The impact of a mental health service on chronic disease management in primary care

Wan, Jinhui; Chua, Eugene Yu Cong; Soon, Winnie Shok Wen; Xie, Ying; Tang, Wern Ee

doi:10.11622/smedj.2021063

Cited by 4 publications

(3 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a randomized pilot trial that integrated depression treatment into the standard care for hypertension, improved adherence to antidepressant and antihypertensive medications improved depression outcomes, and blood pressure control was observed among primary care patients [ 34 ]. This outcome may also apply to other chronic diseases, as enhancing mental health care among those with chronic illnesses managed in primary care has been shown to improve outcomes and reduce healthcare costs [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Adherence to prescribed antihypertensive medication among patients with depression in the United States

et al. 2022

View full text Add to dashboard Cite

Background Hypertensive patients with depression have a higher mortality rate and a worse prognosis compared with hypertensive only. Depression may reduce medication adherence in hypertension patients. Methods This study includes respondents in the National Health and Nutritional Examination Survey (NHANES) database from 2005 to 2018 who had previously been diagnosed with hypertension. Medication adherence was defined as taking medication as recommended by a physician. The depressive state was assessed using the patient health questionnaire (PHQ)-9. Results Nine thousand one hundred eighty-six respondents were included in the analysis. Medication adherence was associated with depression (odds ratio [OR]: 1.48, 95% confidence interval [CI]: 1.26 to1.75) and depression score (OR: 1.04 per each point increase, 1.03 to 1.05) in the unadjusted analyses. After adjusting for clinical and socioeconomic/demographic factors, there were significant statistical correlations between depression score and medication adherence (aOR: 1.02 per each point increase, 1.00 to 1.03, p < 0.05), but there was no significant statistical correlation between depression and medication adherence (p > 0.05). It was still statistically significant relationships between sex, age, body mass index (BMI), race, marital status, and health insurance with medication adherence after adjusted socioeconomic/demographic factors. Conclusion Depression was marginally associated with poor medication adherence in hypertensive patients, and the correlation increased with depression degree. Moreover, socioeconomic/demographic factors have an independent impact on medication adherence including sex, age, BMI, race, marital status, and health insurance.

show abstract

Section: Discussionmentioning

confidence: 99%

Adherence to prescribed antihypertensive medication among patients with depression in the United States

et al. 2022

View full text Add to dashboard Cite

show abstract

“…More importantly, our results indicated that there was an urgent need to develop effective care models for patients with chronic diseases. Current chronic disease management measures are insufficient and have largely ignored the impact of mental health [46]. The integrated medical and psychiatric health care conducted by medical teams has been proven to be effective in improving health outcomes for chronic patients with depression [47].…”

Section: Discussionmentioning

confidence: 99%

The Economic Burden Associated with Depressive Symptoms among Middle-Aged and Elderly People with Chronic Diseases in China

Jin²,

Guo³

et al. 2022

IJERPH

View full text Add to dashboard Cite

Coexisting physical diseases and depressive symptoms exacerbate morbidity and disability, but their incremental economic burden remains unclear. We used cross-sectional data from the China Health and Retirement Longitudinal Study (CHARLS) survey in 2018 to estimate the economic burden associated with depressive symptoms among middle-aged and elderly people with chronic diseases. A multivariable regression model was used to assess the annual health care utilization, expenditures, and productivity loss of depressive symptoms among people with 12 common chronic diseases. We found that depressive symptoms were associated with higher incremental economic burdens, as the total health care costs increased by 3.1% to 85.0% and annual productivity loss increased by 1.6% to 90.1%. Those with cancer or malignant tumors had the largest economic burden associated with depressive symptoms, with CNY 17,273.7 additional annual health care costs and a loss of CNY 2196.2 due to additional annual productivity loss. The effect of depressive symptoms on the economic burden of patients with chronic conditions did not increase by the number of chronic conditions. Considering the high economic burden associated with depressive symptoms among patients with chronic conditions, it is important to consider the mental health of patients in chronic disease treatment and management.

show abstract

“…Além disso, a estrutura física, bem como a composição multiprofissional da assistência primária, garante aos usuários a realização de exercícios individuais ou coletivos, que atuem no autoconhecimento, na autopercepção, proporcionando a reflexão de sua de saúde nos eixos físicos, mentais e sociais, o que permite o gerenciamento das concepções de saúde-doença do paciente, a identificação de gatilhos e fatores preditores para adoecimento mental, além de tornar possível maior vínculo entre família/cuidadores e pacientes (GAWANDE et al, 2018;AGUIAR et al, 2022;WAN et al, 2021).…”

Section: Compreensão Da Relação Entre Adoecimento Mental E Doenças Cr...unclassified

COMPREENSÃO DA RELAÇÃO ENTRE ADOECIMENTO MENTAL E DOENÇAS CRÔNICAS: revisão integrativa

Costa,

Andrade,

Souza

et al. 2023

Braz. J. Implantol. Health Sci.

View full text Add to dashboard Cite

Objetivo: compreender na literatura científica disponível a influência das doenças crônicas na saúde mental dos pacientes. Metodologia: estudo do tipo revisão integrativa da literatura, associado ao acrônimo PICo e estruturado com os descritores: Doença crônica; Saúde mental e Atenção Primária à Saúde. Estabeleceu-se o recorte temporal de 2018 a 2023, cujo os critérios de inclusão foram: artigos primários, disponíveis na íntegra, dentro da série temporal, nas línguas portuguesa, inglesa ou espanhola. A busca ocorreu nas bases de dados Biblioteca Virtual em Saúde, Scientific Electronic Library Online e Medical Literature Analysis and Retrieval System Online via PUBMED. Resultados: obteve-se uma amostra inicial de 1.254 pesquisas, passando pela seguinte triagem: aplicação dos critérios de inclusão e exclusão, leitura prévia dos títulos e resumos, leitura na íntegra e alinhamento com o objetivo do estudo, perfazendo um total de 09 artigos. Discussão: como principais patologias crônicas identificou-se as do tipo cardiovasculares e metabólicas, ocasionando um cenário de constantes consultas, adesão compulsória à terapia medicamentosa, realização rotineira de exames invasivos, culminando na sobrecarga emocional, estresse contínuo, além dos entraves nas redes de apoio, catalisando os índices de solidão, depressão, ansiedade e abandono do tratamento. Os estudos apontam a atenção primária como mediador desta realidade, capaz de ofertar assistência continuada a partir de uma equipe multiprofissional, sanando, dentro de suas atribuições, as barreiras geográficas e sociais que corroboram para o agravamento destas situações. O adoecimento mental esteve prevalente entre os estudos, quando relacionado às doenças crônicas, com maior ênfase em pessoas idosas e crianças. Considerações finais: as pesquisas convergem na perspectiva de que o diagnóstico das doenças crônicas, sobretudo na apresentação terminal, capazes de induzir sentimentos de insegurança, ansiedade e medo, implicando em crescentes casos de depressão e ideação suicida.

show abstract

The impact of a mental health service on chronic disease management in primary care

Cited by 4 publications

References 17 publications

Adherence to prescribed antihypertensive medication among patients with depression in the United States

Adherence to prescribed antihypertensive medication among patients with depression in the United States

The Economic Burden Associated with Depressive Symptoms among Middle-Aged and Elderly People with Chronic Diseases in China

COMPREENSÃO DA RELAÇÃO ENTRE ADOECIMENTO MENTAL E DOENÇAS CRÔNICAS: revisão integrativa

Contact Info

Product

Resources

About