Beyond Physical Well-Being

Psychosocial matters often take a backseat to some of the more easily measured outcomes in patients with pulmonary hypertension, particularly in the setting of clinical trials. However, when dealing directly with patients and their families, these are often at the top of their list of concerns. Unfortunately, for physicians and allied health care professionals, psychosocial consequences of physical diseases are not necessarily a focus of previous educational curriculums. Thus, while we know that pulmonary hypertension places a physical burden on patients, the psychosocial impact of the disease is less often addressed because practitioners may be less comfortable, and frankly less knowledgeable in these areas. But PH patients living with a chronic disease and associated physical limitations that affect day-to-day activities are undoubtedly in need of guidance on how to best care for their bodies and minds. As we move into an era of more medical treatment options and improving outcomes, these issues have emerged as critically important. In fact, when it comes to depression, exercise regimens, and socio-emotional support, the issues are often deeply intertwined with the PH patient's physical well-being.

In this issue of Advances, with Dr. Hap Farber as guest editor, authors tackle issues around depression, exercise, and disability. By addressing the psychosocial well-being of our patients, highlighted in these articles and referring to specialists when necessary, we can certainly provide better and more comprehensive care to our patients.