Physiotherapists’ knowledge on the provision of physiotherapy to people with mental illness. A study from Paraguay

Autores/as

DOI:

https://doi.org/10.52379/mcs.v4i3.157

Palabras clave:

Physiotherapy; mental health; mental disorders

Resumen

Introduction: Physiotherapy improves the quality of life in people with mental disorders through the optimization of their physical and mental health. This study aimed to determine the knowledge of physiotherapists about the provision of Physiotherapy services to people with mental disorders, about the role of Physiotherapy in the treatment of physical illnesses of mentally ill persons and in the treatment of the mental disorder itself. Methodology: A descriptive, observational, cross-sectional, and prospective study was conducted. 187 physiotherapists practicing in Paraguay, of both sexes, were surveyed. The data collection instrument was a Spanish version of the survey used by Andrew et al., which was adapted. Results: 46.52% of physiotherapists stated that Physiotherapy is useful to manage the physical symptoms of people with mental disorders. 55.61% reported that they needed more information and/or training on managing physical conditions affecting these people. 75.94% declared that they were aware that Physiotherapy can be used as treatment for some mental disorders, mainly as an adjuvant treatment to both pharmacotherapy and psychotherapy (54.55%). Participants scored anxiety disorders (23.88%), major depression disorder (21.99%) and Alzheimer's disease (21.48%) as those conditions that could most benefit from a physiotherapeutic intervention. Also, 21.93% of the respondents reported the need of more information on how to interact and communicate with people with mental disorders. Conclusion: There are gaps in the knowledge of physiotherapists in Paraguay about the provision of Physiotherapy to people with mental disorders. An adequate training and education of physiotherapists on mental illness is encouraged.

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Whiteford HA, Ferrari AJ, Degenhardt L, Feigin V, Vos T. The Global Burden of Mental, Neurological and Substance Use Disorders: An Analysis from the Global Burden of Disease Study 2010. PLOS ONE. 2015;10(2):e0116820. https://dx.doi.org/10.1371/journal.pone.0116820

Liu Q, He H, Yang J, Feng X, Zhao F, Lyu J. Changes in the global burden of depression from 1990 to 2017: Findings from the Global Burden of Disease study. J Psychiatr Res. 2020;126:134–40. https://dx.doi.org/10.1016/j.jpsychires.2019.08.002

Ortiz R, Ibarra V, Almirón M, González I, Gómez N, Torales J. Fisioterapia en Salud Mental: una breve guía introductoria [Physiotherapy in Mental Health: a brief introductory guide]1st ed.Asunción: EFACIM; 2018.

Andrew E, Briffa K, Waters F, Lee S, Fary R. Physiotherapists’ views about providing physiotherapy services to people with severe and persistent mental illness: a mixed methods study. J Physiother. 2019;65(4):222–9. https://dx.doi.org/10.1016/j.jphys.2019.08.001

Hardy S, White J, Deane K, Gray R. Educating healthcare professionals to act on the physical health needs of people with serious mental illness: a systematic search for evidence: Educating staff about physical health in SMI. J Psychiatr Ment Health Nurs. 2011;18(8):721–7. https://dx.doi.org/10.1111/j.1365-2850.2011.01722.x

Grubaugh AL, Clapp JD, Frueh BC, Tuerk PW, Knapp RG, Egede LE. Open trial of exposure therapy for PTSD among patients with severe and persistent mental illness. Behav Res Ther. 2016;78:1–12. https://dx.doi.org/10.1016/j.brat.2015.12.006

Alexandratos K, Barnett F, Thomas Y. The Impact of Exercise on the Mental Health and Quality of Life of People with Severe Mental Illness: A Critical Review. Br J Occup Ther. 2012;75(2):48–60. https://dx.doi.org/10.4276/030802212X13286281650956

Knapik GP, Graor CH. Engaging Persons with Severe Persistent Mental Illness into Primary Care. J Nurse Pract. 2013;9(5):283–7. https://dx.doi.org/10.1016/j.nurpra.2013.02.019

Robson D, Gray R. Serious mental illness and physical health problems: A discussion paper. Int J Nurs Stud. 2007;44(3):457–66. https://dx.doi.org/10.1016/j.ijnurstu.2006.07.013

Dickerson F, Origoni A, Schroeder J, Schweinfurth LAB, Stallings C, Savage CLG, et al. Mortality in schizophrenia and bipolar disorder: Clinical and serological predictors. Schizophr Res. 2016;170(1):177–83. https://dx.doi.org/10.1016/j.schres.2015.11.010

Torales J, Arce A. Principios de psicofarmacología: una introducción [Principles of Psychopharmacology: an introduction]. Med Clínica Soc. 2017;1(1):54–99.

Vancampfort D, Stubbs B, Ward PB, Teasdale S, Rosenbaum S. Why moving more should be promoted for severe mental illness. Lancet Psychiatry. 2015;2(4):295. https://dx.doi.org/10.1016/S2215-0366(15)00099-1

Torales J, Barrios I, Almirón M, De la Cueva R. Physiotherapy in the treatment of anxiety disorders. Int J Cult Ment Health. 2017;10(3):298–9. https://dx.doi.org/10.1080/17542863.2017.1303075

Richardson CR, Faulkner G, McDevitt J, Skrinar GS, Hutchinson DS, Piette JD. Integrating Physical Activity Into Mental Health Services for Persons With Serious Mental Illness. Psychiatr Serv. 2005;56(3):324–31. https://dx.doi.org/10.1176/appi.ps.56.3.324

Pope C. Recovering mind and body: a framework for the role of physiotherapy in mental health and well?being. J Public Ment Health. 2009;8(2):36–9. https://dx.doi.org/10.1108/17465729200900012

Probst M. Physiotherapy and Mental Health. In: Suzuki T, editor. Clin. Phys. Ther. 1st ed., London: InTech; 2017, p. 179–204.

Guszkowska M. [Effects of exercise on anxiety, depression and mood]. Psychiatr Pol. 2004;38(4):611–20.

Torales J, Almirón M, González I, Gómez N, Ortiz R, Ibarra V. Ejercicio físico como tratamiento adyuvante de los trastornos mentales. Una revisión narrativa. An Fac Cienc Méd (Asunción). 2018;51(3):27–32. https://dx.doi.org/10.18004/anales/2018.051(03)27-032

Morgan VA, Waterreus A, Jablensky A, Mackinnon A, McGrath JJ, Carr V, et al. People living with psychotic illness in 2010: The second Australian national survey of psychosis. Aust N Z J Psychiatry. 2012;46(8):735–52. https://dx.doi.org/10.1177/0004867412449877

Lee S, Waters F, Briffa K, Fary RE. Limited interface between physiotherapy primary care and people with severe mental illness: a qualitative study. J Physiother. 2017;63(3):168–74. https://dx.doi.org/10.1016/j.jphys.2017.05.014

Vancampfort D, Knapen J, Probst M, Scheewe T, Remans S, De Hert M. A systematic review of correlates of physical activity in patients with schizophrenia: Physical activity correlates in schizophrenia. Acta Psychiatr Scand. 2012;125(5):352–62. https://dx.doi.org/10.1111/j.1600-0447.2011.01814.x

Stubbs B, Soundy A, Probst M, De Hert M, De Herdt A, Vancampfort D. Understanding the role of physiotherapists in schizophrenia: an international perspective from members of the International Organisation of Physical Therapists in Mental Health (IOPTMH). J Ment Health. 2014;23(3):125–9. https://dx.doi.org/10.3109/09638237.2013.869574

Stubbs B, Soundy A, Probst M, Parker A, Skjaerven LH, Lundvik Gyllensten A, et al. Addressing the disparity in physical health provision for people with schizophrenia: an important role for physiotherapists. Physiotherapy. 2014;100(3):185–6. https://dx.doi.org/10.1016/j.physio.2013.11.003

Stubbs B, Probst M, Soundy A, Parker A, De Herdt A, De Hert M, et al. Physiotherapists can help implement physical activity programmes in clinical practice. Br J Psychiatry. 2014;204(2):164–164. https://dx.doi.org/10.1192/bjp.204.2.164

Connaughton J, Gibson W. Physiotherapy Students’ Attitudes toward Psychiatry and Mental Health: A Cross-Sectional Study. Physiother Can. 2016;68(2):172–8. https://dx.doi.org/10.3138/ptc.2015-18E

Torales J, Arce A, Chávez E, Melgarejo O. Trastornos depresivos: de la etiopatogenia a la terapéutica [Depressive disorders: from etiopathogenesis to therapeutics]1st ed.Asunción: EFACIM; 2018.

Hasin DS, Sarvet AL, Meyers JL, Saha TD, Ruan WJ, Stohl M, et al. Epidemiology of Adult DSM-5 Major Depressive Disorder and Its Specifiers in the United States. JAMA Psychiatry. 2018;75(4):336. https://dx.doi.org/10.1001/jamapsychiatry.2017.4602

Bandelow B, Michaelis S. Epidemiology of anxiety disorders in the 21st century. Dialogues Clin Neurosci. 2015;17(3):327–35.

Vancampfort D, Rosenbaum S, Probst M, Connaughton J, du Plessis C, Yamamoto T, et al. Top 10 research questions to promote physical activity in bipolar disorders: A consensus statement from the International Organization of Physical Therapists in Mental Health. J Affect Disord. 2016;195:82–7. https://dx.doi.org/10.1016/j.jad.2016.01.046

Vancampfort D, De Hert M, Skjerven LH, Gyllensten AL, Parker A, Mulders N, et al. International Organization of Physical Therapy in Mental Health consensus on physical activity within multidisciplinary rehabilitation programmes for minimising cardio-metabolic risk in patients with schizophrenia. Disabil Rehabil. 2012;34(1):1–12. https://dx.doi.org/10.3109/09638288.2011.587090

Torales J, Almirón M, González I, Navarro R, O’Higgins M, Castaldelli-Maia J, et al. ¿Mejora el PILATES la salud mental? Mem Inst Investig En Cienc Salud. 2019;17(3):97–102. https://dx.doi.org/10.18004/mem.iics/1812-9528/2019.017.03.97-102

Peer JR, Warnecke AJ, Baum CA, Goreczny AJ. Stigmatization of People with Schizophrenia: Perspectives of Graduate Students in Various Healthcare Fields. Int J Ment Health. 2015;44(3):186–99. https://dx.doi.org/10.1080/00207411.2015.1035065

Rao H, Mahadevappa H, Pillay P, Sessay M, Abraham A, Luty J. A study of stigmatized attitudes towards people with mental health problems among health professionals. J Psychiatr Ment Health Nurs. 2009;16(3):279–84. https://dx.doi.org/10.1111/j.1365-2850.2008.01369.x

Setchell J. What Has Stigma Got to Do with Physiotherapy? Physiother Can. 2017;69(1):1–3. https://dx.doi.org/10.3138/ptc.69.1.GEE

Clement S, Schauman O, Graham T, Maggioni F, Evans-Lacko S, Bezborodovs N, et al. What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol Med. 2015;45(1):11–27. https://dx.doi.org/10.1017/S0033291714000129

Torales J, Girala N, Garcete M, Forestieri F. Derechos Humanos en Paraguay 2007 [Human Rights in Paraguay 2007]Asunción: AGR Editorial; 2007.

Stubbs A. Reducing mental illness stigma in health care students and professionals: a review of the literature. Australas Psychiatry. 2014;22(6):579–84. https://dx.doi.org/10.1177/1039856214556324

Fazel S. Schizophrenia, Substance Abuse, and Violent Crime. JAMA. 2009;301(19):2016. https://dx.doi.org/10.1001/jama.2009.675

Recalde Berni S, Torales J, Arce A. Esquizofrenia y violencia [Schizophrenia and violence]. Rev Par Psiq. 2015;3(1):57–66.

Arce A, Moreno M, Torales J, Rodríguez H, Bogado A, Medina A. Normas generales para personas usuarias de Salud Mental, sus familias y cuidadores generales [Rules for users of Mental Health services, their families and caregivers]3rd ed.Asunción: EFACIM; 2017.

Bernardo M, Córdoba R, Torales J, Barrios I, editors. ¿Qué sabemos de la Esquizofrenia? Guía para pacientes y familiares1st ed.Antigua: Asociación Psiquiátrica de América Latina; 2016.

Catalán-Matamoros D. Fisioterapia en Salud Mental. Efectividad de una intervención fisioterapéutica en trastornos alimentarios [Physiotherapy in Mental Health effectiveness of a physiotherapeutic intervention in eating disorders]. Universidad de Málaga, 2007.

Sobel D, Ornstein R. Manual de la Salud del Cuerpo y la Mente [Mind and Body Health Manual]1st ed.Barcelona: Kairós; 2000.

Catalan-Matamoros D, Helvik-Skjaerven L, Labajos-Manzanares MT, Martínez-de-Salazar-Arboleas A, Sánchez-Guerrero E. A pilot study on the effect of Basic Body Awareness Therapy in patients with eating disorders: a randomized controlled trial. Clin Rehabil. 2011;25(7):617–26. https://dx.doi.org/10.1177/0269215510394223

Danielsson L, Rosberg S. Opening toward life: Experiences of basic body awareness therapy in persons with major depression. Int J Qual Stud Health Well-Being. 2015;10(1):27069. https://dx.doi.org/10.3402/qhw.v10.27069

Fernandez-del-Valle M, Larumbe-Zabala E, Villaseñor-Montarroso A, Cardona Gonzalez C, Diez-Vega I, Lopez Mojares LM, et al. Resistance training enhances muscular performance in patients with anorexia nervosa: A randomized controlled trial: Resistance Training in Anorexia Nervosa. Int J Eat Disord. 2014;47(6):601–9. https://dx.doi.org/10.1002/eat.22251

Scheewe TW, Backx FJG, Takken T, Jörg F, van Strater ACP, Kroes AG, et al. Exercise therapy improves mental and physical health in schizophrenia: a randomised controlled trial. Acta Psychiatr Scand. 2013;127(6):464–73. https://dx.doi.org/10.1111/acps.12029

Scheewe TW, van Haren NEM, Sarkisyan G, Schnack HG, Brouwer RM, de Glint M, et al. Exercise therapy, cardiorespiratory fitness and their effect on brain volumes: A randomised controlled trial in patients with schizophrenia and healthy controls. Eur Neuropsychopharmacol. 2013;23(7):675–85. https://dx.doi.org/10.1016/j.euroneuro.2012.08.008

Lowery D, Cerga-Pashoja A, Iliffe S, Thuné-Boyle I, Griffin M, Lee J, et al. The effect of exercise on behavioural and psychological symptoms of dementia: the EVIDEM-E randomised controlled clinical trial: Exercise for behavioural symptoms of dementia. Int J Geriatr Psychiatry. 2014;29(8):819–27. https://dx.doi.org/10.1002/gps.4062

Krogh J, Rostrup E, Thomsen C, Elfving B, Videbech P, Nordentoft M. The effect of exercise on hippocampal volume and neurotrophines in patients with major depression–A randomized clinical trial. J Affect Disord. 2014;165:24–30. https://dx.doi.org/10.1016/j.jad.2014.04.041

Yoon JE, Lee SM, Lim HS, Kim TH, Jeon JK, Mun MH. The Effects of Cognitive Activity Combined with Active Extremity Exercise on Balance, Walking Activity, Memory Level and Quality of Life of an Older Adult Sample with Dementia. J Phys Ther Sci. 2013;25(12):1601–4. https://dx.doi.org/10.1589/jpts.25.1601

Vancampfort D, Vansteelandt K, Scheewe T, Probst M, Knapen J, De Herdt A, et al. Yoga in schizophrenia: a systematic review of randomised controlled trials: Yoga in schizophrenia. Acta Psychiatr Scand. 2012;126(1):12–20. https://dx.doi.org/10.1111/j.1600-0447.2012.01865.x

Mitchell KS, Dick AM, DiMartino DM, Smith BN, Niles B, Koenen KC, et al. A Pilot Study of a Randomized Controlled Trial of Yoga as an Intervention for PTSD Symptoms in Women: Yoga for PTSD in Women. J Trauma Stress. 2014;27(2):121–8. https://dx.doi.org/10.1002/jts.21903

Vancampfort D, De Hert M, Knapen J, Maurissen K, Raepsaet J, Deckx S, et al. Effects of progressive muscle relaxation on state anxiety and subjective well-being in people with schizophrenia: a randomized controlled trial. Clin Rehabil. 2011;25(6):567–75. https://dx.doi.org/10.1177/0269215510395633

Conrad A, Roth WT. Muscle relaxation therapy for anxiety disorders: It works but how? J Anxiety Disord. 2007;21(3):243–64. https://dx.doi.org/10.1016/j.janxdis.2006.08.001

Pifarré P, Simó M, Gispert J-D, Plaza P, Fernández A, Pujol J. Diazepam and Jacobson’s Progressive Relaxation Show Similar Attenuating Short-Term Effects on Stress-Related Brain Glucose Consumption. Eur Psychiatry. 2015;30(2):187–92. https://dx.doi.org/10.1016/j.eurpsy.2014.03.002

Moyle W, Cooke ML, Beattie E, Shum DHK, O’Dwyer ST, Barrett S, et al. Foot Massage and Physiological Stress in People with Dementia: A Randomized Controlled Trial. J Altern Complement Med. 2014;20(4):305–11. https://dx.doi.org/10.1089/acm.2013.0177

Kaur J, Garnawat D. The mental health benefits of physiotherapy. Fysioterapeuten. 2016;7:33–6.

Probst M, Knapen J, Poot G, Vancampfort D. Psychomotor Therapy and Psychiatry: What’s in a Name? Open Complement Med J. 2010;2(1):105–13.

Catalán Matamoros D. La Fisioterapia en Salud Mental: su efectividad y situación actual [Physiotherapy in Mental Health: its effectiveness and current status]. Fisioterapia. 2009;31(5):175–6. https://dx.doi.org/10.1016/j.ft.2009.09.001

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28-09-2020

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