A Clinical Guide to the Treatment of the Human Stress Response (Springer Series on Stress and Coping
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Future research will include further accuracy refinement through reduction in environmental noise, and a method to learn individual user stress thresholds Additional operational testing to reduce environmental noise is being conducted in order to determine the changes in classifier false alarms and misses when collecting data in different temperatures and while performing different physical activities 43 , ranging from typing on a keyboard to walking or running. The 2-feature linear model trained with stochastic gradient descent employed in this effort has the advantage of including a bias term to tune the decision boundary threshold on the stress vs.
The low sample size in the clinical evaluation and the high dropout rate represent a limitation in the current study.
Even though there have been an estimated , cases of US military veterans with PTSD over the past two decades 44 , many do not seek care Additional challenges include long wait times experienced in the VA medical system 46 , low participation rates in clinical studies 47 , and a high dropout rate during CBT. Further data and objective outcome measures are needed to validate the observed reductions in stress, anger, and anxiety symptoms in the study sample. The capability to classify individual physiological stress in a mobile environment has additional uses outside of veteran mental health treatment, including military or medical training For example, training instructors could remotely and simultaneously monitor objective stress status for individual trainees during live training sessions and act on the information in real time In addition, instructors could identify individual trainees that tend to have more intense stress responses than others during training scenarios to provide targeted coping and resilience training interventions Beyond training, additional applications for this capability include stress research for laboratory and field settings, chronic disease monitoring for tracking outpatient health and long-term data capture to inform care, and objective, real-time user experience evaluations.
However, high quality, wearable devices and robust, validated algorithms remain a necessary component to realizing the potential of this technology. BW analyzed data and wrote the manuscript. GC and BW developed the algorithm for stress. SD and DJ developed the mobile application and managed the experiments.
PG designed the clinical evaluation. SK and JG conducted the clinical evaluation. US Patent Pending Schmidt-Daly, DJ Classifying stress in a mobile environment National Center for Biotechnology Information , U.
A Clinical Guide to the Treatment of the Human Stress Response
Journal List Front Psychiatry v. Published online Jul Chadderdon , 1 Sara J. Dechmerowski , 1 David L. Jones , 2 Solomon Kalkstein , 3 Jennifer L. Greene , 3 and Philip Gehrman 3. Winslow 1 Design Interactive, Inc. Chadderdon 1 Design Interactive, Inc. Dechmerowski 1 Design Interactive, Inc.
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This article was submitted to Public Mental Health, a section of the journal Frontiers in Psychiatry. Received Jun 13; Accepted Jul The use, distribution or reproduction in other forums is permitted, provided the original author s or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice.
- Development and Clinical Evaluation of an mHealth Application for Stress Management;
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No use, distribution or reproduction is permitted which does not comply with these terms. Abstract A large number of individuals experience mental health disorders, with cognitive behavioral therapy CBT emerging as a standard practice for reduction in psychiatric symptoms, including stress, anger, anxiety, and depression.
Introduction Recent estimates suggest that approximately one-third of individuals globally will experience mental health disorders in their lifetime 1. Experimental Procedure Upon arrival, participants provided written-informed consent and completed a series of questionnaires including: Qualitative Measures Participants in the classifier study responded to the SUDS, in which they reported their current level of stress on a scale of 0—, with 0 indicating that they were completely relaxed and indicating that they were experiencing severe stress Classifier Development Event times and physiological data were stored in Biopac.
Clinical Evaluation Participants Following development and evaluation of the stress classifier, 16 participants [13 males; average age Physiological Measures An mHealth application and stress classifier were used for data collection in the clinical study.
Introduction
Data Analysis and Statistics Non-parametric statistical analysis was used to compare within groups measures across the two timepoints initial and final assessment and consisted of Wilcoxon signed-ranks tests with significance set to 0. Table 1 List of sociodemographic factors in the classifier study sample. Open in a separate window. Table 3 List of sociodemographic factors of study sample. Initial assessment Follow-up Control Discussion The current series of studies shows the feasibility of creating an individualized, physiological classifier of stress with a high degree of accuracy compatible with different sensor suites.
Author Contributions BW analyzed data and wrote the manuscript. The global prevalence of common mental disorders: Int J Epidemiol Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Global burden of disease attributable to mental and substance use disorders: Prevalence of mental health problems and functional impairment among active component and National Guard soldiers 3 and 12 months following combat in Iraq. Arch Gen Psychiatry Comorbidity, impairment, and suicidality in subthreshold PTSD.
Am J Psychiatry Yarvis JS, Schiess L. Subthreshold posttraumatic stress disorder PTSD as a predictor of depression, alcohol use, and health problems in veterans. J Workplace Behav Health Alcohol and stress in the military. Alcohol Res Enduring effects for cognitive behavior therapy in the treatment of depression and anxiety.
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- A Clinical Guide to the Treatment of the Human Stress Response by George S. Everly Jr..
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Annu Rev Psychol Cognitive therapy vs medications in the treatment of moderate to severe depression. Annu Rev Med Psychological treatment of anxiety: Annu Rev Clin Psychol 5: Hans E, Hiller W. Effectiveness of and dropout from outpatient cognitive behavioral therapy for adult unipolar depression: J Consult Clin Psychol Meta-analysis of dropout from cognitive behavioral therapy: Prof Psychol Res Pract Activity-aware mental stress detection using physiological sensors.
Gris M, Yang G, editors. Discussion of treatment protocols, using selected behavioral treatment strategies, is purposefully brief and clinically targeted. Supplemental information for practitioners includes a flow chart on the nature of stress physiology, a relaxation report form, specific protocols for teaching the relaxation response, a self-report checklist designed for health education purposes, and over references.
Springer Series on Stress and Coping A Clinical Guide to the Treatment of the Human Stress Response. Authors: Everly Jr. . Read this book on SpringerLink. Springer Series on Stress and Coping A Clinical Guide to the Treatment of the Human Stress Response. Authors: Everly . Read this book on SpringerLink.
Comprehensive and up-to-the-minute, A Clinical Guide to the Treatment of the Human Stress Response will be of interest to students, practitioners, and researchers in the fields of psychology, psychiatry, medicine, nursing, social work, and public health. The Link from Stress Arousal to Disease.
Conflict Theory of Psychosomatic Disease. Hypnosis in the Management of Stress Reactions. History Mechanisms of Action Biofeedback in the Treatment of the Stress Response. Bill Larson rated it it was ok Nov 28, Stumo rated it it was amazing Nov 10, Emily rated it really liked it May 08, Carissa Beard rated it liked it Mar 05, Brenda rated it liked it Oct 27, Martin J rated it really liked it Apr 12, Catherine Longi rated it liked it Mar 19, Kimberly rated it really liked it Dec 08, Mike Mullard rated it really liked it Jan 04, Jolanta Posch marked it as to-read May 17, Leslie marked it as to-read Nov 23, Kleanthia Fela marked it as to-read Dec 15, Vilius Butrimas marked it as to-read Jun 08, Steven marked it as to-read Oct 13, Josh L marked it as to-read Feb 25, Alycia added it Jan 17, Heiki Eesmaa marked it as to-read Mar 13, Kelsey added it Dec 08,