2017 study: Meeting MS Patients' Mental Health Needs

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2017 study: Meeting MS Patients' Mental Health Needs

Postby jimmylegs » Thu Nov 16, 2017 3:15 pm

Meeting the mental health needs of people with multiple sclerosis: a qualitative study of patients and professionals
http://www.tandfonline.com/doi/abs/10.1 ... 16.1180547

Abstract
Purpose:
To explore perspectives and experiences of people with multiple sclerosis (MS) and health care professionals of mental health support for MS in the UK.

Method: 24 people with MS, 13 practice nurses, 12 general practitioners (GPs) and 9 MS specialist nurses were recruited through community groups and primary care practices across North West England. Semi-structured interviews were conducted, and data analyzed thematically using constant comparative analysis within and across the data sets. The theoretical framework of candidacy was used to interrogate data.

Results: Four themes were identified: candidates for care, management choices, defining roles, and permeability and responsiveness.

Discussion: Candidacy for care, and symptom management, depended on the framing of symptoms through a social or medical model of depression. Normalizing symptoms could prevent help-seeking by patients. Reported referral behavior varied by professional group, based on perceived remit, competency and training needs. GPs were perceived by patients and other professionals as central for management of mental health needs in MS, but may not perceive this role themselves, suggesting a need for increased knowledge, training, and improved access to specialist care.

(comment: classic, same issue with nutrition/lack of referral thereto)

Implications for Rehabilitation
Anxiety and depression are common in people with MS.

Management of mental health needs in people with MS relies on complex decisions made by both people with MS and health care professionals.

General practitioners may play a key role in the ongoing management of mental health needs of people with MS.
odd sx? no dx? check w/ dietitian
DRI=MINIMUM eg bit.ly/1vgQclQ
99% don't meet these. meds/lifestyle can affect levels
status can be low in ms & other cond'ns
'but my results are normal'. typical panels don't test all
deficits occur in 'normal' range
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Re: 2017 study: Meeting MS Patients' Mental Health Needs

Postby ElliotB » Fri Nov 17, 2017 4:28 am

"Anxiety and depression are common in people with MS"

Anxiety and depression are common in the general population!
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Re: 2017 study: Meeting MS Patients' Mental Health Needs

Postby jimmylegs » Fri Nov 17, 2017 8:11 am

certainly, but do you have one or more good references with stats for that? i'm interested in the actual comparison, if you've managed successful related google scholar time.
odd sx? no dx? check w/ dietitian
DRI=MINIMUM eg bit.ly/1vgQclQ
99% don't meet these. meds/lifestyle can affect levels
status can be low in ms & other cond'ns
'but my results are normal'. typical panels don't test all
deficits occur in 'normal' range
User avatar
jimmylegs
Volunteer Moderator
 
Posts: 10783
Joined: Sat Mar 11, 2006 3:00 pm

Re: 2017 study: Meeting MS Patients' Mental Health Needs

Postby jimmylegs » Fri Nov 17, 2017 2:34 pm

findings from norway

Anxiety and depression in multiple sclerosis. A comparative population-based study in Nord-Trøndelag County, Norway
http://journals.sagepub.com/doi/abs/10. ... 8509351542
"Anxiety and depression occur more frequently in multiple sclerosis patients than in the general population."
odd sx? no dx? check w/ dietitian
DRI=MINIMUM eg bit.ly/1vgQclQ
99% don't meet these. meds/lifestyle can affect levels
status can be low in ms & other cond'ns
'but my results are normal'. typical panels don't test all
deficits occur in 'normal' range
User avatar
jimmylegs
Volunteer Moderator
 
Posts: 10783
Joined: Sat Mar 11, 2006 3:00 pm


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