We examined the efficacy of a psycho-spiritual intervention of mantram repetition--a word or phrase with spiritual associations repeated silently throughout the day--on psychological distress (intrusive thoughts, stress, anxiety, anger, depression), quality of life enjoyment and satisfaction, and existential spiritual well-being in HIV-infected adults. Using a 2-group by 4-time repeated measures design, 93 participants were randomly assigned to mantram (n = 46) or attention control group (n = 47). Over time, the mantram group improved significantly more than the control group in reducing trait-anger and increasing spiritual faith and spiritual connectedness. Actual mantram practice measured by wrist counters was inversely associated with non-HIV related intrusive thoughts and positively associated with quality of life, total existential spiritual well-being, meaning/peace, and spiritual faith. Intent-to-treat findings suggest that a mantram group intervention and actual mantram practice each make unique contributions for managing psychological distress and enhancing existential spiritual well-being in adults living with HIV/AIDS.
Objective-To develop and test a modular psychotherapy protocol in older primary care patients with anxiety disorders.Design-Randomized, controlled pilot study. Setting-University-based geriatric medicine clinics.Participants-31 elderly primary care patients with Generalized Anxiety Disorder or Anxiety Disorder Not Otherwise Specified. Intervention-Modular form of psychotherapy compared to enhanced community treatment.Measurements-Self-reported, interviewer-rated, and qualitative assessments of anxiety, worry, depression, and mental health-related quality of life.Results-Both groups showed substantial improvements in anxiety symptoms, worry, depressive symptoms, and mental health-related quality of life. Most individuals in the enhanced community treatment condition reported receiving medications or some other form of professional treatment for anxiety. Across both conditions, individuals who reported major life events or stressors and those who used involvement in activities as a coping strategy made smaller gains than those who did not. Conclusions-Resultssuggest that modular psychotherapy and other treatments can be effective for anxiety in older primary care patients. Results further suggest that life events and coping through increased activity may play a role in the maintenance of anxiety in older adults.Please address correspondence to: Julie Wetherell, Ph.D., UCSD Department of Psychiatry, 9500 Gilman Drive, Dept. 9116B, La Jolla, CA 92093-9116, Tel: 858-552-8585 x2752, Fax: 858-552-4321, E-mail: E-mail: jwetherell@ucsd.edu. NIH Public Access Author ManuscriptAm J Geriatr Psychiatry. Author manuscript; available in PMC 2010 June 1. ObjectiveAnxiety disorders are common in the elderly, with community prevalence estimates as high as 14%, and higher rates in medical settings (1). Generalized Anxiety Disorder (GAD) appears to be the most prevalent condition in community samples (2), but Anxiety Disorder Not Otherwise Specified (ADNOS) is the diagnosis most often assigned in primary care settings where older adults with anxiety typically seek treatment (3).GAD and other anxiety syndromes are associated with many negative outcomes, including disability, increased health service use, poorer quality of life, and risk of developing major depression (4,5,6). Prospective research in the elderly has demonstrated that anxiety symptoms are associated with medical illness such as coronary heart disease (7), self-reported mobility limitations (8), and higher levels of health care utilization, including more primary care visits and more time spent during each visit (3).Data suggest that anxiolytic medications are effective for geriatric anxiety (9,10). Many older adults, however, prefer nonpharmacological treatments for mood symptoms (11). Although cognitive-behavioral therapy (CBT) has shown some benefit for late-life anxiety (12), the evidence suggests that conventional CBT may be less effective and associated with higher attrition rates than in younger adults (13), supporting the need for the development of ne...
Objectives: The objective of this study was to identify and describe ways that a spiritually based intervention of silently repeating a mantram-sacred word or phrase-was used as a coping strategy for managing human immunodeficiency virus (HIV) disease. Design: The design was a qualitative research method, the critical incident technique.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.