An innovative mindfulness and educational care approach in an adult patient affected by gastroesophageal reflux: the IARA model

Abstract

Patients affected by gastroesophageal reflux disease (GERD) have a poor quality of life caused by several manifestations such as cough, asthma, laryngitis and dental erosion. The clinical conditions are highly disabling for patients and symptoms are difficult to manage. These conditions lead to many discomforts which contribute to an increase of the disease perception. For these reasons, it is important to improve the interventions on psychological aspects that ameliorate the patients' quality of life. The application of IARA model has proven useful to decrease GERD symptoms, distress and medication intake and to increase adherence to care, improving the patient's quality of life.

Effectiveness of yoga combined with back school program on anxiety, kinesiophobia and pain in people with non-specific chronic low back pain: a prospective randomized trial

“…Therefore, Yoga, in addition to intervening on the back disuse, may have an antianxiety effect decreasing pain 41 . Furthermore, it has been proven that people, when educating and informing about their disease, improve their psycho-physical conditions 42,43 also by reducing anxiety and depres- 45 have evaluated and confirmed the effectiveness of neuroscience education for pain, disability, anxiety, and stress in chronic musculoskeletal pain. The Back school treatment is based on education in regard to back.…”

Global Psychological Implications of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and Coronavirus Disease-2019 (COVID-19). What Can Be Learned From Italy. Reflections, Perspectives, Opportunities

“…Secondly, this umpteenth “black swan” brought about by a virus once again makes us aware of the importance of education in emotional regulation. Knowing how to manage emotions well, for example, through mindfulness practices – which can increase well-being and decrease anxiety and depression in healthy, professionals and patient populations ( De Giorgio et al, 2017a , b ; Grazzi et al, 2017 ; Padovan et al, 2018 ; Ramaci et al, 2020b ) – can allow people to have a balanced reaction and a clearer understanding of the phenomenon, thanks also to the neuro-bio-physiological effects that these practices have on the brain. In fact, it has been widely proven in the literature that these types of practices are able to structurally and functionally modify the areas of the brain that regulate the networks related to emotions (see for review, Young et al, 2019 ) and even reduce the size of the amygdala ( Taren et al, 2013 ).…”

The IARA Model as an Integrative Approach to Promote Autonomy in COPD Patients through Improvement of Self-Efficacy Beliefs and Illness Perception: A Mixed-Method Pilot Study

“…It has also been shown that mindfulness meditation training raises awareness of the interoceptive signals coming from the body (Farb et al, 2013 ) reducing anxiety, distress and even depression (Goldin and Gross, 2010 ; Gallego et al, 2015 ; Zhang et al, 2015 ; Crowe et al, 2016 ) improving the QoL (Grazzi et al, 2017 ). It also has been demonstrated both this mind-body shift increases the interoceptive attention awareness (Critchley et al, 2004 ; Farb et al, 2013 ; Kerr et al, 2013 ) and GI exercise has neural foundations (Kosslyn et al, 2001 ) useful also in emotional disorders (Holmes and Mathews, 2010 ), in management of symptoms in patients receiving chemotherapy (Charalambous et al, 2016 ), and among patients with inflammatory bowel disease (Mizrahi et al, 2012 ; De Giorgio et al, 2017 ).…”

“…This model was already used on chronic tension-type headache (Gulotta et al, 2015 ) and gastroesophageal reflux (De Giorgio et al, 2017 ) with encouraging results particularly toward emotion management (De Giorgio, 2016 ).…”