Implications of long-term conditions for both mental and physical health: comparison of rheumatoid arthritis and schizophrenia

2009 ◽  
Vol 18 (6) ◽  
pp. 699-707 ◽  
Author(s):  
Heidi Lempp ◽  
Graham Thornicroft ◽  
Morven Leese ◽  
Naomi Fearns ◽  
Helen Graves ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Health ◽  
Long Term Conditions ◽  
Mental And Physical Health

Crisis Intervention: Theoretical and Methodological Considerations

1971 ◽  
Vol 5 (3) ◽  
pp. 183-190 ◽  
Author(s):  
Beverley Raphael
Keyword(s):  
Primary Prevention ◽  
Physical Health ◽  
Current Literature ◽  
Crisis Intervention ◽  
Social Adaptation ◽  
The Individual ◽  
Methodological Considerations ◽  
Mental And Physical Health

This paper is a theoretical and methodological dissertation on the concept of crisis intervention as an instrument of primary prevention; appropriate current literature is reviewed. The concepts of crisis are discussed briefly, and a concept emphasizing the intrapsychic state of the individual is proposed. The relevance of crisis with its period of disturbed functioning and its potential immediate and long-term sequelae for mental and physical health and social adaptation is reviewed. The concepts of crisis intervention are explored and dealt with. Each is looked at from the aspects of epidemiologically established basis, forms of intervention, both actual and hypothesized, and methodology of evaluation of effectiveness.

scholarly journals What makes for a ‘good’ or ‘bad’ paediatric diabetes service from the viewpoint of children, young people, carers and clinicians? A synthesis of qualitative findings

2015 ◽  
Vol 100 (9) ◽  
pp. 826-833 ◽  
Author(s):  
Katherine Curtis-Tyler ◽  
Lisa Arai ◽  
Terence Stephenson ◽  
Helen Roberts
Keyword(s):  
Young People ◽  
Physical Health ◽  
Age Groups ◽  
Long Term Conditions ◽  
Children And Young People ◽  
Paediatric Diabetes ◽  
Experience Of Care ◽  
Crucial Part ◽  
Selection Of

BackgroundThere is mounting evidence that experience of care is a crucial part of the pathway for successful management of long-term conditions.Design and objectivesTo carry out (1) a systematic mapping of qualitative evidence to inform selection of studies for the second stage of the review; and (2) a narrative synthesis addressing the question, What makes for a ‘good’ or a ‘bad’ paediatric diabetes service from the viewpoint of children, young people, carers and clinicians?ResultsThe initial mapping identified 38 papers. From these, the findings of 20 diabetes-focused papers on the views on care of ≥650 children, parents and clinicians were synthesised. Only five studies included children under 11 years. Children and young people across all age groups valued positive, non-judgemental and relationship-based care that engaged with their social, as well as physical, health. Parents valued provision responsive to the circumstances of family life and coordinated across services. Clinicians wanting to engage with families beyond a child's immediate physical health described finding this hard to achieve in practice.LimitationsSocioeconomic status and ethnicity were poorly reported in the included studies.ConclusionsIn dealing with diabetes, and engaging with social health in a way valued by children, parents and clinicians, not only structural change, such as more time for consultation, but new skills for reworking relations in the consultation may be required.

scholarly journals Caregivers’ Mental Health and Somatic Symptoms During COVID-19

2020 ◽  
Author(s):  
Sung S Park
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Negative Binomial ◽  
Somatic Symptoms ◽  
Health Conditions ◽  
Group Differences ◽  
Short Term ◽  
The Impact ◽  
Mental And Physical Health

Abstract Objectives This study examines differences in the mental and physical health of the U.S. population during the early stages of the COVID-19 pandemic among 3 groups: noncaregivers, short-term caregivers (1 year or less), and long-term caregivers (greater than 1 year). Methods Data from the Understanding America Study are used to describe group differences in reports of psychological distress and somatic symptoms. Logistic and negative binomial regression models are used to examine whether these differences persist after adjusting for demographic, socioeconomic, and prepandemic health conditions. To understand within-group differences in caregiving demands, the intensity of care provided by short-term and long-term caregivers, as well as selected patients’ health conditions are summarized. Results Adults’ mental and physical health varied substantially by caregiver status. Caregivers continued to fare worse than noncaregivers in terms of mental health and fatigue, and long-term caregivers were more likely to report headache, body aches, and abdominal discomfort than both short-term caregivers and noncaregivers, net of controls. The nature of caregiving differed between short-term and long-term caregivers, with the latter more likely to provide greater hours of care, and to be looking after patients with permanent medical conditions. Discussion Efforts to understand and mitigate the impact of the pandemic on population health should include caregivers, whose mental and physical health were already vulnerable before COVID-19.

scholarly journals Exploring the facilitators, barriers, and strategies for self-management in adults living with severe mental illness, with and without long-term conditions: A qualitative evidence synthesis

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258937
Author(s):  
Abisola Balogun-Katung ◽  
Claire Carswell ◽  
Jennifer V. E. Brown ◽  
Peter Coventry ◽  
Ramzi Ajjan ◽  
...  
Keyword(s):  
Mental Illness ◽  
Physical Health ◽  
Severe Mental Illness ◽  
Evidence Synthesis ◽  
Barriers And Facilitators ◽  
Self Management ◽  
Qualitative Evidence Synthesis ◽  
Long Term Conditions ◽  
Qualitative Evidence

Background People living with severe mental illness (SMI) have a reduced life expectancy by around 15–20 years, in part due to higher rates of long-term conditions (LTCs) such as diabetes and heart disease. Evidence suggests that people with SMI experience difficulties managing their physical health. Little is known, however, about the barriers, facilitators and strategies for self-management of LTCs for people with SMI. Aim To systematically review and synthesise the qualitative evidence exploring facilitators, barriers and strategies for self-management of physical health in adults with SMI, both with and without long-term conditions. Methods CINAHL, Conference Proceedings Citation Index- Science, HMIC, Medline, NICE Evidence and PsycInfo were searched to identify qualitative studies that explored barriers, facilitators and strategies for self-management in adults with SMI (with or without co-morbid LTCs). Articles were screened independently by two independent reviewers. Eligible studies were purposively sampled for synthesis according to the richness and relevance of data, and thematically synthesised. Results Seventy-four articles met the inclusion criteria for the review; 25 articles, reporting findings from 21 studies, were included in the synthesis. Seven studies focused on co-morbid LTC self-management for people with SMI, with the remaining articles exploring self-management in general. Six analytic themes and 28 sub-themes were identified from the synthesis. The themes included: the burden of SMI; living with co-morbidities; beliefs and attitudes about self-management; support from others for self-management; social and environmental factors; and routine, structure and planning. Conclusions The synthesis identified a range of barriers and facilitators to self-management, including the burden of living with SMI, social support, attitudes towards self-management and access to resources. To adequately support people with SMI with co-morbid LTCs, healthcare professionals need to account for how barriers and facilitators to self-management are influenced by SMI, and meet the unique needs of this population.

Preparing for Post COVID-19 Stage

BioMedica ◽  
2020 ◽  
Vol 36 (2S) ◽  
pp. 21-23
Author(s):  
Asad Zaheer
Keyword(s):  
Physical Health ◽  
Situation Analysis ◽  
Robust Measures ◽  
Mental And Physical Health

<p>Since the outbreak of COVID-19 has emerged, 2022 is predicted by researchers as the year for the return of normalcy. With every domain of life at halt, the tardiest recovery will be in education and research where 1.5 billion learners have been affected globally by the Pandemic. With meticulous but strong concomitant situation analysis by the universities, robust measures need to be taken to ensure (1) optimal mental and physical health of all faculty, staff and students, (2) balancing the financial and managerial crises and (3) development and implementation of long-term policies to stand-up to the challenges of this situation</p>

scholarly journals Improving recognition of anxiety and depression in rheumatoid arthritis: a qualitative study in a community clinic

2017 ◽  
Vol 67 (661) ◽  
pp. e531-e537 ◽  
Author(s):  
Annabelle Machin ◽  
Samantha Hider ◽  
Nicky Dale ◽  
Carolyn Chew-Graham
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Health ◽  
Continuity Of Care ◽  
Health Problems ◽  
Anxiety And Depression ◽  
Annual Review ◽  
Comorbid Anxiety ◽  
Psychological Therapies ◽  
Physical Health Problems ◽  
Mental And Physical Health

BackgroundComorbid anxiety and depression are common in patients with rheumatoid arthritis (RA) but are often under-recognised and treated, contributing to worse outcomes. National Institute for Health and Care Excellence (NICE) recommends that patients with RA should be offered a holistic annual review, including an assessment of mood.AimTo explore patients’ perspectives of anxiety and depression in RA and preferences for disclosure and management of mood problems.Design and settingQualitative interview study with patients recruited from a nurse-led RA annual review clinic in the Midlands, England.MethodPatients attending the clinic who scored ≥3 on the case-finding questions (PHQ-2 and GAD-2) were invited for interview. Data were analysed thematically using principles of constant comparison.ResultsParticipants recognised a connection between their RA and mood, though this was perceived variably. Some lacked candidacy for care, normalising their mood problems. Fear of stigmatisation, a lack of time, and the perception that clinicians prioritise physical over mental health problems recursively affected help-seeking. Good communication and continuity of care were perceived to be integral to disclosure of mood problems. Participants expressed a preference for psychological therapies, though they reported problems accessing care. Some perceived medication to be offered as a ‘quick fix’ and feared potential drug interactions.ConclusionPrior experiences can lead patients with RA and comorbid anxiety and depression to feel they lack candidacy for care. Provision of equal priority to mental and physical health problems by GPs and improved continuity of care could help disclosure of mood concerns. Facilitation of access to psychological therapies could improve outcomes for both mental and physical health problems.

Spousal Breadwinning Across 30 Years of Marriage and Husbands’ Health: A Gendered Life Course Stress Approach

2017 ◽  
Vol 31 (1) ◽  
pp. 37-66 ◽  
Author(s):  
Kristen W. Springer ◽  
Chioun Lee ◽  
Deborah Carr
Keyword(s):  
Physical Health ◽  
Latent Class ◽  
Later Life ◽  
Well Being ◽  
Cultural Expectations ◽  
Income Data ◽  
And Gender ◽  
Mental And Physical Health ◽  
Retirement Study

Objective: Wives increasingly outearn their husbands, and gender relations theory suggests this arrangement may undermine men’s well-being. We explore how long-term histories of spousal breadwinning may be associated with older men’s self-rated mental and physical health, and risk of nine health diagnoses. Method: Using 30 years of couple-level income data from the Health and Retirement Study ( n = 1,095 couples), we use latent class analyses to identify six classes that differ with respect to the timing and level of wife breadwinning. We link these classes to older husbands’ later-life health. Results: Classes that transitioned from husband breadwinning to wife breadwinning in early or later adulthood were associated with husbands’ poorer overall physical health and risk of cardiometabolic and stress-related diseases. Patterns persist net of sociodemographics, depressive symptoms, health behaviors, and adolescent health. Discussion: Violating cultural expectations, such as the masculinity ideal of male breadwinning, is associated with older men’s poorer health.

scholarly journals Multimorbidity among People Experiencing Homelessness—Insights from Primary Care Data

2021 ◽  
Vol 18 (12) ◽  
pp. 6498
Author(s):  
Shannen Vallesi ◽  
Matthew Tuson ◽  
Andrew Davies ◽  
Lisa Wood
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Premature Mortality ◽  
Health Condition ◽  
Health Issues ◽  
Long Term Conditions ◽  
Public Health Programs ◽  
Health Discourse ◽  
Active Patients

Background: Although the poor health of people experiencing homelessness is increasingly recognised in health discourse, there is a dearth of research that has quantified the nature and magnitude of chronic health issues and morbidity among people experiencing homelessness, particularly in the Australian context. Methods: Analysis of the medical records of 2068 “active” patients registered with a specialist homeless health service in Perth, Western Australia as of 31 December 2019. Results: Overall, 67.8% of patients had at least one chronic physical health condition, 67.5% had at least one mental health condition, and 61.6% had at least one alcohol or other drug (AOD) use disorder. Nearly half (47.8%) had a dual diagnosis of mental health and AOD use issues, and over a third (38.1%) were tri-morbid (mental health, AOD and physical health condition). Three-quarters (74.9%) were multimorbid or had at least two long-term conditions (LTCs), and on average, each patient had 3.3 LTCs. Conclusions: The study findings have substantial implications from both a health risk and healthcare treatment perspective for people experiencing homeless. The pervasiveness of preventable health conditions among people experiencing homelessness also highlights the imperative to improve the accessibility of public health programs and screening to reduce their morbidity and premature mortality.

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