Effects of ozone therapy on anxiety and depression in patients with refractory symptoms of severe diseases: a pilot study

BackgroundPatients with refractory symptoms of severe diseases frequently experience anxiety, depression, and an altered health-related quality of life (HRQOL). Some publications have described the beneficial effect of ozone therapy on several symptoms of this kind of patient. The aim of this study...

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Main Authors: Bernardino Clavo, Angeles Cánovas-Molina, Juan A. Díaz-Garrido, Silvia Cañas, Yolanda Ramallo-Fariña, Horus Laffite, Mario Federico, Delvys Rodríguez-Abreu, Saray Galván, Carla García-Lourve, Damián González-Beltrán, Miguel A. Caramés, Jose L. Hernández-Fleta, Pedro Serrano-Aguilar, Francisco Rodríguez-Esparragón
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1176204/full
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author Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Angeles Cánovas-Molina
Angeles Cánovas-Molina
Angeles Cánovas-Molina
Juan A. Díaz-Garrido
Silvia Cañas
Yolanda Ramallo-Fariña
Yolanda Ramallo-Fariña
Yolanda Ramallo-Fariña
Yolanda Ramallo-Fariña
Horus Laffite
Mario Federico
Delvys Rodríguez-Abreu
Saray Galván
Carla García-Lourve
Carla García-Lourve
Damián González-Beltrán
Miguel A. Caramés
Jose L. Hernández-Fleta
Pedro Serrano-Aguilar
Pedro Serrano-Aguilar
Francisco Rodríguez-Esparragón
Francisco Rodríguez-Esparragón
Francisco Rodríguez-Esparragón
Francisco Rodríguez-Esparragón
author_facet Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Angeles Cánovas-Molina
Angeles Cánovas-Molina
Angeles Cánovas-Molina
Juan A. Díaz-Garrido
Silvia Cañas
Yolanda Ramallo-Fariña
Yolanda Ramallo-Fariña
Yolanda Ramallo-Fariña
Yolanda Ramallo-Fariña
Horus Laffite
Mario Federico
Delvys Rodríguez-Abreu
Saray Galván
Carla García-Lourve
Carla García-Lourve
Damián González-Beltrán
Miguel A. Caramés
Jose L. Hernández-Fleta
Pedro Serrano-Aguilar
Pedro Serrano-Aguilar
Francisco Rodríguez-Esparragón
Francisco Rodríguez-Esparragón
Francisco Rodríguez-Esparragón
Francisco Rodríguez-Esparragón
author_sort Bernardino Clavo
collection DOAJ
description BackgroundPatients with refractory symptoms of severe diseases frequently experience anxiety, depression, and an altered health-related quality of life (HRQOL). Some publications have described the beneficial effect of ozone therapy on several symptoms of this kind of patient. The aim of this study was to preliminarily evaluate, in patients treated because of refractory symptoms of cancer treatment and advanced nononcologic diseases, if ozone therapy has an additional impact on self-reported anxiety and depression.MethodsBefore and after ozone treatment, we assessed (i) anxiety and depression according to the Hospital Anxiety and Depression Scale (HADS); (ii) the HRQOL (according to the EQ-5D-5L questionnaire), which includes a dimension on anxiety and depression and a visual analog scale (VAS) measuring self-perceived general health.ResultsBefore ozone therapy, 56% of patients were on anxiolytic and/or antidepressant treatment. Before and after ozone therapy, the anxiety and depression HADS subscales (i) significantly correlated with the anxiety/depression dimension of the EQ-5D-5L questionnaire and (ii) inversely correlated with the health status as measured by the VAS. After ozone therapy, we found a significant improvement in anxiety and depression measured by both the (i) HADS subscales and (ii) EQ-5D-5L questionnaire.ConclusionThe addition of ozone therapy for patients with refractory symptoms of cancer treatment and advanced chronic nononcologic diseases can decrease anxiety and depression severity levels. Additional, more focused studies are ongoing to provide the needed explanatory information for this finding.
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spelling doaj.art-2392e3846ef54a5cb83f785bff2d0ecc2023-08-04T15:32:34ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-08-011410.3389/fpsyg.2023.11762041176204Effects of ozone therapy on anxiety and depression in patients with refractory symptoms of severe diseases: a pilot studyBernardino Clavo0Bernardino Clavo1Bernardino Clavo2Bernardino Clavo3Bernardino Clavo4Bernardino Clavo5Bernardino Clavo6Bernardino Clavo7Angeles Cánovas-Molina8Angeles Cánovas-Molina9Angeles Cánovas-Molina10Juan A. Díaz-Garrido11Silvia Cañas12Yolanda Ramallo-Fariña13Yolanda Ramallo-Fariña14Yolanda Ramallo-Fariña15Yolanda Ramallo-Fariña16Horus Laffite17Mario Federico18Delvys Rodríguez-Abreu19Saray Galván20Carla García-Lourve21Carla García-Lourve22Damián González-Beltrán23Miguel A. Caramés24Jose L. Hernández-Fleta25Pedro Serrano-Aguilar26Pedro Serrano-Aguilar27Francisco Rodríguez-Esparragón28Francisco Rodríguez-Esparragón29Francisco Rodríguez-Esparragón30Francisco Rodríguez-Esparragón31Research Unit, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainChronic Pain Unit, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainRadiation Oncology Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainFundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Las Palmas de Gran Canaria/Tenerife, SpainUniversitary Institute for Research in Biomedicine and Health (iUIBS), Molecular and Translational Pharmacology Group, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, SpainInstituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias de la Universidad de La Laguna, Santa Cruz de Tenerife, SpainCIBER de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, SpainSpanish Group of Clinical Research in Radiation Oncology (GICOR), Madrid, SpainResearch Unit, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainChronic Pain Unit, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainFundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Las Palmas de Gran Canaria/Tenerife, SpainPsychiatry Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain0Psychiatry Department, Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Las Palmas de Gran Canaria, SpainFundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Las Palmas de Gran Canaria/Tenerife, Spain1Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Santa Cruz de Tenerife, Spain2Servicio de Evaluación y Planificación del Servicio Canario de Salud (SESCS), Santa Cruz de Tenerife, Spain3Instituto de Tecnologías Biomédicas (ITB), Universidad de la Laguna, Santa Cruz de Tenerife, SpainPsychiatry Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainRadiation Oncology Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain4Medical Oncology Department, Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Las Palmas de Gran Canaria, Spain5Medical Oncology Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainResearch Unit, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainFundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Las Palmas de Gran Canaria/Tenerife, SpainResearch Unit, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainChronic Pain Unit, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainPsychiatry Department, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainFundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Las Palmas de Gran Canaria/Tenerife, Spain3Instituto de Tecnologías Biomédicas (ITB), Universidad de la Laguna, Santa Cruz de Tenerife, SpainResearch Unit, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, SpainFundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Las Palmas de Gran Canaria/Tenerife, SpainInstituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias de la Universidad de La Laguna, Santa Cruz de Tenerife, SpainCIBER de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, SpainBackgroundPatients with refractory symptoms of severe diseases frequently experience anxiety, depression, and an altered health-related quality of life (HRQOL). Some publications have described the beneficial effect of ozone therapy on several symptoms of this kind of patient. The aim of this study was to preliminarily evaluate, in patients treated because of refractory symptoms of cancer treatment and advanced nononcologic diseases, if ozone therapy has an additional impact on self-reported anxiety and depression.MethodsBefore and after ozone treatment, we assessed (i) anxiety and depression according to the Hospital Anxiety and Depression Scale (HADS); (ii) the HRQOL (according to the EQ-5D-5L questionnaire), which includes a dimension on anxiety and depression and a visual analog scale (VAS) measuring self-perceived general health.ResultsBefore ozone therapy, 56% of patients were on anxiolytic and/or antidepressant treatment. Before and after ozone therapy, the anxiety and depression HADS subscales (i) significantly correlated with the anxiety/depression dimension of the EQ-5D-5L questionnaire and (ii) inversely correlated with the health status as measured by the VAS. After ozone therapy, we found a significant improvement in anxiety and depression measured by both the (i) HADS subscales and (ii) EQ-5D-5L questionnaire.ConclusionThe addition of ozone therapy for patients with refractory symptoms of cancer treatment and advanced chronic nononcologic diseases can decrease anxiety and depression severity levels. Additional, more focused studies are ongoing to provide the needed explanatory information for this finding.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1176204/fullozone therapyanxiety and depressionhealth-related quality of lifeadvanced diseaseschemotherapy-induced side effectsradiation-induced side effects
spellingShingle Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Bernardino Clavo
Angeles Cánovas-Molina
Angeles Cánovas-Molina
Angeles Cánovas-Molina
Juan A. Díaz-Garrido
Silvia Cañas
Yolanda Ramallo-Fariña
Yolanda Ramallo-Fariña
Yolanda Ramallo-Fariña
Yolanda Ramallo-Fariña
Horus Laffite
Mario Federico
Delvys Rodríguez-Abreu
Saray Galván
Carla García-Lourve
Carla García-Lourve
Damián González-Beltrán
Miguel A. Caramés
Jose L. Hernández-Fleta
Pedro Serrano-Aguilar
Pedro Serrano-Aguilar
Francisco Rodríguez-Esparragón
Francisco Rodríguez-Esparragón
Francisco Rodríguez-Esparragón
Francisco Rodríguez-Esparragón
Effects of ozone therapy on anxiety and depression in patients with refractory symptoms of severe diseases: a pilot study
Frontiers in Psychology
ozone therapy
anxiety and depression
health-related quality of life
advanced diseases
chemotherapy-induced side effects
radiation-induced side effects
title Effects of ozone therapy on anxiety and depression in patients with refractory symptoms of severe diseases: a pilot study
title_full Effects of ozone therapy on anxiety and depression in patients with refractory symptoms of severe diseases: a pilot study
title_fullStr Effects of ozone therapy on anxiety and depression in patients with refractory symptoms of severe diseases: a pilot study
title_full_unstemmed Effects of ozone therapy on anxiety and depression in patients with refractory symptoms of severe diseases: a pilot study
title_short Effects of ozone therapy on anxiety and depression in patients with refractory symptoms of severe diseases: a pilot study
title_sort effects of ozone therapy on anxiety and depression in patients with refractory symptoms of severe diseases a pilot study
topic ozone therapy
anxiety and depression
health-related quality of life
advanced diseases
chemotherapy-induced side effects
radiation-induced side effects
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1176204/full
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