Depression Treatment: Prospective Economic Evaluation of a Peer Support Intervention for Prevention of Postpartum Depression Among High-Risk Women in Ontario, Canada.

Prospective Economic Evaluation of a Peer Support Intervention for Prevention of Postpartum Depression among High-Risk Women in Ontario, Canada.

Filed under: Depression Treatment

Am J Perinatol. 2013 Jan 2;
Dukhovny D, Dennis CL, Hodnett E, Weston J, Stewart DE, Mao W, Zupancic JA

Objective?A previous multisite, randomized, controlled trial of peer support compared with usual care for prevention of postpartum depression demonstrated a reduction in depression symptoms at 12 weeks postbirth. Our objective was to determine the cost-effectiveness of this intervention.Study Design?Prospectively planned economic evaluation alongside the clinical trial to determine the cost per case of postpartum depression averted, using individual patient data (n?=?610) and societal perspective. All costs were expressed in 2011 Canadian dollars.Results?The mean cost per woman was $ 4,497 in the peer support group and $ 3,380 in the usual care group (difference of $ 1,117, p?HubMed – depression

 

Dose-dependent relationship of physical and depressive symptoms with health-related quality of life in patients with heart failure.

Filed under: Depression Treatment

Eur J Cardiovasc Nurs. 2013 Jan 2;
Heo S, Moser DK, Pressler SJ, Dunbar SB, Kim J, Ounpraseuth S, Lennie TA

BackgroundPatients with heart failure (HF) have poor health-related quality of life (HRQOL). The vast majority of patients have physical symptoms, and about 30-40% have depressive symptoms. The combined effects of physical and depressive symptoms on HRQOL have not been examined fully in HF.PurposesTo examine the combined effects of physical and depressive symptoms on HRQOL using repeated measures, controlling for covariates (i.e. age, education level, New York Heart Association (NYHA) functional class, financial status, and health perception).MethodsPatients (N = 224, 62 ± 12 years old, 67% male, 38% NYHA functional class III/IV) provided data on physical (Symptom Status Questionnaire) and depressive symptoms (Beck Depression Inventory II) at baseline and HRQOL (Minnesota Living with Heart Failure Questionnaire) at baseline and 12 months. Patients were divided into three groups based on presence of physical and depressive symptoms: a) no symptom group, b) one symptom group (dyspnea or fatigue), and c) two symptom group (physical and depressive symptoms). Repeated measures ANOVA was used to analyze the data.Results:The least squares mean scores of baseline and 12-month HRQOL differed significantly in the three groups after controlling for the covariates (26.4 vs. 36.6 vs. 53.1, respectively, all pairwise p values < 0.001). There was no time-by-group interaction or time main effect.Conclusion:Physical and depressive symptoms have a dose-response relationship with HRQOL. Further research is needed to provide effective interventions to improve physical and depressive symptoms, in turn, HRQOL. HubMed – depression

 

Is phonophoresis effective in the treatment of chronic low back pain? A single-blind randomized controlled trial.

Filed under: Depression Treatment

Rheumatol Int. 2013 Jan 3;
Durmus D, Alayli G, Goktepe AS, Taskaynatan MA, Bilgici A, Kuru O

The aim of this trial is to investigate and compare the effects of phonophoresis (PP) and ultrasound (US) therapy on pain, disability, trunk muscle strength, walking performance, spinal mobility, quality of life (QOL), and depression in the patients with chronic low back pain (CLBP). A total of 60 patients with definite CLBP were included in this study. The patients were randomized into three groups. Group 1 (n = 20) was accepted as the control group and was given only exercises. Group 2 (n = 20) received US treatment and exercises. Group 3 (n = 20) received PP and exercises. All of the programs were performed 3 days a week, for 6 weeks. The pain (visual analog scale, VAS), disability (Oswestry Disability Questionnaire, ODQ and pain disability index, PDI), walking performance (6 min walking test, 6MWT), depression (Beck Depression Inventory scores, BDI), and QOL (Short Form 36, SF-36) of all participants were evaluated. The trunk muscle strength was measured with a handheld dynamometer. All of the groups showed statistically significant improvements in pain, disability, muscle strength, endurance, 6MWT, mobility, QOL, and depression. The intergroup comparison showed significant differences in VAS pain, 6MWT, and EMS, among three groups. These differences were statistically significant in groups 2 and 3 compared with the group 1. The intergroup comparison showed significant difference in pain, physical function, and energy subgroups of SF-36. The differences were statistically in group 3 compared with group 1 and 2. We observed that US and PP treatments were effective in the treatment of patients with CLBP but PP was not found to be superior over ultrasound therapy.
HubMed – depression

 


 

Anxiety / Depression Treatment – Hemispheric Stimulation (Based on Scientific Research) – Experimental Isochronic tone audio to help people with depression, bipolar disorder and anxiety disorder. listen to this every day for one month to and report your experiences. Be sure to use stereo headphones (MAKE SURE THEY’RE ON THE RIGHT WAY ROUND). Also, it’s best to be lying down somewhere comfortable with your eyes shut. **************This is not intended as a replacement for the care of your physician********** “The depressed brain seems to exhibit lower overall brainwave amplitudes, and seems particularly deficient in the beta range. Alpha also seems overly abundant frontally, in the left hemisphere, and deficient in the right. You could say that the right hemisphere, which tends to be loosely associated with emotions, needs to be calmed down, while the left hemisphere, loosely associated with logic and rational thinking, needs to be stimulated into taking a more dominant role. For people who are or have been chronically depressed, this may sound more than a little bit familiar. Rational thoughts play no part in depression.” mindupdate.com/2008/04/brainwave-entrainment-and-depression/ Based on this research, I have used the following specs: Beta in the right ear to stimulate the left hemisphere (20hz) Alpha in the left ear to calm down the right hemisphere (10hz)

 

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