INTEGRATIVE APPROACHES IN CHRONIC ILLNESS; THE ROLE OF EMOTIONAL AND PSYCHOLOGICAL WELLBEING
Main Article Content
Keywords
Integrative Approaches, Psychedelics and Mental Health, Chronic Disease Management, Psychosocial Support, Mental Health, Patient-Centered Care, Chronic Illness Adaptation, Psychotherapy
Abstract
Patients with chronic diseases experience significant effects on their emotional and psychological well-being in addition to their physical health. Integrative approaches to managing chronic illnesses place a strong emphasis on the biopsychosocial model and integrate innovative psychotherapy methods, stress-reduction strategies, and emotional support into routine medical care. Technological innovations including neurofeedback, somatic experience, and acceptance and commitment therapy (ACT) are becoming more widely acknowledged for their effectiveness in reducing stress reactions, boosting emotional resilience, and enhancing patients' quality of life. These techniques focus on psychological and neurological processes, providing innovative approaches to the complex management of chronic illnesses. Furthermore, technological advancements that bridge the gap between physical and psychological treatment include telepsychology and digital therapies, which provide accessible and individualized mental health care. The current research delves into the latest developments in integrative care, emphasizing how these treatments might improve therapeutic results by addressing the interaction between managing chronic disease and neurophysiological stress responses. Subsequent investigations have to concentrate on clarifying the processes that underlie these therapies and broadening their utilization among other patient demographics. By establishing a more thorough, patient-centered paradigm that combines conventional medical therapies with emotional and psychological well-being, integrative methods hold the potential to completely transform the way chronic disease care is provided.
References
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29. Neves, B. B., Sanders, A., & Kokanović, R. (2019). “It's the worst bloody feeling in the world”: Experiences of loneliness and social isolation among older people living in care homes. Journal of Aging Studies, 49, 74-84.
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50. Yi, T., Gao, P., Zhu, T., Yin, H., & Jin, S. (2022). Glymphatic system dysfunction: a novel mediator of sleep disorders and headaches. Frontiers in Neurology, 13, 885020.
2. Barrett, M., Boyne, J., Brandts, J., Brunner-La Rocca, H. P., De Maesschalck, L., De Wit, K., ... & Zippel-Schultz, B. (2019). Artificial intelligence supported patient self-care in chronic heart failure: a paradigm shift from reactive to predictive, preventive and personalized care. EPMA Journal, 10, 445-464.
3. Bartels, S. J., DiMilia, P. R., Fortuna, K. L., & Naslund, J. A. (2018). Integrated care for older adults with serious mental illness and medical comorbidity: evidence-based models and future research directions. Psychiatric Clinics, 41(1), 153-164.
4. Bashshur, R. L., Shannon, G. W., Bashshur, N., & Yellowlees, P. M. (2016). The empirical evidence for telemedicine interventions in mental disorders. Telemedicine and e-Health, 22(2), 87-113.
5. Black, D. S., & Slavich, G. M. (2016). Mindfulness meditation and the immune system: a systematic review of randomized controlled trials. Annals of the New York Academy of Sciences, 1373(1), 13-24.
6. Bulaj, G., Clark, J., Ebrahimi, M., & Bald, E. (2021). From precision metapharmacology to patient empowerment: delivery of self-care practices for epilepsy, pain, depression and cancer using digital health technologies. Frontiers in Pharmacology, 12, 612602.
7. Cramer, S. C., Sur, M., Dobkin, B. H., O'Brien, C., Sanger, T. D., Trojanowski, J. Q., ... & Vinogradov, S. (2011). Harnessing neuroplasticity for clinical applications. Brain, 134(6), 1591-1609.
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11. El-Gabalawy, R., Mackenzie, C. S., Shooshtari, S., & Sareen, J. (2011). Comorbid physical health conditions and anxiety disorders: a population-based exploration of prevalence and health outcomes among older adults. General Hospital Psychiatry, 33(6), 556-564.
12. Foster, J. A., Baker, G. B., & Dursun, S. M. (2021). The relationship between the gut microbiome-immune system-brain axis and major depressive disorder. Frontiers in neurology, 12, 721126.
13. Furman, D., Campisi, J., Verdin, E., Carrera-Bastos, P., Targ, S., Franceschi, C., ... & Slavich, G. M. (2019). Chronic inflammation in the etiology of disease across the life span. Nature medicine, 25(12), 1822-1832.
14. Garland, E. L., & Howard, M. O. (2009). Neuroplasticity, psychosocial genomics, and the biopsychosocial paradigm in the 21st century. Health & Social Work, 34(3), 191-199.
15. Goetter, E. M., Iaccarino, M. A., Tanev, K. S., Furbish, K. E., Xu, B., & Faust, K. A. (2022). Telemental health uptake in an outpatient clinic for veterans during the COVID-19 pandemic and assessment of patient and provider attitudes. Professional Psychology: Research and Practice, 53(2), 151.
16. Gold, S. M., Köhler-Forsberg, O., Moss-Morris, R., Mehnert, A., Miranda, J. J., Bullinger, M., ... & Otte, C. (2020). Comorbid depression in medical diseases. Nature Reviews Disease Primers, 6(1), 69.
17. Gruber, J., Prinstein, M. J., Clark, L. A., Rottenberg, J., Abramowitz, J. S., Albano, A. M., ... & Weinstock, L. M. (2021). Mental health and clinical psychological science in the time of COVID-19: Challenges, opportunities, and a call to action. American Psychologist, 76(3), 409.
18. Hickey, B. A., Chalmers, T., Newton, P., Lin, C. T., Sibbritt, D., McLachlan, C. S., ... & Lal, S. (2021). Smart devices and wearable technologies to detect and monitor mental health conditions and stress: A systematic review. Sensors, 21(10), 3461.
19. Humphreys, K., Todd Korthuis, P., Stjepanović, D., & Hall, W. (2024). Therapeutic potential of psychedelic drugs: navigating high hopes, strong claims, weak evidence, and big money. Annual Review of Psychology, 76.
20. Karel, M. J., Gatz, M., & Smyer, M. A. (2012). Aging and mental health in the decade ahead: what psychologists need to know. American psychologist, 67(3), 184.
21. Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility is a fundamental aspect of health. Clinical Psychology Review, 30(7), 865-878.
22. Khera, T., & Rangasamy, V. (2021). Cognition and pain: a review. Frontiers in Psychology, 12, 673962.
23. Klick, J. C., & Ballantine, A. (2007). Providing care in chronic disease: the ever-changing balance of integrating palliative and restorative medicine. Pediatric Clinics of North America, 54(5), 799-812.
24. Lamb, J., Bower, P., Rogers, A., Dowrick, C., & Gask, L. (2012). Access to mental health in primary care: a qualitative meta-synthesis of evidence from the experience of people from ‘hard to reach ’ groups. Health: 16(1), 76-104.
25. Lenze, E. J., Nicol, G. E., Barbour, D. L., Kannampallil, T., Wong, A. W., Piccirillo, J., ... & Rodebaugh, T. L. (2021). Precision clinical trials: a framework for getting to precision medicine for neurobehavioural disorders. Journal of Psychiatry and Neuroscience, 46(1), E97-E110.
26. Linden, J. H., De Benedittis, G., Sugarman, L. I., & Varga, K. (2024). Behavioral and Affective Change. In The Routledge International Handbook of Clinical Hypnosis (pp. 425-513). Routledge.
27. Miller, G. E., Chen, E., & Parker, K. J. (2011). Psychological stress in childhood and susceptibility to the chronic diseases of aging: moving toward a model of behavioral and biological mechanisms. Psychological bulletin, 137(6), 959.
28. Moore, K. S. (2013). A systematic review on the neural effects of music on emotion regulation: Implications for music therapy practice. Journal of music therapy, 50(3), 198-242.
29. Neves, B. B., Sanders, A., & Kokanović, R. (2019). “It's the worst bloody feeling in the world”: Experiences of loneliness and social isolation among older people living in care homes. Journal of Aging Studies, 49, 74-84.
30. Nobari, H., Banihashemi, M., Saedmocheshi, S., Prieto-González, P., & Oliveira, R. (2023). Overview of the impact of sleep monitoring on optimal performance, immune system function, and injury risk reduction in athletes: A narrative review. Science progress, 106(4), 00368504231206265.
31. Oates, L. (2019). Naturopathic and Herbal Medicine Clinical Practice. Australian Journal of Herbal and Naturopathic Medicine, 31(1), 1.
32. Pandey, P., Gupta, P., Chaudhary, S., Miyapuram, K. P., & Lomas, D. (2022, July). Real-time sensing and neurofeedback for practicing meditation using simultaneous EEG and eye tracking. In 2022 IEEE Region 10 Symposium (TENSYMP) (pp. 1-6). IEEE.
33. Pressman, S. D., Kraft, T., & Bowlin, S. (2020). Well-being: physical, psychological, and social. In Encyclopedia of Behavioral Medicine (pp. 2334-2339). Cham: Springer International Publishing.
34. Raja, S., Hasnain, M., Hoersch, M., Gove-Yin, S., & Rajagopalan, C. (2015). Trauma-informed care in medicine: current knowledge and future research directions. Family & Community Health, 38(3), 216-226.
35. Reed, R. G., & Raison, C. L. (2016). Stress and the immune system. Environmental influences on the immune system, 97-126.
36. Richards, K., Nagel, C., Markie, M., Elwell, J., & Barone, C. (2003). Use of complementary and alternative therapies to promote sleep in critically ill patients. Critical Care Nursing Clinics, 15(3), 329-340.
37. Samartzis, L., & Talias, M. A. (2020). Assessing and improving the quality of mental health services. International journal of environmental research and public health, 17(1), 249.
38. Seixas, A. A., Olaye, I. M., Wall, S. P., & Dunn, P. (2021). Optimizing healthcare through digital health and wellness solutions to meet the needs of patients with chronic disease during the COVID-19 era. Frontiers in public health, 9, 667654.
39. Sherani, A. M. K., Khan, M., Qayyum, M. U., & Hussain, H. K. (2024). Synergizing AI and Healthcare: Pioneering Advances in Cancer Medicine for Personalized Treatment. International Journal of Multidisciplinary Sciences and Arts, 3(1), 270-277.
40. Silverman, M. N., & Deuster, P. A. (2014). Biological mechanisms underlying the role of physical fitness in health and resilience. Interface focus, 4(5), 20140040.
41. Sobel, D. S. (1995). Rethinking medicine: improving health outcomes with cost-effective psychosocial interventions. Psychosomatic medicine, 57(3), 234-244.
42. Talmor, D., Shapiro, N., Greenberg, D., Stone, P. W., & Neumann, P. J. (2006). When is critical care medicine cost-effective? A systematic review of the cost-effectiveness literature. Critical care medicine, 34(11), 2738-2747.
43. Tuerk, P. W., Schaeffer, C. M., McGuire, J. F., Adams Larsen, M., Capobianco, N., & Piacentini, J. (2019). Adapting evidence-based treatments for digital technologies: a critical review of functions, tools, and the use of branded solutions. Current Psychiatry Reports, 21, 1-13.
44. Van Wilder, L., Pype, P., Mertens, F., Rammant, E., Clays, E., Devleesschauwer, B., ... & De Smedt, D. (2021). Living with a chronic disease: insights from patients with a low socioeconomic status. BMC Family Practice, 22, 1-11.
45. Vollenweider, F. X., & Preller, K. H. (2020). Psychedelic drugs: neurobiology and potential for treatment of psychiatric disorders. Nature Reviews Neuroscience, 21(11), 611-624.
46. Wagner, E. H., Austin, B. T., Davis, C., Hindmarsh, M., Schaefer, J., & Bonomi, A. (2001). Improving chronic illness care: translating evidence into action. Health Affairs, 20(6), 64-78.
47. Walach, H., Ferrari, M. L. G., Sauer, S., & Kohls, N. (2012). Mind-body practices in integrative medicine. Religions, 3(1), 50-81.
48. Wang, W., Chen, J., Hu, Y., Liu, H., Chen, J., Gadekallu, T. R., ... & Hu, X. (2024). Integration of Artificial Intelligence and Wearable Internet of Things for Mental Health Detection. International Journal of Cognitive Computing in Engineering, 5, 307-315.
49. Whittemore, R., & Dixon, J. (2008). Chronic illness: the process of integration. Journal of Clinical Nursing, 17(7b), 177-187.
50. Yi, T., Gao, P., Zhu, T., Yin, H., & Jin, S. (2022). Glymphatic system dysfunction: a novel mediator of sleep disorders and headaches. Frontiers in Neurology, 13, 885020.
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Sep 19, 2024
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INTEGRATIVE APPROACHES IN CHRONIC ILLNESS; THE ROLE OF EMOTIONAL AND PSYCHOLOGICAL WELLBEING. (2024). Journal of Population Therapeutics and Clinical Pharmacology, 31(9), 1378-1393. https://doi.org/10.53555/yw1jd126
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Author Biographies
Musarrat Parveen
MPhil Scholar, Shaheed Benazir Bhutto Women University Peshawar, Pakistan
Rabia Kirran
Institute: Virtual University of Pakistan
Sana Raza
Institute of Public Mental Health and Behavioral Sciences, KMU Peshawar, Pakistan
Faryal
Research Assistant, Khyber Medical University Peshawar, Pakistan
Safina
Clinical Psychologist, Social Welfare Department Peshawar, Pakistan
How to Cite
INTEGRATIVE APPROACHES IN CHRONIC ILLNESS; THE ROLE OF EMOTIONAL AND PSYCHOLOGICAL WELLBEING. (2024). Journal of Population Therapeutics and Clinical Pharmacology, 31(9), 1378-1393. https://doi.org/10.53555/yw1jd126