Patient acceptance and outcome of mental health screening in Swedish adults with cystic fibrosis

Järvholm, Stina; Ericson, Petrea; Gilljam, M.

doi:10.1007/s11136-020-02417-5

Cited by 9 publications

(6 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This survey did not ascertain rates of mild levels of depression and anxiety; however, approximately 12-13% of pwCF reported moderate to severe levels of depression and anxiety, respectively. These rates are similar to those reported at a large Italian CF Center during the pandemic (11.5% for both depression and anxiety) [16] and pre-pandemic rates at a Swedish CF center in which 21% of patients had scored in the moderate to severe range for depression and/or anxiety [28] . Suicidal ideation during the pandemic (3.1%) was also similar to rates reported in Year 1 (2.8%), Year 2 (3.8%), and Year 3 (4%) of MHC surveys, suggesting no apparent increase during the pandemic [11] .…”

Section: Discussionsupporting

confidence: 86%

Impact of COVID-19 on mental health: Effects on screening, care delivery, and people with cystic fibrosis

Smith

Georgiopoulos

Mueller

et al. 2021

Journal of Cystic Fibrosis

View full text Add to dashboard Cite

Background Depression and anxiety are two to four times more prevalent in people with CF (pwCF) than the general population. COVID-19 may exacerbate mental health challenges, increasing demand for psychological services, while decreasing their availability. We assessed the impact of the pandemic on depression and anxiety in pwCF, including how COVID-19 affected the frequency of mental health screening and the types of services provided. Methods A 38‐item internet survey, completed in June 2020, assessed how COVID-19 affected: 1) the mental health clinician's role and screening processes; 2) barriers to screening and resource needs; 3) impact of COVID-19 on depression and anxiety, and 4) positive outcomes and confidence in sustaining mental health screening and treatment, including telehealth services, after the pandemic. Results Responses were obtained from 131 of the 289 US CF programs. Overall, 60% of programs (n=79) continued mental health screening and treatment, although less frequently; 50% provided individual tele-mental health interventions, and 9% provided telehealth group therapy. Clinically elevated depression symptoms (PHQ-9≥10; moderate to severe), were found in 12% of 785 pwCF, with 3.1% endorsing suicidal ideation. Similarly, elevated anxiety (moderate to severe; GAD-7≥10) was found in 13% of pwCF (n=779). Conclusions The COVID-19 pandemic created an opportunity to implement innovative solutions to disruptions in mental health screening and treatment in CF programs. We found that pwCF had increased access to psychological interventions during the pandemic via telehealth, supporting the continued integration of tele-mental health screening and treatment into CF care.

show abstract

Section: Discussionsupporting

confidence: 86%

Impact of COVID-19 on mental health: Effects on screening, care delivery, and people with cystic fibrosis

Smith

Georgiopoulos

Mueller

et al. 2021

Journal of Cystic Fibrosis

View full text Add to dashboard Cite

show abstract

“…Ratings of stress were also highly elevated during this crisis. Importantly, these rates of psychological symptomatology were much higher during the COVID‐19 lockdown, than those obtained during routine CF care before COVID‐19 12,33,34 . Routine screening in the CF Center was suspended during the lockdown and screening resumed in the middle of May (lockdown ended May 4).…”

Section: Discussionmentioning

confidence: 95%

Psychological interventions during COVID pandemic: Telehealth for individuals with cystic fibrosis and caregivers

Graziano

Boldrini

Righelli

et al. 2021

Pediatric Pulmonology

View full text Add to dashboard Cite

Introduction Coronavirus disease 2019 (COVID‐19) emerged in China, leading to worldwide morbidity and mortality, including depression and anxiety. As the pandemic spread throughout Italy, mental health concerns increased for people with cystic fibrosis (pwCF), who are at greater risk. The aim was to pilot a Telehealth Psychological Support Intervention for pwCF and caregivers to reduce stress, depression, and anxiety during the lockdown in Italy in March 2020. Methods This intervention utilized cognitive behavioral skills (e.g., cognitive reframing). Participants included 16 pwCF and 14 parents, who completed four individual telehealth sessions with a psychologist. Stress ratings, Patient Health Questionnaire and General Anxiety Disorder, PHQ‐8 and GAD‐7, were completed, in addition to Feasibility and Satisfaction ratings. Results Ratings of stress significantly decreased from pre‐ to post‐testing for pwCF (paired t(14) = −4.06, p < .01) and parents (paired t = −5.2, p < .001). A large percentage of both groups scored in the clinical range for depression and anxiety at baseline (pwCF: depression/anxiety = 71%; parents: depression = 57%; anxiety = 79%); a large proportion (20%–40%) reported moderate to severe symptomatology. Significant reductions in depression for pwCF were found (pre: M = 8.0 to post: M = 4.7; paired t(14) = 2.8, p < .05) but not anxiety (pre: M = 6.9 to post: M = 5.6, t(14) = 1.2, p = NS—non‐significant). Parental depression decreased for parents (pre: M = 6.4 to post: M = 5.1, t(14) = −2.5, p < .05), but not anxiety (pre: M = 8.1 to post: M = 7.9, t(14) = −0.2, p = NS). Feasibility and Satisfaction were positive. Conclusion This telehealth intervention yielded reductions in stress and depression for participants. Anxiety did not significantly decrease, possibly because COVID was ongoing. This feasible, satisfactory intervention was effective for improving mental health.

show abstract

“…Ratings of stress were also highly elevated during this crisis. Importantly, these rates of psychological symptomatology were much higher during the COVID lockdown, than those obtained during routine CF care prior to COVID [12,[27][28]. Twice the number of pwCF scored in the elevated range at baseline assessment in this study than prior published data [12].…”

Section: Discussionmentioning

confidence: 46%

Psychological Interventions during COVID Pandemic: Telehealth for Individuals with CF and Caregivers

Graziano¹,

Boldrini²,

Righelli³

et al. 2021

Preprint

View full text Add to dashboard Cite

Introduction: COVID-19 emerged in China leading to worldwide morbidity and mortality, including depression and anxiety. As the pandemic spread throughout Italy and Europe, mental health concerns emerged for people with cystic fibrosis (pwCF), who are at increased risk. This led to development of a Telehealth Psychological Support Intervention to help adolescents/young adults with CF and caregivers cope with the stress and emotional challenges of the lockdown which began in Italy in March 2020. Methods: This intervention utilized cognitive behavioral skills (e.g., relaxation training, cognitive reframing). Participants included 16 adolescents/adults and 14 parents, who completed 4 individual video sessions with a psychologist. Stress ratings, PHQ-8 and GAD-7 were completed electronically. Feasibility and Satisfaction were rated. Results: Ratings of stress significantly decreased from pre to post-testing for both pwCF (paired t=-4.06 (14), p<.01) and parents (paired t=-5.2, p< 001). Most participants reported clinically elevated depression and anxiety at the pre-test, with statistically significant reductions in depression for pwCF (pre: M=8.0 to post M=4.7; paired t (14)=2.8, p <.05) but not anxiety (pre: M=6.9 to post: M=5.6, t (14)=1.2, p=NS). Reductions in depression were found for parents (pre: M=6.4 to post: M 5.1, (14) t=-2.5, p<.05) but not anxiety (pre: M=8.1 to post: M=7.9, t (14)=-0.2, p=ns). Positive ratings of Feasibility and Satisfaction were documented. Conclusion: This brief telehealth intervention yielded significant reductions in stress and depression for participants. Anxiety was not reduced, possibly because COVID was ongoing. This intervention was effective for improving mental health and was highly feasible and satisfactory.

show abstract

Patient acceptance and outcome of mental health screening in Swedish adults with cystic fibrosis

Cited by 9 publications

References 31 publications

Impact of COVID-19 on mental health: Effects on screening, care delivery, and people with cystic fibrosis

Impact of COVID-19 on mental health: Effects on screening, care delivery, and people with cystic fibrosis

Psychological interventions during COVID pandemic: Telehealth for individuals with cystic fibrosis and caregivers

Psychological Interventions during COVID Pandemic: Telehealth for Individuals with CF and Caregivers

Contact Info

Product

Resources

About