Mental pain as a global person-centered outcome measure

Cosci, Fiammetta; Mansueto, Giovanni; Benemei, Silvia; Chiarugi, Alberto; Cesaris, Francesco De; Sensky, Tom

doi:10.1017/s1092852921000699

Cited by 6 publications

(11 citation statements)

References 34 publications

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“…This is a transdiagnostic core characterization (50), with multiple expressions (51,52), providing an explanatory model for clinical phenomena (8). Relevant information can be obtained also assessing mental pain (53,54), which captures a feeling state characterized by emotional pain, emptiness, and internal perturbation (55), sometimes at the core of the suicidal process (56). Finally, a comprehensive assessment may also include evaluating specific positive features, i.e.…”

Section: Discussionmentioning

confidence: 99%

Anxiety in the Medically Ill: A Systematic Review of the Literature

2022

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BackgroundAlthough anxiety is highly represented in the medically ill and its occurrence has relevant clinical implications, it often remains undetected and not properly treated. This systematic review aimed to report on anxiety, either symptom or disorder, in patients who suffer from a medical illness.MethodsEnglish-language papers reporting on anxiety in medically ill adults were evaluated. PubMed, PsycINFO, Web of Science, and Cochrane databases were systematically searched from inception to June 2021. Search term was “anxiety” combined using the Boolean “AND” operator with “medically ill/chronic illness/illness/disorder/disease.” Risk of bias was assessed via the Joanna Briggs Institute (JBI) Critical Appraisal Tools—Checklist for Prevalence Studies. The PRISMA guidelines were followed.ResultsOf 100,848 citations reviewed, 329 studies met inclusion criteria. Moderate or severe anxious symptoms were common among patients with cardiovascular, respiratory, central nervous system, gastrointestinal, genitourinary, endocrine, musculoskeletal system or connective tissue, dermatological diseases, cancer, AIDS and COVID-19 infections. The most common anxiety disorder was generalized anxiety disorder, observed among patients with cardiovascular, respiratory, central nervous system, dermatologic diseases, cancer, primary aldosteronism, amenorrhea, and COVID-19 infection. Panic disorder was described for cardiovascular, respiratory, dermatology diseases. Social anxiety was found for cardiovascular, respiratory, rheumatoid diseases. Specific phobias were relatively common in irritable bowel syndrome, gastroesophageal reflux, end-stage renal disease.ConclusionAnxiety is a major challenge in medical settings. Recognition and proper assessment of anxiety in patients who suffer from a medical illness is necessary for an appropriate management. Future reviews are warranted in order also to clarify the causal and temporal relationship between anxiety and organic illness.

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Section: Discussionmentioning

confidence: 99%

Anxiety in the Medically Ill: A Systematic Review of the Literature

2022

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“…Due to the cross-sectional design of this study, we are unable to make any causal inferences about the observed variables. At the same time, clinical features such as anxiety, mental pain, and psychosomatic syndrome may also have an impact on the quality of life of patients with chronic illnesses but have not been systematically evaluated (53)(54)(55). Therefore, future longitudinal studies should address these questions and delve into the underlying mechanisms.…”

Section: Strength and Limitationsmentioning

confidence: 99%

The relationship between stigma and quality of life in hospitalized middle-aged and elderly patients with chronic diseases: the mediating role of depression and the moderating role of psychological resilience

Ji,

Zhang,

et al. 2024

Front. Psychiatry

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ObjectivePatients with chronic diseases may have some psychological problems due to their own or surrounding environmental factors, which can adversely affect the patient’s illness and life. Given that the number of chronically ill patients in China is currently increasing every year, more research is needed to determine the best ways to manage changes in psychological status and psychological stress responses in chronically ill patients. The researchers constructed a mediated moderation model to explore the impact of stigma on the quality of life of chronically ill patients, as well as the mediating role of depression and the moderating role of psychological resilience.MethodsA stratified sampling method was used to select 363 middle-aged and old-aged patients with chronic diseases aged 45 years and older from the Affiliated Hospital of Zhejiang University for the study. Data were collected from patients with chronic diseases such as cardiac, respiratory, renal, and other chronic diseases using the Cumulative Illness Rating Scale for Geriatrics (CIRS-G), the Stigma Scale for Patients with Chronic Diseases (SSCI), the Patient Health Questionaire-9 (PHQ-9), the Quality of Life Inventory (SF-12), and the Conner-Davidson Resilience Scale (CD-RISC) were collected from patients with cardiac, respiratory, renal, and other chronic diseases. A descriptive analysis was used to describe the sample. Linear regression was used to evaluate the relationship between the variables. Mediation and moderation analyses were used to explore the mediating role of depression and the moderating role of psychological resilience.ResultsThere was a moderate negative correlation between stigma and quality of life (r = -0.378, P < 0.01). There was a moderate negative correlation between depression and quality of life (r = -0.497, P < 0.01). There was a moderately positive correlation between psychological resilience and quality of life (r = 0.382, P < 0.01). There was a moderate negative correlation between psychological resilience and depression (r = -0.348, P < 0.01). There was a weak negative correlation between psychological resilience and stigma (r = -0.166, P < 0.01). There was a strong positive correlation between stigma and depression (r = 0.607, P < 0.01) The mediation study showed that stigma was a significant predictor of quality of life and that stigma and quality of life were mediated to some extent by depression, with the mediating effect accounting for 67.55% of the total effect. The direct path from stigma to depression is moderated by psychological resilience (β = -0.0018, P < 0.01).ConclusionsDepression mediates the relationship between stigma and quality of life, while psychological elasticity plays a moderating role between stigma and depression, and when the level of psychological elasticity increases, the more significant the role of stigma on depression. As a physiologically and psychologically vulnerable group, patients with chronic diseases’ overall quality of life and mental health should be taken more seriously, and clinical workers should pay timely attention to the psychological and mental conditions of patients with chronic diseases and provide timely and appropriate interventions and therapeutic measures. The relevant results of this study also provide a new perspective for clinical work on psychological intervention for patients with chronic diseases.

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“…In this sense, these complications can cause psychological distress that can lead to MDs if mental health care is not provided early on ( 1 , 12 ) . This condition impacts the daily lives of these people in individual, family, and community settings, and they can experience severe physical and emotional restrictions ( 3 , 13 ) . The complexity of the scenario requires early structured mental health care, with an emphasis on psychosocial needs ( 14 - 15 ) .…”

Section: Introductionmentioning

confidence: 99%

“…Current health care is divided by specialty, and this reality makes care fragmented ( 1 ) . People with DM and MDs are not assisted according to the principle of comprehensiveness, as they are usually cared for by different teams that offer care for only one of the morbidities ( 3 ) . As far as the nursing team is concerned, nursing care stands out in health promotion, disease prevention, and health recovery and rehabilitation, which means that caring for patients with DM and MDs requires nursing professionals to take a broad view of the needs imposed by the disease.…”

Section: Introductionmentioning

confidence: 99%

Mental health nursing care for people with diabetes mellitus: An integrative review

Silva,

Lima,

Saidel

2023

Rev. Latino-Am. Enfermagem

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Objective: evaluate the evidence available on mental health nursing care for people with diabetes mellitus at different levels of health care. Method: integrative literature review. The search was conducted in five databases. The sample consisted of 14 studies. The studies were exported to the EndNote manager and their data to a Microsoft Excel spreadsheet. The methodological quality of the studies was evaluated using tools proposed by the Joanna Briggs Institute. Sampling, categorization, evaluation, interpretation of the results, and synthesis of the included studies were carried out by two reviewers independently. The descriptive analysis of the results is presented in three categories. Results: self-care guidelines enhanced by the social support network, encompassing physical and psychological tools and strategies; therapeutic communication and psychotherapy strategies, focusing on psychotherapy and therapeutic communication; and self-management interventions, addressing self-care based on behavioral theories. Conclusion: the synthesis of knowledge revealed that guidelines for self-care enhanced by the social support network, psychotherapy and therapeutic communication strategies, and self-management interventions are positive interventions that contribute to people with mental disorders and diabetes mellitus in the prevention of diseases.

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Mental pain as a global person-centered outcome measure

Cited by 6 publications

References 34 publications

Anxiety in the Medically Ill: A Systematic Review of the Literature

Anxiety in the Medically Ill: A Systematic Review of the Literature

The relationship between stigma and quality of life in hospitalized middle-aged and elderly patients with chronic diseases: the mediating role of depression and the moderating role of psychological resilience

Mental health nursing care for people with diabetes mellitus: An integrative review

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