Recommended approaches to assessing and managing physiotherapy clients experiencing psychological distress: a systematic mapping review.

IF 1.6 4区医学 Q2 REHABILITATION Physiotherapy Theory and Practice Pub Date : 2024-11-01 Epub Date: 2023-11-27 DOI:10.1080/09593985.2023.2284823

Ryan L McGrath, Sophie Shephard, Tracey Parnell, Sarah Verdon, Rodney Pope

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Abstract

Background: Some physiotherapists find assessing and managing clients experiencing psychological distress challenging and are uncertain regarding the boundaries of the profession's scope.

Objective: To map the approaches recommended for physiotherapists in scholarly literature, with respect to the assessment and management of clients experiencing psychological distress.

Methods: A systematic mapping review was conducted. CINAHL, APA PsycINFO, Embase, and Medline ALL databases were systematically searched for secondary and tertiary literature relevant to the research objective. Recommended approaches were extracted from each article and analyzed descriptively and thematically.

Results: 3884 records were identified with 40 articles meeting the inclusion/exclusion criteria. Most recommendations related to identifying, assessing, and managing pain-related distress, with depression screening and referral also receiving some attention. Three approaches to detecting and assessing psychological distress were identified: 1) brief depression screen; 2) integrated suicide/nonsuicidal self-harm and depression screen; and 3) multidimensional screen and health-related distress assessment. Regarding the management of psychological distress the main approaches identified were: 1) education and reassurance; 2) cognitive-behavioral approaches; 3) mindfulness; and 4) case management.

Conclusion: While assessment and management of health-related distress by physiotherapists is commonly recommended, further guidance is needed to differentiate various forms of distress.

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评估和管理经历心理困扰的理疗客户的推荐方法:一个系统的地图回顾。

背景:一些物理治疗师发现评估和管理经历心理困扰的客户具有挑战性，并且不确定专业范围的界限。目的:绘制学术文献中推荐给物理治疗师的方法，以评估和管理经历心理困扰的客户。方法:进行系统的制图回顾。系统检索CINAHL、APA PsycINFO、Embase和Medline ALL数据库，检索与研究目的相关的二级和三级文献。从每篇文章中提取推荐的方法，并对其进行描述性和主题性分析。结果:共识别3884条记录，符合纳入/排除标准的文献40篇。大多数建议涉及识别、评估和管理与疼痛相关的痛苦，抑郁症筛查和转诊也受到一些关注。确定了三种检测和评估心理困扰的方法:1)短暂抑郁筛查;2)自杀/非自杀自残与抑郁综合筛查;3)多维筛选和健康相关困扰评估。关于心理困扰的管理，确定的主要方法是:1)教育和安慰;2)认知行为方法;3)正念;4)病例管理。结论:虽然通常推荐物理治疗师评估和管理与健康相关的痛苦，但需要进一步指导以区分各种形式的痛苦。

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来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.