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Slipping Through The Cracks: Addressing Mental Health Needs Of Students In The K-12 Classroom, Emily H. Kerr Oct 2020

Slipping Through The Cracks: Addressing Mental Health Needs Of Students In The K-12 Classroom, Emily H. Kerr

Honors Theses

Mental health illnesses have become more prevalent over the past 20 years. With this increase in mental health disorders, schools have failed to provide students with the necessary support and resources needed for them to be successful in the classroom. The objective of this study is to highlight the prevalence of mental health illnesses and give insight to strategies that can be implemented by the school system in order to give every child the opportunity to be successful. This study focuses on adolescents with anxiety and/or depression. Research has been conducted to identify the increase in cases of mental health …


Mathematics Anxiety: Supplementary Materials, Sarah Buckley Oct 2020

Mathematics Anxiety: Supplementary Materials, Sarah Buckley

Student learning processes

This publication contains two professional development activities for teachers which focus on mathematics anxiety. One is a team-based activity and the other is an activity for individuals. The activities encourage both mathematics teachers and non-mathematics teachers to reflect on their current practice, their attitudes towards mathematics, their ideas about teaching mathematics and the mathematical beliefs of students.


Mathematics Anxiety, Sarah Buckley Oct 2020

Mathematics Anxiety, Sarah Buckley

Student learning processes

This Mathematics Monograph is focussed on helping teachers and school leaders gain a better understanding of: How mathematics anxiety negatively impacts learning and teaching; the symptoms, causes and companions of mathematics anxiety; the difference between reducing mathematics anxiety directly and indirectly; and strategies that can identify and address mathematics anxiety in students and teachers. The Monograph is intended to present information for reflecting and planning how mathematics anxiety can be reduced and regulated in classrooms and in the school community.


Assessing The Living Experiences Of Prostate Cancer Survivors In The Delta Of Northeast Arkansas., Samuel Mensah Noi Sep 2020

Assessing The Living Experiences Of Prostate Cancer Survivors In The Delta Of Northeast Arkansas., Samuel Mensah Noi

Student Theses and Dissertations

Prostate cancer remains the most prevalent non-cutaneous malignancy and the second leading cause of cancer death in Western men. The living experiences of people with prostate cancer have never been pleasant just like any other cancer. Twelve prostate cancer survivors living in the Delta of Northeast Arkansas took part in the study who were all Caucasians. They were between the ages of 59-79 years and high educational backgrounds. The average age of participants is 69.3 years. The study adopted a semi-structured interview approach with a variety of open-ended questions to stimulate discussion. Follow-up questions were included to clarify issues and …


Work Place Impact On Mental Wellbeing Of Frontline Doctors, Vishnupriya Veeraraghavan, Krishnan Srinivasan Sep 2020

Work Place Impact On Mental Wellbeing Of Frontline Doctors, Vishnupriya Veeraraghavan, Krishnan Srinivasan

Journal of Mind and Medical Sciences

Background. Coronavirus Disease 2019 (COVID-19, also known as 2019-nCoV), a cluster of acute respiratory illness with unknown causes, has occurred in India since January 2020. Over the past several months, the entire world is struggling to cope with and contain the virus spread. Several studies showed that mental health problems could occur in both healthcare workers and SARS survivors during the SARS epidemic. Considering the geographical variation, dense population, multi-strata health care structure, and rising COVID cases in South India, we have a reason to speculate that the burden on the frontline doctors is high and their psychological condition …


Enhancing The English Reading And Writing Skills Of Palestinian English Majors By Using Call, Mohammed Farrah Sep 2020

Enhancing The English Reading And Writing Skills Of Palestinian English Majors By Using Call, Mohammed Farrah

Hebron University Research Journal-B (Humanities) - (مجلة جامعة الخليل للبحوث- ب (العلوم الانسانيه

This study investigates enhancing the English Reading and Writing Skills of Palestinian English Majors by Using CALL. The study was conducted at the English Department in Hebron University in the second semester of the academic year 2008-2009. The focus of the study is the Integrated Language Skills course. The population comprised 104 students. The students took the reading and writing portions of a standardized English language test, and a questionnaire was used to assess the achievement of the control group and the experimental group. The two researchers investigated whether there was a significant difference between the two groups in four …


Prevalence Of Depression, Anxiety, And Stress During Covid-19 Pandemic, Ram Lakhan, Amit Agrawal, Manoj Sharma Sep 2020

Prevalence Of Depression, Anxiety, And Stress During Covid-19 Pandemic, Ram Lakhan, Amit Agrawal, Manoj Sharma

School of Public Health Faculty Research

The coronavirus disease 2019 (COVID-19) crisis has greatly affected human lives across the world. Uncertainty and quarantine have been affecting people’s mental health. Estimations of mental health problems are needed immediately for the better planning and management of these concerns at a global level. A rapid scoping review was conducted to get the estimation of mental health problems in the COVID-19 pandemic during the first 7 months. Peer-reviewed, data-based journal articles published in the English language were searched in the PubMed, Medline, and Google Scholar electronic databases from December 2019 to June 2020. Papers that met the inclusion criteria were …


A Longitudinal Cohort Study To Explore The Relationship Between Depression, Anxiety And Academic Performance Among Emirati University Students, Suheir Awadalla, E. Bethan Davies, Cris Glazebrook Sep 2020

A Longitudinal Cohort Study To Explore The Relationship Between Depression, Anxiety And Academic Performance Among Emirati University Students, Suheir Awadalla, E. Bethan Davies, Cris Glazebrook

All Works

© 2020 The Author(s). Background: Many university students experience depression and anxiety, both of which have been shown to affect cognitive function. However, the impact of these emotional difficulties on academic performance is unclear. This study aims to determine the prevalence of depression and anxiety in university students in United Arab Emirates (UAE). It further seeks to explore the relationship between emotional difficulties and students' academic performance. Methods: This longitudinal study recruited 404 students (aged 17-25 years) attending one UAE university (80.4% response rate). At baseline, participants completed a paper-based survey to assess socio-economic factors and academic performance, including most …


Covid-19-Associated Psychiatric Symptoms In Health Care Workers: Viewpoint From Internal Medicine And Psychiatry Residents, Mohan Gautam, Madhupreet Kaur, Greg Mahr Sep 2020

Covid-19-Associated Psychiatric Symptoms In Health Care Workers: Viewpoint From Internal Medicine And Psychiatry Residents, Mohan Gautam, Madhupreet Kaur, Greg Mahr

Behavioral Health Articles

No abstract provided.


Gautama Buddha: Illustration Of A Patient’S Vision, Haryashpal Bhullar Aug 2020

Gautama Buddha: Illustration Of A Patient’S Vision, Haryashpal Bhullar

HCA Healthcare Journal of Medicine

As a psychiatrist in training, I often have the privilege to connect with the unique thoughts and visions patients may be experiencing. The descriptions shared by one patient during my early psychiatry inpatient rotations stuck with me and eventually inspired me to pursue a residency in the field. While interviewing, she expressed a deep spirituality and often finding solace in the mindfulness teachings of Gautama Buddha whenever she was distressed. She would strengthen this coping mechanism by contemplating him sitting and meditating deeply, within a naturalistic setting, however struggled in describing exactly what she was imagining. I further gathered this …


The Effect Of Using Journal Writing On Ninth Graders’ Achievement, Anxiety, And Their Attitudes Toward Mathematics, محمد العبسي Aug 2020

The Effect Of Using Journal Writing On Ninth Graders’ Achievement, Anxiety, And Their Attitudes Toward Mathematics, محمد العبسي

Hebron University Research Journal-B (Humanities) - (مجلة جامعة الخليل للبحوث- ب (العلوم الانسانيه

The current study aimed at investigating the effect of using journal writing on ninth graders’ achievement, anxiety, and attitudes toward mathematics. The study sample consisted of 70 ninth grade students, from two sections, assigned randomly to the experimental group which was taught by using journal writing, and a control group taught using traditional teaching methods. Results of the study revealed that journal writing had a significant effect on improving students’ academic achievement in mathematics, whereas, it had no obvious effect on reducing students’ math anxiety or improving their attitudes toward mathematics


Insomnia In Subclinical Paranoid Participants, Lauren J. Bennett-Leleux Aug 2020

Insomnia In Subclinical Paranoid Participants, Lauren J. Bennett-Leleux

Psychology and Counseling Theses

Insomnia has always been thought to be a consequence of schizophrenia and may be predicted by paranoid thoughts. Individuals with a diagnosis of schizophrenia have reported symptoms of insomnia, which can in turn increase psychosis. It is thought that these symptoms can come from decreased daytime activity, reduced cognitive functioning, or distress from psychotic experiences increasing arousal (Waite et al., 2016a; Hodgenkins et al., 2015; Stubbset et al., 2016). However, recent evidence has demonstrated that insomnia can predict later paranoid thoughts. Individuals with comorbid psychotic disorder and insomnia tend to have more severe psychotic experiences such as paranoid thoughts (Freeman …


Factor Invariance Of Anxiety And Depression Measures In Autism, Elizabeth Patrice Mckernan Aug 2020

Factor Invariance Of Anxiety And Depression Measures In Autism, Elizabeth Patrice Mckernan

Dissertations - ALL

This study examined factorial invariance of three self-report measures of psychiatric symptoms—the World Health Organization Adult ADHD Self-Report Scale (ASRS; Kessler et al., 2005), the Center for Epidemiologic Studies Depression Scale-Revised (CESD-R; Eaton, Smith, Ybarra, Muntaner, & Tien, 2004), and the Depression Anxiety Stress Scales (DASS; Lovibond & Lovibond, 1995)—using a convenience sample of 434 adults surveyed though Amazon Mechanical Turk. Participants were sorted into two groups based on their score on the Autism-Spectrum Quotient (AQ; Baron-Cohen, Wheelwright, Skinner, Martin, & Clubley, 2001). Of 423 participants included in the final sample, 203 were included in the low ASD traits group …


A Literature Review: An Analysis Of The Widespread Effects Of Solitary Confinement/Social Isolation On Mental Illness And Mortality, Taneasha Muonio Aug 2020

A Literature Review: An Analysis Of The Widespread Effects Of Solitary Confinement/Social Isolation On Mental Illness And Mortality, Taneasha Muonio

Theses and Graduate Projects

Solitary confinement or isolation is widespread globally and has been used as a form of punishment, reform, reflection, and cleansing throughout time. The devastating impacts of not having social interactions for extended periods of time have been documented and noted.1 These impacts include severe mental health disorders such as schizophrenia, bipolar disorder, anxiety, depression, post-traumatic stress disorder (PTSD), suicide, motor disturbances, biological changes, and increased mortality.1-3 The analysis of how the United States became the country with the largest prison system and mentally ill population is addressed in this thesis including understanding how the prison-industrial complex was built. Understanding how …


The Effectiveness Of Heart Rate Variability Biofeedback In Conjunction With Traditional Treatment For Thoracic Outlet Syndrome In A 25-Year-Old Female: A Case Report, Sepehr Rezaei Aug 2020

The Effectiveness Of Heart Rate Variability Biofeedback In Conjunction With Traditional Treatment For Thoracic Outlet Syndrome In A 25-Year-Old Female: A Case Report, Sepehr Rezaei

San Marcos, Summer 2020

Introduction: Thoracic outlet syndrome (TOS) is a complex condition that causes pain, tingling sensation, hypesthesia, muscle atrophy, weakness, and edematous changes in the upper quadrant (UQ) and down upper extremity (UE). 3,7,8,16,17 TOS is due to compression of neurovascular bundles in the interscalene triangle, costoclavicular space, and under pectoralis minor and caused by trauma, congenital malformations such as a cervical rib, and abnormal/poor postures from muscle imbalances.3,7,8,16,17 Interventions for TOS can consist of correcting posture by addressing muscle imbalance, decreasing tone and muscle tightness and rib mobilization, and in rare cases, rib resection. 3,7,8,13,16,17 However, there is limited research …


Virtual Reality Self-Modeling As An Intervention For Stuttering, Johanna M. Deleyer-Tiarks Aug 2020

Virtual Reality Self-Modeling As An Intervention For Stuttering, Johanna M. Deleyer-Tiarks

Doctoral Dissertations

Virtual Reality Self-Modeling (VRSM) is a new self-modeling intervention. It is the coming together of two well established interventions, Video Self-Modeling (VSM) and virtual reality (VR) and can be described as using 360 degree VR videos, viewed through a VR system headset or smartphone, to depict individuals self-modeling a desired behavior. By using 360-degree video, individuals who watch VRSM interventions will be able to view themselves eliciting a desired behavior while feeling as if they immersed within the environment being watched. The distinction between traditional VR treatments and traditional Video Self-Modeling (VSM) treatments is that VRSM delivers both self-modeling and …


Thiamine Deficiency Causes Long-Lasting Neurobehavioral Deficits In Mice, Hui Li, Hong Xu, Wen Wen, Liying Wu, Mei Xu, Jia Luo Aug 2020

Thiamine Deficiency Causes Long-Lasting Neurobehavioral Deficits In Mice, Hui Li, Hong Xu, Wen Wen, Liying Wu, Mei Xu, Jia Luo

Pharmacology and Nutritional Sciences Faculty Publications

Thiamine deficiency (TD) has detrimental effects on brain health and neurobehavioral development, and it is associated with many aging-related neurological disorders. To facilitate TD-related neuropsychological studies, we generated a TD mouse model by feeding a thiamine-deficient diet for 30 days, followed by re-feeding the control diet for either one week or 16 weeks as recovery treatment. We then performed neurobehavioral tests in these two cohorts: cohort of one week post TD treatment (1 wk-PTDT) and 16 weeks post TD treatment (16 wks-PTDT). The TD mice showed no significant difference from control in any tests in the 1 wk-PTDT cohort at …


Moderation Of Effects Of Anxiety On Verbal And Visuospatial Short-Term Memory In Young Children With Autism Spectrum Disorder, Rachael Arowolo Aug 2020

Moderation Of Effects Of Anxiety On Verbal And Visuospatial Short-Term Memory In Young Children With Autism Spectrum Disorder, Rachael Arowolo

Clinical Psychology Dissertations

Children with autism spectrum disorder (ASD) exhibit developmental differences in a number of domains, including memory. Short-term memory (STM) has been studied in children with ASD but the findings have been mixed. Children with ASD are also at increased risk of developing an anxiety disorder. Anxiety has been found to impact short-term (STM) and other cognitive functions in typically developing children. Limited research suggests that trait anxiety is associated with poorer STM in school-aged children with ASD. Given that STM develops throughout early childhood, understanding the impact of anxiety in younger children with ASD may be beneficial in providing the …


Generalized Anxiety Symptoms And Interpersonal Self-Perceptions During Stressors: A Prospective Examination Of Psychological And Biological Stress, Jamie A. Lewis Aug 2020

Generalized Anxiety Symptoms And Interpersonal Self-Perceptions During Stressors: A Prospective Examination Of Psychological And Biological Stress, Jamie A. Lewis

Clinical Psychology Dissertations

Individuals with generalized anxiety disorder (GAD) symptoms endorse negative emotionality, psychosocial dysfunction, and biological dysregulation. Interpersonal dominance and affiliation have also been linked to GAD symptoms. Little research has examined individuals with GAD symptoms in terms of naturalistic stressors and chronic use of interpersonal behaviors. GAD symptoms, as well as lower dominance and affiliation, have been linked to hypothalamic-pituitary-adrenal (HPA) dysregulation. However, no studies have examined the unique and interacting contributions of GAD symptoms and interpersonal processes to chronic cortisol levels and distress. College students completed baseline measures of GAD symptoms, measures of interpersonal self-perceptions and distress for five weeks, …


Depression, Anxiety, Stress And Marital Adjustment Among Women, Rema M.K., Parneet Kaur Aug 2020

Depression, Anxiety, Stress And Marital Adjustment Among Women, Rema M.K., Parneet Kaur

Journal of International Women's Studies

Marriage, especially for women in a patriarchal society involves a huge transition process. The struggle with new responsibilities and expectations is overwhelming in itself. But with the feelings of worthlessness and feeling trapped and bound in a loveless and thankless bond, come distress and adjustment issues. According to a recent Nielsen survey on “Women of Tomorrow”, out of 21 nations and 6500 women, India is a leading nation when it comes to stress in women. About 87% of women were stressed most of the time and 82% claimed that they did not find time to relax. Women in the age …


Assessing Sex Differences In The Effects Of Short-Term Rem Sleep On Anxiety- And Depressive-Like Behaviors In Rats, Nadia Meshkati Aug 2020

Assessing Sex Differences In The Effects Of Short-Term Rem Sleep On Anxiety- And Depressive-Like Behaviors In Rats, Nadia Meshkati

Seton Hall University Dissertations and Theses (ETDs)

Findings from both human and animal studies suggest rapid eye movement (REM) sleep disturbances following a traumatic event can lead to inability to extinguish the fear association, and eventually influence the development of post-traumatic stress disorder (PTSD). Additionally, research has demonstrated that sleep disruptions, including REM sleep deprivation (RSD), increases anxiety- and depressive-like behaviors and states in animals and people, with evidence of sex differences. Furthermore, it has yet to be determined whether short-term RSD, a more natural animal model of PTSD, can influence affective state of subjects. The present study applied short-term RSD to investigate sex differences in the …


Guided Imagery And Deep Breathing: Minimizing Anxiety Experienced By Pediatric Cancer Patients, Bethany Grace Aney Aug 2020

Guided Imagery And Deep Breathing: Minimizing Anxiety Experienced By Pediatric Cancer Patients, Bethany Grace Aney

Graduate Theses/Dissertations

This particular research study examined the impact of guided imagery and deep breathing as coping tools to reduce the anxiety levels experienced by pediatric cancer patients ages 6-12 years of age at a children’s hospital in Central Pennsylvania. This quantitative study utilized a pretest-posttest design, in addition to utilizing the State-Trait Anxiety Inventory for Children (STAIC™) as the baseline and post-test assessment. The STAIC™ is a questionnaire tool that assesses individuals’ state and trait anxiety through a total of 40 questions. This particular study had a total of five patients, two male and three female that consented to undergoing three …


Fatalism As A Cultural Influence On Correlates Of Anxiety And Worry In Latino/A Adolescents., Judy Mier-Chairez Aug 2020

Fatalism As A Cultural Influence On Correlates Of Anxiety And Worry In Latino/A Adolescents., Judy Mier-Chairez

Electronic Theses and Dissertations

Evidence that Latino/as in the United States experience lower rates of anxiety disorders as compared to the non-Latino/a White population has not yet led to the identification of the sources of these differences. Higher rates of anxiety disorders among more acculturated Latino/a individuals compared to those lower in acculturation suggest there are influential cultural variables relevant to anxiety, specifically that there is a loss of a protective Latino/a cultural factor in the acculturation process. Fatalism, an often-cited Latino/a cultural characteristic, emerges as an intriguing candidate for exploration in relation to anxiety due to the shared elements of future orientation and …


A New Perspective On Social Media Use, Loneliness, And Cyberbullying, Danielle M. Brecht Aug 2020

A New Perspective On Social Media Use, Loneliness, And Cyberbullying, Danielle M. Brecht

Psychology Theses - Archive

The rates of social media use, cyberbullying, and loneliness are interrelated and simultaneously on the rise. Applying Jensen-Campbell’s Stress Model of Peer Victimization (Knack, Jensen-Campbell, & Baum, 2011) and the Evolutionary Theory of Loneliness (Cacioppo & Cacioppo, 2018) it is proposed that the negative health effects of social media may be attributed in part to chronic loneliness and cyberbullying. When lonely people recognize a lack of beneficial relationships (i.e., salutary relationship postulate) it may cause their behaviors to become more self-focused (i.e., self-preservation postulate) and they may use social media to fulfill the social disconnect by engaging in cyberbullying perpetration …


Anxious And Oppositional Behavior Factors In A Community Sample Of Youth With Selective Mutism, Andrew Gerthoffer Aug 2020

Anxious And Oppositional Behavior Factors In A Community Sample Of Youth With Selective Mutism, Andrew Gerthoffer

UNLV Theses, Dissertations, Professional Papers, and Capstones

Selective mutism (SM) is a childhood disorder characterized by a failure to speak in certain situations (e.g., school, social situations; APA, 2013). SM is best assessed using a comprehensive multimodal strategy (Dow et al., 1995; Krysanski, 2003; Viana et al., 2009; Wong, 2010), including parent reports of a child’s behavior. One commonly used parent report measure is the Child Behavior Checklist (CBCL; Achenbach & Rescorla, 2001). The purpose of the present study was to identify specific CBCL items that may help substantiate SM subtypes in children. The study used confirmatory factor analysis to determine whether a two-factor structure (anxious and …


Examination Of The Relationship Between Sport-Specific Thoughts And Emotions And Anxiety And Depression In College Athletes, Marina Elizabeth Harris Aug 2020

Examination Of The Relationship Between Sport-Specific Thoughts And Emotions And Anxiety And Depression In College Athletes, Marina Elizabeth Harris

UNLV Theses, Dissertations, Professional Papers, and Capstones

Depression and anxiety are prevalent mental health difficulties affecting student athletes, who notoriously reject mental health interventions that are not sport-relevant. This study will assist in understanding the extent to which sport-relevant thoughts and emotions impact depression and anxiety in collegiate athletes. Two-hundred and twenty-five NCAA athletes competing at the Division, I, II, or III level were administered the Sport Interference Checklist (SIC), Test of Performance Strategies (TOPS), Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire (PHQ-9). Results of correlational analyses revealed a significant relationship between SIC Dysfunctional Thinking (in training and competition) and anxiety (GAD-7) and depressive (PHQ-9) symptoms, …


The Long-Term Multidimensional Impact Of Persistent Multisite Pain On Physical And Psychological Disability, And Mortality In Community-Dwelling Older Adults, Saurja Thapa Aug 2020

The Long-Term Multidimensional Impact Of Persistent Multisite Pain On Physical And Psychological Disability, And Mortality In Community-Dwelling Older Adults, Saurja Thapa

Graduate Doctoral Dissertations

Persistent multisite pain is highly prevalent, affecting 25-43% of community-dwelling older adults. Although existing evidence suggests that persistent multisite pain is associated with physical and psychological disability, studies use a cross-sectional assessment approach that overlooks pain duration or persistence. This study aimed to estimate the persistence of multisite pain and the proportion of incident multisite pain and examine the association between persistent multisite pain and physical (ADL and IADL) and psychological disability (depression and anxiety) at 18 months and six years. Also, the association between baseline persistent multisite pain and mortality was assessed.

Secondary data analysis of the MOBILIZE Boston …


Exploring The Importance Of Play, Motivation, Identity, And Dialect In Arabic Language Learning And Teaching, Lindsey S. Mabey Aug 2020

Exploring The Importance Of Play, Motivation, Identity, And Dialect In Arabic Language Learning And Teaching, Lindsey S. Mabey

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

This portfolio is a compilation of work that the author wrote during her studies in the Master of Second Language Teaching program at Utah State University. During her time in the program, the author also served as an instructor of Arabic at the university and at a local grade school, as well as serving as a teaching assistant. This work is informed by the author’s personal reflections on these experiences in conjunction with her studies.

The portfolio consists of three sections: (1) teaching perspectives, (2) research perspectives, and (3) an annotated bibliography. The teaching perspectives revolve around the author’s beliefs …


Fostering Mathematical Creativity While Impacting Beliefs And Anxiety In Mathematics, James M. Fetterly Jul 2020

Fostering Mathematical Creativity While Impacting Beliefs And Anxiety In Mathematics, James M. Fetterly

Journal of Humanistic Mathematics

This quantitative study examined the notion of mathematical creativity and its relationship to epistemological beliefs of the nature of mathematics and mathematical anxiety. A counterbalanced design was employed, randomizing a class of elementary pre-service teachers into two groups and giving a pre- and post-test to determine if significant differences exist in the participants who are exposed to problem posing, divergent thought, and invented strategies, that is, a punctuated, intentional experience with mathematical creativity. This difference in mathematical anxiety, beliefs, and creativity was also gauged using repeated measures during the study. Furthermore, beliefs and anxiety were correlated with mathematical creativity employing …


Improvement In Patients’ Ability To Care For Anxiety And Impaired Body Image: A Case Report Of Acceptance And Commitment Therapy And Family Psychoeducation, Rasmawati Rasmawati, Budi Anna Keliat, Herni Susanti Jul 2020

Improvement In Patients’ Ability To Care For Anxiety And Impaired Body Image: A Case Report Of Acceptance And Commitment Therapy And Family Psychoeducation, Rasmawati Rasmawati, Budi Anna Keliat, Herni Susanti

Jurnal Keperawatan Indonesia

Heart failure and hypertension are non-communicable diseases that are responsible for 70% of deaths world wide and cause anxiety and impaired body image. Nursing interventions(therapy in general) and acceptance and commitment therapy increase patients’ acceptance of the disease and commitment to alleviate anxiety and improve impaired body image. Meanwhile, family psychoeducation improves the family’s ability to care for the patient. This case report presents two patients with heart failure and hypertension. The two patients experienced a decrease in symptoms on the cognitive aspects(difficulty concentrating, focusing on self, and decline body changes), affective aspects (worry, shame, and despair), physiological aspects(sleep disorders …