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Pile V, Williamson G, Saunders A, Holmes EA, Lau JYF. Harnessing emotional mental imagery to reduce anxiety and depression in young people: an integrative review of progress and promise. Lancet Psychiatry 2021; 8:836-852. [PMID: 34419188 DOI: 10.1016/s2215-0366(21)00195-4] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 04/23/2021] [Accepted: 05/12/2021] [Indexed: 11/15/2022]
Abstract
Emotional mental imagery is a powerful part of our mental landscape. Given its capacity to depict, process, and generate emotional events, mental imagery could have an important role in psychological therapies. This Series paper explores whether harnessing emotional mental imagery is meaningful to young people; ways in which interventions use emotional mental imagery; contextual and individual factors influencing intervention effectiveness; and mechanisms underpinning imagery techniques. We completed a systematic review of imagery interventions and consulted young people with lived experience (n=10) and leading international experts (n=7). The systematic search identified 86 papers covering a diverse range of imagery interventions. Across the seven categories of techniques reviewed, imagery rescripting for aversive memories, techniques targeting positive imagery, and imagery-enhanced protocols indicated the most potential. The report suggests that harnessing emotional mental imagery in psychological interventions could be a promising approach to reduce anxiety and depression and that mental health science could inform the development of new interventions and help to maximise intervention effectiveness.
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Affiliation(s)
- Victoria Pile
- Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; Department of Psychology, Royal Holloway, University of London, Egham, UK.
| | - Grace Williamson
- Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Aleks Saunders
- Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Emily A Holmes
- Department of Psychology, Uppsala University, Uppsala, Sweden; Division of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Jennifer Y F Lau
- Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
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Haruna M, Matsuzaki M, Ota E, Shiraishi M, Hanada N, Mori R. Guided imagery for treating hypertension in pregnancy. Cochrane Database Syst Rev 2019; 4:CD011337. [PMID: 31032884 PMCID: PMC6487386 DOI: 10.1002/14651858.cd011337.pub2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
BACKGROUND Hypertension (high blood pressure) in pregnancy carries a high risk of maternal morbidity and mortality. Although antihypertensive drugs are commonly used, they have adverse effects on mothers and fetuses. Guided imagery is a non-pharmacological technique that has the potential to lower blood pressure among pregnant women with hypertension. Guided imagery is a mind-body therapy that involves the visualisation of various mental images to facilitate relaxation and reduction in blood pressure. OBJECTIVES To determine the effect of guided imagery as a non-pharmacological treatment of hypertension in pregnancy and its influence on perinatal outcomes. SEARCH METHODS We searched the Cochrane Pregnancy and Childbirth Group's Trials Register, and two trials registers (October 2018). We also searched relevant conference proceedings and journals, and scanned the reference lists of retrieved studies. SELECTION CRITERIA We included randomised controlled trials (RCTs). We would have included RCTs using a cluster-randomised design, but none were identified. We excluded quasi-RCTs and cross-over trials.We sought intervention studies of various guided imagery techniques performed during pregnancy in comparison with no intervention or other non-pharmacological treatments for hypertension (e.g. quiet rest, music therapy, aromatherapy, relaxation therapy, acupuncture, acupressure, massage, device-guided slow breathing, hypnosis, physical exercise, and yoga). DATA COLLECTION AND ANALYSIS Three review authors independently assessed the trials for inclusion, extracted data, and assessed risk of bias for the included studies. We checked extracted data for accuracy, and resolved differences in assessments by discussion. We assessed the certainty of the evidence using the GRADE approach. MAIN RESULTS We included two small trials (involving a total of 99 pregnant women) that compared guided imagery with quiet rest. The trials were conducted in Canada and the USA. We assessed both trials as at high risk of performance bias, and low risk of attrition bias; one trial was at low risk for selection, detection, and reporting bias, while the other was at unclear risk for the same domains.We could not perform a meta-analysis because the two included studies reported different outcomes, and the frequency of the intervention was slightly different between the two studies. One study performed guided imagery for 15 minutes at least twice daily for four weeks, or until the baby was born (whichever came first). In the other study, the intervention included guided imagery, self-monitoring of blood pressure, and thermal biofeedback-assisted relaxation training for four total hours; the participants were instructed to practice the procedures twice daily and complete at least three relief relaxation breaks each day. The control groups were similar - one was quiet rest, and the other was quiet rest as bed rest.None of our primary outcomes were reported in the included trials: severe hypertension (either systolic blood pressure of 160 mmHg or higher, or diastolic blood pressure of 110 mmHg or higher); severe pre-eclampsia, or perinatal death (stillbirths plus deaths in the first week of life). Only one of the secondary outcomes was measured.Low-certainty evidence from one trial (69 women) suggests that guided imagery may make little or no difference in the use of antihypertensive drugs (risk ratio 1.27, 95% confidence interval 0.72 to 2.22). AUTHORS' CONCLUSIONS There is insufficient evidence to inform practice about the use of guided imagery for hypertension in pregnancy.The available evidence for this review topic is sparse, and the effect of guided imagery for treating hypertension during pregnancy (compared with quiet rest) remains unclear. There was low-certainty evidence that guided imagery made little or no difference to the use of antihypertensive drugs, downgraded because of imprecision.The two included trials did not report on any of the primary outcomes of this review. We did not identify any trials comparing guided imagery with no intervention, or with another non-pharmacological method for hypertension.Large and well-designed RCTs are needed to identify the effects of guided imagery on hypertension during pregnancy and on other relevant outcomes associated with short-term and long-term maternal and neonatal health. Trials could also consider utilisation and costs of health service.
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Affiliation(s)
- Megumi Haruna
- The University of TokyoDepartment of Midwifery and Women’s Health, Division of Health Sciences & Nursing, Graduate School of Medicine7‐3‐1 HongoTokyoJapan113‐0033
| | - Masayo Matsuzaki
- Osaka University Graduate School of MedicineDepartment of Children and Women's Health1‐7 YamadaokaSuitaOsakaJapan565‐0871
| | - Erika Ota
- St. Luke's International UniversityGlobal Health Nursing, Graduate School of Nursing Sciences10‐1 Akashi‐choChuo‐KuTokyoMSJapan104‐0044
| | - Mie Shiraishi
- Osaka UniversityDepartment of Children and Women's Health1‐7 YamadaokaSuitaOsakaJapan565‐0871
| | - Nobutsugu Hanada
- National Center for Child Health and DevelopmentDepartment of Health Policy2‐10‐1 OkuraTokyoJapan166‐0014
| | - Rintaro Mori
- National Center for Child Health and DevelopmentDepartment of Health Policy2‐10‐1 OkuraTokyoJapan166‐0014
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Yeager J. Relaxation Interventions for Antepartum Mothers on Hospitalized Bedrest. Am J Occup Ther 2019; 73:7301205110p1-7301205110p7. [PMID: 30839266 DOI: 10.5014/ajot.2019.025692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Women with a high-risk pregnancy on hospitalized bedrest engaged in relaxation interventions, including guided imagery, visual imagery, and listening to music. Qualitative interviews gathered their perspectives on the effects of hospitalized bedrest on well-being and the subjective experiences related to the relaxation interventions. Benefits identified included improved physical well-being and sleep. Such relaxation interventions were concluded to have the potential to positively influence the occupational well-being of this population, resulting in more positive outcomes for mothers.
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Affiliation(s)
- Jenna Yeager
- Jenna Yeager, PhD, OTR/L, is Associate Professor, Department of Occupational Therapy and Occupational Science, Towson University, Towson, MD;
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Awad MA, Hasanin ME, Taha MM, Gabr AA. Effect of stretching exercises versus autogenic training on preeclampsia. J Exerc Rehabil 2019; 15:109-113. [PMID: 30899745 PMCID: PMC6416512 DOI: 10.12965/jer.1836524.262] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Accepted: 12/22/2018] [Indexed: 11/22/2022] Open
Abstract
Preeclampsia (PE) is the most common medical complication of pregnancy characterized by hypertension and significant proteinuria after the 20th week of gestation, its prevalence is about 2%–8% of pregnancies. Antihypertensive drugs were found to have an adverse effect to both the mother and the fetus so interest is increased in nonchemical treatment. This study was conducted to compare between the effects of stretching exercises versus autogenic training (AT) on PE. This study was carried out on 40 preeclamptic primiparous women, their gestational age was exceeding 20 weeks. They were randomly divided into two equal groups; group A consisted of 20 women received stretching exercises and group B consisted of 20 women received relaxation training in the form of AT. All patients in both groups A and B received (3 sessions per week for 6 weeks) and received methyldopa as the antihypertensive drug. Evaluation of all patients in both groups A and B was done before and after the treatment program by assessing arterial blood pressure and proteinuria. Results of this study revealed that there is a significant decrease in systolic blood pressure, diastolic blood pressure and proteinuria in both groups A and B after 6 weeks of treatment. There was no significant difference between both groups post-treatment in systolic blood pressure, diastolic blood pressure, and proteinuria. It can be concluded that both stretching exercise and AT were found to be effective nonchemical methods which control the symptoms of PE.
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Affiliation(s)
- Mohamed A Awad
- Department of Physical Therapy for Women's Health, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
| | - Marwa E Hasanin
- Department of Physical Therapy for Women's Health, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
| | - Mona Mohamed Taha
- Department of Physical Therapy for Cardiopulmonary Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.,Department of Rehabilitation, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Amir A Gabr
- Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt
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Abstract
PURPOSE To contribute to the treatment fidelity literature by providing real-world examples and suggestion for future research and potential clinical application, this article reports on implementation, assessment, and evaluation of treatment fidelity in mind-body self-care approaches in at-risk women. METHOD Aligning with best practices, treatment fidelity was integrated into three randomized clinical trials. The first examined the effects of a tai chi intervention designed to decrease cardiometabolic risk factors in women; the second examined the effects of a tailored guided imagery intervention on pregnancy outcomes in African American women; and the third explored effects of a mindful physical activity intervention (yoga) on psychological outcomes in women with moderate to severe depressive symptoms. FINDINGS Each of the studies successfully designed, implemented, and evaluated strategies to address recommended treatment fidelity components. These strategies provided qualitative and quantitative data that informed intervention refinement, directions for future research, and application in clinical practice. CONCLUSIONS The treatment fidelity framework used here is based on best practices and was a feasible and reliable approach for ensuring and reporting on treatment fidelity, which is contributing to future research to foster translation of potentially effective mind-body self-care approaches into practice.
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Ertekin Pinar S, Duran Aksoy O, Daglar G, Yurtsal ZB, Cesur B. Effect of stress management training on depression, stress and coping strategies in pregnant women: a randomised controlled trial. J Psychosom Obstet Gynaecol 2018; 39:203-210. [PMID: 28472901 DOI: 10.1080/0167482x.2017.1321632] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
INTRODUCTION Pregnancy is a period of important biological and psychosocial changes and a period that carries high risk of experiencing anxiety and stress. It is important to reduce the depression and stress that is experienced in this period or to reduce the severity of the stress and to increase the stress coping power of the pregnant women. The research was conducted to examine the effect of stress management training on pregnant women's depression, stress and methods for coping with stress. METHODS Randomised controlled study of 202 pregnant women (experimental group: 103; control group: 99). The experimental group received stress management training and standard care; the control group received standard care. Data were collected using a Personal Information Form, the Beck Depression Inventory (BDI), Perceived Stress Scale (PSS) and ways of coping inventory (WCI). RESULTS Both groups showed a decrease in average BDI score during the study; the decrease was greater in the experimental group (p < 0.05). In the two assessments carried out after training the experimental group had lower average PSS scores than the control group (p < 0.05). At the second and third assessments the experimental group had higher scores than the control group on the self-confident approach and search for social support approach WCI subscales (ps < 0.05). DISCUSSION The average BDI and PSS scores of pregnant women in the experimental group decreased after training in coping with stress. Their scores on the self-confident approach, optimistic approach and search for social support WCI subscales increased. Stress management training is an effective method of encouraging pregnant women to take a positive approach to coping with stress.
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Affiliation(s)
| | - Ozlem Duran Aksoy
- a Faculty of Health Sciences , Cumhuriyet University , Sivas , Turkey
| | - Gulseren Daglar
- a Faculty of Health Sciences , Cumhuriyet University , Sivas , Turkey
| | - Z Burcu Yurtsal
- a Faculty of Health Sciences , Cumhuriyet University , Sivas , Turkey
| | - Busra Cesur
- a Faculty of Health Sciences , Cumhuriyet University , Sivas , Turkey
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Kang H, Nho JH, Kang H, Lee S, Lee H, Choi S. Influence of Fatigue, Depression and Anxiety on Quality of Life in Pregnant Women with Preterm Labor. KOREAN JOURNAL OF WOMEN HEALTH NURSING 2016; 22:254-263. [PMID: 37684874 DOI: 10.4069/kjwhn.2016.22.4.254] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2016] [Revised: 11/04/2016] [Accepted: 12/01/2016] [Indexed: 09/10/2023] Open
Abstract
PURPOSE The purpose of this study was to identify effects of fatigue, depression and anxiety on quality of life in pregnant women with preterm labor. METHODS With a survey design, data were collected from 138 mothers who were admitted at a hospital in Seoul, between June 2014 and September 2015. Instruments used to collect the data for the study were: Fatigue Continuum Form, Depression anxiety stress scale (DASS-21) and maternal postpartum quality of life (MAPP-QOL). RESULTS The mean fatigue score was 68.30 with 50.7% of women being depressed and 79.7% of the 138 women being anxious. The mean quality of life was 18.92 with quality of life being associated with fatigue, depression and anxiety. Depression and fatigue explained 26% of the variance in quality of life. CONCLUSION Depression and fatigue adversely affected women's quality of life. It is important to address appropriate management of depression and fatigue in order to improve quality of life in pregnant women with preterm labor.
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Affiliation(s)
- Hyuna Kang
- Department of Nursing, Asan Medical Center, Seoul, Korea
| | - Ju Hee Nho
- Department of Nursing, Asan Medical Center, Seoul, Korea
| | - Hyejin Kang
- Department of Nursing, Asan Medical Center, Seoul, Korea
| | - Soojin Lee
- Department of Nursing, Asan Medical Center, Seoul, Korea
| | - Hwangmi Lee
- Department of Nursing, Asan Medical Center, Seoul, Korea
| | - Sunsook Choi
- Department of Nursing, Asan Medical Center, Seoul, Korea
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Flynn TA, Jones BA, Ausderau KK. Guided Imagery and Stress in Pregnant Adolescents. Am J Occup Ther 2016; 70:7005220020p1-7. [PMID: 27548866 DOI: 10.5014/ajot.2016.019315] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE We examined the effects of a guided imagery intervention on perceived stress in pregnant adolescents. METHOD Thirty-five pregnant adolescents recruited from a local alternative education program participated in a guided imagery intervention. Participants listened to a pregnancy-specific guided imagery recording on four separate occasions during their pregnancies. Perceived stress was measured immediately before and after each session using the Perceived Stress Measure-9 (PSM-9). RESULTS Participants' pre- and postsession PSM-9 scores for three of the four sessions demonstrated a significant reduction in stress. Participants' baseline stress levels also decreased significantly across the four listening sessions. The greatest reductions in stress within and between sessions occurred in the early sessions, with effects diminishing over time. CONCLUSION Pregnant teens experienced initial short- and long-term stress reduction during a guided imagery intervention, supporting the use of guided imagery to reduce stress in pregnant adolescents.
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Affiliation(s)
- Theresa A Flynn
- Theresa A. Flynn, MS, OTR, is Occupational Therapist, UnityPoint Health Meriter Hospital, Madison, WI. At the time of the study, she was Student, Department of Kinesiology, Occupational Therapy Program, University of Wisconsin, Madison;
| | - Brittney A Jones
- Brittney A. Jones, MS, OTR/L, is Occupational Therapist, Presence St. Joseph Medical Center, Joliet, IL; at the time of the study, she was Occupational Therapy Master's Student, Department of Kinesiology, Occupational Therapy Program, University of Wisconsin, Madison
| | - Karla K Ausderau
- Karla K. Ausderau, PhD, OTR/L, is Assistant Professor, Department of Kinesiology, Occupational Therapy Program, University of Wisconsin, Madison, and Investigator at the Waisman Center, University of Wisconsin, Madison
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Burnett-Zeigler I, Schuette S, Victorson D, Wisner KL. Mind-Body Approaches to Treating Mental Health Symptoms Among Disadvantaged Populations: A Comprehensive Review. J Altern Complement Med 2015; 22:115-24. [PMID: 26540645 DOI: 10.1089/acm.2015.0038] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Mind-body approaches are commonly used to treat a variety of chronic health conditions, including depression and anxiety. A substantial proportion of individuals with depression and anxiety disorders do not receive conventional treatment; disadvantaged individuals are especially unlikely to receive treatment. Mind-body approaches offer a potentially more accessible and acceptable alternative to conventional mental health treatment for disadvantaged individuals, who may not otherwise receive mental health treatment. This review examines evidence for the efficacy of mind-body interventions for mental health symptoms among disadvantaged populations. While rates of utilization were relatively lower for racial/ethnic minorities, evidence suggests that significant proportions of racial/ethnic minorities are using complementary health approaches as health treatments, especially prayer/healers and natural or herbal remedies. This review of studies on the efficacy of mind-body interventions among disadvantaged populations found evidence for the efficacy of mind-body approaches for several mental and physical health symptoms, functioning, self-care, and overall quality of life.
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Affiliation(s)
- Inger Burnett-Zeigler
- 1 Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine , Chicago, IL
| | - Stephanie Schuette
- 1 Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine , Chicago, IL
| | - David Victorson
- 2 Medical Social Sciences, Northwestern University Feinberg School of Medicine , Chicago, IL
| | - Katherine L Wisner
- 1 Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine , Chicago, IL
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Jallo N, Salyer J, Ruiz RJ, French E. Perceptions of guided imagery for stress management in pregnant African American women. Arch Psychiatr Nurs 2015; 29:249-54. [PMID: 26165981 DOI: 10.1016/j.apnu.2015.04.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2014] [Revised: 03/28/2015] [Accepted: 04/11/2015] [Indexed: 10/23/2022]
Abstract
Maternal stress during pregnancy has been associated with numerous adverse pregnancy, birth, and health outcomes. Pregnant African American women have been reported to have higher levels of stress compared to other ethnic or racial groups underscoring the need for effective interventions to reduce stress in this population. The purpose of this study was to gain an in-depth understanding of the perceptions of guided imagery (GI) as a technique for stress management in a cohort of pregnant African American women who participated in a GI intervention as part of a larger mixed methods randomized controlled trial. The 12week intervention was a professionally recorded compact disc with four tracks developed and sequenced to reduce stress and associated symptoms. The findings from this descriptive phenomenologic study were derived from daily logs and interviews from 36 participants randomized to the GI group. Participants described the stressful nature of their lives. Results demonstrated pregnant African American women perceived the intervention as beneficial in reducing stress and the associated symptoms. The emergent themes suggested the intervention offered a respite from their stressful lives, reduced the negative emotional responses to stress and enhanced well-being, benefited other areas of their daily life, and provided an opportunity to connect with their baby. The study results support the perceived efficacy of GI as a stress coping intervention. GI is an economic as well as easy to implement, access and use technique that has potential stress coping benefits as perceived by pregnant African American women.
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Affiliation(s)
- Nancy Jallo
- Virginia Commonwealth University, School of Nursing, Richmond, VA.
| | - Jeanne Salyer
- Virginia Commonwealth University, School of Nursing, Richmond, VA.
| | - R Jeanne Ruiz
- Research and Faculty Scholarship, Texas Tech University, Gayle Greve Hunt School of Nursing, El Paso, TX.
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Jallo N, Elswick RK, Kinser P, Masho S, Price SK, Svikis DS. Prevalence and Predictors of Depressive Symptoms in Pregnant African American Women. Issues Ment Health Nurs 2015; 36:860-9. [PMID: 26631857 DOI: 10.3109/01612840.2015.1048014] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
African American women may be especially vulnerable to antepartum depression, a major health concern during pregnancy. This study investigated the prevalence and predictors of depressive symptoms in a sample of African American women who were between 14-17 weeks pregnant, a timeframe that is typically thought to be a time of general well-being. Two-thirds reported a CES-D score ≥ 16 indicative of depressive symptomatology. Age, perceived stress (as measured by the Perceived Stress Scale [PSS]), and anxiety (as measured by the State Trait Anxiety Inventory [STAI]) predicted depressive symptoms; the interaction between PSS and STAI scores was also a significant predictor. Our study findings suggest that early identification of stress and anxiety, in addition to depressive symptoms, is vital for intervention with this group.
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Affiliation(s)
- Nancy Jallo
- a Virginia Commonwealth University , School of Nursing , Richmond , Virginia , USA
| | - R K Elswick
- a Virginia Commonwealth University , School of Nursing , Richmond , Virginia , USA
| | - Patricia Kinser
- a Virginia Commonwealth University , School of Nursing , Richmond , Virginia , USA
| | - Saba Masho
- b Virginia Commonwealth University, Department of Family Medicine and Population Health, Department of Obstetrics and Gynecology, and the Institute for Women's Health , Richmond , Virginia , USA
| | - Sarah Kye Price
- c Virginia Commonwealth University , School of Social Work , Richmond , Virginia , USA
| | - Dace S Svikis
- d Virginia Commonwealth University, Departments of Psychology, Psychiatry, and Obstetrics and Gynecology, and the Institute for Women's Health , Richmond , Virginia , USA
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Haruna M, Matsuzaki M, Ota E, Shiraishi M, Hanada N, Mori R. Guided imagery for treating hypertension in pregnancy. Hippokratia 2014. [DOI: 10.1002/14651858.cd011337] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Megumi Haruna
- The University of Tokyo; Department of Midwifery and Women's Health; 7-3-1 Hongo Bunkyo-ku Tokyo Japan 113-0033
| | - Masayo Matsuzaki
- The University of Tokyo; Department of Midwifery and Women's Health; 7-3-1 Hongo Bunkyo-ku Tokyo Japan 113-0033
| | - Erika Ota
- National Center for Child Health and Development; Department of Health Policy; 2-10-1 Okura, Setagaya-ku Tokyo Japan 157-8535
| | - Mie Shiraishi
- The University of Tokyo; Department of Midwifery and Women's Health; 7-3-1 Hongo Bunkyo-ku Tokyo Japan 113-0033
| | - Nobutsugu Hanada
- National Center for Child Health and Development; Department of Health Policy; 2-10-1 Okura, Setagaya-ku Tokyo Japan 157-8535
| | - Rintaro Mori
- National Center for Child Health and Development; Department of Health Policy; 2-10-1 Okura, Setagaya-ku Tokyo Japan 157-8535
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Tragea C, Chrousos GP, Alexopoulos EC, Darviri C. A randomized controlled trial of the effects of a stress management programme during pregnancy. Complement Ther Med 2014; 22:203-11. [DOI: 10.1016/j.ctim.2014.01.006] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2012] [Revised: 01/14/2014] [Accepted: 01/22/2014] [Indexed: 11/25/2022] Open
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Guided imagery for stress and symptom management in pregnant african american women. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2014; 2014:840923. [PMID: 24719646 PMCID: PMC3955623 DOI: 10.1155/2014/840923] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/13/2013] [Revised: 01/17/2014] [Accepted: 01/18/2014] [Indexed: 11/17/2022]
Abstract
The purpose of this study was to evaluate the efficacy of a guided imagery (GI) intervention for stress reduction in pregnant African American women beginning early in the second trimester. This prospective longitudinal study of 72 women used a randomized controlled experimental design with two groups conducted over 12 weeks. The intervention was a CD with 4 professionally recorded tracts designed and sequenced to influence study variables. Participants in both GI and usual care (UC) completed measures and donated 5 cc of blood at baseline, 8 weeks and 12 weeks. Participants also completed a daily stress scale. A mixed-effects linear model tested for differences between groups for self-reported measures of stress, anxiety, and fatigue as well as corticotrophin releasing hormone (CRH), a biologic marker of stress. Significant differences in perceived stress daily scores and at week 8 but not week 12 were found in the GI group compared to UC group. The GI group reported significantly less fatigue and anxiety than the UC group at week 8 but not week 12. There were no significant differences in CRH levels between groups. Results suggest that GI intervention may be effective in reducing perceived stress, anxiety, and fatigue measures among pregnant African American women.
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Menzies V, Lyon DE, Elswick RK, McCain NL, Gray DP. Effects of guided imagery on biobehavioral factors in women with fibromyalgia. J Behav Med 2014; 37:70-80. [PMID: 23124538 PMCID: PMC3610859 DOI: 10.1007/s10865-012-9464-7] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Women diagnosed with fibromyalgia (N = 72) participated in a 10-week randomized trial to examine the effectiveness of guided imagery on self-efficacy, perceived stress, and selected biobehavioral factors (FMS symptoms; immune biomarkers). Participants in both guided imagery and usual care control conditions completed measures and donated 3 cc of blood at baseline, 6- and 10-weeks. A mixed effects linear model to test for differences between groups for all behavioral and biologic variables demonstrated that after 10 weeks of daily intervention use, guided imagery participants reported statistically significant increases in self-efficacy and statistically significant decreases in stress, fatigue, pain, and depression. There were no statistically significant changes in biomarker levels, although total group C-reactive protein was elevated at baseline (4.7 mg/L), indicating an inflammatory process. Subsequent studies should be undertaken to more fully elucidate the biobehavioral aspects of nonpharmacological intervention effectiveness.
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Affiliation(s)
- Victoria Menzies
- Virginia Commonwealth University, School of Nursing, 1100 East Leigh Street, P. O. Box 980567, Richmond, VA 23298-0567,
| | - Debra E. Lyon
- Virginia Commonwealth University, School of Nursing, 1100 East Leigh Street, P. O. Box 980567, Richmond, VA 23298-0567,
| | - R. K. Elswick
- Virginia Commonwealth University, School of Nursing, 1100 East Leigh Street, P. O. Box 980567, Richmond, VA 23298-0567,
| | - Nancy L. McCain
- Virginia Commonwealth University, School of Nursing, 1100 East Leigh Street, P. O. Box 980567, Richmond, VA 23298-0567,
| | - D. Patricia Gray
- Department of Adult Health and Nursing Systems, Virginia Commonwealth University, School of Nursing, 1100 East Leigh Street, P. O. Box 980567, Richmond, VA 23298-0567,
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Calou CGP, Pinheiro AKB, Castro RCMB, de Oliveira MF, de Souza Aquino P, Antezana FJ. Health Related Quality of Life of Pregnant Women and Associated Factors: An Integrative Review. Health (London) 2014. [DOI: 10.4236/health.2014.618273] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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17
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Effects of a Guided Imagery Intervention on Stress in Hospitalized Pregnant Women. Holist Nurs Pract 2013; 27:129-39. [DOI: 10.1097/hnp.0b013e31828b6270] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Abstract
Mothers of preterm infants are at risk for poor sleep quality, which may adversely affect their health, maternal-infant attachment, and infant caretaking activities. This study examined the relationship of an 8-week relaxation guided imagery intervention on sleep quality and the association between sleep quality and maternal distress (perceived stress, depressive symptoms, and state anxiety) in 20 mothers of hospitalized preterm infants. Mothers received a CD (compact disc) with three 20-minutes recordings and were asked to listen to at least 1 recording daily for 8 weeks. This analysis used self-report data gathered at baseline and 8 weeks. Pearson correlations were used to examine the relationships between mean cumulative relaxation guided imagery use and measures of maternal distress and sleep quality scores at 8 weeks. Complete data on 19 mothers were available for analysis. At 8 weeks, higher mean relaxation guided imagery use was inversely correlated with sleep quality scores (r = -0.30); sleep quality scores were positively correlated with stress (r = 0.42), depressive symptoms (r = 0.34), and anxiety (r = 0.39) scores. In mothers of preterm infants, sleep quality was negatively affected by mental distress and may be improved by a guided imagery intervention.
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The effect of maternal stress and health-related quality of life on birth outcomes among Macao Chinese pregnant women. J Perinat Neonatal Nurs 2013; 27:14-24. [PMID: 23360937 DOI: 10.1097/jpn.0b013e31824473b9] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
This study investigated the prevalence of preterm birth and low-birth-weight in Macao. It also evaluated the effects of maternal perceived stress and health-related quality of life on these 2 birth outcomes. A quantitative study using a prospective longitudinal design was undertaken in an antenatal clinic in Macao. A community-based sample (N = 581) of pregnant women in their second trimester was recruited; birth outcome data were collected from medical records. Perceived stress was measured using the Perceived Stress Scale, whereas health-related quality of life was measured using the standard SF-12 Health Survey. The prevalence rates of preterm birth and low-birth-weight were found to be 6.4% and 7.1%, respectively. Two multiple logistic regression analyses revealed that participants with past adverse obstetric complications and higher perceived stress levels were more likely to have premature infants. Also, those participants with higher perceived stress levels and poorer health-related quality of life in the physical health domain were more likely to have low-birth-weight infants. Preliminary information was provided on risk factors associated with adverse birth outcomes; this could help nurses to design appropriate risk-specific interventions for preventing preterm birth and low-birth-weight.
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Gavin AR, Nurius P, Logan-Greene P. Mediators of adverse birth outcomes among socially disadvantaged women. J Womens Health (Larchmt) 2012; 21:634-42. [PMID: 22150295 PMCID: PMC3366100 DOI: 10.1089/jwh.2011.2766] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Numerous studies find that socially disadvantaged women are more likely than socially advantaged women to deliver infants that weigh less than normal and/or are born weeks prior to their due date. However, little is known about the pathways that link maternal social disadvantage to birth outcomes. Using data from a prospective cohort study, we examined whether antenatal psychosocial stress, substance use, and maternal health conditions in pregnancy mediated the pathway between maternal social disadvantage and birth outcomes. METHODS Analyses used structural equation modeling to examine data from a community clinic-based sample (n=2168) of pregnant women who completed questionnaires assessing psychosocial functioning and health behaviors as well as sociodemographic characteristics, which were matched with subsequent birth outcome data. RESULTS Analyses revealed maternal social disadvantage predicted poorer birth outcomes through a mediated pathway including maternal health conditions in pregnancy. CONCLUSIONS The findings demonstrate that maternal social disadvantage is associated with poor health status in pregnancy, which in turn adversely affects birth outcomes. Results argue for more systematic attention to the roles of social disadvantage, including life course perspectives that trace social disadvantage prior to and through pregnancy.
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Affiliation(s)
- Amelia R Gavin
- School of Social Work, University of Washington, Seattle, WA 98105-6299, USA.
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Gedde-Dahl M, Fors EA. Impact of self-administered relaxation and guided imagery techniques during final trimester and birth. Complement Ther Clin Pract 2012; 18:60-5. [DOI: 10.1016/j.ctcp.2011.08.008] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2011] [Revised: 07/29/2011] [Accepted: 08/16/2011] [Indexed: 11/26/2022]
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22
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Menzies V, Jallo N. Guided imagery as a treatment option for fatigue: a literature review. J Holist Nurs 2011; 29:279-86. [PMID: 21772047 DOI: 10.1177/0898010111412187] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE Fatigue is one of the most common complaints experienced among the general population. Because fatigue is recognized as a biobehavioral occurrence, a biobehavioral intervention such as guided imagery may be effective in reducing self-reported fatigue. Therefore, the purpose of this study was to explore the research literature related to the use of guided imagery as a nonpharmacological mind-body intervention for the symptom of fatigue. METHOD The electronic databases MEDLINE, CINAHL, PsychInfo, Psychology and Behavioral Sciences Collection and the Cochrane Library were searched from January 1980 to June 2010. FINDINGS Of 24 articles retrieved, eight met the inclusion criteria and were included in this systematic literature review. FINDINGS were inconsistent regarding the effectiveness of guided imagery on fatigue. Studies varied in study length, duration of the applied guided imagery intervention, dosage, and whether the images were targeted to the purpose of the intervention. IMPLICATIONS Guided imagery is a simple, economic intervention with the potential to effectively treat fatigue, thus further research is warranted using systematic, well-designed methodologies Standardizing guided imagery interventions according to total duration of exposure and targeted imagery in a variety of different populations adequately powered to detect changes will contribute to and strengthen nursing's symptom-management armamentarium.
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Kappes HB, Oettingen G. Positive fantasies about idealized futures sap energy. JOURNAL OF EXPERIMENTAL SOCIAL PSYCHOLOGY 2011. [DOI: 10.1016/j.jesp.2011.02.003] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Kappes HB, Stephens EJ, Oettingen G. Implicit theories moderate the relation of positive future fantasies to academic outcomes. JOURNAL OF RESEARCH IN PERSONALITY 2011. [DOI: 10.1016/j.jrp.2011.02.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Woods-Giscombé CL, Black AR. Mind-Body Interventions to Reduce Risk for Health Disparities Related to Stress and Strength Among African American Women: The Potential of Mindfulness-Based Stress Reduction, Loving-Kindness, and the NTU Therapeutic Framework. ACTA ACUST UNITED AC 2010; 15:115-131. [PMID: 21479157 DOI: 10.1177/1533210110386776] [Citation(s) in RCA: 79] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In the current article, the authors examine the potential role of mind-body interventions for preventing or reducing health disparities in a specific group-African American women. The authors first discuss how health disparities affect this group, including empirical evidence regarding the influence of biopsychosocial processes (e.g., psychological stress and social context) on disparate health outcomes. They also detail how African American women's unique stress experiences as a result of distinct sociohistorical and cultural experiences related to race and gender potentially widen exposure to stressors and influence stress responses and coping behaviors. Using two independent, but related, frameworks (Superwoman Schema [SWS] and the Strong Black Woman Script [SBW-S]), they discuss how, for African American women, stress is affected by "strength" (vis-à-vis resilience, fortitude, and self-sufficiency) and the emergent health-compromising behaviors related to strength (e.g., emotional suppression, extraordinary caregiving, and self-care postponement). The authors then describe the potential utility of three mind-body interventions-mindfulness-based stress reduction (MBSR), loving-kindness meditation (LKM), and NTU psychotherapy-for specifically targeting the stress-, strength-, and contextually related factors that are thought to influence disparate outcomes for African American women. Self-awareness, self-care, inter- and intrapersonal restorative healing and a redefinition of inner strength may manifest through developing a mindfulness practice to decrease stress-related responses; using LKM to cultivate compassion and forgiveness for self and others; and the balance of independence and interdependence as a grounding NTU principle for redefining strength. The authors conclude with a discussion of potential benefits for integrating key aspects of the interventions with recommendations for future research.
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Yeo S. Prenatal stretching exercise and autonomic responses: preliminary data and a model for reducing preeclampsia. J Nurs Scholarsh 2010; 42:113-21. [PMID: 20618595 DOI: 10.1111/j.1547-5069.2010.01344.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
PURPOSE Preeclampsia is a leading cause of perinatal mortality and morbidity, and it increases maternal risk for future cardiovascular disease. The purpose of the study was to explore the relationships among stretching exercise, autonomic cardiac response, and the development of preeclampsia. DESIGN Secondary data analysis. METHODS Heart rate and pulse pressure were longitudinally examined in this secondary data analysis among women who engaged in stretching exercise daily from 18 weeks of gestation to the end of pregnancy compared with women who did walking exercise daily during the same time period. A total of 124 women were randomized to either stretching (n=60) or walking (n=64) in the parent study. FINDINGS Heart rates in the stretching group were consistently lower than those in the walking group. CONCLUSIONS Based on the results of this secondary data analyses, a physiologic framework for possible beneficial effects of stretching exercise by enhancing autonomic responses on reducing risks for preeclampsia is proposed and discussed. CLINICAL RELEVANCE If the protective effect is established, stretching exercise can be translated into nursing intervention for prenatal care.
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Affiliation(s)
- SeonAe Yeo
- University of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, NC, USA.
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Lau Y, Yin L. Maternal, obstetric variables, perceived stress and health-related quality of life among pregnant women in Macao, China. Midwifery 2010; 27:668-73. [PMID: 20466467 DOI: 10.1016/j.midw.2010.02.008] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2009] [Revised: 12/28/2009] [Accepted: 02/15/2010] [Indexed: 11/13/2022]
Abstract
OBJECTIVE to identify associations between demographic, socio-economic and obstetric variables and health-related quality of life with perceived stress among Macao Chinese pregnant women. DESIGN a cross-sectional, exploratory quantitative study. SETTING an antenatal clinic of a university-affiliated regional public hospital in Macao. PARTICIPANTS a community-based sample (n = 1151) of pregnant women in the second trimester of pregnancy. MEASUREMENTS perceived stress was measured using the Perceived Stress Scale, and health-related quality of life was measured using the standard Short Form-12 Health Survey. FINDINGS a multiple linear regression analysis revealed that pregnant women who were younger (β = 0.085, p = 0.002), single, divorced, separated or cohabiting (β = 0.067, p < 0.009), had a lower level of education (β = 0.079, p = 0.003), worked long hours (β = 0.102, p < 0.001) or who had an unplanned pregnancy (β = 0.063, p = 0.014) with late initiation of antenatal care (β = 0.066, p = 0.008) or poor physical (β = -0.501, p < 0.001) or mental (β = -0.115, p < 0.001) health-related quality of life had higher levels of perceived stress. CONCLUSION preliminary information was provided about Macao pregnant women who had higher perceived stress during pregnancy that was associated with the demographic, socio-economic, obstetric and health-related quality-of-life variables. IMPLICATIONS FOR PRACTICE the development of a checklist or structured questions for clinical situations is necessary, and programmes of stress management should be tailor made during pregnancy.
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Affiliation(s)
- Ying Lau
- School of Health Sciences, Macao Polytechnic Institute, 5/F Centro Hotline Building, No. 335-341, Alameda Dr. Carlos D' Assumpcao, Macao Special Administrative Region, China.
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James U. Practical uses of clinical hypnosis in enhancing fertility, healthy pregnancy and childbirth. Complement Ther Clin Pract 2009; 15:239-41. [PMID: 19880089 DOI: 10.1016/j.ctcp.2009.09.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The following article identifies practical uses of hypnosis within midwifery. The author and her team teaches clinical hypnosis at 11 medical schools in the UK.
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Affiliation(s)
- Ursula James
- Chair of the Medical School Hypnosis Association, Visiting Teaching Fellow Oxford University Medical School, Honorary Lecturer Bart's and the London, Queen Mary's University of London Medical Schools, London, UK.
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