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ItemManaging stress and anxiety through qigong exercise in healthy adults: a systematic review and meta-analysis of randomized controlled trials(BMC, 2014-01-10)BACKGROUND: An increasing number of studies have documented the effectiveness of qigong exercise in helping people reduce psychological stress and anxiety, but there is a scarcity of systematic reviews evaluating evidence from randomized controlled trials (RCTs) conducted among healthy subjects. METHODS: Thirteen databases were searched for RCTs from their inception through June 2013. Effects of qigong exercise were pooled across trials. Standardized mean differences (SMDs) were calculated for the pooled effects. Heterogeneity was assessed using the I2 test. The risk of bias was assessed using the Cochrane criteria. RESULTS: Seven RCTs met the inclusion criteria. Two RCTs suggested that qigong exercise immediately relieved anxiety among healthy adults, compared to lecture attendance and structured movements only. Four RCTs suggested qigong exercise relieved anxiety (pooled SMD = -0.75; 95% CI, -1.11 to -0.40), and three RCTs suggested that qigong exercise reduced stress (pooled SMD = -0.88; 95% CI, -1.22 to -0.55) among healthy subjects following one to three months of qigong practice, compared to wait-list controls. CONCLUSIONS: The available evidence suggests that qigong exercise reduces stress and anxiety in healthy adults. However, given the limited number of RCTs and their methodological flaws, further rigorously designed RCTs are needed.
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ItemNo Preview AvailableEfficacy of Integrative Body-Mind-Spirit Group Intervention for Parents of Children With Eczema: A Randomized, Wait-List Controlled Clinical Trial(SAGE Publications, 2020-09)Objectives: This randomized controlled trial evaluated the effects of a psychosocial intervention developed based on the Integrative Body-Mind-Spirit (IBMS) model that aimed to enhance the well-being of parents of children with eczema. Methods: Ninety-one families were randomly allocated to either the six-session intervention group (n = 48) or the wait-list control group (n = 43) and completed the randomized trial. For both groups, a range of psychosocial outcome measures were taken before the intervention (T0), postintervention (T1), and 6 weeks after the intervention (T2). Results: Relative to the control group, the intervention group was significantly improved over time in their levels of perceived stress, depression, and a number of holistic well-being measures, including nonattachment, afflictive ideation, and general vitality. Discussion: The results provided empirical support for an IBMS-informed psychosocial intervention in reducing stress and depression and enhancing well-being among parents of children with eczema.
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ItemNo Preview AvailableDaytime Function in Mind-Body Treatment of Cocurrent Sleep and Mood Disturbances(Oxford University Press (OUP), 2017-04-28)Introduction: Both sleep disturbances and depressive mood are closely associated with wide-range daytime dysfunctions. Yet limited study closely investigates daytime functioning variables after treatments for sleep disturbances either coexisting with or without depressive mood. Methods: Participants Participants were 185 individual with co-existing sleep and mood disturbances (92 in I-BMS; 93 in WLC). Daytime functioning variables were measured by items from Pittsburg Sleep Quality Index (PSQI-day) indicating daytime dysfunctions, Somatic subscale from Somatic Symptom Inventory (SSI), Anxiety subscale from Hospital Anxiety Depression Scale (HADS) and 12-Item Short Form Health Survey (SF-12) represented by Mental and Physical Component scores (MCS and PCS). Data were collected at baseline, post-treatment (8 weeks) and three-month follow-up. Multiple imputations were firstly conducted to evaluate effect size of each daytime variables after treatments. Then, regression analyses were used to reveal associations between daytime variables at follow-up and previous changes in nighttime sleep qualities (PSQI-Night) and mood (Center for Epidemiological Studies Depression after minus sleep item- CESD-M) at post-treatment respectively. At last, path analyses were used to understand interplays among daytime functioning, sleep and mood. Results: We found that there was a small to large between-group effect size (0.20–0.70) on daytime functioning and a medium to large within-group effect size (0.53–0.89) in the I-BMS group. After adjusting for group and baseline scores, CESD-M was the most important predictor of daytime functioning. PSQI-day was associated with both PSQI-nightand CESD-M. Path analyses indicated that PSQI-day bridged PSQI-night and CESD-M in a 2-way direction (Χ2=12.36, p=0.34, df=11, Χ2/df=1.1; RMSEA=0.026; CFI=0.989; TLI=0.980; Χ2=12.10, p=0.36, df=11, Χ2/df=1.1; RMSEA=0.023; CFI=0.991; TLI=0.983). Conclusion: Among subjects with co-existing sleep and depressive symptoms, improvement in daytime functioning was predominantly related to improvement in depressive symptoms. Nighttime sleep only related to daytime dysfunction that was specific to sleep disturbances. The phenomenon could be regarded as a primary link. More works are required to understand “sleep-specific” daytime impairments and their roles in the course of concurrent sleep and mood disturbances.
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ItemNo Preview AvailableBeyond Professional Competence: Effect of Equanimity on the Professional Quality of Life Among Health-Care Professionals Working in Perinatal Bereavement Support(SAGE Publications, 2016-04)Health-care professionals who offer perinatal bereavement support often encountered numerous stressful events in daily practices. Secondary trauma and burnout related to psychological distress are not uncommon. Literatures suggested that further skill training enhances perceived self-competence thus lowering such traumatic impact. Nevertheless, equanimity, an emerging concept in professional development, which is characterized by a sense of unflappability and resilience in face of challenges, is an indispensable element in protecting the well-being of health-care professionals. The current study aimed to examine the role of equanimity and perceived self-competence on professional quality of life among health-care professionals. A city-wide survey study was conducted among 101 individuals who offered perinatal bereavement support at tertiary care institutions in Hong Kong. Perceived self-competence was positively associated with compassion satisfaction (β = .380, p < .001, CI = 0. 038, 0.131) and negatively correlated to burnout (β = −.439, p < .001, CI = −0.148, −0.055), in which both relationships were moderated by the level of equanimity, that is, the impact of perceived self-competence on professional quality of life was only significant among individuals with higher level of equanimity. It implied that perinatal bereavement training should integrate not only knowledge and skills but also component of equanimity training to facilitate the capacity building among frontline health-care professionals.
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ItemIntegrative body-mind-spirit intervention for concurrent sleep and mood disturbances: sleep-specific daytime functioning mediates sleep and mood improvements(WILEY, 2018-02)Sleep disturbances and depressive symptoms are associated closely with daytime dysfunctions, yet few studies have investigated their temporal relationship in a randomized controlled trial. We investigated the inter-relationships among sleep, depressive symptoms and daytime functioning following an integrative body-mind-spirit (I-BMS) intervention. One hundred and eighty-five participants (mean age 55.28 years, 75.1% female) with co-existing sleep and depressive symptoms were randomized to I-BMS or waiting-list. Daytime functioning variables included the daytime dysfunction items of the Pittsburg Sleep Quality Index (PSQI-day), Somatic Symptom Inventory, Hospital Anxiety Depression Scale and Short Form Health Survey collected at baseline, post-treatment and 3-month follow-up. Sleep and depressive symptoms were measured by the sleep items of the PSQI (PSQI-night) and Center for Epidemiological Studies Depression Scale (excluding the sleep item) (CESD-M). Regression and path analyses were used to understand the role of daytime functioning in sleep and depressive symptoms. We found significant group and time effects on almost all daytime variables and significant group × time interactions on PSQI-day and somatic symptoms. The adjusted regression model showed that CESD-M was associated with all daytime variables. However, PSQI-night was associated only with PSQI-day. Path analyses indicated that PSQI-day bridged PSQI-night and CESD-M in a two-way direction after the I-BMS intervention. The conclusion was that, following I-BMS intervention, improvement in daytime functioning was related predominantly to improvement in depressive symptoms. Night-time sleep related only to daytime dysfunction that was specific to sleep disturbances. Therefore, 'sleep-specific daytime impairment' could be regarded as a major link from night-time sleep to depressive symptoms. More studies are required to understand the concept of 'sleep-specific daytime impairment'.
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ItemNo Preview AvailableComparing dyadic cognitive behavioral therapy (CBT) with dyadic integrative body-mind-spirit intervention (I-BMS) for Chinese family caregivers of lung cancer patients: a randomized controlled trial(SPRINGER, 2020-03)PURPOSE: The study adopted a randomized controlled trial to compare the effect of culturally compatible psychosocial interventions on multiple aspects of quality of life (QoL) for family caregivers of lung cancer patients. METHODS: 157 Chinese informal caregivers of lung cancer patients were recruited together with the family members for whom they were providing care, and randomly assigned to either integrative body-mind-spirit intervention (I-BMS) or cognitive behavioral therapy (CBT). Patient-caregiver dyads attended the same arm of intervention in separate groups for 8 weeks. Assessments of generic QoL, anxiety, depression, perceived stress, insomnia, and caregiving burden were measured before intervention (T0), within 1-week (T1), 8-week (T2), and 16-week (T3) post-intervention. RESULTS: Adopting the intention-to-treat analysis, family caregivers in receipt of both I-BMS and CBT exhibited a statistically significant improvement in generic QoL immediately following intervention and at follow-up assessments, with moderate effect size. Improvement of insomnia was found at T1 for both modes, which deteriorated at follow-up; both modes reduced anxiety and perceived stress at follow-up. No intervention effect was observed in depression and domains of caregiving burden. There was no significant interaction effect between intervention type and time. No main or interaction effect between sample background variables and intervention type was found to predict symptomatic changes at T1 and T3. CONCLUSIONS: Culturally attuned I-BMS and CBT exhibited equivalent effectiveness in improving psychological distress and generic QoL for family caregivers of lung cancer patients. To improve the evaluation of outcomes, future study could benefit from incorporating a usual care control.
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ItemNo Preview AvailableComparing the efficacy of integrative body-mind-spirit intervention with cognitive behavioral therapy in patient-caregiver parallel groups for lung cancer patients using a randomized controlled trial(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2020-07-03)Purposes/objectives: This paper reports the comparative efficacies of integrative body-mind-spirit intervention (I-BMS) and cognitive behavioral therapy (CBT) in patient-caregiver parallel groups for Chinese patients with lung cancer.Design: Randomized controlled trial (RCT).Methods: One hundred and fifty-seven patient-caregiver dyads with no marked functional impairment were randomized into one of the two interventions with eight weekly patient-caregiver parallel groups. Assessments were conducted at baseline, within one, eight- and sixteen-weeks post-intervention. Effects of treatment group across time were analyzed by multilevel modeling.Findings: CBT led to greater reduction in emotional vulnerability than I-BMS. I-BMS resulted in greater increase in overall QoL and spiritual self-care, and more reduction in depression than CBT. Patients in both interventions experienced improvement in physical, emotional and spiritual, except social, domains of QoL.Conclusion: I-BMS was more efficacious for diverse domains of QoL, and CBT was more effective for emotional well-being, despite the relatively small between-group effect sizes.Implications for psychosocial providers/policy: (1) With the expanding repertoire of psychosocial interventions for families facing lung cancer, it has become imperative to investigate the comparative efficacies of empirically supported and culturally adapted interventions. (2) Our findings show that I-BMS was more effective for diverse domains of QoL, while CBT was more efficacious with emotional well-being, although both interventions led to significant improvements in physical, emotional and spiritual domains of patient QoL. (3) Patient-caregiver parallel groups have been shown to be effective for enhancing QoL of Chinese lung cancer patients. (4) Care professionals are encouraged to dispense interventions based on the idiosyncratic needs and preferences of the patients to maximize the treatment effects.
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ItemNo Preview AvailableProtocol for Psychosocial Interventions Based on Integrative Body-Mind-Spirit (IBMS) Model for Children with Eczema and Their Parent Caregivers(TAYLOR & FRANCIS INC, 2019-01-02)Purpose: Eczema is a pediatric skin disease that affects the psychosocial well-being of both children and their parent caregivers. This paper outlines a protocol for an experimental study that evaluates the effectiveness of a psychosocial empowerment program for children with eczema and their parent caregivers. Method: A multi-center randomized controlled trial is proposed, where parent-child dyads are randomized into two arms: an intervention group and wait-list control group. The intervention is delivered to participants in a parallel group format based on the Integrative Body-Mind-Spirit model which focuses on holistic well-being. Quality of life is measured before and after the intervention is provided, and five weeks after the intervention has been completed. Discussion: The suggested model fills a research gap in existing interventions, and provides new knowledge by evaluating the effectiveness of a tailored psychosocial intervention, delivered in group settings, for parent-child dyads affected by eczema.
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ItemNo Preview AvailableFrom entanglement to equanimity: an application of a holistic healing approach into social work practice with infertile couples(Taylor & Francis, 2017-04-07)This international volume provides a comprehensive account of contemporary research, new perspectives and cutting-edge issues surrounding religion and spirituality in social work.
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ItemNo Preview AvailableIntegrative Body-Mind-Spirit Social Work: An Empirically Based Approach to Assessment and Treatment(Oxford University Press, 2018)The second edition represents a major revision from the original book, featuring numerous case studies and a robust companion website including demonstration videos and reproducible client handouts.