Physiotherapists' perceptions of their role in treating and managing people with depression and anxiety disorders: A systematic review.

BACKGROUND: Despite the prevalence of mental health disorders rising worldwide, physio-therapists' perceptions of their role and ability to holistically treat people with anxiety and depression remain unclear. PURPOSE: This research aimed to understand the physiotherapists' perception of their role in treating and managing people with anxiety and depression while revealing barriers and facilitators in practice. METHODS: PubMed, PsycInfo, CINAHL, EMBASE, Web of Science, and Google Scholar were searched systematically for mixed-method, quantitative, or qualitative designs. Using the Joanna Briggs Institute (JBI) Methodology for Systematic Reviews, data was extracted, critically appraised, assigned quality grades, and synthesized through meta-aggregation. RESULTS: A total of 2991 records were initially sourced, with eleven studies included in the systematic review. The studies were published worldwide between 2016 and 2021, with the majority (n = 8) published in 2020-2021. Participating physiotherapists most frequently had a Bachelor's degree (35.7-62.6%), followed by a Master's degree (28.4-37.4%). Meta-aggregation revealed the synthesized finding that physiotherapists perceived their role to include treating people with anxiety and depression despite feeling underprepared. Physiotherapists perceive many barriers and facilitators, such as education, when treating people with anxiety and depression. CONCLUSION: Physiotherapists have positive perceptions toward anxiety and depression, despite feeling underprepared in their ability to implement psychosocial strategies.

Decreasing Polymer Flexibility Improves Wetting and Dispersion of Polymer-Grafted Particles in a Chemically Identical Polymer Matrix.

We present a molecular dynamics simulation study of nanocomposites containing homopolymer-grafted particles in a homopolymer matrix, where the graft and matrix chemistries are identical, to elucidate the effect of polymer flexibility on the wetting of the grafted layer by the matrix and the nanocomposite morphology. Decreasing flexibility of the graft and matrix causes increased wetting of the grafted layer by the matrix. This increased wetting of the grafted layer with decreasing flexibility is more significantly driven by decreasing the graft flexibility than by decreasing the matrix flexibility. This is due to a large increase in mixing entropy of the graft and matrix upon wetting rather than the reduction in conformational entropy loss of matrix upon wetting. Due to this improved wetting with decreasing flexibility of the graft and matrix, we observe increased particle dispersion in the polymer matrix.