ArticleBMC health services research2026
Integrating behavioral health into pulmonary medicine: a call to action.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThere is a strong need for integrated behavioral health (IBH) services in clinics that serve patients with chronic illness who experience high co-occurring mental and physical health burdens. However, the specific needs of patients with pulmonary diseases and sleep disorders, whose mental and physical health are significantly affected by these conditions, are not well characterized. We conducted a needs assessment in an outpatient practice serving patients with pulmonary diseases and/or sleep disorders, that recently began providing IBH services. Our goal was to broadly characterize the physical and mental health needs of these patients, as well as explore differences by medical condition, sex, and level of functioning.
methodsAmong the 260 patients who participated in our online survey (51% female, 77% age 51 or older), 38% had sleep disorders, 26% airway diseases, 6% interstitial lung diseases/diffuse parenchymal lung diseases, 6% pulmonary vascular diseases, and 24% other pulmonary diseases (e.g., lung cancer).
resultsPatients with airway diseases and patients with sleep disorders emerged as two groups with significant physical and mental health burdens based on ANOVAs. T-tests showed that female patients reported worse mental and physical health functioning compared to male patients. ANOVAs also showed that patients with limited physical ability had lower physical, mental, and pulmonary health functioning, as well as greater patient care needs, compared to patients who were symptom-free.
conclusionsFindings highlight the potential need for and promise of integrating behavioral health services within clinics serving patients with pulmonary and sleep conditions.
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