Advances in Mind-Body Medicine最新文献

Appendicitis is the most common condition that affects approximately 233 cases/100 000 people. In general, conventional treatments can often involve invasive procedures, the patients seek alternative therapies for a variety of reasons, such as preserving the anatomical and functional integrity of the body, fear of surgery, financial issues, etc. A 21-year-old female was diagnosed with appendicitis in October 2015 using ultrasonography of the abdomen visited our hospital. She underwent conventional management for pain in a private hospital for 2-days. Then, she was admitted to a yoga and naturopathy hospital with the symptoms of poor appetite, nausea, vomiting, and diarrhea. The patient received yoga and naturopathy treatments such as warm water enema, cold hip bath, cold abdomen pack, gastro hepatic pack, direct mud application to the abdomen, mud pack to abdomen and eyes, fasting therapy, pranayama and relaxation techniques for 1 week. The patient was advised to undergo ultrasonography of the abdomen after 1 week of treatment. The results showed no sign of appendicitis [i.e., a) no inflammation, b) no dilation of bowel, and c) Bowel movements are seen) compared to the pre-test assessments [i.e., a) evidence of long tubular oedematous, aperistaltic structure with perilesional inflammatory changes, b) Severe probe tenderness, and c) Appendicitis measures 8 mm in size suggestive of acute appendicitis] was noted in the ultrasonography report. In addition, the patient did not report any serious adverse events during the study period. This result suggests that yoga and naturopathy systems of medicine, in addition to conventional pain management during acute (painful) conditions might be useful in cases of appendicitis. However, as the result is based on a single case, further studies with a larger sample size are recommended to warrant the results of this study.

We present the case of 11 years of severe malabsorption, muscular atrophy, seizures, and immunodeficiency resolved after proximal intercessory prayer (PIP). A male infant suffered from severe abdominal pain and impaired development with the introduction of solid food at age five months. The patient had previously appeared healthy, having been born to term and breastfed. Neocate and total parenteral nutrition (TPN) were prescribed, and the former was removed due to abdominal pain and diarrhea. Ultimately, the patient became completely dependent on TPN. It was concluded that he suffered from chronic, idiopathic, severe malabsorption. Development of neutropenia, hypogamma-globulinemia, and hypotonia was recorded. Medical records document atrophy and progressive deterioration of muscular symptoms. At five years of age, frontal lobe epilepsy was detected. Over the course of the disease, several genetic tests were performed. Doctors tried unsuccessfully to diagnose an underlying condition, with various mitochondriopathies and Shwachman-Diamond syndrome suggested as possible causes, but no prognosis of recovery was given. Eleven years following the initial presentation of symptoms, proximal intercessory prayer (PIP) was administered in a single session. The patient reported no unusual sensations during prayer. However, oral feedings were immediately tolerated without discomfort from that time onward. Post-PIP medical records indicate discontinuation of TPN, seizures, and seizure medications. Progressive improvement in the hematological disorders, BMI, and muscular symptoms was also observed. The present case report describes a novel association between PIP and the lasting resolution of multiple symptoms likely related to a genetic disorder. The results inform ongoing discussions about faith-based practices in health care and suggest the need for additional studies of PIP on health outcomes.

Background: Accepting and adapting the maternal role by mothers with premature infants is complicated. Active participation of mothers in neonate massage may facilitate this process.

Primary study objective: Determining the effect of massage on maternal role adaptation in mothers of premature infants admitted to the neonatal intensive care unit (NICU).

Methods/design: A non-parallel quasi-experimental study with a sequential sampling method.

Setting: This study was done in the NICU of Imam Ali Hospital in Amol City, Iran.

Participants: 90 mothers of premature infants hospitalized in the NICU participated in this study.

Intervention: The mothers in the intervention group after receiving two training sessions massaged their infant for 15 minutes daily from the third day of hospitalization for 5 consecutive days.

Primary outcome measures: A maternal role adaptation questionnaire was used. Participants completed the maternal role adaptation questionnaire 3 times: before, on the fifth day, and 14 days after the first day of intervention. The maternal role adaptation questionnaire was used to assess the maternal role adaptation. The participants of the control group also filled out the questionnaire at similar time.

Results: The mean scores of maternal adaptation were significantly different between the two control groups (5th day and 14th day) and intervention (day 5: 136.88 ± 10.062 (P = .025); day 14: 151.93 ± 6 (P < .001)). Maternal role adaptation showed an upward trend in the two groups during the 14 days of study, but this trend was significantly higher in the intervention group over time, compared to the control group.

Conclusion: Massage of premature infants facilitates the adaptation to maternal role. It is recommended, along with other nursing interventions, to empower mothers with premature neonates admitted to the NICU.

Background: Parkinson's disease (PD) is a progressive neurodegenerative disorder of the central nervous system. Non-motor symptoms (NMSs) such as anxiety, depression, sleep disorders, autonomic dysregulation, and sensory impairments are as debilitating as motor symptoms and negatively impact an individual's quality of life. While the majority appear in the prodromal stage, a few NMSs, like anxiety and hallucinations can also occur as a side effect of dopaminergic drugs. Physical activity-based recreation has emerged as a newer non-pharmacological approach to managing NMS in PD. However, there is a paucity of literature proving its efficacy in reducing NMS burden.

Primary objective: The objective of the present review is to summarise evidence on the efficacy of physical activity-based recreation to manage NMSs in PD.

Methods: A literature search was conducted in PubMed, CINAHL, and Cochrane Library databases. Fifty studies including randomized controlled trials, systematic reviews, and cohort studies published between 2012-2022 were reviewed thoroughly as per Preferred Reporting Items for Systematic Reviews and Meta-Analysis-Scoping Review (PRISMA-ScR) guidelines.

Setting: India.

Participants: Individuals with PD.

Results: Three out of eight studies, one fair quality (level IIa) and two high-quality studies (level Ib and Ia respectively) observed the effects of dance on NMS, two high-quality studies (level Ib) examined the effects of Tai-chi, two high-quality studies (level Ia and Ib respectively) examined the effect of Qigong while the remaining one high-quality study (level Ia) assessed the effects of Yoga.

Conclusion: Review findings indicate that yoga and Tai-chi followed by Qigong and dance are effective therapeutic adjuncts to regular physiotherapy interventions in alleviating NMSs in individuals with PD.

Background: Relational spirituality-a sense of oneness with, or personal connection to, a higher power or greater consciousness-has been associated with positive health outcomes in prior research. An evidence-based meditation method called EcoMeditation produces significant improvements in psychological health as well as physiological function.

Objectives: This study places EcoMeditation in the context of relational spirituality to evaluate changes in psychological symptoms and professional productivity associated with transcendent states of consciousness, including those characterized as "flow" and "nonduality."

Methods: Participants (n = 41) were drawn from a convenience sample taking a 21-day online course in which they practiced EcoMeditation along with exercises designed to cultivate personal and relational spirituality. They were assessed pre, post, and at six-month follow-up.

Results: Significant reductions in anxiety, depression, and post-traumatic stress disorder (PTSD) were found post-test. These were accompanied by significant increases in happiness, flow, transcendent experiences, and professional-personal productivity. Follow-up indicated that gains in happiness, transcendent experiences, nonduality, and professional-personal productivity were maintained over time.

Conclusions: In addition to the improvements in psychological symptoms identified in previous studies, EcoMeditation in the context of relational spirituality was associated with increases in nondual and transcendent states, as well as greater productivity. Although activities such as meditation are usually associated with elevated consciousness in altered states, they may also produce enhanced productivity and performance in everyday life.

Heartfulness meditation (HM) trains the practitioner's attention as they progress towards reaching a super-conscious state. The process is supported by guided "Heartfulness cleaning," which helps clear the mind. This study aimed to examine the short-term effects of HM on affect and cognition and determine whether performing Heartfulness cleaning beforehand influenced the meditation outcome. Forty-eight experienced meditators (age range: 19-71 years and a male-to-female ratio: 27:21) were randomly assigned to 3 sessions: (i) HM, (ii) Heartfulness meditation preceded by cleaning, and (iii) quiet rest as a control. Mood state and emotional well-being were assessed before and after each intervention using established scales such as the Brief Mood Introspection Scale, Global Vigor and Affect Scale, Spielberger's State-Trait Anxiety Inventory, and the Digit Letter Substitution Test. After engaging in both HM and Heartfulness cleaning meditation (HCM) practices, there was a noticeable increase in feelings of pleasantness (7.3%, 7.0%, respectively) and positivity (7.5%, 7.8%, respectively), accompanied by a decrease in negative affect (14.4%, 16.5%, respectively). Additionally, HM and HCM increased in the net and total scores on a substitution test designed to measure associative learning. In contrast, there were no changes observed after 30 minutes of non-meditation. In summary, the findings of this study provide support for the positive impact of Heartfulness meditation and Heartfulness cleaning meditation on emotions, as well as their ability to enhance performance in tasks involving complex attention and associative learning. It should be noted that preceding Heartfulness meditation with 5 minutes of Heartfulness cleaning did not significantly alter the overall outcome of the meditation practice.

Compared to non-Hispanic White individuals, non-Hispanic Black Individuals report worse chronic pain from a variety of medical issues. Among the options for non-pharmacological pain treatment, mind-body interventions (MBI) are a promising modality to help Black individuals manage their chronic pain effectively. MBIs such as mindfulness meditation improve chronic pain and chronic pain-related outcomes by shifting the individual's perception of pain away from stress-related cognitive appraisals, emotional reactions, and behaviors. MBIs may also address disparities in chronic pain outcomes between Black and White individuals because of their contextual overlap with (1) centering and contemplative prayer, (2) racial empowerment, and (3) social support. Despite this overlap, the demand for MBIs among Black individuals has generally been low due to lingering access and acceptability barriers. To reduce these barriers for Black individuals with chronic pain, we must adopt a community-engaged approach and culturally adapt MBIs for the specific historic, environmental, financial, and psychosocial needs of Black individuals. Example adaptations include increasing Black representation among MBI instructors, reducing geographical access barriers, accommodating the financial and personal realities of Black adults, and explicitly allowing relevant attitudes, practices, and terms.

No Abstract Available.

Context: The use of music in obstetrics increases every day, and it is extensively used in the control of labor pain.

Objective: This study was conducted to determine the effect of music on labor pain and duration.

Design and setting: This systematic review and meta-analysis was carried out between October 15 and November 15, 2022. The search was done in the PubMed and ScienceDirect, MEDLINE, Ovid, EBSCO CINAHL Plus, and Cochrane Library databases.

Outcomes meassures: According to the inclusion criteria, 12 studies included in the systematic review and meta-analysis were determined. The data were analyzed using Review Manager 5.4. The methodological quality of the studies was assessed with the RoB 2 tool.

Results: Twelve articles were included in this study. According to the study results, listening to music was revealed to be statistically significantly effective in reducing pain intensity in terms of relieving labor pain (SMD:-0.98, Z=8.33, P < .001). Listening to music in the active phase was found to further decrease pain intensity compared to the latent phase (latent phase: SMD:-0.56 and active phase: SMD:-1.26), but it did not affect labor duration (MD:-0.76, Z=1.72, P = .09).

Conclusion: Listening to music was determined to be effective in reducing pain intensity. The music genre selected by the researchers was found to further reduce pain intensity during labor compared to pregnant women's own choices, and it was elucidated that listening to music with headphones was effective in pain control but listening to music did not affect labor duration.

Prospero registration no: CRD42022367480.