

Pemberian Social Support Dalam Bentuk Pemberian Motivasi Kepada Pasien Rehabilitasi Narkoba

Drug abuse among the community is an act that is not in accordance with social norms and values that apply in society. For victims of drug abuse, serious and thorough treatment is needed. It means that the victim can be aware and not relapse into the problem of drug abuse. The purpose of this community service activity is to provide social support in the form of providing motivation to Drug Rehabilitation Patients. This community service activity is in the form of psychoeducation, which is a form of providing social support with this activity, it is hoped that drug rehabilitation patients can motivate themselves to look to a better future after they leave or finish undergoing a program at a drug rehabilitation center. This activity is in the form of a seminar on providing Social Support in the form of providing motivation to Drug Rehabilitation Patients, which is attended by Drug Rehabilitation Patients at Al Kamal Sibolangit Center. Providing social support in the form of motivation for drug rehabilitation patients is expected to reduce anxiety levels. Individuals who lack or even do not have social support have high levels of anxiety. For this reason, support is needed so that individuals can share their problems with people around whom they trust, are able to change their views or perceptions regarding the events experienced, with social support, individuals who have problems can exchange ideas with other people who can change their views on the problem. experienced and can also affect responses related to the events experienced

The Effect of Laughter Therapy on Reducing Anxiety Level in Hypertension Patients

Degenerative diseases are chronic non-communicable diseases such as heart disease, hypertension, diabetes, obesity and others. One of the degenerative diseases is hypertension. Hypertension is referred to as the "Silent Killer" because it is a deadly disease, without any symptoms as a warning to sufferers. Concerns about the emergence of new problems in hypertension will cause emotional mental disorders which are often shown by anxiety disorders. One of the lifestyle modifications that can cope with hypertension is to recommend being more relaxed. One alternative for relaxation in patients with hypertension is laughter therapy. This study aims to determine the effect of laughter therapy on reducing anxiety levels in hypertension sufferers in the Work Area. Method research using Literature review related to the effect of laughter therapy on reducing anxiety level in Hypertension patient. The results of the normality of the data showed that the data were normally distributed in the intervention group and the data were not normally distributed in the control group. From the results of this study, it is hoped that laughter therapy can be given contribution to reduce anxiety levelsin hypertensive patients, so that blood pressure in hypertensive patients can be controlled.

Well-Being and General Anxiety Among University of Michigan Dental Students

BackgroundAnxiety is one of the most prevalent mental health conditions, affecting approximately 1 in 9 people worldwide. More specifically, dental students have been considered vulnerable to anxiety despite the fact that dental students have also reported high levels of well-being. Therefore, we hypothesize that University of Michigan School of Dentistry (UMSOD) dental students pose high levels of well-being but suffer from anxiety. Our objective is to measure anxiety and well-being levels among UMSOD dental students for 2 consecutive academic years.MethodsDental students (N = 609) were surveyed for well-being and general anxiety levels. To assess well-being and anxiety levels we used the World Health Organization–Five Well-Being Index (WHO-5) questionnaire and the General Anxiety Disorder 7-item (GAD-7) scale, respectively. Surveys were sent through Qualtrics. For statistical analysis, chi-square and t test were used at p < 0.05.ResultsThe mean well-being score among dental students was 12.26 (SD = 1.14). In the first survey moment for anxiety, which coincided with the week before the spring break in 2017, approximately 39% of the respondents (n = 255) scored 10 or higher on the GAD-7, which means moderate anxiety. In the second survey moment, the week after the spring break week in 2017, we found a slight but not significant reduction in anxiety levels, with approximately 32% of the responses (n = 109) of the dental students scoring 10 or higher on the GAD-7. Incoming first-year dental students before starting the dental school program presented well-being mean of 18 (SD = 0.60). Only 13% of incoming first-year dental students scored 10 or higher on anxiety before starting the school program. By the fall term, the well-being mean among incoming first-year dental students dropped to 13.29 (SD = 1.32), and 22% of the incoming first-year dental students scored 10 or higher in the GAD-7.ConclusionsUniversity of Michigan School of Dentistry dental students posed poor well-being and moderate anxiety. Incoming first-year dental students posed higher well-being and lower anxiety levels before starting the dental education program. However, as the academic year developed, incoming first-year dental students suffered a decrease in well-being and an increase in anxiety levels. Our study indicates a trend of poor well-being and high anxiety among UMSOD dental students.

Trajectory and factors of radiation risk perception of students aged 10–12 years at the time of the Fukushima Daiichi Nuclear Power Station accident

Various studies have investigated radiation risk perceptions after the accident at the Fukushima Daiichi Nuclear Power Station. However, student surveys are limited. This study aimed to investigate the perception of radiation risk among students aged 18–20 years who were in the 5th and 6th grades of elementary school at the time of the accident. We surveyed students in the Fukushima Prefecture and outside the prefecture. Out of all the data, 59% of the respondents were living in the Fukushima Prefecture at the time of the accident and 41% outside the prefecture. Trajectory analysis showed that changes in anxiety levels over time since 2011 could be divided into five classes: (a) the anxiety was the highest, and this tendency persisted. (b) High at the beginning, but decreased more quickly than class 1. (c) High at the beginning, but it diminished quickly. (d) Not high, but did not diminish easily in later years. (e) Low from the beginning, and persisted. Multinomial logistic analysis showed that among students living outside the prefecture at the time of the accident, a significantly higher proportion was in groups 4 and 5 than in group 2. A significant proportion of boys were present in groups 3, 4 and 5. A significant proportion of students whose current educational institutions were inside the prefecture were present in group 3. The level of anxiety was associated with the academic course, but not with subjective knowledge of radiation. In contrast, in the qualitative analysis of the free text, 31% considered ‘knowledge about radiation’ as the reason for the reduction in anxiety level. At the time of the investigation, most young people were not anxious about radiation. However, approximately 20% still had strong anxiety. We established that continuous risk communication is necessary. Furthermore, that stabilization and support related to life in general is important.

PENERAPAN TERAPI MENDONGENG UNTUK MENURUNKAN TINGKAT KECEMASAN PADA ANAK USIA PRASEKOLAH AKIBAT PANDEMI COVID – 19 DI DESA KEBONDALEM KECAMATAN MIJEN KOTA SEMARANG

Preschoolers are children aged three to six years. Covid - 19 is a pandemic that is shaking the world right now. Due to the Covid - 19 pandemic, children cannot play with friends outside the home. Limited play space for children makes it easy for them to feel bored just to stay at home, causing children to become anxious. The purpose of this case study is to apply storytelling play therapy to reduce anxiety levels in preschool-aged children at home due to the covid-19 pandemic. The method of this case study is descriptive. The result of the case study is a decrease in anxiety score in subject I from 45 to 30 and subject II from 51 to 34. The conclusion of this case study shows that storytelling therapy is effective in reducing the anxiety level of preschool children. Suggestions for this case study are expected that parents can apply storytelling to reduce anxiety levels in children at home due to the Covid-19 pandemic.

PENERAPAN TERAPI MENDONGENG UNTUK MENURUNKAN TINGKAT KECEMASAN PADA ANAK USIA PRASEKOLAH AKIBAT PANDEMI COVID – 19 DI DESA KEBONDALEM KECAMATAN MIJEN KOTA SEMARANG

Preschoolers are children aged three to six years. Covid - 19 is a pandemic that is shaking the world right now. Due to the Covid - 19 pandemic, children cannot play with friends outside the home. Limited play space for children makes it easy for them to feel bored just to stay at home, causing children to become anxious. The purpose of this case study is to apply storytelling play therapy to reduce anxiety levels in preschool-aged children at home due to the covid-19 pandemic. The method of this case study is descriptive. The result of the case study is a decrease in anxiety score in subject I from 45 to 30 and subject II from 51 to 34. The conclusion of this case study shows that storytelling therapy is effective in reducing the anxiety level of preschool children. Suggestions for this case study are expected that parents can apply storytelling to reduce anxiety levels in children at home due to the Covid-19 pandemic.

A STUDY TO ASSESS THE EFFECTIVENESS OF SELECTED YOGA ON THE LEVEL OF ANXIETY, PREGNANCY DISCOMFORTS, CLINICAL PARAMETERS, MATERNAL AND NEONATAL OUTCOME AMONG PRIMIGRAVIDA WOMEN

Background: Pregnancy is a wonderful landmark in the life of a woman. It is the origin of human life. Pregnancy is a time of physical and hormonal changes and of emotional and psychological preparation for motherhood. Comforting techniques may enhance the women to settle and provide with an appreciation of personal capabilities. Therefore yoga can be an effective way to emancipate women during labour and to assist in attaining and maintaining their optimal level of functioning. Yoga is the great way to stay fit during pregnancy because yoga posture can easily meet the needs of pregnant women. It educates pregnant women to listen to their body and reduce stress and anxiety, and to calm the mind. Methodology: The research approach selected for this study was Quasi experimental -Pre and Post test design. The intervention for study group consisted of selected yoga which includes Asanas (tadasana, utkatasana, katichakrasana, konasana, ardhatitali, purnatitali), pranayama (nadishodhana, bhramari, sheetkari, sheetali, OM chanting), ashwini mudra, deep relaxation practice from 28th weeks of pregnancy till delivery. Result: There was a significant reduction in level of anxiety and pregnancy discomfort for primigravida women and improved maternal and neonatal outcome. The selected yoga was found to be effective in reduction of anxiety and pregnancy discomfort and improved the maternal and neonatal outcome for study group. Conclusion: Regular practices of selected yoga were effective in minimizing the level of anxiety during pregnancy, pregnancy discomfort and improving maternal and neonatal outcome.

Clinical Case of a Child with Algoneurodystrophy

A clinical case of a 12-year-old female child with anxiety symptoms and a diagnosis of Algoneurodystrophy in the left hand is presented. The psychological assessment was carried out using the following instruments: observation, psychological interview, Wechsler Intelligence Scale for Children (WISC-III), State/Trait Anxiety Questionnaire for children, and Conners Scales for parents and teachers. The intervention aimed to reduce anxiety levels, promote self-esteem, and alleviate the child's grief. For this purpose, a cognitive-behavioral intervention was carried out with the child and their parents. Through education, the child's parents were alerted to the need to express the feeling of loss, providing an environment for the resolution of the grieving process of all family members. Furthermore, they were also warned about the maintenance factors of the child's anxiety symptoms, such as the issue of high parental demand. As a result, it can be concluded that good therapeutic gains were seen, translating into the resolution of the child's problems and, consequently, increasing their psychological well-being.

Efficacy of Preoperative Music Intervention on Pain and Anxiety in Patients Undergoing Cataract Surgery

The aim of the present study was to investigate the impact of preoperative music exposure on intra- and post-operative pain during cataract surgery. This study was conducted alongside a prospective single-masked randomized controlled trial (ClinicalTrials.gov NCT02892825). Patients undergoing first eye cataract surgery were included and randomly assigned to either the intervention or control group. Patients in the intervention group had a 20-min music session through earphones before surgery, while patients in the control group wore earphones without music. Anxiety level evaluated using the visual analog scale and heart rate were collected before and after music intervention. Pain level was assessed using the Numerical Pain Rating Scale, during the surgical procedure, prior to discharge and 7 days postoperatively. A total of 243 patients were included: 119 in the intervention group and 124 in the control group. No significant differences in baseline characteristics, including age, sex and rate of treated hypertension were found between the 2 groups (all p-values > 0.05). In addition, no significantly differences were found in heart rate and anxiety level before music intervention between the 2 groups (all p-values > 0.05). Conversely, anxiety level was significantly lower in the music group after the intervention (respectively, 1.3 ± 1.1 vs 3.2 ± 2.2; p < 0.05). Patients in the music group reported a lower mean pain level during surgical procedure and before discharge compared with control group (respectively, 1.2 ± 0.5 vs 2.1 ± 1.1, p = 0.03 and 0.23 ± 0.4 vs 0.81 ± 0.7, p = 0.04). No difference was found in pain level 7 days postoperatively (0.1 ± 0.3 vs 0.2 ± 0.4, p = 0.1). A significant correlation was found between anxiety level and intraoperative pain level (R = 0.64, p = 0.02). In conclusion, music intervention was effective in reducing anxiety level and self-reported pain both during surgery and in the early postoperative period. Clinical Trial Registration: https://clinicaltrials.gov/ct2/home, identifier NCT02892825.

Enriched environment during adolescence modulates lipid metabolism and emotion-related behaviors in mice

ABSTRACT Enriched environment (EE) is an important animal experimental paradigm to decipher gene-environment interaction. It is thought to be efficient in aiding recovery from certain metabolism disorders or cognitive impairments. Recently, the effects of EE during adolescence in mice gradually draw much attention. We first established an EE model in adolescent mice, dissected lipid metabolism, and further examined baseline level of anxiety and depression by multiple behavioral tests, including open field test (OFT), elevated zero maze (EZM), tail suspension test (TST), and forced swimming test (FST). EE mice exhibited lower weights, lower cholesterol than standard housing (SH) mice. Behaviorally, EE mice traveled more distance and had higher velocity than SH mice in OFT and EZM. Besides, EE mice showed reduced anxiety levels in OFT and EZM. Furthermore, EE mice also had less immobility time than SH mice in TST and FST. Thus, these results suggest that EE during adolescence has metabolic and behavioral benefits in mice.

Behavioural Functions and Cerebral Blood Flow in a P301S Tauopathy Mouse Model: A Time-Course Study.

Tauopathies refer to a group of neurodegenerative diseases with intracellular accumulation of hyperphosphorylated and aggregated microtubule-associated protein tau (MAPT) in neurons and glial cells. PS19 mice bearing the MAPT P301S mutation have been used to mimic human frontotemporal lobar degeneration. The present study was designed to systematically investigate how behavioural functions, resting cerebral blood flow (CBF) and tau pathology change in PS19 mice at 2, 4, 6, 8 and 12 months of age in a single study under one experimental condition, allowing for the cumulative assessment of age- and genotype-dependent changes. PS19 mice displayed hyperactivity and reduced anxiety levels with age, early and persistent spatial working memory deficits and reduced resting neocortical CBF. Immunoblotting and immunohistochemistry revealed age-related increases in phosphorylated tau in the brain of PS19 mice. In conclusion, the present study, for the first time, cumulatively demonstrated the time-course of changes in behavioural functions, resting CBF and tau pathology in a P301S tauopathy mouse model through their developmental span. This information provides further evidence for the utility of this model to study neurodegenerative events associated with tauopathy and tau dysfunction.

Effect of therapeutic touch on sleep quality and anxiety in individuals with chronic obstructive pulmonary disease: A randomized controlled trial

PurposeThe purpose is to determine the effect of therapeutic touch (TT) on the sleep quality and anxiety of individuals with chronic obstructive pulmonary (COPD) disease. Methods103 patients were randomized in to the two groups: the experimental group, and the control group. In this randomized control study, the patients with COPD in the experimental group were given TT for 10 min between 18:00 and 20:00, one session every day for three consecutive days. ResultsWhen the experimental group was compared to control group following the intervention, the decrease in the levels of anxiety (p < 0.001) and increase in the sleep quality (p < 0.001) were found to be significant. ConclusionAs a result of the study, it was determined that TT reduced anxiety level and improved sleep quality in individuals with chronic obstructive pulmonary disease. The Clinical Trial Registration Number: NCT04842903.

Effectiveness of aromatherapy inhalation on anxiety and haemodynamic variables for patients with cardiovascular disease: A systematic review and meta-analysis.

Anxiety can negatively affect patients' prognosis in cardiovascular disease. Aromatherapy helps reduce anxiety level in chronic diseases. However, the effectiveness of aromatherapy on anxiety and haemodynamic variables remains uncertain. To evaluate the evidence for the effectiveness of aromatherapy on anxiety and haemodynamic variables in patients with cardiovascular disease. A systematic review and meta-analysis. The CINAHL COMPLETE, Cochrane Central, Web of Science, Pubmed, Scopus, Science Direct, Ovid and ProQuest databases were searched. The study was conducted in line with the Cochrane and PRISMA guideline. Examination for bias in the included studies was conducted with the Cochrane bias guideline. Heterogeneity and publication bias were evaluated. Twelve studies published from 2012 to 2020 were included in the meta-analysis. Lavender aromatherapy inhalation was used the most for anxiety in patients. Aromatherapy had a highly significant effect on anxiety, systolic blood pressure and heart rate, a moderate effect on breathing rate and a non-significant effect on diastolic blood pressure. The Cochrane GRADE approach was used to assess the rating of the certainty of evidence. A high level of evidence was found for the effect of aromatherapy on heart rate, a moderate level for the effect of aromatherapy on anxiety and breathing rate and a low level for the effects of aromatherapy on blood pressure and lavender on anxiety. It was found that aromatherapy reduced anxiety, systolic blood pressure, heart rate and breathing rate in patients with cardiovascular disease. This study provides information to researchers and health professionals about the effectiveness of aromatherapy on decreasing anxiety and haemodynamic variables in patients with cardiovascular disease. Also, the study can contribute to planning studies which are better designed, conducted and reported.

Association Between Future Orientation and Anxiety in University Students During COVID-19 Outbreak: The Chain Mediating Role of Optimization in Primary-Secondary Control and Resilience.

The unfamiliar and menacing epidemic has undoubtedly increased the anxiety of students. Therefore, the strategies to reduce anxiety are urgently required. The present study principally investigated a protective mechanism of future orientation in anxiety during the low-risk period of COVID-19 outbreak. The study was conducted in 528 non-infected students (range = 16–24 years) recruited from five universities in China. The participants completed questionnaires between January 22, 2021, and January 24, 2021. Chain intermediary analyses were performed after controlling for gender and age. Results indicated that future orientation lowers anxiety through (a) optimization in primary and secondary control, (b) resilience, and (c) chain mediating path of optimization in primary and secondary control coupled with resilience. We investigated how individuals deal with risk factors after encountering adversity and how their psychological flexibility stimulates and promotes them to achieve a well-adapted developmental state. This study provided reference suggestions on reducing anxiety levels during an emergency.

Effect of device-guided paced breathing of biofeedback on blood pressure, stress and anxiety levels in hypertensives

The present study aimed to evaluate the influence of cardiac coherence through Biofeedback Therapy (BT) with paced breathing on blood pressure, stress and anxiety levels in individuals with essential arterial hypertension. The participants underwent 8 sessions of paced breathing guided by biofeedback visual therapy for 20 minutes, in which they were evaluated through clinical assessment, Hamilton Anxiety Rating Scale, Perceived Stress Scale and cardiovascular variables. Comparisons of means were performed using the paired and unpaired Student's t-test. Statistically significant correlations were considered when p ≤ 0.05 with a 95% confidence interval. The effect size (Cohen's d) and common language effect size were calculated to assess the effect of such therapy. Sixteen patients with mean age of 57.3 ± 14 years old participated in this study. Comparisons between mean initial and final systolic blood pressure levels (SBP) in women (p = 0.007; Cohen's d = 0.50), pre- and post-training heart rate (p = 0.02; Cohen's d = 0.60) and anxiety levels (p = 0.01; Cohen's d = 1.04) were significant. Comparisons between pre- and post-training SBP (p = 0.006; Cohen's d = 0.81) and pre- and post-training anxiety levels (p = 0.04; Cohen's d = 0.32) were significant among males. In conclusion, paced breathing training with biofeedback therapy can be promising to reduce anxiety levels in individuals with essential arterial hypertension.

Murattal Al-Quran Therapy to Reduce Anxiety among Operating Patients

Introduction: Surgery is a surgical procedure that opens or displays the part of the body to be treated and causes a psychological reaction, namely anxiety. This will cause delays in the operation that will be carried out. Anxiety is a psychological disorder that has excessive worry.&#x0D; Objective: The purpose of this literature review is to describe the effect of murratal Al-Qur'an therapy to reduce anxiety levels in surgery patients.&#x0D; Method: This study used a descriptive design with a literature review approach. The search for articles used six journal databases, namely PubMed, JSTOR, Wiley Online Library, Sage Journal, Taylor and Francis Online, Google Scholar. Selection is carried out by assessing articles that meet the inclusion criteria, including publication ranges for 2016-2020, in English and Indonesian as well as open access to full text pdf. While the exclusion criteria are book chapters, abstract proceeding, and posters&#x0D; Result: The results of the selection obtained seven articles with a total of 248 respondents. Based on the literature from the reviewed articles, it can be found that the interventions of Murattal Al-Quran therapy have an effect on reducing anxiety in surgery patients.&#x0D; Conclusion: Conclusion based on the literature review, it can be found that the provision of murattal alquran has a better activity in postoperative anxiety management. The suggestion of this literature review is that this murattal therapy can be applied directly in the hospital which aims to reduce anxiety level to post-patient patients.

Smart Mother Classes Toward Coping Skill Ability, and Anxiety Level among Pregnant Women

Background: Antenatal education is considered standard care for pregnant women. Unfortunately, this class does not provide sufficient skills for women to cope with stress during pregnancy and delivery. In the other side, study literature claims that coping skill is truly essential for the mother to cope with and minimize the anxiety which leads to a serious risk for both mother and baby. Objective: This study aims to prove the impact of smart mother classes to improve coping skills ability and decrease anxiety levels among pregnant women. Methods: This study used a randomized pre-test post-test control group design in which the ages of pregnancies were 28-35 weeks in Semarang City Region. The mothers were randomly assigned to be members of an experiment group (n=50) and a control group (n=50). The experiment group was given smart mother classes that did perform antenatal classes and coping skills, while the control group was given standard classes, antenatal education only. The data analysis employed a dependent sample t-test and independent sample t-test. Results: There is a significant change over coping skill ability for the intervention group (p&lt;.01), but not in the control group. Furthermore, there is also a significant change in the decrease in anxiety levels in the intervention group (p&lt;.01). Conclusion: Smart mother classes are predominantly effective to reduce anxiety levels and enhance coping skill ability among pregnant women. Thus, pregnant women need to join smart mother classes during pregnancy. Keywords: smart mother classes; coping skill, anxiety level, antenatal classes

INTERVENSI KEPERAWATAN KECEMASAN PADA PASIEN PRE OPERASI: LITERATUR REVIEW

Nursing Interventions for Anxiety in Patients Preoperative: Literature Review Background: o ne of the psychological effects of surgery is anxiety (Sutejo, 2018). Anxiety management can be done in pharmacology (doctors) or non-pharmacology (nurses). One of the preoperative anxiety nursing interventions was learned through the identification of various related studies / Integrated Literature Review (IRL). Thus the authors are interested in identifying How Anxiety Nursing Interventions in Patients Pre Operative: Literature Review. Objective: identifying anxiety nursing interventions in preoperative patients. Methods: t he study was conducted using the Literature Review method. The steps are: problem identification, literature search, data identification, data analysis and reporting. Literature search using Google Scholar and Garuda Portal with inclusion criteria, namely Indonesian language articles, full text, and discussing preoperative patient anxiety. Results: t here are 7 journals that fit the inclusion criteria. Researchers divided into five pre-operative anxiety nursing interventions: one journal (14%) explained identification of anxiety levels, two journals (29%) about anxiety coping strategies, two journals (29%) about nonpharmacological interventions reduced anxiety levels, one journal ( 14%) about the regulation of emotional anxiety, and one journal (14%) about anxiety management. Conclusion: a nxiety nursing interventions in preoperative patients with anxiety identification, coping strategies, nonpharmacological interventions (music therapy, lavender oil administration, Wack Wednesday, healing touch, and hand reflexology), emotional regulation, and anxiety management.

Effect of Music Selection on Anxiety Level during Intravitreal Injections for Individuals of Varying Cultures

ABSTRACT Purpose To investigate music selection as a treatment for anxiety during Intravitreal injections (IVI) for individuals of varying cultures. Methods 106 individuals were enrolled in this randomized controlled study. Individuals were randomized into one to three categories: (1) a control group in which the IVI procedure was performed without music (n = 35), (2) an experimental group in which the music was selected by the physician (n = 36), (3) an experimental group in which the music was selected by the patient (n = 35). After the procedure, all patients responded to a questionnaire regarding their level of experienced anxiety, pain and discomfort (grade 0–10). The primary outcome was anxiety level during the procedure. Results The experimental group in which patients selected music had higher number of patients with low anxiety score compared to the other groups (anxiety score <4 in 19,18 and 27 patients, respectively, p = .04). Interestingly, patients who answered the questionnaire in Arabic were less likely to desire music on subsequent injections compared to Hebrew and English speakers (52% Vs 78% Vs 100%, p = .02). Music was deemed by both experimental groups as an effective method to induce relaxation (average score of 6.6 and 7.2 in group 2 and 3, respectively). Preference for music on subsequent injections was increased in both experimental groups compared to the control group (P < .01). Patients in the third group preferred music selection on future injections more than the other groups (P < .01). Conclusion Music selection may be an effective way to reduce anxiety levels during IVI. Preference for music during future injections is higher in patients who were exposed to music during IVI and may be influenced by culture.

Eficacia de la Terapia Cognitiva Conductual Para el Trastorno Bipolar: una Revisión Sistemática

IntroductionBipolar disorder (BD) is a serious mental illness with a chronic course and significant morbidity and mortality. BD has a lifetime prevalence rate of 1% to 1.5% and is characterised by recurrent episodes of mania and depression, or a mixture of both phases. Although it has harmacological and psychotherapeutic treatment, cognitive behavioural therapy (CBT) has shown beneficial effects, but there is not enough clinical information in the current literature. MethodsThe main aim was to determine the efficacy of CBT alone or as an adjunct to pharmacological treatment for BD. A systematic review of 17 articles was carried out. The inclusion criteria were: quantitative or qualitative research aimed at examining the efficacy of CBT in BD patients with/without medication; publications in English language; and) being 18-65 years of age. The exclusion criteria were: review and meta-analysis articles; articles that included patients with other diagnoses in addition to BD and that did not separate the results based on such diagnoses; and studies with patients who did not meet the DSM or ICD criteria for BD. The PubMed, PsycINFO and Web of Science databases were searched up to 5 January 2020. The search strategy was: “Bipolar Disorder” AND “Cognitive Behavioral Therapy”. ResultsA total of 1,531 patients both sexes were included. The weighted mean age was 40.703 years. The number of sessions ranged from 8-30, with a total duration of 45-120minutes. All the studies show variable results in improving the level of depression and the severity of mania, improving functionality, reducing relapses and recurrences, and reducing anxiety levels and the severity of insomnia. ConclusionsThe use of CBT alone or adjunctive therapy in BD patients is considered to show promising results after treatment and during follow-up. Benefits include reduced levels of depression and mania, fewer relapses and recurrences, and higher levels of psychosocial functioning. More studies are needed.