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The Intersection of Physical and Mental Health: Insights from Primary Care Research – Nursing Science
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size-full" alt="" itemprop="image" decoding="async" fetchpriority="high" /> </div> <header class="entry-header"> <h1 class="entry-title" itemprop="headline">The Intersection of Physical and Mental Health: Insights from Primary Care Research</h1> <div class="entry-meta"> <span class="posted-on"><time class="updated" datetime="2024-09-28T16:41:32+05:30" itemprop="dateModified">September 28, 2024</time><time class="entry-date published" datetime="2024-09-28T12:33:58+05:30" itemprop="datePublished">September 28, 2024</time></span> <span class="byline">by <span class="author vcard" itemprop="author" itemtype="https://schema.org/Person" itemscope><a class="url fn n" href="https://nursing-science.com/archive/author/nursing-science/" title="View all posts by nursing-science" rel="author" itemprop="url"><span class="author-name" itemprop="name">nursing-science</span></a></span></span> </div> </header> <div class="entry-content" itemprop="text"> <p><span style="font-weight: 400;">It is important to establish how physical and mental health are intertwined in the primary care context, as this relationship becomes readily apparent in these contexts. Many papers focus on the mutual influence of mental and general health disorders in the case of patients, and what was discovered is that the relationship between these two types of disorders is rather intricate, thus requiring the usage of community care approaches to provide treatment for patients suffering from these conditions. This blog examines disparate study results from primary care, focusing on the role of integrated care models and primary care providers in managing patients’ physical and mental health issues simultaneously. Through analyzing this information, we intend to stress the need for individual, all-encompassing patient care for most of the health concerns.</span></p> <h3><b>The Psychometric Comparison of Military and Civilian Medical Practices</b></h3> <p><span style="font-weight: 400;">First, the focus of primary care appears to differ noticeably from that of other forms of medical practice, yet it is also astonishingly similar in various ways. For example, a work that compared military and civilian medical values detailed that the psychometric nature of patient care was almost the same in both settings. The prevalence of mental disorders in the subjects includes mood and anxiety disorders and showed no differences between military and civilian patients. However, some differences were observed in certain types of disorders; particularly, the civilians appeared to experience major depression and generalized anxiety disorder more frequently than the others. In It, the authors drew a clear comparison between veterans and inmates, which confirmed that mental health disorders cut across all demographics of patients regardless of their past or current status.</span></p> <h3><b>Mood and Anxiety Symptoms in Clients Attending the Primary Care Unit</b></h3> <p><span style="font-weight: 400;">It is significant to know how mood and anxiety symptoms present themselves in primary care patients. Studies that have been made to establish the extent of these symptoms as well as their grouping have provided subtypes that deviate from those defined by the DSM. These indexes of symptoms give a better picture of the way mood and anxiety disorders manifest themselves in the primary care setting and therefore require an individualized approach to management. For example, it may be crucial because patients with severe mood disorders need extensive care plans in which both MH and PH are significantly impaired.</span></p> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Yearwise Publication Trend on <b>“<a href="https://nursing-science.com/publication-trends/index/physical and mental health" target="_blank" title="physical and mental health - yearwise publication trends">physical and mental health</a>”</b></h2> </div> </div><div class="results-container"><div class="chart-block" style="padding:15px;"> <div class="left"> <div id="results" class="results"></div> </div> <div class="right"> <div class="chart-container"><canvas id="publicationChart"></canvas></div> </div> <div class="keywordsdiv"> <div style="text-align:center;"><b>Find publication trends on relevant topics</b> </div> <span class="gp-icon icon-tags"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M20 39.5c-8.836 0-16 7.163-16 16v176c0 4.243 1.686 8.313 4.687 11.314l224 224c6.248 6.248 16.378 6.248 22.626 0l176-176c6.244-6.244 6.25-16.364.013-22.615l-223.5-224A15.999 15.999 0 00196.5 39.5H20zm56 96c0-13.255 10.745-24 24-24s24 10.745 24 24-10.745 24-24 24-24-10.745-24-24z"></path><path d="M259.515 43.015c4.686-4.687 12.284-4.687 16.97 0l228 228c4.686 4.686 4.686 12.284 0 16.97l-180 180c-4.686 4.687-12.284 4.687-16.97 0-4.686-4.686-4.686-12.284 0-16.97L479.029 279.5 259.515 59.985c-4.686-4.686-4.686-12.284 0-16.97z"></path></svg></span> <span id="keyword-stats"></span> </div> </div></div></div><div class="inside-article"><style> table { margin: 0 0 1.5em; 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if (!statistics || Object.keys(statistics).length === 0) { resultsContainer.innerHTML = '<p>No data found.</p>'; return; } var tableHTML = `<div class='pub-scroll'> <table class='tablediv' border='1' cellspacing='0' cellpadding='0'> <tr> <th>Year</th> <th>Publication Count</th> </tr>`; Object.entries(statistics).sort(([yearA], [yearB]) => yearB - yearA).forEach(([year, count]) => { const displayCount = count === 0 ? 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Research has revealed that patients of younger ages than the elderly cohorts are more likely to be diagnosed with psychiatric disorders and receive appropriate management. This could be because mental health disorders are less diagnosed in senior citizens compared to the younger generation, and they manifest signs of the disorders in different ways. Diagnosis, including the use of screening tools such as the PRIME-MD to increase the identification level of psychiatric disorders to expand the care required regardless of the age of the patients.</span></p> <h3><b>Survey of Psychiatric Disorders in Patients Referred to Rheumatologists</b></h3> <p><span style="font-weight: 400;">Lumbar complaints have frequently been attributed to rheumatology clinics, which report high instances of psychopathology. Studies show that patients admitted to rheumatology clinics exhibit higher levels of anxiety and depression than patients in general medicine clinics. Based on such an outcome, it is recommended that psychiatric evaluations be integrated into rheumatology evaluations since such disorders may worsen the manifestations of rheumatic illnesses. The patient managed with such a diagnosis should receive the early treatment of psychiatric diseases to prevent their unfavorable influence on health and increasing expenses.</span></p> <h3><b>Hypertension in Psychiatric Patients in a Tertiary Institution</b></h3> <p><span style="font-weight: 400;">This study shows the connection between hypertension and psychiatric morbidity is well-established, especially in tertiary care hospitals. Notably, acute hypertension disease is accompanied by a high level of influx of mood disorders in patients, including depression and anxiety. This comorbidity is especially clinically evident in women and the youthful population. This psychiatric morbidity needs to be identified and tackled to enhance the health and functioning of hypertensive patients. Thus, the work on the integration of mental health care into hypertensive patient management can contribute to an improvement in the experience of managing this category of patients and can help to decrease the load on health care systems caused by cardiovascular diseases.</span></p> <h3><b>Computerized Self-Administered Screening Tool for Mental Disorders</b></h3> <p><span style="font-weight: 400;">Technological improvements in healthcare have led to better approaches to diagnosing mentally ill patients in outpatient clinics. Telephone interviews with the help of IVR have been confirmed as suitable for diagnosing psychiatric disorders. These systems facilitate the uptake of mental health assessments, meaning that primary care physicians receive important information without extra time. This entails tools that can increase the identification and treatment of mental disorders right from their initial stages.</span></p> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Recent Publications on <b>“<a href="https://nursing-science.com/recent-publications/index/physical and mental health" target="_blank" rel="noopener" title="physical and mental health - yearwise publication list">physical and mental health</a>”</b></h2> </div> </div> <div class="pb-main"><div class="article-scroll"><div id="results_recent" class="results"></div></div><div class="keywordsdiv" style="margin: 0px 15px;margin-top:20px;"> <div style="text-align:center;"><b>Find publications on relevant topics</b> </div> <span class="gp-icon icon-tags"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M20 39.5c-8.836 0-16 7.163-16 16v176c0 4.243 1.686 8.313 4.687 11.314l224 224c6.248 6.248 16.378 6.248 22.626 0l176-176c6.244-6.244 6.25-16.364.013-22.615l-223.5-224A15.999 15.999 0 00196.5 39.5H20zm56 96c0-13.255 10.745-24 24-24s24 10.745 24 24-10.745 24-24 24-24-10.745-24-24z"></path><path d="M259.515 43.015c4.686-4.687 12.284-4.687 16.97 0l228 228c4.686 4.686 4.686 12.284 0 16.97l-180 180c-4.686 4.687-12.284 4.687-16.97 0-4.686-4.686-4.686-12.284 0-16.97L479.029 279.5 259.515 59.985c-4.686-4.686-4.686-12.284 0-16.97z"></path></svg></span> <span id="keyword-papers"></span> </div></div></div><div class="inside-article"> <style> .pb-main{ border: solid 1px #ccc; border-top: none; margin-bottom: 20px; padding-bottom: 25px; background:#fff; } .author-main { border: solid 1px #ccc; border-top: none; margin-bottom: 20px; padding-bottom: 25px; background:#fff; } .publication-block { padding: 10px; margin-bottom: 10px; background-color: #f9f9f9; text-align: left; background: #FFF; border-bottom: solid 1px #ccc; margin-left: 15px; margin-right: 15px; } .publication-block h3 { margin: 0 0 10px; color: #000!important; } .publication-block a { font-size: 16px !important; line-height: 1em; font-weight: 600; text-transform: none; color: #000; padding: 0px; } .publication-block a:hover{ color: #227cdc; text-decoration:underline; } .article-scroll { max-height: 445px; overflow-y: auto; overflow-x: hidden; } ::-webkit-scrollbar-track { -webkit-box-shadow: inset 0 0 6px rgba(0,0,0,0.3); background-color: #efefef; border-radius:30px; } ::-webkit-scrollbar { width: 6px; background-color: #efefef; border-radius:30px; } ::-webkit-scrollbar-thumb { background-color: #ababab; border-radius:30px; } .publication-block p { margin-bottom: .5em; font-size: 15px; color: #000; } h3 { font-size: 18px !important; margin-bottom: 20px; line-height: 1.2em; font-weight: 600; text-transform: none; } a { padding: 5px; color: #a71c49; } #keyword-papers{ margin-top: 20px; text-align: center; } </style> <script> function decodeString(str) { str = str.replace(/\\'/g, "'"); str = str.replace(/\\'/g, "'"); str = str.replace(/\\'/g, "'"); return str; } function displayResults_recent(papers) { var resultsContainer = document.getElementById('results_recent'); if (!papers || papers.length === 0) { resultsContainer.innerHTML = '<p>No recent publications found.</p>'; return; } papers.forEach(paper => { var publicationBlock = document.createElement('div'); publicationBlock.className = 'publication-block'; var title_de = decodeString(paper.title); var publicationHTML = ` <div style="margin-bottom: 10px;line-height: 24px;"><a href="${paper.url}" target="_blank" title="${title_de}">${title_de}</a></div> <p><strong>Issue Release:</strong> ${paper.publishedDate}</p> `; publicationBlock.innerHTML = publicationHTML; resultsContainer.appendChild(publicationBlock); }); } function displayKeywordPapers(keywords) { var resultsContainer = document.getElementById('keyword-papers'); resultsContainer.innerHTML = ''; if (!keywords || keywords.length === 0) { resultsContainer.innerHTML = '<p>No data found.</p>'; return; } var keywordHTML = ''; keywords.forEach((key, index) => { let key_replace = key.replace(/ /g, '-'); key_replace = key_replace.toLowerCase(); keywordHTML += `<a href="https://nursing-science.com/recent-publications/index/${key_replace}" target="_blank" title="${key} - publication list">${key}</a>`; if (index < keywords.length - 1) { keywordHTML += ', '; } }); resultsContainer.innerHTML = keywordHTML; } // Call the function with the PHP data var recent_papers = [ { "title": "[Underlying scinece for a guide to maintain physical and mental health of long working physicians].", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38945878", "publishedDate": "2024" }, { "title": "Military Traumatic Brain Injury.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38945651", "publishedDate": "2024" }, { "title": "Detailed description of multidisciplinary prehabilitation in patients admitted to nerve sparring radical prostatectomy - A randomized feasibility study protocol.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38947984", "publishedDate": "2024" }, { "title": "Self-perceived Burden, Impairment in Quality of Life and Sexual Functioning, and Further Implications in Patients with Vulvar Lichen Sclerosus: A Narrative Review and Personal Experience.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38946189", "publishedDate": "2024" }, { "title": "Accelerometer-Measured Daily Behaviors That Mediate the Association Between Refractive Status and Depressive Disorders.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38953853", "publishedDate": "2024" }, { "title": "Walking the line between fidelity and flexibility: A conceptual review of personalized approaches to manualized treatments for posttraumatic stress disorder.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38954530", "publishedDate": "2024" }, { "title": "Engaging adolescents in research: Home self-collection of biological samples and health questionnaires.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38953164", "publishedDate": "2024" }, { "title": "Stigma and its associations with self-confidence and sexual relations in 4 types of premature ejaculation.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38951750", "publishedDate": "2024" }, { "title": "Appearance Dissatisfaction and Body Dysmorphic Disorder in the Dermatology Patient.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38954625", "publishedDate": "2024" }, { "title": "The effects of mindfulness therapy on infertile female patients: A meta-analysis.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38943413", "publishedDate": "2024" }, { "title": "Growing pains with kratom: experiences discussed in subreddits contrast with satisfaction expressed in surveys.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38948457", "publishedDate": "2024" }, { "title": "Self-determined motivational health coaching (\\\\\\'SAMI\\\\\\') during outpatient treatment to promote physical activity of people with serious mental illness: a pilot controlled trial.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38949040", "publishedDate": "2024" }, { "title": "Mental Health Rather than Mental Disorders as a Predictor of Immediate Postoperative Recovery Following Elective Lumbar Fusion: Using the PROMIS-10 Global Mental Health T-Score.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38949247", "publishedDate": "2024" }, { "title": "Part Two: Managing Physicians as Patients and Their Safe Return to Work.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38839190", "publishedDate": "2024" }, { "title": "Evaluation of walking activity and gait to identify physical and mental fatigue in neurodegenerative and immune disorders: preliminary insights from the IDEA-FAST feasibility study.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38840208", "publishedDate": "2024" }, { "title": "Detecting and preventing child maltreatment in primary care and PHNs\\\\\\' role-a cross-sectional study.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38879472", "publishedDate": "2024" }, { "title": "Validation of the Indian (Hindi) version of the life-space assessment scale among community-dwelling older adults: a multicentric cross-sectional study.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38844833", "publishedDate": "2024" }, { "title": "Mechanisms linking physical activity with mental health in children and adolescents with neurodevelopmental disorders: A systematic review.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38844148", "publishedDate": "2024" }, { "title": "Review of psychological effects of dog bites in children.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38844383", "publishedDate": "2024" }, { "title": "Stress and exhaustion among medical students: a prospective longitudinal study on the impact of the assessment period on medical education.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38844948", "publishedDate": "2024" } ]; var keywordsArray = ["physical health","mental health","primary care","psychiatric disorders","depression","anxiety","integrated care","screening tools","multifaceted interventions","collaborative care"]; displayResults_recent(recent_papers); displayKeywordPapers(keywordsArray); // function stripslashes(str) { // if (typeof str === 'string') { // return str.replace(/\/g, ''); // } // } </script></p> <h3><b>The Utility of PRIME in Diagnosing Mental Disorders in American Indians</b></h3> <p><span style="font-weight: 400;">Different mental health disorders require assessment under culture since it plays an important role in the prognosis and treatment procedures. An evaluation of the effectiveness of PRIME-MD has shown that in American Indian individuals, the screen helps to identify psychiatric disorders that individuals might not have reported because of cultural differences. Common mental disorders like major depressive disorder, generalized anxiety disorder, etc. are also reported in this population, which requires culturally appropriate diagnosis and management strategies. Integrating these cultural health practices with modern medical procedures can enhance patients’ compliance and other benefits.</span></p> <h3><b></b><b>The Challenge of Detecting Depression in Medical Patients</b></h3> <p><span style="font-weight: 400;">Major depressive disorder continues to be probably the most unrecognized and treated affliction in the ambulatory setting. Hence, though depression is one of the most common mental disorders, PC clinicians frequently fail to diagnose or manage it appropriately due to numerous barriers, such as time constraints, somatization of the symptoms, and stigmatization. The method of enhancing the identification of depression includes the usage of brief assessment instruments, learning and education models, and by utilizing treatment collaboration with mental health workers. If managed properly, the mentioned challenges may help in early diagnosis and management of the disease, therefore enhancing the welfare of depressed patients.</span></p> <h3><b>Depression: Managing This Chronic Condition in Primary Care</b></h3> <p><span style="font-weight: 400;">Focused interventions have also noted a potential for increasing the quality of treatment of depression in primary care facilities. These programs normally consist of the use of particular programs for any treatment, the use of therapy that comprises behavior therapy, the utilization of counselors in matters to do with medication compliance, and follow-up visits. Such comprehensive approaches are shown to produce higher medication compliance, increased satisfaction with patient treatment, and a more substantial decrease in depressive symptoms. It is also argued that using multiple-method approaches to intervention can improve the ability of a patient to deal with the condition and perhaps maintain a lasting recovery.</span></p> <h3><b>Case-Finding Instruments for Depression</b></h3> <p><span style="font-weight: 400;">Depression screening in primary care practices is very critical in minimizing further progression of the condition. Several case-finding instruments have been made available to help with depressive disorders; they include the Beck Depression Inventory and General Health Questionnaire, among others. They differ in terms of their complexity and length; however, their purpose is similar, which is to help in the detection of early signs of depression. Primary care practitioners should be acquainted with these instruments and utilize them in ordinary practice in an attempt to identify depressed patients at an early stage.</span></p> <h3><b>Collaborative Management of Depression</b></h3> <p><span style="font-weight: 400;">Several initiatives aimed at involving primary care physicians, mental health professionals, and other practitioners have reaffirmed the proper approach to people suffering from depression. Such models may involve a higher frequency of visits, joint decisions to be made, and joint care plans. It takes into consideration that patients offered collaborative care are more likely to assume their treatment schedules and leave records of higher satisfaction regarding their care. Such models can have the potential to provide physical and mental health care so that patients are served holistically.</span></p> <h3><b>Conclusion</b></h3> <p><span style="font-weight: 400;">Despite how primary care mainly deals with treating medical complications, mental health and physical health are especially intertwined, and much research focuses on this area. Some of the proposed solutions for integrating these domains can be applied to the practice to create a more effective approach to the patient’s problem-solving in the primary care setting. Hence, in delivering comprehensive patient care, biopsychosocial models of integrated care, cultural responsiveness, and optimal application of screening tools are the services required. However, knowledge translation, as in integrating research findings into practice, will go a long way in enhancing patient care and systems’ health in the future.</span></p> <p></p> <h3><b>References</b></h3> <ol> <li>Jackson, J.L., O’Malley, P.G. and Kroenke, K., 1999. <a href="https://academic.oup.com/milmed/article-abstract/164/2/112/4832077">A psychometric comparison of military and civilian medical practices.</a> <i>Military medicine</i>, <i>164</i>(2), pp.112-115.</li> <li>Nease, D.E., Volk, R.J. and Cass, A.R., 1999. <a href="https://www.jabfm.org/content/12/1/21.short">Investigation of a severity-based classification of mood and anxiety symptoms in primary care patients.</a> <i>The Journal of the American Board of Family Practice</i>, <i>12</i>(1), pp.21-31.</li> <li>Valenstein, M., Kales, H., Mellow, A., Dalack, G., Figueroa, S., Barry, K.L. and Blow, F.C., 1998. <a href="https://agsjournals.onlinelibrary.wiley.com/doi/abs/10.1111/j.1532-5415.1998.tb01533.x">Psychiatric diagnosis and intervention in older and younger patients in a primary care clinic: effect of a screening and diagnostic instrument.</a> <i>Journal of the American Geriatrics Society</i>, <i>46</i>(12), pp.1499-1505.</li> <li>O’Malley, P.G., Jackson, J.L., Kroenke, K., Yoon, I.K., Hornstein, E. and Dennis, G.J., 1998. <a href="https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/210516">The value of screening for psychiatric disorders in rheumatology referrals.</a> <i>Archives of Internal Medicine</i>, <i>158</i>(21), pp.2357-2362.</li> <li>Bensenor, I.M., Pereira, A.C., Tannuri, A.C., Valeri, C.M., Akashi, D., Fucciolo, D.Q., Isa, F.K., Lobato, M.L., Titan, S.M., Galvão, T.G. and Lotufo, P.A., 1998. <a href="https://europepmc.org/article/med/9754421">Systemic arterial hypertension and psychiatric morbidity in the outpatient care setting of a tertiary hospital.</a> <i>Arquivos de Neuro-psiquiatria</i>, <i>56</i>(3A), pp.406-411.</li> <li>Kobak, K.A., Dottl, S.L., Greist, J.H., Jefferson, J.W., Burroughs, D., Mantle, J.M., Katzelnick, D.J., Norton, R., Henk, H.J. and Serlin, R.C., 1997. <a href="https://jamanetwork.com/journals/jama/article-abstract/418187">A computer-administered telephone interview to identify mental disorders.</a> <i>Jama</i>, <i>278</i>(11), pp.905-910.</li> <li>Parker, T., May, P.A., Maviglia, M.A., Petrakis, S., Sunde, S. and Gloyd, S.V., 1997. <a href="https://journals.sagepub.com/doi/abs/10.2190/C6FD-7QWB-KNGR-M844">PRIME-MD: its utility in detecting mental disorders in American Indians.</a> <i>The International Journal of Psychiatry in Medicine</i>, <i>27</i>(2), pp.107-128.</li> <li>Kroenke, K., 1997. <a href="https://www.acpjournals.org/doi/abs/10.7326/0003-4819-126-6-199703150-00008">Discovering depression in medical patients: reasonable expectations.</a> <i>Annals of Internal Medicine</i>, <i>126</i>(6), pp.463-465.</li> </ol> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Top Experts on “<b style="color:#000;font-size:22px;">physical and mental health</b>“</h2> </div> </div><div class="author-main"><div id="results_author"></div><div style="text-align: center;"><a class="register-button" href="https://nursing-science.com/expert-search" target="_blank" rel="noopener">Find experts on any field</a></div></div><div class="inside-article" style="background: none;border: none;box-shadow: none;margin-top: -70px;"> <style> .author-block { padding: 15px; 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", "email": "oliver.razum@uni-bielefeld.de", "slug_tail": "o-razum" } }; //console.log(authors_data); displayResults_author(authors_data); var keywordsArray = ["physical health","mental health","primary care","psychiatric disorders","depression","anxiety","integrated care","screening tools","multifaceted interventions","collaborative care"]; displayKeywordAuthors(keywordsArray); </script></p> </div> <footer class="entry-meta" aria-label="Entry meta"> <span class="cat-links"><span class="gp-icon icon-categories"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M0 112c0-26.51 21.49-48 48-48h110.014a48 48 0 0143.592 27.907l12.349 26.791A16 16 0 00228.486 128H464c26.51 0 48 21.49 48 48v224c0 26.51-21.49 48-48 48H48c-26.51 0-48-21.49-48-48V112z" /></svg></span><span class="screen-reader-text">Categories </span><a href="https://nursing-science.com/archive/category/physical-and-mental-health/" rel="category tag">Physical and 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