Psychological distress in medical patients seeking ED care for somatic reasons: results of a systematic literature review

Faessler, Lukas; Perrig-Chiello, Pasqualina; Müeller, Beat; Schuetz, Philipp

doi:10.1136/emermed-2014-204426

Cited by 13 publications

(17 citation statements)

References 46 publications

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“…We have also reviewed previous studies that used validated instruments to measure distress in ED patients in a systematic research [25]. We found that most instruments used have been focused on depressive symptoms neglecting all other affective dimensions of psychological distress.…”

Section: Discussionmentioning

confidence: 99%

Psychological distress in medical patients 30 days following an emergency department admission: results from a prospective, observational study

et al. 2016

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BackgroundPsychological distress in medical patients admitted to the emergency department (ED) is not well studied. Our aim was to investigate the extent of psychological distress in a broad and unselected medical patient sample 30 days after ED admission and its association with socio-demographic and clinical variables.MethodWe used data from a prospective observational cohort study including 1575 consecutive adult medical patients presenting to the ED with acute somatic conditions. Outcome variables were patient’s psychological distress measured by the 4-item Patient Health Questionnaire (PHQ–4) and self-rated health assessed 30 days after ED admission using telephone interviews. Risk factors included socio-demographic variables (e.g. gender, marital status), clinical presentation (e.g. illness severity, main initial diagnosis) and course of illness (e.g. rehospitalisation, length of hospital stay).ResultsA total of 38 % of patients had evidence for psychological distress 30 days after ED admission. Multivariate analysis found female gender (adjusted odds ratio [aOR] 1.35, 95 % confidence interval [CI] 1.02 to 1.78), comorbid psychiatric disorder (aOR 1.63, 95 % CI 1.08 to 2.62), discharge to a post-acute care institution (aOR 1.47, 95 % CI 1.03 to 2.09), unplanned rehospitalisation (aOR 2.38, 95 % CI 1.47 to 3.86), and unplanned visit at general practitioner (aOR 4.75, 95 % CI 2.57 to 8.80) to be associated with distress at day 30 following ED admission.ConclusionsOne month after ED admission a significant number of patients still show a moderate amount of psychophysical distress. Strongest related variables were course of illness, in particular unplanned general practitioner visits. Future interventional studies should assess possibilities to reduce distress in patients at increased risk.Trial registrationNCT01768494, January 9, 2013 (registration date), February 25, 2013 (enrolment of first participant).

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Section: Discussionmentioning

confidence: 99%

Psychological distress in medical patients 30 days following an emergency department admission: results from a prospective, observational study

et al. 2016

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“…This hypothesis is confronted with reports that there is a significant increment in the number of patients with psychological problems reported to EDs. Previous reports showed that psychological distress is present in 84% of patients who had frequent attendance to EDs [4,5]. This has raised the attention toward the need to address the knowledge and skills of nursesat the emergency departments where specialized psychiatric personnel are present to provide appropriate psychological intervention once needed.…”

Section: Introductionmentioning

confidence: 99%

Nurses' Knowledge and Skills to Manage Patients with Psychological Distress in Emergency Departments

AlShibi¹,

Hamdan‐Mansour²

2020

TONURSJ

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Background:Identifying and managing patients with psychological distress is a challenge to nurses at emergency departments at hospitals not specialized in psychiatric mental health. This requires that nurses must be equipped with knowledge and skills to fulfill patients' needs. Objectives:The purpose of this study is to identify the knowledge and skills of nurses to manage patients with psychological distress in emergency departments. Methods:A convenience sample of 307 registered nurses working at emergency departments completed and returned a package of surveys regarding knowledge and skills to manage patients with psychological distress in emergency departments. Results:Although nurses were found to have a high level of knowledge about managing psychological distress, their level of skills was lower. Nurses were found to encounter difficulty in identifying signs and symptoms of patients with psychological distress at emergency departments. A significant and positive correlation was found between nurses' knowledge and skills (r =.68, p < .001). Statistical and significant differences were found in the knowledge of nursesin relation to their previous experience of receiving training and courses in managing psychological distress (p < .05). Conclusion:Nurses need to improve the level of knowledge in order toidentify the psychological and physical signs and symptoms of psychological distress, as well as to be equipped with skills that make them capable tof providing proper care and meeting patients' needs with psychological distress at emergency departments.

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“…Some patients experience psychological distress as somatic symptoms such as headaches, sleeping problems, and gastrointestinal symptoms and seek medical help for these issues. [18][19][20][21][22] Research has suggested that patients with a background of psychological problems contact their general practitioner (GP) nearly twice as often for both psychological and somatic symptoms compared with patients without a background of psychological problems. 23 Evidence has demonstrated that integrated psychosocial care, which combines psychological screening and psychological interventions, is an effective means of treating psychological distress.…”

Section: Introductionmentioning

confidence: 99%

“…Psychological distress includes persistent levels of anxiety, depressive feelings, and fears, and has a great impact on a patient's daily life. Some patients experience psychological distress as somatic symptoms such as headaches, sleeping problems, and gastrointestinal symptoms and seek medical help for these issues . Research has suggested that patients with a background of psychological problems contact their general practitioner (GP) nearly twice as often for both psychological and somatic symptoms compared with patients without a background of psychological problems .…”

Section: Introductionmentioning

confidence: 99%

More frequent use of health care services among distressed compared with nondistressed survivors of lymphoma and chronic lymphocytic leukemia: Results from the population‐based PROFILES registry

Arts

Oerlemans

Tick

et al. 2018

Cancer

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BACKGROUNDFollow‐up care for a growing population of survivors of lymphoma and chronic lymphocytic leukemia (CLL) together with the adverse effects these survivors may experience as a result of their cancer and treatment have led to more pressure being placed on health care services. The objectives of the current study were to: 1) compare the use of medical care services by survivors with that of a normative population; 2) evaluate the use of medical and psychosocial care services among distressed and nondistressed survivors; and 3) identify associated sociodemographic and clinical factors.METHODSSurvivors of lymphoma and CLL diagnosed between 1999 and 2012 were selected via the population‐based Netherlands Cancer Registry and completed the Hospital Anxiety and Depression Scale questionnaire and questions regarding health care. Outcomes were compared with an age‐matched and sex‐matched normative population.RESULTSA total of 1444 survivors responded (69%). Survivors of lymphoma and CLL contacted their general practitioner (3.8 vs 2.3; P<.001) and medical specialist (5.7 vs 1.6; P<.001) more often within the last year compared with a normative population. In addition, psychologically distressed survivors had even more medical contacts and received psychosocial care more often compared with nondistressed survivors. In addition to psychological distress, comorbidity, female sex, and older age were found to be associated with a greater use of medical services, whereas younger age was associated with receiving psychosocial care.CONCLUSIONSSurvivors of lymphoma and CLL, especially those who are psychologically distressed, report an increased use of health care services compared with a normative population. Further studies are needed to explore whether the use of widely applicable psychosocial interventions could reduce the frequency of medical contacts. Cancer 2018;124:3016‐24. © 2018 Netherlands Comprehensive Cancer Organisation. Cancer published by Wiley Periodicals, Inc. on behalf of American Cancer Society.

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Psychological distress in medical patients seeking ED care for somatic reasons: results of a systematic literature review

Cited by 13 publications

References 46 publications

Psychological distress in medical patients 30 days following an emergency department admission: results from a prospective, observational study

Psychological distress in medical patients 30 days following an emergency department admission: results from a prospective, observational study

Nurses' Knowledge and Skills to Manage Patients with Psychological Distress in Emergency Departments

More frequent use of health care services among distressed compared with nondistressed survivors of lymphoma and chronic lymphocytic leukemia: Results from the population‐based PROFILES registry

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