Misery Loves Company
Identifying factors influencing cognitions of self-care for patients living with long term conditions
Abstract
Prevalence rates for Long Term Conditions are increasing in the UK. Research suggests a strong association between physical health, mental health, and treatment outcomes. As part of NICE (2009) and DoH (2012) guidelines for managing LTCs, patient participation, and self- care is core to the success of treatment for LTC. Poor adherence to treatment regimens by patients has resulted in excess expenditure and time by services attempting to identify and manage barriers to this problem. Inherent in this process is consideration of those wider factors that influence concepts and cognitions of self-care and supporting patients to understand how these impact on motivation to change, thus improving not only treatment outcomes but also reducing valuable healthcare consumption.
References
Bhat, N., Mulaiya, K. and Chaturvedi, S. (2020) Psychological aspects of diabetes. Diabetes. 90-98
Cafarella, P., Effing, T., Usmani,Z. and Firth, P. (2012) Treatments for anxiety and depression in patients with chronic obstructive pulmonary disease: A literature review
Respirology. Retrieved online: https://doi.org/10.1111/j.1440-1843.2012.02148.x
Carney, R. M., Rich, M. W., Freedland, K. E., Saini, J., Velde, A., Simeone, C., & Clark, K. (1988). Major depressive disorder predicts cardiac events in patients with coronary artery disease. Psychosomatic Medicine, 50(6), 627–633. https://doi.org/10.1097/00006842-198811000-00009
DAWN Study Group (2013) Diabetes Attitudes, Wishes and Needs second study (DAWN2™): Cross-national benchmarking of diabetes-related psychosocial outcomes for people with diabetes. Diabetic Medicine. Retrieved online:
DAWN Study Group (2005) Psychosocial problems and barriers to improved diabetes management: results of the Cross-National Diabetes Attitudes, Wishes and Needs (DAWN) Study. Retrieved online: https://doi.org/10.1111/j.1464-5491.2005.01644.x
Dept of Health (2012) Long term conditions compendium of information. Crown copyright.
England: CHD among older people 2018/19 | Statista
England: Respiratory illness among older people 2018/19 | Statista
Frasure-Smith, N, Lesperance, F., Irwin, M., Talajic, M. and Pollack. (2009) The relationships among heart rate variability, inflammatory markers and depression in coronary heart disease patients. Brain, Behaviour and Immunity. 23,8,1140-1147.
Kalra, S., Jena, BN. And Yeravdekar,R. (2018) Emotional and Psychological Needs of People with Diabetes. Indian Journal of Endocrinology and Metabolism. 22,5 696–704. Retrieved online: Doi: 10.4103/ijem.IJEM_579_17
Kings Fund (2022) Long term conditions and multi-morbidity. Retrieved online: Long-term conditions and multi-morbidity | The King's Fund (kingsfund.org.uk)
Lesperance, F. and Frasure-Smith. N (1999) Editorial comment: The seduction of death. Psychosomatic medicine.61.1.18-20
Lung disease in the UK | British Lung Foundation (blf.org.uk)
NICE (2009) Depression in adults with a chronic physical health problem: Recognition and management. Retrieved online: Overview | Depression in adults with a chronic physical health problem: recognition and management | Guidance | NICE
Nemeroff.C. and Musselman. (2000) Are platelets the link between depression and ischemic heart disease?. American Heart Journal. 140,4,57-62
Public health England (2016) Diabetes prevalence model. Crown copyright. Retrieved online: PHE standard publication template (publishing.service.gov.uk)
Pumar,M., Gray, C., Walsh, J., Yang, I, Rolls, T and ward, D. (2014) Anxiety and depression—Important psychological comorbidities of COPD. Journal of Thoracic Medicine. 6,11,1615-1631. Retrieved online: Doi: 10.3978/j.issn.2072-1439.2014.09.28
Rozanski, A., Bairey, C., Krantz, D., Friedman, J., Resser, K., Morell, M., Hilton-Chalfen,S., Hestrin,L., Bietendorf, J. and Berman, D. (1988) Mental stress and the induction of silent myocardial ischemia in patients with coronary artery disease. New England Journal of Medicine. 21,318,16,1005-1012
Simon, G., Katon, W., Lin, E, Ludman, E., Vonkorff, M., Chiechanowsky, P and Young, B (2005) Diabetes complications and depression as predictors of health service costs. General Hospital Psychiatry. 27,5,344-351.
Copyright (c) 2023 Feryad Hussain
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
