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result(s) for
"Anxiety Patients Biography."
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On edge : a journey through anxiety
An account of living with anxiety, coupled with reportage on the science of anxiety disorders.
Book
A prospective evaluation of Dignity Therapy in advanced cancer patients admitted to palliative care
Background:
Dignity Therapy is a brief, psychosocial intervention for patients with incurable disease.
Aim:
To investigate participation in and evaluation of Dignity Therapy and longitudinal changes in patient-rated outcomes.
Design:
A prospective (pre/post) evaluation design was employed. Evaluation questionnaires were completed when patients received the generativity document (T1) and 2 weeks later (T2). Changes from baseline (T0) were measured in sense of dignity, Structured Interview for Symptoms and Concerns items, Patient Dignity Inventory, Hospital Anxiety and Depression Scale and European Organisation for Research and Treatment of Cancer QLQ-C15-PAL (ClinicalTrials.gov number: NCT01507571).
Setting/participants:
Consecutive patients with incurable cancer, ≥18 years, informed of prognosis and not having cognitive impairment/physical limitations precluding participation were included at a hospice and a hospital palliative medicine unit.
Results:
Over 2 years, 80 of 341 eligible patients completed Dignity Therapy. At T1, 55 patients completed evaluations, of whom 73%–89% found Dignity Therapy helpful, satisfactory and of help to relatives; 47%–56% reported that it heightened their sense of purpose, dignity and will to live. Quality of life decreased (mean = −9 (95% confidence interval: −14.54; −2.49)) and depression increased (mean = 0.31 (0.06; 0.57)) on one of several depression measures. At T2 (n = 31), sense of dignity (mean = −0.52 (−1.01; −0.02)) and sense of being a burden to others (mean = −0.26 (−0.49; −0.02)) improved. Patients with children and lower performance status, emotional functioning and quality of life were more likely to report benefit.
Conclusions:
This study adds to the growing body of evidence supporting Dignity Therapy as a valuable intervention in palliative care; a substantial subset of patients facing end of life found it manageable, relevant and beneficial.
Journal Article
Hypochondria
\"A personal and literary examination of hypochondria. A free-wheeling philosophical essay, Hypochondria combines cultural critique, literary history, and Rees's own experience of health anxiety to ask what we might learn from the hypochondriac's discomforting experience of their body. Hypochondria is unashamedly capacious in its range of references, from the writings of Robert Burton, Franz Kafka and Charlotte Brontë to original yet accessible readings of theorists like Lauren Berlant and Maurice Blanchot. Whether he is discussing Seinfeld, John Donne or his own hypochondriac past, Rees reveals himself to be a wry and perceptive critic, exploring the causes -- and the costs -- of our desire for certainty. An exercise in what Freud calls \"evenly suspended attention,\" Hypochondria demonstrates the rewards and the perils of reading (too) closely the common but typically overlooked aspects of our everyday lives.-- Provided by publisher.
BOOK
Little panic : dispatches from an anxious life
The ordinary world never made sense to Amanda, who grew up certain her friends and family would die or disappear if she quit watching them, compulsively treating every parting as a final good-bye. Shuttled between divorced parents, from a barefoot bohemian existence in Greenwich Village to a sanitized, stricter world uptown, this smart, sensitive little girl experienced life through the distorting lens of an undiagnosed panic disorder. Her darkly funny memoir is at once a love letter to 1970-80s New York City, a coming-of-age story of an anxious, unusually perceptive child, and a window into adult life and relationships lived on the razor's edge of panic.
BOOK
Among the Walking Wounded
This is a Canadian veteran's experience of PTSD delivered in an intimate personal account that is as visceral as it is blunt -- a courageous story of dark descent and painful triumph that stands as a testament for many Canadian soldiers who still fight and suffer in the shadows.
eBook
Traumata
A brilliant, fiercely profound work of creative non-fiction in the vein of Maggie Nelson's The Argonauts. In this extraordinary book, Meera Atkinson explores the ways trauma reverberates over a lifetime, unearthing the traumatic roots of our social structures and our collective history. Using memoir as a touchstone, Atkinson contemplates the causes of trauma and the scars it leaves on modern society. She vibrantly captures her early life in 1970s and '80s Sydney and her self-reflection leads the reader on a journey that takes in neuroscience, pop psychology, feminist theory and much more. Searing in its truthfulness and beauty, Traumata deals with issues of our time –intergenerational trauma, family violence, alcoholism, child abuse, patriarchy – forging a path of fearless enquiry through the complexity of humanity.
eBook
Diversity of cancer-related identities in long-term prostate cancer survivors after radical prostatectomy
Background
Individuals affected by cancer need to integrate this experience into their personal biography as their life continues after primary therapy, leading to substantial changes in self-perception. This study identified factors uniquely associated with 5 different cancer-related identities in order to improve the understanding of how self-perception in men affected by prostate cancer is associated with certain clinical and psychosocial characteristics.
Methods
In this cross-sectional study, long-term prostate cancer survivors after radical prostatectomy were asked to choose one of 5 cancer-related identities that described them best. Associations with sociodemographic, clinical, and psychological variables were investigated using multivariable logistic regression.
Results
Three thousand three hundred forty-seven men (mean age 78.1 years) surveyed on average 15.6 years after prostatectomy were included. Most men favored the terms “someone who has had cancer” (43.9%) which was associated with a mild disease course, and “patient” (26.3%) which was associated with ongoing therapy and biochemical disease recurrence. The self-descriptions “cancer survivor” (16.8%), “cancer conqueror” (10.9%) and “victim” (2.1%) were less common. “Cancer survivor” was associated with high perceived disease severity (OR: 1.86 [1.44–2.40]). “Cancer survivor” and “cancer conqueror” were related to high benefit finding (OR: 1.89 [1.48–2.40], OR: 1.46 [1.12–1.89] respectively), and only “cancer conqueror” was associated with high well-being (OR: 1.84 [1.35–2.50]). Identification as “victim” was associated with a positive depression screening and low well-being (OR: 2.22 [1.15–4.31], OR: 0.38 [0.20–0.72] respectively) (all
p
< 0.05).
Conclusions
Although long-term survival is common among men affected by PCa, they display a large diversity in cancer-related identities, which are associated with unique clinical and psychological characteristics. These cancer-related identities and their distinctive properties are associated with psychological well-being even after a long follow-up.
Journal Article
What You Must Think of Me
We've all felt occasional pangs of shyness and self-consciousness, but for those suffering with social anxiety disorder, the fear of being scrutinized and criticized can reach disabling proportions. Such was the case for Emily Ford, who shares her firsthand experiences in these pages. Emily's true story of fear, struggle, and ultimate triumph is sure to resonate with other socially anxious teenagers and young adults. Emily's frank, often witty, sometimes poignant account of how she negotiated all the obstacles of social anxiety--and eventually overcame them with the help of therapy and hard work--makes for compelling reading. Yet this book is more than just a memoir. Emily's story is coupled with the latest medical and scientific information about the causes, diagnosis, treatment, and self-management of social anxiety disorder (or SAD). Readers will find a wealth of solid advice and genuine inspiration here. In engaging, accessible language--and with the help of psychiatrist Michael Liebowitz--she discusses what is known and not known about social anxiety disorder in adolescents. She outlines the various psychotherapies available for those with SAD and explains how to seek professional help, how to talk to family and friends about the illness, and how to handle difficult social situations. The result is both an absorbing story and a useful guide that will help to ease the isolation caused by SAD, encouraging young people to believe that, with commitment and hard work, they can overcome this illness. Part of the Adolescent Mental Health Initiative series of books written specifically for teens and young adults, What You Must Think of Me will also be a valuable resource for friends and family of those with SAD. It offers much-needed hope to young people, helping them to overcome this illness and lead healthy, productive lives.
eBook
Wounded Warriors
Robert C. Vallieres struggled to find his ônew normalö when he returned home after serving in the military. An accident in Kuwait left him suffering from traumatic brain injury (TBI) internal injuries, leaving him in constant pain. After clinics, bottles of painkillers, and behavior modification pills, hope seemed to vanish. Then a local weekly newspaper ad caught his eye: a bird-watching trip to see raptors in the mountains of New Hampshire. An Emily Dickinson poem that states, ôHope is the thing with feathers that perches in the soul, and sings the tuneùwithout the words, and never stops at all,ö sprang to his mind. Wounded Warriors is VallieresÆs story of self-healing from crippling ôinvisibleö wounds through the help of birds. The problems of TBI and post-traumatic stress disorder do not have definitive solutions. His story of recovery offers a winged hope to thousands of military personnel who suffer these physical and mental battles.
eBook