PMID- 36631956
OWN - NLM
STAT- MEDLINE
DCOM- 20230616
LR  - 20230618
IS  - 1557-0681 (Electronic)
IS  - 1478-2189 (Linking)
VI  - 21
IP  - 2
DP  - 2023 Jun
TI  - Health professionals' perspectives on psychological distress and meeting 
      patients' support needs in rheumatology care settings: A qualitative study.
PG  - 537-544
LID - 10.1002/msc.1730 [doi]
AB  - BACKGROUND: Patients with inflammatory rheumatic diseases (IRDs) face challenges 
      including pain, fatigue and disease flares. Evidence suggests their levels of 
      anxiety and depression are higher compared to the general population. 
      Rheumatology teams report psychologically distressed patients have additional 
      support needs and require more clinical time. Little is currently known about 
      models of support and their integration into care pathways. AIM: To understand 
      rheumatology health professionals' perspectives on patients' psychological 
      distress and ways to meet support needs. METHODS: The study used a qualitative 
      design, with data collected in telephone semi-structured interviews. Inductive 
      thematic analysis was used to analyse the data. RESULTS: Fifteen interviews were 
      conducted. Two main themes with sub-themes represent the data: Theme 1: 'No one 
      shoe fits all'-the many manifestations of distress in patients (sub-themes: 
      recognising distress, dealing with distress, dealing with life events alongside 
      an IRD) and Theme 2: 'If rheumatology could be interwoven with psychological 
      principles'-the need to attend to the psychological impact of IRDs, alongside the 
      physical impact (sub-themes: priority given to physical health, working together 
      to help patients in distress, how should patient distress be measured?, the need 
      for extra time and resources). CONCLUSION: Distress can be obvious or hidden, 
      cause issues for patients and health professionals and lead to poor engagement 
      with care provision. Health professionals described the powerful link between 
      physical and mental distress. This study suggests psychological support provision 
      should be embedded within the rheumatology team and that patients' emotional 
      wellbeing should be given equal priority to their physical wellbeing.
CI  - (c) 2023 The Authors. Musculoskeletal Care published by John Wiley & Sons Ltd.
FAU - Silverthorne, Christine
AU  - Silverthorne C
AUID- ORCID: 0000-0001-8145-2305
AD  - Academic Rheumatology, Bristol Royal Infirmary, Bristol, UK.
AD  - University of the West of England, Bristol, UK.
FAU - Daniels, Jo
AU  - Daniels J
AD  - University of Bath, Bath, UK.
FAU - Thompson, Miles
AU  - Thompson M
AD  - University of the West of England, Bristol, UK.
FAU - Robson, Joanna C
AU  - Robson JC
AD  - Academic Rheumatology, Bristol Royal Infirmary, Bristol, UK.
AD  - University of the West of England, Bristol, UK.
FAU - Ndosi, Mwidimi
AU  - Ndosi M
AUID- ORCID: 0000-0002-7764-3173
AD  - Academic Rheumatology, Bristol Royal Infirmary, Bristol, UK.
AD  - University of the West of England, Bristol, UK.
FAU - Swales, Caroline
AU  - Swales C
AD  - Academic Rheumatology, Bristol Royal Infirmary, Bristol, UK.
FAU - Wilkins, Kate
AU  - Wilkins K
AD  - Academic Rheumatology, Bristol Royal Infirmary, Bristol, UK.
FAU - Dures, Emma
AU  - Dures E
AD  - Academic Rheumatology, Bristol Royal Infirmary, Bristol, UK.
AD  - University of the West of England, Bristol, UK.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230111
PL  - England
TA  - Musculoskeletal Care
JT  - Musculoskeletal care
JID - 101181344
SB  - IM
MH  - Humans
MH  - *Rheumatology
MH  - Qualitative Research
MH  - Anxiety
MH  - *Psychological Distress
MH  - Pain
OTO - NOTNLM
OT  - health professionals
OT  - inflammatory rheumatic diseases
OT  - psychological distress
OT  - qualitative
OT  - support needs
EDAT- 2023/01/13 06:00
MHDA- 2023/06/16 06:42
CRDT- 2023/01/12 00:23
PHST- 2022/12/21 00:00 [received]
PHST- 2022/12/24 00:00 [accepted]
PHST- 2023/06/16 06:42 [medline]
PHST- 2023/01/13 06:00 [pubmed]
PHST- 2023/01/12 00:23 [entrez]
AID - 10.1002/msc.1730 [doi]
PST - ppublish
SO  - Musculoskeletal Care. 2023 Jun;21(2):537-544. doi: 10.1002/msc.1730. Epub 2023 
      Jan 11.