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Laura Limon8:01amJan 29 at 8:01am

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Happy Monday,

The electronic database used most for the literature used was Cinahl and Cochran from the WCU library. The specific articles I chose were Depression and unplanned secondary healthcare use in patients with multimorbidity: A systematic review, Transdiagnostic cognitive processes in chronic pain and comorbid PSTD and depression in Veterans, A Systematic review and meta-Analysis of nature walk as an intervention for anxiety and depression, Long-term effects of mountain hiking vs. forest therapy on physical and mental health of couples: A randomized controlled trial, Effects of sunshine duration on daily outpatient visits for depression in Suzhou, Anhui province, China, Residential green space and cognitive function in a large cohort of middle-aged women, and Patients with higher vitamin d levels show stronger improvement of self-reported depressive symptoms in psychogeriatric day-care setting.

I chose these peer-reviewed journals because the first half spoke about the relation between depression and pain, depression and multimorbidity, and the negative effects of depression on the body. The second half spoke about how nature aids and combats pain, morbidities, extends life, and wards off dementia and immunosuppression. In the first half Cicek et al, (2022) studied how depression increased the number of unplanned visits to the emergency room and Day et al, (2022) wrote about the relationship between depression and increased intensity of pain felt on Veterans. I found this subject has been studied quite a bit and learned new information. I found that trees have chemicals called phytoncides and the phytoncides reverse stress induced immunosuppression in humans (Huber et al, 2023). I also learned that depression puts a person at risk for dementia and being in nature wards both depression and dementia (Jimenez et al, 2023). Nature alleviates symptoms of depression and anxiety and can be used as a modality to de

While researching my change project, I used both the West Coast University Library and the Google Scholar electronic database. The first article I obtained was from a Springer link, which publishes peer-reviewed articles and books on different topics. The article by Dickson et al. (2022) examines over 40 articles on adolescents diagnosed with anxiety disorders to help determine which treatment option was most effective. It compared psychotherapy and pharmacological therapies in treating the client and found that psychotherapy was the most effective at treating clients. The second article on my change project was also obtained from Springer’s link. In the study by Fisak et al. (2023), the effectiveness of anxiety interventions was analyzed in younger children in hopes of identifying clients with anxiety disorders early on in their lives and, therefore, reducing the severity of symptoms over time. My third article was found in the West Coast University library using the Sage Journals database. In addition to outlining the problems associated with anxiety, risk factors, consequences, and established treatment options, it also provides recommendations for further care and coping mechanisms that can be helpful in our society of growing stress (Kuzujanakis, 2020). I once again gathered information from the Springer Link on my fourth research topic. The article examined the trends and disparities in adolescents diagnosed with anxiety disorder (Parodi, 2022). The study had many participants but was limited due to minimal diversity in the community due to the region in which the study was done.

The National Library of Medicine is an excellent resource for providers who want to obtain up-to-date information. After reading the article by Pettitt et al. (2022) on the website, I was able to find more data on the most effective psychosocial and pharmacological interventions. The article mentions cognitive behavioral therapy as the first line but indicates that psychotherapy and pharmacological treatment together are considered the most effective in managing symptoms associated with anxiety. The sixth article by Viswanathan et al. (2022) was also obtained from the National Library of Medicine and discusses the efficacy of medication, psychotherapy, and lifestyle changes required to treat pediatric clients diagnosed with anxiety disorders. Finally, the article by Zambrowicz et al. (2019) analyzed social disparities in the community and their effect on pharmacological and psychosocial interventions. Using several search engines and databases allows researchers to gather as much information as possible on the topic in hopes of creating a well-developed paper. I also chose these articles because they were peer-reviewed and current with the latest practices