TY - JOUR
T1 - Improving anxiety in subacute myelo-optico-neuropathy (SMON) after an automated telephone call service
AU - Ohta, Yasuyuki
AU - Hishikawa, Nozomi
AU - Sato, Kota
AU - Takemoto, Mami
AU - Yamashita, Toru
AU - Doutare, Shinji
AU - Abe, Koji
N1 - Funding Information:
This work was supported in part by the Okayama Prefecture Intractable Disease Medical Council, a Grant-in-Aid for Scientific Research and Grants-in-Aid from Research Committees from the Japan Agency for Medical Research and Development (AMED).
Publisher Copyright:
© 2019 The Japanese Society of Internal Medicine.
PY - 2019
Y1 - 2019
N2 - Objective We evaluated the clinical effects of a telephone call service for psychological symptoms such as anxiety, depression or apathy in subacute myelo-optico-neuropathy (SMON) patients living alone or with a single caregiver. Methods Up to 16 SMON patients (4 men, 12 women) and 32 control subjects were evaluated by the geriatric depression scale (GDS), apathy scale (AS) and state and trait anxiety inventory (STAI) forms X-I, including the P and A values for depression, apathy and state anxiety including disturbed peace of mind and enhanced anxiety, respectively, before (pre) and three months after (post) the telephone call service. Results The SMON patients, especially women, had significantly worse baseline scores in GDS (depres-sion), AS (apathy) and STAI (state anxiety) than control subjects. The automated telephone call service significantly improved the high baseline STAI scores, including the P and A scores (disturbed peace of mind and enhanced anxiety), of SMON patients but not the GDS or AS scores. Conclusion SMON patients, especially women, living alone or with a single caregiver showed higher baseline depression, apathy and anxiety scores than the control subjects. The present automated telephone call service proved to be a useful care tool for improving the anxiety of SMON patients with high STAI P and A scores.
AB - Objective We evaluated the clinical effects of a telephone call service for psychological symptoms such as anxiety, depression or apathy in subacute myelo-optico-neuropathy (SMON) patients living alone or with a single caregiver. Methods Up to 16 SMON patients (4 men, 12 women) and 32 control subjects were evaluated by the geriatric depression scale (GDS), apathy scale (AS) and state and trait anxiety inventory (STAI) forms X-I, including the P and A values for depression, apathy and state anxiety including disturbed peace of mind and enhanced anxiety, respectively, before (pre) and three months after (post) the telephone call service. Results The SMON patients, especially women, had significantly worse baseline scores in GDS (depres-sion), AS (apathy) and STAI (state anxiety) than control subjects. The automated telephone call service significantly improved the high baseline STAI scores, including the P and A scores (disturbed peace of mind and enhanced anxiety), of SMON patients but not the GDS or AS scores. Conclusion SMON patients, especially women, living alone or with a single caregiver showed higher baseline depression, apathy and anxiety scores than the control subjects. The present automated telephone call service proved to be a useful care tool for improving the anxiety of SMON patients with high STAI P and A scores.
KW - Anxiety
KW - SMON
KW - STAI
KW - Telephone call service
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U2 - 10.2169/internalmedicine.1554-18
DO - 10.2169/internalmedicine.1554-18
M3 - Article
C2 - 30568131
AN - SCOPUS:85064852658
SN - 0918-2918
VL - 58
SP - 1081
EP - 1085
JO - Internal Medicine
JF - Internal Medicine
IS - 8
ER -