The influence of comorbid chronic physical conditions on depression recognition in primary care: A systematic review

2015 ◽  
Vol 78 (4) ◽  
pp. 304-313 ◽  
Author(s):  
Matthew Menear ◽  
Isabelle Doré ◽  
Anne-Marie Cloutier ◽  
Laure Perrier ◽  
Pasquale Roberge ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Physical Conditions ◽  
Chronic Physical Conditions

scholarly journals Feasibility, experiences and outcomes of using DIALOG+ in primary care to improve quality of life and mental distress of patients with chronic conditions: an exploratory non-controlled trial in Bosnia and Herzegovina, Colombia and Uganda

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Francois van Loggerenberg ◽  
Michael McGrath ◽  
Dickens Akena ◽  
Harriet Birabwa-Oketcho ◽  
Camilo Andrés Cabarique Méndez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Bosnia And Herzegovina ◽  
Mental Distress ◽  
Controlled Trial ◽  
Physical Conditions ◽  
Link Type ◽  
Primary Care Settings ◽  
Chronic Physical Conditions

Abstract Background DIALOG+ is a resource-oriented and evidence-based intervention to improve quality of life and reduce mental distress. While it has been extensively studied in mental health care, there is little evidence for how to use it in primary care settings for patients with chronic physical conditions. Considering that DIALOG+ is used in existing routine patient-clinician meetings and is very low cost, it may have the potential to help large numbers of patients with chronic physical conditions, mental distress and poor quality of life who are treated in primary care. This is particularly relevant in low- and middle-income countries (LMICs) where resources for specialised services for such patients are scarce or non-existent. Methods An exploratory non-controlled trial will be conducted to primarily assess the feasibility and acceptability and, secondarily, outcomes of delivering DIALOG+ to patients with chronic physical conditions and poor quality of life in primary care settings in Bosnia and Herzegovina, Colombia and Uganda. Thirty patients in each country will receive DIALOG+ up to three times in monthly meetings over a 3-month period. Feasibility will be assessed by determining the extent to which the intervention is implemented as planned. Experiences will be captured in interviews and focus groups with care providers and participants to understand acceptability. Quality of life, symptoms of anxiety and depression, objective social situation and health status will be assessed at baseline and again after the three-session intervention. Discussion This study will inform our understanding of the extent to which DIALOG+ may be used in the routine care of patients with chronic physical conditions in different primary care settings. The findings of this exploratory trial can inform the design of future full randomised controlled trials of DIALOG+ in primary care settings in LMICs. Trial registration All studies were registered prospectively (on 02/12/2020 for Uganda and Bosnia and Herzegovina, and 01/12/2020 for Colombia) within the ISRCTN Registry. ISRCTN17003451 (Bosnia and Herzegovina), ISRCTN14018729 (Colombia) and ISRCTN50335796 (Uganda). Protocol version and date: v2.0; 28/07/2020 (Bosnia and Herzegovina), v0.3 02/08/2020 (Colombia) and v1.0, 05/11/2020 (Uganda).

scholarly journals Burden of chronic physical conditions and mental disorders in primary care

2010 ◽  
Vol 196 (4) ◽  
pp. 302-309 ◽  
Author(s):  
Anna Fernández ◽  
Juan Ángel Bellón Saameño ◽  
Alejandra Pinto-Meza ◽  
Juan Vicente Luciano ◽  
Jaume Autonell ◽  
...  
Keyword(s):  
Primary Care ◽  
Mental Disorders ◽  
Mood Disorders ◽  
Short Form ◽  
World Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Physical Conditions ◽  
Primary Care Patients ◽  
Chronic Physical Conditions

BackgroundThe World Health Organization (WHO) has stated that the three leading causes of burden of disease in 2030 are projected to include HIV/AIDS, unipolar depression and ischaemic heart disease.AimsTo estimate health-related quality of life (HRQoL) and quality-adjusted life-year (QALY) losses associated with mental disorders and chronic physical conditions in primary healthcare using data from the diagnosis and treatment of mental disorders in primary care (DASMAP) study, an epidemiological survey carried out with primary care patients in Catalonia (Spain).MethodA cross-sectional survey of a representative sample of 3815 primary care patients. A preference-based measure of health was derived from the 12-item Short Form Health Survey (SF–12): the Short Form–6D (SF–6D) multi-attribute health-status classification. Each profile generated by this questionnaire has a utility (or weight) assigned. We used non-parametric quantile regressions to model the association between both mental disorders and chronic physical condition and SF–6D scores.ResultsConditions associated with SF–6D were: mood disorders, β =−0.20 (95% CI −0.18 to −0.21); pain, β = −0.08 (95%CI −0.06 to −0.09) and anxiety, β =−0.04 (95% CI −0.03 to −0.06). The top three causes of QALY losses annually per 100 000 participants were pain (5064), mood disorders (2634) and anxiety (805).ConclusionsEstimation of QALY losses showed that mood disorders ranked second behind pain-related chronic medical conditions.

Mobile applications for the management of chronic physical conditions: A systematic review

2020 ◽  
Author(s):  
Laura Jiménez‐Muñoz ◽  
Luis Gutiérrez‐Rojas ◽  
Alejandro Porras‐Segovia ◽  
Philippe Courtet ◽  
Enrique Baca‐García
Keyword(s):  
Systematic Review ◽  
Mobile Applications ◽  
Physical Conditions ◽  
Chronic Physical Conditions

scholarly journals Feasibility, Experiences and Outcomes of using DIALOG+ in Primary Care to Improve Quality of Life and Mental Distress of Patients with Chronic Conditions: An Exploratory Non-Controlled Trial in Bosnia and Herzegovina, Colombia and Uganda

2021 ◽  
Author(s):  
Francois van Loggerenberg ◽  
Michael McGrath ◽  
Dickens Akena ◽  
Harriet Birabwa-Oketcho ◽  
Camilo Andres Cabarique Mendez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Bosnia And Herzegovina ◽  
Mental Distress ◽  
Controlled Trial ◽  
Poor Quality ◽  
Physical Conditions ◽  
Primary Care Settings ◽  
Chronic Physical Conditions

Abstract Background: DIALOG+ is a resource-oriented and evidence-based intervention to improve quality of life and reduce mental distress. While it has been extensively studied in mental health care, there is little evidence for how to use it in primary care settings for patients with chronic physical conditions. Considering that DIALOG+ is used in existing routine patient-clinician meetings and is very low cost, it may have the potential to help large numbers of patients with chronic physical conditions, mental distress and poor quality of life who are treated in primary care. This is particularly relevant in low-and-middle-income countries (LMICs) where resources for specialised services for such patients are scarce or non-existent. Methods: An exploratory non-controlled trial will be conducted to assess the acceptability, feasibility and outcomes of delivering DIALOG+ to patients with chronic physical conditions and poor quality of life in primary care settings in Bosnia and Herzegovina, Colombia and Uganda. Thirty patients in each country will receive DIALOG+ up to three times in monthly meetings over a three month period. Feasibility will be assessed by determining the extent to which the intervention is implemented as planned. Experiences will be captured in interviews and focus groups with care providers and participants. As outcomes, quality of life, symptoms of anxiety and depression, objective social situation and health status will be assessed at baseline and again after the three-session intervention. Discussion: This study will inform our understanding of the extent to which DIALOG+ may be used in the routine care of patients with chronic physical conditions in different primary care settings. The findings of this exploratory trial can inform the design of future full randomised controlled trials of DIALOG+ in primary care settings in LMICs. Trial registration: All studies were registered prospectively (on 02/12/2020 for Uganda and Bosnia and Herzegovina, and 01/12/2020 for Colombia) within the ISRCTN Registry. ISRCTN17003451 (Bosnia and Herzegovina), ISRCTN14018729 (Colombia) and ISRCTN50335796 (Uganda). Protocol version and date: v2.0; 28/07/2020 (Bosnia and Herzegovina), v0.3 02/08/2020 (Colombia), and, v1.0, 05/11/2020 (Uganda).

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