EFFECT OF BIOFEEDBACK THERAPY TO RELIEVE ANXIETY, STRESS AND DEPRESSION SYMPTOMS IN DISSOCIATIVE CONVERSION DISORDER PATIENTS.
Journal Title: INTERNATIONAL JOURNAL OF ADVANCED MEDICINE - Year 2018, Vol 2, Issue 3
Abstract
Background-Biofeedback is one of the most useful adjuncts in treating physiologic hyper arousal-both episodic and chronic-seen in anxiety disorders also in insomnia. It provides a visible and experiential demonstration of the mindbody connection. . Used alone as relaxation therapy, biofeedback is as efficacious as other forms of relaxation training, such as hypnosis, progressive muscle relaxation or transcendental meditation. Aims and objectives- This study was taken with the aim of assessing effect of biofeedback therapy in anxiety, depression and stress symptoms in Dissociative Conversion Disorders Materials and methods- This was a single centre, observational, non-randomized, open label study conducted at Dept. of psychiatry, Sardar Patel medical college, Sample comprised of 30 patients with diagnosis of Dissociative Conversion disorder according to ICD-10 criteria, where 7 sessions of biofeedback therapy has been given to each patient. HAM-A, HAM-D and PSS Scales were applied on day 1st and day7th. . Paired student t-test was applied on 1st day and 7th day scales data and anxiety, stress, depression symptoms were compared before and after therapy. Results- According to HAM-A Scale on pre treatment, out of total 30 patients, 80% were in moderate Hamilton anxiety disorder group and after 7 days treatment, only 20% patients were found in moderate group while 1 severe patient remained in severe range. Mean Hamilton anxiety disorder score at pre treatment was 19.803.80 and after 7 days treatment it decreased to 13.574.55 and According to HDRS score at pre treatment, only 5.6% patient was normal while 94.4% were within abnormal range and after treatment 40% patients had their Hamilton depression score within normal range while 60% patients remains abnormal range. Mean Hamilton Depression score at pre treatment was 16.973.96 and after 7 days treatment it decreased to 10.764.60. According to Perceived Stress Scale, at pre treatment, only 11.1% patients were within normal range (0-13) while 93.3% patients were in moderate range (14-26) and after 7 days, 40% patients had their perceived stress scale within normal range (0-13) and 60% patients had their perceived stress scale within moderate range (14-26%). Mean Perceived Stress Scale score at pre treatment was 20.933.92 and after 7 days treatment it decreased to 14.634.21 and this difference was found statistically highly signicant (p<0.001) in the three variables. Conclusion – It is concluded that psycho physiological treatment with biofeedback is an effective method to reduce anxiety, depression and stress symptoms in Dissociative conversion disorder patients.
Authors and Affiliations
Dr Tahir Hussain, Dr K. K. Verma, Dr Girish Chandra Baniya
Keywords
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