国外行为医学文献摘要(1)    

国外行为医学文献摘要(1)

 

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1

【题名】

Protecting the privacy of third-party information: recommendations for social and behavioral health researchers.

【作者】

Lounsbury DW;Reynolds TC;Rapkin BD;Robson ME;Ostroff J;

【机构】

Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA. lounsdud@mskcc.org

【刊年卷期】

Soc Sci Med. 2007V64N1

【页】

213-222

ISSN】

0277-9536

【出版国】

England

【语种】

eng

【文献类型】

Journal Article; Research Support, N.I.H., Extramural

【英文关键词】

Data Collection;EKData Collection/standards;Humans;Informed Consent;Research Subjects;United States;*Behavioral Medicine;*Confidentiality;*Ethics, Research;*Social Sciences

【中文关键词】

数据收集;CK数据收集/标准;人类;知情同意;研究对象;美国;行为医学;机密;伦理学, 研究;社会科学

【摘要】

In psychosocial and health-behavioral research, we often request that research participants provide information on significant individuals in their lives, so-called "third parties". Recently there has been a greater recognition of privacy issues and risks in research pertaining to third parties. Reaction on the part of USA federal regulatory authorities to one study [Amber, D. (2000). Case at vcu bring ethics to forefront. , 14, 1], which attempted to collect survey data about the psychiatric history of respondents' parents, has generated such concern and caution that longstanding practices for the collection of social determinants of health data are being questioned and are at risk of being disallowed by Institutional Review Boards (IRBs). In this paper, we consider third party research rights and risks from the perspective of social and behavioral scientists. Focusing on research about health and quality of life, we first discuss the rationale for research methods that elicit contextual information about family members, friends, co-workers, and other social contacts. Second, we discuss the matter of 'privacy' and its central role in the current third party rights and risks dialogue. Next, we describe ways to effectively manage third-party information, building upon current recommendations by the Office for Human Research Protections (OHRP) and Botkin's [(2001). Protecting the privacy of family members in survey and pedigree research. Journal of the American Medical Association, 285(2), 207-211] treatment of the matter for survey and pedigree research. Lastly, we discuss the implications of applying these data collection and management strategies in social and behavioral research. We assert that these recommendations protect the rights of, and minimize the risks to, third parties without impeding social and behavioral health research.

 

 

2

【题名】

Presurgical Behavioral Medicine Evaluation (PBME) for implantable devices for pain management: a 1-year prospective study.

【作者】

Heckler DR;Gatchel RJ;Lou L;Whitworth T;Bernstein D;Stowell AW;

【机构】

Department of Psychology, Texas Tech University, Lubbock, Texas, USA.

【刊年卷期】

Pain Pract. 2007V7N2

【页】

110-122

ISSN】

1533-2500

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.

【英文关键词】

Adult;Aged;Aged, 80 and over;Algorithms;Behavioral Medicine;Behavioral Medicine/*methods;Disability Evaluation;Employment;Female;Follow-Up Studies;Humans;Male;Middle Aged;Neuropsychological Tests;Pain;Pain/*psychology;Pain/surgery;Pain Measurement;Pain Measurement/methods;Preoperative Care;Preoperative Care/*psychology;Prospective Studies;Psychology;Retrospective Studies;Time Factors

【中文关键词】

成年人;老年人;老年人, 80以上;算法;行为医学;行为医学/方法;残疾鉴定;就业;女(雌)性;随访研究;人类;男(雄)性;中年人;神经心理学测验;疼痛;疼痛/心理学;疼痛/外科学;疼痛测定;疼痛测定/方法;手术前护理;手术前护理/心理学;前瞻性研究;心理学;回顾性研究;时间因素

【摘要】

To reduce poor surgical outcomes, presurgical psychological evaluations are used to better predict prognosis. The current study investigated the utility of a revised Presurgical Behavioral Medicine Evaluation (PBME) algorithm, developed specifically for patients who were candidates for implantable devices. Patients were categorized into a Green, Yellow I, Yellow II, or Red prognosis group, with Green having the best, and Red having the worst, prognosis for good surgical outcomes. Variables, including gender, disability payment status, and involvement in pending litigation, were found to be significantly different among the groups in a sample of 95 consecutive patients. Analysis of data at the initial evaluation indicated that patients within the Red group endorsed significantly more physical/functional limitations, depressive symptomatology, and psychosocial distress than the Green group. In a 12-month follow-up analysis, significant differences among the four groups on various psychosocial measures were found. In addition, post-hoc tests revealed specific significant differences among the groups. A repeated measures analysis of the initial evaluation, 6-month, and 12-month follow-up data revealed that these measures were also significantly affected by the prognostic group. Lastly, nonparametric analysis indicated that there were significant differences among the groups on total risk factor scores as determined by the PBME algorithm.

 

 

3

【题名】

Test standardization in behavioural neuroscience: a response to Stanford.

【作者】

Blizard DA;Takahashi A;Galsworthy MJ;Martin B;Koide T;

【机构】

Center for Developmental and Health Genetics, Pennsylvania State University, University Park, PA 16802, USA. dab22@psu.edu

【刊年卷期】

J Psychopharmacol. 2007V21N2

【页】

136-139

ISSN】

0269-8811

【出版国】

United States

【语种】

eng

【文献类型】

Comment; Journal Article

【英文关键词】

Animals;Behavior, Animal;Behavioral Medicine;Behavioral Medicine/*methods;Cognition;Laboratory Techniques and Procedures;Laboratory Techniques and Procedures/standards;Mice;Molecular Biology;Motor Activity;Motor Activity/*drug effects;Neurosciences;Neurosciences/methods;Pharmacology;Pharmacology/methods;Reproducibility of Results;Research Design;Research Design/*standards;Research Personnel;Research Personnel/*standards;*Models, Animal

 

 

4

【题名】

Health psychology in African settings: a cultural-psychological analysis.

【作者】

Adams G;Salter PS;

【机构】

Department of Psychology, University of Kansas, 1415 Jayhawk Blvd., Lawrence, KS 66045-7556, USA. adamsg@ku.edu

【刊年卷期】

J Health Psychol. 2007V12N3

【页】

539-551

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Journal Article; Research Support, Non-U.S. Gov't

【英文关键词】

Africa;Humans;*Behavioral Medicine;*Culture

【中文关键词】

非洲;人类;行为医学;文化

【摘要】

African settings provide an important context in which to examine the relationship between cultural beliefs and health. First, research in African settings helps illuminate the sociocultural grounding of health and illness: the idea that beliefs play a constitutive role in the experience of distress. Second, research in African settings helps to illuminate the cultural grounding of health sciences: the idea that theory and practice reflect particular constructions of reality. We examine these ideas in the context of three research examples: the prominent experience of personal enemies; epidemic outbreaks of genital-shrinking panic; and fears about sabotage of vaccines in immunization campaigns.

 

 

5

【题名】

The transtheoretical model applied to the community and the workplace.

【作者】

Prochaska JM;

【机构】

Pro-Change Behavior Systems, Inc., Canada. JMProchaska@prochange.com

【刊年卷期】

J Health Psychol. 2007V12N1

【页】

198-200

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Canada;Humans;Research;*Behavioral Medicine;*Models, Theoretical;*Residence Characteristics;*Workplace

【中文关键词】

加拿大;人类;研究;行为医学;模型, 理论;居住特征;工作场所

 

 

6

【题名】

Developing the stage of change approach for the reduction of work-related musculoskeletal disorders.

【作者】

Whysall ZJ;Haslam C;Haslam R;

【机构】

Loughborough University, Leicestershire, UK. Z.J.Whysall@lboro.ac.uk

【刊年卷期】

J Health Psychol. 2007V12N1

【页】

184-197

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Journal Article; Research Support, Non-U.S. Gov't

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/*methods;Humans;Musculoskeletal Diseases;Musculoskeletal Diseases/*prevention & control;Questionnaires;United States;*Occupational Health;*Risk Reduction Behavior

【中文关键词】

行为医学;CK行为医学/方法;人类;肌骨骼疾病;肌骨骼疾病/预防与控制;问卷调查;美国;职业卫生;降低风险行为

【摘要】

Musculoskeletal disorders remain the most prevalent form of occupational ill health, prompting examination of why attempts to manage the problem have been less successful than perhaps hoped. With a view to improving the efficacy of such interventions, this study examined the applicability of the stage of change approach to the workplace. Tools were developed to assess individual and organizational stage of change towards reducing the risks of musculoskeletal disorders. The tools were tested in a range of occupational sectors, and demonstrated high levels of validity and reliability. Implications for the application of the model in the workplace for improving intervention effectiveness are discussed.

 

 

7

【题名】

Efficacy and effectiveness trials: examples from smoking cessation and bullying prevention.

【作者】

Prochaska JO;Evers KE;Prochaska JM;Van Marter D;Johnson JL;

【机构】

University of Rhode Island, Kingston, RI 02881, USA. jop@uri.edu

【刊年卷期】

J Health Psychol. 2007V12N1

【页】

170-178

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Adolescent;Aggression;Aggression/*psychology;Behavioral Medicine;Humans;Research Design;United States;*Power (Psychology);*Smoking Cessation;*Treatment Outcome

【中文关键词】

青少年;攻击;攻击/心理学;行为医学;人类;研究设计;美国;权力(心理学);戒烟;治疗结果

【摘要】

If health psychology is to maximize impacts on health, there will need to be a shift from relying primarily on efficacy trials to increasing reliance on effectiveness trials. Efficacy trials use homogeneous, highly motivated samples with minimal complications from a single setting receiving intensive treatments delivered under highly controlled conditions. Two effectiveness trials on bullying prevention illustrate the use of a heterogeneous population from multiple sites receiving a low intensity tailored treatment delivered under highly variable conditions. In spite of considerable noise the effectiveness trials produced robust results (odds ratios of about four) that bode well for population impacts under real-world dissemination.

 

 

8

【题名】

Smoking during pregnancy: where next for stage-based interventions?

【作者】

Lawrence WT;Haslam C;

【机构】

University of Southampton, Hampshire, UK. wtl@mrc.soton.ac.uk

【刊年卷期】

J Health Psychol. 2007V12N1

【页】

159-169

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Journal Article; Review

【英文关键词】

Behavioral Medicine;Female;Great Britain;Humans;Models, Theoretical;Pregnancy;Smoking;Smoking/*psychology;Smoking Cessation;*Health Behavior;*Health Promotion

【中文关键词】

行为医学;女(雌)性;大不列颠;人类;模型, 理论;妊娠;吸烟;吸烟/心理学;戒烟;健康行为;健康促进

【摘要】

Pregnancy is a 'window of opportunity' for encouraging positive behaviour change, such as quitting smoking. Associations have been shown between smoking stage of change and other health behaviour during pregnancy. For example, women in the precontemplative stage have poorer assessment of risks associated with smoking, feel less personally responsible for their unborn child's health and in turn are less likely to adopt health-promoting behaviour. Stage of change models are a popular tool within the health services, but the results of stage-based smoking cessation interventions are mixed. Identifying the crucial components of effective interventions is an important imperative for research in this area. This article reviews the literature to ascertain these components and makes recommendations for designing effective interventions.

 

 

9

【题名】

Felt and potential ambivalence across the stages of change.

【作者】

Armitage CJ;Arden MA;

【机构】

University of Sheffield, West Bank, UK. c.j.armitage@sheffield.ac.uk

【刊年卷期】

J Health Psychol. 2007V12N1

【页】

149-158

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Adolescent;Behavioral Medicine;Cross-Sectional Studies;Diet;Dietary Fats;Female;Great Britain;Humans;Male;*Attitude;*Health Behavior

【中文关键词】

青少年;行为医学;横断面研究;膳食;膳食脂肪类;女(雌)性;大不列颠;人类;男(雄)性;态度;健康行为

【摘要】

This study tested discontinuity patterns across the stages of change. Fat intake, theory of planned behaviour (TPB) variables, and felt and potential ambivalence were assessed in 16-17 year olds (N = 187). Across the stages of change there were: (a) linear increases in TPB variables, (b) linear decreases in fat intake, and (c) quadratic relationships with felt and potential ambivalence. Although felt and potential ambivalence were moderately correlated, the correlation between the two was significantly higher in the action and maintenance stages. The findings are consistent with the idea that successful actors/maintainers are vigilant with respect to lapses.

 

 

10

【题名】

Longitudinal analysis of the illness representation model in patients with irritable bowel syndrome (IBS).

【作者】

Rutter CL;Rutter DR;

【机构】

University of Kent, UK.

【刊年卷期】

J Health Psychol. 2007V12N1

【页】

141-148

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Adult;Aged;Behavioral Medicine;England;Female;Humans;Irritable Bowel Syndrome;Irritable Bowel Syndrome/*psychology;Longitudinal Studies;Male;Middle Aged;Models, Theoretical;Prospective Studies;Questionnaires;Wales;*Adaptation, Psychological

【中文关键词】

成年人;老年人;行为医学;英格兰;女(雌)性;人类;肠易激综合征;肠易激综合征/心理学;纵向研究;男(雄)性;中年人;模型, 理论;前瞻性研究;问卷调查;威尔士;适应, 心理学

【摘要】

A prospective longitudinal study explored the illness representation model of patients with irritable bowel syndrome: how representations may change; whether they predict subsequent psychological outcome; and whether any link between representation and outcome may be mediated by coping. Patients were recruited from primary care. Representations were found to be stable over time, and they did predict outcome to some extent, but coping played no part in mediating the link. The findings raise important questions about using the illness representation model with chronic illness, and about the role of coping in the model.

 

11

【题名】

Society for Developmental and Behavioral Pediatrics 2006 presidential address: Coming full circle: reflections at the interface of developmental-behavioral and general pediatrics.

【作者】

Dworkin PH;

【机构】

Department of Pediatrics, University of Connecticut School of Medicine, Hartford, CT, USA. pdworki@ccmckids.org

【刊年卷期】

J Dev Behav Pediatr. 2007V28N2

【页】

167-172

ISSN】

0196-206X

【出版国】

United States

【语种】

eng

【文献类型】

Addresses

【英文关键词】

Child;Child Behavior Disorders;Child Behavior Disorders/diagnosis;Child Behavior Disorders/prevention & control;Child Guidance;Child Health Services;Cooperative Behavior;Developmental Disabilities;Developmental Disabilities/diagnosis;Developmental Disabilities/prevention & control;Diffusion of Innovation;Humans;Patient Care Team;United States;*Behavioral Medicine;*Child Development;*Family Practice;*Pediatrics;*Societies, Medical

【中文关键词】

儿童;儿童行为障碍;儿童行为障碍/诊断;儿童行为障碍/预防与控制;儿童指导;儿童保健服务;合作行为;发育障碍;发育障碍/诊断;发育障碍/预防与控制;革新推广;人类;病人医疗小组;美国;行为医学;儿童发育;家庭医学;儿科学;学会, 医学

 

 

12

【题名】

Examination of the analytic quality of behavioral health randomized clinical trials.

【作者】

Spring B;Pagoto S;Knatterud G;Kozak A;Hedeker D;

【机构】

University of Illinois Chicago, Edward Hines, Jr. VA Hospital, and Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA. bspring@northwestern.edu

【刊年卷期】

J Clin Psychol. 2007V63N1

【页】

53-71

ISSN】

0021-9762

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.; Review

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/*standards;Data Interpretation, Statistical;Evidence-Based Medicine;Evidence-Based Medicine/standards;Humans;Periodicals;Periodicals/standards;Practice Guidelines;Practice Guidelines/standards;Randomized Controlled Trials;Randomized Controlled Trials/*standards;United States;*Bibliometrics

【中文关键词】

行为医学;CK行为医学/标准;数据说明, 统计;循证医学;循证医学/标准;人类;期刊;期刊/标准;开业医师诊疗工作准则;开业医师诊疗工作准则/标准;随机对照试验;随机对照试验/标准;美国;文献计量学

【摘要】

Adoption of evidence-based practice (EBP) policy has implications for clinicians and researchers alike. In fields that have already adopted EBP, evidence-based practice guidelines derive from systematic reviews of research evidence. Ultimately, such guidelines serve as tools used by practitioners. Systematic reviews of treatment efficacy and effectiveness reserve their strongest endorsements for treatments that are supported by high-quality randomized clinical trials (RCTs). It is unknown how well RCTs reported in behavioral science journals fare compared to quality standards set forth in fields that pioneered the evidence-based movement. We compared analytic quality features of all behavioral health RCTs (n = 73) published in three leading behavioral journals and two leading medical journals between January 2000 and July 2003. A behavioral health trial was operationalized as one employing a behavioral treatment modality to prevent or treat an acute or chronic physical disease or condition. Findings revealed areas of weakness in analytic aspects of the behavioral health RCTs reported in both sets of journals. Weaknesses were more pronounced in behavioral journals. The authors offer recommendations for improving the analytic quality of behavioral health RCTs to ensure that evidence about behavioral treatments is highly weighted in systematic reviews.

 

 

13

【题名】

Headaches should be conceptualized within the framework of the biopsychosocial model.

【作者】

Martin PR;

【刊年卷期】

Headache. 2007V47N1

【页】

137

ISSN】

0017-8748

【出版国】

United States

【语种】

eng

【文献类型】

Comment; Letter

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/*methods;Genetic Predisposition to Disease;Headache;Headache/etiology;Headache/physiopathology;Headache/*therapy;Humans;Models, Biological;Models, Psychological;Psychology

【中文关键词】

行为医学;CK行为医学/方法;疾病遗传易感性;头痛;头痛/病因学;头痛/病理生理学;头痛/治疗;人类;模型, 生物学;模型, 心理学;心理学

 

 

14

【题名】

Prevention of type 2 diabetes in a primary health care setting. Interim results from the Greater Green Triangle (GGT) Diabetes Prevention Project.

【作者】

Kilkkinen A;Heistaro S;Laatikainen T;Janus E;Chapman A;Absetz P;Dunbar J;

【机构】

Greater Green Triangle University Department of Rural Health, Flinders University and Deakin University, Warrnambool, Victoria, Australia. annamari.kilkkinen@greaterhealth.org

【刊年卷期】

Diabetes Res Clin Pract. 2007V76N3

【页】

460-462

ISSN】

0168-8227

【出版国】

Ireland

【语种】

eng

【文献类型】

Evaluation Studies; Journal Article

【英文关键词】

Adult;Aged;Australia;Blood Pressure;Body Mass Index;Cholesterol;Cholesterol/blood;Cholesterol, LDL;Cholesterol, LDL/blood;Counseling;Diabetes Mellitus, Type 2;Diabetes Mellitus, Type 2/*prevention & control;Female;Health Promotion;Health Promotion/*methods;Humans;Male;Middle Aged;Primary Health Care;Primary Health Care/*organization & administration;Rural Health Services;Rural Health Services/*organization & administration;*Behavioral Medicine

【摘要】

Although clinical trials have shown that lifestyle modifications reduce the risk of type 2 diabetes, translating lessons from trials to primary care remains a challenge. The aim of the study was to evaluate efficacy and feasibility of primary care-based diabetes prevention model with modest resource requirements in rural Australia. Three hundred and eleven subjects with at least a moderate risk of type 2 diabetes participated in a combined dietary and physical activity intervention. Clinical measurements and fasting blood samples were taken at the baseline and after intervention. After 3 months intervention, total (change -3.5%, p<0.001) and LDL cholesterol (-4.8%, p<0.001) plasma levels as well as body mass index (-2.5%, p<0.001), weight (-2.5%, p<0.001), and waist (-1.6%, p<0.001) and hip (-2.7%, p<0.001) circumferences reduced significantly. A borderline reduction was found in triglyceride levels (-4.8%, p=0.058) while no changes were observed in HDL cholesterol (+0.6%, p=0.525), glucose (+0.06%, p=0.386), or systolic (-0.98%, p=0.095) or diastolic (-1.06%, p=0.134) blood pressure levels. In conclusion, a lifestyle intervention improved health outcomes - especially obesity and blood lipids - in a population at high risk of developing type 2 diabetes. Our results suggest that the present model is effective and feasible to carry out in primary care settings.

 

 

15

【题名】

Bibliography. Current world literature. Behavioural medicine.

【刊年卷期】

Curr Opin Psychiatry. 2007V20N2

【页】

191-196

ISSN】

0951-7367

【出版国】

United States

【语种】

eng

【文献类型】

Bibliography

【英文关键词】

Humans;*Behavioral Medicine

 

 

16

【题名】

The Allegheny initiative for mental health integration for the homeless: integrating heterogeneous health services for homeless persons.

【作者】

Gordon AJ;Montlack ML;Freyder P;Johnson D;Bui T;Williams J;

【机构】

Mental Illness Research, Education, and Clinical Center of Co-Morbidity (VISN-4), the Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, University of Pittsburgh, Pittsburgh, Pa 15240, USA. adam.gordon@va.gov

【刊年卷期】

Am J Public Health. 2007V97N3

【页】

401-405

ISSN】

1541-0048

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Research Support, U.S. Gov't, P.H.S.

【英文关键词】

Adolescent;Adult;Behavioral Medicine;Behavioral Medicine/*organization & administration;Behavioral Medicine/statistics & numerical data;Community Health Planning;Congresses;Delivery of Health Care, Integrated;Delivery of Health Care, Integrated/*organization & administration;Female;Health Planning Organizations;Homeless Persons;Homeless Persons/*psychology;Humans;Male;Mental Health Services;Mental Health Services/*organization & administration;Mental Health Services/utilization;Organizational Case Studies;Pennsylvania;Program Development;Referral and Consultation;Referral and Consultation/utilization;Urban Health Services;Urban Health Services/*organization & administration;Urban Health Services/utilization

【中文关键词】

青少年;成年人;行为医学;行为医学/组织与管理;行为医学/统计学和数值数据;社区卫生计划;会议;卫生保健提供, 联合;卫生保健提供, 联合/组织与管理;女(雌)性;卫生计划组织;无家可归者;无家可归者/心理学;人类;男(雄)性;精神卫生服务;精神卫生服务/组织与管理;精神卫生服务/利用;组织状况研究;宾夕法尼亚;规划制订;转诊和会诊;转诊和会诊/利用;市区卫生服务;市区卫生服务/组织与管理;市区卫生服务/利用

【摘要】

The Allegheny Initiative for Mental Health Integration for the Homeless (AIM-HIGH) was a 3-year urban initiative in Pennsylvania that sought to enhance integration and coordination of medical and behavioral services for homeless persons through system-, provider-, and client-level interventions. On a system level, AIM-HIGH established partnerships between several key medical and behavioral health agencies. On a provider level, AIM-HIGH conducted 5 county-wide conferences regarding homeless integration, attended by 637 attendees from 72 agencies. On a client level, 5 colocated medical and behavioral health care clinics provided care to 1986 homeless patients in 4084 encounters, generating 1917 referrals for care. For a modest investment, AIM-HIGH demonstrated that integration of medical and behavioral health services for homeless persons can occur in a large urban environment.

 

 

17

【题名】

Sheila Payne.

【作者】

Payne S;

【刊年卷期】

Nurs Older People. 2006V18N11

【页】

40

ISSN】

1472-0795

【出版国】

England

【语种】

eng

【文献类型】

Interview

【英文关键词】

Great Britain;Health Services Needs and Demand;Humans;Nurse's Role;*Attitude of Health Personnel;*Behavioral Medicine;*Behavioral Medicine/organization & administration;*Faculty;*Hospice Care;*Hospice Care/organization & administration

【中文关键词】

大不列颠;卫生服务需求;人类;护士作用;医务工作者的态度;行为医学;行为医学/组织与管理;全体教工, 院校;临终关怀医疗;临终关怀医疗/组织与管理

 

 

18

【题名】

Health plans respond to parity: managing behavioral health care in the Federal Employees Health Benefits Program.

【作者】

Ridgely MS;Burnam MA;Barry CL;Goldman HH;Hennessy KD;

【机构】

RAND Corporation, RAND Corporation, 1776 Main Street, Santa Monica, CA 90407-2138, USA. ridgely@rand.org

【刊年卷期】

Milbank Q. 2006V84N1

【页】

201-218

ISSN】

0887-378X

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Research Support, U.S. Gov't, Non-P.H.S.

【英文关键词】

Blue Cross;Blue Shield;Data Collection;Health Services Accessibility;Health Services Accessibility/*organization & administration;Humans;National Health Insurance, United States;National Health Insurance, United States/*legislation & jurisprudence;Substance-Related Disorders;United States;*Behavioral Medicine;*Insurance Carriers

【中文关键词】

蓝十字会;蓝盾会;数据收集;卫生服务易得程度;卫生服务易得程度/组织与管理;人类;国家健康保险, 美国;国家健康保险, 美国/立法和法学;物质相关性障碍;美国;行为医学;保险机构

【摘要】

The government often uses the Federal Employees Health Benefits (FEHB) Program as a model for both public and private health policy choices. In 2001, the U.S. Office of Personnel Management (OPM) implemented full parity, requiring that FEHB carriers offer mental health and substance abuse benefits equal to general medical benefits. OPM instructed carriers to alter their benefit design but permitted them to determine whether they would manage care and what structures or processes they would use. This article reports on the experience of 156 carriers and the government-wide BlueCross and BlueShield Service Benefit Plan. Carriers dropped cost-restraining benefit limits. A smaller percentage also changed the management of the benefit, but these changes affected the care of many enrollees, making the overall parity effect noteworthy.

 

 

19

【题名】

The metabolic syndrome, depression, and cardiovascular disease: interrelated conditions that share pathophysiologic mechanisms.

【作者】

Gans RO;

【机构】

University Medical Center Groningen, Hanzeplein 1 9700 RB, Groningen, The Netherlands. r.o.b.gans@int.umcg.nl

【刊年卷期】

Med Clin North Am. 2006V90N4

【页】

573-591

ISSN】

0025-7125

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Review

【英文关键词】

Autonomic Nervous System;EKAutonomic Nervous System/physiopathology;Behavioral Medicine;Cardiovascular Diseases;Cardiovascular Diseases/*physiopathology;Cardiovascular Diseases/therapy;Comorbidity;Depression;Depression/*physiopathology;Depression/therapy;Endothelium;Endothelium/physiopathology;Humans;Insulin Resistance;Metabolic Syndrome X;Metabolic Syndrome X/*physiopathology;Metabolic Syndrome X/therapy;Risk Assessment;*Delivery of Health Care, Integrated

【中文关键词】

自主神经系统;CK自主神经系统/病理生理学;行为医学;心血管疾病;心血管疾病/病理生理学;心血管疾病/治疗;共病现象;抑郁;抑郁/病理生理学;抑郁/治疗;内皮;内皮/病理生理学;人类;胰岛素抗药性;代谢综合征X;代谢综合征X/病理生理学;代谢综合征X/治疗;危险性评估;卫生保健提供, 联合

【摘要】

This article introduces the metabolic syndrome as a clinical phenotype with consequences for diagnosis and treatment that go beyond the different clinical specialties involved. A life-course approach is suggested as a means of understanding the complex interrelations between the metabolic syndrome, depression, and cardiovascular disease. Pathophysiologic mechanisms that these conditions share are discussed in detail. These considerations provide arguments for a more integrative approach to patients in general that surpass the current disease-centered services such as endocrinology, psychiatry, and cardiology.

 

 

20

【题名】

Epidemiologic trends and costs of fragmentation.

【作者】

Kathol R;Saravay SM;Lobo A;Ormel J;

【机构】

Cartesian Solutions, Inc., 3004 Foxpoint Road, Burnsville, MN 55337, USA. roger-kathol@cartesiansolutions.com

【刊年卷期】

Med Clin North Am. 2006V90N4

【页】

549-572

ISSN】

0025-7125

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Review

【英文关键词】

Continuity of Patient Care;EKContinuity of Patient Care/economics;Cost of Illness;Humans;Interdisciplinary Communication;Social Behavior Disorders;Social Behavior Disorders/*economics;Social Behavior Disorders/therapy;*Behavioral Medicine;*Delivery of Health Care, Integrated;*Delivery of Health Care, Integrated/economics;*Internal Medicine;*Mental Health Services

【中文关键词】

病人医护连续性;CK病人医护连续性/经济学;患病代价;人类;学科间信息交流;社会行为障碍;社会行为障碍/经济学;社会行为障碍/治疗;行为医学;卫生保健提供, 联合;卫生保健提供, 联合/经济学;内科学;精神卫生服务

【摘要】

The data that were reviewed in this article documented that in health systems, which manage behavioral health disorders independently from general medical disorders, the estimated 10% to 30% of patients with behavioral health service needs can expect (1) poor access or barriers to medical or mental health care; (2) when services are available, most provided will not meet minimum standards for expected outcome change; and (3) as a consequence of (1) and (2), medical and behavioral disorders will be more persistent with increased complications, will be associated with greater disability, and will lead to higher total health care and disability costs than will treatment of patients who do not have behavioral health disorders. This article proposes that these health system deficiencies will persist unless behavioral health services become an integral part of medical care (ie, integrated). By doing so, it creates a win-win situation for virtually all parties involved. Complex patients will receive coordinated general medical and behavioral health care that leads to improved outcomes. Clinicians and the hospitals that support integrated programs will be less encumbered by cross-disciplinary roadblocks as they deliver services that augment patient outcomes. Health plans (insurers) will be able to decrease administrative and claims costs because the complex patients who generate more than 80% of service use will have less complicated claims adjudication and better clinical outcomes. As a result, purchaser premiums, whether government programs, employers, or individuals, will decrease and the impact on national budgets will improve. Ongoing research will be important to assure that application of the best clinical and administrative practices are used to achieve these outcomes

 

21

【题名】

A sustainable behavioral health program integrated with public health primary care.

【作者】

Mims S;

【机构】

Buncombe County Health Center, 35 Woodfin Str, Asheville, NC 28801, USA. susan.mims@buncombecounty.org

【刊年卷期】

J Public Health Manag Pract. 2006V12N5

【页】

456-461

ISSN】

1078-4659

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/*organization & administration;Depressive Disorder;Depressive Disorder/therapy;Humans;Local Government;Medicaid;Medically Uninsured;North Carolina;Poverty;Primary Health Care;Primary Health Care/*organization & administration;Rural Health Services;Rural Health Services/*organization & administration;Schools, Public Health;United States;*Delivery of Health Care, Integrated;*Public Health Administration;*Public Health Administration/education;*Public Health Administration/manpower

【中文关键词】

行为医学;CK行为医学/组织与管理;抑郁症;抑郁症/治疗;人类;地方政府;Medicaid;未参加医疗保险者;北卡罗来纳;贫困;初级卫生保健;初级卫生保健/组织与管理;乡村卫生服务;乡村卫生服务/组织与管理;院校, 公共卫生;美国;卫生保健提供, 联合;公共卫生管理;公共卫生管理/教育;公共卫生管理/人力

【摘要】

The need for behavioral healthcare for the poor and indigent is well documented in rural North Carolina, and integrated behavioral healthcare--that is, mental health screening and treatment offered as part of primary care services--has proven a very effective and efficient method to improve patients' health. In 2000, the Buncombe County Health Center (BCHC) began a grant-funded program treating depressed patients in its public health clinics and school health programs. The Health Center used the opportunity to send a team to the Management Academy for Public Health to learn business principles that could be applied to the challenge of sustaining this program as part of its ongoing public health service delivery for the county. Using their business plan from the Management Academy, the BCHC sought funding from various stakeholders, and, through their support, was able to institute a fully integrated behavioral health program in 2004. The BCHC has now joined forces with other partners in the state to address statewide policy changes in support of such programs. These efforts are an example of how a community health center can apply entrepreneurial thinking and strategic business planning to improve healthcare and effect wide-ranging change.

 

 

22

【题名】

Public health is an interdiscipline, and about wholes and parts: indeed, critical health psychology needs to join forces.

【作者】

von Lengerke T;

【机构】

Hannover Medical School and GSF-Institute of Health Economics and Health Care Management, Neuherberg, Germany. lengerke.thomas@mh-hannover.de

【刊年卷期】

J Health Psychol. 2006V11N3

【页】

395-399

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Comment; Journal Article

【英文关键词】

Health Promotion;Humans;Policy Making;Public Health;*Behavioral Medicine;*Cooperative Behavior;*Interprofessional Relations

【中文关键词】

健康促进;人类;政策制订;公共卫生;行为医学;合作行为;职业间关系

【摘要】

Hepworth's assessment of critical health psychology's capacity to contribute to public health promotion (this issue) is commented on and supplemented by selected issues relevant to Hepworth's timely call for interdisciplinary research and action in this context. Drawing on eco-epidemiology, multilevel research strategies are suggested that comprehensively account for individual/psychological and population/sociological factors. It is delineated how health promotion policies may be backed by psychologically informed policy analysis. Regarding health, it is argued to keep scrutinizing ill-health and to resist simplistic notions of quality of life or wellness but also to enhance these by incorporating concepts from positive psychology. Finally, it is considered whether trans disciplinarity may be in aid of fully realizing the potentials of blending the merits of health psychology and public health.

 

 

23

【题名】

Do we need critical health psychology or rather critical health psychologists?

【作者】

Vinck J;Meganck J;

【机构】

Health Psychology Research Group, Hasselt University, Diepenbeek, Belgium. jan.vinck@uhasselt.be

【刊年卷期】

J Health Psychol. 2006V11N3

【页】

391-393

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Comment; Journal Article

【英文关键词】

Humans;Interprofessional Relations;Public Health;*Behavioral Medicine;*Professional Practice;*Psychological Theory

【中文关键词】

人类;职业间关系;公共卫生;行为医学;专业业务;心理学理论

【摘要】

In her article Julie Hepworth discusses the definition of critical health psychology and its position within the field of health psychology. We understand that she is inclined to favour a position of critical health psychology that is separate from and in opposition to mainstream health psychology. In contrast to this, we are convinced that the important concerns of critical health psychology are better served by efforts to help mainstream health psychologists think and work more strongly from a critical perspective.

 

 

24

【题名】

Physician, heal thyself: the fate of the professional cum critic.

【作者】

Stam HJ;

【机构】

Department of Psychology, University of Calgary, Canada. stam@ucalgary.ca

【刊年卷期】

J Health Psychol. 2006V11N3

【页】

385-389

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Comment; Journal Article

【英文关键词】

Humans;*Behavioral Medicine;*Physicians;*Professional Practice;*Professional Practice/ethics

【中文关键词】

人类;行为医学;医师;专业业务;专业业务/伦理学

【摘要】

Reminding us of the crucial tasks that require our urgent ministrations, Hepworth rightly notes that critique has its limits. I agree and note that our fates as critics are bound to a professionalism we may not be able to escape.

 

 

25

【题名】

Health psychology and social action.

【作者】

Murray M;Poland B;

【机构】

Division of Community Health, Memorial University of Newfoundland, Canada. murraym@mun.ca

【刊年卷期】

J Health Psychol. 2006V11N3

【页】

379-384

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Comment; Journal Article

【英文关键词】

Continental Population Groups;Gender Identity;Humans;Social Class;*Behavioral Medicine;*Social Behavior;*Social Change

【中文关键词】

大陆人口群;性别特性;人类;社会阶级;行为医学;社会行为;社会变迁

【摘要】

This article reviews the main epistemological approaches within health psychology. It considers the approach based on critical realism and various strategies for linking health psychology with social action. It argues that critical health psychology has a distinct contribution to make in promoting public health as part of the broader movement for social justice and health.

 

 

26

【题名】

Critical health psychology, pluralism and dilemmas: the importance of being critical.

【作者】

McVittie C;

【机构】

School of Social Sciences, Media and Communication, Queen Margaret University College, Edinburgh, UK. cmcvittie@qmuc.ac.uk

【刊年卷期】

J Health Psychol. 2006V11N3

【页】

373-377

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Comment; Journal Article

【英文关键词】

Cooperative Behavior;Humans;Knowledge;*Behavioral Medicine;*Cultural Diversity;*Problem Solving

【中文关键词】

合作行为;人类;知识;行为医学;文化多样性;问题解决

【摘要】

Hepworth argues for critical health psychology (CHP) to move on from binary opposition to mainstream health psychology (MHP) and to engage with other researchers in projects of common interest. In doing so, CHP can take up Murray and Campbell's earlier 'call to action' and avoid the risk of isolation. However neither action nor cross-subject collaboration are necessarily appropriate strategies for all elements of a pluralistic CHP that encompasses a diversity of epistemological positions. Conducting research on others' terms also holds risks for the development of work that remains critical. The potential contributions of a pluralistic CHP, by way of action or otherwise, might usefully be judged in relation to both the distal and proximate contexts of health issues.

 

 

27

【题名】

The case for a pluralist health psychology.

【作者】

Marks DF;

【机构】

Department of Psychology, City University, London, UK. d.marks@city.ac.uk

【刊年卷期】

J Health Psychol. 2006V11N3

【页】

367-372

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Comment; Journal Article

【英文关键词】

Humans;Social Change;Socioeconomic Factors;*Behavioral Medicine;*Cultural Diversity;*Policy Making

【中文关键词】

人类;社会变迁;社会经济因素;行为医学;文化多样性;政策制订

【摘要】

Hepworth (2006) offers a timely and insightful review of critical health psychology. A pluralist health psychology can accommodate the interests and concerns of all psychologists working in the health field. Health inequalities are neglected by the mainstream and yet policy makers at national and international level are giving this a high priority. Also, ecological validity and replicability of mainstream quantitative studies are unacceptably low while qualitative studies are being increasingly utilized. Hepworth's passionate call to action is an appeal that no psychologist with a concern for human wellbeing can easily ignore.

 

 

28

【题名】

Towards a global health contribution for critical health psychology: some comments on Hepworth.

【作者】

Maclachlan M;

【机构】

School of Psychology, Trinity College, University of Dublin, Dublin, Ireland. Malcolm.maclachlan@tcd.ie

【刊年卷期】

J Health Psychol. 2006V11N3

【页】

361-365

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Comment; Journal Article

【英文关键词】

Developing Countries;Humans;International Cooperation;*Behavioral Medicine;*Behavioral Medicine/economics;*Behavioral Medicine/legislation & jurisprudence;*Behavioral Medicine/organization & administration;*World Health

【中文关键词】

发展中国家;人类;国际合作;行为医学;行为医学/经济学;行为医学/立法和法学;行为医学/组织与管理;世界卫生

【摘要】

The ability of critical health psychology to deliver on its implicit promise to link social and biological processes is compromised by: (1) a morally superior stance of being critical of rather than being critical for other disciplines; (2) insufficient pluralism in its concepts and methods; and (3) unwillingness to engage with more 'distant' disciplines that are salient to its goals; particularly economics, management and law. The global health movement offers critical health psychology an avenue to develop its project, especially in low-income countries, where a pragmatic approach to the interconnectedness of poor health and inequality is needed.

 

 

29

【题名】

Critical health psychology: who benefits?

【作者】

Lee C;

【机构】

School of Psychology, University of Queensland, Australia. c.lee@psy.uq.edu.au

【刊年卷期】

J Health Psychol. 2006V11N3

【页】

355-359

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Comment; Journal Article

【英文关键词】

Humans;*Behavioral Medicine;*Politics;*Public Health

【中文关键词】

人类;行为医学;政治;公共卫生

【摘要】

This commentary deals with two issues raised by Hepworth. Concerning definitions, it argues that critical health psychology needs to be more explicit in defining itself as politically left-wing, and that its central defining characteristic should be that it is research and practice which aims primarily to benefit the participants, regardless of any specific method or epistemology. Concerning the value of critical health psychology, it argues that work which has improved health on a global scale and which aims to reduce inequities is being done, but not by critical psychologists, and suggests a need for more action and less rhetoric.

 

 

30

【题名】

Paradigm lost? Reconsidering health psychology.

【作者】

Flick U;

【机构】

Alice Salomon University of Applied Sciences, Berlin, Germany. Flick@ASFH-berlin.de

【刊年卷期】

J Health Psychol. 2006V11N3

【页】

351-354

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Comment; Journal Article

【英文关键词】

Adolescent;Homeless Persons;Humans;Public Health;Sociology, Medical;*Behavioral Medicine;*Psychology, Medical

【中文关键词】

青少年;无家可归者;人类;公共卫生;社会学, 医学;行为医学;心理学, 医学

【摘要】

Critical health psychology (CHP) is seen as entangled in the dilemma of where to locate itself in two ways: first, inside the original discipline-health psychology-or outside and in confrontation to it. Second, in the field of related disciplines like medical sociology and (new) public health. Drawing parallels to earlier discussions in medical sociology, CHP is seen in an ambiguous intention of being critical to health psychology and of becoming a professional field in health psychology. CHP has difficulties making itself distinct from new public health approaches. Two examples of research are briefly mentioned. They address health concepts of health professionals and representations and practices concerning health of homeless adolescents.

 

31

【题名】

Going beyond the rhetoric: the movement of critical health psychology towards social action.

【作者】

Estacio EV;

【机构】

Department of Psychology, City University, London, UK. e.v.g.estacio@city.ac.uk

【刊年卷期】

J Health Psychol. 2006V11N3

【页】

347-350

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Comment; Journal Article

【英文关键词】

Altruism;Humans;International Cooperation;International Educational Exchange;Politics;World Health;*Behavioral Medicine;*Health Plan Implementation;*Public Health;*Social Behavior

【中文关键词】

利他主义;人类;国际合作;国际教育交流;政治;世界卫生;行为医学;卫生计划实施;公共卫生;社会行为

【摘要】

Health is a fundamental human right. Unfortunately the pursuit of good health remains a struggle for marginalized individuals/groups because of the rise of new centres of power. Hepworth argues that critical health psychologists can contribute to the promotion of public health by moving towards 'greater practice and action orientation'. Until we learn to become more actively involved in translating our research into practice, our efforts will only end up being done in vain. To pursue our humanitarian aims, CHP needs to move beyond the confines of its academic circle and begin to share its vision with a greater audience-society itself.

 

 

32

【题名】

Critical health psychology: Julie Hepworth.

【作者】

Bunton R;

【机构】

School of Health and Social Care, University of Teesside, Middlesborough, UK. r.bunton@tees.ac.uk

【刊年卷期】

J Health Psychol. 2006V11N3

【页】

343-345

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Comment; Journal Article

【英文关键词】

Humans;Politics;Public Health;*Behavioral Medicine;*Evaluation Studies

【中文关键词】

人类;政治;公共卫生;行为医学;评价研究

【摘要】

Behaviour oriented health promotion has often relied on over-simplistic and over-deterministic models in which action emanates from individuals, not the social or economic structures they inhabit. Mainstream health psychology models are allied with official health ideology and policy, stressing self-control, self-regulation and responsible (low-cost) health citizenship. Discussion of psycho-political validity and of the use of a wider community of meanings and theories is welcome and moves beyond narrow disciplinary concerns by developing epistemological self-critique. Reflection and critique of psychology and its uses in public health is needed for theoretical and morally reasons and points to inseparability of psychology and politics.

 

 

33

【题名】

The emergence of critical health psychology: can it contribute to promoting public health?

【作者】

Hepworth J;

【机构】

Department of Psychology, Argosy University, Point Richmond, CA 94804, USA. jhepworth@argosyu.edu

【刊年卷期】

J Health Psychol. 2006V11N3

【页】

331-341

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Humans;Politics;Psychology, Social;*Behavioral Medicine;*Health Promotion;*Public Health;*Public Health/economics

【中文关键词】

人类;政治;心理学, 社会;行为医学;健康促进;公共卫生;公共卫生/经济学

【摘要】

The purpose of this article is twofold: first to provide an overview of the emergence of critical health psychology for those working in the related social and health sciences and as a review of its major developments for health psychology; and second to discuss critically the potential for critical health psychology to contribute to promoting public health with specific reference to the directives espoused by Prilleltensky (2003) and Murray and Campbell (2003). The identification of three philosophical phases of the emergence of critical health psychology is used to examine the directions of the field and the challenges facing critical health psychology in order to contribute to public and global health.

 

 

34

【题名】

Developing a critical media research agenda for health psychology.

【作者】

Hodgetts D;Chamberlain K;

【机构】

Department of Psychology, University of Waikato, New Zealand. dhdgetts@waikato.ac.nz

【刊年卷期】

J Health Psychol. 2006V11N2

【页】

317-327

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Journal Article; Review

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/*methods;Humans;Social Sciences;*Communications Media;*Research Design

【中文关键词】

行为医学;CK行为医学/方法;人类;社会科学;信息交流媒体;研究设计

【摘要】

This article outlines reasons why psychologists should concern themselves with media processes, noting how media are central to contemporary life and heavily implicated in the construction of shared understandings of health. We contend that the present research focus is substantially medicalized, privileging the investigation and framing of certain topics, such as the portrayal of health professionals, medical practices, specific diseases and lifestyle-orientated interventions, and restricting attention to social determinants of health as appropriate topics for investigation. We propose an extended agenda for media health research to include structural health concerns, such as crime, poverty, homelessness and housing and social capital.

 

 

35

【题名】

Health and digital gaming: the benefits of a community of practice.

【作者】

Schott G;Hodgetts D;

【机构】

Department of Screen & Media Studies, University of Waikato, New Zealand. g.schott@waikato.ac.nz

【刊年卷期】

J Health Psychol. 2006V11N2

【页】

309-316

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Journal Article; Review

【英文关键词】

Child;Humans;Practice (Psychology);Psychology, Social;Social Behavior;Video Games;Video Games/*psychology;*Behavioral Medicine;*Health Promotion;*Residence Characteristics

【中文关键词】

儿童;人类;实践(心理学);心理学, 社会;社会行为;电子游戏;电子游戏/心理学;行为医学;健康促进;居住特征

【摘要】

Psychologists have a tendency to focus on the negative side of life. Our discipline has become preoccupied with illness rather than health. Where the media are concerned we explore the consequences of unhealthy messages for the population in general or young people in particular. This commentary breaks with tradition by outlining ways in which digital games can enhance health. Positive health consequences of gaming are explored in relation to surgical training and therapeutic interventions, physical exercise, health education and community participation.

 

 

36

【题名】

Robert Winston's Superhuman: spectacle, surveillance and patient narrative.

【作者】

Hight C;Coleborne C;

【机构】

Screen and Media Studies, University of Waikato, New Zealand. hight@waikato.ac.nz

【刊年卷期】

J Health Psychol. 2006V11N2

【页】

233-245

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/*methods;Female;Humans;Male;Patient Participation;Patient Participation/psychology;Patients;Patients/*psychology;Physician-Patient Relations;Population Surveillance;Population Surveillance/*methods;*Drama;*Self Disclosure;*Television

【中文关键词】

行为医学;CK行为医学/方法;女(雌)性;人类;男(雄)性;病人参与;病人参与/心理学;病人;病人/心理学;医生病人关系;人群监测;人群监测/方法;戏剧;自我揭露;电视

【摘要】

Health psychologists are being challenged by researchers to consider interdisciplinary approaches to health research, particularly around media representations. This article argues that the praxis and research of health psychology might benefit from strategic and interdisciplinary readings of media texts. It argues that insights from current documentary theory are important because they show us how documentary texts are structured and how medical documentary deploys techniques from medicine itself in order to effect certain persuasive discursive shifts in our wider culture. The article takes the BBC documentary series Superhuman as its example and explores this text as it involves media spectacle, medical surveillance of the body and of patients and the positioning of patient narratives of personal experiences with medical intervention.

 

 

37

【题名】

Print news and health psychology: some observations.

【作者】

Thorson E;

【机构】

Missouri School of Journalism, University of Missouri-Columbia, MO 65211-1200, USA. thorsone@missouri.edu

【刊年卷期】

J Health Psychol. 2006V11N2

【页】

175-182

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Crime;EKCrime/psychology;Delivery of Health Care;Health Policy;Humans;Public Health;United States;Violence;Violence/psychology;*Behavioral Medicine;*Communications Media;*Communications Media/economics;*Newspapers;*Newspapers/economics

【中文关键词】

罪行;CK罪行/心理学;卫生保健提供;卫生政策;人类;公共卫生;美国;暴力;暴力/心理学;行为医学;信息交流媒体;信息交流媒体/经济学;报纸;报纸/经济学

【摘要】

This commentary overviews the look of health news in American print journalism and the research that suggests how health news creates influence at both the individual and policy levels. Crime and violence are argued to be public health issues, but unfortunately they are often not treated as such. There is clearly room for improvement in all areas of health news, but unfortunately the extreme stress that newspapers are under to maintain their high profit margins suggests that the resources for such improvement are unlikely to be available. Examination of the Minneapolis Star Tribune's coverage of health, crime and violence exemplifies problematic aspects.

 

 

38

【题名】

Media and health: a continuing concern for health psychology.

【作者】

Hodgetts D;Chamberlain K;

【机构】

University of Waikato, New Zealand.

【刊年卷期】

J Health Psychol. 2006V11N2

【页】

171-174

ISSN】

1359-1053

【出版国】

England

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Humans;*Behavioral Medicine;*Communications Media;*Health

【中文关键词】

人类;行为医学;信息交流媒体;卫生

 

 

39

【题名】

American Dietetic Association: standards of practice and standards of professional performance for registered dietitians (generalist, specialty, and advanced) in behavioral health care.

【作者】

Emerson M;Kerr P;Soler Mdel C;Girard TA;Hoffinger R;Pritchett E;Otto M;

【机构】

Spring Harbor Hospital, Westbrook, ME, USA.

【刊年卷期】

J Am Diet Assoc. 2006V106N4

【页】

608-613

ISSN】

0002-8223

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Practice Guideline

【英文关键词】

Accreditation;Behavioral Medicine;Behavioral Medicine/*standards;Clinical Competence;Clinical Competence/*standards;Dietetics;Dietetics/*standards;Humans;Professional Competence;Professional Competence/*standards;Societies;Specialty Boards;United States

【中文关键词】

聘任鉴定;行为医学;行为医学/标准;临床工作能力;临床工作能力/标准;膳食学;膳食学/标准;人类;专业能力;专业能力/标准;学会;专业委员会;美国

 

 

40

【题名】

Behavioral health weighs in on health IT.

【作者】

Dougherty M;

【机构】

michelle.dougherty@ahima.org

【刊年卷期】

J AHIMA. 2006V77N6

【页】

58-59

ISSN】

1060-5487

【出版国】

United States

【语种】

eng

【文献类型】

Congresses

【英文关键词】

Health Care Sector;EKHealth Care Sector/trends;Humans;Medical Records Systems, Computerized;Medical Records Systems, Computerized/*standards;United States;United States Substance Abuse and Mental Health Services Administration;*Behavioral Medicine;*Mental Health Services

【中文关键词】

卫生保健部门;CK卫生保健部门/发展趋势;人类;病案系统, 计算机化;病案系统, 计算机化/标准;美国;美国药物滥用与精神卫生事业管理局;行为医学;精神卫生服务

 

41

【题名】

Using literature to teach behavioral medicine.

【作者】

Shah SA;Reich D;

【刊年卷期】

Fam Med. 2006V38N3

【页】

159

ISSN】

0742-3225

【出版国】

United States

【语种】

eng

【文献类型】

Letter

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/*education;Education, Medical, Graduate;Education, Medical, Graduate/*methods;Humans;Teaching;*Internship and Residency;*Literature

【中文关键词】

行为医学;CK行为医学/教育;教育, 医学, 研究生;教育, 医学, 研究生/方法;人类;教学;实习医师和住院医师职务;文学

 

 

42

【题名】

APA, NAMI, NMHA, and evidence-based behavioural medicine: a comment.

【作者】

Kaplan RM;Spring B;Davidson K;

【机构】

University of California, Los Angeles, CA, USA.

【刊年卷期】

Evid Based Ment Health. 2006V9N2

【页】

32-34

ISSN】

1362-0347

【出版国】

England

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Humans;Mental Disorders;Mental Disorders/economics;Mental Disorders/therapy;Practice Guidelines;Practice Guidelines/standards;*Behavioral Medicine;*Evidence-Based Medicine;*Societies, Medical

【中文关键词】

人类;精神障碍;精神障碍/经济学;精神障碍/治疗;开业医师诊疗工作准则;开业医师诊疗工作准则/标准;行为医学;循证医学;学会, 医学

 

 

43

【题名】

Bibliography. Current world literature. Behavioural medicine.

【刊年卷期】

Curr Opin Psychiatry. 2006V19N2

【页】

225-232

ISSN】

0951-7367

【出版国】

United States

【语种】

eng

【文献类型】

Bibliography

【英文关键词】

Humans;*Behavioral Medicine;*Behavioral Medicine/methods;*Behavioral Medicine/trends

【中文关键词】

人类;行为医学;行为医学/方法;行为医学/发展趋势

 

 

44

【题名】

Recent trends in behavioral medicine.

【作者】

Nater UM;Gaab J;Rief W;Ehlert U;

【机构】

Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia 30322, USA. unater@emory.edu

【刊年卷期】

Curr Opin Psychiatry. 2006V19N2

【页】

180-183

ISSN】

0951-7367

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Review

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/*trends;Brain;Brain/physiopathology;Cognitive Therapy;Humans;Mental Disorders;Mental Disorders/physiopathology;Mental Disorders/psychology;Mental Disorders/therapy;Psychology;Research Support, Non-U.S. Gov't;Stress, Psychological;Stress, Psychological/psychology

【中文关键词】

行为医学;CK行为医学/发展趋势;脑;脑/病理生理学;认知疗法;人类;精神障碍;精神障碍/病理生理学;精神障碍/心理学;精神障碍/治疗;心理学;研究资助, 非美国政府;应激, 心理学;应激, 心理学/心理学

【摘要】

PURPOSE OF REVIEW: Behavioral medicine is an interdisciplinary field, integrating research from a variety of disciplines. This review focuses on recent advances and developments in behavioral medicine. RECENT FINDINGS: Stress, as well as having a role in the etiology and maintenance of somatic disease and somatoform disorders, is an important factor in the behavioral medicine literature. Consequentially, recent advances in psychological interventions targeting these conditions were developed. Furthermore, a variety of psychobiological mechanistic studies investigating the dysregulations of stress axes in conditions relevant to behavioral medicine have been undertaken. SUMMARY: Studies investigating factors and processes relevant to health and illness clearly demonstrate the impact of psychosocial factors such as stress. The biopsychosocial perspective becomes increasingly sophisticated, focusing on specific disease processes and empirically tested and effective interventions.

 

 

45

【题名】

Interactive behavioral technologies and diabetes self-management support: recent research findings from clinical trials.

【作者】

Welch G;Shayne R;

【机构】

Behavioral Medicine Research, 140 High Street #2104, Baystate Medical Center, Springfield, MA 01199, USA. Garry.Welch@bhs.org

【刊年卷期】

Curr Diab Rep. 2006V6N2

【页】

130-136

ISSN】

1534-4827

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Review

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/*methods;Clinical Trials;Diabetes Mellitus;Diabetes Mellitus/*therapy;Humans;Intervention Studies;Patient Education;Patient Education/*methods;Patient Satisfaction;Self Care;Self Care/*methods

【中文关键词】

行为医学;CK行为医学/方法;临床试验;糖尿病;糖尿病/治疗;人类;干预性研究;病人教育;病人教育/方法;病人满意度;自我护理;自我护理/方法

【摘要】

A review of recent interactive behavioral technology (IBT) interventions applied to diabetes self-management identified 12 clinical trials, the majority being randomized controlled trials. Encouragingly, the studies used a wide range of technologies, were typically based in primary care settings, and mostly recruited disadvantaged or under-represented patients or those with little computer experience. However, only one third of the studies had incorporated behavioral theories or models into the interventions. Control conditions typically received some dose of the intervention or its components. Blood glucose control (A1c) was not significantly improved in 60% of studies, and where the intervention group was significantly improved over the control condition only modest improvements were found (-0.18% to 0.4%). Patient-reported outcomes were encouraging, but weak attention to psychometrics (eg, responsiveness) was evident. Health care utilization was reduced for several uncontrolled studies. Future research should target patient motivation to participate more intensely and consistently and integrate IBT interventions into routine medical care.

 

 

46

【题名】

Supporting medication adherence in renal transplantation (SMART): a pilot RCT to improve adherence to immunosuppressive regimens.

【作者】

De Geest S;Schafer Keller P;Denhaerynck K;Thannberger N;Kofer S;Bock A;Surber C;Steiger J;

【机构】

Institute of Nursing Science, University of Basel, Switzerland. sabina.degeest@unibas.ch

【刊年卷期】

Clin Transplant. 2006V20N3

【页】

359-368

ISSN】

0902-0063

【出版国】

Denmark

【语种】

eng

【文献类型】

Journal Article; Randomized Controlled Trial

【英文关键词】

Adolescent;Behavior Therapy;Behavioral Medicine;Humans;Immunosuppressive Agents;Immunosuppressive Agents/*therapeutic use;Kidney Transplantation;Kidney Transplantation/*psychology;Patient Education;Pilot Projects;Treatment Outcome;*Patient Compliance

【中文关键词】

青少年;行为疗法;行为医学;人类;免疫抑制剂;免疫抑制剂/治疗应用;肾移植;肾移植/心理学;病人教育;试点项目;治疗结果;病人依从

【摘要】

BACKGROUND: Although non-adherence to an immunosuppressive regimen (NAH) is a major risk factor for poor outcome after renal transplantation (RTx), very few studies have examined non-adherence intervention in this context. This pilot randomized controlled trial (RCT) tested the efficacy of an educational-behavioural intervention to increase adherence in non-adherent RTx patients. We also assessed how NAH evolves over time. METHODS: Eighteen RTx non-adherent patients (age: 45.6 +/-1.2 yr; 78.6% male) were randomly assigned to either an intervention group (IG) (n = 6) or an enhanced usual care group (EUCG) (n = 12), the latter receiving the usual clinical care. The IG received one home visit and three telephone interviews. We assessed NAH through electronic monitoring (EM) of medication intake during a nine-month period (three months intervention, six months follow-up). RESULTS: Five of 18 patients withdrew. Inclusion in the study resulted in a remarkable decrease in NAH in both groups over the first three months (IG chi(2) = 3.97, df = 1, p = 0.04; EUCG chi(2) = 3.40, df = 1, p = 0.06). The IG showed the greatest decrease in NAH after three months, although this did not reach statistical significance (at 90 d, chi(2) = 1.05, df = 1, p = 0.31). Thereafter, NAH increased gradually in both groups, reaching comparable levels at the end of the six-month follow-up (i.e. at nine months). CONCLUSION: Our findings suggest an inclusion effect. Although the intervention in this pilot RCT appeared to add further benefit in medication compliance, a lack of statistical power prevented us from making a strong statistical statement.

 

 

47

【题名】

Behavioral health service use and costs among children in foster care.

【作者】

Becker M;Jordan N;Larsen R;

【机构】

Louis de la Parte, Florida Mental Health Institute, University of South Florida, Tampa, FL, USA.

【刊年卷期】

Child Welfare. 2006V85N3

【页】

633-647

ISSN】

0009-4021

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Adolescent;Behavioral Medicine;Behavioral Medicine/*economics;Behavioral Medicine/statistics & numerical data;Case-Control Studies;Child;Child Abuse;Child Abuse/economics;Child Abuse/ethnology;Child Abuse/psychology;Child Abuse/statistics & numerical data;Child Behavior Disorders;Child Behavior Disorders/*economics;Child Behavior Disorders/epidemiology;Child Behavior Disorders/ethnology;Child Behavior Disorders/therapy;Child, Preschool;Female;Florida;Florida/epidemiology;Foster Home Care;Foster Home Care/*statistics & numerical data;Health Care Costs;Health Expenditures;Health Expenditures/statistics & numerical data;Humans;Infant;Male;Medicaid;Mental Health Services;Mental Health Services/economics;Mental Health Services/*utilization;United States;United States/epidemiology

【中文关键词】

青少年;行为医学;行为医学/经济学;行为医学/统计学和数值数据;病例对照研究;儿童;虐待儿童;虐待儿童/经济学;虐待儿童/人种学;虐待儿童/心理学;虐待儿童/统计学和数值数据;儿童行为障碍;儿童行为障碍/经济学;儿童行为障碍/流行病学;儿童行为障碍/人种学;儿童行为障碍/治疗;儿童, 学龄前;女(雌)性;佛罗里达;佛罗里达/流行病学;家庭托儿及病人照管;家庭托儿及病人照管/统计学和数值数据;卫生保健费用;卫生经费支出;卫生经费支出/统计学和数值数据;人类;婴儿;男(雄)性;Medicaid;精神卫生服务;精神卫生服务/经济学;精神卫生服务/利用;美国;美国/流行病学

【摘要】

This article compares behavioral health service use and cost for foster care versus nonfoster care children; children before, during, and after foster care placement; and successfully reunified versus nonsuccessfully reunified foster care children. Behavioral health service costs for children in foster care were higher than for children not in foster care. Children in foster care used more services during their foster care placement than before placement and after discharge. Nonsuccessfully reunified children received a significantly larger quantity of services than those successfully reunified.

 

 

48

【题名】

Behavioural medicine: changing our behaviour.

【作者】

Marteau T;Dieppe P;Foy R;Kinmonth AL;Schneiderman N;

【刊年卷期】

BMJ. 2006V332N7539

【页】

437-438

ISSN】

1468-5833

【出版国】

England

【语种】

eng

【文献类型】

Editorial

【英文关键词】

Attitude of Health Personnel;Humans;*Behavioral Medicine;*Professional Practice

【中文关键词】

医务工作者的态度;人类;行为医学;专业业务

 

 

49

【题名】

A typology of organizational and contractual arrangements for purchasing and delivery of behavioral health care.

【作者】

Rosenthal MB;Minden S;Manderscheid R;Henderson M;

【机构】

Harvard School of Public Health, 677 Huntington Avenue, Room 405, Boston, MA 02115, USA. mrosenth@hsph.harvard.edu

【刊年卷期】

Adm Policy Ment Health. 2006V33N4

【页】

461-469

ISSN】

0894-587X

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Focus Groups;Humans;Outsourced Services;Outsourced Services/economics;Outsourced Services/*methods;Outsourced Services/organization & administration;Research Support, U.S. Gov't, P.H.S.;United States;*Behavioral Medicine

【中文关键词】

集中研讨小组;人类;外购服务;外购服务/经济学;外购服务/方法;外购服务/组织与管理;研究性资助, 美国政府, 公共卫生署;美国;行为医学

【摘要】

The evolution of behavioral health care financing and delivery has led to a wide variety of arrangements connecting consumers to behavioral health services. In this paper, we present a typology based on three distinguishing features of behavioral health arrangements along which there is a high degree of variability and this variability has been shown to affect the cost and quality of behavioral health care: (1) the extent to which sponsor oversight over care is outsourced by way of contracts rather than performed directly; (2) whether financing for behavioral health is partitioned from health care financing overall; and (3) the amount of financial risk shared by the sponsor with third parties.

 

 

50

【题名】

The rate and variation of referrals to behavioral medicine services for patients reporting poor mental health in the national spine network.

【作者】

Walsh TL;Hanscom B;Homa K;Abdu WA;

【机构】

Spine Center, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA. Thom@hitchcock.org

【刊年卷期】

Spine. 2005V30N6

【页】

E154-E160

ISSN】

1528-1159

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/*statistics & numerical data;Cohort Studies;Comorbidity;Female;Humans;Male;Mental Disorders;Mental Disorders/*epidemiology;Mental Disorders/psychology;Mental Health;Middle Aged;Referral and Consultation;Referral and Consultation/*statistics & numerical data;Research Support, N.I.H., Extramural;Research Support, Non-U.S. Gov't;Research Support, U.S. Gov't, P.H.S.;Spinal Diseases;Spinal Diseases/*epidemiology;Spinal Diseases/psychology;United States;United States/epidemiology;*Health Status

【中文关键词】

行为医学;CK行为医学/统计学和数值数据;队列研究;共病现象;女(雌)性;人类;男(雄)性;精神障碍;精神障碍/流行病学;精神障碍/心理学;精神卫生;中年人;转诊和会诊;转诊和会诊/统计学和数值数据;研究资助, NIH, 外部;研究资助, 非美国政府;研究性资助, 美国政府, 公共卫生署;脊柱疾病;脊柱疾病/流行病学;脊柱疾病/心理学;美国;美国/流行病学;健康状况

【摘要】

STUDY DESIGN: Descriptive analysis of cross-sectional data collected prospectively in 20 National Spine Network (NSN) centers. OBJECTIVES: First, to summarize clinical and demographic characteristics of patients likely to need servicesfor psychosocial concerns. Second, to determine the rate and variability of referrals for behavioral medicine interventions (BMED) across the NSN. SUMMARY OF BACKGROUND DATA: The prevalence of mental distress resulting from or coexisting with spinal pain is unclear. There is evidence that psychological treatments, particularly BMED, can aid the recovery of patients with symptoms of mental distress. METHODS: From 1998 to 2001, 28,349 patients presenting to NSN centers completed the SF-36 General Health Survey. Patients were dichotomized by the mental component summary (MCS) score into two groups: 1) those scoring scale (patients self-reporting significant signs of mental distress) and 2) those scoring >35. Clinicians recorded a "treatment plan" comprised of a standard array of treatment options. For patients scoring referrals to BMED was assessed. RESULTS: Baseline health status scores were lower across all SF-36 scales for the patients scoring an MCS distressed patients, the overall average referral rate for any BMED service for patients scoring MCS varied across NSN sites from 0 to 41%. CONCLUSION: With only 11.8% of mentally distressed NSN patients receiving a referral for any form of BMED, it appears that a large proportion of eligible patients are not receiving a potentially beneficial treatment. Wide variation across centers may indicate an inability to adequately assess mental distress via the usual clinical interview and examination for spinal conditions or a lack of consensus regarding BMED's availability and utility.

 

51

【题名】

A national sample of IAPSRS members' responses to the psychiatric rehabilitation beliefs, goals, and practices scale.

【作者】

Casper ES;

【机构】

ecasper@nyc.rr.com

【刊年卷期】

Psychiatr Rehabil J. 2005V28N3

【页】

282-289

ISSN】

1095-158X

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/*education;EKBehavioral Medicine/standards;Discriminant Analysis;Humans;Mental Disorders;Mental Disorders/*rehabilitation;Mental Health Services;Mental Health Services/manpower;Mental Health Services/*standards;Mental Health Services/statistics & numerical data;Physician's Practice Patterns;Questionnaires;Regression Analysis;Reproducibility of Results;United States;*Clinical Competence;*Goals;*Health Knowledge, Attitudes, Practice

【中文关键词】

行为医学;CK行为医学/教育;CK行为医学/标准;判别分析;人类;精神障碍;精神障碍/康复;精神卫生服务;精神卫生服务/人力;精神卫生服务/标准;精神卫生服务/统计学和数值数据;医师诊疗模式;问卷调查;回归分析;可重复性, 结果;美国;临床工作能力;目的;健康知识, 态度, 实践

【摘要】

This study reports on the convergent-discriminant validity of the Psychiatric Rehabilitation Beliefs, Goals, and Practices Scale (PRBGP) which purports to measure practitioners' knowledge of the current consensus in psychiatric rehabilitation. The sample comprised 478 IAPSRS members who represented practitioners from 39 states. The study found that the PRBGP variance among this sample was primarily associated with the number of 15 leading contributors to the psychiatric rehabilitation literature that these practitioners claimed to have read when education, discipline, role, experience, and agency area were controlled. Experience in the behavioral health field and the administrator role were also significantly related to the PRBGP, but these relationships may have also been a function of informational factors associated with IAPSRS membership. For a combined sample (n = 757), it was also found that the PRBGP is primarily related to the number of leading authors that these practitioners read. The PRGBP appears to measure knowledge of the current consensus on beliefs, goals, and practices in psychiatric rehabilitation, and is not a measure of these other responder characteristics.

 

 

52

【题名】

Evaluating cultural competence among behavioral health professionals.

【作者】

Stanhope V;Solomon P;Pernell Arnold A;Sands RG;Bourjolly JN;

【机构】

School of Social Work, University of Pennsylvania, 3701 Locust Walk, Philadelphia, PA 19104-6214, USA. stanhope@ssw.upenn.edu

【刊年卷期】

Psychiatr Rehabil J. 2005V28N3

【页】

225-233

ISSN】

1095-158X

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/education;EKBehavioral Medicine/*standards;Clinical Competence;Clinical Competence/*standards;Health Services Accessibility;Health Services Accessibility/standards;Humans;Mental Disorders;Mental Disorders/ethnology;Mental Disorders/rehabilitation;Mental Health Services;Mental Health Services/*manpower;Mental Health Services/standards;Mental Health Services/utilization;Pennsylvania;Program Evaluation;Program Evaluation/*methods;Questionnaires;Research Support, U.S. Gov't, Non-P.H.S.;*Cultural Diversity

【中文关键词】

行为医学;CK行为医学/教育;CK行为医学/标准;临床工作能力;临床工作能力/标准;卫生服务易得程度;卫生服务易得程度/标准;人类;精神障碍;精神障碍/人种学;精神障碍/康复;精神卫生服务;精神卫生服务/人力;精神卫生服务/标准;精神卫生服务/利用;宾夕法尼亚;方案评价;方案评价/方法;问卷调查;研究性资助, 美国政府, 非公共卫生署;文化多样性

【摘要】

Persistent racial and ethnic disparities in access and utilization of behavioral health services have highlighted the need for cultural competence among providers. In response, many agencies are now implementing education and training programs to ensure that behavioral health professionals improve their skills when serving diverse ethnic, racial, and cultural populations. The evaluation of these trainings is vital to ensure that they both improve the cultural competence of providers and promote recovery among persons with severe mental illnesses. This paper discusses the philosophical and practical issues related to measuring cultural competence, based on the evaluation of statewide cultural competence trainings for behavioral health professionals. The evaluation process illustrates the challenges of operationalizing cultural competence, balancing the needs of program implementers and evaluators, and developing a robust and feasible evaluation design, which assesses outcomes both for persons in recovery and providers.

 

 

53

【题名】

Behavioral medicine in Russian family medicine.

【作者】

Buyck D;Floyd M;Tudiver F;McGrady L;Journagin A;Kishenko S;

【机构】

Veterans Administration Medical Center, Salem, VA, USA.

【刊年卷期】

Patient Educ Couns. 2005V59N2

【页】

205-211

ISSN】

0738-3991

【出版国】

Ireland

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/education;EKBehavioral Medicine/*organization & administration;Clinical Competence;Clinical Competence/standards;Communication;Education, Medical, Graduate;Faculty, Medical;Family Practice;Family Practice/education;Family Practice/*organization & administration;Female;Health Knowledge, Attitudes, Practice;Health Services Needs and Demand;Humans;International Educational Exchange;Internship and Residency;Male;Models, Educational;Patient Acceptance of Health Care;Patient Acceptance of Health Care/psychology;Patient Acceptance of Health Care/statistics & numerical data;Physician's Practice Patterns;Physician's Practice Patterns/organization & administration;Physician's Role;Physician-Patient Relations;Physicians, Family;Physicians, Family/education;Physicians, Family/organization & administration;Physicians, Family/*psychology;Primary Health Care;Primary Health Care/organization & administration;Qualitative Research;Questionnaires;Russia;Self Efficacy;Specialism;*Attitude of Health Personnel

【中文关键词】

行为医学;CK行为医学/教育;CK行为医学/组织与管理;临床工作能力;临床工作能力/标准;信息交流;教育, 医学, 研究生;全体教工, 医学院校;家庭医学;家庭医学/教育;家庭医学/组织与管理;女(雌)性;健康知识, 态度, 实践;卫生服务需求;人类;国际教育交流;实习医师和住院医师职务;男(雄)性;模型, 教育;病人接受卫生保健的程度;病人接受卫生保健的程度/心理学;病人接受卫生保健的程度/统计学和数值数据;医师诊疗模式;医师诊疗模式/组织与管理;医师的作用;医生病人关系;医师, 家庭;医师, 家庭/教育;医师, 家庭/组织与管理;医师, 家庭/心理学;初级卫生保健;初级卫生保健/组织与管理;定性研究;问卷调查;俄罗斯;自我效验;专门化;医务工作者的态度

【摘要】

The Russian Federation's recently adopted family medicine as a specialty, but with little or no training in psychosocial and behavioral issues, unlike many training programs in other countries. The purpose of this qualitative study was to explore the perceptions and experiences of Russian primary care physicians regarding the practice of behavioral medicine and psychosocial methods. Semi-structured in-depth interviews were conducted with ten Russian family physicians. Examination of key words, phrases, and concepts used by the physicians revealed five themes that physicians related to their incorporation of psychosocial/behavioral medicine methods: (1) factors limiting the practice of behavioral medicine (inadequate training; cultural barriers); (2) demand for behavioral medicine services; (3) patient-doctor issues related to behavioral medicine (e.g., communication); (4) physician's role strain; and (5) intuition and experience. These findings suggest that Russia's new family physicians would benefit from residency and post-graduate curricula in behavioral sciences, tailored to their unique needs.

 

 

54

【题名】

Individually tailored treatment targeting activity, motor behavior, and cognition reduces pain-related disability: a randomized controlled trial in patients with musculoskeletal pain.

【作者】

Asenlof P;Denison E;Lindberg P;

【机构】

Department of Public Health and Caring Sciences/Section of Caring Sciences, Uppsala University, Uppsala. pernilla.asenlof@pubcare.uu.se

【刊年卷期】

J Pain. 2005V6N9

【页】

588-603

ISSN】

1526-5900

【出版国】

United States

【语种】

eng

【文献类型】

Clinical Trial; Journal Article; Multicenter Study; Randomized Controlled Trial

【英文关键词】

Activities of Daily Living;EKActivities of Daily Living/psychology;Adult;Behavioral Medicine;Behavioral Medicine/*methods;Behavioral Medicine/trends;Cognitive Therapy;Cognitive Therapy/*methods;Cognitive Therapy/trends;Disability Evaluation;Fear;Fear/psychology;Female;Goals;Humans;Male;Middle Aged;Motor Activity;Motor Activity/physiology;Musculoskeletal Diseases;Musculoskeletal Diseases/physiopathology;Musculoskeletal Diseases/psychology;Musculoskeletal Diseases/*therapy;Pain;Pain/physiopathology;Pain/psychology;Pain/*therapy;Patient Compliance;Patient Satisfaction;Physical Fitness;Physical Fitness/physiology;Physical Fitness/*psychology;Primary Health Care;Primary Health Care/methods;Primary Health Care/trends;Psychology;Treatment Outcome

【中文关键词】

日常生活活动;CK日常生活活动/心理学;成年人;行为医学;行为医学/方法;行为医学/发展趋势;认知疗法;认知疗法/方法;认知疗法/发展趋势;残疾鉴定;恐惧;恐惧/心理学;女(雌)性;目的;人类;男(雄)性;中年人;运动活动;运动活动/生理学;肌骨骼疾病;肌骨骼疾病/病理生理学;肌骨骼疾病/心理学;肌骨骼疾病/治疗;疼痛;疼痛/病理生理学;疼痛/心理学;疼痛/治疗;病人依从;病人满意度;身体素质;身体素质/生理学;身体素质/心理学;初级卫生保健;初级卫生保健/方法;初级卫生保健/发展趋势;心理学;治疗结果

【摘要】

This study compares the outcomes of an individually tailored behavioral medicine intervention (experimental) with physical exercise therapy (control). The experimental intervention was systematically individualized according to each participant's behavioral treatment goals and functional behavioral analyses. One hundred twenty-two patients seeking care at 3 primary health care clinics because of musculoskeletal pain were randomized. Ninety-seven completed the trial. Data were collected at baseline, immediately after treatment, and at a 3-month follow-up. Analyses of data from completers, as well as intention-to-treat analyses, showed that the experimental group experienced lower levels of disability (P = .01), lower maximum pain intensity (P = .02), higher levels of pain control (P = .001), and lower fear of movement (P = .022) as a result of treatment condition. Self-efficacy (P = .0001) and physical performance (P = .0001) increased over time for both groups. Participants in the experimental group generally reported more positive effects after treatment. Treatment fidelity was maintained during the course of the study. Activity can be resumed and pain might be managed by the patients themselves if treatment incorporates the biopsychosocial explanatory model of pain and strategies are tailored according to individual's priorities of everyday life activities and empirically derived determinants of pain-related disability. PERSPECTIVE: This study shows that the biomedical and the psychosocial perspectives of the experiences and consequences of pain complement rather than contradict each other. Primary health care patients with persistent musculoskeletal pain benefit more from a systematic tailoring of treatments according to biopsychosocial factors than from a physically based exercise intervention.

 

 

55

【题名】

Teaching behavioral pain management to healthcare professionals: a systematic review of research in training programs.

【作者】

Maclaren JE;Cohen LL;

【机构】

Department of Psychology, West Virginia University, Morgantown, WV, USA.

【刊年卷期】

J Pain. 2005V6N8

【页】

481-492

ISSN】

1526-5900

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Review

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/*standards;EKBehavioral Medicine/trends;Clinical Trials;Clinical Trials/standards;Clinical Trials/trends;Education, Medical, Continuing;Education, Medical, Continuing/*standards;Education, Medical, Continuing/trends;Humans;Interdisciplinary Communication;Pain;Pain/*therapy;Pain Clinics;Pain Clinics/*standards;Pain Clinics/trends;Pain Measurement;Pain Measurement/standards;Pain Measurement/trends;Patient Care Team;Patient Care Team/*standards;Patient Care Team/trends

【中文关键词】

行为医学;CK行为医学/标准;CK行为医学/发展趋势;临床试验;临床试验/标准;临床试验/发展趋势;教育, 医学, 继续;教育, 医学, 继续/标准;教育, 医学, 继续/发展趋势;人类;学科间信息交流;疼痛;疼痛/治疗;疼痛诊所;疼痛诊所/标准;疼痛诊所/发展趋势;疼痛测定;疼痛测定/标准;疼痛测定/发展趋势;病人医疗小组;病人医疗小组/标准;病人医疗小组/发展趋势

【摘要】

Pain is a common and potentially debilitating condition. Whereas there is vast literature on developmentally appropriate behavioral techniques for pain management, results of curriculum evaluations and knowledge surveys reveal a dearth of awareness of these strategies in healthcare professionals. As a result, the development and evaluation of pain management training programs are important endeavors. Results of studies evaluating such programs are promising and suggest that training might be an effective means of impacting healthcare professionals' knowledge, attitudes, and even patient care. These results must be interpreted with caution, however, because the literature contains several conceptual and methodologic limitations. These limitations, in combination with the wide diversity in program components, format of delivery, and research methods, preclude definitive conclusions on the most practical and effective means to provide training. To address this question, further systematic work on the development and evaluation of pain management training programs is warranted. PERSPECTIVE: To address the problems of dissemination of behavioral pain management techniques, the development and evaluation of pain management training programs are important endeavors. The current article presents a systematic review of studies evaluating such programs and provides recommendations for future systematic work in this area.

 

 

56

【题名】

The relevance of medical sociology to psychiatry: a historical view.

【作者】

Bloom SW;

【机构】

Department of Community Medicine, Mount Sinai School of Medicine, New York, New York10029, USA.

【刊年卷期】

J Nerv Ment Dis. 2005V193N2

【页】

77-84

ISSN】

0022-3018

【出版国】

United States

【语种】

eng

【文献类型】

Historical Article; Journal Article

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/education;Cooperative Behavior;Curriculum;Education, Medical;Education, Medical/history;History, 20th Century;Humans;Interprofessional Relations;National Institute of Mental Health (U.S.);National Institute of Mental Health (U.S.)/history;Psychiatry;Psychiatry/education;Psychiatry/*history;Psychoanalytic Theory;Sociology, Medical;Sociology, Medical/*history;Terminology;United States

【中文关键词】

行为医学;CK行为医学/教育;合作行为;课程;教育, 医学;教育, 医学/历史;历史, 20世纪;人类;职业间关系;国立精神卫生研究所(美国);国立精神卫生研究所(美国)/历史;精神病学;精神病学/教育;精神病学/历史;精神分析理论;社会学, 医学;社会学, 医学/历史;科学术语;美国

【摘要】

Collaboration between sociology and psychiatry is traced to the 1920s when, stimulated by Harry Stack Sullivan and Adolph Meyer, the relationship was activated by common theoretical and research interests. Immediately after World War II, this became a true partnership, stimulated by the National Institute of Mental Health, the Group for the Advancement of Psychiatry, and the growing influence of psychoanalytic theory. The effects of a sociology that focused on issues of health and illness proceeded to grow in medical education, research, and the treatment of mental illness until 1980, when a distinct shift of emphasis in psychiatry occurred. In its role as educator of future physicians, postwar psychiatry developed a paradigm of biopsychosocial behavior but, after 3 decades, changed to a biopharmacological model. The definition of mental illness as a deviant extreme in developmental and interpersonal characteristics lost favor to nosological diagnoses of discrete or dichotomous models. Under a variety of intellectual, socioeconomic, and political pressures, psychiatry reduced its interest in and relationship with sociology, replacing it in part with bioethics and economics. In this article, the detailed underpinnings of these changes are described and interpreted.

 

 

57

【题名】

General medical and pharmacy claims expenditures in users of behavioral health services.

【作者】

Kathol RG;McAlpine D;Kishi Y;Spies R;Meller W;Bernhardt T;Eisenberg S;Folkert K;Gold W;

【机构】

Department of Internal Medicine, University of Minnesota, Minneapolis, MN, USA. roger-kathol@attglobal.net

【刊年卷期】

J Gen Intern Med. 2005V20N2

【页】

160-167

ISSN】

1525-1497

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Adolescent;Adult;Behavioral Medicine;Behavioral Medicine/*economics;Behavioral Medicine/statistics & numerical data;Drug Utilization;Drug Utilization/economics;Drug Utilization/*statistics & numerical data;Female;Forecasting;Humans;Insurance, Health;Insurance, Health/*utilization;Insurance, Pharmaceutical Services;Insurance, Pharmaceutical Services/*utilization;Male;Mental Health Services;Mental Health Services/*economics;Middle Aged;Minnesota;Retrospective Studies;Substance-Related Disorders;Substance-Related Disorders/economics

【中文关键词】

青少年;成年人;行为医学;行为医学/经济学;行为医学/统计学和数值数据;药物利用;药物利用/经济学;药物利用/统计学和数值数据;女(雌)性;预测;人类;保险, 健康;保险, 健康/利用;保险, 药剂师工作;保险, 药剂师工作/利用;男(雄)性;精神卫生服务;精神卫生服务/经济学;中年人;明尼苏达;回顾性研究;物质相关性障碍;物质相关性障碍/经济学

【摘要】

OBJECTIVE: To quantify the magnitude of general medical and/or pharmacy claims expenditures for individuals who use behavioral health services and to assess future claims when behavioral service use persists. DESIGN: Retrospective cost trends and 24-month cohort analyses. SETTING: A Midwest health plan. PARTICIPANTS: Over 250,000 health plan enrollees during 2000 and 2001. MEASUREMENTS: Claims expenditures for behavioral health services, general medical services, and prescription medications. MAIN RESULTS: Just over one tenth of enrollees (10.7%) in 2001 had at least 1 behavioral health claim and accounted for 21.4% of total general medical, behavioral health, and pharmacy claims expenditures. Costs for enrollees who used behavioral health services were double that for enrollees who did not use such services. Almost 80% of health care costs were for general medical services and medications, two thirds of which were not psychotropics. Total claims expenditures in enrollees with claims for both substance use and mental disorders in 2000 were 4 times that of those with general medical and/or pharmacy claims only. These expenditures returned to within 15% of nonbehavioral health service user levels in 2001 when clinical need for behavioral health services was no longer required but increased by another 37% between 2000 and 2001 when both chemical dependence and mental health service needs persisted. CONCLUSIONS: The majority of total claims expenditures in patients who utilize behavioral health services are for medical, not behavioral, health benefits. Continued service use is associated with persistently elevated total general medical and pharmacy care costs. These findings call for studies that better delineate: 1) the interaction of general medical, pharmacy, and behavioral health service use and 2) clinical and/or administrative approaches that reverse the high use of general medical resources in behavioral health patients.

 

 

58

【题名】

Religious/spiritual coping among women trauma survivors with mental health and substance use disorders.

【作者】

Fallot RD;Heckman JP;

【机构】

Community Connections, SE, Washington, DC 20003, USA. rfallot@ccdc1.org

【刊年卷期】

J Behav Health Serv Res. 2005V32N2

【页】

215-226

ISSN】

1094-3412

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Multicenter Study

【英文关键词】

Adolescent;Adult;Battered Women;Battered Women/*psychology;Behavioral Medicine;California;Comparative Study;Data Collection;Diagnosis, Dual (Psychiatry);District of Columbia;Female;Humans;Mental Disorders;Mental Disorders/complications;Mental Disorders/*psychology;Middle Aged;Research Support, U.S. Gov't, P.H.S.;Substance-Related Disorders;Substance-Related Disorders/complications;Substance-Related Disorders/*psychology;Survivors;Survivors/psychology;Wounds and Injuries;Wounds and Injuries/complications;Wounds and Injuries/*psychology;*Adaptation, Psychological;*Religion;*Spirituality

【中文关键词】

青少年;成年人;被殴打妇女;被殴打妇女/心理学;行为医学;加利福尼亚;对比研究;数据收集;诊断, 双重(精神病学);哥伦比亚特区;女(雌)性;人类;精神障碍;精神障碍/并发症;精神障碍/心理学;中年人;研究性资助, 美国政府, 公共卫生署;物质相关性障碍;物质相关性障碍/并发症;物质相关性障碍/心理学;幸存患者;幸存患者/心理学;创伤和损伤;创伤和损伤/并发症;创伤和损伤/心理学;适应, 心理学;宗教;灵性

【摘要】

This study examines the types of religious/spiritual coping used by women trauma survivors with co-occurring mental health and substance use disorders. Analyses based on data from 2 large racially diverse samples indicate that women from the study population rely considerably more on positive, than negative, religious coping, and that their reliance on religious coping, in general, is significantly higher than that of the general population. Numerous significant relationships were also found between the severity of trauma-related and mental health symptoms and more negative religious coping. This study further suggests that more frequent childhood abuse and childhood sexual violence are especially associated with negative religious coping in adulthood. Findings support the importance of spiritual coping for women trauma survivors with co-occurring disorders and suggest the value of increased attention to spirituality in behavioral health services, especially in assessment and therapeutic relationships.

 

 

59

【题名】

The role of coercion in the treatment of women with co-occurring disorders and histories of abuse.

【作者】

Clark C;Becker M;Giard J;Mazelis R;Savage A;Vogel W;

【机构】

University of South Florida, Tampa, FL 33612, USA. cclark@fmhi.usf.edu

【刊年卷期】

J Behav Health Serv Res. 2005V32N2

【页】

167-181

ISSN】

1094-3412

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Multicenter Study

【英文关键词】

Adult;Battered Women;Battered Women/*psychology;Behavioral Medicine;Diagnosis, Dual (Psychiatry);Domestic Violence;Domestic Violence/*psychology;Female;Humans;Mental Disorders;Mental Disorders/complications;Mental Disorders/*therapy;Middle Aged;Research Support, U.S. Gov't, Non-P.H.S.;Research Support, U.S. Gov't, P.H.S.;Restraint, Physical;Substance-Related Disorders;Substance-Related Disorders/complications;Substance-Related Disorders/*therapy;Survivors;Survivors/psychology;United States;*Coercion;*Commitment of Mentally Ill;*Mental Health Services

【中文关键词】

成年人;被殴打妇女;被殴打妇女/心理学;行为医学;诊断, 双重(精神病学);家庭暴力;家庭暴力/心理学;女(雌)性;人类;精神障碍;精神障碍/并发症;精神障碍/治疗;中年人;研究性资助, 美国政府, 非公共卫生署;研究性资助, 美国政府, 公共卫生署;约束, 身体的;物质相关性障碍;物质相关性障碍/并发症;物质相关性障碍/治疗;幸存患者;幸存患者/心理学;美国;强迫;精神病人强制住院;精神卫生服务

【摘要】

Debate continues on issues of involuntary treatment for individuals with behavioral healthcare problems. Women with co-occurring disorders and histories of abuse are an especially vulnerable population. This study seeks to increase our knowledge about the experiences of coercion for women in the behavioral healthcare system. Patterns of coercion are explored. This study did not find the predicted relationship between high levels of interpersonal violence and frequent involuntary treatment experiences. The results do offer support for the hypothesis that women are more likely to be currently mandated to treatment if they have been recently arrested, and that being mandated to treatment does not appear to be related to clinical issues such as recidivism and acute symptoms. As expected, women currently required to be in treatment report having less choice in other aspects of their care. Implications for future research in the current climate of increasingly coercive policies are presented.

 

 

60

【题名】

The relationship between mothers' child abuse potential and current mental health symptoms: implications for screening and referral.

【作者】

Rinehart DJ;Becker MA;Buckley PR;Dailey K;Reichardt CS;Graeber C;VanDeMark NR;Brown E;

【机构】

Colorado Social Research Associates, Thronton, CO 80260, USA. drinehart@ahinc.org

【刊年卷期】

J Behav Health Serv Res. 2005V32N2

【页】

155-166

ISSN】

1094-3412

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Multicenter Study

【英文关键词】

Adolescent;Adult;Battered Women;Battered Women/*psychology;Behavioral Medicine;Child;Child Abuse;Child Abuse/*prevention & control;Child Advocacy;Child, Preschool;Colorado;Diagnosis, Dual (Psychiatry);Female;Florida;Humans;Mass Screening;Mental Disorders;Mental Disorders/*complications;Personality Inventory;Psychometrics;Psychometrics/*methods;Referral and Consultation;Research Support, U.S. Gov't, P.H.S.;Risk Assessment;Risk Assessment/*methods;Self Efficacy;Substance-Related Disorders;Substance-Related Disorders/*complications;Violence;Violence/*psychology;*Mother-Child Relations

【中文关键词】

青少年;成年人;被殴打妇女;被殴打妇女/心理学;行为医学;儿童;虐待儿童;虐待儿童/预防与控制;儿童辩护;儿童, 学龄前;科罗拉多;诊断, 双重(精神病学);女(雌)性;佛罗里达;人类;普查;精神障碍;精神障碍/并发症;个性量表;心理测定学;心理测定学/方法;转诊和会诊;研究性资助, 美国政府, 公共卫生署;危险性评估;危险性评估/方法;自我效验;物质相关性障碍;物质相关性障碍/并发症;暴力;暴力/心理学;母子关系

【摘要】

This analysis examined data from mothers at 2 of the 9 sites participating in Substance Abuse and Mental Health Services Administration's (SAMHSA's) national Women Co-occurring Disorders and Violence Study (WCDVS). According to previous literature, it was hypothesized that women in the WCDVS would be at high risk of perpetrating child abuse. This research examined mothers' potential for physical child abuse and assessed the association between child abuse potential, current mental health symptoms, alcohol and drug use severity, and trauma. Results revealed that participants had significant potential for child abuse. Hierarchical regression analyses revealed that current mental health symptoms were the strongest predictor of mothers' scores on the Child Abuse Potential (CAP) Inventory. This study highlights the important relationships between commonly used instruments across the mental health, substance, and child welfare fields and the potential dual use of these instruments. Implications for policy and practice are discussed.

 

 

 

61

【题名】

Building resilience in children of mothers who have co-occurring disorders and histories of violence: intervention model and implementation issues.

【作者】

Finkelstein N;Rechberger E;Russell LA;VanDeMark NR;Noether CD;O'Keefe M;Gould K;Mockus S;Rael M;

【机构】

Institute for Health and Recovery, Cambridge, MA 02139, USA. normafinkelstein@healthrecovery.org

【刊年卷期】

J Behav Health Serv Res. 2005V32N2

【页】

141-154

ISSN】

1094-3412

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Multicenter Study

【英文关键词】

Battered Women;EKBattered Women/psychology;Behavioral Medicine;Child;Child of Impaired Parents;Child of Impaired Parents/*psychology;Child, Preschool;Diagnosis, Dual (Psychiatry);Domestic Violence;Domestic Violence/*psychology;Domestic Violence/statistics & numerical data;Female;Humans;Male;Mental Disorders;Mental Disorders/*complications;Mothers;Mothers/psychology;Research Support, U.S. Gov't, Non-P.H.S.;Research Support, U.S. Gov't, P.H.S.;Substance-Related Disorders;Substance-Related Disorders/*complications;United States;*Adaptation, Psychological;*Child Health Services;*Mental Health Services

【中文关键词】

被殴打妇女;CK被殴打妇女/心理学;行为医学;儿童;儿童, 病残父母的;儿童, 病残父母的/心理学;儿童, 学龄前;诊断, 双重(精神病学);家庭暴力;家庭暴力/心理学;家庭暴力/统计学和数值数据;女(雌)性;人类;男(雄)性;精神障碍;精神障碍/并发症;母亲;母亲/心理学;研究性资助, 美国政府, 非公共卫生署;研究性资助, 美国政府, 公共卫生署;物质相关性障碍;物质相关性障碍/并发症;美国;适应, 心理学;儿童保健服务;精神卫生服务

【摘要】

Historically, children of parents with co-occurring substance abuse and mental health disorders and histories of violence/trauma have been overlooked in behavioral health treatment systems. The Women, Co-occurring Disorders and Violence Study (WCDVS) was a 5-year initiative funded by the United States Substance Abuse and Mental Health Services Administration (SAMHSA) that included a Children's Study that explored the treatment needs of children of women with these multiple disorders. This article describes the development of the Children's Study intervention that included clinical assessment, group intervention, and resource coordination/advocacy for children aged 5-10 to build resilience through increasing coping skills, improving interpersonal relationships, and helping coalesce positive identity and self-esteem. Innovative procedures, including the participation of consumer/survivor/recovering women and mothers, in the planning, implementation, and administrative applications of this intervention and study are also highlighted. It is recommended that programs begin to implement family-focused integrated treatment approaches that can potentially increase protective factors for children affected by parental mental illness, substance abuse, and violence.

 

 

62

【题名】

Physical health burdens of women with trauma histories and co-occurring substance abuse and mental disorders.

【作者】

Larson MJ;Miller L;Becker M;Richardson E;Kammerer N;Thom J;Gampel J;Savage A;

【机构】

New England Research Institutes Inc, Watertown, MA 02472, USA. mjlarson@neri.org

【刊年卷期】

J Behav Health Serv Res. 2005V32N2

【页】

128-140

ISSN】

1094-3412

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Multicenter Study

【英文关键词】

Activities of Daily Living;Adult;Battered Women;Battered Women/psychology;Battered Women/*statistics & numerical data;Behavioral Medicine;Data Collection;Diagnosis, Dual (Psychiatry);Female;Health Status;Humans;Mental Disorders;Mental Disorders/*complications;Mental Disorders/epidemiology;Mental Disorders/physiopathology;Middle Aged;Prevalence;Research Support, U.S. Gov't, Non-P.H.S.;Research Support, U.S. Gov't, P.H.S.;Stress Disorders, Post-Traumatic;Stress Disorders, Post-Traumatic/epidemiology;Stress Disorders, Post-Traumatic/physiopathology;Stress Disorders, Post-Traumatic/*psychology;Substance-Related Disorders;Substance-Related Disorders/*complications;Substance-Related Disorders/epidemiology;Substance-Related Disorders/physiopathology;United States;United States/epidemiology;Violence;Violence/*psychology;Violence/statistics & numerical data;Wounds and Injuries;Wounds and Injuries/complications;Wounds and Injuries/epidemiology;Wounds and Injuries/*physiopathology;*Disability Evaluation

【中文关键词】

日常生活活动;成年人;被殴打妇女;被殴打妇女/心理学;被殴打妇女/统计学和数值数据;行为医学;数据收集;诊断, 双重(精神病学);女(雌)性;健康状况;人类;精神障碍;精神障碍/并发症;精神障碍/流行病学;精神障碍/病理生理学;中年人;患病率;研究性资助, 美国政府, 非公共卫生署;研究性资助, 美国政府, 公共卫生署;应激障碍, 创伤后;应激障碍, 创伤后/流行病学;应激障碍, 创伤后/病理生理学;应激障碍, 创伤后/心理学;物质相关性障碍;物质相关性障碍/并发症;物质相关性障碍/流行病学;物质相关性障碍/病理生理学;美国;美国/流行病学;暴力;暴力/心理学;暴力/统计学和数值数据;创伤和损伤;创伤和损伤/并发症;创伤和损伤/流行病学;创伤和损伤/病理生理学;残疾鉴定

【摘要】

This article documents the physical health burdens of participants in a large, federally funded cross-site study of specialized services for women with histories of trauma (physical or sexual abuse) and co-occurring substance abuse and mental health disorders. Nearly half of the 2729 women in the study (48%) reported serious physical illnesses that frequently limited their daily life activities or required them to use special equipment. Nearly half (46%) rated their health status as only fair or poor. Given the prevalence of physical illnesses in this population, behavioral service providers should discuss with clients their overall health and how it might hinder their participation in treatment for trauma, substance abuse, and mental illness, and policymakers should consider this need when designing behavioral health requirements, setting reimbursement rates, and allocating funds.

 

 

63

【题名】

Introduction to the impact of co-occurring disorders and violence on women: findings from the SAMHSA Women, Co-occurring Disorders and Violence Study.

【作者】

Becker MA;Gatz M;

【机构】

Department of Mental Health Law and Policy, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, FL, USA.

【刊年卷期】

J Behav Health Serv Res. 2005V32N2

【页】

111-112

ISSN】

1094-3412

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Adolescent;Adult;Aged;Battered Women;Battered Women/*psychology;Behavioral Medicine;Behavioral Medicine/*organization & administration;Diagnosis, Dual (Psychiatry);Female;Health Services Research;Humans;Life Change Events;Mental Disorders;Mental Disorders/*complications;Mental Health Services;Mental Health Services/*organization & administration;Middle Aged;Multicenter Studies;Substance-Related Disorders;Substance-Related Disorders/*complications;United States;United States Substance Abuse and Mental Health Services Administration;Violence;Violence/*psychology;*Delivery of Health Care, Integrated

【中文关键词】

青少年;成年人;老年人;被殴打妇女;被殴打妇女/心理学;行为医学;行为医学/组织与管理;诊断, 双重(精神病学);女(雌)性;卫生服务研究;人类;生活变动事件;精神障碍;精神障碍/并发症;精神卫生服务;精神卫生服务/组织与管理;中年人;多中心研究;物质相关性障碍;物质相关性障碍/并发症;美国;美国药物滥用与精神卫生事业管理局;暴力;暴力/心理学;卫生保健提供, 联合

 

 

64

【题名】

Transforming systems of care: the American Association of Community Psychiatrists Guidelines for Recovery Oriented Services.

【作者】

Sowers W;

【机构】

Allegheny County Office of Behavioral Health, 304 Wood Street, 5th Floor, Pittsburgh, PA 15222, USA. sowers@connecttime.net

【刊年卷期】

Community Ment Health J. 2005V41N6

【页】

757-774

ISSN】

0010-3853

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article; Practice Guideline

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/*standards;Community Mental Health Services;Community Mental Health Services/*standards;Community Psychiatry;Community Psychiatry/education;Community Psychiatry/*standards;Consumer Participation;Continuity of Patient Care;Crisis Intervention;Health Services Accessibility;Humans;Mental Disorders;Mental Disorders/*rehabilitation;Organizational Objectives;Outcome and Process Assessment (Health Care);United States;*Health Care Reform

【中文关键词】

行为医学;CK行为医学/标准;社区精神卫生服务;社区精神卫生服务/标准;社区精神病学;社区精神病学/教育;社区精神病学/标准;用户参与;病人医护连续性;危机干预;卫生服务易得程度;人类;精神障碍;精神障碍/康复;组织目标;结果与过程评价(卫生保健);美国;卫生保健改革

【摘要】

Thinking about recovery has grown significantly over the last 70 years, and particularly in the past fifteen. Promotion of recovery has recently been recognized as an organizing principle for the transformation of behavioral health services. Recovery is a personal process of growth and change which typically embraces hope, autonomy and affiliation as elements of establishing satisfying and productive lives in spite of disabling conditions or experiences. Recovery oriented services replace paternalistic, illness oriented perspectives with collaborative, autonomy enhancing approaches and represent a major cultural shift in service delivery. Recovery oriented services replace the myth of chronicity and dependence with a message of individualism, empowerment and choice in the context of collaborative relationships with service providers. The American Association of Community Psychiatrists has developed Guidelines for Recovery Oriented Services to facilitate the transformation of services to this new paradigm. The guidelines are divided into three domains: administration, treatment, and supports, each consisting of several elements for which recovery enhancing characteristics are defined. Several example indicators are also provided for each element. This paper presents these guidelines and discusses their application.

 

 

65

【题名】

Introduction: disaster dangers and decisions.

【作者】

McFarland BF;

【刊年卷期】

Community Ment Health J. 2005V41N6

【页】

631-632

ISSN】

0010-3853

【出版国】

United States

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Decision Making;Humans;Refugees;Refugees/psychology;Stress Disorders, Post-Traumatic;Stress Disorders, Post-Traumatic/therapy;Survivors;Survivors/psychology;Terrorism;Terrorism/*psychology;*Behavioral Medicine;*Disaster Planning;*Natural Disasters

【中文关键词】

决策;人类;难民;难民/心理学;应激障碍, 创伤后;应激障碍, 创伤后/治疗;幸存患者;幸存患者/心理学;恐怖主义;恐怖主义/心理学;行为医学;救灾计划;自然灾害

 

 

66

【题名】

The behavioural neurology assessment.

【作者】

Darvesh S;Leach L;Black SE;Kaplan E;Freedman M;

【机构】

Department Neurology and Geriatric Medicine, Dalhousie University, Halifax, NS, Canada.

【刊年卷期】

Can J Neurol Sci. 2005V32N2

【页】

167-177

ISSN】

0317-1671

【出版国】

Canada

【语种】

eng

【文献类型】

Journal Article; Validation Studies

【英文关键词】

Age Factors;Aged;Aged, 80 and over;Behavioral Medicine;Behavioral Medicine/*standards;Cognition Disorders;Cognition Disorders/*diagnosis;Cognition Disorders/psychology;Dementia;Dementia/*diagnosis;Dementia/psychology;Diagnostic Errors;Disease Progression;Female;Humans;Male;Middle Aged;Neurologic Examination;Neurologic Examination/standards;Neurology;Neurology/*standards;Neuropsychological Tests;Neuropsychological Tests/*standards;Predictive Value of Tests;Prognosis;Reproducibility of Results;Research Support, Non-U.S. Gov't;Sensitivity and Specificity;Statistics;*Disability Evaluation

【中文关键词】

年龄因素;老年人;老年人, 80以上;行为医学;行为医学/标准;认知障碍;认知障碍/诊断;认知障碍/心理学;痴呆;痴呆/诊断;痴呆/心理学;误诊;疾病恶化;女(雌)性;人类;男(雄)性;中年人;神经病学检查;神经病学检查/标准;神经病学;神经病学/标准;神经心理学测验;神经心理学测验/标准;试验预期值;预后;可重复性, 结果;研究资助, 非美国政府;敏感性与特异性;统计学;残疾鉴定

【摘要】

BACKGROUND: We present information regarding the standardization, reliability and clinical validity of two versions of the Behavioural Neurology Assessment (BNA). The BNA-Long Form consists of 24 subtests within separate domains: Attention, Memory, Language, Visuospatial Function, Executive Function, and Praxis. The BNA-Short Form consists of 13 subtests within the domains of Attention, Memory, Naming, Visuospatial Function and Executive Function. In addition to individual domain indices, a Grand Total score was calculated for both BNA versions. OBJECTIVE: To standardize the administration and scoring and validate the BNA for detection of dementia. METHODS: Standardized normative data were obtained on 115 healthy subjects ranging in age from 50 to 95. Test-retest stability was obtained on 19 subjects and clinical validity was investigated by administering the BNA and Mini-Mental Status Examination (MMSE) to 29 patients with dementia and 29 age-matched healthy subjects (controls). RESULTS: Age had a significant effect on all but the Visuospatial and Praxis indices of the BNA-Long Form and an effect on Naming and Grand Total score of the Short-Form. Internal consistency (Cronbach's coefficient alpha) was .87 and .67 for the Long and Short Forms (.95 and .96 for dementia and control groups combined). Test-retest stability was acceptable. Grand Total indices of both BNA versions showed significant, positive correlations with the MMSE. Both BNA versions had superior sensitivity to dementia relative to the MMSE (.93 versus .79). Specificity was equivalent to the MMSE (.93 versus .97). CONCLUSIONS: Positive predictive values of the BNA and MMSE are equivalent but the BNA provides superior negative predictive value.

 

 

67

【题名】

Assessing mental status in dementia: the behavioral neurology assessment--right time? Right place?

【作者】

Feldman HH;Jacova C;

【刊年卷期】

Can J Neurol Sci. 2005V32N2

【页】

138-139

ISSN】

0317-1671

【出版国】

Canada

【语种】

eng

【文献类型】

Comment; Editorial

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/standards;EKBehavioral Medicine/*trends;Cognition Disorders;Cognition Disorders/*diagnosis;Cognition Disorders/*psychology;Dementia;Dementia/*diagnosis;Dementia/*psychology;Diagnostic Errors;Diagnostic Errors/prevention & control;Humans;Neurologic Examination;Neurologic Examination/standards;Neurologic Examination/trends;Neuropsychological Tests;Neuropsychological Tests/*standards;Predictive Value of Tests;Time Factors;*Disability Evaluation

【中文关键词】

行为医学;CK行为医学/标准;CK行为医学/发展趋势;认知障碍;认知障碍/诊断;认知障碍/心理学;痴呆;痴呆/诊断;痴呆/心理学;误诊;误诊/预防与控制;人类;神经病学检查;神经病学检查/标准;神经病学检查/发展趋势;神经心理学测验;神经心理学测验/标准;试验预期值;时间因素;残疾鉴定

 

 

68

【题名】

The use and reporting of cluster analysis in health psychology: a review.

【作者】

Clatworthy J;Buick D;Hankins M;Weinman J;Horne R;

【机构】

Centre for Health Care Research, University of Brighton, UK. j.clatworthy@bton.ac.uk

【刊年卷期】

Br J Health Psychol. 2005V10NPt3

【页】

329-358

ISSN】

1359-107X

【出版国】

England

【语种】

eng

【文献类型】

Journal Article

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/*statistics & numerical data;Humans;Mathematical Computing;Periodicals;Reproducibility of Results;Research Design;Research Design/statistics & numerical data;Software;*Cluster Analysis;*Research;*Research/statistics & numerical data

【中文关键词】

行为医学;CK行为医学/统计学和数值数据;人类;数学计算;期刊;可重复性, 结果;研究设计;研究设计/统计学和数值数据;软件;聚类分析;研究;研究/统计学和数值数据

【摘要】

PURPOSE: Cluster analysis is a collection of relatively simple descriptive statistical techniques with potential value in health psychology, addressing both theoretical and practical problems. There are many methods of cluster analysis from which to choose, with no clear guidelines to aid researchers. In the absence of guidelines it is likely that methods already reported by published researchers will be adopted, and so clear reporting of statistical methodology, while always important, is particularly crucial with cluster analysis. The aim of this review is to describe and evaluate the reporting of cluster analysis in health psychology publications. METHODS: Electronic searches of 18 health psychology journals identified 59 articles using cluster analysis published between 1984 and 2002. Articles were submitted to systematic evaluation against published criteria for the reporting of cluster analysis. RESULTS: Just 27% of the papers reviewed met all five criteria, although 61% met at least four. Details of the similarity measure and the computer program used were most frequently omitted. Furthermore, while researchers usually reported the procedures employed to determine the number of clusters and to validate the clusters, these procedures were often lacking in rigour, and were reported in insufficient detail for replication. CONCLUSIONS: The reporting of cluster analysis was found to be generally unsatisfactory, with many studies failing to provide enough information to allow replication or the evaluation of the quality of the research. Clear guidelines for conducting and reporting cluster analyses in health psychology are needed.

 

 

69

【题名】

Report of recommendations: the Annapolis Coalition Conference on Behavioral Health Work Force Competencies.

【作者】

Hoge MA;Morris JA;Daniels AS;Huey LY;Stuart GW;Adams N;Paris M Jr;Goplerud E;Horgan CM;Kaplan L;Storti SA;Dodge JM;

【机构】

Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06519, USA. michael.hoge@yale.edu

【刊年卷期】

Adm Policy Ment Health. 2005V32N5-6

【页】

651-663

ISSN】

0894-587X

【出版国】

United States

【语种】

eng

【文献类型】

Guideline; Journal Article

【英文关键词】

Behavioral Medicine;EKBehavioral Medicine/*education;EKBehavioral Medicine/standards;Clinical Competence;Clinical Competence/*standards;Cooperative Behavior;Health Care Coalitions;Humans;Mental Health Services;Mental Health Services/manpower;Mental Health Services/*standards;Models, Educational;Models, Organizational;Organizational Culture;Public Health Administration;Public Health Administration/education;Public Health Administration/standards;Research Support, U.S. Gov't, P.H.S.;Socioeconomic Factors;United States

【中文关键词】

行为医学;CK行为医学/教育;CK行为医学/标准;临床工作能力;临床工作能力/标准;合作行为;卫生保健联合体;人类;精神卫生服务;精神卫生服务/人力;精神卫生服务/标准;模型, 教育;模型, 组织管理;组织文化;公共卫生管理;公共卫生管理/教育;公共卫生管理/标准;研究性资助, 美国政府, 公共卫生署;社会经济因素;美国

【摘要】

In May 2004, the Annapolis Coalition on Behavioral Health Workforce Education convened a national meeting on the identification and assessment of competencies. The Conference on Behavioral Health Workforce Competencies brought leading consumer and family advocates together with other experts on competencies from diverse disciplines and specialties in the fields of both mental health care and substance use disorders treatment. Aided by experts on competency development in business and medicine, conference participants have generated 10 consensus recommendations to guide the future development of workforce competencies in behavioral health. This article outlines those recommendations. A collaborative effort to identify a set of core or common competencies is envisioned as a key strategy for advancing behavioral health education, training, and other workforce development initiatives.