This study explored the influence of self-selected music on affect-regulated exercise intensity and Remembered Pleasure. Seventeen active male and female participants (28.1 ±9.9 years; BMI 23.8±3.2 kg/m 2 ; VO 2 peak 48.73±8.73 ml.min −1 .kg −1) completed a maximal exercise test and each individual's ventilatory threshold (VT) was identified. Following this, two treadmill exercise trials were performed at an intensity that was perceived to correspond to a Feeling Scale value of +3 (i.e. 'good'). Sessions with either self-selected music or no music were completed 48 hr apart and in a randomized counterbalanced order. Affective responses (Feeling Scale) and heart rate were measured during exercise and Remembered Pleasure was measured 5-min post exercise. Results indicated that participants selected an exercise intensity that exceeded their VT during the two affect-regulated exercise sessions (p = .002, d = .99). Participants exercised with greater intensity during affect-regulated exercise with music than without (p = .045; d = 1.12) while maintaining a 'good' feeling. Furthermore, participants recalled the music session as more pleasurable than the no-music session (p = .001; d = .72). These results illustrate a positive ergogenic and psychological influence of music during affect-regulated exercise. Encouraging individuals to exercise at an intensity that feels 'good' elicits an exercise intensity sufficient to garner cardiorespiratory benefits and may lead to improved adherence. Moreover, the use of self-selected music appears to augment this effect.
The objective of the present study was to investigate the effect of mindfulness-based cognitive therapy (MBCT) on psoriasis patients' symptoms, anxiety, depression, and psychological wellbeing. The study also examined if MBCT significantly impacted the domain and mediating variables of a clinically modified Buddhist psychological model (CBPM), which are acceptance, mindfulness, self-compassion, aversion, non-attachment, attention, rumination and worry. Methods One hundred and one participants were randomly allocated to MBCT (n = 51) or TAU (n = 50). Participants were measured pre-treatment, post-treatment and after a 3-month follow up period. Results Analyses revealed that when baseline variables were controlled, there was a significant reduction or increase in the hypothesised direction for each variable over time in the MBCT group, but not in the treatment as usual group. Conclusions The results suggest that MBCT may be a useful adjunct therapy for those suffering from psoriasis and the associated psychological symptoms relating to the condition.
Objectives: Despite similar rates in cancer morbidity, patients with comorbid significant mental health difficulties (SMHD) experience higher mortality rates. This population has largely been neglected in cancer care research. Little is known about how to improve cancer outcomes for patients with SMHD. The aim of this research is to explore the views of healthcare professionals concerning the provision of cancer care to individuals with SMHD in an Irish context.Methods: Semi-structured interviews were conducted with healthcare professionals (n = 28) providing care to people with SMHD and cancer. This included oncology and psychiatry consultants (n = 10); clinical nurse specialists (n = 8); clinical psychologists (n = 6); and medical social workers (n = 4). Data were analysed using thematic analysis.Results: Four overarching themes were generated from the data highlighting the challenges associated with healthcare provision for this cohort. The themes were:Fragmentation of Care, Healthcare Providers' Understanding of SMHD, Complex Nature of Presentation, and Specialised Care Needs.
Conclusions:The findings contribute to advancing our understanding of cancer care provision for patients with SMHD. They identify important barriers and facilitators to cancer care provision for this population from the perspective of healthcare professionals in Ireland. These findings will help to shape future research and contribute to improving the quality-of-care for people with SMHD and cancer.
K E Y W O R D Scancer, cancer care, health inequities, medical oncology, mental health, mental illness, oncology, psychiatry, psycho-oncology, quality of health care 1 | BACKGROUND Individuals with significant mental health difficulties (SMHD), including schizophrenia, bipolar disorder and major depressive disorder, experience additional challenges in receipt of healthcare. [1][2][3] Irrespective of factors such as individuals' lifestyle and the risks that long-term use of psychiatric medications pose to health, 4 individuals with SMHD have poorer physical health compared to the general population and experience higher mortality rates. 5,6 Indeed, almost half of all chronic medical conditions go undiagnosed in individuals with SMHD. [7][8][9] This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Recommendations are that the training be made available across the health services in Ireland and included in postgraduate courses for trainee health and social care professionals.
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