How to write an nursing essay on Depression and Anxiety Disorders

How to write an nursing essay on Depression and Anxiety Disorders

Article: Saeed, S. A., Cunningham, K., & Bloch, R. M. (2019). Depression and anxiety disorders: Benefits of exercise, yoga, and meditation. American Family Physician99(10), 620–627. https://pubmed.ncbi.nlm.nih.gov/31083878/

Significance of the Article

Depression and anxiety are diseases affecting a significant number of people worldwide and are important determinants of health-related quality of life. These diseases require long-term care using both pharmacologic and non-pharmacologic interventions for the alleviation of symptoms (Saeed et al., 2021). Although the basic therapeutic approach to the management of these disorders involves the pharmacologic treatment, clinical psychiatrists consider non-pharmacological interventions more essential. The article chosen for this discussion focuses on the management of depression and anxiety using non-pharmacological interventions like exercise, yoga, and meditation (Saeed et al., 2019). This article elaborates how the incorporation of complementary and integrative strategies to anxiety and depression management can improve health-related quality of life. The information from the article can be used to provide therapists with additional non-pharmacological interventions to mood disorders’ management apart from the commonly observed cognitive behavioral therapy.

Summary of the Article

Purpose. Depression and anxiety are among the commonly observed psychiatric conditions affecting approximately 10% and 19.1% of the adult population in the US respectively (Saeed et al., 2019). The purpose of the article is to provide a concise overview of the complementary therapies available to manage anxiety and depression.

Methods. The method of study used in the article was a systematic review of research studies that discussed the use of complementary and integrative strategies to manage anxiety and depression. The researchers divided the search into four parts including studies documenting the importance of exercise, yoga, Tai Chi and Qi Gong, and mindfulness-based meditation.

Strengths. The article used in this discussion provides an aggregate of effects from several studies to propose solutions to the management of anxiety and depression. The authors have summarized results from systematic reviews and randomized controlled trials to provide strong evidence on how exercise, yoga, Tai Chi and Qi Gong, and mindfulness-based meditation can be used to manage depression and anxiety. Another strength of the study lies in the narrow focus on the topic of discussion. The article entirely focuses on anxiety and depression management using the four interventions and provides conclusions upon review of each intervention. There is a clear connection between the proposed interventions and evidence-based inferences discussed in the article. The use of systematic reviews and randomized controlled studies in the article demonstrates that the proposed solutions are evidence-based. Lastly, the organization of the article makes it easier to understand and make connections between the interventions for managing anxiety and depression.

Weaknesses. While the article demonstrates advantages regarding the level of evidence used to draw conclusions, some weaknesses can be observed. For example, the article only provides summaries of studies without discussing the study population and how conclusions were made. Following the lack of enough literature on the complementary approaches to depression and anxiety management, the article may contain data that is inadequate to the area of study. The article contains studies that did not identify clear outcome measures and sample recruitment techniques that make the study biased (Saeed et al., 2019). Lastly, the authors have failed to provide conclusions on the relevance of the selected interventions and any future research required in the subject area.

Summary of Results and Conclusions. The use of exercise to manage depression and anxiety is observed to provide physical benefits to the patients, especially those resistant to medication. The study found out that yoga can be used as a monotherapy for depression, but is preferred as an adjunct therapy for the two conditions (Saeed et al., 2019). Regarding the use of tai chi qi gong, there were mixed findings leading to inconclusive results on its effectiveness to manage depression and anxiety. The use of mindfulness-based interventions (MBIs) was the most effective strategy observed to address the issue of depression and anxiety (Saeed et al., 2019). Despite the availability of this evidence, the use of psychotherapy and medication is recommended in patients with anxiety and depression.

Comparison

The readings from this article can be supported by other clinical resources that recommend non-pharmacologic interventions for depression and anxiety. For example, the Institute for Healthcare Research and Quality (IHRQ) (2019) recommends the use of exercise and other complementary interventions for the management of major depressive disorder. The majority of the studies focusing on non-pharmacologic interventions have failed to yield conclusive results on the use of strategies apart from CBT (Qaseem et al., 2016). There is insufficient evidence and RCTs to support the use of Yoga in managing depression or anxiety. Likewise, the use of exercise yields minimal results when used as monotherapy to manage depression (Brahmbhatt et al., 2021). While there is evidence to support the use of yoga and exercise, more research is required to demonstrate their effectiveness in managing anxiety and depression.

New Treatment Plan

The article discusses the use of exercise, yoga, and meditation to manage anxiety and depression. The use of exercise is supported by evidence to manage depression in those that medications do not seem to yield good results (Saeed et al., 2019). Yoga is recommended as a monotherapy to manage depression and anxiety while tai chi and qi gong demonstrate mixed results.

Impact on Clinical Practice

This article demonstrates that complementary and alternative therapies are available to manage depression and anxiety. Interventions like exercise, yoga, and mindfulness-based meditation can be superior to no treatment (Saeed et al., 2019). However, there is a lack of adequate evidence to support these strategies. Clinicians should use the non-pharmacological interventions with precaution combine them with medications to yield good outcomes (Brahmbhatt et al., 2021). Additionally, more research should be conducted on the use of tai chi qi gong and other measures to manage depression and anxiety.

 

 

 

References

Brahmbhatt, A., Richardson, L., & Prajapati, S. (2021). Identifying and managing anxiety disorders in primary care. The Journal for Nurse Practitioners17(1), 18-25. https://doi.org/10.1016/j.nurpra.2020.10.019

Institute for Healthcare Research and Quality. (2019). Nonpharmacological versus pharmacological treatments for adult patients with major depressive disorder. https://effectivehealthcare.ahrq.gov/products/major-depressive-disorder/research-protocol

Saeed, S. A., Cunningham, K., & Bloch, R. M. (2019). Depression and anxiety disorders: Benefits of exercise, yoga, and meditation. American Family Physician99(10), 620–627. https://pubmed.ncbi.nlm.nih.gov/31083878/

Qaseem, A., Barry, M. J., Kansagara, D., & Clinical Guidelines Committee of the American College of Physicians (2016). Nonpharmacologic versus pharmacologic treatment of adult patients with major depressive disorder: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine164(5), 350–359. https://doi.org/10.7326/M15-2570

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