scholarly journals Palliative Care Gaps in Providing Psychological Treatment: A Review of the Current State of Research in Multidisciplinary Palliative Care

2017 ◽  
Vol 35 (3) ◽  
pp. 505-510 ◽  
Author(s):  
Elissa Kozlov ◽  
Bahar Niknejad ◽  
M. C. Reid
Keyword(s):  
Mental Health ◽  
Palliative Care ◽  
Intervention Studies ◽  
Psychological Symptoms ◽  
Psychological Intervention ◽  
Psychological Treatment ◽  
Future Research ◽  
Psychological Outcome ◽  
Current State ◽  
Care Intervention

Background: Patients with advanced illness often have high rates of psychological symptoms. Many multicomponent palliative care intervention studies have investigated the efficacy of overall symptom reduction; however, little research has focused explicitly on how interventions address psychological symptoms associated with serious illness. Methods: The current study reviewed 59 multicomponent palliative care intervention articles and analyzed the mental health components of palliative care interventions and their outcomes in order to better understand the current state of psychological care in palliative care. Results: The majority of articles (69.5%) did not provide any details regarding the psychological component delivered as part of the palliative care intervention. Most (54.2%) studies did not specify which provider on the team was responsible for providing the psychological intervention. Studies varied regarding the type of outcome measure utilized; multi-symptom assessment scales were used in 54.2% of studies, mental health scales were employed in 25.4%, quality of life and distress scales were used in 16.9%, and no psychological scales were reported in 28.8%. Fewer than half the studies (42.4%) documented a change in a psychological outcome. Discussion and Conclusion: The majority of analyzed studies failed to describe how psychological symptoms were identified and treated, which discipline on the team provided the treatment, and whether psychological symptoms improved as a result of the intervention. Future research evaluating the effects of palliative care interventions on psychological symptoms will benefit from using reliable and valid psychological outcome measures and providing specificity regarding the psychological components of the intervention and who provides it.

Stress and productivity in workers of textile companies

2019 ◽  
Vol 23 (1) ◽  
pp. 17-29
Author(s):  
Carlos Ramos-Galarza ◽  
Pamela Acosta-Rodas
Keyword(s):  
Mental Health ◽  
Occupational Stress ◽  
Negative Impact ◽  
Psychological Intervention ◽  
Psychological Treatment ◽  
Economic Losses ◽  
Future Research ◽  
Quantitative Methodology ◽  
Textile Production ◽  
Content Type

Purpose The purpose of this paper is to analyze the relationship between two psychological factors which are occupation stress and productivity, that influence workers immerse into textile production labor context. Design/methodology/approach This study has a quantitative methodology, is cross-sectional, nonexperimental and with an explicative scope. Findings The results of this research allow to identify that occupational stress levels cause a negative impact on worker’s productivity in the textile production area. Research limitations/implications There are two limitations in this study, first is the participant’s subjectivity when filling the questionnaires because it was self-reported and the second limitation is that the sample is specifically from a city of a South American country. Practical implications The results of this investigation show as an evidence the need for psychological intervention within companies for occupational stress, because it will impact in a negative way the textile production of a company, which will guide future research making possible to develop and apply psychological treatment programs pro employee’s mental health. Social implications A textile company with low productivity will bring strong economic losses and even bankruptcy, although, thanks to this study it was possible to identify that occupational stress will have a negative impact in productivity, drawing an important based line to future research, looking to improve worker’s performance and hence, companies’ profits contributing to social economic processes. Originality/value In general, companies of textile industry (as many others from capitalist economic system), make substantial investments in technology instruments, specialized workers, machines’ maintenance and reparation, marketing, etc. to improve their production standards, however, there is a low investment on worker’s mental health, as it has been found in this study it generates a strong negative impact on its productivity.

scholarly journals A review of the effect of compassion on mental health: emotion regulation as a possible mechanism of action

2019 ◽  
Vol 4 (S1) ◽  
pp. 39-46
Author(s):  
Andrés S. Lombas
Keyword(s):  
Mental Health ◽  
Emotion Regulation ◽  
Empirical Evidence ◽  
Mechanism Of Action ◽  
Intervention Studies ◽  
Empirical Literature ◽  
Future Research ◽  
Self Compassion ◽  
Current State ◽  
State Of Research

This article provides a review of the current state of research on compassion. First, the construct of compassion is addressed from a Buddhist perspective. Second, this article reviews the empirical literature on the relation of self-compassion to mental health, including findings from correlational studies as well as intervention studies. Third, compassion and empathy are conceptually differentiated, providing empirical evidence that supports this distinction. Fourth, the idea is discussed that a possible mechanism of action for self-compassion on mental health may be through improvements on emotion regulation. Finally, it is concluded that research on compassion is still emergent and directions for future research are suggested.

scholarly journals Stress and burnout in Improving Access to Psychological Therapies (IAPT) trainees: a systematic review

2021 ◽  
Vol 14 ◽  
Author(s):  
Joel Owen ◽  
Louise Crouch-Read ◽  
Matthew Smith ◽  
Paul Fisher
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Future Research ◽  
List Type ◽  
Dual Roles ◽  
Eligibility Criteria ◽  
Psychological Therapies ◽  
Current State

Abstract For more than a decade, Improving Access to Psychological Therapies (IAPT) has been training a new workforce of psychological therapists. Despite evidence of stress and burnout both in trainee mental health professionals, and qualified IAPT clinicians, little is known about these topics in IAPT trainees. Consequently, this systematic review sought to establish the current state of the literature regarding stress and burnout in IAPT trainees. Electronic databases were searched to identify all published and available unpublished work relating to the topic. On the basis of pre-established eligibility criteria, eight studies (including six unpublished doctoral theses) were identified and assessed for quality. This review identifies that research into the experience of IAPT trainees is under-developed. Existing evidence tentatively suggests that IAPT trainees may experience levels of stress and burnout that are higher than their qualified peers and among the higher end of healthcare professionals more generally. The experience of fulfilling dual roles as mental health professionals and university students concurrently appears to be a significant source of stress for IAPT trainees. More research regarding the levels and sources of stress and burnout in IAPT trainees is urgently needed to confirm and extend these findings. Recommendations for future research in the area are given. Key learning aims (1) To establish the current state of the literature regarding stress and burnout in IAPT trainees. (2) To raise practitioner, service and education-provider awareness regarding the levels and perceived sources of stress and burnout in IAPT trainees. (3) To make recommendations regarding future research on the topic.

They did not start the fire: reviewing and resolving the issue of physician stress and burnout

2017 ◽  
Vol 31 (4) ◽  
pp. 410-417 ◽  
Author(s):  
Julie Christine Babyar
Keyword(s):  
Design Methodology ◽  
Intervention Studies ◽  
Future Research ◽  
Organizational Strategies ◽  
Physician Burnout ◽  
Content Type ◽  
Current State ◽  
The Usa ◽  
Research Accountability ◽  
Physician Stress

Purpose Physician stress and burnout is a serious and common concern in healthcare, with over half of physicians in the USA meeting at least one criterion for burnout. The paper aims to discuss these issues. Design/methodology/approach A review on current state of physician stress and burnout research, from 2008 to 2016, was undertaken. A subsequent perspective paper was shaped around these reviews. Findings Findings reveal research strength in prevalence and incidence with opportunities for stronger intervention studies. While descriptive studies on causes and consequences of physician burnout are available, studies on interventions and prevention of physician burnout are lacking. Future research on physician stress and burnout should incorporate intervention studies and take care to avoid limitations found in current research. Accountability and prevention of physician burnout is the responsibility of the healthcare industry as a whole, and organizational strategies must be emphasized in future research. Originality/value The value of this research comes in the original comprehensive review, international inclusion and succinct summary of physician burnout research and strategies.

scholarly journals Baseline Psychological Treatment Reduces the Effect of Coaching in a Randomised Trial of a Depression Self-Care Intervention

2016 ◽  
Vol 62 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Jane McCusker ◽  
Martin Cole ◽  
Sylvie Lambert ◽  
Mark Yaffe ◽  
Antonio Ciampi ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Psychological Treatment ◽  
Randomised Trial ◽  
Self Care ◽  
Mental Health Outcomes ◽  
Control Group ◽  
Low Intensity ◽  
Care Intervention ◽  
Telephone Coaching

Objective: To explore the effects of baseline psychological and antidepressant medication treatment in a trial of lay telephone coaching in a low-intensity, supported depression self-care intervention. Method: A single blind, individually randomised, pragmatic trial was conducted among primary care adults with chronic physical conditions and comorbid depressive symptoms. Eligible subjects were randomised to receive a depression self-care toolkit with (intervention group) or without (control group) telephone coaching provided by trained lay coaches. For this brief communication, a secondary analysis of the trial data focused on the effects of baseline psychological and antidepressant treatments on mental health outcomes (Patient Health Questionnaire 9 [PHQ-9], SF-12 Mental Component Summary [MCS], Generalized Anxiety Disorder 7 [GAD-7]) and satisfaction with the intervention. Results: In total, 223 patients were randomised, and 165 (74.0%) completed both 3- and 6-month follow-ups. There were 2 significant interactions of baseline treatment and study group for 6-month mental health outcomes. A significant benefit of coaching on 6-month PHQ-9 was seen only among participants who were not receiving baseline psychological treatment. A smaller interaction was found for baseline antidepressant medications and 6-month mental health. There was a significant main effect for baseline psychological treatment and lower 6-month satisfaction. Conclusions: Depressed patients receiving baseline psychological treatment may not benefit from lay coaching offered as part of a low-intensity depression self-care intervention.

Mental healthcare and palliative care: barriers

2020 ◽  
pp. bmjspcare-2019-001986 ◽  
Author(s):  
Kelly O'Malley ◽  
Laura Blakley ◽  
Katherine Ramos ◽  
Nicole Torrence ◽  
Zachary Sager
Keyword(s):  
Mental Health ◽  
Palliative Care ◽  
Psychological Symptoms ◽  
Mental Healthcare ◽  
Well Being ◽  
Psychological Needs ◽  
Treatment Team ◽  
Advanced Illness ◽  
Palliative Care Teams ◽  
The Usa

ContextPsychological symptoms are common among palliative care patients with advanced illness, and their effect on quality of life can be as significant as physical illness. The demand to address these issues in palliative care is evident, yet barriers exist to adequately meet patients’ psychological needs.ObjectivesThis article provides an overview of mental health issues encountered in palliative care, highlights the ways psychologists and psychiatrists care for these issues, describes current approaches to mental health services in palliative care, and reviews barriers and facilitators to psychology and psychiatry services in palliative care, along with recommendations to overcome barriers.ResultsPatients in palliative care can present with specific mental health concerns that may exceed palliative care teams’ available resources. Palliative care teams in the USA typically do not include psychologists or psychiatrists, but in palliative care teams where psychologists and psychiatrists are core members of the treatment team, patient well-being is improved.ConclusionPsychologists and psychiatrists can help meet the complex mental health needs of palliative care patients, reduce demands on treatment teams to meet these needs and are interested in doing so; however, barriers to providing this care exist. The focus on integrated care teams, changing attitudes about mental health, and increasing interest and training opportunities for psychologists and psychiatrists to be involved in palliative care, may help facilitate the integration of psychology and psychiatry into palliative care teams.

scholarly journals State of mental healthcare systems in Eastern Europe: do we really understand what is going on?

2016 ◽  
Vol 13 (4) ◽  
pp. 96-99 ◽  
Author(s):  
Dzmitry Krupchanka ◽  
Petr Winkler
Keyword(s):  
Mental Health ◽  
Eastern Europe ◽  
Mental Healthcare ◽  
Healthcare Systems ◽  
World Health ◽  
Quality Data ◽  
Service Development ◽  
Future Research ◽  
Current State ◽  
Development Analysis

The article examines the current state of mental healthcare systems in countries of Eastern Europe and derives implications for future research and service development. Analysis of available statistics from the World Health Organization's Mental Health Atlas suggests the need for better-quality data collection. Nonetheless, there appear to be insufficient resources allocated to mental health, lack of involvement of service users in policy-making and, to a large extent, systems continue to rely on mental hospitals. Based on the data presented, a set of directions for future reforms was drafted.

The Physician’s Role in Responding to Existential Suffering: What Does It Mean to Comfort Always?

2019 ◽  
Vol 35 (1) ◽  
pp. 8-12
Author(s):  
Hermioni L. Amonoo ◽  
Jennifer H. Harris ◽  
William S. Murphy ◽  
Janet L. Abrahm ◽  
John R. Peteet
Keyword(s):  
Mental Health ◽  
Palliative Care ◽  
Spiritual Care ◽  
Psychological Symptoms ◽  
Time Constraints ◽  
Care Providers ◽  
Existential Suffering ◽  
Existential Distress ◽  
Existential Needs ◽  
Instrumental Role

Existential suffering is commonly experienced by patients with serious medical illnesses despite the advances in the treatment of physical and psychological symptoms that often accompany incurable diseases. Palliative care (PC) clinicians wishing to help these patients are faced with many barriers including the inability to identify existential suffering, lack of training in how to address it, and time constraints. Although mental health and spiritual care providers play an instrumental role in addressing the existential needs of patients, PC clinicians are uniquely positioned to coordinate the necessary resources for addressing existential suffering in their patients. With this article, we present a case of a patient in existential distress and a framework to equip PC clinicians to assess and address existential suffering.

scholarly journals Cardiovascular Disease Self-Care Interventions

2013 ◽  
Vol 2013 ◽  
pp. 1-16 ◽  
Author(s):  
Victoria Vaughan Dickson ◽  
Jill Nocella ◽  
Hye-Won Yoon ◽  
Marilyn Hammer ◽  
Gail D’Eramo Melkus ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Intervention Studies ◽  
Self Care ◽  
Future Research ◽  
Inclusion Criteria ◽  
Care Intervention ◽  
Rigorous Study ◽  
Study Designs ◽  
Combined Interventions

Background. Cardiovascular disease (CVD) is a major cause of increased morbidity and mortality globally. Clinical practice guidelines recommend that individuals with CVD are routinely instructed to engage in self-care including diet restrictions, medication adherence, and symptom monitoring.Objectives. To describe the nature of nurse-led CVD self-care interventions, identify limitations in current nurse-led CVD self-care interventions, and make recommendations for addressing them in future research.Design. Integrative review of nurse-led CVD self-care intervention studies from PubMed, MEDLINE, ISI Web of Science, and CINAHL. Primary studies (n=34) that met the inclusion criteria of nurse-led RCT or quasiexperimental CVD self-care intervention studies (years 2000 to 2012) were retained and appraised. Quality of the review was assured by having at least two reviewers screen and extract all data.Results. A variety of self-care intervention strategies were studied among the male (57%) and Caucasian (67%) dominated samples. Combined interventions were common, and quality of life was the most frequent outcome evaluated. Effectiveness of interventions was inconclusive, and in general results were not sustained over time.Conclusions. Research is needed to develop and test tailored and inclusive CVD self-care interventions. Attention to rigorous study designs and methods including consistent outcomes and measurement is essential.

scholarly journals Brief Engagement and Acceptance Coaching for Hospice Settings (the BEACHeS study): results from a Phase I study of acceptability and initial effectiveness in people with non-curative cancer

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Nicholas J. Hulbert-Williams ◽  
Sabrina F. Norwood ◽  
David Gillanders ◽  
Anne M. Finucane ◽  
Juliet Spiller ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Focus Groups ◽  
Advanced Cancer ◽  
Psychological Intervention ◽  
Qualitative Interviews ◽  
Future Research ◽  
Study Results ◽  
Palliative Care Setting

Abstract Objectives Transitioning into palliative care is psychologically demanding for people with advanced cancer, and there is a need for acceptable and effective interventions to support this. We aimed to develop and pilot test a brief Acceptance and Commitment Therapy (ACT) based intervention to improve quality of life and distress. Methods Our mixed-method design included: (i) quantitative effectiveness testing using Single Case Experimental Design (SCED), (ii) qualitative interviews with participants, and (iii) focus groups with hospice staff. The five-session, in-person intervention was delivered to 10 participants; five completed at least 80%. Results At baseline, participants reported poor quality of life but low distress. Most experienced substantial physical health deterioration during the study. SCED analysis methods did not show conclusively significant effects, but there was some indication that outcome improvement followed changes in expected intervention processes variables. Quantitative and qualitative data together demonstrates acceptability, perceived effectiveness and safety of the intervention. Qualitative interviews and focus groups were also used to gain feedback on intervention content and to make design recommendations to maximise success of later feasibility trials. Conclusions This study adds to the growing evidence base for ACT in people with advanced cancer. A number of potential intervention mechanisms, for example a distress-buffering hypothesis, are raised by our data and these should be addressed in future research using randomised controlled trial designs. Our methodological recommendations—including recruiting non-cancer diagnoses, and earlier in the treatment trajectory—likely apply more broadly to the delivery of psychological intervention in the palliative care setting. This study was pre-registered on the Open Science Framework (Ref: 46,033) and retrospectively registered on the ISRCTN registry (Ref: ISRCTN12084782).

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