{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T22:56:45Z","timestamp":1769813805061,"version":"3.49.0"},"reference-count":74,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Comorbid depression in people with low back pain (LBP) is associated with poorer prognosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective was to understand the challenges faced by musculoskeletal (MSK) triage physical therapists when screening for depression in LBP populations, and to generate actionable recommendations for overcoming these challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This study adopted a pragmatic hybrid descriptive qualitative approach, integrating elements of ethnography and action research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Interviews were conducted in the Republic of Ireland and used purposive sampling of physical therapists working in MSK triage roles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>To be included, participants were required to have managed at least 1 person with LBP each week in the 3\u00a0months prior to recruitment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention(s) or Exposure(s)<\/jats:title>\n                    <jats:p>The context explored was MSK triage physical therapists\u2019 experience with depression screening in people with LBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcomes and Measure(s)<\/jats:title>\n                    <jats:p>The main outcomes were insights regarding challenges and potential solutions to depression screening. Semi-structured interviews were employed, with data analysis following a Reflexive Thematic Analysis framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fourteen MSK triage physical therapists participated. Challenges were organized into 3 themes: capacity (personal, professional, and system), culture (clinic, societal), and circuitous communication. Potential solutions were organized into 5 themes: training and education, standardized pathways, knowledge of and access to resources, screening tools, and normalizing depression screening in MSK triage equivalent to red flag screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings highlight capacity and cultural challenges that lead to circuitous communication. Addressing the potential solutions through implementation research could enhance depression screening practices by MSK triage physical therapists for people with LBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance<\/jats:title>\n                    <jats:p>This qualitative research offers novel insights into the challenges MSK triage physical therapists face when screening for depression in people with LBP. Importantly, it proposes actionable solutions with participants contributing as subject matter experts. Their pragmatic solutions can help facilitate consequential change and help normalize depression screening in MSK triage practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ptj\/pzaf153","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T12:24:30Z","timestamp":1767702270000},"source":"Crossref","is-referenced-by-count":0,"title":["\u201cIt\u2019s an Uncomfortable Subject\u201d\u2014a Qualitative Exploration of the Challenges and Potential Solutions to Depression Screening in Low Back Pain"],"prefix":"10.1093","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0878-8420","authenticated-orcid":false,"given":"Julie","family":"Sugrue","sequence":"first","affiliation":[{"name":"Faculty of Education and Health Science, University of Limerick , Limerick, Co. Limerick, V94T9PX ,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4707-6654","authenticated-orcid":false,"given":"Sean","family":"McKenna","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Croom Orthopaedic Hospital , Limerick, Co. Limerick, QLJ32KV9 ,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3476-1898","authenticated-orcid":false,"given":"Siobhan","family":"MacHale","sequence":"additional","affiliation":[{"name":"Department of Liaison Psychiatry, Beaumont Hospital , Dublin 9, Co. Dublin, D09V2N0, Ireland and Royal College of Surgeons in Ireland, Dublin 2, Co. Dublin, D02YN77 ,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7137-3125","authenticated-orcid":false,"given":"Kieran","family":"O\u2019Sullivan","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, School of Allied Health, University of Limerick , Limerick, Co. Limerick, V94T9PX ,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"issue":"6","key":"2026013006570626300_ref1","doi-asserted-by":"publisher","first-page":"e316","DOI":"10.1016\/S2665-9913(23)00098-X","article-title":"Global, regional, and national burden of low back pain, 1990\u20132020, its attributable risk factors, and projections to 2050: a systematic analysis of the global burden of disease study 2021","volume":"5","author":"GBD 2021 Low Back Pain Collaborators","year":"2023","journal-title":"Lancet Rheumatol"},{"issue":"5","key":"2026013006570626300_ref2","doi-asserted-by":"publisher","first-page":"1233","DOI":"10.1007\/s11606-021-07079-8","article-title":"Association between depressive symptoms or depression and health outcomes for low back pain: a systematic review and meta-analysis","volume":"37","author":"Wong","year":"2022","journal-title":"J Gen Intern Med"},{"issue":"5","key":"2026013006570626300_ref3","doi-asserted-by":"publisher","first-page":"820","DOI":"10.2522\/ptj.20110060","article-title":"Psychologically informed practice for management of low back pain: future directions in practice and research","volume":"91","author":"Main","year":"2011","journal-title":"Phys Ther"},{"issue":"5","key":"2026013006570626300_ref4","doi-asserted-by":"publisher","first-page":"737","DOI":"10.2522\/ptj.20100224","article-title":"\"decade of the flags\" working group. Early identification and management of psychological risk factors (\u201cyellow flags\u201d) in patients with low back pain: a reappraisal","volume":"91","author":"Nicholas","year":"2011","journal-title":"Phys Ther"},{"issue":"5","key":"2026013006570626300_ref5","doi-asserted-by":"publisher","first-page":"790","DOI":"10.2522\/ptj.20100326","article-title":"Embedding psychosocial perspectives within clinical management of low back pain: integration of psychosocially informed management principles into physical therapist practice\u2014challenges and opportunities","volume":"91","author":"Foster","year":"2011","journal-title":"Phys Ther"},{"issue":"15","key":"2026013006570626300_ref6","doi-asserted-by":"publisher","first-page":"E494","DOI":"10.1097\/BRS.0b013e31817ba3bb","article-title":"A systematic review of the predictive ability of the Orebro musculoskeletal pain questionnaire","volume":"33","author":"Hockings","year":"2008","journal-title":"Spine (Phila Pa 1976)"},{"issue":"6","key":"2026013006570626300_ref7","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1093\/occmed\/kqn077","article-title":"The \u00d6rebro musculoskeletal pain questionnaire","volume":"58","author":"Brown","year":"2008","journal-title":"Occup Med (Lond)"},{"issue":"22","key":"2026013006570626300_ref8","doi-asserted-by":"publisher","first-page":"1891","DOI":"10.1097\/BRS.0b013e3181f8f775","article-title":"Development of a short form of the \u00d6rebro musculoskeletal pain screening questionnaire","volume":"36","author":"Linton","year":"2011","journal-title":"Spine (Phila Pa 1976)"},{"issue":"5","key":"2026013006570626300_ref9","doi-asserted-by":"publisher","first-page":"632","DOI":"10.1002\/art.23563","article-title":"A primary care back pain screening tool: identifying patient subgroups for initial treatment","volume":"59","author":"Hill","year":"2008","journal-title":"Arthritis Rheum"},{"issue":"5","key":"2026013006570626300_ref10","doi-asserted-by":"publisher","first-page":"327","DOI":"10.2519\/jospt.2016.6487","article-title":"Development of a yellow flag assessment tool for orthopaedic physical therapists: results from the optimal screening for prediction of referral and outcome (OSPRO) cohort","volume":"46","author":"Lentz","year":"2016","journal-title":"J Orthop Sports Phys Ther"},{"issue":"2","key":"2026013006570626300_ref11","doi-asserted-by":"publisher","first-page":"59","DOI":"10.15619\/NXJP\/48.2.02","article-title":"Exploring physiotherapists\u2019 use of clinical practice guidelines, screening, and stratification tools for people with low back pain in New Zealand","volume":"48","author":"Hill","year":"2020","journal-title":"N Z J Physioter"},{"issue":"26","key":"2026013006570626300_ref12","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2024.2328315","article-title":"Australian physiotherapists attitudes, perceptions, and behaviours towards psychosocial screening tools: a qualitative interpretive description study","volume":"46","author":"Klem","year":"2024","journal-title":"Disabil Rehabil"},{"issue":"2","key":"2026013006570626300_ref13","doi-asserted-by":"publisher","first-page":"502","DOI":"10.1002\/msc.1725","article-title":"The ability of physiotherapists to identify psychosocial factors in patients with musculoskeletal pain: a scoping review","volume":"21","author":"Henning","year":"2023","journal-title":"Musculoskeletal Care"},{"issue":"12","key":"2026013006570626300_ref14","doi-asserted-by":"publisher","first-page":"1545","DOI":"10.1016\/j.jpain.2021.04.013","article-title":"Lack of consensus across clinical guidelines regarding the role of psychosocial factors within low back pain care: a systematic review","volume":"22","author":"Knoop","year":"2021","journal-title":"J Pain"},{"issue":"1","key":"2026013006570626300_ref15","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1146\/annurev-clinpsy-050718-095644","article-title":"Normal versus pathological mood: implications for diagnosis","volume":"15","author":"Ruscio","year":"2019","journal-title":"Annu Rev Clin Psychol"},{"issue":"11","key":"2026013006570626300_ref16","doi-asserted-by":"publisher","first-page":"2670","DOI":"10.1080\/09593985.2023.2284823","article-title":"Recommended approaches to assessing and managing physiotherapy clients experiencing psychological distress: a systematic mapping review","volume":"40","author":"McGrath","year":"2024","journal-title":"Physiother Theory Pract"},{"issue":"7","key":"2026013006570626300_ref17","doi-asserted-by":"publisher","first-page":"1325","DOI":"10.1080\/09593985.2022.2041136","article-title":"The theatre of depression: a role for physical therapy","volume":"39","author":"Varela","year":"2023","journal-title":"Physiother Theory Pract"},{"issue":"9","key":"2026013006570626300_ref18","doi-asserted-by":"publisher","first-page":"459","DOI":"10.2519\/jospt.2021.10570","article-title":"Screening for yellow flags in orthopaedic physical therapy: a clinical framework","volume":"51","author":"Stearns","year":"2021","journal-title":"J Orthop Sports Phys Ther"},{"issue":"20","key":"2026013006570626300_ref19","doi-asserted-by":"publisher","first-page":"2566","DOI":"10.1097\/00007632-200010150-00004","article-title":"Depression and chronic low back pain: establishing priorities in treatment","volume":"25","author":"Rush","year":"2000","journal-title":"Spine (Phila Pa 1976)"},{"issue":"10","key":"2026013006570626300_ref20","doi-asserted-by":"publisher","first-page":"1691","DOI":"10.1017\/S0033291718002301","article-title":"Prevalence of suicide attempt in individuals with major depressive disorder: a meta-analysis of observational surveys","volume":"49","author":"Dong","year":"2019","journal-title":"Psychol Med"},{"issue":"7","key":"2026013006570626300_ref21","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1097\/BRS.0b013e3181f2f08a","article-title":"Suicide among persons with back pain: a population-based study of 2310 suicide victims in northern Finland","volume":"36","author":"L\u00f6fman","year":"2011","journal-title":"Spine (Phila Pa 1976)"},{"issue":"6","key":"2026013006570626300_ref22","doi-asserted-by":"publisher","first-page":"471","DOI":"10.1093\/ptj\/pzy012","article-title":"Physical therapists' ability to identify psychological factors and their self-reported competence to manage chronic low back pain","volume":"98","author":"Brunner","year":"2018","journal-title":"Phys Ther"},{"issue":"12","key":"2026013006570626300_ref23","doi-asserted-by":"publisher","first-page":"1157","DOI":"10.1093\/ptj\/84.12.1157","article-title":"Screening for symptoms of depression by physical therapists managing low back pain","volume":"84","author":"Haggman","year":"2004","journal-title":"Phys Ther"},{"issue":"1","key":"2026013006570626300_ref24","doi-asserted-by":"publisher","first-page":"e0227999","DOI":"10.1371\/journal.pone.0227999","article-title":"Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain","volume":"15","author":"Miki","year":"2020","journal-title":"PLoS One"},{"issue":"04","key":"2026013006570626300_ref25","doi-asserted-by":"publisher","first-page":"119","DOI":"10.4236\/ojtr.2020.84011","article-title":"Ability of therapists trained in mechanical diagnosis and therapy to guess pain catastrophizing and kinesiophobia scores for patients with low back pain","volume":"8","author":"Suzuki","year":"2020","journal-title":"Open Journal of Therapy and Rehabilitation"},{"issue":"4","key":"2026013006570626300_ref26","doi-asserted-by":"publisher","first-page":"1319","DOI":"10.1007\/s00586-025-08678-3","article-title":"Screening for depression, anxiety, and psychological distress associated with low back pain by musculoskeletal and spinal clinicians","volume":"34","author":"Sugrue","year":"2025","journal-title":"A scoping review Eur Spine J"},{"key":"2026013006570626300_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2025.101836","article-title":"Depression among people with low back pain: a cross-sectional descriptive survey of Irish musculoskeletal triage physiotherapists\u2019 screening and referral practices","volume":"129","author":"Sugrue","year":"2025","journal-title":"Physiotherapy"},{"issue":"1","key":"2026013006570626300_ref28","doi-asserted-by":"publisher","DOI":"10.1186\/s43058-021-00174-1","article-title":"Pragmatic approaches to analyzing qualitative data for implementation science: an introduction. Implement","volume":"2","author":"Ramanadhan","year":"2021","journal-title":"Sci Commun"},{"issue":"2","key":"2026013006570626300_ref29","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol"},{"issue":"4","key":"2026013006570626300_ref30","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1080\/2159676X.2019.1628806","article-title":"Reflecting on reflexive thematic analysis. Qual res sport Exerc","volume":"11","author":"Braun","year":"2019","journal-title":"Health"},{"issue":"1","key":"2026013006570626300_ref31","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1002\/capr.12360","article-title":"Can I use TA? Should I use TA? Should I not use TA? Comparing reflexive thematic analysis and other pattern-based qualitative analytic approaches","volume":"21","author":"Braun","year":"2021","journal-title":"Couns Psychother Res"},{"issue":"9","key":"2026013006570626300_ref32","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1097\/ACM.0000000000000388","article-title":"Standards for reporting qualitative research: a synthesis of recommendations","volume":"89","author":"O\u2019Brien","year":"2014","journal-title":"Acad Med"},{"issue":"1","key":"2026013006570626300_ref33","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12888-020-03004-1","article-title":"Encountering suicide in primary healthcare rehabilitation: the experiences of physiotherapists","volume":"20","author":"Lundin","year":"2020","journal-title":"BMC Psychiatry"},{"issue":"11","key":"2026013006570626300_ref34","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/ptj\/pzad116","article-title":"Preventing suicide: time to mobilize the physical therapist workforce","volume":"103","author":"McGrath","year":"2023","journal-title":"Phys Ther"},{"issue":"9","key":"2026013006570626300_ref35","doi-asserted-by":"publisher","first-page":"e0238884","DOI":"10.1371\/journal.pone.0238884","article-title":"Trust, conversations and the 'middle space': a qualitative exploration of the experiences of physiotherapists with clients with suicidal thoughts and behaviours","volume":"15","author":"McGrath","year":"2020","journal-title":"PLoS One"},{"key":"2026013006570626300_ref36","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1016\/j.msksp.2018.10.006","article-title":"Perceptions of physiotherapists towards the management of non-specific chronic low back pain from a biopsychosocial perspective: a qualitative study","volume":"38","author":"Cowell","year":"2018","journal-title":"Musculoskelet Sci Pract"},{"issue":"2","key":"2026013006570626300_ref37","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1080\/09593985.2022.2116964","article-title":"\u201cWe take on people\u2019s emotions\u201d: a qualitative study of physiotherapists\u2019 experiences with patients experiencing psychological distress","volume":"40","author":"McGrath","year":"2024","journal-title":"Physiother Theory Pract"},{"issue":"2","key":"2026013006570626300_ref38","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1097\/j.pain.0000000000002042","article-title":"Prevalence and predictors of burnout symptoms in multidisciplinary pain clinics: a mixed-methods study","volume":"162","author":"Ashton-James","year":"2021","journal-title":"Pain"},{"key":"2026013006570626300_ref39","doi-asserted-by":"publisher","first-page":"m4100","DOI":"10.1136\/bmj.m4100","article-title":"The power of caring in clinical encounters","volume":"371","author":"Dieppe","year":"2020","journal-title":"BMJ"},{"issue":"2","key":"2026013006570626300_ref40","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1016\/j.jphys.2015.02.016","article-title":"Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: a systematic review","volume":"61","author":"Synnott","year":"2015","journal-title":"J Physiother"},{"issue":"4","key":"2026013006570626300_ref41","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1016\/j.jphys.2019.08.001","article-title":"Physiotherapists' views about providing physiotherapy services to people with severe and persistent mental illness: a mixed methods study","volume":"65","author":"Andrew","year":"2019","journal-title":"J Physiother"},{"issue":"4","key":"2026013006570626300_ref42","doi-asserted-by":"publisher","first-page":"377","DOI":"10.3138\/ptc.2015-66","article-title":"Do physiotherapists have the skill to engage in the \"psychological\" in the bio-psychosocial approach?","volume":"68","author":"Connaughton","year":"2016","journal-title":"Physiother Can"},{"issue":"3","key":"2026013006570626300_ref43","doi-asserted-by":"publisher","first-page":"239","DOI":"10.3138\/ptc-2019-0010","article-title":"Psychological distress among patients attending physiotherapy: a survey-based investigation of Irish physiotherapists' current practice and opinions","volume":"72","author":"Lennon","year":"2020","journal-title":"Physiother Can"},{"issue":"6","key":"2026013006570626300_ref44","doi-asserted-by":"publisher","first-page":"1300","DOI":"10.1080\/09593985.2022.2141085","article-title":"\u201cPeople suffer and we see this\u201d: a qualitative study of the forms of patient psychological distress encountered by physiotherapists","volume":"40","author":"McGrath","year":"2024","journal-title":"Physiother Theory Pract"},{"issue":"1","key":"2026013006570626300_ref45","doi-asserted-by":"publisher","first-page":"884","DOI":"10.1186\/s12889-023-15705-9","article-title":"Closing the gap between screening and depression prevention: a qualitative study on barriers and facilitators from the perspective of public health professionals in a school-based prevention approach","volume":"23","author":"Braam","year":"2023","journal-title":"BMC Public Health"},{"issue":"1","key":"2026013006570626300_ref46","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1186\/s12891-016-1110-z","article-title":"Implementation interventions to improve the management of non-specific low back pain: a systematic review","volume":"17","author":"Mesner","year":"2016","journal-title":"BMC Musculoskelet Disord"},{"issue":"3","key":"2026013006570626300_ref47","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1016\/j.jphys.2025.06.005","article-title":"The untapped role of physiotherapists in suicide prevention","volume":"71","author":"Vancampfort","year":"2025","journal-title":"J Physiother"},{"issue":"5","key":"2026013006570626300_ref48","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1093\/ptj\/pzy024","article-title":"Advancing psychologically informed practice for patients with persistent musculoskeletal pain: promise, pitfalls, and solutions","volume":"98","author":"Keefe","year":"2018","journal-title":"Phys Ther"},{"issue":"8","key":"2026013006570626300_ref49","doi-asserted-by":"publisher","first-page":"1669","DOI":"10.1080\/09593985.2023.2204962","article-title":"Australian physiotherapists\u2019 perceived frequency of contact with clients experiencing distress: a cross-sectional survey","volume":"40","author":"McGrath","year":"2023","journal-title":"Article Physiother Theory Pract"},{"issue":"11","key":"2026013006570626300_ref50","doi-asserted-by":"publisher","first-page":"pzac102","DOI":"10.1093\/ptj\/pzac102","article-title":"Physical therapy and mental health: scoping review","volume":"102","author":"Heywood","year":"2022","journal-title":"Phys Ther"},{"key":"2026013006570626300_ref51","volume-title":"The Role of Physical Therapist within Mental Health and Psychiatry","author":"International Organisation of Physical Therapy in Mental Health Policy Statement"},{"key":"2026013006570626300_ref52","volume-title":"Educational Standards: Describing Minimal Requirements of Mental Health Courses in Physiotherapy Education","author":"International Organisation of Physical Therapy in Mental Health"},{"key":"2026013006570626300_ref53","volume-title":"Briefing Paper - Harnessing Physiotherapy Skills for Mental Health Solutions: A Call for Action in Europe","author":"Europe Region of World Physiotherapy"},{"issue":"8","key":"2026013006570626300_ref54","doi-asserted-by":"publisher","first-page":"997","DOI":"10.1503\/cmaj.070281","article-title":"Screening and case-finding instruments for depression: a meta-analysis","volume":"178","author":"Gilbody","year":"2008","journal-title":"CMAJ"},{"issue":"6","key":"2026013006570626300_ref55","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1177\/0840470420933911","article-title":"Mental health services in Canada: barriers and cost-effective solutions to increase access","volume":"33","author":"Moroz","year":"2020","journal-title":"Healthc Manage Forum"},{"issue":"12","key":"2026013006570626300_ref56","doi-asserted-by":"publisher","first-page":"104945","DOI":"10.1016\/j.healthpol.2023.104945","article-title":"French mental health care system: analysis of care utilisation patterns and the case for a stepped care approach","volume":"138","author":"Kovess-Masfety","year":"2023","journal-title":"Health Policy"},{"issue":"2","key":"2026013006570626300_ref57","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1017\/ipm.2020.64","article-title":"Mental health impacts of COVID-19 in Ireland and the need for a secondary care mental health service response","volume":"38","author":"O\u2019Connor","year":"2021","journal-title":"Ir J Psychol Med"},{"issue":"6","key":"2026013006570626300_ref58","doi-asserted-by":"publisher","first-page":"1150","DOI":"10.1097\/j.pain.0000000000001809","article-title":"Physiotherapists\u2019 perceptions of learning and implementing a biopsychosocial intervention to treat musculoskeletal pain conditions: a systematic review and metasynthesis of qualitative studies","volume":"161","author":"Holopainen","year":"2020","journal-title":"Pain"},{"issue":"3","key":"2026013006570626300_ref59","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1080\/14461242.2022.2161927","article-title":"How physiotherapists attend to the human aspects of care when working with people with low back pain: a thematic analysis","volume":"32","author":"Dillon","year":"2023","journal-title":"Health Sociol Rev"},{"issue":"7","key":"2026013006570626300_ref60","doi-asserted-by":"publisher","first-page":"1","DOI":"10.7860\/JCDR\/2021\/48613.15104","article-title":"Prevalence of fatigue and its association with pain intensity, psychological status and sleep quality in patients with neck pain","volume":"15","author":"Aldabbas","year":"2021","journal-title":"Article JCDR"},{"issue":"1","key":"2026013006570626300_ref61","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/j.ejor.2016.06.064","article-title":"Outpatient appointment systems in healthcare: a review of optimization studies","volume":"258","author":"Ahmadi-Javid","year":"2017","journal-title":"Eur J Oper Res"},{"issue":"1","key":"2026013006570626300_ref62","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1080\/1041794X.2022.2118365","article-title":"Modeling the factors associated with topic avoidance about mental health: depressive symptoms, information and relationship assessments, and efficacy","volume":"88","author":"Carpenter","year":"2023","journal-title":"South Commun J"},{"issue":"4","key":"2026013006570626300_ref63","doi-asserted-by":"publisher","first-page":"e137","DOI":"10.1016\/j.bja.2023.07.017","article-title":"A single-item mood question adequately discriminates moderately severe to severe depression in individuals with persistent pain: preliminary validation","volume":"131","author":"Mouatt","year":"2023","journal-title":"Br J Anaesth"},{"issue":"6","key":"2026013006570626300_ref64","doi-asserted-by":"publisher","first-page":"618","DOI":"10.1177\/1403494810376559","article-title":"Is one question enough to screen for depression?","volume":"38","author":"Reme","year":"2010","journal-title":"Scand J Public Health"},{"issue":"7","key":"2026013006570626300_ref65","doi-asserted-by":"publisher","first-page":"E455","DOI":"10.1097\/BRS.0000000000000214","article-title":"Are 2 questions enough to screen for depression and anxiety in patients with chronic low back pain?","volume":"39","author":"Reme","year":"2014","journal-title":"Spine (Phila Pa 1976)"},{"issue":"22","key":"2026013006570626300_ref66","doi-asserted-by":"publisher","first-page":"2290","DOI":"10.1001\/jama.2020.6504","article-title":"Accuracy of the PHQ-2 alone and in combination with the PHQ-9 for screening to detect major depression: systematic review and meta-analysis","volume":"323","author":"Levis","year":"2020","journal-title":"JAMA"},{"key":"2026013006570626300_ref67","volume-title":"Depression in Adults with a Chronic Physical Health Problem: Treatment and Management","author":"National Institute for Health and Clinical Excellence (NICE)"},{"issue":"2","key":"2026013006570626300_ref68","doi-asserted-by":"crossref","first-page":"e12165","DOI":"10.1111\/jabr.12165","article-title":"Assessing psychosocial profile in the physical therapy setting","volume":"24","author":"Van Wyngaarden","year":"2019","journal-title":"J Appl Biobehav Res"},{"issue":"4","key":"2026013006570626300_ref69","doi-asserted-by":"publisher","first-page":"A1","DOI":"10.2519\/jospt.2012.42.4.A1","article-title":"Low back pain","volume":"42","author":"Delitto","year":"2012","journal-title":"J Orthop Sports Phys Ther"},{"issue":"7","key":"2026013006570626300_ref70","doi-asserted-by":"publisher","first-page":"394","DOI":"10.12968\/ijtr.2012.19.7.394","article-title":"Depression and chronic physical illness: its prevalence and diagnosis, and implications for therapeutic practice","volume":"19","author":"Spearing","year":"2012","journal-title":"IJTR"},{"issue":"5","key":"2026013006570626300_ref71","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1080\/09593985.2016.1194651","article-title":"Clinical biopsychosocial physiotherapy assessment of patients with chronic pain: the first step in pain neuroscience education","volume":"32","author":"Wijma","year":"2016","journal-title":"Physiother Theory Pract"},{"key":"2026013006570626300_ref72","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/21679169.2025.2553765","article-title":"Pragmatic approaches to screening for anxiety and depression in physiotherapy: simple tools for busy clinicians","author":"Vancampfort","year":"2025","journal-title":"Eur J Phys"},{"issue":"2","key":"2026013006570626300_ref73","doi-asserted-by":"publisher","first-page":"e70113","DOI":"10.1002\/msc.70113","article-title":"Diagnostic and clinical utility of the 2-item patient health questionnaire (PHQ-2) for screening depressive symptoms in individuals with persistent musculoskeletal pain attending physiotherapy","volume":"23","author":"Vancampfort","year":"2025","journal-title":"Musculoskeletal Care"},{"issue":"11","key":"2026013006570626300_ref74","doi-asserted-by":"publisher","first-page":"922","DOI":"10.1016\/S2215-0366(22)00232-2","article-title":"Assessment of suicide risk in mental health practice: shifting from prediction to therapeutic assessment, formulation, and risk management","volume":"9","author":"Hawton","year":"2022","journal-title":"Lancet Psychiatry"}],"container-title":["Physical Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ptj\/advance-article-pdf\/doi\/10.1093\/ptj\/pzaf153\/66292937\/pzaf153.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ptj\/article-pdf\/106\/1\/pzaf153\/66292937\/pzaf153.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ptj\/article-pdf\/106\/1\/pzaf153\/66292937\/pzaf153.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T11:57:14Z","timestamp":1769774234000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ptj\/article\/doi\/10.1093\/ptj\/pzaf153\/8416476"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":74,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1,2]]}},"URL":"https:\/\/doi.org\/10.1093\/ptj\/pzaf153","relation":{},"ISSN":["0031-9023","1538-6724"],"issn-type":[{"value":"0031-9023","type":"print"},{"value":"1538-6724","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,1]]},"published":{"date-parts":[[2026,1]]},"article-number":"pzaf153"}}