Miscellaneous Interventions for Anxiety
Discussion
In a randomized controlled trial, Feng et al. (2017) evaluated the effectiveness of hyperbaric oxygen compared to psychotherapy or standard rehabilitation on anxiety symptoms. The study found significant difference in levels of anxiety among those that received HBO compared to standard rehabilitation group. No significant difference was seen among HBO and psychotherapy.
Conclusion
There is level 1b evidence that hyperbaric oxygen may improve symptoms of anxiety post SCI.
| Author Year Country Research Design PEDro Score Total Sample Size |
Methods | Outcome |
|---|---|---|
| Feng et al. (2017) China RCT PEDro=6 N=60 |
Population: HBO group (n=20): Mean age=36.1±5.2 yr; Gender: males=14, females=6; Level of injury: C=7, T=8, L=5; Severity of injury: AIS A=0, B=12, C=5, D=3. Psychotherapy group (n=20): Mean age=34.8±4.7 yr; Gender: males=15, females=5; Level of injury: C=8, T=6, L=6; Severity of injury: AIS A=0, B=10, C=8, D=2. Conventional rehabilitation group (n=20):Mean age=33.1±4.6 yr; Level of injury: C=7, T=9, L=4; Severity of injury: AIS A=0, B=10, C=7, D=3. Intervention: Participants were randomly allocated to either a hyperbaric oxygen group (HBO), a psychotherapy group or a conventional rehabilitation group for an 8-wk intervention in which all three groups received routine rehabilitation on top of their intervention. Therapy sessions occurred once a day, 6 days a wk for 8 wk. Outcome Measures: Hamilton depression scale (HAMD), Hamilton anxiety scale (HAMA), American spinal injury association score (AISA) and functional independence measure (FIM). |
1. HAMD score was significantly lower in both the HBO and psychotherapy groups compared to the control group at the end of 8 wk (p<0.05 for both) with no significant difference between HAMD score for HBO and psychotherapy groups from baseline to 8 wk (p>0.05). 2. HAMA score was significantly lower for the HBO group than for the control group (p<0.05) with no significant difference in HAMA score between the HBO and psychotherapy groups (p>0.05). |
Discussion
Federici and colleagues (2019) provided participants with a sexual health psychoeducation program over 12 session. The program found no significant improvements in level of anxiety post intervention.
Conclusion
There is level 4 evidence that sexual health may not improve anxiety post SCI.
| Author Year Country Research Design PEDro Score Total Sample Size |
Methods | Outcome |
|---|---|---|
| Federici et al., (2019) Italy Pre-Post N=11 |
Population: Mean age: males=50.4±7.3 yr, females=41.5±11.26 yr; Gender: males=5, females=6; Time since injury=30.1±9.4 yr; Level of injury: tetraplegia=3, paraplegia=4, no paraplegia/tetraplegia=4; Severity of injury: complete=5, incomplete=2, none=4. Intervention: Participants were 4 couples (one with SCI and one without) and 3 singles with SCI who took part in a sexual health psychoeducational intervention in which 4 couples and 3 singles met every two weeks for 12 meetings of a growth group and reported the results of their love lives and persona lives. Outcome Measures: Sexual interest and satisfaction scale (SIS), Beck depression inventory – II (BDI-II) and Beck anxiety inventory (BAI). |
1. All participants improved significantly on item 5 of the SIS scale “How are your opportunity and your ability to enjoy sexuality yourself?” (p<0.01), SIS scale total score (p<0.05) and BAI scores (p<0.05). 2. No difference was found for SIS scale’s general satisfaction after injury, BDI, or BAI (p>0.05). 3. Significant effect found on item 5 of the SIS scale “How are your opportunity and your ability to enjoy sexuality yourself?” for both individuals and partners (p<0.05 for both). |
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