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Integrative Noetic Therapies as Adjuncts to Percutaneous Intervention During Unstable Coronary
Well, the first round of Mitch Krucoff's and Suzanne Crater's MANTRA prayer study has been collated and published. The results, even in pilot form, are intriguing.
The Duke University randomized clinical trials examined the effects of applying 4 CAM therapies - stress relaxation, imagery, touch therapy, and prayer - to cardiac patients in acute coronary intervention settings, such as the angiography lab – to measure their effects on short- and long-term procedural outcomes, including mortality. 150 Patients were randomized across 5 treatment groups: the 4 noetic conditions and standard care. Records were checked for post-procedure ischemia, death, myocardial infarction, heart failure, and urgent revascularization. Mortality was followed up for 6 months after hospitalization. Although results were not statistically significant because of the low numbers in each condition, there was a 25% to 30% absolute reduction in adverse effects in patients treated with any of the noetic therapies, as compared to standard therapy. And the lowest complication rates of all were observed in patients assigned to off-site prayer. Noetic therapies appeared to show greater reductions in complication rates especially in patients who had a high level of spiritual belief, a high level of personal spiritual activity, a low level of community-based religious involvement, or a high level of anxiety. The study concluded that patients easily accepted the four CAM therapies; that the logistics were feasible; and that the outcomes indicated therapeutic benefit. Of all the interventions, off-site intercessory prayer had the lowest short- and long-term complication rates. However, in order to conclusively demonstrate this, a study with four times the number of subjects would be required. Such a study is currently underway.
For many people drinking beer, wine, and liquor is used as a way to relax. Indeed, alcohol reduces our inhibitions and affects the brain by slowing down the part of the brain that serves as the switchboard of our thoughts. This makes us feel more at ease and allows us to feel comfortable around others. However, when used to an extreme, the abuse of alcoholic drinks can create behavioral and health problems that can lead to unhappiness and despair.
One crucial thing that you must be aware of is that our brain – and body – is designed to learn. When we repeat certain behavior, we...
When your mind and body are relaxing, they are repairing. The largest part of our nervous system, which runs without your conscious awareness, has two modes. When you are in a deep state of relaxation, you are experiencing what is known as a parasympathetic response. This means that your digestion system and other major life-sustaining organs are fully functioning and your immune system is working at its best. The opposite state is called a sympathetic response. Typically those systems and organs that were operating at their best in the parasympathetic mode are now taking a subordinate role...
A person’s overall valuation of their self-worth is their self-esteem. It can also be called self-worth, self respect, self integrity, or self regard. It can also be discussed in terms of levels. These range from poor self-esteem to equally unhealthy problems with narcissism. Psychologists, coaches, teachers, and others may evaluate the relative level of someone's self-esteem when establishing whether change may be required.
There are two other areas that I believe directly impact on a person's self-esteem. These are the related concepts of self perception of competence and stress. The...