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Anxiety and depression in patients with chronic respiratory disease
Published in Claudio F. Donner, Nicolino Ambrosino, Roger S. Goldstein, Pulmonary Rehabilitation, 2020
Chronic respiratory diseases are common and diverse in their phenotypes. Chronic obstructive diseases include chronic obstructive pulmonary disease (COPD), asthma, bronchiectasis and cystic fibrosis; restrictive diseases include thoracic restriction, neuromuscular conditions and parenchymal conditions such as idiopathic pulmonary fibrosis and sarcoidosis (1). Chronic respiratory diseases have common clinical characteristics such as cough, exertional dyspnoea, excessive fatigue and unexpected episodic exacerbations frequently leading to emergency care or hospitalization. In addition, the daily frustration and inability to cope with the disease as well as lingering (persistent) symptoms of dyspnoea may predispose individuals to an increased risk of elevated comorbid psychiatric symptoms such as anxiety and depression. These symptoms are often associated with increased physical disability, persistent stressful situations, diminished social interaction and foregoing of lifetime pleasurable activities.
Setting up and leading a Living Well with Dementia course
Published in Richard Cheston, Ann Marshall, The Living Well with Dementia Course, 2019
Transport to the sessions. Facilitators may need to help participants to organise transport. The location needs to be easily accessible by public transport, including for people who have a physical disability.
Musculoskeletal disorders and physical disability
Published in Gill Wakley, Ruth Chambers, Paul Dieppe, Musculoskeletal Matters in Primary Care, 2018
Gill Wakley, Ruth Chambers, Paul Dieppe
This chapter is based, with permission, on the booklet One in Four of Us produced by the Disability Partnership.52 Musculoskeletal disorders are among the commonest causes of physical disability, particularly in older people.
Psychosocial risk factors and physical and mental well-being following a compensable knee injury
Published in European Journal of Physiotherapy, 2023
Helen Razmjou, Alicia Savona, Analia Szafirowicz, Lauren Deel, Robin Richards
The clinical implication of our findings is the importance of incorporating psychosocial factors in the assessment and management of knee injuries, specifically in relation to ongoing post-injury stiffness and mental well-being. Observing multiple psychosocial flag signs is indicative of increased vulnerability of the injured worker to physical disability and mental distress which often lead to a less successful RTW. While certain personal factors or black flag signs may not be modifiable, the majority of issues within the yellow and blue categories are modifiable. Emotional and mental distress may be resolved through appropriate counselling. Physical disability is often responsive to targeted rehabilitation through improving range of motion and muscle strengthening. Increased overall physical activity and vocational rehabilitation, in addition to addressing depression have been noted as a holistic therapeutic approach towards the management of knee pain [20]. With respect to workplace issues, increasing the availability of modified duties and graded return to work are expected to improve a more successful RTW.
The Impact of Civic Service on Disability Identity Outcomes in United States Veterans Who Served in Iraq and Afghanistan
Published in Military Behavioral Health, 2021
Molly Meissen, Monica M. Matthieu
Other limitations of this study include the use of self-report data, limited sample size, lack of differentiation between types of physical disabilities, unknown severity of physical disability, and conceptualization of disability identity. Veterans may not have sought out the Fellowship Program assuming that the volunteer tasks would be too demanding or that they would be unwelcome, which may have impacted sample size. To address these limitations, future studies may consider use of a standardized physical disability assessment tool, such as the Physical Activity Scale for Individuals with Physical Disabilities (PASIPD) (Washburn et al., 2002). Furthermore, future research is needed to clarify the concept of ‘disability identity’ and its formation specifically related to veterans, who may have a different development pattern due to unique acquisition of such disability or life circumstances.
Feasibility and short-term effects of Activity Coach+: a physical activity intervention in hard-to-reach people with a physical disability
Published in Disability and Rehabilitation, 2021
L. A. Krops, J. H. B. Geertzen, H. L. D. Horemans, J. B. J. Bussmann, P. U. Dijkstra, R. Dekker
International research on stimulating PA in physically disabled people is experiencing a shift from describing barriers and facilitators regarding PA towards designing interventions that stimulate PA [13]. Although more than 80 exercise interventions aimed at stimulating PA in physically disabled people exist internationally, most interventions are disease-specific and time-restricted. They stimulate participants to perform a specific type of exercise, rather than to participate in PA in general or to adopt an active lifestyle [14–16]. However, to establish long-term behavioural changes in physically disabled people, PA interventions aimed at altering one’s lifestyle are preferred over exercise interventions [16]. The literature describes the need for the design and evaluation of community-based interventions that serve broader populations and stimulate the adoption of an active lifestyle and participation in PA. Notwithstanding the fact that people with different disabilities experience unique barriers, the added value of interventions with a broader scope is that more people with a physical disability in a community can be reached [12,16].