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McCracken KY, Andrasik F, Zhang JW. B - 80 The Effects of Psychological Distress and Retention Intervals on the Fading Affect Bias and Response Time. Arch Clin Neuropsychol 2023; 38:1446. [PMID: 37807509 DOI: 10.1093/arclin/acad067.286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/10/2023] Open
Abstract
OBJECTIVE The ability to exert control over memories has substantial implications for cognitive functioning and psychological well-being. This study explored psychological distress as a negatively related unhealthy variable of memory recollection and the Fading Affect Bias based on memory type (negative vs. positive) and retention intervals (within 1 month vs. within 6 months vs. 2-10 years vs. at least 10 years). METHOD Participants completed a series of memory recall, emotional intensity ratings, and self-reported tasks. We conducted frequencies to determine the top reaction time period, and an analysis of covariance to examine the relationship between memory type, memory time periods, and the Fading Affect Bias. RESULTS Participants were 50 college-age students. "Within 1 month" for positive memory type (μ = 44,880.74 ms) was the most extensive reaction time. "2-10 years" for both positive (μ = 19,067.50 ms) and negative (μ = 19,303.67 ms) memory types were the most rapid reaction time. "Within 1 month" (+) had the greatest mean decrease in affect intensity with (92.7%) rating neutral to extremely pleasant, and "2-10 years" (-) had the smallest decrease in mean affect intensity with (62.7%) rating unpleasant to extremely unpleasant. CONCLUSIONS Data suggests that reaction time and the pleasantness of which memories fade may be related to memory type and the time in which they occurred. Data also suggests that the rate at which the pleasantness of memories fades may be related to psychological distress Future research should examine whether sociodemographic and socioeconomic factors are associated with the types of memories recalled and reaction time.
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Jones VL, Salgado García FI, Brewer LM, Pérez-Muñoz A, Schenck LAM, You Z, Andrasik F. The relaxation zone: Initial analysis of stress management services for university students. J Am Coll Health 2023; 71:2106-2114. [PMID: 34788562 DOI: 10.1080/07448481.2021.1960846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 06/04/2021] [Accepted: 07/22/2021] [Indexed: 06/13/2023]
Abstract
Objective: We evaluated the Relaxation Zone (RZ), a room with "relaxation stations" designed to reduce stress in college students. Participants: Participants (N = 994) were enrolled during the 2019 calendar year. Most participants were female (62.8%), freshmen (59.3%), and African American (44.9%). Methods: Students visiting the RZ completed a brief pretest and posttest that measured self-reported stress. Results: Paired sample t-tests across class groups (e.g., freshman, sophomore) revealed a significant reduction in stress from pretest (Mpooled = 6.0) to posttest (Mpooled = 4.5), with medium to large effect sizes (Cohen's d ranging from 0.53 to 0.88) during their first visit. For students having at least two visits (N = 348), an exploratory dose-response analysis demonstrated that an optimal dose of self-guided relaxation ranged from two to eight visits. Conclusions: These findings provide initial evidence that programs like the RZ can reduce student stress within a few visits.
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Affiliation(s)
- Victoria L Jones
- Student Health and Counseling Services, The University of Memphis, Memphis, Tennessee, USA
| | | | - Logan M Brewer
- Department of Psychology, The University of Memphis, Memphis, Tennessee, USA
| | - Andrea Pérez-Muñoz
- Department of Psychology, The University of Memphis, Memphis, Tennessee, USA
| | - Lauren A-M Schenck
- Department of Psychology, The University of Memphis, Memphis, Tennessee, USA
| | - Zhiqi You
- Department of Social Work, Huazhong Agricultural University, Wuhan, China
| | - Frank Andrasik
- Department of Psychology, The University of Memphis, Memphis, Tennessee, USA
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Zheng Q, Guo Y, Wang Z, Andrasik F, Kuang Z, Xu S, Hu X. Status quo and predictors of Weibo users' attitudes toward lesbians and gay men in 31 provinces in the Chinese mainland: Analysis based on supervised machine learning and provincial panel data. Front Psychol 2023; 14:1069589. [PMID: 36818087 PMCID: PMC9931194 DOI: 10.3389/fpsyg.2023.1069589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 01/06/2023] [Indexed: 02/04/2023] Open
Abstract
Introduction Public attitudes toward consensual same-sex relations are crucial to lesbians' and gay men's rights and society's well-being, but research addressing this topic in China is limited. We comprehensively explored the current status and predictors of Weibo users' attitudes toward individuals who are lesbian or gay (IWLG) at the provincial level in the Chinese mainland. Methods Natural language processing and machine learning techniques were incorporated to analyze 1,934,008 Weibo posts from January 1, 2010, to December 31, 2020, to evaluate Weibo users' expressed attitudes toward IWLG in 31 provinces in the Chinese mainland guided by the ABC Model of attitude. Results Although the general attitudes, feelings, and support for the rights of Weibo users toward IWLG among different provinces were relatively positive, knowledge about IWLG was noticeably inaccurate. Economic development and educational level positively predicted certain aspects of attitudes at the provincial level. Conclusion Weibo users from different provinces are generally supportive and accepting of people who are gay and the rights of the gay community. However, considerable misconceptions and inaccurate knowledge of IWLG surfaced in Weibo users' posts. Economic development and educational level were important predictors of specific attitudes toward IWLG at the provincial level. Increased efforts to address the unbalanced and insufficient development between different provinces could help reduce the public's prejudice, stigma, and discrimination toward IWLG. Policies that facilitate greater implementation of Comprehensive Sexuality Education sequentially and effectively are suggested as well.
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Affiliation(s)
- Quan Zheng
- School of Psychology, Central China Normal University, Wuhan, China,Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, China
| | - Ying Guo
- School of Psychology, Sichuan Normal University, Chengdu, China
| | - Zhen Wang
- School of Psychology, Faculty of Education, Henan University, Kaifeng, China
| | - Frank Andrasik
- Department of Psychology, University of Memphis, Memphis, TN, United States
| | - Ziyi Kuang
- School of Psychology, Central China Normal University, Wuhan, China,Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, China
| | - Sheng Xu
- School of Psychology, Central China Normal University, Wuhan, China,Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, China
| | - Xiangen Hu
- School of Psychology, Central China Normal University, Wuhan, China,Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, China,Department of Psychology, University of Memphis, Memphis, TN, United States,*Correspondence: Xiangen Hu,
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Zhang XC, Chu XW, Fan CY, Andrasik F, Shi HF, Hu XE. Sensation seeking and cyberbullying among Chinese adolescents: Examining the mediating roles of boredom experience and antisocial media exposure. Computers in Human Behavior 2022. [DOI: 10.1016/j.chb.2022.107185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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5
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Zheng Q, Guo Y, Wang Z, Andrasik F, Kuang Z, Li J, Xu S, Hu X. Exploring Weibo users’ attitudes toward lesbians and gays in Mainland China: A natural language processing and machine learning approach. Computers in Human Behavior 2022. [DOI: 10.1016/j.chb.2021.107021] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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6
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Vagedes J, Kuderer S, Helmert E, Vagedes K, Kohl M, Szőke H, Beissner F, Joos S, Andrasik F. The Immediate Effect of Sinapis nigra and Zingiber officinale as Thermogenic Substances during Footbaths: A Randomized Controlled Crossover Trial. Complement Med Res 2021; 29:213-222. [PMID: 34933309 PMCID: PMC9677831 DOI: 10.1159/000521590] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Accepted: 12/19/2021] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Warm footbaths infused with Sinapis nigra (mustard, or MU) or Zingiber officinale (ginger, or GI) are used for various thermoregulatory conditions, but little is known about how they are perceived by individuals, both short- and long-term. We analyzed the immediate and long-term effects of MU and GI on warmth and stimulus perception in healthy adults. METHODS Seventeen individuals (mean age 22.1±2.4 years; 11 female) received three footbaths (mean temperature was 40 ± 0.2°C, administered between 1:30 and 6:30 p.m.) in a randomized order with a crossover design: 1. with warm water only (WA), 2. with warm water and MU, and 3. with warm water and GI. Warmth and stimulus perception at the feet were assessed at the 1st, 5th, 10th, 15th, and 20th minute of the footbaths, in the late evening (EVE), and the following morning (MG). We further assessed well-being (at EVE and MG) and sleep quality (at MG). The primary outcome measure was the warmth perception at the feet at the 10th minute of the footbath. RESULTS At the 10th minute of the footbath, warmth perception at the feet was significantly higher with MU and GI compared to WA. The immediate thermogenic effects pointed to a quick increase in warmth and stimulus perception with MU, a slower increase with GI, and a gradual decrease with WA. Regarding the long-term effects, warmth and stimulus perception were still higher after GI compared to WA at EVE and MG. No differences were seen for general well-being and sleep quality. CONCLUSION Thermogenic substances can significantly alter the dynamics of warmth and stimulus perception when added to footbaths. The different profiles in the application of GI and MU could be relevant for a more differentiated and specific use of both substances in different therapeutic indications.
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Affiliation(s)
- Jan Vagedes
- ARCIM Institute (Academic Research in Complementary and Integrative Medicine), Filderstadt, Germany
- Department of Neonatology, University Hospital Tübingen, Tübingen, Germany
| | - Silja Kuderer
- ARCIM Institute (Academic Research in Complementary and Integrative Medicine), Filderstadt, Germany
| | - Eduard Helmert
- ARCIM Institute (Academic Research in Complementary and Integrative Medicine), Filderstadt, Germany
| | - Katrin Vagedes
- ARCIM Institute (Academic Research in Complementary and Integrative Medicine), Filderstadt, Germany
| | - Matthias Kohl
- Institute of Precision Medicine, University Furtwangen, Villingen-Schwenningen, Germany
| | - Henrik Szőke
- Department of Integrative Medicine, University of Pécs, Pécs, Hungary
| | - Florian Beissner
- Insula Institute for Integrative Therapy Research, Hannover, Germany
| | - Stefanie Joos
- Institute for General Practice and Interprofessional Care, University Hospital Tübingen, Tübingen, Germany
| | - Frank Andrasik
- Department of Psychology, University of Memphis, Memphis, Tennessee, USA
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7
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Grazzi L, Andrasik F, Rizzoli P, Bernstein C, Sansone E, Raggi A. Acceptance and commitment therapy for high frequency episodic migraine without aura: Findings from a randomized pilot investigation. Headache 2021; 61:895-905. [PMID: 34115399 DOI: 10.1111/head.14139] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Revised: 02/22/2021] [Accepted: 03/25/2021] [Indexed: 12/14/2022]
Abstract
OBJECTIVE We compared the incremental effects of adding acceptance and commitment therapy (ACT) to pharmacological treatment as usual (TAU) in a sample of patients with high frequency episodic migraine without aura (HFEM), assessing impact on a spectrum of measures across multiple domains. BACKGROUND Patients with HFEM are at risk of developing chronic migraine and medication overuse headache. ACT has been shown to be effective for the treatment of various chronic pain conditions, but little attention has been given to its therapeutic value in the management of recurring headaches. METHODS In this single-blind (masking for outcome assessor), open-label, randomized clinical trial, 35 patients with HFEM, with a monthly headache frequency ranging from 9 to 14 days, were recruited at the headache center of C. Besta Neurological Institute and randomized to either TAU (patient education and pharmacological prophylaxis; n = 17) or TAU + ACT (n = 18). Patients assigned to the combined treatment arm additionally received six 90-min weekly group sessions of ACT therapy and two supplementary "booster" sessions. All patients were on a stable course of prophylactic medication in the 3 months prior to initiating either treatment. Monthly headache frequency served as the primary outcome measure, with all other data collected being considered as secondary measures (medication intake, disability, headache impact, anxiety and depression, catastrophizing, allodynia, cognitive inflexibility, pain acceptance, mindful attention and awareness). RESULTS A total of 35 patients were enrolled: 17 randomized to TAU, of whom three dropped out, and 18 to TAU + ACT (no dropouts in this group). Headache frequency and medication intake decreased in both groups over 12 months, with patients in the TAU + ACT group showing statistically significant reduction earlier, that is, by month 3. Headache frequency was reduced by 3.3 days (95% CI: 1.4 to 5.2) among those randomized to ACT + TAU, whereas it increased by 0.7 days (95% CI: -2.7 to 1.3) among those randomized to TAU only (p = 0.007, partial η2 = 0.21), the difference being 4 days (95% CI: 1.2 to 6.8). Medication intake was reduced by 4.1 intakes (95% CI: 2.0 to 6.3) among those randomized to ACT + TAU and by 0.4 intakes (95% CI: -1.8 to 2.5) among those randomized to TAU only (p = 0.016; partial η2 = 0.17), the difference being 3.8 intakes (95% CI: 0.7 to 6.8). At 6 and 12 months, the variations were not different between the two groups for headache frequency and medication intake. The opposite was found for measures of headache impact and pain acceptance, where the differences over time favored patients allocated to TAU. Both groups improved with regard to measures of disability, anxiety and depression, catastrophizing, and cognitive inflexibility, whereas measures of allodynia and pain acceptance were stable over time. CONCLUSIONS Our preliminary findings indicate that supplementing TAU with ACT can enhance the main clinical outcomes, namely headache frequency and medication intake of patients with HFEM.
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Affiliation(s)
- Licia Grazzi
- Dipartimento Neuroalgologia Centro Cefalee, Fondazione IRRCS Istituto Neurologico Carlo Besta, Milano, Italy
| | - Frank Andrasik
- Department of Psychology, University of Memphis, Memphis, TN, USA
| | - Paul Rizzoli
- John Graham Headache Center, Brigham and Women's/Faulkner Hospital, Harvard Medical School, Boston, MA, USA
| | - Carolyn Bernstein
- John Graham Headache Center, Brigham and Women's/Faulkner Hospital, Harvard Medical School, Boston, MA, USA
| | - Emanuela Sansone
- UO Neurologia Salute Pubblica e Disabilità, Fondazione IRRCS Istituto Neurologico Carlo Besta, Milano, Italy
| | - Alberto Raggi
- UO Neurologia Salute Pubblica e Disabilità, Fondazione IRRCS Istituto Neurologico Carlo Besta, Milano, Italy
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Gramlich MA, Smolenski DJ, Norr AM, Rothbaum BO, Rizzo AA, Andrasik F, Fantelli E, Reger GM. Psychophysiology during exposure to trauma memories: Comparative effects of virtual reality and imaginal exposure for posttraumatic stress disorder. Depress Anxiety 2021; 38:626-638. [PMID: 33666322 DOI: 10.1002/da.23141] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Revised: 12/29/2020] [Accepted: 02/12/2021] [Indexed: 11/08/2022] Open
Abstract
BACKGROUND This investigation involved an in-depth examination of psychophysiological responses during exposure to the trauma memory across 10 sessions among active duty soldiers with combat-related posttraumatic stress disorder (PTSD) treated by Prolonged Exposure (PE) or Virtual Reality Exposure (VRE). We compared psychophysiological changes, session-by-session, between VRE and traditional imaginal exposure. METHODS Heart rate (HR), galvanic skin response (GSR), and peripheral skin temperature were collected every 5 min during exposure sessions with 61 combat veterans of Iraq/Afghanistan and compared to the PTSD Checklist (PCL-C) and Clinician-Administered PTSD Scale (CAPS) outcomes using multilevel modeling. RESULTS Over the course of treatment, participants in the PE group had higher HR arousal compared to participants in the VRE group. With reference to GSR, in earlier sessions, participants demonstrated a within-session increase, whereas, in later sessions, participants showed a within-session habituation response. A significant interaction was found for GSR and treatment assignment for within-session change, within-person effect, predicting CAPS (d = 0.70) and PCL-C (d = 0.66) outcomes. CONCLUSION Overall, these findings suggest that exposure to traumatic memories activates arousal across sessions, with GSR being most associated with reductions in PTSD symptoms for participants in the PE group.
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Affiliation(s)
| | - Derek J Smolenski
- Psychological Health Center of Excellence, Defense Health Agency, Joint Base Lewis-McChord, Washington, USA
| | - Aaron M Norr
- VISN 20 Northwest Network Mental Illness Research, Education and Clinical Center (MIRECC), Seattle, Washington, USA.,Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington, USA
| | - Barbara O Rothbaum
- Department of Psychiatry, Emory University School of Medicine, Atlanta, Georgia, USA
| | - Albert A Rizzo
- Institute for Creative Technologies, University of Southern California, Los Angeles, California, USA
| | - Frank Andrasik
- Department of Psychology, University of Memphis, Memphis, Tennessee, USA
| | | | - Greg M Reger
- VA Puget Sound Health Care System, Tacoma, Washington, USA.,Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington, USA
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You Z, Liu Y, Tan Q, Xu Y, Zhang L, Andrasik F. Development and Validation of the Chinese Version of Short-Form of Interpersonal Sensitivity Measure (IPSM). Community Ment Health J 2021; 57:277-284. [PMID: 32472287 DOI: 10.1007/s10597-020-00646-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Accepted: 05/23/2020] [Indexed: 10/24/2022]
Abstract
This study was conducted to develop a short form of the Interpersonal Sensitivity Measure (IPSM), translated into Chinese. A total of 1237 Chinese undergraduates, divided into four groups, participated during various phases of scale development. Exploratory factor analysis supported a five-factor structure of the IPSM-C among Chinese undergraduates, which is in accordance with the original model established by Boyce and Parker that contained 36 items. We next developed a 15-item short form of the IPSM (IPSM-CS) whose structural validity was comparable to the full form. All IPSM-CS sub-scales, as well as the total scale, showed good internal consistency, test-retest reliability and criterion-related validity. The present results indicate that the IPSM-CS may be a useful and reliable alternative to the original IPSM for individuals fluent in Chinese.
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Affiliation(s)
- Zhiqi You
- Department of Social Work, Huazhong Agricultural University, Wuhan, 430070, China.,Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, 430079, China
| | - Yan Liu
- School of Educational Science, Huazhong University of Science and Technology, Wuhan, 430074, China.,School-Based Mental Health Center, Hunan Railway Professional College, Zhuzhou, 412001, China
| | - Qianbao Tan
- School of Education, Hunan University of Science and Technology, Xiangtan, 411201, China.
| | - Yu Xu
- Department of Social Work, Huazhong Agricultural University, Wuhan, 430070, China
| | - Lu Zhang
- Department of Social Work, Huazhong Agricultural University, Wuhan, 430070, China.
| | - Frank Andrasik
- Department of Psychology, University of Memphis, Memphis, TN, 38152, USA
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10
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You Z, Mei W, Ye N, Zhang L, Andrasik F. Mediating effects of rumination and bedtime procrastination on the relationship between Internet addiction and poor sleep quality. J Behav Addict 2020; 9:1002-1010. [PMID: 33399544 PMCID: PMC8969718 DOI: 10.1556/2006.2020.00104] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2020] [Revised: 11/04/2020] [Accepted: 12/06/2020] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND AND AIMS Numerous studies have shown that people who have Internet addiction (IA) are more likely to experience poor sleep quality than people who do not. However, few studies have explored mechanisms underlying the relation between IA and poor sleep quality. As a first attempt to address this knowledge gap, a cross-sectional design was applied, and structural equation modeling was used to explore the direct relationship between IA and poor sleep quality, as well as the potential mediating roles of rumination and bedtime procrastination. METHODS A convenience sample, consisting of 1,104 Chinese University students (696 females or 63%), completed an online survey that included the following measures: Young's 8-item Internet Addiction Diagnosis Questionnaire, the Pittsburgh Sleep Quality Index, the Ruminative Responses Scale, and the Bedtime Procrastination Scale. RESULTS While the direct path between IA and poor sleep quality was not found to be significant, rumination and bedtime procrastination were each shown to separately mediate the predictive effect of IA on poor sleep quality. However, the greatest level of support was found for the sequential mediating effects of rumination and bedtime procrastination between IA and poor sleep quality. CONCLUSION While rumination and bedtime procrastination were both shown to be important independent mediators for the relation between IA and poor sleep quality, their combined effect was as great as either alone.
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Affiliation(s)
- Zhiqi You
- Department of Social Work, Huazhong Agricultural University, Wuhan, 430070, China
| | - Weijie Mei
- Department of Social Work, Huazhong Agricultural University, Wuhan, 430070, China
| | - Na Ye
- Department of Psychology, Wuhan Sports University, Wuhan 430079, China
| | - Lu Zhang
- Department of Social Work, Huazhong Agricultural University, Wuhan, 430070, China,Corresponding authors. ;
| | - Frank Andrasik
- Department of Psychology, University of Memphis, Memphis, TN 38152, USA,Corresponding authors. ;
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11
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Vagedes J, Helmert E, Kuderer S, Vagedes K, Wildhaber J, Andrasik F. The Buteyko breathing technique in children with asthma: a randomized controlled pilot study. Complement Ther Med 2020; 56:102582. [PMID: 33197659 DOI: 10.1016/j.ctim.2020.102582] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Revised: 09/22/2020] [Accepted: 09/22/2020] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND Evidence supports the Buteyko breathing technique (BBT) as reducing medication and improving control and quality of life in adults with asthma, but having minimal impact on spirometry. For children with asthma, evidence addressing the utility of BBT is sparse. We evaluated the effectiveness of BBT in managing various aspects of asthma in children. METHODS Thirty-two children with partly controlled asthma (age 6-15 years, 66% male) were randomized to either Treatment as Usual (TAU) or TAU combined with Buteyko training (Buteyko group, BG). Children in the BG received an intensive five-day training followed by three months of home practice. Primary outcome was bronchodilator reduction. Secondary outcomes were changes in physiological parameters FEV1_AR (at rest), FEV1_ER (after ergometry), FEV1_BR (after bronchospasmolysis), corticosteroid use, FeNO, SpO2, breath-hold test and questionnaire data [Asthma Control Questionnaire and Pediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLQ)]. All measures were collected at Baseline and a three-month follow-up. RESULTS For the primary outcome, no significant between-group difference was found. Regarding the secondary outcomes, children receiving treatment augmented with BBT revealed significantly greater improvement at the follow-up than those receiving TAU for FEV1_AR (p = .04, d=-0.50), FEV1_ER (p = .02, d=-0.52), and the emotional function subscale of the PACQLQ (p < .01, d = 1.03). No between-group differences were found for the remaining secondary measures of outcome. CONCLUSIONS Our preliminary findings suggest that the addition of BBT to treatment as usual for children with asthma enhances outcomes with respect to spirometry and parental emotional function but does not lead to reductions in medication, at least over the short term.
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Affiliation(s)
- Jan Vagedes
- ARCIM Institute, Filderstadt, Germany; Department of Pediatrics, Filderklinik, Filderstadt, Germany; Department of Neonatology, Children's Hospital, University of Tübingen, Tübingen, Germany.
| | | | | | | | | | - Frank Andrasik
- Department of Psychology, University of Memphis, Memphis, TN, USA
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12
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Katz AC, Norr AM, Buck B, Fantelli E, Edwards-Stewart A, Koenen-Woods P, Zetocha K, Smolenski DJ, Holloway K, Rothbaum BO, Difede J, Rizzo A, Skopp N, Mishkind M, Gahm G, Reger GM, Andrasik F. Changes in physiological reactivity in response to the trauma memory during prolonged exposure and virtual reality exposure therapy for posttraumatic stress disorder. Psychol Trauma 2020; 12:756-764. [PMID: 32338946 DOI: 10.1037/tra0000567] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE A key symptom of posttraumatic stress disorder (PTSD) is hyperreactivity to trauma-relevant stimuli. Though physiological arousal is reliably elevated in PTSD, the question remains whether this arousal responds to treatment. Virtual reality (VR) has been posited to increase emotional engagement during prolonged exposure therapy (PE) for PTSD by augmenting imaginal exposures with trauma-relevant sensory information. However, the comparative effects of VR exposure therapy (VRE) have received limited empirical inquiry. METHOD Ninety active-duty soldiers with combat-related PTSD participating in a randomized-controlled trial to receive PE, VRE, or a waitlist-control (WL) condition had their physiological reactivity, indexed by galvanic skin response (GSR), to their trauma memories assessed at pre-, mid-, and posttreatment. RESULTS Although both VRE and PE conditions showed reduced GSR reactivity to trauma memories from pre- to posttreatment, only the VRE group differed significantly from WL. Across the sample, reductions in GSR were significantly correlated with reductions in self-reported PTSD and anxiety symptoms. CONCLUSIONS This was the first study comparing effects of VRE and PE on psychophysiological variables. Given previous research finding limited differences between VRE and PE in PTSD symptom reduction, these findings lend support to the rationale for including VR in exposure therapy protocols while raising important questions about the potential benefits of VRE. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Affiliation(s)
| | - Aaron M Norr
- VA Puget Sound Healthcare System, Seattle Division
| | | | | | | | | | | | | | | | | | | | | | - Nancy Skopp
- National Center for Telehealth and Technology
| | | | | | - Greg M Reger
- VA Puget Sound Healthcare System, Seattle Division
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13
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Derefinko KJ, Salgado García FI, Johnson KC, Hand S, Murphy JG, McDevitt-Murphy M, Suda KJ, Andrasik F, Bursac Z, Chiu CY, Talley K, Brooks JH. A randomized pilot program to reduce opioid use following dental surgery and increase safe medication return. Addict Behav 2020; 102:106190. [PMID: 31704436 DOI: 10.1016/j.addbeh.2019.106190] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2019] [Revised: 10/21/2019] [Accepted: 10/21/2019] [Indexed: 11/29/2022]
Abstract
Research indicates that increased cumulative exposure (duration of administration and strength of dose) is associated with long-term opioid use. Because dentists represent some of the highest opioid prescribing medical professionals in the US, dental practices offer a critical site for intervention. The current study used a randomized clinical trial design to examine the efficacy of an opioid misuse prevention program (OMPP), presented as a brief intervention immediately prior to dental extraction surgery. The OMPP provided educational counseling about risks and appropriate use of opioid medication, as well as 28 tablets of ibuprofen (200 mg) and 28 tablets of acetaminophen (500 mg) for weaning off opioid medication. This was compared with a Treatment as Usual (TAU) control condition. Participants were individuals presenting for surgery who were eligible for opioid medication (N = 76). Follow up assessment was conducted at 1 week following surgery, with 4 individuals refusing follow up or not prescribed opioid. Intent to treat analysis indicated a non-significant treatment group effect (N = 72, Beta = 0.16, p = .0835), such that the OMPP group self-reported less opioid use (in morphine milligram equivalents, MMEs) than the TAU group (37.94 vs. 47.79, effect size d = 0.42). Sensitivity analysis, excluding individuals with complications following surgery (n = 6) indicated a significant treatment group effect (N = 66, Beta = 0.24, p = .0259), such that the OMPP group self-reported significantly less MMEs than the TAU group (29.74 vs. 43.59, effect size d = 0.56). Results indicate that a 10-minute intervention and provision of non-narcotic pain medications may reduce the amount of self-administered opioid medication following dental surgery.
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Affiliation(s)
- Karen J Derefinko
- University of Tennessee Health Science Center, Department of Preventive Medicine, United States.
| | | | - Karen C Johnson
- University of Tennessee Health Science Center, Department of Preventive Medicine, United States
| | - Sarah Hand
- University of Tennessee Health Science Center, Department of Preventive Medicine, United States
| | - James G Murphy
- University of Memphis, Department of Psychology, United States
| | | | - Katie J Suda
- VA Center of Innovation for Complex Chronic Healthcare, Edward Hines, Jr. VA Hospital and University of Illinois at Chicago, Department of Pharmacy, Systems, Outcomes, and Policy, United States
| | - Frank Andrasik
- University of Memphis, Department of Psychology, United States
| | - Zoran Bursac
- Florida International University, Department of Biostatistics, United States
| | - Chi-Yang Chiu
- University of Tennessee Health Science Center, Department of Preventive Medicine, United States
| | - Kevin Talley
- University of Tennessee Health Science Center, Department of Preventive Medicine, United States
| | - Jeffrey H Brooks
- University of Tennessee Health Science Center, Department of Oral and Maxillofacial Surgery, United States
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Ali JS, Andrasik F, Berlin KS, Porter J, Hankins J, Anderson S, Schreiber JE. Attention difficulties are associated with lower engagement in adult care amongst youth with sickle cell disease. Br J Haematol 2020; 189:e27-e30. [PMID: 32103490 DOI: 10.1111/bjh.16421] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Affiliation(s)
- Jeanelle S Ali
- Psychology, St. Jude Children's Research Hospital, Memphis, TN, USA
| | | | | | - Jerlym Porter
- Psychology, St. Jude Children's Research Hospital, Memphis, TN, USA
| | - Jane Hankins
- Hematology, St. Jude Children's Research Hospital, Memphis, TN, USA
| | - Sheila Anderson
- Hematology, St. Jude Children's Research Hospital, Memphis, TN, USA
| | - Jane E Schreiber
- Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA, USA.,Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
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Vagedes J, Martin D, Müller V, Helmert E, Huber BM, Andrasik F, von Schoen-Angerer T. Restrictive antibiotic use in children hospitalized for pneumonia: A retrospective inpatient study. Eur J Integr Med 2020. [DOI: 10.1016/j.eujim.2020.101068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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16
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Derefinko KJ, Salgado García FI, Talley KM, Bursac Z, Johnson KC, Murphy JG, McDevitt-Murphy ME, Andrasik F, Sumrok DD. Adverse childhood experiences predict opioid relapse during treatment among rural adults. Addict Behav 2019; 96:171-174. [PMID: 31102882 DOI: 10.1016/j.addbeh.2019.05.008] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Revised: 05/06/2019] [Accepted: 05/06/2019] [Indexed: 11/19/2022]
Abstract
Adverse childhood experiences (ACE) are a public health concern and strong predictor of substance abuse, but no studies to date have explored the association between ACE and opioid relapse during medication-assisted treatment. Using an observational design, we examined this relationship using archived medical records of 87 patients who attended opioid use disorder treatment (buprenorphine-naloxone and group counseling) at a rural medical clinic. All variables were collected from medical files. ACE scores were derived from a 10-item screening questionnaire administered at intake, a regular procedure for this clinic. The primary outcome was opioid relapse observed at each visit, as indicated by self-reported opioid use, positive urine drug screen for opioids, or prescription drug database results for opioid acquisition. The sample was 100% Caucasian and 75% male. A total of 2052 visit observations from the 87 patients were extracted from the medical records. Patients had an average of 23.6 (SD = 22) treatment visits. Opioid relapse occurred in 54% of patients. Results indicated that for every unit increase in ACE score, there was an increase of 17% in the odds of relapse (95% CI: 1.05-1.30, p = .005). Additionally, each treatment visit was associated with a 2% reduction in the odds of opioid relapse (95% CI: 0.97-0.99, p = .008). We conclude that ACE may increase the risk for poor response to buprenorphine-naloxone treatment due to high rates of opioid relapse during the first treatment visits. However, consistent adherence to treatment is likely to reduce the odds of opioid relapse.
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Affiliation(s)
- Karen J Derefinko
- University of Tennessee Health Science Center, 66 North Pauline St., Room 649, Memphis, TN 38163-2181, USA.
| | - Francisco I Salgado García
- University of Tennessee Health Science Center, 66 North Pauline St., Room 649, Memphis, TN 38163-2181, USA
| | - Kevin M Talley
- University of Tennessee Health Science Center, 66 North Pauline St., Room 649, Memphis, TN 38163-2181, USA
| | - Zoran Bursac
- University of Tennessee Health Science Center, 66 North Pauline St., Room 649, Memphis, TN 38163-2181, USA
| | - Karen C Johnson
- University of Tennessee Health Science Center, 66 North Pauline St., Room 649, Memphis, TN 38163-2181, USA
| | - James G Murphy
- University of Memphis, Psychology Building, 400 Innovation Dr., Memphis, TN 38111, USA
| | | | - Frank Andrasik
- University of Memphis, Psychology Building, 400 Innovation Dr., Memphis, TN 38111, USA
| | - Daniel D Sumrok
- University of Tennessee Health Science Center, 66 North Pauline St., Room 649, Memphis, TN 38163-2181, USA
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Grazzi L, Grignani E, Sansone E, Raggi A, D’Amico D, Andrasik F. Catastrophizing attitude changes after onabotulinumtoxin A treatment in chronic migraine. Neurol Sci 2019; 40:201-202. [DOI: 10.1007/s10072-019-03816-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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18
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Vagedes J, Helmert E, Kuderer S, Müller V, Voege P, Szőke H, Valentini J, Joos S, Kohl M, Andrasik F. Effects of Footbaths with Mustard, Ginger, or Warm Water Only on Objective and Subjective Warmth Distribution in Healthy Subjects: A Randomized Controlled Trial. Complement Ther Med 2018; 41:287-294. [PMID: 30477855 DOI: 10.1016/j.ctim.2018.09.024] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Revised: 09/25/2018] [Accepted: 09/26/2018] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE To analyze the short-term thermogenic effects of footbaths with warm water alone (WA) versus when combined with medicinal powders. DESIGN Randomized controlled trial with cross-over. INTERVENTIONS AND OUTCOMES Seventeen healthy volunteers (mean age 22.1 years, SD = 2.4; 11 female) received three footbaths with WA or WA combined with mustard (MU) or ginger (GI) in a randomized order. Self-perceived warmth (Herdecke warmth perception questionnaire) and actual skin temperatures (thermography) were assessed before (t0), immediately after footbaths (t1), and 10 minutes later (t2). The primary outcome was perceived warmth in the feet. Secondary outcomes were warmth perception in the face, hands and overall, as well as actual skin temperature in the feet, face, and hands. RESULTS Perceived warmth at the feet (primary outcome) increased significantly (all p's < .001) for MU and GI at t1 as well as for GI at t2 when compared to t0 with high effect sizes. At t2, GI differed significantly from WA (p < .001) and MU (p = .048). With regards to the secondary measures of outcome, no significant effects were seen for perceived warmth at the face or hands. Overall warmth was significantly higher at t1 compared to t0 (p = .01). Thermography assessments of skin temperature at the feet at t1 increased after all conditions (p < .001). No effects were seen in the face. At the hands, temperature decreased at t1 (p = .02) and t2 compared to t0 (p < .001). CONCLUSION The present study provides preliminary evidence that mustard and ginger increase warmth perception at the feet more than warm water alone, with only the effects for GI enduring at the brief follow-up.
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Affiliation(s)
- J Vagedes
- University of Tuebingen, Children's Hospital, Tuebingen, Germany; ARCIM Institute (Academic Research in Complementary and Integrative Medicine), Filderstadt, Germany.
| | - E Helmert
- ARCIM Institute (Academic Research in Complementary and Integrative Medicine), Filderstadt, Germany
| | - S Kuderer
- ARCIM Institute (Academic Research in Complementary and Integrative Medicine), Filderstadt, Germany
| | - V Müller
- ARCIM Institute (Academic Research in Complementary and Integrative Medicine), Filderstadt, Germany
| | - P Voege
- ARCIM Institute (Academic Research in Complementary and Integrative Medicine), Filderstadt, Germany
| | - H Szőke
- University of Pécs, Department of CAM, Pécs, Hungary
| | - J Valentini
- University of Tuebingen, Institute of General Practice and Interprofessional Care, Tuebingen, Germany
| | - S Joos
- University of Tuebingen, Institute of General Practice and Interprofessional Care, Tuebingen, Germany
| | - M Kohl
- University Furtwangen, Institute of Precision Medicine, Villingen-Schwenningen, Germany
| | - F Andrasik
- University of Memphis, Department of Psychology, Memphis, TN, USA
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Andrasik F, Grazzi L, Sansone E, D'Amico D, Raggi A, Grignani E. Non-pharmacological Approaches for Headaches in Young Age: An Updated Review. Front Neurol 2018; 9:1009. [PMID: 30538669 PMCID: PMC6277635 DOI: 10.3389/fneur.2018.01009] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2018] [Accepted: 11/08/2018] [Indexed: 12/12/2022] Open
Abstract
Headache disorders are common in children and adolescents. Most of the studies on non-pharmacological treatments have however been carried out on adults. In this review we provide information on recent studies examining non-pharmacological approaches for managing headache in children and adolescents. Our search of SCOPUS for primary studies conducted between January 2010 and July 2018 uncovered 11 controlled studies, mostly addressing behavioral approaches, in which a total of 613 patients with a diagnosis of primary headache, and average age 10.2–15.7 years (30–89% females) were recruited. Non-pharmacological treatments were shown to produce sizeable effects on the classical primary endpoint, i.e., headache frequency, with reductions from baseline ranging between 34 and 78%. Among commonly reported secondary endpoints, particularly disability, quality of life, depression and anxiety, marked improvements were noted as well. Taken as a whole, our findings suggest that non-pharmacological treatments constitute a valid option for the prevention of primary headaches in young age. Future research with higher-quality studies is needed. Particular attention needs to be given to studies that randomize patients to condition, blind researchers in charge of evaluating treatment outcomes, routinely include headache frequency as the primary endpoint, include adequate-length follow-up, address changes in biomarkers of disease and other possible mediators of outcome, and that employ predictive models to enhance the level of evidence for these approaches.
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Affiliation(s)
- Frank Andrasik
- Department of Psychology, University of Memphis, Memphis, TN, United States
| | - Licia Grazzi
- Neuroalgology Division, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Emanuela Sansone
- Neuroalgology Division, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Domenico D'Amico
- Neuroalgology Division, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Alberto Raggi
- Neurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Neurology, Milan, Italy
| | - Eleonora Grignani
- Neurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Neurology, Milan, Italy
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Mohapatra A, Sayema Tuli K, Liu KY, Fujiwara T, Robert Hewitt W, Andrasik F, Bashir Morshed I. Inkjet Printed Parallel Plate Capacitors Using PVP Polymer Dielectric Ink on Flexible Polyimide Substrates. Annu Int Conf IEEE Eng Med Biol Soc 2018; 2018:4277-4280. [PMID: 30441299 DOI: 10.1109/embc.2018.8513262] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Inkjet printing (IJP) is an exciting new additive manufacturing technology that promises monolithic electronic circuit fabrication of $\mu \mathrm{m}$ thin low-cost large-area electronic low-cost body-worn flexible sensors. In this work, we demonstrate inkjet printed multilayer metal-dielectric-metal capacitors on flexible polyimide (PI) substrate by formulating a custom dielectric ink based on Poly 4-vinylphenol (PVP). Silver nanoparticle ink was used for printing theconductive parallel metal plates. We also demonstrate control over the capacitance values by varying the design parameters and succeeded in printing capacitors in the range 8.8 pF to 467 pF, with excellent repeatability on flexible PI substrates. A functional LC circuit using these printed capacitors has been designed and demonstrated to have a resonance frequency of 24.3 MHz. These results are a vital step forward towards monolithic printing of flexible electronic circuits using IJP technique formany applications such as body-worn sensors.
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21
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Gordon CM, Lindner SM, Birbaumer N, Montoya P, Ankney R, Andrasik F. Self-myofascial vibro-shearing: A randomized controlled trial of biomechanical and related changes in male breakdancers. J Bodyw Mov Ther 2018. [DOI: 10.1016/j.jbmt.2018.09.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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22
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Grazzi L, Raggi A, D’Amico D, Sansone E, Leonardi M, Andrasik F, Gucciardi A, Guido D, D’Andrea G. A prospective pilot study of the effect on catecholamines of mindfulness training vs pharmacological prophylaxis in patients with chronic migraine and medication overuse headache. Cephalalgia 2018; 39:655-664. [DOI: 10.1177/0333102418801584] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Aim To address whether, in patients with chronic migraine and medication overuse headache, mindfulness-based treatment is associated with changes in plasma levels of catecholamines and elusive amines that are similar to those observed in patients undergoing pharmacological prophylaxis. Methods In this non-randomized, clinic-based effectiveness study, patients aged 18–65, with a history of chronic migraine ≥ 10 years and overuse of triptans or non-steroidal anti-inflammatory drugs ≥ 5 years, were enrolled. Upon completion of a structured withdrawal program, patients received either pharmacological prophylaxis or six weekly sessions of mindfulness-based treatment and were followed for 12 months. Daily headache diaries were used to record headache frequency and medication intake; catecholamines (noradrenaline, epinephrine and dopamine) and levels of elusive amines were assayed from poor platelet plasma. Results Complete follow-up data were available for 15 patients in the pharmacological prophylaxis-group (14 females, average age 44.1) and 14 in the mindfulness treatment-group (all females, average age 46.4), and all variables were comparable between groups at baseline. At 12 months, significant improvement ( p < .001) was found in the pharmacological prophylaxis group for headache frequency and medication intake (by 51% and 48.7%, respectively), noradrenaline, epinephrine and dopamine (by 98.7%, 120.8% and 501.9%, respectively); patients in the mindfulness treatment-group performed similarly. For elusive amines, no longitudinal changes were found. Conclusions The similar improvement trends observed in the two groups of patients further support the utility of mindfulness-based treatment in migraine care, and reinforce the hypothesis that alteration and normalization of tyrosine metabolism are implicated in migraine chronification and in remission of chronic migraine.
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Affiliation(s)
- Licia Grazzi
- Division of Neuroalgology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy
| | - Alberto Raggi
- Neurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy
| | - Domenico D’Amico
- Division of Neuroalgology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy
| | - Emanuela Sansone
- Division of Neuroalgology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy
| | - Matilde Leonardi
- Neurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy
| | - Frank Andrasik
- Department of Psychology, University of Memphis, Memphis, TN, USA
| | | | - Davide Guido
- Neurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy
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Raggi A, Grignani E, Leonardi M, Andrasik F, Sansone E, Grazzi L, D'Amico D. Behavioral Approaches for Primary Headaches: Recent Advances. Headache 2018; 58:913-925. [DOI: 10.1111/head.13337] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2018] [Accepted: 04/27/2018] [Indexed: 12/15/2022]
Affiliation(s)
- Alberto Raggi
- Neurology, Public Health and Disability Unit; Neurological Institute C. Besta IRCCS Foundation; Milan Italy
| | - Eleonora Grignani
- Neurology, Public Health and Disability Unit; Neurological Institute C. Besta IRCCS Foundation; Milan Italy
| | - Matilde Leonardi
- Neurology, Public Health and Disability Unit; Neurological Institute C. Besta IRCCS Foundation; Milan Italy
| | - Frank Andrasik
- Department of Psychology; University of Memphis; Memphis TN USA
| | - Emanuela Sansone
- Division of Neuroalgology; Neurological Institute C. Besta IRCCS Foundation; Milan Italy
| | - Licia Grazzi
- Division of Neuroalgology; Neurological Institute C. Besta IRCCS Foundation; Milan Italy
| | - Domenico D'Amico
- Division of Neuroalgology; Neurological Institute C. Besta IRCCS Foundation; Milan Italy
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Graesser AC, Hu X, Nye BD, VanLehn K, Kumar R, Heffernan C, Heffernan N, Woolf B, Olney AM, Rus V, Andrasik F, Pavlik P, Cai Z, Wetzel J, Morgan B, Hampton AJ, Lippert AM, Wang L, Cheng Q, Vinson JE, Kelly CN, McGlown C, Majmudar CA, Morshed B, Baer W. ElectronixTutor: an intelligent tutoring system with multiple learning resources for electronics. Int J STEM Educ 2018; 5:15. [PMID: 30631705 PMCID: PMC6310412 DOI: 10.1186/s40594-018-0110-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/18/2016] [Accepted: 05/25/2017] [Indexed: 06/09/2023]
Abstract
BACKGROUND The Office of Naval Research (ONR) organized a STEM Challenge initiative to explore how intelligent tutoring systems (ITSs) can be developed in a reasonable amount of time to help students learn STEM topics. This competitive initiative sponsored four teams that separately developed systems that covered topics in mathematics, electronics, and dynamical systems. After the teams shared their progress at the conclusion of an 18-month period, the ONR decided to fund a joint applied project in the Navy that integrated those systems on the subject matter of electronic circuits. The University of Memphis took the lead in integrating these systems in an intelligent tutoring system called ElectronixTutor. This article describes the architecture of ElectronixTutor, the learning resources that feed into it, and the empirical findings that support the effectiveness of its constituent ITS learning resources. RESULTS A fully integrated ElectronixTutor was developed that included several intelligent learning resources (AutoTutor, Dragoon, LearnForm, ASSISTments, BEETLE-II) as well as texts and videos. The architecture includes a student model that has (a) a common set of knowledge components on electronic circuits to which individual learning resources contribute and (b) a record of student performance on the knowledge components as well as a set of cognitive and non-cognitive attributes. There is a recommender system that uses the student model to guide the student on a small set of sensible next steps in their training. The individual components of ElectronixTutor have shown learning gains in previous decades of research. CONCLUSIONS The ElectronixTutor system successfully combines multiple empirically based components into one system to teach a STEM topic (electronics) to students. A prototype of this intelligent tutoring system has been developed and is currently being tested. ElectronixTutor is unique in its assembling a group of well-tested intelligent tutoring systems into a single integrated learning environment.
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Affiliation(s)
- Arthur C. Graesser
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
- Honorary Research Fellow, University of Oxford, Oxford, UK
| | - Xiangen Hu
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
| | - Benjamin D. Nye
- Institute for Creative Technologies, University of Southern California, Los Angeles, USA
| | - Kurt VanLehn
- School of Computing, Informatics and Decision Systems Engineering, Arizona State University, Tempe, USA
| | - Rohit Kumar
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
| | - Cristina Heffernan
- Department of Mathematical Sciences, Worcester Polytechnic Institute, Worcester, USA
| | - Neil Heffernan
- Department of Computer Science, Worcester Polytechnic Institute, Worcester, USA
| | - Beverly Woolf
- Department of Information and Computer Sciences, University of Massachusetts Amherst, Amherst, USA
| | - Andrew M. Olney
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
| | - Vasile Rus
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
| | - Frank Andrasik
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
| | - Philip Pavlik
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
| | - Zhiqiang Cai
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
| | - Jon Wetzel
- School of Computing, Informatics and Decision Systems Engineering, Arizona State University, Tempe, USA
| | - Brent Morgan
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
| | - Andrew J. Hampton
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
| | - Anne M. Lippert
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
| | - Lijia Wang
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
| | - Qinyu Cheng
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
| | - Joseph E. Vinson
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
| | - Craig N. Kelly
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
| | - Cadarrius McGlown
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
| | | | - Bashir Morshed
- Department of Electrical and Computer Engineering, The University of Memphis, Memphis, USA
| | - Whitney Baer
- Institute for Intelligent Systems, University of Memphis, Memphis, USA
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25
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Gordon CM, Lindner SM, Birbaumer N, Montoya P, Ankney RL, Andrasik F. Self-Myofascial Vibro-Shearing: a Randomized Controlled Trial of Biomechanical and Related Changes in Male Breakdancers. Sports Med Open 2018; 4:13. [PMID: 29582181 PMCID: PMC5876229 DOI: 10.1186/s40798-018-0128-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Accepted: 03/13/2018] [Indexed: 11/23/2022]
Abstract
Background This randomized controlled trial explored the practicality and effectiveness of a novel tool-assisted self-help device, one that combines vibrational oscillation, leverage, and the shearing effect from the edges, for promoting meaningful changes in key biomechanical tissue indices and related parameters. Methods One hundred and thirteen male breakdancers were randomized to an intervention or control group. Individuals assigned to the intervention group performed the self-help treatment on the quadriceps and the iliotibial band of their right thighs for 8 min, while individuals assigned to the control condition merely sat quietly during this period. Various primary outcome measures (e.g., elasticity, stiffness, range of motion, pain pressure threshold sensitization, and blood flow) were assessed before and after the intervention for each participant, with position and posture being standardized throughout. Subjective sensations and a measure selected to assess for potential experimental demand effects, serving as secondary measures, were also administered pre- to post-treatment. Results Stiffness was significantly reduced for both structures (p < 0.001), elasticity and flexibility of the quadriceps were increased significantly (p < 0.001 for each), sensitization was significantly lessened (p < 0.001), and local temperatures increased to a significant degree as well (p < 0.001) when comparing change scores following application of the self-help tool on the treated thighs to those on the untreated thighs. Participants using the self-help tool reported their treated leg as being more relaxed, light, and stable. Conclusions The vibro-shearing manipulation with a muscle-fascia tool resulted in significant improvements in various objective mechanical tissue properties, range of motion, and pain desensitization in healthy, well-conditioned dancers. These promising effects for a new tool-assisted self-treatment indicate further basic investigations are warranted, as are pilot investigations with patient populations. Electronic supplementary material The online version of this article (10.1186/s40798-018-0128-1) contains supplementary material, which is available to authorized users.
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Affiliation(s)
| | | | - Niels Birbaumer
- Institute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany
| | - Pedro Montoya
- Research Institute on Health Sciences (IUNICS), University of Balearic Islands, Palma, Spain
| | - Rachel L Ankney
- Department of Psychology, University of Memphis, Memphis, TN, USA
| | - Frank Andrasik
- Department of Psychology, University of Memphis, Memphis, TN, USA
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Grazzi L, D’Amico D, Raggi A, Leonardi M, Ciusani E, Corsini E, D’Andrea G, Bolner A, Salgado-García F, Andrasik F, Sansone E. Mindfulness and pharmacological prophylaxis have comparable effect on biomarkers of inflammation and clinical indexes in chronic migraine with medication overuse: results at 12 months after withdrawal. Neurol Sci 2017; 38:173-175. [DOI: 10.1007/s10072-017-2874-0] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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Grazzi L, Sansone E, Raggi A, D'Amico D, De Giorgio A, Leonardi M, De Torres L, Salgado-García F, Andrasik F. Mindfulness and pharmacological prophylaxis after withdrawal from medication overuse in patients with Chronic Migraine: an effectiveness trial with a one-year follow-up. J Headache Pain 2017; 18:15. [PMID: 28161874 PMCID: PMC5292107 DOI: 10.1186/s10194-017-0728-z] [Citation(s) in RCA: 53] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2016] [Accepted: 01/27/2017] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND Chronic Migraine (CM) is a disabling condition, worsened when associated with Medication Overuse (MO). Mindfulness is an emerging technique, effective in different pain conditions, but it has yet to be explored for CM-MO. We report the results of a study assessing a one-year course of patients' status, with the hypothesis that the effectiveness of a mindfulness-based approach would be similar to that of conventional prophylactic treatments. METHODS Patients with CM-MO (code 1.3 and 8.2 of the International Classification of Headache Disorders-3Beta) completed a withdrawal program in a day hospital setting. After withdrawal, patients were either treated with Prophylactic Medications (Med-Group), or participated in a Mindfulness-based Training (MT-Group). MT consisted of 6 weekly sessions of guided mindfulness, with patients invited to practice 7-10 min per day. Headache diaries, the headache impact test (HIT-6), the migraine disability assessment (MIDAS), state and trait anxiety (STAI Y1-Y2), and the Beck Depression Inventory (BDI) were administered before withdrawal and at each follow-up (3, 6, 12 after withdrawal) to patients from both groups. Outcome variables were analyzed in separate two-way mixed ANOVAs (Group: Mindfulness vs. Pharmacology x Time: Baseline, 3-, 6-, vs. 12-month follow-up). RESULTS A total of 44 patients participated in the study, with the average age being 44.5, average headache frequency/month was 20.5, and average monthly medication intake was 18.4 pills. Data revealed a similar improvement over time in both groups for Headache Frequency (approximately 6-8 days reduction), use of Medication (approximately 7 intakes reduction), MIDAS, HIT-6 (but only for the MED-Group), and BDI; no changes on state and trait anxiety were found. Both groups revealed significant and equivalent improvement with respect to what has become a classical endpoint in this area of research, i.e. 50% or more reduction of headaches compared to baseline, and the majority of patients in each condition no longer satisfied current criteria for CM. CONCLUSIONS Taken as a whole, our results suggest that the longitudinal course of patients in the MT-Group, that were not prescribed medical prophylaxis, was substantially similar to that of patients who were administered medical prophylaxis.
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Affiliation(s)
- Licia Grazzi
- Neurological Institute "C. Besta" IRCCS Foundation, Headache and Neuroalgology Unit, Via Celoria 11, 20133, Milan, Italy.
| | - Emanuela Sansone
- Neurological Institute "C. Besta" IRCCS Foundation, Neurology, Public Health and Disability Unit, Milan, Italy
| | - Alberto Raggi
- Neurological Institute "C. Besta" IRCCS Foundation, Neurology, Public Health and Disability Unit, Milan, Italy
| | - Domenico D'Amico
- Neurological Institute "C. Besta" IRCCS Foundation, Headache and Neuroalgology Unit, Via Celoria 11, 20133, Milan, Italy
| | | | - Matilde Leonardi
- Neurological Institute "C. Besta" IRCCS Foundation, Neurology, Public Health and Disability Unit, Milan, Italy
| | - Laura De Torres
- Neurological Institute "C. Besta" IRCCS Foundation, Neurology, Public Health and Disability Unit, Milan, Italy
| | | | - Frank Andrasik
- Department of Psychology, Univeristy of Memphis, Memphis, TN, USA
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Siniatchkin M, Andrasik F, Kropp P, Niederberger U, Strenge H, Averkina N, Lindner V, Stephani U, Gerber WD. Central Mechanisms of Controlled-Release Metoprolol in Migraine: A Double-Blind, Placebo-Controlled Study. Cephalalgia 2016; 27:1024-32. [PMID: 17680819 DOI: 10.1111/j.1468-2982.2007.01377.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
β-Blockers are widely used in the prophylaxis of migraine and have been described as very effective drugs in many studies. Some investigators have demonstrated that the clinical improvement of migraine corresponds to the normalization of the contingent negative variation (CNV), a slow cortical potential measuring cortical information processing. However, most of these studies have contained a variety of methodological pitfalls, which we attempted to address in the current study. Twenty patients suffering from migraine without aura were randomly divided into two groups. The groups were treated either with controlled-release metoprolol or placebo for 3 months, using a double-blind design. Twice before and once after each month of the treatment the CNV was recorded. After 3 months, a significant reduction of migraine frequency, duration and intensity was demonstrated for the metoprolol compared with the placebo group. The CNV was characterized by a marked reduction of the amplitude of the total CNV and postimperative negative variation and normalization of the eartly CNV habituation following treatment. Therefore, metoprolol may exert its prophylactic effect in migraine through the influence on cortical information processing and excitability represented by the CNV.
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Affiliation(s)
- M Siniatchkin
- Neuropaediatric Department, Christian-Albrechts-University of Kiel, Kiel, Germany.
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Andrasik F. Personality Characteristics Before and After Treatment. Cephalalgia 2016. [DOI: 10.1046/j.1468-2982.1994.1405318-5.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Andrasik F, Grazzi L, D'Amico D, Sansone E, Leonardi M, Raggi A, Salgado-García F. Mindfulness and headache: A "new" old treatment, with new findings. Cephalalgia 2016; 36:1192-1205. [PMID: 27694139 DOI: 10.1177/0333102416667023] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background Mindfulness refers to a host of procedures that have been practiced for centuries, but only recently have begun to be applied to varied pain conditions, with the most recent being headache. Methods We reviewed research that incorporated components of mindfulness for treating pain, with a more in depth focus on headache disorders. We also examined literature that has closely studied potential physiological processes in the brain that might mediate the effects of mindfulness. We report as well preliminary findings of our ongoing trial comparing mindfulness alone to pharmacological treatment alone for treating chronic migraine accompanied by medication overuse. Results Although research remains in its infancy, the initial findings support the utility of varied mindfulness approaches for enhancing usual care for headache management. Our preliminary findings suggest mindfulness by itself may produce effects comparable to that of medication alone for patients with chronic migraine and medication overuse. Conclusions Much work remains to more fully document the role and long term value of mindfulness for specific headache types. Areas in need of further investigation are discussed.
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Affiliation(s)
- Frank Andrasik
- 1 Department of Psychology, University of Memphis, Memphis, TN, USA
| | - Licia Grazzi
- 2 Headache and Neuroalgology Unit, Neurological Institute C. Besta IRCCS Foundation, Milan, Italy
| | - Domenico D'Amico
- 2 Headache and Neuroalgology Unit, Neurological Institute C. Besta IRCCS Foundation, Milan, Italy
| | - Emanuela Sansone
- 3 Neurology, Public Health and Disability Unit, Neurological Institute C. Besta IRCCS Foundation, Milan, Italy
| | - Matilde Leonardi
- 3 Neurology, Public Health and Disability Unit, Neurological Institute C. Besta IRCCS Foundation, Milan, Italy
| | - Alberto Raggi
- 3 Neurology, Public Health and Disability Unit, Neurological Institute C. Besta IRCCS Foundation, Milan, Italy
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Gordon CM, Andrasik F, Schleip R, Birbaumer N, Rea M. Myofascial triggerpoint release (MTR) for treating chronic shoulder pain: A novel approach. J Bodyw Mov Ther 2016; 20:614-22. [PMID: 27634087 DOI: 10.1016/j.jbmt.2016.01.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2015] [Revised: 12/14/2015] [Accepted: 01/24/2016] [Indexed: 10/22/2022]
Abstract
BACKGROUND This study comprehensively evaluated a myofascial triggerpoint release (MTR) technique for shoulder pain. METHODS Twenty-three (from an initial sample of 25) patients experiencing shoulder pain received MTR, in four 10-min sessions over a period of 2 weeks, applied exclusively on the more painful shoulder, with assessments being recorded both before and after treatment (and for pain at 1 and 13 months). Measures of stiffness and elasticity were collected to monitor the process of therapy, while subjective measures of pain and objective measures of pressure pain thresholds tracked primary outcomes. Secondary outcomes focused on suffering, stress, and quality of life. RESULTS A statistically significant decrease in stiffness and increase in elasticity was observed post intervention for the treated side only, while pressure pain thresholds improved on the untreated side as well. Reports of pain significantly decreased after treatment, with gains being maintained at 1 and 13 months following treatment. Levels of suffering, stress, and quality of life revealed statistically significant improvement as well. CONCLUSIONS MTR resulted in clinically significant improvements in the primary measures of pain, objective mechanical tissue properties, and secondary measures in patients with chronic shoulder pain.
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Affiliation(s)
- Christopher-Marc Gordon
- Center für Integrative Therapie, Ahorn Str 31, 70597 Stuttgart, Germany; Fascia Research Group, Division of Neurophysiology, University of Ulm, Albert-Einstein-Allee 11, Ulm, Germany.
| | - Frank Andrasik
- Department of Psychology, University of Memphis, Memphis, TN, USA
| | - Robert Schleip
- Fascia Research Group, Division of Neurophysiology, University of Ulm, Albert-Einstein-Allee 11, Ulm, Germany
| | - Niels Birbaumer
- Institute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Germany; Ospedale San Camillo, Istituto di Ricovero e Cura a Carattere Scientifico, Venezia-Lido, Italy
| | - Massimiliano Rea
- Department of General Psychiatry, University of Tübingen, Tübingen, Germany
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Abstract
Program equipment changes (two levels), information feedback (three levels), and administrative policy changes (two levels) were serially introduced to reduce errors made by nonprofessional staff in a forensic psychiatry institution. Errors were reduced from an initial level of 62.2% to 6.2%. Due to the uncontrolled nature of the design, it was not possible to determine the independent contributions of the three variables. However, introduction of the program equipment changes resulted in the smallest error reductions. The introduction of information feedback produced the next largest error reductions. Errors were optimally reduced when the information feedback was presented to the line staff and first level supervisors but attenuated when presented to second level supervisors. The largest and most consistent error reductions occurred following the introduction of administrative policy changes.
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Lang KP, Veazey-Morris K, Berlin KS, Andrasik F. Factors Affecting Health Care Utilization in OEF/OIF Veterans: The Impact of PTSD and Pain. Mil Med 2016; 181:50-5. [DOI: 10.7205/milmed-d-14-00444] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Salgado-García FI, Zuber JK, Graney MJ, Nichols LO, Martindale-Adams JL, Andrasik F. Smoking and Smoking Increase in Caregivers of Alzheimer's Patients. Gerontologist 2015; 55:780-92. [PMID: 24371214 PMCID: PMC4683364 DOI: 10.1093/geront/gnt149] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2013] [Accepted: 10/28/2013] [Indexed: 11/14/2022] Open
Abstract
PURPOSE OF THE STUDY The relationship between stress and smoking has been established, but there is little research on the effects of stress and coping on smoking in caregivers of Alzheimer's disease patients. This study examines how caregiver stressors and coping resources explain smoking status and recent smoking increase. DESIGN AND METHODS Data were obtained from the Resources for Enhancing Alzheimer's Caregivers Health (REACH II) study. Analyses identified differences between caregiver smokers and nonsmokers and between caregiver smokers who reported a recent smoking increase and those who did not. Variables that were significantly different between the groups were examined in two logistic regression analyses to explain smoking status and smoking increase. RESULTS Of 642 caregivers, nearly 40% reported smoking and 25% of smokers reported recent increase in smoking. Younger caregivers were more likely to report smoking. Explanatory variables for smoking increase were being Caucasian or African-American, higher depression scores, and less caregiving skills. IMPLICATIONS This study demonstrates that smoking among caregivers is a valid public health concern. Further investigation of ways that explanatory variables affect smoking status and increase in caregivers, and incorporation of smoking cessation strategies that address depression and low caregiving skills, seem warranted in future caregiver interventions.
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Affiliation(s)
| | - Jeffrey K Zuber
- Department of Preventive Medicine, University of Tennessee Health Science Center, Veterans Affairs Medical Center, Memphis
| | - Marshall J Graney
- Department of Preventive Medicine, University of Tennessee Health Science Center, Veterans Affairs Medical Center, Memphis
| | - Linda O Nichols
- Department of Preventive Medicine, University of Tennessee Health Science Center, Veterans Affairs Medical Center, Memphis. Department of Internal Medicine, University of Tennessee Health Science Center, Veterans Affairs Medical Center, Memphis
| | - Jennifer L Martindale-Adams
- Department of Preventive Medicine, University of Tennessee Health Science Center, Veterans Affairs Medical Center, Memphis.
| | - Frank Andrasik
- Department of Psychology, University of Memphis, Memphis, Tennessee
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Fix ST, Arruda JE, Andrasik F, Beach J, Groom K. Using visual evoked potentials for the early detection of amnestic mild cognitive impairment: a pilot investigation. Int J Geriatr Psychiatry 2015; 30:72-9. [PMID: 24737573 DOI: 10.1002/gps.4117] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2013] [Revised: 03/06/2014] [Accepted: 03/07/2014] [Indexed: 01/01/2023]
Abstract
OBJECTIVE Amnesic mild cognitive impairment (MCIa) is often characterized as an early stage of Alzheimer's dementia (AD). The latency of the P2, an electroencephalographic component of the flash visual evoked potential (FVEP), is significantly longer in those with AD or MCIa when compared with controls. The present investigation examined the diagnostic accuracy of several FVEP-P2 procedures in distinguishing people with MCIa and controls. METHODS The latency of the FVEP-P2 was measured in participants exposed to a single flash condition and five double flash conditions. The double flash conditions had different inter-stimulus intervals between the pair of strobe flashes. RESULTS Significant group differences were observed in the single flash and two of the double flash conditions. One of the double flash conditions (100 ms) displayed a higher predictive accuracy than the single flash condition, suggesting that this novel procedure may have more diagnostic potential. Participants with MCIa displayed similar P2 latencies across conditions, while controls exhibited a consistent pattern of P2 latency differences. These differences demonstrate that the double stimulation procedure resulted in a measurable refractory effect for controls but not for those with MCIa. CONCLUSIONS The pattern of P2 group differences suggests that those with MCIa have compromised cholinergic functioning that results in impaired visual processing. Results from the present investigation lend support to the theory that holds MCIa as an intermediate stage between normal healthy aging and the neuropathology present in AD. Measuring the FVEP-P2 during several double stimulation conditions could provide diagnostically useful information about the health of the cholinergic system.
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Affiliation(s)
- Spencer T Fix
- Cognitive Neuroscience Laboratory, University of North Carolina, Charlotte, NC, USA
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Abstract
The empirical support for three behavioral treatments (relaxation, biofeedback and cognitive therapy) for managing migraine headaches in children and adults is reviewed. Meta-analyses and evidence-based reports show that these approaches are of considerable value, they appear to work equally well when applied individually, in groups or in limited contact formats. Meta-analyses comparing behavioral and prophylactic medication show equivalent results. However, outcomes are optimized when these treatments are combined. Researchers are currently seeking to identify factors predictive of response to behavioral approaches. Patients experiencing medication-overuse, refractory, cluster or post-traumatic forms of headache or comorbid conditions present special challenges that can require intensive, comprehensive and multidisciplinary approaches to treatment. Behavioral treatments have met with mixed success for menstrual migraine in the few studies that have been conducted. This review concludes by highlighting directions for future research efforts such as importing treatments to settings where headache patients most often seek care and developing algorithms for optimizing combinations of behavioral and pharmacological treatments to enhance effectiveness, reduce costs, minimize dosing requirements and improve adherence to needed medications. Other research efforts include developing treatments that target the underlying pathophysiology more directly, gaining a greater understanding of mediators and moderators of behavioral treatments, exploiting e-technology for assessment and treatment, and assessing outcome in multiple ways--such as quality of life.
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Affiliation(s)
- Frank Andrasik
- Institute for Human and Machine Cognition, University of West Florida, 40 South Alcaniz Street, Pensacola, FL 32502, USA.
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Rathier LA, Buse DC, Nicholson RA, Andrasik F. Multidisciplinary Approach to Patients with Migraine. Headache 2013. [DOI: 10.1002/9781118678961.ch7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Abstract
Behavioral treatments (predominantly biofeedback, relaxation, and cognitive-behavioral) have been utilized in headache management for many decades. Although effective, they have not been as widely implemented as desired, chiefly due to their time-intensive nature, special therapist qualifications, and patient costs. This paper focuses on ways to make these treatments more affordable and more readily accessible to patients. Various alternative delivery models have been explored. This paper reviews progress to date on three such approaches for treating recurrent headaches in adults--prudent limited office contact, Internet delivery, and mass media approaches. Clinical outcomes, advantages, and disadvantages of these approaches are reviewed in brief.
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Affiliation(s)
- F Andrasik
- Department of Psychology, University of Memphis, 400 Innovation Drive, Memphis, TN 38152, USA.
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Buse DC, Andrasik F, Lipton RB, Sollars CM, McMichael AD, Nicholson RA. Knowledge, attitudes and clinical practice regarding behavioral treatments and psychological issues in migraine: a survey of AHS members. J Headache Pain 2013. [PMCID: PMC3620418 DOI: 10.1186/1129-2377-14-s1-p61] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Gerber WD, Gerber-von Müller G, Andrasik F, Niederberger U, Siniatchkin M, Kowalski JT, Petermann U, Petermann F. The impact of a multimodal Summer Camp Training on neuropsychological functioning in children and adolescents with ADHD: An exploratory study. Child Neuropsychol 2012; 18:242-55. [DOI: 10.1080/09297049.2011.599115] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Abstract
OBJECTIVES This study assessed the validity and reliability of the Visual Analog Mood Scales (VAMS) when administered to a non-English-speaking, headache population. METHODS The VAMS and another frequently administered measure of mood, the Profile of Mood States (POMS), were administered to sixty patients at a headache clinic in Milan, Italy. The VAMS and POMS were both administered before and after a regularly scheduled appointment at the clinic. Multitrait-multimethod analyses were conducted to assess the validity of each subscale comprising the VAMS. RESULTS All subscales comprising the VAMS possessed high test-retest reliability, and the "confused,""sad,""angry,""energetic," and "tired" subscales of the VAMS were shown to be valid when administered to a non-English-speaking pain population. Further, compared to age-matched controls (from available normative data), pain patients reported being significantly more confused, sad, and tense on the VAMS and significantly more tired, confused, depressed, and tense on the POMS. DISCUSSION Given the evidence of strong reliability and validity, the VAMS may be useful as a clinical diagnostic tool when administered to non-English-speaking pain populations.
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Affiliation(s)
- Erica D House
- University of West Florida, Pensacola, FL 32514, USA.
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Andrasik F. Abstracts of Select Papers Presented at the 42nd Annual Meeting of the Association for Applied Psychophysiology and Biofeedback. Appl Psychophysiol Biofeedback 2011. [DOI: 10.1007/s10484-011-9168-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Kowalski JT, Varn A, Röttger S, Seidack S, Kähler' W, Gerber WD, Andrasik F, Koch A. Neuropsychological deficits in scuba divers: an exploratory investigation. Undersea Hyperb Med 2011; 38:197-204. [PMID: 21721353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
OBJECTIVE To investigate whether divers with varying levels of experience and without a history of reported decompression sickness (DCS) show neuropsychometric alterations possibly as a result of so-called repetitive "silent" paradoxical gas embolisms. METHODS Using reaction time as a psychometric measure, 17 experienced military divers (ED, logging between 150 and 1,200 diving hours) and eight very experienced military divers (VED, logging between 2,800 and 9,800 diving hours) with no decompression sickness (DCS) in their medical histories were compared to 23 healthy controls without any diving history, matched as closely as possible with respect to age for the two diving groups. Motor reaction time, decision reaction time and error rates were measured during completion of both simple and complex reaction time tasks. RESULTS Compared to their control group, VED showed significantly higher motor reaction times on both tasks and significantly higher decision reaction times in the complex task. ED were not found to be different from their respective controls. No changes in performance quality in terms of increased errors were observed in any of the tasks for either diving group. CONCLUSIONS The findings support the proposed possibility that minimal cerebral lesions occur after diving even without DCS. Further studies with this highly selective population of very experienced divers using more elaborate neurocognitive and neuromotor tasks seem warranted.
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Abdi S, Abrams BM, Akhouri V, Aldrete JA, Andrasik F, Adhikary SD, Aniq H, Asaad B, Atluri SL, Bajwa ZH, Ballas SK, Bankston DP, Baron R, Binder A, Bogduk N, Borenstein D, Boswell MV, Bove GM, Braiteh F, Bruera E, Burton A, Cady R, Campbell R, Candido KD, Chiang JS, Childers MK, Chohan S, Conaghan PG, Correll DJ, Cozad SC, Craig EV, Creamer P, Datta S, Day MR, Deangelo DA, Deer TR, Diamond S, Dickenson A, Donohoe CD, Savillion Eckmann M, Evans JJ, Falco FJ, Farmer K, Fitzgerald CM, Freitag FG, Garcia MK, Gloth FM, Gordin V, Grabois M, Greenfield MA, Michael Guo H, Hainline B, Hall H, Hazleman BL, Heavner JE, Henshaw DR, Hsu BH, Igarashi T, Janata JW, Kapoor R, Katz J, Kawaguchi Y, Keating RM, Kidd BL, Kidder KA, King PT, Kormylo N, Koyyalagunta D, Landers MH, Lawson EF, Lema MJ, Levin JB, Liu J, Lovrincevic M, Luo ZD, Lyftogt JA, MacDonald JA, Malinowski MN, Manchikanti L, Mazloomdoost D, McGuirk B, Melzack R, Meyer JP, Nissan GR, Pappas JL, Parris WC, Patel DJ, Patt RB, Patterson DR, Perez-Toro MR, Petersen D, Quave BT, B. Racz G, Raj PP, Ramamurthy S, Ranson MT, Reeves KD, Reynolds LW, Rime C, Rosenthal RM, Rupert MP, Saberski LR, Schattschneider J, Schrattenholzer T, Schreiber CP, Schultz DM, Scott J, Sekhadia M, Sharar SR, Sial KA, Sills SM, Simon S, Simopoulos TT, Singh V, Solanki D, Soto-Quijano DA, Sridhara C, Stanton-Hicks M, Stiles MA, Supernaw RB, Swenson RS, Taylor VM, Treffer KD, Trout R, Urban GJ, Vinjamuri S, Waldman CW, Waldman HJ, Waldman JE, Waldman SD, Wallace MS, Warfield CA, Whitworth ML, Wiechman SA, Winnie AP, Wong CA, Yaksh TL, Ybarra M. Contributors. Pain Manag 2011. [DOI: 10.1016/b978-1-4377-0721-2.00186-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Grazzi L, Chiapparini L, Ferraro S, Usai S, Andrasik F, Mandelli ML, Bruzzone MG, Bussone G. Chronic migraine with medication overuse pre-post withdrawal of symptomatic medication: clinical results and FMRI correlations. Headache 2010; 50:998-1004. [PMID: 20618816 DOI: 10.1111/j.1526-4610.2010.01695.x] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Chronic migraine with symptomatic medication overuse (CMwMO) is a common and often debilitating clinical condition. Withdrawal of the offending drug(s) is considered the first step in management. Functional magnetic resonance imaging (fMRI) may be a useful technique for obtaining information on particular neuronal changes in the pain network involved in this condition. OBJECTIVE To identify specific fMRI patterns in patients suffering from CMwMO before and after withdrawal intervention. METHODS We collected fMRI data from a group of patients suffering from CMwMO, evaluating those patients prior to and 6 months following withdrawal. We applied stimuli at sites far removed from where the headaches were experienced. Moreover, pre-intervention fMRI data from the headache patients were compared with those obtained from headache-free and otherwise healthy controls. RESULTS Before withdrawal, the right supramarginal gyrus, the right inferior and superior parietal cortex were hypoactive. Activity recovered to almost normal 6 months after withdrawal of the offending medications. CONCLUSIONS The hypoactivation we detected in the lateral pain system indicate that there exists a modification of the pain network in CMwMO and that these changes are reversible with therapy.
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Affiliation(s)
- Licia Grazzi
- National Neurological Institute C. Besta: Headache Centre, Milan, Italy
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Santarpia A, Blanchet A, Mininni G, Andrasik F, Kwiatkowski F, Lambert JF. Effects of weight-related literal and metaphorical suggestions about the forearms during hypnosis. Int J Clin Exp Hypn 2010; 58:350-65. [PMID: 20509074 DOI: 10.1080/00207141003761353] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
During hypnosis, the authors tested repeated weight-related, literal and metaphorical suggestions about the heaviness of the subjects' arms. The purpose was to determine if linguistically varied hypnotic suggestions produced significantly different motor reactions--involuntary pressure forces of the forearms--as assessed by a linguistic biomechanical system. Classic, literal (L) suggestions such as "your right arm is heavy" were used, as well as metaphorical (M) suggestions, such as "your right arm is made of lead." A specific effect on the progressive increase of pressure forces only in the temporal sequence L-M for each forearm (literal suggestions followed by metaphorical suggestions) was found. This effect, termed crescendo image metaphor effect, conceptualized within context-limited simulation theory, explains the findings.
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Affiliation(s)
- Alfonso Santarpia
- Laboratoire de psychopathologie et de neuropsychologie (EA 2027), University of Paris 8, Saint-Denis, Cedex, France.
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