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Sprengel M, Ritenbaugh C, McKusick E, Ciccone L, Jain S. Patient experiences and outcomes in a virtual healing setting: A feasibility study. Explore (NY) 2023; 19:806-812. [PMID: 37537086 DOI: 10.1016/j.explore.2023.04.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 04/04/2023] [Accepted: 04/13/2023] [Indexed: 08/05/2023]
Abstract
RESEARCH QUESTIONS How do participants with anxiety receiving distance healing using tuning forks, experience healing sessions? What outcomes do they spontaneously report? THEORETICAL FRAMEWORK Modified grounded theory, using single interviews to learn about experiences with distant sound healing. METHODOLOGY Standardized open-ended, qualitative interviews of 30-minute length were conducted after the intervention and analyzed using an inductive and iterative process for identifying themes, categories, and patterns in qualitative data. CONTEXT Single-arm, pilot feasibility study of Biofield Tuning (BT) for anxiety during the COVID-19 pandemic delivered at a distance facilitated by Zoom (without video). SAMPLE SELECTION A total of 15 participants were recruited to this study: 13 completed all quantitative aspects, and the 12 who completed the interviews are reported here. DATA COLLECTION The 30-minute qualitative interviews were designed to understand the impact of virtual BT sessions on the participant's experience, anxiety, and within the larger context of their life. The Self-Assessment of Change measured subjective shifts pre and post treatment. ANALYSIS AND INTERPRETATION The interviews were audio-recorded and transcribed using otter.ai. Two researchers read all the transcripts, identified key themes within the broader experience of sessions and outcomes categories, and came to consensus on key themes using a qualitative research analysis approach. MAIN RESULTS Participants were surprised by the degree to which they felt sensations and heard tuning fork changes. They commented on the accuracy of the healers' perceptions and comprehension of their life experiences. Participants reported positive shifts in perceptions of themselves and their surroundings, both interpersonally and in response to triggers. The patients' own words provide insight into the lived experiences of healing, and guide future research.
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Affiliation(s)
- Meredith Sprengel
- Consciousness and Healing Initiative, 6919 La Jolla Blvd, La Jolla, CA 92037, United States; Present Address: Netherlands Organization for Applied Scientific Research (TNO), Kampweg 55, Soesterberg, DE 3769, The Netherlands
| | - Cheryl Ritenbaugh
- Consciousness and Healing Initiative, 6919 La Jolla Blvd, La Jolla, CA 92037, United States; Department of Family and Community Medicine, University of Arizona, 655N. Alvernon Way #228 Tucson, AZ 85711, United States
| | - Eileen McKusick
- Biofield Tuning Institute, 382 Hercules Dr., Suite 2C, Colchester, VT 05446, England
| | - Lorna Ciccone
- Consciousness and Healing Initiative, 6919 La Jolla Blvd, La Jolla, CA 92037, United States
| | - Shamini Jain
- Consciousness and Healing Initiative, 6919 La Jolla Blvd, La Jolla, CA 92037, United States.
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Peng H, Yang H, Lei J, Dai X, Cao P, Jin F, Luo H. Optimal fractionation and timing of weekly cone-beam CT in daily surface-guided radiotherapy for breast cancer. Radiat Oncol 2023; 18:112. [PMID: 37408037 DOI: 10.1186/s13014-023-02279-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 05/08/2023] [Indexed: 07/07/2023] Open
Abstract
PURPOSE Surface-guided radiotherapy (SGRT) has been demonstrated to be a promising supplement to cone-beam computed tomography (CBCT) in adjuvant breast cancer radiotherapy, but a rational combination mode is lacking in clinical practice. The aim of this study was to explore this mode and investigate its impact on the setup and dose accuracy. METHODS AND MATERIALS Daily SGRT and weekly CBCT images were acquired for 23 patients with breast cancer who received conventional fractionated radiotherapy after lumpectomy. Sixteen modes were acquired by randomly selecting one (CBCT1), two (CBCTij), three (CBCTijk), four (CBCTijkl), and five (CBCT12345) images from the CBCT images for fusion with the SGRT. The CTV-PTV margins, OAR doses, and dose coverage (V95%) of PTV and CTV was calculated based on SGRT setup errors with different regions of interest (ROIs). Dose correlations between these modalities were investigated using Pearson and Spearman's methods. Patient-specific parameters were recorded to assess their impact on dose. RESULTS The CTV-PTV margins decreased with increasing CBCT frequencies and were close to 5 mm for CBCTijkl and CBCT12345. For the ipsilateral breast ROI, SGRT errors were larger in the AP direction, and target doses were higher in all modes than in the whole breast ROI (P < 0.05). In the ipsilateral ROI, the target dose correlations between all modes increased with increasing CBCT time intervals, decreased, and then increased with increasing CBCT frequencies, with the inflection point being CBCT participation at week 5. The dose deviations in CBCT123, CBCT124, CBCT125, CBCTijkl, and CBCT12345 were minimal and did not differ significantly (P > 0.05). There was excellent agreement between CBCT124 and CBCT1234, and between (CBCTijkl, CBCT12345) and CBCT125 in determining the classification for the percentage of PTV deviation (Kappa = 0.704-0.901). In addition, there were weak correlations between the patient's Dips_b (ipsilateral breast diameter with bolus) and CTV doses in modes with CBCT participation at week 4 (R = 0.270 to 0.480). CONCLUSIONS Based on weekly CBCT, these modes with ipsilateral ROI and a combination of daily SGRT and a CBCT frequency of ≥ 3 were recommended, and CBCT was required at weeks 1 and 2 for CBCTijk.
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Affiliation(s)
- Haiyan Peng
- Departments of Radiation Oncology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China
| | - Han Yang
- Departments of Radiation Oncology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China
| | - Jinyan Lei
- Departments of Radiation Oncology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China
| | - Xinyao Dai
- Departments of Radiation Oncology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China
| | - Panpan Cao
- Departments of Radiation Oncology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China
| | - Fu Jin
- Departments of Radiation Oncology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China.
| | - Huanli Luo
- Departments of Radiation Oncology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China.
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Bendien E, Kruijthoff DJ, van der Kooi C, Glas G, Abma T. A Dutch Study of Remarkable Recoveries After Prayer: How to Deal with Uncertainties of Explanation. JOURNAL OF RELIGION AND HEALTH 2023; 62:1731-1755. [PMID: 36738396 PMCID: PMC10133067 DOI: 10.1007/s10943-023-01750-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 01/21/2023] [Indexed: 05/15/2023]
Abstract
This article addresses cases of remarkable recoveries related to healing after prayer. We sought to investigate how people who experienced remarkable recoveries re-construct and give meaning to these experiences, and examine the role that epistemic frameworks available to them, play in this process. Basing ourselves on horizontal epistemology and using grounded theory, we conducted this qualitative empirical research in the Netherlands in 2016-2021. It draws on 14 in-depth interviews. These 14 cases were selected from a group of 27 cases, which were evaluated by a medical assessment team at the Amsterdam University Medical Centre. Each of the participants had experienced a remarkable recovery during or after prayer. The analysis of the interviews, which is based on the grounded theory approach, resulted in three overarching themes, placing possible explanations of the recoveries within (1) the medical discourse, (2) biographical discourse, and (3) a discourse of spiritual and religious transformation. Juxtaposition of these explanatory frameworks provides a way to understand better the transformative experience that underlies remarkable recoveries. Uncertainty regarding an explanation is a component of knowing and can facilitate a dialogue between various domains of knowledge.
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Affiliation(s)
- Elena Bendien
- Leyden Academy on Vitality and Ageing, Rijnsburgerweg 10, 2333 AA, Leiden, The Netherlands.
| | - Dirk J Kruijthoff
- Faculty of Theology, Vrije Universiteit (VU), Amsterdam, The Netherlands
- Law, Ethics and Medical Humanities, Amsterdam University Medical Centre, Location VUmc, Amsterdam, The Netherlands
| | | | - Gerrit Glas
- Faculty of Humanities, Vrije Universiteit (VU), Amsterdam, The Netherlands
| | - Tineke Abma
- Leyden Academy on Vitality and Ageing, Rijnsburgerweg 10, 2333 AA, Leiden, The Netherlands
- Leiden University Medical Centre, Leiden, The Netherlands
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Moysés R, Marques I, Santos BD, Benzaken A, Pereira MG. Quality of Life in Amazonian Women during Cervical Cancer Treatment: The Moderating Role of Spirituality. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2487. [PMID: 36767853 PMCID: PMC9915032 DOI: 10.3390/ijerph20032487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/10/2022] [Revised: 01/20/2023] [Accepted: 01/23/2023] [Indexed: 06/18/2023]
Abstract
This study aimed to examine the contribution of psychological variables to quality of life (QoL) of Amazonian women and to analyze the moderating role of spirituality in the relationship between psychological morbidity and Qol and between illness perception and QoL. This cross-sectional study included 119 women undergoing treatment for cervical cancer (CC). The Pearson correlation test was used to evaluate the relationship between sociodemographic, clinical, and psychological variables. To test how psychological morbidity, illness perception, and spirituality contribute to QoL, a path analysis was performed and to test the moreating role of spirituality, a moderation analysis was conducted. The results revealed that the presence of symptoms, high psychological morbidity, negative body image, and threatening illness perception were predictors of lower QoL. Spirituality moderated the relationship between psychological morbidity and QoL, and between illness perception and QoL. The moderating role of spirituality emphasizes its role as a coping strategy and should be included in cancer treatment. Interventions should target psychological morbidity, threatening illness perception, and address women's concerns with body image and sexual concerns. CC treatment should include interprofessional healthcare teams addressing the biological and psychosocial factors of Amazonian women. As a result of this study a mobile application to monitor women's health, adapted to cultural and social characteristics, was created.
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Affiliation(s)
- Rosana Moysés
- Psychology Research Centre, School of Psychology, University of Minho, 4710-057 Braga, Portugal
- School of Medicine, Federal University of Amazonas, Manaus 69067-005, Brazil
| | - Inês Marques
- Psychology Research Centre, School of Psychology, University of Minho, 4710-057 Braga, Portugal
| | - B. Daiana Santos
- Psychology Research Centre, School of Psychology, University of Minho, 4710-057 Braga, Portugal
| | - Adele Benzaken
- Oswaldo Cruz Foundation, Leônidas and Maria Deane Institute, Manaus 69057-070, Brazil
| | - M. Graça Pereira
- Psychology Research Centre, School of Psychology, University of Minho, 4710-057 Braga, Portugal
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Elkhalloufi F, Boutayeb S, Alaoui YL, Zakkouri FAZ, Jaouhari ME, Errihani H. Association Between Religiosity, Depression, and Anxiety Among Moroccan Cancer Patients. JOURNAL OF RELIGION AND HEALTH 2022; 61:4382-4397. [PMID: 35279760 DOI: 10.1007/s10943-022-01538-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/24/2022] [Indexed: 06/14/2023]
Abstract
The purpose of the present study was to examine the association between religiosity, depression, and anxiety in Moroccan cancer patients. A convenience sample of 1055 participants was recruited to complete questionnaires. Socio-demographic, religious, and cancer characteristics were assessed. The Arabic version of the HADS scale was used to assess depression and anxiety. Bivariate chi-square and multivariate logistic regression were used to analyze data. The results revealed that engaging in religious practices significantly decreases the risk of suffering from depression and/or anxiety. However, some religious practices may have a counter effect. These findings suggest that religiosity is important for cancer patients in Morocco and is also associated with a better quality of life.
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Affiliation(s)
- Fahd Elkhalloufi
- Faculty of Medicine and Pharmacy, Rabat Institut., Mohammed V University, Av Mohamed Belarbi El Alaoui, B.P 6203, Rabat, Morocco.
| | - Saber Boutayeb
- Faculty of Medicine and Pharmacy, Rabat Institut., Mohammed V University, Av Mohamed Belarbi El Alaoui, B.P 6203, Rabat, Morocco
- Department of Medical Oncology, National Institute of Oncology, Rabat, Morocco
| | | | - Fatima Az-Zahra Zakkouri
- Faculty of Medicine and Pharmacy, Rabat Institut., Mohammed V University, Av Mohamed Belarbi El Alaoui, B.P 6203, Rabat, Morocco
- Department of Medical Oncology, National Institute of Oncology, Rabat, Morocco
| | - Mounia El Jaouhari
- Culture, Language, Education, Migration, and Society Laboratory, Mohammed V University, Rabat, Morocco
| | - Hassan Errihani
- Faculty of Medicine and Pharmacy, Rabat Institut., Mohammed V University, Av Mohamed Belarbi El Alaoui, B.P 6203, Rabat, Morocco
- Department of Medical Oncology, National Institute of Oncology, Rabat, Morocco
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Yang Y, Sun H, Luo X, Li W, Yang F, Xu W, Ding K, Zhou J, Liu W, Garg S, Jackson T, Chen Y, Xiang YT. Network connectivity between fear of cancer recurrence, anxiety, and depression in breast cancer patients. J Affect Disord 2022; 309:358-367. [PMID: 35472477 DOI: 10.1016/j.jad.2022.04.119] [Citation(s) in RCA: 33] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 04/14/2022] [Accepted: 04/19/2022] [Indexed: 01/04/2023]
Abstract
BACKGROUND Fear of cancer recurrence (FCR), anxiety, and depression are common psychological disturbances that frequently occur together among cancer patients. This study investigated network connectivity between FCR, anxiety, and depressive symptoms in a large representative sample of breast cancer patients. METHODS This was a multicenter, cross-sectional study of 803 women with breast cancer. All participants completed the 4-item FCR scale, Generalized Anxiety Disorder Scale (GAD-7), and Patient Health Questionnaire (PHQ-9). Network analysis was conducted to investigate the network structure, central symptoms, bridge symptoms, and network stability of these disturbances. RESULTS The generated network model indicated that anxiety and depression symptom communities were well-connected with each other, while FCR emerged as a distinct cluster with only a few weak links to anxiety and depression communities. Depressive and anxiety symptoms were more central than FCR symptoms were in the model. 'Having trouble relaxing' (#GAD4, strength = 1.147) was the most central node within the whole network, and 'strong feelings about recurrence' (#FCR4, strength = 0.531) was the least central node. Several anxiety symptoms (e.g., 'feeling afraid', 'uncontrollable worry', and 'restlessness') acted as important bridging symptoms connecting FCR, depression and anxiety communities. 'Uncontrollable worry' (#GAD2) had the highest node-specific predictive betweenness value. The network stability of this model was high. CONCLUSION Depression and anxiety symptoms are highly interactive with each other among women with breast cancer. Conversely, FCR may have attenuated relations with anxiety and depression communities and emerged as a relatively independent, unique experience. Anxiety symptoms, particularly 'uncontrollable worry', acted as important trans-diagnostic symptoms that connected different communities. Findings suggested interventions to alleviate excessive worries and enhance feelings of personal control might be helpful in preventing or reducing related symptoms of FCR, anxiety and depression.
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Affiliation(s)
- Yuan Yang
- Guangdong Mental Health Center, Guangdong Academy of Medical Sciences, Guangdong Provincial People's Hospital, Guangzhou 510080, China
| | - Hengwen Sun
- Department of Radiotherapy, Cancer Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Guangzhou 510080, China
| | - Xian Luo
- Department of Psychiatry, Southern Medical University Nanfang Hospital, Guangzhou 510515, China
| | - Wengao Li
- Department of Psychiatry, 999 Brain Hospital, Guangzhou 510515, China
| | - Fan Yang
- Guangdong Mental Health Center, Guangdong Academy of Medical Sciences, Guangdong Provincial People's Hospital, Guangzhou 510080, China
| | - Wenjing Xu
- Department of Radiotherapy, Cancer Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Guangzhou 510080, China; The Second School of Clinical Medicine, Southern Medical University, Guangzhou 510515, China
| | - Kairong Ding
- Guangdong Mental Health Center, Guangdong Academy of Medical Sciences, Guangdong Provincial People's Hospital, Guangzhou 510080, China; Department of Psychology, School of Public Health, Southern Medical University, Guangzhou 510515, China
| | - Jiangyan Zhou
- Department of Psychiatry, The First Affiliated Hospital of Xiamen University, Xiamen 361003, China
| | - Wenting Liu
- School of Nursing, Southern Medical University, Guangzhou 510515, China
| | - Samradhvi Garg
- School of Health in Social Science, University of Edinburgh, Edinburgh EH8 9BL, UK
| | - Todd Jackson
- Department of Psychology, University of Macau, Macao SAR, China
| | - Yu Chen
- School of Nursing, Southern Medical University, Guangzhou 510515, China.
| | - Yu-Tao Xiang
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China; Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China; Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China.
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Matsuda Y, Karino M, Okuma S, Ikebuchi K, Takeda M, Kanno T. Proposal of Dental Hygiene Diagnosis for Cancer Patients Based on Dental Hygiene Process of Care in Acute Care Hospitals: A Narrative Review. Healthcare (Basel) 2020; 8:E217. [PMID: 32708439 PMCID: PMC7551308 DOI: 10.3390/healthcare8030217] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Revised: 07/12/2020] [Accepted: 07/16/2020] [Indexed: 12/18/2022] Open
Abstract
A narrative review was conducted to propose dental hygiene diagnoses for cancer patients based on dental hygiene process of care in acute care hospitals. Six researchers, including three dental hygienists, all with expertise in oral healthcare for patients with cancer, decided the review outline. All researchers reviewed the literature and developed terminology for dental hygiene diagnoses. The team then modified the terminology and discussed its clarity and acceptability to develop an initial list of dental hygiene diagnosis names according to the dental hygiene human needs conceptual model subscales. In wholesome facial image, one new diagnosis was developed. In protection from health risks, 15 new diagnoses were developed. In biologically sound and functional dentition, 10 new diagnoses were developed. In skin and mucous membrane integrity of the head and neck, 10 new diagnoses were developed. In freedom from head and neck pain, two new diagnoses were developed. In freedom from anxiety and stress, eight new diagnoses were developed. In responsibility for oral health, five new diagnoses were developed. In conceptualization and understanding, three new diagnoses were developed. Based on this study, it is necessary for the academic community to develop a better taxonomy of dental hygiene diagnoses pertaining to dental hygienist clinical practice.
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Affiliation(s)
- Yuhei Matsuda
- Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine & Oral Care Center, Shimane University Hospital, Izumo, Shimane 693-8501, Japan; (M.K.); (S.O.); (K.I.); (M.T.); (T.K.)
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