Psychosocial Support for Patients with Chronic Illnesses: Roles of Nurses, Social Workers, and Psychologists

Authors

  • Aqeel Hussain A Alkayri
  • Aziz Khairan S Alresheedi
  • Dawlah Hamda M Almutairi
  • Nashmi Zaid Ayidh Alrasheedi
  • Naif Krayem Hasan Alquayri
  • Alshammari Rabiah Ateeq S
  • Fatima Abdalaziz Rokayahan Alenazi
  • Sarah Munadi Jutly Alanazi
  • Ehteram Ali Alrowily
  • Hajer Wahsh Alshammry
  • Mohammad Alamiri Alreshidi

DOI:

https://doi.org/10.22399/ijcesen.4028

Keywords:

psychosocial support, chronic illness, nurses, social workers, psychologists

Abstract

Psychosocial support is an essential component of care for patients with chronic illnesses, as it addresses the emotional, social, and psychological challenges that accompany long-term health conditions. Nurses play a pivotal role by providing not only clinical care but also empathetic listening and patient education. They often serve as the first point of contact for patients, helping to identify psychosocial issues and facilitating connections to other resources. Through regular assessments and monitoring, nurses can implement interventions like motivational interviewing or coping strategies to enhance patient resilience and adherence to treatment regimes. This holistic approach ensures that patients are supported not just physically, but also emotionally, contributing to a more comprehensive care model. Social workers and psychologists further enrich the psychosocial support network for patients with chronic illnesses. Social workers typically coordinate community resources and advocate for patients’ needs, guiding them through complex healthcare navigation and providing assistance with financial or social challenges. They also facilitate support groups, fostering peer connections that can alleviate feelings of isolation. In contrast, psychologists focus on the mental health aspect, employing therapeutic techniques to help patients cope with anxiety, depression, or chronic pain related to their conditions. Together, these healthcare professionals form an interdisciplinary team that enhances the quality of life for patients, ultimately promoting better health outcomes and improving overall well-being.

References

1. Grady PA, Gough LL. Self-management: A comprehensive approach to management of chronic conditions. American Journal of Public Health. 2014;104(8):e25-e31.

2. Earnshaw VA, Quinn DM, Park CL. Anticipated stigma and quality of life among people living with chronic illnesses. Chronic Illness. 2012;8(2):79-88.

3. Andreae SJ, Andreae LJ, Richman JS, et al. Peer-delivered cognitive behavioral training to improve functioning in patients with diabetes: A cluster-randomized trial. Annals of Family Medicine. 2020;18(1):15-23.

4. Cronin TJ, Lawrence KA, Taylor K, et al. Integrating between-session interventions (homework) in therapy: The importance of the therapeutic relationship and cognitive case conceptualization. Journal of Clinical Psychology. 2015;71(5):439-450.

5. Brashers DE, Basinger ED, Rintamaki LS, et al. Taking control: The efficacy and durability of a peer-led uncertainty management intervention for people recently diagnosed with HIV. Health Communication. 2017;32(1):11-21.

6. Burke ML, Hainsworth MA, Eakes GG, et al. Current knowledge and research on chronic sorrow: A foundation for inquiry. Death Studies. 1992;16(3):231-245.

7. Fredrickson BL. The broaden-and-build theory of positive emotions. Philosophical Transactions of the Royal Society B: Biological Sciences. 2004;359(1449):1367-1378.

8. Brusadelli E, Tomasich A, Bruno S, et al. Effects of psychological intervention in glycemic control of patients with type 2 diabetes in integrated primary care setting. Psychotherapy and Psychosomatics. 2018;87(2):124-125.

9. Carver CS. You want to measure coping but your protocol too long: Consider the brief cope. International Journal of Behavioral Medicine. 1997;4(1):92.

10. De Ridder D, Geenen R, Kuijer R, et al. Psychological adjustment to chronic disease. The Lancet. 2008;372(9634):246-255.

11. Brashers DE, Haas SM, Neidig JL. The patient self-advocacy scale: Measuring patient involvement in health care decision-making interactions. Health Communication. 1999;11(2):97-121.

12. Gregg JA, Callaghan GM, Hayes SC, et al. Improving diabetes self-management through acceptance, mindfulness, and values: A randomized controlled trial. Journal of Consulting and Clinical Psychology. 2007;75(2):336-343.

13. Friborg O, Barlaug D, Martinussen M, et al. Resilience in relation to personality and intelligence. International Journal of Methods in Psychiatric Research. 2005;14(1):29-42.

14. Browne JL, Ventura A, Mosely K, et al. 'I'm not a druggie, I'm just a diabetic': A qualitative study of stigma from the perspective of adults with type 1 diabetes. BMJ Open. 2014;4(7):e005625.

15. Beck AT, Steer RA, Ball R, et al. Comparison of Beck Depression Inventories-IA and -II in psychiatric outpatients. Journal of Personality Assessment. 1996;67(3):588-597.

16. Craig P, Dieppe P, Macintyre S, et al. Developing and evaluating complex interventions: The new Medical Research Council guidance. BMJ. 2008;337:a1655.

17. Buhr K, Dugas MJ. The Intolerance of Uncertainty Scale: Psychometric properties of the English version. Behaviour Research and Therapy. 2002;40(8):931-946.

18. Fredrickson BL, Tugade MM, Waugh CE, et al. What good are positive emotions in crisis? A prospective study of resilience and emotions following the terrorist attacks on the United States on September 11th, 2001. Journal of Personality and Social Psychology. 2003;84(2):365-376.

19. Calandri E, Graziano F, Borghi M, et al. Improving the quality of life and psychological well-being of recently diagnosed multiple sclerosis patients: Preliminary evaluation of a group-based cognitive behavioral intervention. Disability and Rehabilitation. 2017;39(15):1474-1481.

20. Due-Christensen M, Zoffmann V, Willaing I, et al. The process of adaptation following a new diagnosis of type 1 diabetes in adulthood: A meta-synthesis. Qualitative Health Research. 2018;28(2):245-258.

21. Bond FW, Hayes SC, Baer RA, et al. Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy. 2011;42(4):676-688.

22. Carleton RN. Fear of the unknown: One fear to rule them all? Journal of Anxiety Disorders. 2016;41:5-21.

23. David D, Cristea I, Hofmann SG. Why cognitive behavioral therapy is the current gold standard of psychotherapy. Frontiers in Psychiatry. 2018;9:4.

24. Due-Christensen M, Willaing I, Ismail K, et al. Learning about type 1 diabetes and learning to live with it when diagnosed in adulthood: Two distinct but inter-related psychological processes of adaptation. A qualitative longitudinal study. Diabetic Medicine. 2019;36(6):742-752.

25. Beck AT. The current state of cognitive therapy: A 40-year retrospective. Archives of General Psychiatry. 2005;62(9):953-959.

26. Ahrens S, Elsner H. Empirische Untersuchungen zum Krankheitskonzept neurotischer, psychosomatischer und somatisch kranker Patienten (Teil II). Medizinische Psychologie. 1981;7:95-109.

27. Berger BE, Ferrans CE, Lashley FR. Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale. Research in Nursing & Health. 2001;24(6):518-529.

28. Andresen EM, Malmgren JA, Carter WB, et al. Screening for depression in well older adults: Evaluation of a short form of the CES-D. American Journal of Preventive Medicine. 1994;10(2):77-84.

29. Blumenthal JA, Burg MM, Barefoot J, et al. Social support, type A behavior, and coronary artery disease. Psychosomatic Medicine. 1987;49(4):331-340.

30. Chida Y, Steptoe A. Positive psychological well-being and mortality: A quantitative review of prospective observational studies. Psychosomatic Medicine. 2008;70(7):741-756.

31. Folkman S, Lazarus RS. Manual for the Ways of Coping Questionnaire. Palo Alto, CA: Consulting Psychologists Press; 1988.

32. Cradock KA, ÓLaighin G, Finucane FM, et al. Behaviour change techniques targeting both diet and physical activity in type 2 diabetes: A systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity. 2017;14(1):18.

33. Feicke J, Sporhase U, Kohler J, et al. A multicenter, prospective, quasi-experimental evaluation study of a patient education program to foster multiple sclerosis self-management competencies. Patient Education and Counseling. 2014;97(3):361-369.

34. Bury M. Chronic illness as biographical disruption. Sociology of Health & Illness. 1982;4(2):167-182.

35. Aromataris E, Riitano D. Systematic reviews: Constructing a search strategy and searching for evidence. American Journal of Nursing. 2014;114(5):49-56.

36. Bauman LJ, Weiss E. Multidimensional Social Support Inventory: Revised. New York: Albert Einstein College of Medicine; 1995.

37. Dekker J, de Groot V. Psychological adjustment to chronic disease and rehabilitation – An exploration. Disability and Rehabilitation. 2018;40(1):116-120.

38. Graham CD, Gouick J, Krahé C, et al. A systematic review of the use of Acceptance and Commitment Therapy (ACT) in chronic disease and long-term conditions. Clinical Psychology Review. 2016;46:46-58.

39. Folkman S. Stress, coping, and hope. Psycho-Oncology. 2010;19(9):901-908.

40. Deary V, McColl E, Carding P, et al. A psychosocial intervention for the management of functional dysphonia: Complex intervention development and pilot randomised trial. Pilot and Feasibility Studies. 2018;4:46.

41. Fredrickson BL. What good are positive emotions? Review of General Psychology: Journal of Division 1, of the American Psychological Association. 1998;2(3):300-319.

42. Gafvels C, Rane K, Wajngot A, et al. Follow-up two years after diagnosis of diabetes in patients with psychosocial problems receiving an intervention by a medical social worker. Social Work in Health Care. 2014;53(6):584-600.

43. Chatoor I, Krupnick J. The role of non-specific factors in treatment outcome of psychotherapy studies. European Child & Adolescent Psychiatry. 2001;10(Suppl. 1):I19-25.

44. Forman EM, Herbert JD. New directions in cognitive behavior therapy: Acceptance-based therapies. In: O'Donohue WT, Fisher JE. (eds) General Principles and Empirically Supported Techniques of Cognitive Behavior Therapy. Hoboken, NJ: John Wiley & Sons; 2009:77-101.

45. Cruz RA, Peterson AP, Fagan C, et al. Evaluation of the Brief Adjustment Scale–6 (BASE-6): A measure of general psychological adjustment for measurement-based care. Psychological Services. 2020;17(3):332-342.

46. Fredrickson BL. The role of positive emotions in positive psychology. The American Psychologist. 2001;56(3):218-226.

47. Gillanders S, Gillanders D. An acceptance and commitment therapy intervention for a woman with secondary progressive multiple sclerosis and a history of childhood trauma. Neuro-Disability and Psychotherapy. 2014;2(1–2):19-40.

48. Forbes A, Griffiths P. Methodological strategies for the identification and synthesis of 'evidence' to support decision-making in relation to complex healthcare systems and practices. Nursing Inquiry. 2002;9(3):141-155.

49. Gignac MAM, Backman CL, Davis AM, et al. Social role participation and the life course in healthy adults and individuals with osteoarthritis: Are we overlooking the impact on the middle-aged? Social Science & Medicine. 2013;81:87-93.

50. Govender RD, Schlebusch L, Esterhuizen T. Brief suicide preventive intervention in newly diagnosed HIV-positive persons. African Journal of Psychiatry. 2014;17(2):543-547.

Downloads

Published

2024-12-31

How to Cite

Aqeel Hussain A Alkayri, Aziz Khairan S Alresheedi, Dawlah Hamda M Almutairi, Nashmi Zaid Ayidh Alrasheedi, Naif Krayem Hasan Alquayri, Alshammari Rabiah Ateeq S, … Mohammad Alamiri Alreshidi. (2024). Psychosocial Support for Patients with Chronic Illnesses: Roles of Nurses, Social Workers, and Psychologists. International Journal of Computational and Experimental Science and Engineering, 10(4). https://doi.org/10.22399/ijcesen.4028

Issue

Section

Research Article