Research Paper

Effect Of Biofeedback Therapy To Relieve Anxiety, Stress And Depression Symptoms In Dissociative Conversion Disorder Patients.

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 mind-body 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 significant (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.

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