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Articles 1831 - 1860 of 3209
Full-Text Articles in Entire DC Network
The State Of The Region: Hampton Roads 2020, Dragas Center For Economic Analysis And Policy, Old Dominion University, Vinod Agarwal, Andrew A. Bennett, Barbara Blake, Emily Campion, Ethan Crouson, Steve Daniel, Addie Gregory, Elizabeth Janik, Nikki Johnson, Sheila Keener, James V. Koch, Tim Komarek, Feng Lian, Sharon Lomax, Janet Molinaro, Brendan O' Hallarn, Robert M. Mcnab
The State Of The Region: Hampton Roads 2020, Dragas Center For Economic Analysis And Policy, Old Dominion University, Vinod Agarwal, Andrew A. Bennett, Barbara Blake, Emily Campion, Ethan Crouson, Steve Daniel, Addie Gregory, Elizabeth Janik, Nikki Johnson, Sheila Keener, James V. Koch, Tim Komarek, Feng Lian, Sharon Lomax, Janet Molinaro, Brendan O' Hallarn, Robert M. Mcnab
State of the Region Reports: Hampton Roads
[From the introductory material]
This is Old Dominion University’s 21st annual State of the Region Report. While it represents the work of many people connected in various ways to the university, the report does not constitute an official viewpoint of Old Dominion, its president, John R. Broderick, the Board of Visitors, the Strome College of Business or the generous donors who support the activities of the Dragas Center for Economic Analysis and Policy.
Although our devotion to this work remains steadfast, our enthusiasm, admittedly, has been dampened by the COVID-19 pandemic and the toll it has taken on the region, …
Capitalizing On Healthy Lawyers: The Business Case For Law Firms To Promote And Prioritize Lawyer Well-Being, Jarrod F. Reich
Capitalizing On Healthy Lawyers: The Business Case For Law Firms To Promote And Prioritize Lawyer Well-Being, Jarrod F. Reich
Faculty Scholarship
This Article is the first to make the business case for firms to promote and prioritize lawyer well-being. For more than three decades, quantitative research has demonstrated that lawyers suffer from depression, anxiety, and addiction far in excess of the general population. Since that time, there have been many calls within and outside the profession for changes to be made to promote, prioritize, and improve lawyer well-being, particularly because many aspects of the current law school and law firm models exacerbate mental health and addiction issues, as well as overall law student and lawyer distress. These calls for change, made …
Comorbidity In Context: Identifying Patterns Of Depressive And Anxiety Symptoms In African American Early Adolescents, Kathryn Behrhorst
Comorbidity In Context: Identifying Patterns Of Depressive And Anxiety Symptoms In African American Early Adolescents, Kathryn Behrhorst
Theses and Dissertations
Depression and anxiety during adolescence includes symptoms of irritability, sleeplessness, feelings of guilt or worthlessness, worry, avoidance, and/or restlessness. Anxiety and depressive symptoms are often comorbid and are associated with impairments across academic, social, and emotional areas of functioning. No studies to date have examined patterns of depressive and anxiety symptoms together for African American adolescents using person-centered analyses. The current study examined patterns of symptoms and domains of anxiety and depression during early adolescence using latent profile analyses (LPA). A sample of 196 African American early adolescents in grades six through eight (Mage = 12.6; 50% female) were …
Outpatient Mental Health Service Utilization For Depression And Anxiety Post-Hurricane, Corey Darnell Taylor
Outpatient Mental Health Service Utilization For Depression And Anxiety Post-Hurricane, Corey Darnell Taylor
Walden Dissertations and Doctoral Studies
Increased depression and anxiety diagnoses are a result of the lack of use or underuse of outpatient mental health services, specifically among African Americans, youths, and the homeless, and this is a current issue in New Orleans, Louisiana post-Hurricane Katrina. Funding constraints due to the termination of the Louisiana Spirit Program contributed to deficits in terms of outpatient mental health facilities in New Orleans. The purpose of this quantitative study was to examine the association between the continuum and utilization of outpatient mental health services for African Americans, youth, and the homeless for those diagnosed with depression and anxiety. Andersen’s …
Does Hope Moderate The Effects Of Financial Distress In Adolescent Resiliency?, Miles E. Payne
Does Hope Moderate The Effects Of Financial Distress In Adolescent Resiliency?, Miles E. Payne
Graduate Theses, Dissertations, and Problem Reports (ETD)
Little is known about the influence that hope may have on adolescent outcomes despite financial distress. This study considered financial distress as a risk factor in testing the moderating ability of hope on adolescent prosocial behavior and anxiety (PSB). Adolescents (n = 500) ranging from 11.00 – 16.00 years of age completed in-home questionnaires two years apart. Results indicated a direct effect between PSB and hope. However, analyses revealed no moderated effects, as controlling for prior levels of PSB or anxiety accounted for most of the variance. Although hope may be beneficial to PSB, the stability from prior levels …
Internalization Of Sociocultural Standards Of Beauty, Perception Of Career Barriers, Depression, And State Physical Appearance Anxiety Among College Women, Adrionia Molder
Graduate Theses, Dissertations, and Problem Reports (ETD)
Women experience barriers that impede progress in a career and career goals, resulting in reduced career-related outcomes. Although gender discrimination has been identified as a contributing factor to the differential career development of men and women in the United States (U.S.), women’s career-related outcomes may be better explained by unaccounted for career barriers. Most notably, internalization of sociocultural standards of beauty, depression, and anxiety have been found to reduce women’s career-related outcomes. Therefore, the goal of this study was to explore career barriers that currently impact women’s career development in the U.S. Based on Social Cognitive Career Theory (Lent, Brown, …
Disquiet Depictions, Olivia L. Oddo
Disquiet Depictions, Olivia L. Oddo
Graduate Theses, Dissertations, and Problem Reports (ETD)
This written document is the accompanying thesis for my Master of Fine Arts exhibition - Disquiet Depictions. Presented within the exhibition was a collection of paintings, ranging from acrylic to mixed media. As someone living with both anxiety and panic disorder the symptoms that I have experienced, as well as the coping mechanisms that I have practiced, all influenced the paintings displayed within this exhibition. Imagery included self-portraiture across a variety of emotional expressions felt during moments of sporadic fear and happiness, vibrant geometric patterns serving therapeutic purposes, and subtle medication symbolism. Collectively, these paintings provide a visual journey into …
Exposure To Covid-19 Patients Increases Physician Trainee Stress And Burnout, Thomas G. Kannampallil, Charles W. Goss, Bradley A. Evanoff, Jaime R. Strickland, Rebecca P. Mcalister, Jennifer Duncan
Exposure To Covid-19 Patients Increases Physician Trainee Stress And Burnout, Thomas G. Kannampallil, Charles W. Goss, Bradley A. Evanoff, Jaime R. Strickland, Rebecca P. Mcalister, Jennifer Duncan
Open Access Publications
The coronavirus disease 2019 (COVID-19) pandemic has put considerable physical and emotional strain on frontline healthcare workers. Among frontline healthcare workers, physician trainees represent a unique group-functioning simultaneously as both learners and caregivers and experiencing considerable challenges during the pandemic. However, we have a limited understanding regarding the emotional effects and vulnerability experienced by trainees during the pandemic. We investigated the effects of trainee exposure to patients being tested for COVID-19 on their depression, anxiety, stress, burnout and professional fulfillment. All physician trainees at an academic medical center (n = 1375) were invited to participate in an online survey. We …
Work-Related And Personal Factors Associated With Mental Well-Being During The Covid-19 Response: Survey Of Health Care And Other Workers, Bradley A Evanoff, Jaime R Strickland, Ann Marie Dale, Lisa Hayibor, Emily Page, Jennifer G Duncan, Thomas Kannampallil, Diana L Gray
Work-Related And Personal Factors Associated With Mental Well-Being During The Covid-19 Response: Survey Of Health Care And Other Workers, Bradley A Evanoff, Jaime R Strickland, Ann Marie Dale, Lisa Hayibor, Emily Page, Jennifer G Duncan, Thomas Kannampallil, Diana L Gray
Open Access Publications
BACKGROUND: The response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has created an unprecedented disruption in work conditions. This study describes the mental health and well-being of workers both with and without clinical exposure to patients with coronavirus disease (COVID-19).
OBJECTIVE: The aim of this study is to measure the prevalence of stress, anxiety, depression, work exhaustion, burnout, and decreased well-being among faculty and staff at a university and academic medical center during the SARS-CoV-2 pandemic and describe work-related and personal factors associated with their mental health and well-being.
METHODS: All faculty, staff, and postdoctoral fellows of …
Effectivity Of Erythropoietin-Alpha Between Fixed- And Adjusted-Dose In Chronic Kidney Disease Patients With Anemia On Hemodialysis, Mida Purwiningtyas, Yulistiani Yulistiani, Budi Suprapti, Bayu Dharma Santi
Effectivity Of Erythropoietin-Alpha Between Fixed- And Adjusted-Dose In Chronic Kidney Disease Patients With Anemia On Hemodialysis, Mida Purwiningtyas, Yulistiani Yulistiani, Budi Suprapti, Bayu Dharma Santi
Folia Medica Indonesiana
Every year, there are 500.000 new cases and more than 250.000 deaths caused by cervical cancerworldwide. Cervical cancer patients faced physical and psychological problems several times that it activate stress mechanism such as hypothalamus-pituitary-adrenal (HPA) axis. These recurrent activations caused HPA axis disruption and adverse clinical effects. Several symptoms of endocrine stress response are the change of circadian cortisol rhythm. Cortisol is known as a stress hormone that involves an organism's response to stress and anxiety that influence the quality of life. This research aims to analyze the differences among serum cortisol level, anxiety, and quality of life in cervical …
A Commentary On Trauma’S Different Layers, Mike Kaufman , M.A., L.M.F.T.
A Commentary On Trauma’S Different Layers, Mike Kaufman , M.A., L.M.F.T.
Counseling and Family Therapy Scholarship Review
This article highlights how trauma may be caused by factors aside from catastrophic events, physical violence or accidents resulting in physical injury. Examples of trauma beyond the more commonly known causes are detailed. This article also emphasizes how individuals engaging in psychotherapy may at times lack awareness that their self-reported dilemma, or symptoms, may stem from early relational trauma. The following commentary originated with first-hand clinical experience and was reinforced by literature. It is important to recognize that individuals reporting symptoms of depression and anxiety are most effectively treated in psychotherapy when past trauma is accurately identified as the root …
Anxiety And Its Impact On Memory, Blakeney C. Coleman, Ryan M. Yoder
Anxiety And Its Impact On Memory, Blakeney C. Coleman, Ryan M. Yoder
Honors Theses
From influences on our memories of common words to even eyewitness testimonies, anxiety can shape our view of the world (Amir et al., 1996). Our research attempted to show a relationship between anxiety and its effects as an impact on memory as is supported by the Theory of Attentional Control (Eysenck & Calvo, 1992). A video from Simons’ and Chabris’ (1999) study on Inattentional Blindness was used to assess whether anxiety is adaptive or maladaptive to functions of our memory. Our study did not find significance regarding the impact of anxiety on memory. However, the relevance and interest of studies …
Benson’S Relaxation Response: Psychological And Physiological Responses Among Patients With Copd, Crista Reaves
Benson’S Relaxation Response: Psychological And Physiological Responses Among Patients With Copd, Crista Reaves
UNLV Theses, Dissertations, Professional Papers, and Capstones
Chronic obstructive pulmonary disease (COPD) is the third leading cause of death in the United States. In patients with COPD, distress is significantly prevalent and can have adverse psychological and physiological effects. Considering the increased rate of COPD, a mind-body intervention focusing on the reduction of both psychological and physiological responses such as anxiety, elevated blood pressure (BP), heart rate (HR), dyspnea, and respiratory rate must be integrated into the patient’s plan of care. The relaxation response (RR) is a term coined by Dr. Herbert Benson in the 1970s describing the body’s ability to counter the fight-or-flight response to decrease …
The Influence Of Depression And Anxiety On Working Memory In Children With Adhd, Angel David
The Influence Of Depression And Anxiety On Working Memory In Children With Adhd, Angel David
Doctor of Psychology (PsyD)
Attention Deficit-Hyperactivity Disorder (ADHD) is one of the most common disorders diagnosed in children (Feldman & Reiff, 2014). ADHD is known to impact a child’s working memory, with deficits ranging from mild to severe (Bedard et al., 2014). Research has explored the performance of working memory in children with ADHD and individual co-occurring disorders, finding that internalizing disorders such as depression and anxiety, both independently negatively impact working memory performance (Kofler et al., 2011; Saarinen et al., 2015; Skogan et al., 2013). However, there is limited research on how multiple co-occurring diagnoses in children with ADHD impact working memory. More …
The Relationship Between Socioeconomic Status And Mood Disorders, Jeannette German
The Relationship Between Socioeconomic Status And Mood Disorders, Jeannette German
Honors College Theses
Abstract
According to the Fundamental Cause Theory, socioeconomic status (SES) is comprised of multiple variables, including money, prestige, social status, and power (Phelan, 2010). The scientific literature has continued to reveal a robust relationship between SES and mental health outcomes. The same literature also highlights the role played by race, age, and gender in modulating this relationship. There are a multitude of models and theories from various disciplines that attempt to explain why and how SES impacts mental health. This literature review will include prominent theories and models in the field of psychology and public health. Specifically, the present literature …
Undergraduates And Stress, Mahra Crone
Undergraduates And Stress, Mahra Crone
Honors Projects
America is facing a serious mental health crisis, which may be an effect of increased chronic stress. Students, in particular, are vulnerable to this hazard as most face a moderate to extreme amount of stress. The programs which colleges and universities have put into place are outdated. Ineffective treatment of mental health crises leads to disastrous consequences. The present study analyzed the effects of major and grade level on stress level and sources of stress for undergraduate universities at both a large, public university and a small, private college. The author found that a student’s grade level and choice of …
The Level Of Pain And Anxiety And Depression And Its Relationship To The Coping Strategies Used By A Sample Of Cancer Patients In Jordan, Amina Al- Tamimi, Feda Al-Khair
The Level Of Pain And Anxiety And Depression And Its Relationship To The Coping Strategies Used By A Sample Of Cancer Patients In Jordan, Amina Al- Tamimi, Feda Al-Khair
Al-Balqa Journal for Research and Studies البلقاء للبحوث والدراسات
Background: Pain-related cancer creates significant physical and psychosocial burdens for patients. In Jordan there is limited information about patients’ with cancer complaints of pain and their coping strategies for this kind of pain. Aim: The aim of this study is to assess cancer-related pain, identify coping strategies used by a sample of Jordanian patients with cancer experiencing pain, and, to determine the associations between pain, anxiety and depression as well as the association between pain, anxiety, depression, and coping strategies. Method: A cross-sectional, descriptive, correlation design utilizing interview and structured questionnaire with a sample of 100 patients with cancer at …
Companion Dog Acquisition And Mental Well-Being: A Community-Based Three-Arm Controlled Study, Lauren Powell, Kate M. Edwards, Paul D. Mcgreevy, Adrian Bauman, Anthony L. Podberscek, Brendon Neilly, Catherine Sherrington, Emmanuel Stamatakis
Companion Dog Acquisition And Mental Well-Being: A Community-Based Three-Arm Controlled Study, Lauren Powell, Kate M. Edwards, Paul D. Mcgreevy, Adrian Bauman, Anthony L. Podberscek, Brendon Neilly, Catherine Sherrington, Emmanuel Stamatakis
Human-Animal Relationships Collection
Background
Dog ownership is suggested to improve mental well-being, although empirical evidence among community dog owners is limited. This study examined changes in human mental well-being following dog acquisition, including four measures: loneliness, positive and negative affect, and psychological distress.
Methods
We conducted an eight-month controlled study involving three groups (n = 71): 17 acquired a dog within 1 month of baseline (dog acquisition); 29 delayed dog acquisition until study completion (lagged control); and 25 had no intentions of acquiring a dog (community control). All participants completed the UCLA Loneliness Scale (possible scores 0–60), Positive and Negative Affect Schedule …
Mindfulness-Based Practices For School Aged Children With Anxiety, Bethany Schmitt
Mindfulness-Based Practices For School Aged Children With Anxiety, Bethany Schmitt
Counselor Education Capstones
No abstract provided.
Anxiety Symptoms As A Predictor Of Head And Neck Cancer Survival And Potential For Mediation By Cancer Treatment Response., Tyler D. Pollitt
Anxiety Symptoms As A Predictor Of Head And Neck Cancer Survival And Potential For Mediation By Cancer Treatment Response., Tyler D. Pollitt
College of Arts & Sciences Senior Theses
BACKGROUND:
Head and neck cancers (HNC) are associated with high rates of depression, which seems to affect overall survival. However, little attention has been paid to the effects of anxiety on overall survival, though anxiety has been shown to activate inflammatory pathways implicated in cancer symptom development and progression. Here it was hypothesized that higher pre-treatment anxiety levels in HNC patients would predict poorer overall two-year survival and a higher likelihood of subsequent HNC treatment failure. Additionally, we expected that the relationship between higher pre-treatment anxiety and poorer two-year overall survival would be mediated by treatment failure.
METHODS:
Patients (n …
I Was A Teenage Misanthrope: Essays, Lane E. Pybas
I Was A Teenage Misanthrope: Essays, Lane E. Pybas
Graduate Theses/Dissertations
The essays in this collection each explore to some extent my experience of mental illness, specifically clinical depression and generalized anxiety disorder. In writing these essays, I wanted to experiment with different methods of representing the self as it undergoes an experience of mental illness. In the essay “I Was a Teenage Misanthrope,” for example, I portray myself in a somewhat humorous way, highlighting my antisocial behaviors for comic effect, in order to depict a period of my life that might otherwise have been too difficult to write about. In “Quiet Midwestern Bitch,” an essay about anxiety, I represent multiple …
Flowers Or Flora?: Understanding The Effects Of Probiotics On Depression, Nicole Collopy
Flowers Or Flora?: Understanding The Effects Of Probiotics On Depression, Nicole Collopy
Senior Theses
The human gut is populated with hundreds of types of bacteria and fungi. In North America, both intestinal and mood disorders are prevalent, presenting health problems that challenge health care professionals and patients alike. A scholarly literature review was conducted to explore this important relationship.
The investigation of the literature revealed that there is an association between gut health disorders and mood disorders, mainly anxiety and depression. This is due to bi-directionality between the brain-gut pathways, meaning that gastrointestinal health may have an effect on mental health and vice versa.
This connection between gut and mood can have substantial implications …
Factors Related To Adverse Mental Health Condition Of Demented Family Caregivers: A Study In West Bengal, India, Ipsita Basu, Susmita Mukhopadhyay
Factors Related To Adverse Mental Health Condition Of Demented Family Caregivers: A Study In West Bengal, India, Ipsita Basu, Susmita Mukhopadhyay
Journal Articles
Dementia caregiving is a unique and the caregivers faces extreme challenges which affect care-giver's mental health adversely. Family caregiving towards elderly individuals with dementia is becoming widespread. The study aims to evaluate the mental health status of dementia family caregivers and some related factors that affect their mental health condition. Present cross sectional study includes a total of 134 family caregivers. Socio-demographic and caregiving related data were collected using pre-tested questionnaires. Standardized questionnaires were used to collect data on caregivers' mental health traits (measured in terms of level of stress and anxiety), level of psychosocial distress, support they provided and …
Investigating The Eeg Error-Related Negativity In College Students With Adhd, Anxiety, And Depression, Mariacristina Canini
Investigating The Eeg Error-Related Negativity In College Students With Adhd, Anxiety, And Depression, Mariacristina Canini
Undergraduate Honors Theses
Error-related negativity (ERN) is an event-related potential elicited by the commission of errors. It appears as a negative deflection peaking between 50ms and 100ms after an erroneous response. Previous literature demonstrated that individuals who suffer from either anxiety or depression display a higher ERN amplitude compared to a control group. It has also been shown that people with ADHD display a lower ERN amplitude. Based on these findings, we investigated the relationships between these three disorders and their effects on the amplitude of the ERN. We recruited thirty-one students at East Tennessee State University and gathered data on their level …
The Intersection Of Ministry And Mental Health: Worship Leaders With Depression, Benjamin Bartow Harrison
The Intersection Of Ministry And Mental Health: Worship Leaders With Depression, Benjamin Bartow Harrison
Doctoral Dissertations and Projects
Despite the fact the mental health issues are becoming more destigmatized among those in society, pastors and other church staff still face unique challenges when seeking treatment for mental health issues. This study considers the perspectives of ministers who often struggle in silence with depression. This qualitative historical research study will identify the unique challenges faced when battling depression that have not yet been studied concerning the lives of worship leaders in various stages of such mental health issues. Time demands, financial challenges, and stigma have emerged as common themes through exploration of a small body of existing literature and …
The Relationship Between Mindfulness, Surrender, And God Attachment And Its Impact On Depression And Anxiety, Shalana Marlene Palermo
The Relationship Between Mindfulness, Surrender, And God Attachment And Its Impact On Depression And Anxiety, Shalana Marlene Palermo
Doctoral Dissertations and Projects
The purpose of this study was to explore how God attachment may impact surrender to God and how mindfulness relates to the relationship between surrender and God attachment. Additionally, this study explores how surrender, God attachment and mindfulness might work together to impact symptoms of depression and anxiety. This study comprised 82 participants from a large Christian university that was enrolled in the university’s online doctoral counseling program. Using a quantitative survey research design, participants completed the following self-report measures online: Five Facet Mindfulness Questionnaire, Surrender Scale, Attachment to God Inventory, and Depression, Anxiety, and Stress Scale-21. Bivariate and multiple …
Burnout, Job Dissatisfaction, And Mental Health Outcomes Among Medical Students And Health Care Professionals At A Tertiary Care Hospital In Pakistan: Protocol For A Multi-Center Cross-Sectional Study, Syed Hamza Mufarrih, Aeman Naseer, Nada Qaisar Qureshi, Zohaib Anwar, Nida Zahid, Riaz Hussain Lakdawala, Shahryar Noordin
Burnout, Job Dissatisfaction, And Mental Health Outcomes Among Medical Students And Health Care Professionals At A Tertiary Care Hospital In Pakistan: Protocol For A Multi-Center Cross-Sectional Study, Syed Hamza Mufarrih, Aeman Naseer, Nada Qaisar Qureshi, Zohaib Anwar, Nida Zahid, Riaz Hussain Lakdawala, Shahryar Noordin
Department of Biological & Biomedical Sciences
Burnout, a state of vital exhaustion, has frequently been related to work-related stress and job dissatisfaction. Given the emotionally and physically challenging nature of their work, high rates of burnout have been reported among health care professionals. This may put them at a higher risk for of suffering from adverse mental health outcomes, including depression, anxiety and stress. In our study, we aim to assess the prevalence i of and associations among burnout and job dissatisfaction and adverse mental health outcomes in a developing country, where the challenges faced by the health care system are unique. Facilities are over-burdened and …
Peer Mentorship: Reported Outcomes Among Student Registered Nurse Anesthetists, Aja Rivera, Champagna Conner
Peer Mentorship: Reported Outcomes Among Student Registered Nurse Anesthetists, Aja Rivera, Champagna Conner
College of Science and Health Theses and Dissertations
Background: Student Registered Nurse Anesthetist (SRNAs) experience high levels of stress and anxiety while enrolled a demanding nurse anesthesia program; a peer mentorship program fosters an encouraging support system for SRNAs. Purpose: The purpose of this project was to evaluate if a peer mentorship program was effective at diminishing stress & anxiety, social isolation, enhancing preparedness amongst the first and second-year SRNAs, and to evaluate the perceived effectiveness of mentorship amongst students enrolled in the NorthShore University HealthSystem School of Nurse Anesthesia (NSUHS SONA). Methods: This quantitative, descriptive, cross-sectional study design involved three cohorts of SRNAs. Participants communicated through personal …
Aesthetics Of Anxiety, Sade' S. Culliver
Aesthetics Of Anxiety, Sade' S. Culliver
Honors College Theses
My research gives an in-depth explanation of what anxiety is, and a general idea of what it is like to deal with the condition. This research includes an illustrated clothing line consisting of fifteen looks that visually summarize the information about anxiety. Each element of these looks was based on research about anxiety, design techniques, and color theory. Of the fifteen looks, one was physically constructed and 2 were prepped for construction. The purpose of this research is to help people without the condition get a better general understanding of it, as well as help people with the condition feel …
Psychedelics For The Management Of Anxiety In Adults With Life-Threatening Diseases, Taylor J. Solak
Psychedelics For The Management Of Anxiety In Adults With Life-Threatening Diseases, Taylor J. Solak
Biennial Convention (CONV)
Anxiety is common psychiatric symptom secondary to life-threatening disease. Conventional pharmacological treatment of anxiety in this population is ineffective, subsequently paving the way for studies exploring alternative treatment options. A literature review is conducted exploring the efficacy of psychedelics in the treatment of anxiety in adults with life-threatening diseases.