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Moore J, Richards S, Popp C, Hollimon L, Reid M, Jean-Louis G, Seixas AA. The Moderating Effect of Physical Activity on the Relationship between Sleep and Emotional Distress and the Difference between Blacks and Whites: A Secondary Data Analysis Using the National Health Interview Survey from 2005-2015. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041718. [PMID: 33578959 PMCID: PMC7916647 DOI: 10.3390/ijerph18041718] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 01/22/2021] [Accepted: 01/28/2021] [Indexed: 12/27/2022]
Abstract
(1) Background: Unhealthy sleep durations (short and long sleep) are associated with emotional distress (ED). Minority populations, specifically Blacks, are more burdened with unhealthy sleep durations and ED. The ameliorative effect of physical activity (PA) on ED and sleep duration may provide insight into how to reduce the burden among Blacks and other minorities. However, it is unclear whether PA attenuates the relationship between sleep and ED, and whether this relationship differs by race. (2) Methods: We analyzed data from the nationally representative 2005–2015 National Health Interview Survey (NHIS) dataset. ED, physical activity, and sleep duration were collected through self-reports. Regression analyses investigated the moderating effect of PA on the relationship between sleep and ED (adjusting for age, sex, BMI, and employment status) and stratified by race. (3) Results: We found that sleep duration was independently associated with ED. Physical activity moderated the relationship between sleep and ED, the full population, and Whites, but not Blacks. (4) Conclusion: PA moderated the relationship between short, average, or long sleep and ED, but in stratified analyses, this was only evident for Whites, suggesting Blacks received differing protective effects from physical activity. Further research should be performed to understand the connection of physical activity to sleep and mental health.
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Affiliation(s)
- Jesse Moore
- Department of Population Health, New York University Langone Health, New York, NY 10016, USA; (S.R.); (C.P.); (L.H.); (G.J.-L.)
- Correspondence: (J.M.); (A.A.S.)
| | - Shannique Richards
- Department of Population Health, New York University Langone Health, New York, NY 10016, USA; (S.R.); (C.P.); (L.H.); (G.J.-L.)
| | - Collin Popp
- Department of Population Health, New York University Langone Health, New York, NY 10016, USA; (S.R.); (C.P.); (L.H.); (G.J.-L.)
| | - Laronda Hollimon
- Department of Population Health, New York University Langone Health, New York, NY 10016, USA; (S.R.); (C.P.); (L.H.); (G.J.-L.)
| | - Marvin Reid
- Department of Community Medicine & Psychiatry, University of the West Indies, Kingston JMCJS2, Jamaica;
| | - Girardin Jean-Louis
- Department of Population Health, New York University Langone Health, New York, NY 10016, USA; (S.R.); (C.P.); (L.H.); (G.J.-L.)
| | - Azizi A. Seixas
- Department of Population Health, New York University Langone Health, New York, NY 10016, USA; (S.R.); (C.P.); (L.H.); (G.J.-L.)
- Correspondence: (J.M.); (A.A.S.)
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Ramirez-Garcia MP, Leclerc-Loiselle J, Genest C, Lussier R, Dehghan G. Effectiveness of autogenic training on psychological well-being and quality of life in adults living with chronic physical health problems: a protocol for a systematic review of RCT. Syst Rev 2020; 9:74. [PMID: 32264955 PMCID: PMC7137438 DOI: 10.1186/s13643-020-01336-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2018] [Accepted: 03/17/2020] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND Autogenic training is a relaxation technique that uses systematic exercises to induce a general disconnection of the organism. It is used in conjunction with conventional medical care as part of disease management to relieve symptoms associated with chronic health problems and to improve well-being. The purpose of this systematic review is to evaluate the efficacy of autogenic training on psychological well-being, quality of life, and adverse effects in people living with chronic physical health problems. METHODS The methodology used follows the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions. Studies, published up to December 31, 2019, will be identified through searches in the following databases: MEDLINE, Web of Science, EMBASE, SCOPUS, PsychINFO, CINAHL, EBM Reviews, Google Scholar, Dissertations & Theses Global, Open Access Theses and Dissertations, OpenGrey, E-Theses Online Service, Grey Literature Report, eScholarship@McGill, Papyrus, and CorpusUL. All studies of randomized controlled trials that assess autogenic training as an intervention to improve psychological well-being and quality of life in adults aged 18 and older living with one or more chronic physical health problem will be considered eligible. The study selection, the data collection, and the evaluation of the risk of bias will be conducted independently and in duplicate by two reviewers. RoB 2 tool will be used to assess the risk of bias. Discrepancies will be resolved through discussion. A tabular and narrative synthesis of data is planned, and a meta-analysis will be done according to the quality of data. The primary outcomes will be general psychological distress, depression, and anxiety, and the secondary outcomes will be quality of life and adverse effects. The present protocol of systematic review is reporting following MECIR standards for the reporting of protocols and the PRISMA-P recommendations. DISCUSSION Autogenic training appears to be a promising therapy to improve psychological well-being and quality of life in people living with chronic physical health problems, but no recent reports have synthesized the available evidence in this population. The results of this review will examine and synthesize the evidence on the benefits and harms of autogenic training on psychological well-being and quality of life in people living with chronic physical health problems, thus supporting the development of best practices for complementary approaches. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42018105347.
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Affiliation(s)
- Maria Pilar Ramirez-Garcia
- Faculty of Nursing, Université de Montréal, 2375 Chemin de la Côte-Sainte-Catherine, Montréal, QC, H3T 1A8, Canada. .,Research Centre of the Centre Hospitalier de l'Université de Montréal, Montréal, Canada.
| | - Jérôme Leclerc-Loiselle
- Faculty of Nursing, Université de Montréal, 2375 Chemin de la Côte-Sainte-Catherine, Montréal, QC, H3T 1A8, Canada
| | - Christine Genest
- Faculty of Nursing, Université de Montréal, 2375 Chemin de la Côte-Sainte-Catherine, Montréal, QC, H3T 1A8, Canada
| | | | - Golsa Dehghan
- Applied Clinical Research Unit of the CHU Sainte-Justine, Montréal, Canada
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Cheng T, D'Amico S, Luo M, Lestoquoy AS, Yinusa-Nyahkoon L, Laird LD, Gardiner PM. Health Disparities in Access to Nonpharmacologic Therapies in an Urban Community. J Altern Complement Med 2019; 25:48-60. [PMID: 30234363 DOI: 10.1089/acm.2018.0217] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
OBJECTIVE The overuse of prescription opioids for chronic pain is recognized as a public health crisis. Yet, poor access to nonpharmacologic treatments is the norm in low-income, racially and ethnically diverse patients with chronic pain. The main objective of this study was to understand how chronic pain impacts low-income individuals with chronic pain and their communities from multiple perspectives. DESIGN This was a qualitative study using a Science Café methodology. SETTING The Science Café event was held at an urban community center in Boston, MA. SUBJECTS Inclusion criteria included the following: having the ability to attend the event, being at least 18 years of age or older, and participating in English. METHODS Data were collected through self-reported questionnaires and audio or video recordings of two focus groups. Quantitative and qualitative data were analyzed with SAS 9.3 and NVivo 10. RESULTS Thirty participants attended the Science Café event. The average age was 45 years, 77% reported as female, 42% identified as black, and 19% as Hispanic. Participants identified themselves as either patients (46%) or providers (54%) to the chronic pain community. Our forum revealed three major themes: (1) nonpharmacologic options for chronic pain management are warranted, (2) larger sociodemographic and contextual factors influence management of chronic pain, and (3) both patients and providers value the patient-provider relationship and acknowledge the need for better communication for patients with chronic pain. CONCLUSIONS Future research should consider identifying and addressing disparities in access to nonpharmacologic treatments for chronic pain in relation to underlying social determinants of health, particularly for racially and ethnically diverse patients.
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Affiliation(s)
- Teresa Cheng
- 1 Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts
| | - Salvatore D'Amico
- 1 Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts
| | - Man Luo
- 1 Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts
| | - Anna Sophia Lestoquoy
- 1 Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts
| | - Leanne Yinusa-Nyahkoon
- 1 Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts
| | - Lance D Laird
- 1 Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts
| | - Paula M Gardiner
- 1 Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts
- 2 Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts
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Gonçalves LM, Tsuge MLT, Borghi VS, Miranda FP, Sales APDA, Lucchetti ALG, Lucchetti G. Spirituality, Religiosity, Quality of Life and Mental Health Among Pantaneiros: A Study Involving a Vulnerable Population in Pantanal Wetlands, Brazil. JOURNAL OF RELIGION AND HEALTH 2018; 57:2431-2443. [PMID: 30066264 DOI: 10.1007/s10943-018-0681-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
This study aims to investigate the relationship between spirituality, religiosity (S/R), mental health and quality of life in a vulnerable population in the Pantanal wetlands of Brazil. A total of 129 individuals were interviewed. We examined mental health (Hospital Anxiety and Depression Scale), quality of life (SF-12), spirituality (self-spirituality rating scale), religiosity (DUREL) and R/S opinions. Individuals had high levels of spirituality, non-organizational and intrinsic religiosity, but low levels of religious attendance. Most participants said they would like to have their faith addressed by a health professional and that this approach would strengthen their trust on the doctors. Higher levels of spirituality were associated with less anxiety (β = - 0.236, p < 0.01) and depressive symptoms (β = - 0.398, p < 0.001); higher levels of non-organizational religiosity were associated with less anxiety (β = - 0.250, p < 0.01) and depressive symptoms (β = - 0.351, p < 0.001); and higher levels of intrinsic religiosity were associated with less depressive symptoms (β = - 0.315, p < 0.001). Quality of life was not associated with any religious/spiritual measures.
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Affiliation(s)
| | | | - Viviane Silva Borghi
- School of Medicine, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
| | - Flávia Palla Miranda
- School of Medicine, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
| | | | | | - Giancarlo Lucchetti
- School of Medicine, Federal University of Juiz de Fora, Av. Eugenio do Nacimento s/n, Juiz de Fora, Brazil.
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Agu JC, Hee-Jeon Y, Steel A, Adams J. A Systematic Review of Traditional, Complementary and Alternative Medicine Use Amongst Ethnic Minority Populations: A Focus Upon Prevalence, Drivers, Integrative Use, Health Outcomes, Referrals and Use of Information Sources. J Immigr Minor Health 2018; 21:1137-1156. [DOI: 10.1007/s10903-018-0832-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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Jones D, Cohen L, Rieber AG, Urbauer D, Fellman B, Fisch MJ, Nazario A. Complementary and Alternative Medicine Use in Minority and Medically Underserved Oncology Patients: Assessment and Implications. Integr Cancer Ther 2017; 17:371-379. [PMID: 29025275 PMCID: PMC6041918 DOI: 10.1177/1534735417735892] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Introduction: Complementary and alternative medicine (CAM) use in minority and medically underserved oncology patients is not well documented. We assessed knowledge and utilization of CAM in a sample of these patients receiving treatment at an urban community hospital. Methods: Patients with cancer were interviewed using an electronic application that depicted specific CAM therapies. Patients were questioned on their knowledge and utilization of therapies, deterrents to use, and interest in using these therapies if they were made available. Results: Patients (n = 165) reported a high awareness and use of CAM therapies. CAM use was highest for prayer (85%), relaxation (54%), special diet (29%), meditation (19%), and massage (18%). Patients’ interest in using CAM was high for nearly all therapies. Lack of adequate knowledge and cost of use were reported as deterrents to use. Female patients reported higher use of aromatherapy relative to males (37.1% vs 19.4%, P = .02); those with higher education reported greater use of relaxation (60.8% vs 28.6%, P = .02); non-Hispanics reported higher use of relaxation relative to Hispanics (63.5% vs 44.2%, P = .03), and African American patients reported higher use of relaxation relative to White patients (69.2% vs 50%, P = .03). Conclusions: CAM use in minority and medically underserved cancer patients is common, but not professionally guided; thus, concerns remain regarding its safe use. Our data underscore the importance of patient-physician dialogue regarding CAM use in this patient population, and interest in access to the medically guided integration of evidence-based CAM therapies.
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Affiliation(s)
- Desiree Jones
- The University of Texas MD Anderson Cancer Center, Houston, TX, USA
- Desiree Jones, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 410, Houston, TX 77030, USA.
| | - Lorenzo Cohen
- The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Alyssa G. Rieber
- The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Diana Urbauer
- The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Bryan Fellman
- The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | | | - Arlene Nazario
- The University of Texas MD Anderson Cancer Center, Houston, TX, USA
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Chen KH, Yeh LC, Huang HL, Chiang YJ, Lin MH, Hsieh CY, Weng LC. Factors Determining Physical and Mental Quality of Life of Living Kidney Donors in Taiwan. Transplant Proc 2017; 48:745-8. [PMID: 27234727 DOI: 10.1016/j.transproceed.2015.12.060] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2015] [Revised: 12/08/2015] [Accepted: 12/30/2015] [Indexed: 12/11/2022]
Abstract
BACKGROUND Living-donor kidney transplantation has a positive influence on recipients' life expectancy and improves quality of life for patients with end-stage renal disease compared with dialysis patients. Evaluation of the physical and mental quality of life for donors can promote positive perceptions about donation and help potential donors in their decision-making process. The aim of this study was to explore the predictive factors of quality of life for living kidney donors. METHODS A cross-sectional and descriptive design was used, and the study was conducted from January to July 2013. The donors were a convenience sample of 34 participants who had undergone kidney transplant surgery >1 year earlier. RESULTS The results showed that kidney donors had a low to moderate physical and mental quality of life. Multiple regression analysis revealed that financial concerns and anxiety explained 27.8% of the total variance of quality of life in the physical component. Anxiety and paid work explained 61.4% of the total variance of quality of life in the mental component. CONCLUSIONS After renal transplantation, living kidney donors experienced low to moderate quality of life. Because donors are family members (siblings, sons or daughters, spouses, or parents), monthly family income is a significant issue that influences both the decision to donate and quality of life after transplantation. Our findings suggest that pre-transplantation assessment must include social workers as part of the health care team to evaluate the impact of a donor's financial status on post-transplantation quality of life.
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Affiliation(s)
- K-H Chen
- School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan
| | - L-C Yeh
- Kang-Ning Junior College of Medical Care and management, Taipei, Taiwan
| | - H-L Huang
- School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan
| | - Y-J Chiang
- Transplantation center & Urology surgery, Chang Gung Medical Foundation-Linkuo Medical Center, Taoyuan, Taiwan
| | - M-H Lin
- Department of Nursing, Chang Gung Medical Foundation-Linkuo Medical Center, Taoyuan, Taiwan
| | - C-Y Hsieh
- Department of Nursing, Chang Gung Medical Foundation-Linkuo Medical Center, Taoyuan, Taiwan
| | - L-C Weng
- School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan.
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