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Tobacco Products
Published in Gia Merlo, Kathy Berra, Lifestyle Nursing, 2023
Nancy Houston Miller, Karen Laing
The patient may also be supported with skills training that includes a problem-solving approach, practice session (behavioral rehearsal, coaching, and feedback), or relapse rehearsal in order to prevent relapse. Relaxation training can be used, including progressive muscle relaxation, meditation, and stress management. Education may be provided regarding the problem of feeling a need for immediate gratification. This can include a discussion of the risks associated with an unbalanced lifestyle mentioned above. It may also include the use of Marlatt and Gordon’s decision matrix, which considers the immediate and delayed consequences of remaining abstinent versus resuming substance use (Marlatt & Gordon, 1983).
Headache
Published in Philip B. Gorelick, Fernando D. Testai, Graeme J. Hankey, Joanna M. Wardlaw, Hankey's Clinical Neurology, 2020
Reassurance must be prompt and convincing. A course in relaxation training may be highly beneficial in a well-motivated patient. They are now conducted by psychologists, physiotherapists, and many hospitals and community health centers. Various forms of biofeedback may assist relaxation but do not make a substantial impact.
Tension-type headache: diagnosis and treatment
Published in Stephen D. Silberstein, Richard B. Upton, Peter J. Goadsby, Headache in Clinical Practice, 2018
Stephen D. Silberstein, Richard B. Upton, Peter J. Goadsby
The most commonly used forms of relaxation training are progressive relaxation training and autogenic training. The goal of progressive relaxation training is to help patients recognize tension and relaxation in everyday life. Patients leam to sequentially tense and then release or relax various groups of muscles throughout the body. They are told to practice relaxation training daily at home, and audiotapes are usually provided for assistance.135 Autogenic training, developed by Schultz and Luthe, is based on autosuggestion.137 It seeks to simultaneously regulate mental and somatic functions by passively concentrating on a formula, such as ‘my forehead is cool’.
The effects of “Workplace Health Promotion Program” in nurses: A randomized controlled trial and one-year follow-up
Published in Health Care for Women International, 2022
Gokcen Akyurek, Nergis Avci, Gamze Ekici
In this study, after the WHPP, the authors observed significant improvements on pain, fatigue, and stress. Simultaneously, one-year follow-up data of nurses have shown that the initial improvements in pain, fatigue, and stress were still ongoing after one-year. Previous research conducted by Yung et al. (2004) revealed that after the relaxation training program, the experienced pain and stress decrease. In the study of Yazdani et al. (2010), the effectiveness of the stress management training program (including PMR technique) on nurses' depression, anxiety, and stress were investigated. According to the results, there was a significant decrease in stress and anxiety levels in the intervention group. Patel (2014) investigated the effect of PMR therapy on stress in nurses (n = 30). According to results, Patel concluded that the nurses' stress score was higher before the PMR therapy.
Behavioral therapies in headache: focus on mindfulness and cognitive behavioral therapy in children and adolescents
Published in Expert Review of Neurotherapeutics, 2019
Noemi Faedda, Giulia Natalucci, Valentina Baglioni, Flavia Giannotti, Rita Cerutti, Vincenzo Guidetti
A. Relaxation training helps the individuals to relax and reduce the levels of pain, anxiety, stress or anger. These techniques have been shown to be as effective as pharmacological treatment in children, adolescents and adults, improving the frequency, intensity, and duration of headache [31,32]. Relaxation training seems to be applicable also for young headache patients. Tornoe and Skov [33] conducted a pilot study to assess the effect of computer animated relaxation therapy in children between 7 and 13 years with tension-type headache, founding a mean improvement of 45% for headache frequency at 3 months follow up versus baseline and a significant reduction in headache frequency for all participants. The most common relaxation techniques used for headache patients are progressive muscle relaxation (PMR), autogenic phrases, self-hypnosis, guided imagery (GI), and diaphragmatic breathing [12,34].
Recent advancements in tension-type headache: a narrative review
Published in Expert Review of Neurotherapeutics, 2021
Enrico Bentivegna, Michelangelo Luciani, Vincenzo Paragliola, Francesco Baldari, Piera A Lamberti, Giulia Conforti, Valerio Spuntarelli, Paolo Martelletti
The aim of this kind of treatment is to remodulate the source of peripheral nociception to prevent the development of central sensitization or to reduce the central sensitization that already is established in patient with chronic TTH [150]. One technique to mention is quantum molecular resonance (QMR). This technique consists of applying 2 electrodes on the lower trapezius area, 1 electrode in the median part of the trapezius and a probe administration on the median trapezius area and on the forehead region. Although there is no evidence for applying this technique in TTH and its limited availability makes it difficult to use in large-scale studies it seems to be effective for patients with chronic TTH and results are confirmed until the 3-month follow-up [151]. Improvement of posture and tailored exercise programs are also effective since good posture can help keep muscles from tensing [152]. Other strategies aimed at muscle relaxation are electromyographic biofeedback (EMGB) and relaxation training programs. EMGB helps patients to recognize and control muscle tension by providing continuous feedback about muscle activity [153], and it seems to have a good efficacy also combined to relaxation exercises. Relaxation training includes a wide range of strategies, affective, cognitive and behavioral, such as deep breathing exercises, yoga, hypnotic relaxation meditation [154]. The main goal is to help the patient to recognize and control tension and then copy. Moreover, self-management interventions are other strategies successfully used in the management of different chronic diseases and chronic pain conditions [155–158].