Need For Interprofessional Collaboration For Depression Interventions: From Research To Future Directions
DOI:
https://doi.org/10.69980/ajpr.v28i5.580Keywords:
people with severe mental health conditions, Depression, interprofessional care, diet interventionsAbstract
Severe mental health conditions (SMHC) can result in detrimental health complications and affect the quality of life of people with these diagnoses. These conditions are associated with a decreased life span related to comorbidities, which largely impact the global health burden and healthcare costs. Therefore, exploring approaches other than standard treatment protocols to manage SMHCs is crucial. Interventions related to diet and nutrition have a positive association with improvement in mental health conditions, including depression. Access to interprofessional care, including mental health counseling and diet interventions, may benefit the treatment and management of SMHC.
References
Anderson Girard, T., Russell, K., & Leyse-Wallace, R. (2018). Academy of nutrition and dietetics: Revised 2018 standards of practice and standards of professional performance for registered dietitian nutritionists (competent, proficient, and expert) in mental health and addictions. J Acad Nutr Diet, 118(10), 1975-1986.e1953. https://doi.org/10.1016/j.jand.2018.07.013
Aschbrenner, K. A., Naslund, J. A., Gorin, A. A., Mueser, K. T., Browne, J., Wolfe, R. S., Xie, H., & Bartels, S. J. (2021). Group lifestyle intervention with mobile health for young adults with serious mental illness: A Randomized controlled trial. Psychiatric Services, 73(2), 141-148. https://doi.org/10.1176/appi.ps.202100047
Asher, K. E., Doucet, S., & Luke, A. (2022). A pan-Canadian study of registered dietitians' perceptions and experiences of interprofessional collaboration. Journal of Interprofessional Care, 36(3), 362-370. https://doi.org/10.1080/13561820.2021.1900801
Barber, S., & Thornicroft, G. (2018). Reducing the mortality gap in people with severe mental disorders: The role of lifestyle psychosocial interventions. Front Psychiatry, 9, 463. https://doi.org/10.3389/fpsyt.2018.00463
Barnes, R. D., Ivezaj, V., Martino, S., Pittman, B. P., Paris, M., & Grilo, C. M. (2018). Examining motivational interviewing plus nutrition psychoeducation for weight loss in primary care. J Psychosom Res, 104, 101-107. https://doi.org/10.1016/j.jpsychores.2017.11.013
Beezhold, B., Radnitz, C., Rinne, A., & DiMatteo, J. (2015). Vegans report less stress and anxiety than omnivores. Nutr Neurosci, 18(7), 289-296. https://doi.org/10.1179/1476830514y.0000000164
Bergmans, R. S., & Malecki, K. M. (2017). The association of dietary inflammatory potential with depression and mental well-being among U.S. adults. Prev Med, 99, 313-319. https://doi.org/10.1016/j.ypmed.2017.03.016
Beurel, E., Toups, M., & Nemeroff, C. B. (2020). The bidirectional relationship of depression and inflammation: Double trouble. Neuron, 107(2), 234-256. https://doi.org/10.1016/j.neuron.2020.06.002
Buckley, P. F. (2008). Update on the etiology and treatment of schizophrenia and bipolar disorder. CNS Spectrums, 13(S1), 1-12. https://doi.org/10.1017/S1092852900028212
Dejesse, L. D., & Zelman, D. C. (2013). Promoting optimal collaboration between mental health providers and nutritionists in the treatment of eating disorders. Eat Disord, 21(3), 185-205. https://doi.org/10.1080/10640266.2013.779173
Ee, C., Lake, J., Firth, J., Hargraves, F., de Manincor, M., Meade, T., Marx, W., & Sarris, J. (2020). An integrative collaborative care model for people with mental illness and physical comorbidities. Int J Ment Health Syst, 14(1), 83. https://doi.org/10.1186/s13033-020-00410-6
Einvik, G., Ekeberg, O., Lavik, J. G., Ellingsen, I., Klemsdal, T. O., & Hjerkinn, E. M. (2010). The influence of long-term awareness of hyperlipidemia and of 3 years of dietary counseling on depression, anxiety, and quality of life. J Psychosom Res, 68(6), 567-572. https://doi.org/10.1016/j.jpsychores.2009.11.004
Endevelt, R., Lemberger, J., Bregman, J., Kowen, G., Berger-Fecht, I., Lander, H., Karpati, T., & Shahar, D. R. (2011). Intensive dietary intervention by a dietitian as a case manager among community dwelling older adults: The EDIT study. J Nutr Health Aging, 15(8), 624-630. https://doi.org/10.1007/s12603-011-0074-9
Firth, J., Gangwisch, J. E., Borsini, A., Wootton, R. E., & Mayer, E. A. (2020). Food and mood: How do diet and nutrition affect mental wellbeing? BMJ, 369, m2382. https://doi.org/10.1136/bmj.m2382
Firth, J., Stubbs, B., Teasdale, S. B., Ward, P. B., Veronese, N., Shivappa, N., Hebert, J. R., Berk, M., Yung, A. R., & Sarris, J. (2018). Diet as a hot topic in psychiatry: A population-scale study of nutritional intake and inflammatory potential in severe mental illness. World Psychiatry, 17(3), 365-367. https://doi.org/10.1002/wps.20571
Firth, J., Veronese, N., Cotter, J., Shivappa, N., Hebert, J. R., Ee, C., Smith, L., Stubbs, B., Jackson, S. E., & Sarris, J. (2019). What is the role of dietary inflammation in severe mental illness? A review of observational and experimental findings. Front Psychiatry, 10, 350. https://doi.org/10.3389/fpsyt.2019.00350
Furness, T., Wallace, E., McElhinney, J., McKenna, B., Cuzzillo, C., & Foster, K. (2018). Colocating an accredited practising dietitian to an adult community mental health service: An exploratory study. International journal of mental health nursing, 27(6), 1709-1718. https://doi.org/10.1111/inm.12470
Goldsmith, D. R., Rapaport, M. H., & Miller, B. J. (2016). A meta-analysis of blood cytokine network alterations in psychiatric patients: Comparisons between schizophrenia, bipolar disorder and depression. Mol Psychiatry, 21(12), 1696-1709. https://doi.org/10.1038/mp.2016.3
Grudniewicz, A., Peckham, A., Rudoler, D., Lavergne, M. R., Ashcroft, R., Corace, K., Kaluzienski, M., Kaoser, R., Langford, L., McCracken, R., Norris, W. C., O'Riordan, A., Patrick, K., Peterson, S., Randall, E., Rayner, J., Schütz, C. G., Sunderji, N., Thai, H., & Kurdyak, P. (2022). Primary care for individuals with serious mental illness (PriSMI): Protocol for a convergent mixed methods study. BMJ Open, 12(9), e065084. https://doi.org/10.1136/bmjopen-2022-065084
Halaris, A. (2018). Neuroinflammation and neurotoxicity contribute to neuroprogression in neurological and psychiatric disorders. Future Neurology, 13(2), 59-69. https://doi.org/10.2217/fnl-2017-0039
Imayama, I., Alfano, C. M., Kong, A., Foster-Schubert, K. E., Bain, C. E., Xiao, L., Duggan, C., Wang, C. Y., Campbell, K. L., Blackburn, G. L., & McTiernan, A. (2011). Dietary weight loss and exercise interventions effects on quality of life in overweight/obese postmenopausal women: A randomized controlled trial. Int J Behav Nutr Phys Act, 8, 118. https://doi.org/10.1186/1479-5868-8-118
Jacka, F. N., Cherbuin, N., Anstey, K. J., & Butterworth, P. (2015). Does reverse causality explain the relationship between diet and depression? J Affect Disord, 175, 248-250. https://doi.org/10.1016/j.jad.2015.01.007
Jacka, F. N., O'Neil, A., Opie, R., Itsiopoulos, C., Cotton, S., Mohebbi, M., Castle, D., Dash, S., Mihalopoulos, C., Chatterton, M. L., Brazionis, L., Dean, O. M., Hodge, A. M., & Berk, M. (2017). A randomised controlled trial of dietary improvement for adults with major depression (the “SMILES” trial). BMC Med, 15(1), 23. https://doi.org/10.1186/s12916-017-0791-y
Jenkinson, C. M., Doherty, M., Avery, A. J., Read, A., Taylor, M. A., Sach, T. H., Silcocks, P., & Muir, K. R. (2009). Effects of dietary intervention and quadriceps strengthening exercises on pain and function in overweight people with knee pain: Randomised controlled trial. BMJ, 339, b3170. https://doi.org/10.1136/bmj.b3170
Johnson, K. F., Blake, J., & Ramsey, H. E. (2021). Professional counselors' experiences on interprofessional teams in hospital settings. Journal of Counseling & Development, 99(4), 406-417. https://doi.org/https://doi.org/10.1002/jcad.12393
Johnson, K. F., & Mahan, L. (2019). A qualitative investigation into behavioral health providers attitudes toward interprofessional clinical collaboration. J Behav Health Serv Res, 46(4), 636-647. https://doi.org/10.1007/s11414-019-09661-9
Kandola, A., Ashdown-Franks, G., Hendrikse, J., Sabiston, C. M., & Stubbs, B. (2019). Physical activity and depression: Towards understanding the antidepressant mechanisms of physical activity. Neurosci Biobehav Rev, 107, 525-539. https://doi.org/10.1016/j.neubiorev.2019.09.040
Klein, J. L., & Beeson, E. T. (2022). An exploration of clinical mental health counselors’ attitudes toward professional identity and interprofessionalism. Journal of Mental Health Counseling, 44(1), 68-81. https://doi.org/10.17744/mehc.44.1.06
Koelman, L., Egea Rodrigues, C., & Aleksandrova, K. (2022). Effects of dietary patterns on biomarkers of inflammation and immune responses: A systematic review and meta-analysis of randomized controlled trials. Advances in Nutrition, 13(1), 101-115.
Köhler, C. A., Freitas, T. H., Maes, M., de Andrade, N. Q., Liu, C. S., Fernandes, B. S., Stubbs, B., Solmi, M., Veronese, N., Herrmann, N., Raison, C. L., Miller, B. J., Lanctôt, K. L., & Carvalho, A. F. (2017). Peripheral cytokine and chemokine alterations in depression: A meta-analysis of 82 studies. Acta Psychiatr Scand, 135(5), 373-387. https://doi.org/10.1111/acps.12698
Kris-Etherton, P. M., Petersen, K. S., Hibbeln, J. R., Hurley, D., Kolick, V., Peoples, S., Rodriguez, N., & Woodward-Lopez, G. (2021). Nutrition and behavioral health disorders: Depression and anxiety. Nutrition Reviews, 79(3), 247-260. https://doi.org/10.1093/nutrit/nuaa025
Lai, J. S., Hiles, S., Bisquera, A., Hure, A. J., McEvoy, M., & Attia, J. (2014). A systematic review and meta-analysis of dietary patterns and depression in community-dwelling adults. Am J Clin Nutr, 99(1), 181-197. https://doi.org/10.3945/ajcn.113.069880
Lane, M. M., Gamage, E., Travica, N., Dissanayaka, T., Ashtree, D. N., Gauci, S., Lotfaliany, M., O’Neil, A., Jacka, F. N., & Marx, W. (2022). Ultra-processed food consumption and mental health: A systematic review and meta-analysis of observational studies. Nutrients, 14(13), 2568. https://doi.org/10.3390/nu14132568
Lang, U. E., Beglinger, C., Schweinfurth, N., Walter, M., & Borgwardt, S. (2015). Nutritional aspects of depression. Cell Physiol Biochem, 37(3), 1029-1043. https://doi.org/10.1159/000430229
Laursen, T. M., Nordentoft, M., & Mortensen, P. B. (2014). Excess early mortality in schizophrenia. Annu Rev Clin Psychol, 10, 425-448. https://doi.org/10.1146/annurev-clinpsy-032813-153657
Lee, H., & Singh, G. K. (2021). Psychological distress, life expectancy, and all-cause mortality in the United States: Results from the 1997-2014 NHIS-NDI record linkage study. Ann Epidemiol, 56, 9-17. https://doi.org/10.1016/j.annepidem.2021.01.002
Marx, W., Lane, M., Hockey, M., Aslam, H., Berk, M., Walder, K., Borsini, A., Firth, J., Pariante, C. M., Berding, K., Cryan, J. F., Clarke, G., Craig, J. M., Su, K. P., Mischoulon, D., Gomez-Pinilla, F., Foster, J. A., Cani, P. D., Thuret, S., Jacka, F. N. (2021). Diet and depression: Exploring the biological mechanisms of action. Mol Psychiatry, 26(1), 134-150. https://doi.org/10.1038/s41380-020-00925-x
Matta, J., Czernichow, S., Kesse-Guyot, E., Hoertel, N., Limosin, F., Goldberg, M., Zins, M., & Lemogne, C. (2018). Depressive symptoms and vegetarian diets: Results from the Constances Cohort. Nutrients, 10(11). https://doi.org/10.3390/nu10111695
Mattei, J., & Alfonso, C. (2020). Strategies for healthy eating promotion and behavioral change perceived as effective by nutrition professionals: A Mixed-methods study. Front Nutr, 7, 114. https://doi.org/10.3389/fnut.2020.00114
McMillan, L., Owen, L., Kras, M., & Scholey, A. (2011). Behavioural effects of a 10-day Mediterranean diet: Results from a pilot study evaluating mood and cognitive performance. Appetite, 56(1), 143-147. https://doi.org/10.1016/j.appet.2010.11.149
Miller, A. H., & Raison, C. L. (2016). The role of inflammation in depression: From evolutionary imperative to modern treatment target. Nat Rev Immunol, 16(1), 22-34. https://doi.org/10.1038/nri.2015.5
Molendijk, M., Molero, P., Ortuño Sánchez-Pedreño, F., Van der Does, W., & Angel Martínez-González, M. (2018). Diet quality and depression risk: A systematic review and dose-response meta-analysis of prospective studies. J Affect Disord, 226, 346-354. https://doi.org/10.1016/j.jad.2017.09.022
Naslund, J. A., & Aschbrenner, K. A. (2019). Digital technology for health promotion: opportunities to address excess mortality in persons living with severe mental disorders. Evid Based Ment Health, 22(1), 17-22. https://doi.org/10.1136/ebmental-2018-300034
NIMH. (2022). Major depression. National Institute of Mental Health. Retrieved February 9 from https://www.nimh.nih.gov/health/statistics/major-depression
NIMH. (2023). Mental Illness. National Institute of Mental Health. Retrieved July 28 from https://www.nimh.nih.gov/health/statistics/mental-illness
O'Neill, S., Minehan, M., Knight-Agarwal, C. R., & Turner, M. (2022). Depression, is it treatable in adults utilising dietary interventions? A systematic review of randomised controlled trials. Nutrients, 14(7). https://doi.org/10.3390/nu14071398
Opie, R. S., Itsiopoulos, C., Parletta, N., Sanchez-Villegas, A., Akbaraly, T. N., Ruusunen, A., & Jacka, F. N. (2017). Dietary recommendations for the prevention of depression. Nutr Neurosci, 20(3), 161-171. https://doi.org/10.1179/1476830515y.0000000043
Opie, R. S., O'Neil, A., Itsiopoulos, C., & Jacka, F. N. (2015). The impact of whole-of-diet interventions on depression and anxiety: A systematic review of randomised controlled trials. Public Health Nutr, 18(11), 2074-2093. https://doi.org/10.1017/s1368980014002614
Ortega, M. A., Fraile-Martínez, Ó., García-Montero, C., Alvarez-Mon, M. A., Lahera, G., Monserrat, J., Llavero-Valero, M., Gutiérrez-Rojas, L., Molina, R., Rodríguez-Jimenez, R., Quintero, J., & De Mon, M. A. (2022). Biological role of nutrients, food and dietary patterns in the prevention and clinical management of major depressive disorder. Nutrients, 14(15), 3099. https://doi.org/10.3390/nu14153099
Parletta, N., Zarnowiecki, D., Cho, J., Wilson, A., Bogomolova, S., Villani, A., Itsiopoulos, C., Niyonsenga, T., Blunden, S., Meyer, B., Segal, L., Baune, B. T., & O'Dea, K. (2019). A Mediterranean-style dietary intervention supplemented with fish oil improves diet quality and mental health in people with depression: A randomized controlled trial (HELFIMED). Nutr Neurosci, 22(7), 474-487. https://doi.org/10.1080/1028415x.2017.1411320
Quirk, S. E., Williams, L. J., O'Neil, A., Pasco, J. A., Jacka, F. N., Housden, S., Berk, M., & Brennan, S. L. (2013). The association between diet quality, dietary patterns, and depression in adults: A systematic review. BMC Psychiatry, 13, 175. https://doi.org/10.1186/1471-244x-13-175
Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database Syst Rev, 6(6), Cd000072. https://doi.org/10.1002/14651858.CD000072.pub3
Rich, K., Murray, K., Smith, H., & Jelbart, N. (2021). Interprofessional practice in health: A qualitative study in psychologists, exercise physiologists, and dietitians. J Interprof Care, 35(5), 682-690. https://doi.org/10.1080/13561820.2020.1803226
Rugkåsa, J., Tveit, O. G., Berteig, J., Hussain, A., & Ruud, T. (2020). Collaborative care for mental health: A qualitative study of the experiences of patients and health professionals. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05691-8
Stein, D. J., Phillips, K. A., Bolton, D., Fulford, K. W., Sadler, J. Z., & Kendler, K. S. (2010). What is a mental/psychiatric disorder? From DSM-IV to DSM-V. Psychol Med, 40(11), 1759-1765. https://doi.org/10.1017/s0033291709992261
Stenz, C. F. H., & Jansen, K. L. (2023). Nutrition and depression: Collaboration between psychologists and dietitians in depression treatment. Translational Issues in Psychological Science, No Pagination Specified-No Pagination Specified. https://doi.org/10.1037/tps0000357
Strawbridge, R., Arnone, D., Danese, A., Papadopoulos, A., Herane Vives, A., & Cleare, A. J. (2015). Inflammation and clinical response to treatment in depression: A meta-analysis. Eur Neuropsychopharmacol, 25(10), 1532-1543. https://doi.org/10.1016/j.euroneuro.2015.06.007
Strunz, M., Jiménez, N. P., Gregorius, L., Hewer, W., Pollmanns, J., Viehmann, K., & Jacobi, F. (2022). Interventions to promote the utilization of physical health care for people with severe mental illness: A scoping review. Int J Environ Res Public Health, 20(1). https://doi.org/10.3390/ijerph20010126
Swoboda, C. M., Miller, C. K., & Wills, C. E. (2017). Impact of a goal setting and decision support telephone coaching intervention on diet, psychosocial, and decision outcomes among people with type 2 diabetes. Patient Educ Couns, 100(7), 1367-1373. https://doi.org/10.1016/j.pec.2017.02.007
Teasdale, S. B., Müller-Stierlin, A. S., Ruusunen, A., Eaton, M., Marx, W., & Firth, J. (2023). Prevalence of food insecurity in people with major depression, bipolar disorder, and schizophrenia and related psychoses: A systematic review and meta-analysis. Critical Reviews in Food Science and Nutrition, 63(20), 4485-4502. https://doi.org/10.1080/10408398.2021.2002806
Teasdale, S. B., Samaras, K., Wade, T., Jarman, R., & Ward, P. B. (2017). A review of the nutritional challenges experienced by people living with severe mental illness: A role for dietitians in addressing physical health gaps. Journal of human nutrition and dietetics, 30(5), 545-553. https://doi.org/10.1111/jhn.12473
Ventriglio, A., Sancassiani, F., Contu, M. P., Latorre, M., Di Slavatore, M., Fornaro, M., & Bhugra, D. (2020). Mediterranean diet and its benefits on health and mental health: A literature review. Clin Pract Epidemiol Ment Health, 16(Suppl-1), 156-164. https://doi.org/10.2174/1745017902016010156
Voineskos, D., Daskalakis, Z. J., & Blumberger, D. M. (2020). Management of treatment-resistant depression: Challenges and strategies. Neuropsychiatr Dis Treat, 16, 221-234. https://doi.org/10.2147/ndt.S198774
Wang, A. K., & Miller, B. J. (2018). Meta-analysis of cerebrospinal fluid cytokine and tryptophan catabolite alterations in psychiatric patients: Comparisons between schizophrenia, bipolar disorder, and depression. Schizophr Bull, 44(1), 75-83. https://doi.org/10.1093/schbul/sbx035
World Health Organization. (2015). WHO global strategy on people-centred and integrated health services: interim report (No. WHO/HIS/SDS/2015.6). World Health Organization.
Wu, P.-Y., Chen, K.-M., & Belcastro, F. (2020). Dietary patterns and depression risk in older adults: Systematic review and meta-analysis. Nutrition Reviews, 79(9), 976-987. https://doi.org/10.1093/nutrit/nuaa118
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