29 research outputs found
Psykoedukation som intervention mod kroniske smerter ved fibromyalgi
Get PDFRikke Schultz, Sidsel Søndergaard Baastrup and Tia HansenPsykoedukation som intervention mod kroniske smerter ved fibromyalgi. (Psychoeducation as intervention against chronic pain by fibromyalgia). Chronic pains are an increasing problem to the health services and a strain on the quality of life to the people involved. Cognitive behavior therapy has a documented effect on chronic pains, but specifically cognitive behavior therapy methods have not been sufficiently empirically tested. We developed and tested a group-based intervention program, which was founded in the cognitive behavior therapy technique of psychoeducation aimed at the management of fibromyalgia pain. The article briefly offers an introduction to intervention and a summary of a quasi-experimental study of its effect, possibilities and limitations. 15 fibromyalgia diagnosed women of the ages 38-63 years participated in the study, distributed in a control and an intervention group. The intervention group received a treatment process of five sessions. Before, after and four weeks later the participants filled out the self-reporting scales Coping Strategies Questionnaire (CSQ), Pain Catastrophizing Scale (PCS) and Short Form 36 Health Survey Questionnaire (SF-36). A few reports showed effect, which indicates that to some extent intervention can influence fibromyalgia patients' coping strategies in a purposeful way. Intervention is recommended to be adapted and tested in a larger group
Long-term exposure to wind turbine noise and redemption of antihypertensive medication:A nationwide cohort study
Get PDFLong-Term Exposure to Wind Turbine Noise and Risk for Myocardial Infarction and Stroke:A Nationwide Cohort Study
Get PDFBackground:
Noise from wind turbines (WTs) is reported as more annoying than traffic noise at similar levels, raising concerns as to whether WT noise (WTN) increases risk for cardiovascular disease, as observed for traffic noise.
Objectives:
We aimed to investigate whether long-term exposure to WTN increases risk of myocardial infarction (MI) and stroke.
Methods:
We identified all Danish dwellings within a radius 20 times the height of the closest WT and 25% of the dwellings within 20â40âtimes the height of the closest WT. Using data on WT type and simulated hourly wind at each WT, we estimated hourly outdoor and low frequency (LF) indoor WTN for each dwelling and derived 1-y and 5-y running nighttime averages. We used hospital and mortality registries to identify all incident cases of MI (n=19,145) and stroke (n=18,064) among all adults age 25â85 y (n=717,453), who lived in one of these dwellings for âĽoneâyear over the period 1982â2013. We used Poisson regression to estimate incidence rate ratios (IRRs) adjusted for individual- and area-level covariates.
Results:
IRRs for MI in association with 5-y nighttime outdoor WTN Ë42 (vs. Ë24) dB(A) and indoor LF WTN Ë15 (vs. Ë5) dB(A) were 1.21 [95% confidence interval (CI): 0.91, 1.62; 47 exposed cases] and 1.29 (95% CI: 0.73, 2.28; 12 exposed cases), respectively. IRRs for intermediate categories of outdoor WTN [24â30, 30â36, and 36â42âdB(A) vs. Ë24âdB(A)] were slightly above the null and of similar size: 1.08 (95% CI: 1.04, 1.12), 1.07 (95% CI: 1.00, 1.12), and 1.06 (95% CI: 0.93, 1.22), respectively. For stroke, IRRs for the second and third outdoor exposure groups were similar to those for MI, but near or below the null for higher exposures.
Conclusions:
We did not find convincing evidence of associations between WTN and MI or stroke.</p
Impact of Long-Term Exposure to Wind Turbine Noise on Redemption of Sleep Medication and Antidepressants: A Nationwide Cohort Study
Get PDFBackground:
Noise from wind turbines (WTs) is associated with annoyance and, potentially, sleep disturbances.
Objectives:
Our objective was to investigate whether long-term WT noise (WTN) exposure is associated with the redemption of prescriptions for sleep medication and antidepressants.
Methods:
For all Danish dwellings within a radius of 20-WT heights and for 25% of randomly selected dwellings within a radius of 20-toâ40-WT heights, we estimated nighttime outdoor and low-frequency (LF) indoor WTN, using information on WT type and simulated hourly wind. During follow-up from 1996 to 2013, 68,696 adults redeemed sleep medication and 82,373 redeemed antidepressants, from eligible populations of 583,968 and 584,891, respectively. We used Poisson regression with adjustment for individual and area-level covariates.
Results:
Five-year mean outdoor nighttime WTN of âĽ42âdB was associated with a hazard ratio (HR) = 1.14 [95% confidence interval (CI]: 0.98, 1.33) for sleep medication and HR = 1.17 (95% CI: 1.01, 1.35) for antidepressants (compared with exposure to WTN of Ë24âdB). We found no overall association with indoor nighttime LF WTN. In age-stratified analyses, the association with outdoor nighttime WTN was strongest among persons âĽ65y of age, with HRs (95% CIs) for the highest exposure group (âĽ42âdB) of 1.68 (1.27, 2.21) for sleep medication and 1.23 (0.90, 1.69) for antidepressants. For indoor nighttime LF WTN, the HRs (95% CIs) among persons âĽ65y of age exposed to âĽ15âdB were 1.37 (0.81, 2.31) for sleep medication and 1.34 (0.80, 2.22) for antidepressants.
Conclusions:
We observed high levels of outdoor WTN to be associated with redemption of sleep medication and antidepressants among the elderly, suggesting that WTN may potentially be associated with sleep and mental health.</p
Investigation of spatio-temporal cancer clusters using residential histories in a caseâcontrol study of non-Hodgkin lymphoma in the United States
Get PDFSocial inequality and incidence of and survival from cancers of the oesophagus, stomach and pancreas in a population-based study in Denmark, 1994-2003
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