Understanding the Experiences of Pharmacological and Non-pharmacological Interventions for Chronic Illnesses

A special issue of Behavioral Sciences (ISSN 2076-328X). This special issue belongs to the section "Health Psychology".

Deadline for manuscript submissions: closed (30 June 2023) | Viewed by 14814

Special Issue Editors


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Guest Editor
School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
Interests: psychosocial adaptation; hope; mental well-being; narrative; storytelling; behavioural interventions; chronic illness; pain; qualitative research
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
Interests: integration of physical and mental health; experiences of healthcare for patients with physical and mental health comorbidity; promoting awareness of mental health within physiotherapy and interprofessional education

Special Issue Information

Dear Colleagues,

In recent decades, qualitative research has gained substantial ground and recognition for providing novel insights by individuals with chronic illness on both interventions and understanding of chronic illness.

The impact of COVID-19 has meant that, more than ever, understanding the perspectives of people is vital to enhancing interventions and accommodating needs. For instance, it may be that traditional patient reported outcome measures have a limited view of a concept or phenomenon that requires exploration in order to identify what, why, and how the intervention for chronic illness is having an effect. This Special Issue is put forward to capture new insights to the experiences of different interventions for chronic illness. We would like to capture a broad range of interventions that include pharmacological and non-pharmacological interventions for chronic illness. We encourage authors to consider this Special Issue if they have empirical or review-based studies that capture lived experiences and are able to reveal them in new and novel ways. This includes qualitative and mixed methodologies articles and reviews. We have a generous deadline of 21 June 2023 to allow time for this work to be considered and developed.

Dr. Andrew Soundy
Guest Editor

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Keywords

  • qualitative
  • mixed methods
  • interventions
  • chronic illness
  • experiences
  • attitudes and perceptions

Published Papers (6 papers)

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Research

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13 pages, 547 KiB  
Article
The Impact of Music Therapists’ Perspectives on Quality of Life in Building Relationships with Older Adults with Chronic Illness
by Kyung Min Kim
Behav. Sci. 2022, 12(11), 439; https://doi.org/10.3390/bs12110439 - 10 Nov 2022
Viewed by 2328
Abstract
Older adults with chronic illnesses have diminished qualities of life (QoL) due to physical and mental decline. To promote their QoL, music therapists create meaningful shared music experiences and positive therapeutic relationships to address their psychosocial needs. However, within this relationship-building process, healthcare [...] Read more.
Older adults with chronic illnesses have diminished qualities of life (QoL) due to physical and mental decline. To promote their QoL, music therapists create meaningful shared music experiences and positive therapeutic relationships to address their psychosocial needs. However, within this relationship-building process, healthcare professionals, staff, and even caregivers appear to project their own perceptions and expectations of what positive QoL of older adults should be. This misapprehension may challenge therapists to meet older adults’ actual QoL needs adequately. To date, no studies have explored music therapists’ perspectives on QoL in building relationships with older adults experiencing chronic illness. Eleven music therapists participated in online, semi-structured phenomenological interviews that were thematically analyzed. Three themes emerged: participants gained an increased awareness of unconscious biases, a deepened understanding of older adults’ QoL, and a purposeful alignment with older adults’ QoL. These highlighted the significance of therapists’ consistent self-reflection within the relationship-building process. Identifying their shared commonalities with older adults guided therapists to engage with clients more salutogenically and empathically. Additionally, recognizing their own biases being projected onto older adults empowered therapists to be more intentional to reconcile their perceptual discrepancies while prioritizing older adults’ authentic voices and capable selves. Full article
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19 pages, 10941 KiB  
Article
Antidepressant-like Effects of Polygonum minus Aqueous Extract in Chronic Ultra-Mild Stress-Induced Depressive Mice Model
by Muhammad Irfan Bashir, Nur Hidayah Kaz Abdul Aziz and Dzul Azri Mohamed Noor
Behav. Sci. 2022, 12(6), 196; https://doi.org/10.3390/bs12060196 - 18 Jun 2022
Cited by 4 | Viewed by 1932
Abstract
Depression is the most common behavior disorder that leads to many disabilities. The main aim of this study was to evaluate the effects of a Polygonum minus (P. minus) aqueous extract on chronic ultra-mild stress (CUMS)-induced depressive mice model. Chronic ultra-mild stress can [...] Read more.
Depression is the most common behavior disorder that leads to many disabilities. The main aim of this study was to evaluate the effects of a Polygonum minus (P. minus) aqueous extract on chronic ultra-mild stress (CUMS)-induced depressive mice model. Chronic ultra-mild stress can disturb the neurotransmitters levels and plasticity of the hippocampus. Balb/c male mice were used in this study, which consisted of six groups (n = 14). Treatment was given for eight weeks, and chronic ultra-mild stress was applied for six weeks. Commercially available P. minus extract (BioKesum®) was used in this study. The behavior and neurochemical parameters were investigated through behavioral Tests and ELISA assays. P. minus administration significantly (p < 0.05) restored CUMS-induced behavior abnormalities, decreased the immobility time, and increased the sucrose preference and increased the spatial memory. P. minus treatment also showed the decreased level of serum corticosterone and increased the level of hippocampal neurotransmitters (Serotonin and Norepinephrine) significantly (p < 0.05). The brain-derived neurotrophic factor (BDNF) level also increased significantly in both the prefrontal cortex and hippocampus (p < 0.05). P. minus treatment exhibited significant (p < 0.05) reduction of Monoamine Oxidase-A (MAO-A) in the hippocampus. These findings indicate that P. minus aqueous extract exhibits antidepressant effects, including decreased immobility time, increased spatial memory, reduced corticosterone, increased BDNF level, and reduced MAO-A enzyme level with increasing the monoamines (serotonin and norepinephrine) in the hippocampus. Full article
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Review

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15 pages, 462 KiB  
Review
Pain Perceptions, Suffering and Pain Behaviours of Professional and Pre-Professional Dancers towards Pain and Injury: A Qualitative Review
by Andrew Soundy and Ja Yee Lim
Behav. Sci. 2023, 13(3), 268; https://doi.org/10.3390/bs13030268 - 17 Mar 2023
Cited by 2 | Viewed by 1871
Abstract
Limited data exist that describe the experiences of pain and injury in dancers. The purpose of the current study was to understand pain perceptions, suffering and pain behaviours associated with pre-professional and professional dancers and to consider the psychosocial factors that influence suffering, [...] Read more.
Limited data exist that describe the experiences of pain and injury in dancers. The purpose of the current study was to understand pain perceptions, suffering and pain behaviours associated with pre-professional and professional dancers and to consider the psychosocial factors that influence suffering, behaviour and perceptions of pain. A thematic synthesis review was undertaken in three stages: (1) A systematic search using pre-defined search terms was conducted until 17 November 2022. Qualitative studies were included if they captured dancers’ perceptions, experiences, or the behaviour of dancers towards pain and injury. (2) Quality appraisal and certainty assessments was performed. (3) A five-phase synthesis generated themes that included a certainty assessment score. Twelve studies with 290 dancers met the inclusion criteria. The aggregated mean age was identified as 28.5 years. No studies were excluded following the quality appraisal stage. Nine studies included professional ballet dancers. Three themes were developed: (1) developing positive and adapted perceptions and behaviours towards pain, (2) the impact and danger of embracing pain and the risk of injury and (3) factors that influenced the response to injury and the ability to perform. This review has highlighted the experiences of pre-professional and professional dancers towards pain and injury. Practical implications for healthcare professionals, employers, choreographers and dancers are provided. Further research is required given the limited evidence base. Full article
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19 pages, 791 KiB  
Review
Exploring Stroke Patients’ Needs after Discharge from Rehabilitation Centres: Meta-Ethnography
by Basema Temehy, Sheeba Rosewilliam, George Alvey and Andrew Soundy
Behav. Sci. 2022, 12(10), 404; https://doi.org/10.3390/bs12100404 - 20 Oct 2022
Cited by 3 | Viewed by 2807
Abstract
Healthcare providers must consider stroke survivors needs in order to enable a good quality of life after stroke. This review aimed to investigate the perceived needs of the stroke survivors across various domains of care following their discharge from hospital. A meta-ethnographic review [...] Read more.
Healthcare providers must consider stroke survivors needs in order to enable a good quality of life after stroke. This review aimed to investigate the perceived needs of the stroke survivors across various domains of care following their discharge from hospital. A meta-ethnographic review of qualitative studies that reported needs of stroke patients after discharge from rehabilitation services was conducted. Main searches were conducted on the following electronic databases: Ovid Medline (1946 to 2021), CINAHL plus (EBSCO), AMED (EBSCO), PsycINFO (1967 to 2021), the Cochrane Library, and PubMed in June 2022. Main outcomes were related to stroke survivors’ views, experiences, and preferences on physical, psychological, social, rehabilitation needs, and other identified needs. Twenty-seven studies were included in the final analysis. The findings show that existing rehabilitation provision for stroke survivors does not address the long-term needs of stroke survivors. Two main issues were revealed concerning the unmet needs of stroke survivors: (1) a lack of information availability and suitability and (2) inadequacy of care and services. It is crucial to further investigate the needs of patients in Asian countries and the Middle East as there is very limited understanding of patients’ needs in the community in these regions. Full article
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16 pages, 1107 KiB  
Review
Heart Rate Variability Biofeedback in Cancer Patients: A Scoping Review
by Gea Elena Spada, Marianna Masiero, Silvia Francesca Maria Pizzoli and Gabriella Pravettoni
Behav. Sci. 2022, 12(10), 389; https://doi.org/10.3390/bs12100389 - 11 Oct 2022
Cited by 5 | Viewed by 2735
Abstract
Heart Rate Variability (HRV) Biofeedback (BFB) has been shown to improve autonomic balance and wellbeing in chronic diseases. As cardiac variability represents an index of cognitive and emotional regulation, HRV-BFB has been shown to lead to improvements in physiological and psychological adaptability and [...] Read more.
Heart Rate Variability (HRV) Biofeedback (BFB) has been shown to improve autonomic balance and wellbeing in chronic diseases. As cardiac variability represents an index of cognitive and emotional regulation, HRV-BFB has been shown to lead to improvements in physiological and psychological adaptability and quality of life. However, knowledge of HRV-BFB in cancer patients is lacking, and available results are diversified according to methods and outcomes. The present paper undertakes a scoping review, exploring the use of HRV-BFB to modulate autonomic balance, cancer symptom management, and quality of life in cancer. This scoping review analyzes empirical evidence considering study designs, BFB methods, and psychophysiological outcomes. Research that focused on HRV-BFB effects in cancer patients was selected (79%). In addition, a systematic review and meta-analysis (31%) focusing on HRV, or BFB in chronic conditions, including cancer, were considered. The studies examined BFB treatment for thyroid, lung, brain or colon cancer, hematologic cancer, and survivors or terminal cancer patients. Retrieved studies reported physiological and psychological indices as primary outcomes: they included HRV values, sleep, pain, fatigue, depression, anxiety, and quality of life. Although the heterogeneity of publications makes it difficult to generalize the effectiveness of HRV-BFB, the training has been proven to improve cancer symptoms and well-being. Full article
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Other

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16 pages, 3638 KiB  
Perspective
Achieving Behavioural Advancement through the Dynamic Maturation Model and the Assessment of Parent–Child Interactions in a Music Therapy Context
by Rachel Swanick and Efthymios Papatzikis
Behav. Sci. 2022, 12(9), 338; https://doi.org/10.3390/bs12090338 - 15 Sep 2022
Viewed by 2361
Abstract
Using concise and valid assessment tools before embarking on therapy with clients not only provides key information on areas of concern, but it can also focus the ongoing therapy, giving a greater chance of positive outcomes. This article discusses the use of the [...] Read more.
Using concise and valid assessment tools before embarking on therapy with clients not only provides key information on areas of concern, but it can also focus the ongoing therapy, giving a greater chance of positive outcomes. This article discusses the use of the Dynamic Maturational Model (DMM) and the Assessment of Parent–Child Interactions (APCI) as a framework for assessment with adoptive families in a music therapy service. It is proposed that using a Screening Family Formulation (SFF) as detailed through the DMM alongside the APCI can provide this secure foundation for assessment. It is proposed that the DMM promotes the use of the professional–parent relationships as a useful outline for the parent–child relationship alongside a thorough understanding of the issues faced by the family. In addition, the APCI enhances the assessment process by providing clinical and therapeutic evidence of areas of development for the family. Full article
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