Associations Between Activities of Daily Living Independence and Mental Health Status Among Medicare Managed Care Patients

Albanese, Anita M.; Bartz‐Overman, Colin; Parikh, Toral; Thielke, Stephen

doi:10.1111/jgs.16423

Cited by 14 publications

(12 citation statements)

References 13 publications

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“…Acceptance, support and understanding for the needs of the person with the LTC to shield/isolate supported coping, but participants also discussed challenges including their perceived loss of independence and reliance on others. Loss of independence was related to worsening mental health in a large longitudinal cohort prior to the pandemic [27] and considering the negative impact of loss of independence on mental and well-being is part of National Institute for Health and Care Excellence (NICE) guidance for working with older adults [28]. Considering how to balance the impact of loss of independence, whilst ensuring people with LTCs get the support they need when shielding/isolating is an important area for future research.…”

Section: Discussionmentioning

confidence: 99%

The impact of the COVID-19 pandemic on mental health and well-being of people living with a long-term physical health condition: a qualitative study

et al. 2021

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Background The COVID-19 pandemic and associated restrictions caused major global disruption. Individuals with long-term physical health conditions (LTCs) are at higher risk of severe illness and often subject to the strictest pandemic guidance, so may be disproportionally affected. The aim of this study was to qualitatively explore how living with a LTC during the COVID-19 pandemic affected people’s mental health and wellbeing. Methods Participants were people living with LTCs who participated in telephone/video call interviews based on a semi-structured topic guide. Key themes and subthemes were determined using deductive and inductive thematic analysis. Results The sample included 32 participants with LTCs (most commonly cancer, respiratory conditions or cardiovascular diseases), mean age 57 (SD 13) years, 66% female and 72% white British. There were four overarching themes specific to living with a LTC. These were 1) high levels of fear and anxiety related to perceived consequences of catching COVID-19, 2) impact of shielding/isolation on mental health and wellbeing, 3) experience of healthcare during the pandemic and 4) anxiety created by uncertainty about the future. Fourteen subthemes were identified, including concerns about accessing essential supplies and the importance of social support. Individuals who lived alone and were advised to shield could be profoundly negatively affected. Conclusions This study found that there were a number of aspects of living with a LTC during the pandemic that had a significant impact on mental health and well-being. There should be focus on how best to provide practical and social support to people with LTCs during a pandemic, particularly if they have to shield or isolate.

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Section: Discussionmentioning

confidence: 99%

The impact of the COVID-19 pandemic on mental health and well-being of people living with a long-term physical health condition: a qualitative study

et al. 2021

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“…Although improvement of each of the functional outcomes showed correlation with improvement in pain catastrophizing, HADS anxiety, and HADS depression, our results demonstrate that improvement in HOOS ADL has the greatest magnitude of importance in the relationship with improvement in pain catastrophizing and HADS Depression/Anxiety. Loss of ADL independence has been shown to cause large declines in mental health, as functional impairment and pain have a strong impact on daily life, causing patients to avoid situations and activities that require the use of their problematic hip [44,45]. Conversely, it has been shown that relief from the factors that limit independence and social engagement can reduce feeling of helplessness and isolation, directly impacting feelings of depression and anxiety [46,47].…”

Section: Discussionmentioning

confidence: 99%

Functional improvement in hip pathology is related to improvement in anxiety, depression, and pain catastrophizing: an intricate link between physical and mental well-being

Gudmundsson

Nakonezny

Lin

et al. 2021

BMC Musculoskelet Disord

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Background Pain catastrophizing, anxiety, and depression are risk factors for poor functional outcomes and worse post-treatment pain that can be treated alongside physical care given to orthopedic patients. While these factors have been shown to be common in patients with hip pathology, there is limited literature that follows these conditions throughout treatment. The purpose of this study was to track psychological factors in patients with various hip pathology to determine if they improved alongside functional measures following treatment. Methods Patients presenting to a specialist hip clinic were prospectively evaluated for outcomes of pain catastrophizing, anxiety, depression, and hip function. Pre- and post-treatment assessments were undertaken: Pain Catastrophizing Scale, the Hospital Anxiety Depression Scale, the Hip Outcome Survey, and Hip Disability and Osteoarthritis Outcome Score (HOOS). Patient characteristics were recorded. A correlation analysis, using the Spearman partial correlation coefficient (rs), was conducted to evaluate the relationship between change in psychological factors with change in functional outcomes. Results A total of 201 patients (78 male, 123 female) with a mean age of 53.75 ± 18.97 years were included, with diagnoses of hip dysplasia (n = 35), femoroacetabular impingement (n = 35), lateral trochanteric pain syndrome (n = 9), osteoarthrosis (n = 109), and avascular necrosis of the hip (n = 13). Statistical analysis revealed a significant negative relationship between change in function level (as measured by HOOS ADL) and change in pain catastrophizing (rs = − 0.373, p < 0.0001), depression (rs = − 0.363, p < 0.0001), and anxiety (rs = − 0.264, p = 0.0002). Pain catastrophizing, depression, and anxiety improved with function. Spearman correlation coefficients also revealed that pain catastrophizing, HADS anxiety, and HADS depression improved with improvement in other patient-reported functional outcomes. Conclusions Patients with hip pathology often exhibit pain catastrophizing, anxiety, and depression, but improvements in hip functionality are associated with decreased severity of these psychological comorbidities. Exploring this connection demonstrates the correlation between musculoskeletal impairment and psychosocial outcomes and mental health. Perioperative multidisciplinary assessment may be a beneficial part of comprehensive orthopaedic hip care.

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“…Acceptance, support and understanding for the needs of the person with the LTC to shield/isolate supported coping, but participants also discussed challenges including their perceived loss of independence and reliance on others. Loss of independence was related to worsening mental health in a large longitudinal cohort prior to the pandemic (Albanese et al, 2020) and considering the negative impact of loss of independence on mental and well-being is part of National Institute for Health and Care Excellence (NICE) guidance for working with older adults (NICE, 2015). Considering how to balance the impact of loss of independence, whilst ensuring people with LTCs get the support they need when shielding/isolating is an important area for future research.…”

Section: Discussionmentioning

confidence: 99%

The impact of the COVID-19 pandemic on mental health and well-being of people living with a long-term physical health condition: a qualitative study

Fisher

Roberts

McKinlay

et al. 2020

Preprint

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BackgroundThe COVID-19 pandemic and associated restrictions caused major global disruption. Individuals with long-term physical health conditions (LTCs) are at higher risk of severe illness and often subject to the strictest pandemic guidance, so may be disproportionally affected. The aim of this study was to qualitatively explore how living with a LTC during the COVID-19 pandemic affected people’s mental health and wellbeing.Sample and methods32 participants, mean age 57 (SD 13) years, 66% female and 72% white British, who reported having LTCS (most commonly cancer, respiratory conditions or cardiovascular diseases), participated in telephone/video call interviews based on a semi-structured topic guide. Key themes and subthemes were determined using deductive and inductive thematic analysis.ResultsThere were four overarching themes specific to living with a LTC. These were 1) high levels of fear and anxiety related to perceived consequences of catching COVID-19, 2) impact of shielding/isolation on mental health and wellbeing, 3) experience of healthcare during the pandemic and 4) anxiety created by uncertainty about the future. Fourteen subthemes were identified, including concerns about accessing essential supplies and the importance of social support. Individuals who lived alone and were advised to shield could be profoundly negatively affected.ConclusionsThis study found that there were a number of aspects of living with a LTC during the pandemic that had a significant impact on mental health and well-being. There should be focus on how best to provide practical and social support to people with LTCs during a pandemic, particularly if they have to shield or isolate.

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Associations Between Activities of Daily Living Independence and Mental Health Status Among Medicare Managed Care Patients

Cited by 14 publications

References 13 publications

The impact of the COVID-19 pandemic on mental health and well-being of people living with a long-term physical health condition: a qualitative study

The impact of the COVID-19 pandemic on mental health and well-being of people living with a long-term physical health condition: a qualitative study

Functional improvement in hip pathology is related to improvement in anxiety, depression, and pain catastrophizing: an intricate link between physical and mental well-being

The impact of the COVID-19 pandemic on mental health and well-being of people living with a long-term physical health condition: a qualitative study

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