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Capon H. Finding a care plan that suits everyone. Vet Rec 2024; 194 Suppl 1:3-4. [PMID: 38700159 DOI: 10.1002/vetr.4201] [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: 05/05/2024]
Abstract
In a recent survey, Hannah Capon asked the owners of arthritic dogs what they would like vets to do differently. She'll be using her findings to help delegates at BVA Live better understand the owner experience of veterinary care and contextualise their approach accordingly.
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O'Shea M, Capon H, Skvarc D, Evans S, McIver S, Harris J, Houston E, Berk M. A pragmatic preference trial of therapeutic yoga as an adjunct to group cognitive behaviour therapy versus group CBT alone for depression and anxiety. J Affect Disord 2022; 307:1-10. [PMID: 35301041 DOI: 10.1016/j.jad.2022.03.028] [Citation(s) in RCA: 1] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Revised: 01/13/2022] [Accepted: 03/10/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND Yoga has several mechanisms that make it a promising treatment for depression and anxiety, including physical activity, behavioural activation, and mindfulness. Following positive outcomes from adapted CBT interventions incorporating mindfulness-based practices, this study explored the effects of a therapeutic yoga program as an adjunct to group-based CBT for depression or anxiety. METHODS This was a pragmatic preference trial involving adults diagnosed with depression or anxiety in a regional primary mental healthcare service (n = 59), comparing transdiagnostic group CBT (n = 27) with transdiagnostic group CBT combined with an adjunct therapeutic yoga program (n = 32). A preference recruitment design allowed eligible participants (n = 35) to self-select into the adjunct program. The Depression Anxiety Stress Scale-21 (DASS) was assessed at baseline, post-intervention, and three-months follow up. RESULTS CBT + Yoga was an acceptable alternative to CBT alone. Significant reductions were observed in total DASS scores and the 3 subscales of the DASS for both groups, however CBT + Yoga showed significantly lower depressive and anxiety symptoms post-intervention, compared to CBT alone. CBT + Yoga also showed sustained reductions in depressive symptoms over three-months, and more rapid reductions in depressive symptoms, compared to CBT alone. LIMITATIONS These findings should be considered preliminary due to the moderate sample size, with a rigorous randomised control trial necessary to definitively support the integration of yoga within mental health care to augment the benefits and uptake of transdiagnostic CBT for depression and anxiety. CONCLUSIONS Complementing other mindfulness-based practices, therapeutic yoga shows promise as an adjunct to transdiagnostic CBT.
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Affiliation(s)
| | - Hannah Capon
- School of Psychology, Deakin University, Australia
| | - David Skvarc
- School of Psychology, Deakin University, Australia
| | | | - Shane McIver
- School of Health and Social Development, Deakin University, Australia
| | - Jill Harris
- Kyo Yoga and Healing, Ocean Grove, Australia
| | - Emma Houston
- School of Psychology, Deakin University, Australia
| | - Michael Berk
- The Institute for Mental and Physical Health and Clinical Translation (IMPACT), School of Medicine, Barwon Health, Geelong, Australia; Orygen, The National Centre of Excellence in Youth Mental Health, Centre for Youth Mental Health, Florey Institute for Neuroscience and Mental Health and the Department of Psychiatry, The University of Melbourne, Melbourne, Australia
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O'Shea M, Capon H, Evans S, Agrawal J, Melvin G, O'Brien J, McIver S. Integration of hatha yoga and evidence-based psychological treatments for common mental disorders: An evidence map. J Clin Psychol 2022; 78:1671-1711. [PMID: 35315071 PMCID: PMC9546402 DOI: 10.1002/jclp.23338] [Citation(s) in RCA: 6] [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: 05/26/2021] [Revised: 12/19/2021] [Accepted: 02/12/2022] [Indexed: 11/07/2022]
Abstract
BACKGROUND Interest in the use of yoga to enhance engagement with and augment the benefits of psychological treatment has grown. However, a systematic approach to reviewing existing research examining the use of yoga with psychological treatment is lacking. MATERIALS AND METHODS This mapping review identified and synthesised research trialling yoga as an integrated or adjunct therapy with evidence-based psychological interventions for the treatment of anxiety, depression, PTSD, and eating disorders. RESULTS Overall, the review identified ten published and three unpublished studies, representing either single group or small quasi-experimental research designs. DISCUSSION Limited but promising findings were shown for yoga with CBT for anxiety and depression, and the integration of yoga within intensive treatment models for PTSD. CONCLUSIONS Future research is encouraged to focus on controlled trials that enable examination of the component effect of yoga when applied with evidence-based psychological treatment and acceptability and feasibility data to further knowledge regarding a role for yoga in clinical practice.
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Affiliation(s)
- Melissa O'Shea
- Faculty of Health, School of Psychology, Deakin University, Geelong, Australia
| | - Hannah Capon
- Faculty of Health, School of Psychology, Deakin University, Geelong, Australia
| | - Subhadra Evans
- Faculty of Health, School of Psychology, Deakin University, Geelong, Australia
| | - Jyotsna Agrawal
- Department of Clinical Psychology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India
| | - Glenn Melvin
- Faculty of Health, School of Psychology, Deakin University, Geelong, Australia
| | - Jennifer O'Brien
- Faculty of Health, School of Psychology, Deakin University, Geelong, Australia
| | - Shane McIver
- Faculty of Health, School of Health and Social Development, Deakin University, Geelong, Australia
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Loi SM, Tropea J, Gaffy E, Panayiotou A, Capon H, Chiang J, Bryant C, Doyle C, Kelly M, Livingston G, Dow B. START-online: acceptability and feasibility of an online intervention for carers of people living with dementia. Pilot Feasibility Stud 2022; 8:41. [PMID: 35172894 PMCID: PMC8848667 DOI: 10.1186/s40814-022-00999-0] [Citation(s) in RCA: 1] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 02/02/2022] [Indexed: 01/25/2023] Open
Abstract
Background With increasing numbers of people living with dementia relying on family to care for them at home, there is an urgent need for practical and evidence-based programs to support carers in maintaining their mental health and well-being. The objective of this study was to evaluate the acceptability and feasibility of a modified STrAtegies for RelaTives (START) program delivered online (START-online). Method A mixed-methods non-blinded evaluation of START-online (using Zoom as videoconferencing platform) for acceptability and feasibility (completion rates and qualitative feedback through surveys and focus groups) and quantitative evaluation. This occurred at the National Ageing Research Institute, in metropolitan Victoria, Australia. Results Twenty-nine eligible carers were referred, 20 (70%) consented to the study. Of these, 16 (80%) completed all 8 sessions, 2 completed only 3 sessions, and 2 withdrew. Carers’ qualitative feedback indicated that the therapist interaction was valued, content and online delivery of the program was acceptable. Feedback was mixed on the appropriate stage of caring. Conclusion START-online was feasible and acceptable for carers, including those living outside of metropolitan areas who might otherwise be unable to access face-to-face programs. With the recent COVID-19 pandemic necessitating social distancing to avoid infection, interventions such as this one have increasing relevance in the provision of flexible services. Supplementary Information The online version contains supplementary material available at 10.1186/s40814-022-00999-0.
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Affiliation(s)
- Samantha M Loi
- Neuropsychiatry, North Western Mental Health, Royal Melbourne Hospital, Parkville, Victoria, 3050, Australia. .,Melbourne Neuropsychiatry Centre, Department of Psychiatry, the University of Melbourne and Royal Melbourne Hospital, Grattan Street, Parkville, 3050, Australia.
| | - Joanne Tropea
- Department of Medicine and Aged Care, Royal Melbourne Hospital, Parkville, Victoria, 3050, Australia.,Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, Victoria, 3050, Australia
| | - Ellen Gaffy
- National Ageing Research Institute, Poplar Road, Parkville, 3050, Australia
| | - Anita Panayiotou
- Melbourne Neuropsychiatry Centre, Department of Psychiatry, the University of Melbourne and Royal Melbourne Hospital, Grattan Street, Parkville, 3050, Australia.,Department of Medicine and Aged Care, Royal Melbourne Hospital, Parkville, Victoria, 3050, Australia.,Safer Care Victoria, Melbourne, 3000, Australia
| | - Hannah Capon
- National Ageing Research Institute, Poplar Road, Parkville, 3050, Australia
| | - Jodi Chiang
- Melbourne School of Psychological Sciences, University of Melbourne, Parkville, Melbourne, 3010, Australia
| | - Christina Bryant
- Melbourne School of Psychological Sciences, University of Melbourne, Parkville, Melbourne, 3010, Australia
| | - Colleen Doyle
- National Ageing Research Institute, Poplar Road, Parkville, 3050, Australia
| | - Michelle Kelly
- School of Psychology, University of Newcastle, Newcastle, 2308, Australia
| | - Gill Livingston
- UCL Division of Psychiatry 6th Floor, Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK
| | - Briony Dow
- National Ageing Research Institute, Poplar Road, Parkville, 3050, Australia.,School of Population and Global Health, University of Melbourne, Melbourne, Australia.,School of Nursing and Midwifery, Deakin University, Geelong, Australia
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Capon H, O'Shea M, Evans S, McIver S. Yoga complements cognitive behaviour therapy as an adjunct treatment for anxiety and depression: Qualitative findings from a mixed-methods study. Psychol Psychother 2021; 94:1015-1035. [PMID: 33834599 DOI: 10.1111/papt.12343] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [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: 06/25/2020] [Revised: 03/16/2021] [Indexed: 01/26/2023]
Abstract
OBJECTIVES Cognitive behaviour therapy (CBT) is recommended for treating anxiety and depression, demonstrating good efficacy and moderate rates of engagement. To further improve outcomes and access to evidence-based treatments, researchers have sought to enhance CBT protocols with mindfulness-based approaches, such as yoga. This study aimed to examine whether yoga is an acceptable and complementary adjunct to CBT through exploring the lived experiences of adults with anxiety and depression who engaged in an adjunct therapeutic yoga programme alongside group CBT. DESIGN Single-group qualitative design with post-intervention and follow-up timepoints. METHODS Thirty-six adults with anxiety and depression self-selected into a therapeutic yoga programme as an adjunct to group CBT. Qualitative interviews were conducted with 27 participants immediately after the eight-week programme and again three months later. Thematic analysis was used to identify common themes from the lived experiences. RESULTS Three primary themes, with nine subthemes, were identified which reflect the experiences of the combined therapies, the complementary elements, and process of engagement over time. The adjunct yoga programme was highly acceptable to adults with anxiety and depression, enhancing engagement and perceived outcomes. Yoga was identified as providing a unique combination of elements that complemented processes of CBT, such as behavioural activation and thought disputation. Yoga practices represented mental health self-management tools that are accessible and available as relapse prevention strategies. CONCLUSIONS Therapeutic yoga warrants consideration as an adjunct treatment for anxiety and depression as it offers unique and complementary elements to CBT and can enhance engagement and perceived clinical outcomes. PRACTITIONER POINTS Adults with anxiety and depression experienced a therapeutic yoga programme as a suitable and appealing adjunct that enhanced engagement with psychological treatment. Yoga offers a unique combination of elements, including a values system, body-based mindfulness practices, and breathing techniques, that complement CBT processes, such as behavioural activation, awareness of maladaptive patterns, and thought disputation. A therapeutic yoga programme provides adults with anxiety and depression with an accessible and sustainable mental health self-management tool. Therapeutic yoga can be considered for integration to models of mental health service provision to enhance engagement and clinical outcomes for adults with anxiety and depression.
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Affiliation(s)
- Hannah Capon
- School of Psychology, Deakin University, Geelong, Victoria, Australia
| | - Melissa O'Shea
- School of Psychology, Deakin University, Geelong, Victoria, Australia
| | - Subhadra Evans
- School of Psychology, Deakin University, Geelong, Victoria, Australia
| | - Shane McIver
- School of Health and Social Development, Deakin University, Burwood, Victoria, Australia
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Roberts C, Armson B, Bartram D, Belshaw Z, Capon H, Cherry G, Gonzalez Villeta L, McIntyre SL, Odeyemi I, Cook AJC. Construction of a Conceptual Framework for Assessment of Health-Related Quality of Life in Dogs With Osteoarthritis. Front Vet Sci 2021; 8:741864. [PMID: 34631862 PMCID: PMC8497798 DOI: 10.3389/fvets.2021.741864] [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] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Accepted: 08/31/2021] [Indexed: 12/12/2022] Open
Abstract
An owner's ability to detect changes in the behavior of a dog afflicted with osteoarthritis (OA) may be a barrier to presentation, clinical diagnosis and initiation of treatment. Management of OA also relies upon an owner's ability to accurately monitor improvement following a trial period of pain relief. The changes in behavior that are associated with the onset and relief of pain from OA can be assessed to determine the dog's health-related quality of life (HRQOL). HRQOL assessments are widely used in human medicine and if developed correctly can be used in the monitoring of disease and in clinical trials. This study followed established guidelines to construct a conceptual framework of indicators of HRQOL in dogs with OA. This generated items that can be used to develop a HRQOL assessment tool specific to dogs with OA. A systematic review was conducted using Web of Science, PubMed and Scopus with search terms related to indicators of HRQOL in dogs with osteoarthritis. Eligibility and quality assessment criteria were applied. Data were extracted from eligible studies using a comprehensive data charting table. Resulting domains and items were assessed at a half-day workshop attended by experts in canine osteoarthritis and quality of life. Domains and their interactions were finalized and a visual representation of the conceptual framework was produced. A total of 1,264 unique articles were generated in the database searches and assessed for inclusion. Of these, 21 progressed to data extraction. After combining synonyms, 47 unique items were categorized across six domains. Review of the six domains by the expert panel resulted in their reduction to four: physical appearance, capability, behavior, and mood. All four categories were deemed to be influenced by pain from osteoarthritis. Capability, mood, and behavior were all hypothesized to impact on each other while physical appearance was impacted by, but did not impact upon, the other domains. The framework has potential application to inform the development of valid and reliable instruments to operationalize measurement of HRQOL in canine OA for use in general veterinary practice to guide OA management decisions and in clinical studies to evaluate treatment outcomes.
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Affiliation(s)
- Claire Roberts
- vHive, School of Veterinary Medicine, University of Surrey, Guildford, United Kingdom
| | - Bryony Armson
- vHive, School of Veterinary Medicine, University of Surrey, Guildford, United Kingdom
| | - David Bartram
- Outcomes Research, Zoetis, Loughlinstown, County Dublin, Ireland
| | - Zoe Belshaw
- EviVet Research Consultancy, Nottingham, United Kingdom
| | - Hannah Capon
- Canine Arthritis Management, Shoreham-by-Sea, United Kingdom
| | - Georgina Cherry
- vHive, School of Veterinary Medicine, University of Surrey, Guildford, United Kingdom
| | | | - Shona L. McIntyre
- vHive, School of Veterinary Medicine, University of Surrey, Guildford, United Kingdom
| | - Isaac Odeyemi
- Outcomes Research, Zoetis, Loughlinstown, County Dublin, Ireland
| | - Alasdair J. C. Cook
- vHive, School of Veterinary Medicine, University of Surrey, Guildford, United Kingdom
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Bryant C, Brown L, Polacsek M, Batchelor F, Capon H, Dow B. Volunteer-led behavioural activation to reduce depression in residential care: a feasibility study. Pilot Feasibility Stud 2020; 6:95. [PMID: 32670597 PMCID: PMC7341647 DOI: 10.1186/s40814-020-00640-y] [Citation(s) in RCA: 3] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Accepted: 06/29/2020] [Indexed: 11/18/2022] Open
Abstract
Objectives Symptoms of depression are highly prevalent and under-treated in residential aged care facilities. Behavioural activation is a simple, cost-effective psychosocial intervention that might be appropriate to help reduce depression and improve well-being in this setting. The purpose of this study was to investigate the feasibility and efficacy of an 8-week, volunteer-led behavioural activation intervention designed for depressed aged care residents. Method This feasibility study employed a single-arm design, where outcomes were measured at baseline, post-intervention and 3-month follow-up. Aged care residents with depressive symptoms were invited to participate, and healthy volunteers were trained to deliver the intervention. Intervention feasibility was assessed on six a priori-determined domains. Depression, anxiety and flourishing were included as outcomes using intention-to-treat analysis. Result Seventeen aged care residents with depressive symptoms and 13 volunteers were successfully recruited within the expected 6-month timeframe. Both residents and volunteers were satisfied with the intervention (7/8), and there was a high (87%) completion rate. The intervention was associated with a large and statistically significant reduction in resident depressive symptoms, d = − 1.14, with the effect increasing to d = 2.82 when comparing baseline to 3-month follow-up. Anxiety reduced from mild symptoms at baseline mean = 6.17 (5.12) to the subclinical range post-intervention, mean = 3.53 (4.29) (g = 0.61, p = 0.03). Conclusion This 8-week volunteer-led behavioural activation intervention was found to be feasible and acceptable to depressed aged care residents. The intervention was effective in ameliorating depression. A larger randomized controlled trial is warranted.
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Affiliation(s)
- Christina Bryant
- Melbourne School of Psychological Sciences, University of Melbourne, 12th Floor, Redmond Barry Building, Parkville, VIC Australia
| | - Lydia Brown
- Melbourne School of Psychological Sciences, University of Melbourne, 12th Floor, Redmond Barry Building, Parkville, VIC Australia.,North Eastern Rehabilitation Centre, Healthscope Hospitals, Melbourne, VIC Australia
| | - Meg Polacsek
- National Ageing Research Institute, Parkville, VIC Australia
| | - Frances Batchelor
- National Ageing Research Institute, Parkville, VIC Australia.,School of Physiotherapy, University of Melbourne, Parkville, VIC Australia
| | - Hannah Capon
- National Ageing Research Institute, Parkville, VIC Australia
| | - Briony Dow
- National Ageing Research Institute, Parkville, VIC Australia.,School of Population and Global Health, University of Melbourne, Parkville, VIC Australia
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Capon H, O'Shea M, McIver S. Yoga and mental health: A synthesis of qualitative findings. Complement Ther Clin Pract 2019; 37:122-132. [DOI: 10.1016/j.ctcp.2019.101063] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 09/27/2019] [Accepted: 09/27/2019] [Indexed: 12/14/2022]
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Jackson D, Doyle C, Capon H, Pringle E. Spirituality, spiritual need, and spiritual care in aged care: What the literature says. Journal of Religion, Spirituality & Aging 2016. [DOI: 10.1080/15528030.2016.1193097] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Lench NJ, Markham AF, Mueller RF, Kelsell DP, Smith RJ, Willems PJ, Schatteman I, Capon H, Van De Heyning PJ, Van Camp G. A Moroccan family with autosomal recessive sensorineural hearing loss caused by a mutation in the gap junction protein gene connexin 26 (GJB2). J Med Genet 1998; 35:151-2. [PMID: 9507396 PMCID: PMC1051221 DOI: 10.1136/jmg.35.2.151] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
We report a mutation in the connexin 26 gene (Cx26) in a consanguineous Moroccan family linked to the DFNA3/DFNB1 locus on human chromosome 13q11-q12. Affected subjects display congenital, bilateral, sensorineural hearing loss. We have previously identified Cx26 mutations in consanguineous Pakistani families. This current finding indicates that Cx26 mutations are not restricted to ethnically and geographically distinct populations. This is an important observation since it will help to determine the overall contribution of connexin 26 mutations to autosomal deafness in different populations.
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Affiliation(s)
- N J Lench
- Molecular Medicine Unit, St James's University Hospital, UK
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