Self Hypnosis and Clinical Hypnotherapy CDs & MP3 Downloads
High quality, professional and powerful hypnotherapy sessions!
Glove Anesthesia in Hypnosis - Medical Hypnotherapy Pain management
Clinical assessment of the physical activity pattern of chronic fatigue syndrome patients:
BACKGROUND: Effective treatment of chronic fatigue syndrome (CFS) with cognitive behavioural therapy (CBT) relies on a correct classification of so called 'fluctuating active' versus 'passive' patients. For successful treatment with CBT is it especially important to recognise the passive patients and give them a tailored treatment protocol. In the present study it was evaluated whether CFS patient's physical activity pattern can be assessed most accurately with the 'Activity Pattern Interview' (API), the International Physical Activity Questionnaire (IPAQ) or the CFS-Activity Questionnaire (CFS-AQ). METHODS: The three instruments were validated compared to actometers. Actometers are until now the best and most objective instrument to measure physical activity, but they are too expensive and time consuming for most clinical practice settings. In total 226 CFS patients enrolled for CBT therapy answered the API at intake and filled in the two questionnaires. Directly after intake they wore the actometer for two weeks. Based on receiver operating characteristic (ROC) curves the validity of the three methods were assessed and compared. RESULTS: Both the API and the two questionnaires had an acceptable validity (0.64 to 0.71). None of the three instruments was significantly better than the others. The proportion of false predictions was rather high for all three instrument. The IPAQ had the highest proportion of correct passive predictions (sensitivity 70.1%). CONCLUSION: The validity of all three instruments appeared to be fair, and all showed rather high proportions of false classifications. Hence in fact none of the tested instruments could really be called satisfactory. Because the IPAQ showed to be the best in correctly predicting 'passive' CFS patients, which is most essentially related to treatment results, it was concluded that the IPAQ is the preferable alternative for an actometer when treating CFS patients in clinical practice.
Health Qual Life Outcomes. 2009 Apr 1;7:29. Scheeres K, Knoop H, Meer J, Bleijenberg G. Expert Centre Chronic Fatigue, Radboud University Nijmegen Medical Centre (4628), PO Box 9101, 6500 HB Nijmegen, The Netherlands. korinescheeres@gmail.com
Much has been said about the desire to change. Indeed, this is the topic of many self-help experts, personal coaches, and even professional counselors, psychologists, and other psychotherapists. However, little is ever said about why a person would want to transform.
The first thing that I notice is that there is a universal desire for happiness. While many people will never be content – even if their situation is the envy of many others – generally when a person has something that is causing a high level of dissatisfaction in their life, then they develop an urge to become...
Excessive worry and anxieties are so common in Western society that I sincerely doubt that there are many people who are not adversely affected by them. Do you constantly feel stressed? Do you have problems sleeping? Is your mind always hyperactive and jumping from worry to worry? Yes, you problem are handling your stress and anxieties very well.
Remember that your reactions are most likely part of what psychologists call learned behavior. This means that at some time you reacted – or over-reacted – to a situation. When you perceived it happening again, this recognition...
Very early in my study of hypnotherapy I was required to focus on many issues of women's health as relates to my field. I became interested in the number of reproductive-related issues that can be affected by a woman's mental state. There are a high number of researchers who had looked into how stress affects various issues regarding a woman's health. As way too many in the medical field considered hypnosis primarily as a stress reduction tool, they were more than willing to look at the relationship between hypnosis and woman's health. Over the years there has been more interest in looking at...
