psychotherapy

Condition openness is associated with better mental health in individuals with an intersex/differences of sex development condition: structural equation modeling of European multicenter data

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Background
Openness on one’s health condition or (stigmatized) identity generally improves mental health. Intersex or differences of sex development (DSD) conditions have long been kept concealed and high levels of (internalizing) mental health problems are reported. This study examines the effects of condition openness on anxiety and depression and the role of mediating concepts in this population.

Methods
Cross-sectional data of individuals of 16 years and older with an intersex/DSD condition was collected in 14 specialized European clinics as part of the dsd-LIFE study. Patient-reported measures were taken on openness and shame (Coping with DSD), self-esteem (Rosenberg Self-Esteem Scale), satisfaction with care (CSQ4), anxiety and depression (HADS). Scores were compared per clinical group and data were analyzed via structural equation modeling (SEM) to calculate prediction and mediation models.

Results
Data of 903 individuals were included in this study (Turner syndrome (n = 284), 46, XY DSD (n = 233), CAH (n = 206) and Klinefelter syndrome (n = 180)). Participants were moderately open on their condition. High levels of both anxiety and depression were observed across the sample. In SEM analysis, the tested models predicted 25% of openness, 31% of anxiety and 48% of depression. More condition openness directly predicted lower anxiety and depression symptoms, as well as indirectly through increased self-esteem, self-satisfaction and satisfaction with social support.

Conclusions
Condition openness is associated with lower anxiety and depression in individuals with an intersex/DSD condition. Healthcare may provide the necessary knowledge and skills to employ one’s optimal level of self-disclosure in order to improve mental health.

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Prenatal maternal stress, child internalizing and externalizing symptoms, and the moderating role of parenting: findings from the Norwegian mother, father, and child cohort study

Anxiety Research, Anxiety Resources, Depression Research, Development and Anxiety, Fear Research, News, Parenting and Anxiety, Psychiatry Research, Psychotherapy Research, Social Anxiety Research, Stress Research /

Background
Few studies have examined how parenting influences the associations between prenatal maternal stress and children’s mental health. The objectives of this study were to examine the sex-specific associations between prenatal maternal stress and child internalizing and externalizing symptoms, and to assess the moderating effects of parenting behaviors on these associations.

Methods
This study is based on 15 963 mother–child dyads from the Norwegian Mother, Father, and Child Cohort Study (MoBa). A broad measure of prenatal maternal stress was constructed using 41 self-reported items measured during pregnancy. Three parenting behaviors (positive parenting, inconsistent discipline, and positive involvement) were assessed by maternal report at child age 5 years. Child symptoms of internalizing and externalizing disorders (depression, anxiety, attention-deficit hyperactivity disorder, conduct disorder, and oppositional-defiant disorder) were assessed by maternal report at age 8. Analyses were conducted using structural equation modeling techniques.

Results
Prenatal maternal stress was associated with child internalizing and externalizing symptoms at age 8; associations with externalizing symptoms differed by sex. Associations between prenatal maternal stress and child depression, and conduct disorder and oppositional-defiant disorder in males, became stronger as levels of inconsistent discipline increased. Associations between prenatal maternal stress and symptoms of attention-deficit hyperactivity disorder in females were attenuated as levels of parental involvement increased.

Conclusions
This study confirms associations between prenatal maternal stress and children’s mental health outcomes, and demonstrates that these associations may be modified by parenting behaviors. Parenting may represent an important intervention target for improving mental health outcomes in children exposed to prenatal stress.

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Online group music therapy: proactive management of undergraduate students’ stress and anxiety

Anxiety News, Anxiety Research, Anxiety Resources, Anxiety Treatment, Fear Treatment, Psychotherapy Research, Psychotherapy Research, Psychotherapy Research, Stress Research, Stress Resources /

In alignment with the World Health Organization’s (WHO) goal to provide comprehensive and integrated mental health services in community-based settings, this randomized control trial explored the efficacy of online group music therapy as a proactive intervention for reducing stress and anxiety in university students who do not necessarily have a diagnosis. …

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Study: ADHD Increases Risk for Postpartum Depression, Anxiety

ADHD, anxiety, Anxiety and ADHD / ADD, Anxiety News, Anxiety Public Health, Anxiety Treatment, depression, postpartum, psychiatry, psychotherapy, Sweden /

Women with ADHD are six times more likely than neurotypical mothers to experience postpartum anxiety, and five times more likely to experience postpartum depression, according to a new Swedish study on PPD.

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Multiple psychotherapeutic approaches and perspectives on eco-anxiety

Anxiety News, Psychotherapy Research, Psychotherapy Research, Psychotherapy Research /

In highly diverse psychotherapy practices, psychotherapists with their individual schemas and personalities treat patients who are just as individual, each with his/her own partially dysfunctional schema, personality, worldview, and life situation. Intuition gained through experience is often applied, and a wide range of perspectives, techniques, and treatment options appropriate to the specific situation and psychotherapist-patient relationship are required for successful treatment of eco-anxiety manifestations. Several examples will be used to present the approaches of different psychotherapeutic approaches to eco-anxiety such as analytical psychology, logotherapy and existential analysis, psychodrama, and Morita-therapy. The treatment-possibilities-expanding psychotherapy science is presented, which helps psychotherapists to look beyond their original learned approach and learn about new perspectives and treatment methods in a methodologically sound way, which they already do intuitively.

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Tracking perceived stress, anxiety, and depression in daily life: a double-downward spiral process

Anxiety News, Anxiety Research, Depression Research, Fear Research, Psychiatry Research, Psychotherapy Research, Social Anxiety Research, Stress Research /

IntroductionPrevious studies using retrospective questionnaires have suggested a complex relationship between perceived stress and related negative emotions and emphasized their importance in mental health. However, how daily perceived stress, anxiety, and depression interact dynamically in a natural context remains largely unexplored.MethodsThis study conducted a longitudinal survey that applied experience sampling methodology to data from 141 Chinese college students (58% women, mean age = 20.1 ± 1.63 years).ResultsThe hierarchical linear models confirmed that daily perceived stress and negative emotions (i.e., perceived depression and anxiety) could reciprocally reinforce one another with the characteristic dynamics of a cognitive–emotional downward spiral. Additionally, anxiety and depression could further circularly aggravate each other imminently. These two intertwined downward-spiral processes constitute a double-downward-spiral model.DiscussionThe findings contribute to a better understanding of the interactive mechanisms underlying perceived stress and its related negative emotions in everyday life and highlight the significance of early emotion regulation and stress relief in healthy people.

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Death anxiety and satisfaction with life among the adults in the social isolation process of Covid-19 pandemic: the mediating role of perceived stress

Anxiety and COVID-19, Anxiety News, Anxiety Research, Anxiety Resources, Anxiety Treatment, Death Anxiety, Fear News, Fear of Death, Fear Research, Fear Treatment, Happiness Research, News, Psychiatry Research, Psychotherapy Research, Stress Research /

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The integration of yoga breathing techniques in cognitive behavioral therapy for post-traumatic stress disorder: A pragmatic randomized controlled trial

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In trauma-focused Cognitive Behavioral Therapy (TF-CBT), stabilization techniques are used before confrontation ones to increase stress/affect tolerance and thus effectiveness of CBT. This study investigated the effects of pranayama, meditative yoga breathing and breath holding techniques, as a complimentary stabilization technique in patients with post-traumatic stress disorder (PTSD). Seventy-four PTSD-patients (84% female, 44.2 ± 13 years) were randomized

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Reducing anxiety and improving self-acceptance in children and adolescents with osteosarcoma through group drawing art therapy

Anxiety in Young People / Adolescents, Anxiety News, Anxiety Treatment, art, Art Therapy, Cancer and Anxiety, Fear and Anxiety, Fear Research, Fear Treatment, Psychotherapy Research, Psychotherapy Research, Somatic Illnesses and Anxiety /

PurposeThis study explored the effect of group drawing art therapy (GDAT) on anxiety and self-acceptance in children and adolescents with osteosarcoma.MethodsUsing a randomized experimental study design, 40 children and adolescents with osteosarcoma who were treated in our hospital from December 2021 to December 2022 were selected as the research objects, including 20 in the intervention group and 20 in the control group. The control group received routine care for osteosarcoma, while the intervention group participated in eight sessions of GDAT, twice a week, 90–100 min each, in addition to routine care for osteosarcoma. A screening for children’s anxiety disorders (SCARED) and a self-acceptance questionnaire (SAQ) were used to evaluate the patients before and after the intervention.ResultsAfter 8 weeks of GDAT, the SCARED total score in the intervention group was 11.30 ± 8.603, and that in the control group was 22.10 ± 11.534. The difference between the two groups was statistically significant (t = -3.357, P < 0.05). In the intervention group, the SAQ total score was 48.25 ± 4.204, with self-acceptance and self-evaluation factor scores of 24.40 ± 2.521 and 23.85 ± 2.434, respectively. In the control group, the SAQ total score was 42.20 ± 4.047; the self-acceptance factor score was 21.20 ± 3.350 and that of the self-evaluation factor was 21.00 ± 2.224. The differences between the two groups were statistically significant (t = 4.637, P < 0.001; t = 3.413, P < 0.05; t = 3.866, P < 0.001, respectively).ConclusionGroup drawing art therapy can reduce anxiety and improve the levels of self-acceptance and self-evaluation in children and adolescents with osteosarcoma.

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