Article submission sites 2018 for anxiety

#Article submission sites 2018 for anxiety trial#

Barriers to accessing CBT in stroke and TIA Longitudinal data suggested anxiety post stroke could last up to 10В years. Younger people and those with a previous history of anxiety or depression are more likely to develop anxiety after stroke. Both avoidant behaviours and distorted thinking are targets for a CBT-based intervention. These patients feared having a debilitating stroke on a regular basis, perpetuating maladaptive avoidance of daily situations. complying with medications and doctorвЂ™s advice on lifestyle, while others developed a grossly distorted view of their risk of stroke recurrence despite adhering to secondary prevention. In some, this anticipatory anxiety brought about a desire for better health and increased positive health behaviours, e.g. This fear appeared to have led to differential behaviours in our patients. In our recent study, we found that the fear of stroke recurrence is the most commonly reported anxiety-provoking thought post stroke/TIA. physical exertion, having sex, being alone at home and activities related to fear of having a headache, another stroke or a fall. going out alone, going to crowded places and travelling on public transport social situations and specific situations, e.g. Patients with anxiety disorder reported more avoidance in agoraphobia-related situations, e.g. In our recent prospective cohort, we found phobic disorder to be the predominant anxiety subtype after stroke and TIA. finances, health and an inability to stop worrying. By contrast, generalised anxiety disorder is diffuse and unremitting, characterised by persistent and multiple worries, e.g. Phobic anxiety is characterised by a disproportionate fear of well-defined situations or stimuli and marked avoidance of those situations. Anxiety can be broadly divided into two clinical subtypes-phobic and generalised. When maladaptive anxiety starts to interfere with a personвЂ™s occupational or social functioning, it is considered an anxiety disorder. However, it can become maladaptive when anxiety becomes pervasive or out-of-proportion to the danger posed by a situation. Phobic and generalised anxietyДЄnxiety is a universal emotion that helps people adapt to changing situations. Anxiety is associated with dependence, poorer quality of life and restricted participation in work and social activities after even mild stroke and TIA. Anxiety affects a quarter of stroke patients, equivalent to around 25,000 patients per year. There are more than 100,000 strokes per year and 1.2 million stroke survivors in the UK. This study will inform further refinements of the TASK interventions before evaluation in a definitive RCT.

#Article submission sites 2018 for anxiety trial#

The current study will provide feasibility data on streamlined web-enabled trial procedures and the use of smartwatches to obtain objective measures in stroke and TIA patients, offering potential for large efficient RCTs to be conducted centrally and remotely with far fewer resources in the future. We will assess the (1) recruitment number per month (2) percentage completion of electronic consent (3) time taken for remote eligibility confirmation (4) percentage completion of follow-up surveys: modified Rankin scale, EuroQol-5D5L, 7-item generalised anxiety disorder, Patient Health Questionnaire-2 and modified fear questionnaire (5) data capture of intervention fidelity and (6) use of actigraph smartwatches to obtain continuous data of rest/activity. We aim to recruit 40 community-based stroke and TIA patients experiencing anxiety at least 1В month post-discharge in Lothian, Scotland. This study aims to evaluate the feasibility of novel trial procedures and the delivery of the TASK interventions in stroke and TIA patients. We are testing the feasibility of a web-enabled randomised controlled trial (RCT) to compare an individualised telemedicine cognitive behavioural therapy (CBT)-based intervention with a self-guided web-based relaxation programme. It is not feasible to deliver conventional psychological therapies to the large population of anxious stroke and TIA patients. It can be disabling even after mild stroke and transient ischaemic attack (TIA).