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.
【题名】
2
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
【题名】
6
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.
【题名】
7
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.
【题名】
Longitudinal analysis of the illness representation model in patients with
10
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.
【题名】
11
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
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
of
Medicine,
Chicago,
IL
60611,
USA.
【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.
【题名】
13
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
【题名】
14
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
【题名】
16
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
【题名】
18
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.
【题名】
19
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/*physiopathology ； Cardiovascular
Diseases
；
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.
【题名】
20
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,
roger-kathol@cartesiansolutions.com
【刊年卷期】
Med Clin North Am. 2006V90N4
【页】
549-572
【ISSN】
0025-7125
【出版国】
United States
USA.
【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
independently
from
health
general
disorders
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
【题名】
21
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
Disorder
；
&
Depressive
Depressive
Disorder/therapy；Humans；Local
Government；Medicaid；Medically
Uninsured ； North Carolina ；
Poverty；Primary Health Care；
Primary
Care/*organization
Health
&
administration ； Rural
Health
；
Rural
Health
Services/*organization
&
Services
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
Carolina,
and
behavioral
mental
North
integrated
healthcare--that
health
treatment
rural
screening
offered
as
part
is,
and
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.
【题名】
22
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.
【题名】
28
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.
【题名】
31
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
Implementation
Plan
；
*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
contribute
to
promotion
health
can
of
by
towards
the
public
moving
'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.
【题名】
33
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,
dhdgetts@waikato.ac.nz
【刊年卷期】
J Health Psychol. 2006V11N2
University
of
Waikato,
New
Zealand.
【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
【题名】
39
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
【题名】
41
Using
literature
teach
to
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.
【题名】
45
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.
【题名】
46
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
【题名】
49
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.
【题名】
50
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；
Disorders
；
Mental
Disorders/*epidemiology
；
Mental
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/*epidemiology
Diseases ； Spinal
；
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.
【题名】
51
A
national
sample
IAPSRS
members'
responses
to
psychiatric
beliefs,
of
the
rehabilitation
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
；
Knowledge,
*Health
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
practitioners
these
claimed
to
have read when education,
discipline,
role,
experience,
area
and
were
agency
controlled.
Experience
in
the
behavioral health field and
the administrator role were
also significantly related to
the
PRBGP,
relationships
but
these
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
PRGBP
read.
The
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/*organization
&
Medicine/education ； EKBehavioral
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.
【题名】
54
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.
【题名】
55
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.
【题名】
57
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.
【题名】
58
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.
【题名】
59
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.
【题名】
60
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.
【题名】
61
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,
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
Cambridge,
MA
02139,
USA.
【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.
【题名】
62
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
Substance-Related
Disorders/epidemiology
Disorders/*complications ；
；
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.
【题名】
63
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
【题名】
64
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
Neurology/*standards
；
Examination/standards ； Neurology ；
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.
【题名】
67
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.
【题名】
69
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.
70
【题名】
Curriculum resources for training direct care providers in public sector mental health.
【作者】
Styron TH；Shaw M；McDuffie E；Hoge MA；
【机构】
Yale University School of Medicine, Department of Psychiatry, 34 Park Street, New
Haven, CT 06519, USA. thomas.styron@yale.edu
【刊年卷期】
Adm Policy Ment Health. 2005V32N5-6
【页】
633-649
【ISSN】
0894-587X
【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；Education, Continuing；Education, Graduate；Humans；Mental
Disorders ； Mental Disorders/*therapy ； Mental Health Services ； Mental Health
Services/manpower；Mental Health Services/*standards；Program Development；Public
Health Administration ； Public Health Administration/*education ； Public Health
Administration/standards；Quality of Health Care；Research Support, U.S. Gov't,
P.H.S.；Staff Development；Staff Development/*methods；Teaching Materials；United
States；*Clinical Competence；*Curriculum
【中文关键词】 行为医学；CK 行为医学/教育；CK 行为医学/标准；教育, 继续；教育, 研究生；
人类；精神障碍；精神障碍/治疗；精神卫生服务；精神卫生服务/人力；精神卫生
服务/标准；规划制订；公共卫生管理；公共卫生管理/教育；公共卫生管理/标准；
卫生保健质量；研究性资助, 美国政府, 公共卫生署；人员开发；人员开发/方法；
教材；美国；临床工作能力；课程
【摘要】
Direct care personnel who do not have graduate-level professional degrees provide a
substantial amount of client care in mental health organizations across the nation.
Training for them is minimal in many settings. This shortcoming may negatively affect
client care, staff recruitment and retention, and the effective use of scarce resources. In
this paper, we identify and review curriculum resources available to mental health
organizations interested in implementing or enhancing training programs for direct care
personnel. These include two relevant competency sets and six portable training
curricula, as well as information on how to access these resources.
【题名】
71
Workforce
competencies
in behavioral health: an
overview.
【作者】
Hoge MA；Paris M Jr；
Adger H Jr；Collins FL Jr；
Finn CV；Fricks L；Gill
KJ；Haber J；Hansen M；
Ida DJ；Kaplan L；Northey
WF Jr；O'Connell MJ；
Rosen AL；Taintor Z；
Tondora J；Young AS；
【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】
593-631
【ISSN】
0894-587X
【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
Competency-Based
Education ； Employee
Performance Appraisal ；
Family Therapy；Family
；
Therapy/standards
Humans
；
Mental
Disorders
；
Mental
Disorders/rehabilitation ；
Mental
Disorders/therapy；Mental
Health Services ； Mental
Health
；
Services/manpower
Mental
Health
Services/*standards
；
Patient Care Team；Patient
Care
Team/standards ；
Psychiatric
Nursing ；
Psychiatric
Nursing/education
；
Psychiatric
Nursing/standards
；
Psychiatry
；
Psychiatry/education
；
；
Psychiatry/standards
Psychology,
Clinical ；
Psychology,
；
Clinical/education
Psychology,
；
Clinical/standards
Research Support, U.S.
Gov't,
P.H.S. ； Social
Work, Psychiatric；Social
Work,
Psychiatric/education
Social
；
Work,
Psychiatric/standards
；
Staff Development；Staff
Development/methods ；
Substance-Related
；
Disorders
Substance-Related
Disorders/rehabilitation ；
Substance-Related
Disorders/therapy；United
States
；
*Clinical
Competence
【中文关键词】 行为医学；CK 行为医学
/教育；CK 行为医学/标
准；基于能力的教育；雇
员能力评定；家庭心理疗
法；家庭心理疗法/标准；
人类；精神障碍；精神障
碍/康复；精神障碍/治疗；
精神卫生服务；精神卫生
服务/人力；精神卫生服
务/标准；病人医疗小组；
病人医疗小组/标准；精
神病护理学；精神病护理
学/教育；精神病护理学/
标准；精神病学；精神病
学/教育；精神病学/标准；
心理学, 临床；心理学,
临床/教育；心理学, 临床
/标准；研究性资助, 美国
政府, 公共卫生署；社会
工作, 精神病；社会工作,
精神病/教育；社会工作,
精神病/标准；人员开发；
人员开发/方法；物质相
关性障碍；物质相关性障
碍/康复；物质相关性障
碍/治疗；美国；临床工
作能力
【摘要】
Competency-based
training approaches are
being
used
more
healthcare
to
in
guide
curriculum content and
ensure accountability and
outcomes
in
the
educational process. This
article
provides
an
overview of the state of
competency development
in the field of behavioral
health.
Specifically,
it
identifies the groups and
organizations that have
conducted and supported
this
work,
summarizes
their progress in defining
and
assessing
competencies,
discusses
and
both
the
obstacles
and
future
directions
for
such
initiatives.
A
major
purpose of this article is to
provide a compendium of
current
competency
efforts so that these might
inform
and
ongoing
enhance
competency
development in the varied
behavioral
health
disciplines and specialties.
These
varied
resources
may also be useful in
identifying
competencies
the
that
core
are
common to the multiple
disciplines and specialties.
【题名】
72
Best practices for assessing competence and performance of the behavioral health
workforce.
【作者】
Bashook PG；
【机构】
Department of Medical Education, University of Illinois at Chicago, 808 South Wood
Street (MC591), Chicago, IL 60612, USA. pgb@uic.edu
【刊年卷期】
Adm Policy Ment Health. 2005V32N5-6
【页】
563-592
【ISSN】
0894-587X
【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；Benchmarking；Decision Making, Organizational；Educational
Measurement ； Employee
Performance
Appraisal ； Employee
Performance
Appraisal/*methods；Guidelines；Humans；Mental Health Services；Mental Health
Services/manpower；Mental Health Services/*standards；Models, Organizational；
Research Support, U.S. Gov't, P.H.S.；Total Quality Management；Total Quality
Management/*methods；United States；*Clinical Competence
【中文关键词】 行为医学；CK 行为医学/教育；CK 行为医学/标准；规范；决策, 组织；教育考核；
雇员能力评定；雇员能力评定/方法；方针政策；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, 组织管理；研究性资助, 美国政府, 公共卫
生署；全面质量管理；全面质量管理/方法；美国；临床工作能力
【摘要】
The need for mechanisms to assess the competence and performance of the behavioral
health workforce has received increasing attention. This article reviews strategies used
in general medicine and other disciplines for assessing trainees and practitioners. The
possibilities and limitations of various approaches are reviewed, and the implications for
behavioral health are addressed. A conceptual model of competence is presented, and
practical applications of this model are reviewed. Finally, guidelines are proposed for
building competency assessment protocols for behavioral health.
73
【题名】
Strategies for developing competency models.
【作者】
Marrelli AF；Tondora J；Hoge MA；
【机构】
Caliber Associates, Fairfax, VA, USA. annemarrelli@earthlink.net
【刊年卷期】
Adm Policy Ment Health. 2005V32N5-6
【页】
533-561
【ISSN】
0894-587X
【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 ；
Communication；Data Collection；Data Collection/methods；Employee Performance
Appraisal；Focus Groups；Humans；Interviews；Mental Health Services；Mental Health
Services/manpower；Mental Health Services/*standards；Organizational Objectives；
Personnel Selection；Personnel Selection/*methods；Research Support, U.S. Gov't,
P.H.S.；Staff Development；United States；*Benchmarking；*Models, Educational；
*Models, Organizational
【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；信息交流；数据收集；数据收集/方法；雇员能力评定；集中研讨小组；人
类；采访；精神卫生服务；精神卫生服务/人力；精神卫生服务/标准；组织目标；
人员选用；人员选用/方法；研究性资助, 美国政府, 公共卫生署；人员开发；美国；
规范；模型, 教育；模型, 组织管理
【摘要】
There is an emerging trend within healthcare to introduce competency-based approaches
in the training, assessment, and development of the workforce. The trend is evident in
various disciplines and specialty areas within the field of behavioral health. This article
is designed to inform those efforts by presenting a step-by-step process for developing a
competency model. An introductory overview of competencies, competency models,
and the legal implications of competency development is followed by a description of
the seven steps involved in creating a competency model for a specific function, role, or
position. This modeling process is drawn from advanced work on competencies in
business and industry.
74
【题名】
The fundamentals of workforce competency: implications for behavioral health.
【作者】
Hoge MA；Tondora J；Marrelli AF；
【机构】
Yale University School of Medicine, Yale Department of Psychiatry, 34 Park Street,
Room 139, New Haven, CT 06519, USA. michael.hoge@yale.edu
【刊年卷期】
Adm Policy Ment Health. 2005V32N5-6
【页】
509-531
【ISSN】
0894-587X
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Behavioral
Medicine ； EKBehavioral
Medicine/standards ； Humans ； Mental
Medicine/*education ； EKBehavioral
Health
Services ； Mental
Health
Services/manpower ； Mental Health Services/*standards ； Models, Educational ；
Organizational Innovation；Patient Participation；Physician-Patient Relations；Research
Support, U.S. Gov't, P.H.S.；United States；*Clinical Competence；*Staff Development
【中文关键词】 行为医学；CK 行为医学/教育；CK 行为医学/标准；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；组织改革；病人参与；医生病人
关系；研究性资助, 美国政府, 公共卫生署；美国；临床工作能力；人员开发
【摘要】
Increasing attention is being directed to the competency of those who deliver healthcare
in the United States. In behavioral health, there is growing recognition of the need to
define, teach, and assess essential competencies. Since attention to this issue in
behavioral health is relatively recent, there is much to be gained by learning from the
principles, definitions, and conceptual models of competency that have been developed
in other fields. This article outlines the forces that drive the current focus on
competency of the healthcare workforce. Relevant history, principles, definitions, and
models that have evolved through research and application in business and industry are
reviewed. From this analysis, recommendations are offered to guide future work on
competencies in behavioral health.
【题名】
75
Achieving the promise through workforce transformation: a view from the Center for
Mental Health Services.
【作者】
Power AK；
【机构】
Center for Mental Health Services, Substance Abuse and Mental Health Services
Administration, 1 Choke Cherry Road, Room 6-1057, Rockville, MD 20857, USA.
kathryn.power@samhsa.hhs.gov
【刊年卷期】
Adm Policy Ment Health. 2005V32N5-6
【页】
489-495
【ISSN】
0894-587X
【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；Consumer Participation ；Health Care Coalitions ；Humans；
Maryland；Mental Health Services；Mental Health Services/manpower；Mental Health
Services/*standards；Organizational Innovation；Organizational Objectives；Public
Health Administration ； Public Health Administration/education ； Public Health
Administration/standards；Research Support, U.S. Gov't, P.H.S.；United States；*Clinical
Competence；*Staff Development
【中文关键词】 行为医学；CK 行为医学/教育；CK 行为医学/标准；用户参与；卫生保健联合体；
人类；马里兰；精神卫生服务；精神卫生服务/人力；精神卫生服务/标准；组织改
革；组织目标；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；美国；临床工作能力；人员开发
76
【题名】
Guest editors' introduction: workforce competencies in behavioral health.
【作者】
Hoge MA；Morris JA；Paris M Jr；
【刊年卷期】
Adm Policy Ment Health. 2005V32N5-6
【页】
485-488
【ISSN】
0894-587X
【出版国】
United States
【语种】
eng
【文献类型】
Editorial
【英文关键词】 Behavioral
Medicine ； EKBehavioral
Medicine/*education ； EKBehavioral
Medicine/standards；Health Care Coalitions；Humans；Mental Health Services；Mental
Health Services/manpower；Mental Health Services/*standards；Research Support, U.S.
Gov't, P.H.S.；Staff Development；United States；*Clinical Competence
【中文关键词】 行为医学；CK 行为医学/教育；CK 行为医学/标准；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；研究性资助, 美国政府, 公
共卫生署；人员开发；美国；临床工作能力
【题名】
77
Proceedings of the Annapolis Coalition on Behavior Health Workforce Education
Conference on Behavior Health Workforce Competencies. May 10-11, 2004. Annapolis,
Maryland, USA.
【刊年卷期】
Adm Policy Ment Health. 2005V32N5-6
【页】
485-663
【ISSN】
0894-587X
【出版国】
United States
【语种】
eng
【文献类型】
Congresses; Overall
【英文关键词】 Behavioral Medicine；EKBehavioral Medicine/*standards；Clinical Competence；
Clinical Competence/*standards；Humans；Mental Health Services；Mental Health
Services/*standards；Psychiatry；Psychiatry/education；Psychiatry/standards
【中文关键词】 行为医学；CK 行为医学/标准；临床工作能力；临床工作能力/标准；人类；精神
卫生服务；精神卫生服务/标准；精神病学；精神病学/教育；精神病学/标准
78
【题名】
The INTERHEART study: intersection between behavioral and general medicine.
【作者】
Sheps DS；Frasure Smith N；Freedland KE；Carney RM；
【刊年卷期】
Psychosom Med. 2004V66N6
【页】
797-798
【ISSN】
1534-7796
【出版国】
United States
【语种】
eng
【文献类型】
Editorial
【英文关键词】 Behavioral Medicine；Depressive Disorder；Depressive Disorder/epidemiology；Family
Practice ； Humans ； Multicenter Studies ； Myocardial Infarction ； Myocardial
Infarction/*epidemiology；Research Design；Risk Factors；Stress, Psychological；Stress,
Psychological/epidemiology；*Case-Control Studies；*Cross-Cultural Comparison；
*Randomized Controlled Trials
【中文关键词】 行为医学；抑郁症；抑郁症/流行病学；家庭医学；人类；多中心研究；心肌梗死；
心肌梗死/流行病学；研究设计；危险因素；应激, 心理学；应激, 心理学/流行病
学；病例对照研究；文化交叉比较；随机对照试验
79
【题名】
The adventures of a "different" pair.
【作者】
McHugh PR；
【机构】
Department of Psychiatry and Behavioral Science, School of Medicine, Johns Hopkins
University, Meyer 127, 600 N. Wolfe St., Baltimore, MD 21287, USA.
pmchugh@mail.jhmi.edu
【刊年卷期】
Physiol Behav. 2004V82N1
【页】
171-174
【ISSN】
0031-9384
【出版国】
United States
【语种】
eng
【文献类型】
Biography; Historical Article; Journal Article
【英文关键词】 Behavioral Medicine ； EKBehavioral Medicine/*history ； History, 20th Century ；
Hospitals, Military ； Humans ； Military Medicine ； Military Medicine/history ；
Physiology；Physiology/*history；*Cooperative Behavior
【中文关键词】 行为医学；CK 行为医学/历史；历史, 20 世纪；医院, 军队；人类；军事医学；军
事医学/历史；生理学；生理学/历史；合作行为
【摘要】
Gerry Smith had been a fellow in the Neuropsychiatry Division at the Walter Reed
Army Institute of Research. There, he and Paul McHugh first worked together. This is
the story of the formation of their two companion careers in physiology and behavior
and the issues they confronted at this early stage.
80
【题名】
Motivation concepts in behavioral neuroscience.
【作者】
Berridge KC；
【机构】
Department
of
Psychology,
University
of
Michigan, 525 E University Street, Ann Arbor, MI
48109-1109, USA. berridge@umich.edu
【刊年卷期】
Physiol Behav. 2004V81N2
【页】
179-209
【ISSN】
0031-9384
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Animals；Drive；Humans；Research Support, U.S.
Gov't, Non-P.H.S.；Research Support, U.S. Gov't,
P.H.S. ； *Behavioral Medicine ； *Motivation ；
*Neurosciences
【中文关键词】 动物；内驱力；人类；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；行为医学；动机；神经科学
【摘要】
Concepts of motivation are vital to progress in
behavioral neuroscience. Motivational concepts
help us to understand what limbic brain systems
are chiefly evolved to do, i.e., to mediate
psychological processes that guide real behavior.
This article evaluates some major motivation
concepts that have historic importance or have
influenced
the
interpretation
of
behavioral
neuroscience research. These concepts include
homeostasis,
setpoints
and
settling
points,
intervening variables, hydraulic drives, drive
reduction, appetitive and consummatory behavior,
opponent processes, hedonic reactions, incentive
motivation, drive centers, dedicated drive neurons
(and drive neuropeptides and receptors), neural
hierarchies, and new concepts from affective
neuroscience
such
as
allostasis,
cognitive
incentives, and reward 'liking' versus 'wanting'.
【题名】
81
A national survey of PNP
curricula:
preparing
pediatric
nurse
practitioners to meet the
challenge in behavioral
mental health.
【作者】
Hawkins Walsh E；Stone
C；
【机构】
The Catholic University
of America School of
Nursing, Washington DC,
USA.
【刊年卷期】
Pediatr Nurs. 2004V30N1
【页】
72-78
【ISSN】
0097-9805
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Behavioral
Medicine ；
EKBehavioral
Medicine/*education
；
Child Psychiatry ； Child
Psychiatry/*education ；
Data Collection；Humans；
Nurse Practitioners；Nurse
Practitioners/*education；
Pediatric
Nursing
；
Pediatric
Nursing/*education
；
United
；
States
*Curriculum
【中文关键词】 行为医学；CK 行为医学
/教育；儿童精神病学；
儿童精神病学/教育；数
据收集；人类；开业护士；
开业护士/教育；儿科护
理学；儿科护理学/教育；
美国；课程
【摘要】
The
emergent
mental
health needs of children
and adolescents have been
declared
a
national
priority by the Surgeon
General of the United
States
(United
States
Department of Health and
Human
Services
[USDHHS],
1999).
Pediatric
nurse
practitioners (PNP) are
called upon to respond to
a
new
challenge
increasing
by
their
knowledge and skills in
providing mental health
care in the primary care
setting. In turn, educators
of PNP programs across
the country are called
upon to evaluate the status
of PNP curricula in the
field of behavioral/mental
health and determine the
essential
needed
competencies
to
meet
the
challenge. A survey was
conducted to determine
the extent of pediatric
mental/behavioral
health
content currently taught in
nationally approved PNP
programs to discern the
level of preparation PNP
students received both in
the
classroom
and
clinically in the area of the
assessment, diagnosis, and
management
of
mental/behavioral
health
problems in children and
adolescents.
The
final
survey included a total of
78 nationally recognized
PNP programs. Pediatric
behavioral/mental
health
content was found to vary
widely across programs,
but it was apparent that all
programs had begun to
expand their curricula to
include more content in
this area. As the role of
the
PNP
continues
to
expand, the burden of
providing
a
sound
education in a feasible
time frame will be an
increasing challenge.
82
【题名】
Using biofeedback to make childhood headaches less of a pain.
【作者】
Allen KD；
【刊年卷期】
Pediatr Ann. 2004V33N4
【页】
241-245
【ISSN】
0090-4481
【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 ； Child ； Child Welfare ；
Headache ； Headache/*therapy ； Humans ； Migraine
Disorders ； Migraine
Disorders/therapy ； Time Factors ； *Biofeedback (Psychology) ； *Biofeedback
(Psychology)/methods；*Relaxation Techniques；*Skin Temperature
【中文关键词】 行为医学；CK 行为医学/方法；儿童；儿童福利；头痛；头痛/治疗；人类；偏头
痛；偏头痛/治疗；时间因素；生物反馈(心理学)；生物反馈(心理学)/方法；松弛技
术；皮肤温度
83
【题名】
The soft science of medicine.
【刊年卷期】
Lancet. 2004V363N9417
【页】
1247
【ISSN】
1474-547X
【出版国】
England
【语种】
eng
【文献类型】
Editorial
【英文关键词】 Behavioral Medicine；EKBehavioral Medicine/*education；Physician-Patient Relations；
Social Sciences；Social Sciences/*education；United States；*Curriculum；*Education,
Medical, Undergraduate；*Health Promotion
【中文关键词】 行为医学；CK 行为医学/教育；医生病人关系；社会科学；社会科学/教育；美国；
课程；教育, 医学, 本科；健康促进
84
【题名】
Strategies and innovations for successful quality improvement in behavioral health.
【作者】
Beaudin CL；Beaty J；
【机构】
PacifiCare Behavioral Health, 5990 Sepulveda Blvd, Suite 400, Van Nuys, CA 91411,
USA. christy.beaudin@phs.com
【刊年卷期】
J Nurs Care Qual. 2004V19N3
【页】
197-206
【ISSN】
1057-3631
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Behavioral Medicine ； EKBehavioral Medicine/*organization & administration ；
Humans ； Mental Health Services ； Mental Health Services/*organization &
administration；Models, Organizational；Needs Assessment；Planning Techniques；
Program Development；Quality Assurance, Health Care；Quality Assurance, Health
Care/*organization & administration；Quality Indicators, Health Care；Total Quality
Management；Total Quality Management/*organization & administration；*Health
Behavior
【中文关键词】 行为医学；CK 行为医学/组织与管理；人类；精神卫生服务；精神卫生服务/组织
与管理；模型, 组织管理；需求估价；规划技术；规划制订；质量保证, 卫生保健；
质量保证, 卫生保健/组织与管理；质量指标, 卫生保健；全面质量管理；全面质量
管理/组织与管理；健康行为
【摘要】
The success of any behavioral health organization depends on its ability to respond to
demands from consumers, stakeholders, and accreditation and regulatory agencies,
while maintaining effective and safe treatment. The authors provide a quality
improvement strategy with exemplars from practice. Readers will appreciate how
planning results in accountability and yielding measurable and meaningful outcomes.
85
【题名】
Cognitive factors in health psychology and behavioral medicine.
【作者】
Montgomery GH；
【机构】
Mount
Sinai
School
guy.montgomery@mssm.edu
【刊年卷期】
J Clin Psychol. 2004V60N4
【页】
405-413
of
Medicine,
New
York,NY
10029,
USA.
【ISSN】
0021-9762
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Humans；Neoplasms；Neoplasms/prevention & control ；*Behavioral Medicine；
*Cognition
【中文关键词】 人类；肿瘤；肿瘤/预防与控制；行为医学；认知
【摘要】
Research in health psychology and behavioral medicine has increased exponentially
over the past three decades. Prevention and control efforts across a variety of diseases
have recognized that individual difference factors, belief systems, attitudes, behaviors,
and environments can affect an individual's health. This work continues, as there has
been no abatement in the rate at which aversive, chronic, and life-threatening diseases
continue to affect millions of Americans each year. The purpose of this review is to
discuss the influence of cognitive factors on health psychology and behavioral medicine
using the cancer literature as an example. The main discussion focuses on the impact of
cognitive constructs on behavioral medicine and health psychology in cancer, which
appears to be widespread. The article concludes with some implications for future
research in the area.
86
【题名】
Using information to guide managed behavioral health care.
【作者】
Tompkins C；Perloff J；
【机构】
Associate Professor, Schneider Institute for Health Policy, Heller Graduate School,
Brandeis University, Waltham, MA 02454, USA. tompkins@brandeis.edu
【刊年卷期】
J Behav Health Serv Res. 2004V31N1
【页】
98-110
【ISSN】
1094-3412
【出版国】
United States
【语种】
eng
【文献类型】
Evaluation Studies; Journal Article
【英文关键词】 Adolescent ； Adult ； Aged ； Arizona ； Behavioral Medicine ； Behavioral
Medicine/*organization & administration；Female；Humans；Male；Managed Care
Programs；Managed Care Programs/*organization & administration；Managed Care
Programs/utilization ； Medicaid ； Medicaid/*organization & administration ；
Medicaid/utilization；Mental Health Services；Mental Health Services/*organization &
administration；Mental Health Services/utilization；Middle Aged；Outcome Assessment
(Health Care)；Quality of Health Care；Rate Setting and Review；Research Support, U.S.
Gov't, P.H.S.；State Health Plans；State Health Plans/*organization & administration；
Substance Abuse Treatment Centers；Substance Abuse Treatment Centers/organization
&
administration
；
Substance-Related
Disorders
；
Substance-Related
Disorders/rehabilitation；United States
【中文关键词】 青少年；成年人；老年人；亚利桑那；行为医学；行为医学/组织与管理；女(雌)
性；人类；男(雄)性；管理医疗规划；管理医疗规划/组织与管理；管理医疗规划/
利用；Medicaid；Medicaid/组织与管理；Medicaid/利用；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；中年人；结果评价(卫生保健)；卫生保健
质量；支付标准制定和审核；研究性资助, 美国政府, 公共卫生署；州卫生计划；
州卫生计划/组织与管理；物质滥用治疗中心；物质滥用治疗中心/组织与管理；物
质相关性障碍；物质相关性障碍/康复；美国
【摘要】
This evaluation of substance abuse and mental health treatment services in Arizona
discusses and illustrates the use of data already collected by the State to manage and
monitor the public behavioral health sector. The authors utilize a framework that focuses
on rate-setting and financial incentives; provider profiling and education; and
monitoring of data quality and system-wide performance. Information and analysis can
contribute to key management activities and forces that guide behavior in the system
toward optimal system performance. Using data from 33,208 Medicaid-covered and
uninsured adults, service mix varied substantially by region; for example, spending on
residential care ranged from 0% to 40% for substance abuse treatment clients. By
focusing on a smaller group of client with functional assessments, it also appears that
regional spending levels varied considerably, for reasons not explained by client
demographics or clinical measures. Finally, longitudinal data show that the regional
managed care organizations are moving in different directions with regard to client mix
and spending priorities. All of this variation suggests that there may be considerable
latitude to guide and improve system-wide performance.
87
【题名】
Need seeds homegrown CPOE.
【作者】
Briggs B；
【刊年卷期】
Health Data Manag. 2004V12N6
【页】
90
【ISSN】
1079-9869
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Behavioral Medicine；Efficiency, Organizational；Florida；Medical Records Systems,
Computerized ； Medical
Records
Systems,
Computerized/*organization
&
administration ；Mental Health Services ；Mental Health Services/*organization &
administration；Organizational Case Studies；Systems Integration；User-Computer
Interface；*Medication Systems, Hospital；*Physician's Practice Patterns
【中文关键词】 行为医学；效率, 组织；佛罗里达；病案系统, 计算机化；病案系统, 计算机化/组
织与管理；精神卫生服务；精神卫生服务/组织与管理；组织状况研究；系统综合；
用户计算机接口；给药系统, 医院；医师诊疗模式
88
【题名】
A preliminary investigation of balint and non-balint behavioral medicine training.
【作者】
Turner AL；Malm RL；
【机构】
WWAMI
Medical
aturner@uidaho.edu
Education
Program,
University
of
Wyoming,
USA.
【刊年卷期】
Fam Med. 2004V36N2
【页】
114-122
【ISSN】
0742-3225
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Adult；Behavioral Medicine；Behavioral Medicine/*education；Family Practice；Family
Practice/*education；Female；Hospitals, Community；Humans；Male；Physician-Patient
Relations ； Teaching ； Teaching/methods ； *Clinical Competence ； *Internship and
Residency
【中文关键词】 成年人；行为医学；行为医学/教育；家庭医学；家庭医学/教育；女(雌)性；医院, 社
区；人类；男(雄)性；医生病人关系；教学；教学/方法；临床工作能力；实习医师
和住院医师职务
【摘要】
BACKGROUND AND OBJECTIVES: Despite inclusion of Balint training in US
family medicine residency programs, little research exists about the effectiveness of this
training in improving residents' behavioral medicine skills. This study compared the
outcomes for residents who did and did not undergo Balint training to increase residents'
psychological medicine skills in two rural training programs. METHODS: Fourteen
residents from two rural community-based training programs were assessed using the
Psychological Medicine Inventory, following standard first-year behavioral medicine
training. At one residency program, residents then participated in 9 months of Balint
training during the second year of residency training, while at the other program they
did not. Both groups were reassessed at the end of the second year of residency.
RESULTS: Only Balint-trained residents showed gains in self-reported psychological
medicine skills, abilities, and confidence beyond levels developed in year 1.
CONCLUSIONS: Balint training enhances the levels of residents' self-reported
psychological medicine skills, when compared to standard behavioral medicine
curriculum for first- and second-year family medicine residents.
89
【题名】
Pharmacologic management of behavioral instability in medically ill pediatric patients.
【作者】
Cummings MR；Miller BD；
【机构】
Child and Adolescent Psychiatry, School of Medicine and Biomedical Sciences, State
University
of
New
York
at
Buffalo,
Buffalo,
New
York
14215,
USA.
mrcmd98@yahoo.com
【刊年卷期】
Curr Opin Pediatr. 2004V16N5
【页】
516-522
【ISSN】
1040-8703
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Adolescent；Adrenergic alpha-Agonists；Adrenergic alpha-Agonists/therapeutic use；
Aggression ； Aggression/psychology ； Analgesics, Non-Narcotic ； Analgesics,
Non-Narcotic/therapeutic use；Benzodiazepines；Benzodiazepines/therapeutic use；
Carbamazepine；Carbamazepine/therapeutic use；Central Nervous System Stimulants；
Central
Nervous
System
Stimulants/therapeutic
use ； Child ； Clonidine ；
Clonidine/therapeutic use ； Diphenhydramine ； Diphenhydramine/therapeutic use ；
Histamine H1 Antagonists；Histamine H1 Antagonists/therapeutic use；Humans；
Lithium；Lithium/therapeutic use；Methylphenidate；Methylphenidate/therapeutic use；
Psychomotor Agitation；Psychomotor Agitation/drug therapy；Valproic Acid；Valproic
Acid/therapeutic use；*Behavior Therapy；*Behavioral Medicine
【中文关键词】 青少年；肾上腺素能α激动剂；肾上腺素能α激动剂/治疗应用；攻击；攻击/心理
学；镇痛药, 非麻醉；镇痛药, 非麻醉/治疗应用；苯二氮|ZHUO|类；苯二氮|ZHUO|
类/治疗应用；卡马西平；卡马西平/治疗应用；中枢神经系统刺激剂；中枢神经系
统刺激剂/治疗应用；儿童；可乐定；可乐定/治疗应用；苯海拉明；苯海拉明/治疗
应用；组胺 H1 拮抗剂；组胺 H1 拮抗剂/治疗应用；人类；锂；锂/治疗应用；哌
醋甲酯；哌醋甲酯/治疗应用；精神运动性激动；精神运动性激动/药物疗法；丙戊
酸；丙戊酸/治疗应用；行为疗法；行为医学
【摘要】
PURPOSE OF REVIEW: Behavioral instability in children and adolescents is a vexing
problem faced by many clinicians. This dilemma is magnified when it presents in a
child with an acute medical condition. Effective treatment in these cases with
medications may help to reduce morbidity and facilitate appropriate medical care for the
underlying condition. RECENT FINDINGS: There are many reviews, but few studies
examine the treatment of behavioral instability in the pediatric population. There are
even fewer that address behavioral instability in the presence of a comorbid medical
condition. Many effective agents may worsen a given condition or interfere with the
treatment of that condition. There are no prospective studies addressing this issue.
SUMMARY: Many psychotropic medications must be considered when treating
behavioral instability in medically ill children. Antihistamines, benzodiazepines, and
antipsychotics may be of particular benefit. Definitive research is lacking and necessary
to develop appropriate clinical guidelines. This article considers the most current
literature and provides an overall summary of the topic.
90
【题名】
Behavioral health aspects of bioterrorism.
【作者】
Flynn BW；
【刊年卷期】
Biosecur Bioterror. 2004V2N3
【页】
232
【ISSN】
1538-7135
【出版国】
United States
【语种】
eng
【文献类型】
Comment; Letter
【英文关键词】 Humans ； *Behavioral
Medicine ；
*Bioterrorism；*Disaster Planning
【中文关键词】 人类；行为医学；生物恐怖；救灾计划
【题名】
91
Bridging between basic theory and
clinical practice.
【作者】
Barnard PJ；
【机构】
MRC
Cognition
and
Brain
Sciences Unit, 15 Chaucer Road,
Cambridge
CB2
2EF,
UK.
philip.barnard@mrc-cbu.cam.ac.uk
【刊年卷期】
Behav Res Ther. 2004V42N9
【页】
977-1000
【ISSN】
0005-7967
【出版国】
England
【语种】
eng
【文献类型】
Historical Article; Journal Article
【英文关键词】 Behavioral
；
Medicine
EKBehavioral Medicine/*history；
Behavioral Research ；Behavioral
Research/history ； England ；
History, 20th Century ； History,
21st Century；Humans
【中文关键词】 行为医学；CK 行为医学/历史；
行为研究；行为研究/历史；英格
兰；历史, 20 世纪；历史, 21 世纪；
人类
【摘要】
This
paper
articulates
and
discusses the parts played by
different
processes
representations
in
the
and
overall
conduct of applied clinical science.
It
distinguishes
representation,
science
two
sorts
of
theories
in
the
base
and
bridging
representations needed to map
from real world behaviour to basic
theory and from theory back to the
real world. It is then argued that
macro-theories of the "normal"
human mental architecture could
help synthesise basic theoretical
accounts
of
diverse
psychopathologies,
without
recourse to special purpose clinical
cognitive theories of particular
psychopathologies or even specific
symptoms. Using the Interacting
Cognitive
Subsystems
model
[Affect, Cognition and Change:
Re-modelling Depressive Thought,
Lawrence
Hove,
Erlbaum
1993],
Associates,
some
macro-theoretic
specific
variables
are
identified. Concrete illustrations
are given of how the essence of
quite complex basic theory can be
translated
into
a
simpler
representational format to help
clinicians
conceptualise
psychopathological
state
a
and
pinpoint relevant variables that
might be changed by therapeutic
interventions. Some suggestions
are also offered about how the
inevitable problem of complexity
in multiple component theories
might be directly confronted.
92
【题名】
John Teasdale: a tribute.
【作者】
Rachman J；
【机构】
Department of Psychology, University of British Columbia, 1605-2136 West Mall,
Vancouver, Canada V6T 1ZA. rachman@unixg.ubc.ca
【刊年卷期】
Behav Res Ther. 2004V42N9
【页】
975-976
【ISSN】
0005-7967
【出版国】
England
【语种】
eng
【文献类型】
Biography; Historical Article; Journal Article
【英文关键词】 Behavioral Medicine ； EKBehavioral Medicine/*history ； Behavioral Research ；
Behavioral Research/history；England；History, 20th Century；History, 21st Century；
Humans
【中文关键词】 行为医学；CK 行为医学/历史；行为研究；行为研究/历史；英格兰；历史, 20 世纪；
历史, 21 世纪；人类
【题名】
93
Interfacing basic science with clinical practice: a Festschrift special issue for John
Teasdale.
【作者】
Dalgleish T；
【刊年卷期】
Behav Res Ther. 2004V42N9
【页】
971-974
【ISSN】
0005-7967
【出版国】
England
【语种】
eng
【文献类型】
Biography; Editorial; Festschrift; Historical Article
【英文关键词】 Behavioral Medicine ； EKBehavioral Medicine/*history ； Behavioral Research ；
Behavioral Research/history；England；History, 20th Century；History, 21st Century；
Humans
【中文关键词】 行为医学；CK 行为医学/历史；行为研究；行为研究/历史；英格兰；历史, 20 世纪；
历史, 21 世纪；人类
94
【题名】
Therapeutics in cognitive and behavioral neurology.
【作者】
Small SL；
【刊年卷期】
Ann Neurol. 2004V56N1
【页】
5-7
【ISSN】
0364-5134
【出版国】
United States
【语种】
eng
【文献类型】
Comment; Editorial
【英文关键词】 Animals ； Cerebrovascular Accident ； Cerebrovascular Accident/physiopathology ；
Cerebrovascular Accident/therapy；Dopamine Agents；Dopamine Agents/therapeutic
use；Humans；*Behavioral Medicine；*Cognition Disorders；*Neurology
【中文关键词】 动物；脑血管意外；脑血管意外/病理生理学；脑血管意外/治疗；多巴胺药；多巴
胺药/治疗应用；人类；行为医学；认知障碍；神经病学
95
【题名】
fMRI biomarker of early neuronal dysfunction in presymptomatic Huntington's Disease.
【作者】
Paulsen JS；Zimbelman JL；Hinton SC；Langbehn DR；Leveroni CL；Benjamin ML；
Reynolds NC；Rao SM；
【机构】
Department of Psychiatry, University of Iowa College of Medicine, Iowa City, USA.
【刊年卷期】
AJNR Am J Neuroradiol. 2004V25N10
【页】
1715-1721
【ISSN】
0195-6108
【出版国】
United States
【语种】
eng
【文献类型】
Evaluation Studies; Journal Article
【英文关键词】 Adult ； Basal Ganglia ； Basal Ganglia/*physiopathology ； Behavioral Medicine ；
Behavioral Medicine/methods；Behavioral Medicine/standards；Brain；Brain/pathology；
Brain/physiopathology；Case-Control Studies；Comparative Study；Discrimination
(Psychology)；Female；Humans；Huntington Disease；Huntington Disease/*diagnosis；
Huntington Disease/physiopathology；Huntington Disease/*psychology；Male；Middle
Aged；Research Support, Non-U.S. Gov't；Research Support, U.S. Gov't, P.H.S.；
Sensitivity and Specificity；Time Perception；*Magnetic Resonance Imaging；*Magnetic
Resonance Imaging/standards；*Neurons
【中文关键词】 成年人；基底神经节；基底神经节/病理生理学；行为医学；行为医学/方法；行为
医学/标准；脑；脑/病理学；脑/病理生理学；病例对照研究；对比研究；辨别(心
理学)；女(雌)性；人类；杭廷顿病；杭廷顿病/诊断；杭廷顿病/病理生理学；杭廷
顿病/心理学；男(雄)性；中年人；研究资助, 非美国政府；研究性资助, 美国政府,
公共卫生署；敏感性与特异性；时间知觉；磁共振成像；磁共振成像/标准；神经
元
【摘要】
BACKGROUND AND PURPOSE: Functional MR imaging (fMRI) has been used to
probe basal ganglia function in people with presymptomatic Huntington's disease
(pre-HD). A previous fMRI study in healthy individuals demonstrated activation of the
basal ganglia during a time-discrimination task. The current study was designed to
examine the relative sensitivity of fMRI compared with that of behavioral testing and
morphometric measurements in detecting early neurodegenerative changes related to
Huntington's disease (HD). METHODS: Pre-HD participants were assigned to two
groups based on estimated years to diagnosis of manifest disease: close <12 years and
far >or=12 years. Age at disease onset was estimated using a regression equation based
on the number of trinucleotide CAG repeats. The time-discrimination task required
participants to determine whether a specified interval was shorter or longer than a
standard interval of 1200 milliseconds. RESULTS: Participants in the close group
performed more poorly on the time-task discrimination than did control subjects;
however, no differences were observed between far participants and control subjects.
Similarly, close participants had reduced bilateral caudate volume relative to that of
control subjects, whereas far participants did not. On functional imaging, close
participants had significantly less activation in subcortical regions (caudate, thalamus)
than control subjects; far participants had an intermediate degree of activation. In
contrast, far participants had hyperactivation in medial hemispheric structures (anterior
cingulate, pre-supplementary motor area) relative to close and control subjects.
CONCLUSION: Hyperactivation of medial prefrontal regions compensated for reduced
subcortical participation during time discrimination in pre-HD. This pattern of brain
activation may represent an early neurobiologic marker of neuronal dysfunction.
96
【题名】
Transforming the workforce in children's mental health.
【作者】
Huang L；Macbeth G；Dodge J；Jacobstein D；
【机构】
American Institutes for Research, Washington, DC, USA.
【刊年卷期】
Adm Policy Ment Health. 2004V32N2
【页】
167-187
【ISSN】
0894-587X
【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/manpower；Child；Child Health Services；Child Health Services/*manpower；
Child Health Services/organization & administration ； Health Personnel ； Health
Personnel/*education ； Humans ； Mental
Health
Services ； Mental
Health
Services/*manpower；Mental Health Services/organization & administration；United
States；*Health Planning
【中文关键词】 行为医学；CK 行为医学/教育；CK 行为医学/人力；儿童；儿童保健服务；儿童保
健服务/人力；儿童保健服务/组织与管理；卫生人员；卫生人员/教育；人类；精神
卫生服务；精神卫生服务/人力；精神卫生服务/组织与管理；美国；健康计划
【摘要】
Building on the President's New Freedom Commission on Mental Health, this article
highlights the twofold crisis in children's mental health: a critical shortage of
practitioners in child-serving disciplines, and a mismatch between training and
preparation and actual practice and service delivery. The authors discuss the challenges
of transforming the workforce in the context of changing population demographics, the
prevalence of complex childhood disorders, and emerging evidence-based practices.
The authors conclude with recommendations targeted to states, community agencies,
universities, professional associations, and advocates.
97
【题名】
Innovation in behavioral health workforce education.
【作者】
O'Connell MJ；Morris JA；Hoge MA；
【机构】
Yale Program for Recovery and Community Health, Department of Psychiatry, Yale
University School of Medicine, 319 Peck Street, Building 6, Suite 1C, New Haven, CT
06513, USA. maria.oconnell@yale.edu
【刊年卷期】
Adm Policy Ment Health. 2004V32N2
【页】
131-165
【ISSN】
0894-587X
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Adult；Behavioral Medicine；Behavioral Medicine/*education；Directories；Health
Personnel；Health Personnel/*education；Humans；Mental Health Services；Mental
Health Services/*manpower ； Research Support, U.S. Gov't, P.H.S. ； Teaching ；
Teaching/*methods；United States
【中文关键词】 成年人；行为医学；行为医学/教育；名录；卫生人员；卫生人员/教育；人类；精
神卫生服务；精神卫生服务/人力；研究性资助, 美国政府, 公共卫生署；教学；教
学/方法；美国
【摘要】
This article describes an effort to promote improvement in the quality and relevance of
behavioral health workforce education by identifying and disseminating information on
innovative training efforts. A national call for nominations was issued, seeking
innovations in the education of behavioral health providers, consumers, and family
members. A review committee evaluated each nomination on four dimensions: novelty,
significance, transferability, and effectiveness. Nineteen innovations were selected for
recognition, all of which are briefly described.
98
【题名】
Evidence-based teaching practice: implications for behavioral health.
【作者】
Stuart GW；Tondora J；Hoge MA；
【机构】
College of Nursing, Medical University of South Carolina, 99 Jonathan Lucas Street,
Charleston, SC 29425, USA. stuartg@musc.edu
【刊年卷期】
Adm Policy Ment Health. 2004V32N2
【页】
107-130
【ISSN】
0894-587X
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Adult；Behavioral Medicine；Behavioral Medicine/*education；Health Personnel；Health
Personnel/*education；Humans；Learning；Models, Educational；Psychological Theory；
Research Support, U.S. Gov't, P.H.S.；Teaching；Teaching/*methods；United States；
*Mental Health Services；*Mental Health Services/manpower
【中文关键词】 成年人；行为医学；行为医学/教育；卫生人员；卫生人员/教育；人类；学习；模
型, 教育；心理学理论；研究性资助, 美国政府, 公共卫生署；教学；教学/方法；
美国；精神卫生服务；精神卫生服务/人力
【摘要】
Educational practices and strategies have changed very little over the years, and even
emerging advances in technology have become the prisoners of traditional academic
norms. Thus, while there is increasing emphasis on evaluating and aligning caregiving
processes with the strongest evidence of effectiveness, there is little demonstration or
role-modeling of this same expectation in either the formal or continuing educational
processes of behavioral healthcare providers. This "disconnect" is a significant problem
in the field. This paper addresses the urgent need to inform the education and training of
the behavioral health workforce with current theories regarding the teaching-learning
process and evidence about the effectiveness of various teaching strategies. The relevant
theories and available bodies of evidence are described, and the implications for
workforce education and training are identified.
99
【题名】
Best practices in behavioral health workforce education and training.
【作者】
Hoge MA；Huey LY；O'Connell MJ；
【机构】
Yale University School of Medicine, Yale Department of Psychiatry, 25 Park Street, 6th
Floor, New Haven, CT 06519, USA. michael.hoge@yale.edu
【刊年卷期】
Adm Policy Ment Health. 2004V32N2
【页】
91-106
【ISSN】
0894-587X
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Behavioral Medicine；EKBehavioral Medicine/*education；Clinical Competence；
Curriculum；Health Personnel；Health Personnel/*education；Humans；Mental Health
Services；Mental Health Services/*manpower；Quality of Health Care；Research
Support, U.S. Gov't, P.H.S.；Teaching；Teaching/methods；Teaching/*standards；United
States；*Benchmarking
【中文关键词】 行为医学；CK 行为医学/教育；临床工作能力；课程；卫生人员；卫生人员/教育；
人类；精神卫生服务；精神卫生服务/人力；卫生保健质量；研究性资助, 美国政
府, 公共卫生署；教学；教学/方法；教学/标准；美国；规范
【摘要】
Dramatic changes have occurred in the delivery of mental health and substance abuse
services over the past decade and a half. There is growing concern that education
programs have not kept pace with these changes and that reforms are needed to improve
the quality and relevance of training efforts. Drawing on the published works of experts
and a national initiative to develop a consensus among stakeholders about the nature of
needed reforms, this article outlines 16 recommended "best practices" that should guide
efforts to improve workforce education and training in the field of behavioral health.
【题名】
100
Implementing best practices in behavioral
health workforce education-building a change
agenda.
【作者】
Hoge MA；Morris JA；
【刊年卷期】
Adm Policy Ment Health. 2004V32N2
【页】
85-89
【ISSN】
0894-587X
【出版国】
United States
【语种】
eng
【文献类型】
Editorial
【英文关键词】 Behavioral
Medicine
；
EKBehavioral
Medicine/*education ； Health Personnel ；
Health Personnel/*education ； Humans ；
Mental Health Services ； Mental Health
Services/*manpower；United States；*Health
Care Coalitions
【中文关键词】 行为医学；CK 行为医学/教育；卫生人员；
卫生人员/教育；人类；精神卫生服务；精
神卫生服务/人力；美国；卫生保健联合体
【题名】
101
The future of behavioral
health and primary care:
drowning
in
the
mainstream or left on the
bank?
【作者】
Pincus HA；
【机构】
Department
of
Psychiatry, University of
Pittsburgh
School
Medicine,
PA
of
15213,
USA.
pincusha@msx.upmc.edu
【刊年卷期】
Psychosomatics.
2003V44N1
【页】
1-11
【ISSN】
0033-3182
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Behavioral Medicine ；
EKBehavioral
；
Medicine/*trends
Forecasting ； Humans ；
Mental Health Services；
Mental
Health
；
Services/*trends
Primary Health Care ；
Primary
Health
Care/*trends ； Research
Support, Non-U.S. Gov't
【中文关键词】 行为医学；CK 行为医学
/发展趋势；预测；人类；
精神卫生服务；精神卫
生服务/发展趋势；初级
卫生保健；初级卫生保
健/发展趋势；研究资助,
非美国政府
102
【题名】
Research interests in the field of behavioral, psychosocial, and policy cancer research.
【作者】
Nehl EJ；Blanchard CM；Stafford JS；Ainsworth S；Baker F；
【机构】
Behavioral Research Center, American Cancer Society, Atlanta 30329, USA.
Eric.Nehl@cancer.org
【刊年卷期】
Psychooncology. 2003V12N4
【页】
385-392
【ISSN】
1057-9249
【出版国】
England
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Behavioral Medicine；EKBehavioral Medicine/*trends；Comparative Study；Data
Collection ； Humans ； Neoplasms ； Neoplasms/*psychology ； Public Policy ；
Questionnaires；Research；Research/*trends；Research Personnel
【中文关键词】 行为医学；CK 行为医学/发展趋势；对比研究；数据收集；人类；肿瘤；肿瘤/
心理学；政府政策；问卷调查；研究；研究/发展趋势；研究人员
【摘要】
The growth of research in behavioral, psychosocial, and policy aspects of cancer is
quite evident through examination of the literature. Although it is necessary to
recognize the importance of past achievements in these areas, it is equally essential to
identify the current interests and future areas that will form a new research agenda. The
present study is the first attempt to shed light on these issues by surveying a group of
behavioral, psychosocial and policy researchers from 1997 (n=714) and 2002
(n=1102). Questions were posed that dealt with current and future research interests.
Results indicate a stable core of research interests in the field, as well as changing
trends in interest that may affect the direction of future research. Prevention and
detection, psychosocial issues, and quality of life were clearly the most recognized
research interests. Emerging areas of research interest seem to be special populations
and health care delivery. Examination of these findings may help with research
planning, funding allocation, management, beginning researcher education, and
practice.
103
【题名】
Behavioral pediatrics, part I.
【作者】
Greydanus DE；Patel DR；Pratt HD；
【机构】
Department of Pediatrics and Human Development, Michigan State University College
of Human Medicine, Kalamazoo Center for Medical Studies, 49008-1284, USA.
greydanus@kcms.msu.edu
【刊年卷期】
Pediatr Clin North Am. 2003V50N4
【页】
xvii-xxxi
【ISSN】
0031-3955
【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/*history ； Child ； Child Behavior
Disorders；Child Behavior Disorders/diagnosis；Child Behavior Disorders/*history；
Child Behavior Disorders/therapy；History, 17th Century；History, 18th Century；
History, 19th Century；History, 20th Century；Humans；Pediatrics；Pediatrics/*history
【中文关键词】 行为医学；CK 行为医学/历史；儿童；儿童行为障碍；儿童行为障碍/诊断；儿童
行为障碍/历史；儿童行为障碍/治疗；历史, 17 世纪；历史, 18 世纪；历史, 19 世
纪；历史, 20 世纪；人类；儿科学；儿科学/历史
104
【题名】
Assessing the information management requirements for behavioral health providers.
【作者】
Major LF；Turner MG；
【机构】
State University of New York, Upstate Medical University, Clinical Campus at
Binghamton, New York, USA.
【刊年卷期】
J Healthc Manag. 2003V48N5
【页】
323-333
【ISSN】
1096-9012
【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；Delivery
of Health Care, Integrated；Delivery of Health Care, Integrated/*organization &
administration；Diffusion of Innovation；Financial Management；Health Care Surveys；
Humans；Information Management；Information Management/methods；Information
Systems；Information Systems/*utilization；Medical Records Systems, Computerized；
Medical Records Systems, Computerized/*utilization；Mental Health Services；Mental
Health Services/*organization & administration；United States；*Attitude of Health
Personnel
【中文关键词】 行为医学；CK 行为医学/组织与管理；卫生保健提供, 联合；卫生保健提供, 联合
/组织与管理；革新推广；财务管理；卫生保健调查；人类；信息管理；信息管理
/方法；信息系统；信息系统/利用；病案系统, 计算机化；病案系统, 计算机化/
利用；精神卫生服务；精神卫生服务/组织与管理；美国；医务工作者的态度
【摘要】
Behavioral health agencies will soon implement automated information-management
systems to support their administrative, financial, and clinical care functions. Assessing
current information-management capabilities and delineating future needs are
prerequisite to recommending a specific information technology solution. Quantifying
the discrepancy between current information-management capabilities and future
requirements highlights the areas of greatest unmet need for information management.
Selecting an information system that addresses the most critical areas of unmet need is
a prudent purchase decision. This article describes the results of a process to assess the
information-management
requirements
for
agencies
that
were
considering
implementation of an integrated behavioral health information-management system.
The assessment revealed that these agencies already employed automated systems to
manage most financial functions and many administrative functions. Few agencies,
however, utilized automated systems to manage clinical care functions. Selection of a
behavioral health electronic medical record (EMR) effectively addressed clinical care
information-management
needs
without
duplicating
existing
financial
and
administrative management functions. Also, the EMR included features that addressed
some administrative functions for which a discrepancy between current capabilities
and future needs was found. Selecting an EMR instead of an integrated behavioral
health information system was associated with a significant reduction in information
system acquisition costs.
【题名】
105
From neurons to neighborhoods: old and new challenges for developmental and
behavioral pediatrics.
【作者】
Shonkoff JP；
【机构】
The Heller School for Social Policy and Management, Brandeis University, Waltham,
Massachusetts 02254, USA. shonkoff@brandeis.edu
【刊年卷期】
J Dev Behav Pediatr. 2003V24N1
【页】
70-76
【ISSN】
0196-206X
【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 ； Child ； Humans ；
Neurosciences ； Neurosciences/*trends ； Pediatrics ； Social Sciences ； Social
Sciences/*trends；United States；*Child Behavior；*Child Development
【中文关键词】 行为医学；CK 行为医学/发展趋势；儿童；人类；神经科学；神经科学/发展趋势；
儿科学；社会科学；社会科学/发展趋势；美国；儿童行为；儿童发育
【摘要】
Rapidly advancing research in neurobiology and the behavioral and social sciences,
coupled with dramatic changes in the social and economic circumstances under which
families are raising young children, has created a highly dynamic context for early
childhood policy, service delivery, and child rearing in the United States. A recent
report from the National Research Council and the Institute of Medicine, presents a
critical analysis of that complex knowledge base and a set of recommendations
designed to close the gap between what we know and what we do to promote the
healthy development of young children. This article examines the report through the
lens of developmental and behavioral pediatrics and highlights both exciting
opportunities and sobering challenges.
106
【题名】
A growing influence. Interview by Jane Jeffries.
【作者】
Haines P；
【刊年卷期】
J AHIMA. 2003V74N8
【页】
100
【ISSN】
1060-5487
【出版国】
United States
【语种】
eng
【文献类型】
Interview
【英文关键词】 Behavioral Medicine ； EKBehavioral Medicine/*organization & administration ；
Confidentiality；Confidentiality/legislation & jurisprudence；Florida；Medical Records
Systems, Computerized；Medical Records Systems, Computerized/*organization &
administration；Multi-Institutional Systems；Multi-Institutional Systems/*organization
& administration；*Medical Record Administrators
【中文关键词】 行为医学；CK 行为医学/组织与管理；机密；机密/立法和法学；佛罗里达；病案
系统, 计算机化；病案系统, 计算机化/组织与管理；多机构系统；多机构系统/组
织与管理；病案管理员
107
【题名】
Living with the "unfixable".
【作者】
Soggie N；
【机构】
Atlantic Baptist University, Moncton, New Brunswick, USA.
【刊年卷期】
Health Prog. 2003V84N2
【页】
72
【ISSN】
0882-1577
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Humans；Pain；Pain/*psychology；Pain/therapy；Religion and Medicine；Social
Support；Social Values；United States；*Attitude of Health Personnel；*Behavioral
Medicine；*Holistic Health；*Spirituality
【中文关键词】 人类；疼痛；疼痛/心理学；疼痛/治疗；宗教和医学；社会支持；社会价值；美
国；医务工作者的态度；行为医学；整体保健；灵性
108
【题名】
Financing results and value in behavioral health services.
【刊年卷期】
Adm Policy Ment Health. 2003V31N2
【页】
85-110
【ISSN】
0894-587X
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Behavioral
Medicine ； EKBehavioral
Medicine/*economics ； EKBehavioral
Medicine/standards ； Cost-Benefit Analysis ； Decision Making, Organizational ；
Efficiency,
Organizational
；
Financing,
Government
；
Financing,
Government/*methods ； Financing, Government/organization & administration ；
Humans ； Insurance, Psychiatric ； Mental Health Services ； Mental Health
Services/*economics；Mental Health Services/standards；Organizational Objectives；
Safety；Social Justice；Social Values；United States；*Reimbursement, Incentive
【中文关键词】 行为医学；CK 行为医学/经济学；CK 行为医学/标准；费用效益分析；决策, 组
织；效率, 组织；筹资, 政府；筹资, 政府/方法；筹资, 政府/组织与管理；人类；
保险, 精神病；精神卫生服务；精神卫生服务/经济学；精神卫生服务/标准；组织
目标；安全；社会正义；社会价值；美国；偿还, 奖励
【摘要】
Current changes require that behavioral health care leaders understand how public and
private financing mechanisms interact and how, now more than ever, behavioral health
care leadership must span multiple systems and financing streams. Understanding how
financing mechanisms work, what they create, and what they cause is essential if we
are to make the most of increasingly limited and increasingly complex resource
streams in today's health care market. This article explores a different paradigm of
what adds value to publicly funded behavioral health care systems, and provides the
framework for the American College of Mental Health Administration's call to
behavioral health care administrators to take a new approach to the considerations
behind funding decisions and payment mechanisms.
【题名】
109
Managed care and clinical decision-making in child and adolescent behavioral health:
provider perceptions.
【作者】
Yanos PT；Garcia CI；Hansell S；Rosato MG；Minsky S；
【机构】
University of Medicine and Dentistry of New Jersey-University Behavioral HealthCare
(UMDNJ-UBHC), Newark 07103, USA. yanosph@cmhc.umdnj.edu
【刊年卷期】
Adm Policy Ment Health. 2003V30N4
【页】
307-321
【ISSN】
0894-587X
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Adolescent；Adolescent Health Services；Adolescent Health Services/*organization &
administration ； Behavioral Medicine ； Behavioral Medicine/*organization &
administration；Child；Child Health Services；Child Health Services/*organization &
administration；Decision Making；Female；Health Services Research；Humans；
Male ； Managed Care Programs ； Managed Care Programs/*organization &
administration ； Medicaid ； Mental
Health
Services ； Mental
Health
Services/*organization & administration；New England；Patient Satisfaction；Quality
of Health Care
【中文关键词】 青少年；青少年保健服务；青少年保健服务/组织与管理；行为医学；行为医学/
组织与管理；儿童；儿童保健服务；儿童保健服务/组织与管理；决策；女(雌)性；
卫生服务研究；人类；男(雄)性；管理医疗规划；管理医疗规划/组织与管理；
Medicaid；精神卫生服务；精神卫生服务/组织与管理；新英格兰；病人满意度；
卫生保健质量
【摘要】
This study investigated how managed care affects clinical decision-making in a
behavioral health care system. Providers serving children and adolescents under both
managed and unmanaged care (n = 28) were interviewed about their awareness of
differences between the benefit arrangements, how benefits affect clinical
decision-making, outcomes and quality of care; and satisfaction with care. Quantitative
and qualitative findings indicated that providers saw both advantages and
disadvantages to managed care. Although most providers recognized the advantages of
managed care in increasing efficiency, many were concerned that administrative
pressures associated with managed care compromise service quality.
【题名】
110
Self-regulation
training
for
chronic pain: can it be done
effectively by telemedicine?
【作者】
Appel PR；Bleiberg J；Noiseux J；
【机构】
Psychology
Rehabilitation
Science,
National
Hospital,
Washington, DC 20010, USA.
philip.r.appel@medstar.net
【刊年卷期】
Telemed J E Health. 2002V8N4
【页】
361-368
【ISSN】
1530-5627
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article; Research Support,
U.S. Gov't, Non-P.H.S.; Research
Support, U.S. Gov't, P.H.S.
【英文关键词】 Chronic Disease；Humans；Pain；
Pain/psychology；Pain/*therapy；
Education ； Patient
Patient
Education/*methods ； Patient
Satisfaction ； United States ；
*Behavioral
Medicine ； *Self
Care；*Telemedicine
【中文关键词】 慢性病；人类；疼痛；疼痛/心理
学；疼痛/治疗；病人教育；病人
教育/方法；病人满意度；美国；
行为医学；自我护理；远程医学
【摘要】
The purpose of this project was to
test the efficacy of behavioral
telemedicine
interventions
designed to teach self-regulation
skills to chronic pain patients who
had not previously been treated.
The study sought to determine
whether there were differences in
outcome
and
satisfaction
with
consumer
the
pain
management intervention when
delivered
by
face-to-face
conventional
methods,
by
telephone only, and by closed
circuit TV (CCTV). We found that
self-regulation techniques can be
readily
taught
via
behavioral
telemedicine interventions. The
primary methodologic weakness
of the study is that a single
experienced clinician provided all
of the interventions. Thus, it is not
known at this time how well the
intervention can be generalized to
other clinicians. In addition, there
was
no
control
on
the
administration of the protocols
across conditions.
【题名】
111
Nausea and emesis: evidence for a
biobehavioral perspective.
【作者】
Morrow GR；Roscoe JA；Hickok JT；
Andrews PR；Matteson S；
【机构】
Cancer Control Program, University
of
Rochester
Cancer
Center,
Rochester, 601 Elmwood Avenue, Box
704, Rochester, NY 14641, USA.
Gary_Morrow@URMC.Rochester.edu
【刊年卷期】
Support Care Cancer. 2002V10N2
【页】
96-105
【ISSN】
0941-4355
【出版国】
Germany
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Antiemetics
；
EKAntiemetics/pharmacology
；
Antineoplastic Agents；Antineoplastic
Agents/adverse effects ； Autonomic
Nervous System；Autonomic Nervous
effects ； Autonomic
System/drug
Nervous
System/physiology
；
Behavioral Medicine；Dose-Response
Relationship,
Drug ； Humans ；
Hypothalamo-Hypophyseal System；
Hypothalamo-Hypophyseal
System/drug
effects
；
Hypothalamo-Hypophyseal
System/physiopathology ； Nausea ；
Nausea/chemically
induced
；
Nausea/*physiopathology
；
Nausea/*psychology
；
Pituitary-Adrenal
System
Pituitary-Adrenal
effects
；
System/drug
Pituitary-Adrenal
System/physiopathology
Factors ； Treatment
Vomiting
；
；
；
Time
Outcome ；
Vomiting/chemically
induced；Vomiting/*physiopathology；
Vomiting/*psychology
【中文关键词】 止吐药；CK 止吐药/药理学；抗肿瘤
药；抗肿瘤药/副作用；自主神经系
统；自主神经系统/药物作用；自主
神经系统/生理学；行为医学；剂量
效应关系, 药物；人类；下丘脑-垂
体系统；下丘脑-垂体系统/药物作
用；下丘脑-垂体系统/病理生理学；
恶心；恶心/化学诱导；恶心/病理生
理学；恶心/心理学；垂体肾上腺系
统；垂体肾上腺系统/药物作用；垂
体肾上腺系统/病理生理学；时间因
素；治疗结果；呕吐；呕吐/化学诱
导；呕吐/病理生理学；呕吐/心理学
【摘要】
Abstract. For most people, nausea and
vomiting (NV) are simply unfortunate
consequences of overindulgent college
days or overenthusiastic amusement
rides. Yet for most cancer patients,
nausea and vomiting (also referred to
as emesis) remain among the most
frequent
side
effects
of
cancer
chemotherapy. Patients typically view
control of nausea as more important
than
control
of
emesis,
while
physicians and nurses judge emesis
control to be more important to
antiemetic
control.
efficacy
The
than
5-HT3
nausea
receptor
antagonists have been shown to be
clinically more effective in controlling
emesis, particularly that caused by
regimens
containing
high-dose
cisplatin, than previously available
agents.
Disappointingly,
however,
these drugs do not appear to be more
effective than previous antiemetics in
reducing nausea. In addition, the
5-HT3
receptor
antagonists
may
become less effective over repeated
chemotherapy administrations,
and
they
An
remain
expensive.
impediment to research progress has
been an insularity that has prompted
two parallel research efforts: one
searching for biological understanding
to
enhance
pharmacological
intervention(s) and the other searching
for psychological understanding to aid
in
developing
more
effective
behavioral intervention(s). While both
approaches have been successful, it is
time to have the two views merge into
a
biobehavioral
framework
that
combines them both. This paper draws
on
both
physiological
and
psychological origins of NV to begin
the development of a biobehavioral
model of development that integrates
features of both approaches.
【题名】
112
Advances in the field of low back pain in primary care: a report from the fourth
international forum.
【作者】
Borkan J；Van Tulder M；Reis S；Schoene ML；Croft P；Hermoni D；
【机构】
Department of Behavioral Sciences, Sackler Faculty of Medicine, Tel Aviv University,
Tel Aviv, Israel. Borkan@shani.net
【刊年卷期】
Spine. 2002V27N5
【页】
E128-E132
【ISSN】
1528-1159
【出版国】
United States
【语种】
eng
【文献类型】
Congresses
【英文关键词】 Attitude of Health Personnel；Attitude to Health；Behavioral Medicine；Disease
Management；Evidence-Based Medicine；Humans；Information Services；Low Back
Pain ； Low Back Pain/*classification ； Low Back Pain/economics ； Low Back
Pain/*therapy；Primary Health Care；Primary Health Care/*trends；World Health
【中文关键词】 医务工作者的态度；健康态度；行为医学；疾病管理；循证医学；人类；信息服
务；腰痛；腰痛/分类；腰痛/经济学；腰痛/治疗；初级卫生保健；初级卫生保健
/发展趋势；世界卫生
【摘要】
STUDY DESIGN: Review of advances in the primary care research on low back pain
(LBP) from a unique international forum, and analysis of open-ended questionnaires
from participants. SUMMARY OF BACKGROUND DATA: LBP continues to be one
of the most common and challenging problems in primary care. It is associated with
enormous costs in terms of direct health care expenditures, and indirect work and
disability-related losses. OBJECTIVE: To ascertain the current status and state of the
art regarding LBP in primary care. METHODS: Four reviewers independently assessed
the content and implications of presentations at the Fourth International Forum for
Primary Care Research on LBP, pooled the data, and then augmented it with
open-ended questionnaires completed by 35 participants. RESULTS: The Fourth
Forum documented the field's emergent new paradigm-a transition from thinking about
back pain as a biomedical "injury" to viewing LBP as a multifactorial biopsychosocial
pain syndrome. The paradigm shift has occurred in the context of increased interest in
evidence-based medicine regarding LBP in primary care. The Forum demonstrated the
strides taken in moving from research and evidence gathering, through guidelines and
policy formulations and finally to the dissemination and implementation imperative.
There was an increasing confidence among the Forum researchers that LBP can be
managed successfully in primary care settings through a combination of encouraging
activity, reassurance, short-term symptom control, and alteration of inappropriate
beliefs about the correlations of back pain with impairment and disability. There is also
recognition that a wide range of international, evidence-based guidelines now exists
that have very similar messages. CONCLUSIONS: The Fourth Forum reflected a
major shift in the conceptualization of LBP in primary care and an increased emphasis
on implementation and dissemination of LBP research findings and clinical guidelines.
Although there is a wide array of challenges ahead, the Fourth Forum provided a clear
message regarding the need to focus research energies on changing practitioner
behavior.
【题名】
113
Toilet training in primary care: current practice and recommendations from behavioral
pediatrics.
【作者】
Polaha J；Warzak WJ；Dittmer Mcmahon K；
【机构】
Department of Pediatrics, Munroe-Meyer Institute, University of Nebraska Medical
Center, Omaha, Nebraska 68198-5450, USA.
【刊年卷期】
J Dev Behav Pediatr. 2002V23N6
【页】
424-429
【ISSN】
0196-206X
【出版国】
United States
【语种】
eng
【文献类型】
Guideline; Journal Article; Practice Guideline
【英文关键词】 Behavioral Medicine；EKBehavioral Medicine/*methods；Child；Humans；Parents；
Patient Compliance；Pediatrics；Pediatrics/*methods；Questionnaires；*Primary Health
Care；*Toilet Training
【中文关键词】 行为医学；CK 行为医学/方法；儿童；人类；双亲；病人依从；儿科学；儿科学
/方法；问卷调查；初级卫生保健；排便训练
【摘要】
This article is the first to evaluate pediatricians' (1). current practices regarding
recommendations for toilet training typically developing first-time learners and (2).
opinions on an intensive procedure for rapid toilet training. Results of surveys obtained
from 103 pediatricians indicate that physicians' recommendations lean toward a
gradual, passive approach to toilet training with 72% endorsing "child interest" in the
toilet as one of the top criteria children must exhibit before beginning training.
Respondents had a somewhat unfavorable view of intensive toilet training for
first-time learners with 29% endorsing the use of such a procedure, although in most
cases without all of the components. It is recommended that some components of the
intensive procedure could easily "fit" with physicians' current practices to increase
toilet-training effectiveness within a shorter training interval. These recommendations,
including compliance training as a part of teaching, increased fluid intake to promote
toileting trials, and multiple training sits, are described.
【题名】
114
Evaluating mental health outcomes in an inpatient setting: convergent and divergent
validity of the OQ-45 and BASIS-32.
【作者】
Doerfler LA；Addis ME；Moran PW；
【机构】
Counseling Psychology Program, Department of Psychology, Assumption College, 500
Salisbury Street, Worcester, MA 01609, USA. doerfler@assumption.edu
【刊年卷期】
J Behav Health Serv Res. 2002V29N4
【页】
394-403
【ISSN】
1094-3412
【出版国】
United States
【语种】
eng
【文献类型】
Evaluation Studies; Journal Article; Validation Studies
【英文关键词】 Adult；Behavioral Medicine；Behavioral Medicine/*organization & administration；
Behavioral Medicine/standards ； Diagnosis-Related Groups ； Diagnosis-Related
Groups/statistics & numerical data ； Female ； Hospitals, Teaching ； Hospitals,
Teaching/organization & administration；Hospitals, Teaching/standards；Humans；
Male ； Massachusetts ； Mental Disorders ； Mental Disorders/diagnosis ； Mental
Disorders/therapy；Mental Health Services；Mental Health Services/*organization &
administration ； Mental Health Services/standards ； Outcome Assessment (Health
Care) ； Outcome Assessment (Health Care)/*methods ； Psychiatric Department,
Hospital；Psychiatric Department, Hospital/*organization & administration；Psychiatric
Department, Hospital/standards；Psychiatric Status Rating Scales；Research Support,
Non-U.S. Gov't；*Questionnaires
【中文关键词】 成年人；行为医学；行为医学/组织与管理；行为医学/标准；诊断相关患者组；
诊断相关患者组/统计学和数值数据；女(雌)性；医院, 教学；医院, 教学/组织与
管理；医院, 教学/标准；人类；男(雄)性；马萨诸塞；精神障碍；精神障碍/诊断；
精神障碍/治疗；精神卫生服务；精神卫生服务/组织与管理；精神卫生服务/标准；
结果评价(卫生保健)；结果评价(卫生保健)/方法；精神病科, 医院；精神病科, 医
院/组织与管理；精神病科, 医院/标准；精神病状态评定量表；研究资助, 非美国
政府；问卷调查
【摘要】
The evolution of managed behavioral health care has led to an increased emphasis on
reliable and valid assessment of outcomes in clinical practice. The present study
evaluated the convergent, divergent, and concurrent validity and sensitivity to change
of two widely used measures: Behavior and Symptom Identification Scale (BASIS-32)
and Outcome Questionnaire (OQ-45). Comparisons of the two measures revealed that
both were sensitive to change over a relatively short inpatient stay. Both measures also
showed evidence of convergent and divergent validity of specific subscales, although
the total scores of each measure also were highly correlated. Evidence of concurrent
validity was suggested by differences between diagnostic groups on specific subscale
scores. Together with previous research, these results suggest that the BASIS-32 and
OQ-45 can be useful measures for tracking patient functioning over a range of
treatment contexts.
【题名】
115
The mental health care context and patient characteristics: implications for provider
job satisfaction.
【作者】
Bingham CR；Valenstein M；Blow FC；Alexander JA；
【机构】
Department of Veterans Affairs, Department of Psychiatry, University of Michigan,
HSR&D, Ann Arbor, MI, USA. rbingham@umich.edu
【刊年卷期】
J Behav Health Serv Res. 2002V29N3
【页】
335-344
【ISSN】
1094-3412
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Activities of Daily Living；EKActivities of Daily Living/psychology；Adult；Analysis
of Variance；Behavioral Medicine；Comparative Study；Data Collection；Female；
Hospitals, Veterans；Hospitals, Veterans/manpower；Hospitals, Veterans/*organization
& administration ； Humans ； Male ； Mentally Ill Persons ； Mentally Ill
Persons/*classification ； Outpatient
Clinics,
Hospital ； Outpatient
Clinics,
Hospital/manpower；Outpatient Clinics, Hospital/organization & administration ；
Personnel, Hospital ； Personnel, Hospital/*psychology ； Psychiatric Department,
Hospital ； Psychiatric Department, Hospital/manpower ； Psychiatric Department,
Hospital/*organization & administration；Severity of Illness Index；United States；*Job
Satisfaction
【中文关键词】 日常生活活动；CK 日常生活活动/心理学；成年人；方差分析；行为医学；对比
研究；数据收集；女(雌)性；医院, 退伍军人；医院, 退伍军人/人力；医院, 退伍
军人/组织与管理；人类；男(雄)性；精神病人；精神病人/分类；门诊部, 医院；
门诊部, 医院/人力；门诊部, 医院/组织与管理；人员, 医院；人员, 医院/心理学；
精神病科, 医院；精神病科, 医院/人力；精神病科, 医院/组织与管理；疾病严重
程度指数；美国；职业满意
【摘要】
This research examines job satisfaction among 282 staff providing mental health care
to 574 patients with serious mental illness. The mental health staff worked in 18
Department of Veterans Affairs inpatient and outpatient mental health care units at 12
Veterans Affairs Medical Centers located across the contiguous 48 states. The purpose
was to identify (1) aspects of the health care context that were associated with provider
job satisfaction and (2) administrative and organizational procedures/interventions that
might sustain or improve provider job satisfaction. The association of provider job
satisfaction with patients' functional status and symptom severity was tested in
multilevel statistical models that accounted for provider and unit characteristics.
Provider job satisfaction was found to be greater on smaller units and units with higher
patient functioning and lower illness severity. Implications of these results are
discussed.
【题名】
116
Theoretical basis and program design of a school-based mental health intervention for
traumatized immigrant children: a collaborative research partnership.
【作者】
Stein BD；Kataoka S；Jaycox LH；Wong M；Fink A；Escudero P；Zaragoza C；
【机构】
ULCA/RAND Center for Health Services Research, RAND, 1700 Main Street, Santa
Monica, CA 90401, USA. stein@rand.org
【刊年卷期】
J Behav Health Serv Res. 2002V29N3
【页】
318-326
【ISSN】
1094-3412
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Behavioral
Medicine ； Child ； Child
Health
Services ； Child
Health
Services/*organization & administration ； Community Mental Health Services ；
Community Mental Health Services/*organization & administration ；Cooperative
Behavior；Female；Health Services Research；Health Services Research/organization
& administration；Humans；Los Angeles；Male；Models, Organizational；Program
Evaluation；Research Support, Non-U.S. Gov't；Research Support, U.S. Gov't, P.H.S.；
School Health Services；School Health Services/*organization & administration；Stress
Disorders, Post-Traumatic；Stress Disorders, Post-Traumatic/*therapy；Violence；
Violence/*psychology；*Emigration and Immigration；*Program Development
【中文关键词】 行为医学；儿童；儿童保健服务；儿童保健服务/组织与管理；社区精神卫生服务；
社区精神卫生服务/组织与管理；合作行为；女(雌)性；卫生服务研究；卫生服务
研究/组织与管理；人类；洛杉矶；男(雄)性；模型, 组织管理；方案评价；研究
资助, 非美国政府；研究性资助, 美国政府, 公共卫生署；中小学生卫生保健服务；
中小学生卫生保健服务/组织与管理；应激障碍, 创伤后；应激障碍, 创伤后/治疗；
暴力；暴力/心理学；移民(移出和移入)；规划制订
【摘要】
This article describes a collaborative research model for school-based mental health
services that targets children who are recent immigrants with violence-related mental
health symptoms. The model describes a conceptual framework used in the
establishment of an academic-community partnership during the development,
evaluation, and implementation of the Mental Health for Immigrants Program (MHIP),
a school-based mental health intervention. The article discusses the challenges that
occurred and provides specific examples of how a participatory research partnership
may work together through all program phases--design through implementation and
program evaluation--to meet a specific community's needs and produce generalizable
knowledge. The challenges and limitations of collaborative research approaches also
are discussed, with particular emphasis on the role of participatory research in the
development and evaluation of school-based mental health programs.
【题名】
117
State mental hospitals and their host communities: the origins of hostile public
reactions.
【作者】
Wolff N；Stuber J；
【机构】
Institute for Health, Health Care Policy, and Aging Research, 30 College Avenue, New
Brunswick, NJ 08901-1293, USA. nwolff@rci.rutgers.edu
【刊年卷期】
J Behav Health Serv Res. 2002V29N3
【页】
304-317
【ISSN】
1094-3412
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Attitude to Health ； Behavioral Medicine ； Behavioral Medicine/organization &
administration；Data Collection；Deinstitutionalization；Delivery of Health Care,
Integrated；Health Facility Closure；Health Policy；Homeless Persons；Hospitals,
Psychiatric ； Hospitals, Psychiatric/*organization & administration ； Hospitals,
Psychiatric/standards ； Hospitals,
State ； Hospitals,
State/*organization
&
administration；Hospitals, State/standards；Humans；Organizational Case Studies；
Patient Discharge；Public Relations；Research Support, Non-U.S. Gov't；Research
Support,
U.S.
Gov't,
P.H.S. ； State
Health
Plans ； United
States ；
*Community-Institutional Relations；*Hostility；*Public Opinion
【中文关键词】 健康态度；行为医学；行为医学/组织与管理；数据收集；医院外治疗；卫生保健
提供, 联合；卫生设施关闭；卫生政策；无家可归者；医院, 精神病；医院, 精神
病/组织与管理；医院, 精神病/标准；医院, 州立；医院, 州立/组织与管理；医院,
州立/标准；人类；组织状况研究；病人出院；公共关系；研究资助, 非美国政府；
研究性资助, 美国政府, 公共卫生署；州卫生计划；美国；社区和机构的关系；敌
意；舆论
【摘要】
This article examines the hostile public reactions of a community that, through a state
policy to consolidate all long-term behavioral health services, was to become the site
of the state's only mental hospital. A telephone survey conducted in the host
community (n = 800) and a matched community (n = 800) was used to test whether the
origins of hostility toward consolidation were related to the public's negative attitudes
toward mental illness and homelessness or to the beliefs about the discharge and
supervisory behavior of the hospital. The host community was not found to have more
negative views of mental illness, although it did have significantly more negative
views about the homeless. Disapproval of consolidation was unrelated to negative
views of mental illness or homelessness but was strongly related to the expected "bad"
behavior of the hospital. These results suggest that the best way to improve relations
between hospitals and their host communities is for hospitals to behave like "good"
neighbors.
【题名】
118
Clinicians as advocates: an exploratory study of responses to managed care by mental
health professionals.
【作者】
Wolff N；Schlesinger M；
【机构】
EJ Bloustein School of Planning and Public Policy, Center for Research on the
Organization and Financing of Care for the Severely Mentally Ill, Rutgers University,
New Brunswick, NJ, USA. nwolff@rci.rutgers.edu
【刊年卷期】
J Behav Health Serv Res. 2002V29N3
【页】
274-287
【ISSN】
1094-3412
【出版国】
United States
【语种】
eng
【文献类型】
Evaluation Studies; Journal Article
【英文关键词】 Behavioral Medicine；Female；Health Care Surveys；Humans；Interviews；Male；
Managed Care Programs；Managed Care Programs/*organization & administration；
Managed Care Programs/utilization ； Mental Health Services ； Mental Health
Services/*organization & administration；Mental Health Services/utilization；Middle
Aged；Research Support, U.S. Gov't, P.H.S.；United States；Utilization Review；
*Patient Advocacy；*Professional Role
【中文关键词】 行为医学；女(雌)性；卫生保健调查；人类；采访；男(雄)性；管理医疗规划；管
理医疗规划/组织与管理；管理医疗规划/利用；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；中年人；研究性资助, 美国政府, 公共卫生署；
美国；利用情况审核；病人辩护；职业作用
【摘要】
Utilization review and other managed care techniques require that health care
professionals assume new responsibilities as patient advocates. This article explores
the extent to which characteristics of providers or their experiences with managed care
practices predict the nature and extent of advocacy behavior. Interviews of 142 mental
health providers revealed that experiences of harmful utilization review and norms of
professionalism significantly predicted advocacy behavior. However, providers who
were concerned about disaffiliation were less likely to challenge the plan directly but
more likely to alter their presentation of the case to reviewers. Providers who believe
that managed care plans retaliate against advocacy behavior appear to substitute covert
advocacy for direct advocacy. These results are preliminary but suggest that providers
condition their advocacy behavior in response to their experiences with and
perceptions of managed care plans.
119
【题名】
Preventive mental health and substance abuse programs and services in managed care.
【作者】
Dorfman SL；Smith SA；
【机构】
Organization & Financing Office, Center for Mental Health Services, Substance Abuse
and Mental Health Services Administration, 5600 Fishers Lane, Room 15-87,
Rockville, MD 20857, USA.
【刊年卷期】
J Behav Health Serv Res. 2002V29N3
【页】
233-258
【ISSN】
1094-3412
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Adolescent；Adult；Counseling；Female；Humans；Male；Managed Care Programs；
Managed Care Programs/*organization & administration；Mental Disorders；Mental
Disorders/prevention & control；Mental Disorders/therapy；Mental Health Services；
Mental Health Services/*organization & administration ； Middle Aged ； Patient
Education；Patient Education/organization & administration；Pregnancy；Preventive
Health Services；Preventive Health Services/*organization & administration；Self
Care ； Substance-Related Disorders ； Substance-Related Disorders/prevention &
control；Substance-Related Disorders/therapy；United States；*Behavioral Medicine
【中文关键词】 青少年；成年人；咨询；女(雌)性；人类；男(雄)性；管理医疗规划；管理医疗规
划/组织与管理；精神障碍；精神障碍/预防与控制；精神障碍/治疗；精神卫生服
务；精神卫生服务/组织与管理；中年人；病人教育；病人教育/组织与管理；妊
娠；预防卫生服务；预防卫生服务/组织与管理；自我护理；物质相关性障碍；物
质相关性障碍/预防与控制；物质相关性障碍/治疗；美国；行为医学
【摘要】
If effective preventive behavioral health services were available to the millions of
Americans enrolled in managed care organizations, the public health impact could be
significant. This project sought to summarize published research-based information
about effective preventive interventions for mental health and substance use (tobacco,
alcohol, and other drugs) shown or likely to have no negative cost impact. Fifty-four
studies satisfied seven screening criteria. Their findings demonstrated that preventive
behavioral health interventions appropriate for managed care settings have been
evaluated and have been shown to be effective. Some produced cost savings or offset
costs. Six preventive behavioral health interventions are therefore recommended for
managed care.
【题名】
120
Managed
behavioral
health
care:
an
instrument to characterize critical elements
of public sector programs.
【作者】
Ridgely MS；Giard J；Shern D；Mulkern V；
Burnam MA；
【机构】
RAND
Health,
Santa
Monica,
CA
90407-2138, USA.
【刊年卷期】
Health Serv Res. 2002V37N4
【页】
1105-1123
【ISSN】
0017-9124
【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；
Data Collection；Fee-for-Service Plans；
Fee-for-Service
Plans/*economics
；
Fee-for-Service
Plans/organization
&
administration
；
Fee-for-Service
Plans/standards；Health Services；Health
Services/statistics & numerical data；Health
Services Accessibility ； Health Services
；
Health
Research ； Health
Services
Accessibility/classification
Services
Research/*methods ； Humans ； Managed
Care
Programs
；
Managed
Care
Programs/*economics ； Managed
Care
Programs/organization & administration；
Managed
Care
Medicaid
；
Programs/standards ；
Medicaid/economics
；
Medicaid/*organization & administration；
Medicaid/standards ； Mental
；
Services
Mental
Services/economics ； Mental
Health
Health
Health
Services/*organization & administration；
Mental Health Services/standards；Public
Health Administration；Research Support,
Non-U.S. Gov't；Research Support, U.S.
Gov't, P.H.S.；United States
【中文关键词】 行为医学；CK 行为医学/组织与管理；数
据收集；按诊疗收费计划；按诊疗收费计
划/经济学；按诊疗收费计划/组织与管理；
按诊疗收费计划/标准；卫生服务；卫生
服务/统计学和数值数据；卫生服务易得
程度；卫生服务易得程度/分类；卫生服
务研究；卫生服务研究/方法；人类；管
理医疗规划；管理医疗规划/经济学；管
理医疗规划/组织与管理；管理医疗规划/
标 准 ； Medicaid ； Medicaid/ 经 济 学 ；
Medicaid/组织与管理；Medicaid/标准；
精神卫生服务；精神卫生服务/经济学；
精神卫生服务/组织与管理；精神卫生服
务/标准；公共卫生管理；研究资助, 非美
国政府；研究性资助, 美国政府, 公共卫
生署；美国
【摘要】
OBJECTIVE: To develop an instrument to
characterize
public
sector
managed
behavioral health care arrangements to
capture key differences between managed
and "unmanaged" care and among managed
care arrangements. STUDY DESIGN: The
instrument
was
developed
by
a
multi-institutional group of collaborators
with participation of an expert panel.
Included are six domains predicted to have
an impact on access, service utilization,
costs, and quality. The domains are:
characteristics of the managed care plan,
enrolled
payment
population,
and
risk
benefit
design,
arrangements,
composition of provider networks, and
accountability. Data are collected at three
levels:
managed
care
organization,
subcontractor, and network of service
providers.
DATA
COLLECTION
METHODS: Data are collected through
contract abstraction and key informant
interviews. A multilevel coding scheme is
used to organize the data into a matrix
along key domains, which is then reviewed
and verified by the key informants.
PRINCIPAL FINDINGS: This instrument
can usefully differentiate between and
among Medicaid fee-for-service programs
and Medicaid managed care plans along
key
domains
of
interest.
Beyond
documenting basic features of the plans and
providing contextual information, these
data will support the refinement and testing
of hypotheses about the impact of public
sector managed care on access, quality,
costs,
and
outcomes
of
care.
CONCLUSIONS: If managed behavioral
health care research is to advance beyond
simple
case
study
comparisons,
a
well-conceptualized set of instruments is
necessary.
【题名】
121
Migraine and psychiatric
comorbidity: from theory
and hypotheses to clinical
application.
【作者】
Sheftell FD；Atlas SJ；
【机构】
New England Center for
Headache,
Connecticut,
Stamford,
and
Atlas
Biomedical
Communications,
Columbia, Maryland, USA.
【刊年卷期】
Headache. 2002V42N9
【页】
934-944
【ISSN】
0017-8748
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Anxiety
；
Disorders
EKAnxiety
Disorders/complications ；
EKAnxiety
；
Disorders/psychology
Behavioral
Medicine ；
Depressive
Disorder ；
Depressive
Disorder/complications ；
Depressive
Disorder/drug
therapy；Humans；Mental
Disorders
；
Mental
Disorders/*complications；
Mental
Disorders/drug
therapy
；
Mental
Disorders/psychology
；
Migraine
；
Disorders
Migraine
Disorders/*complications；
Migraine
therapy
Disorders/drug
；
Migraine
；
Disorders/psychology
Research
Non-U.S.
Support,
；
Gov't
Substance-Related
；
Disorders
Substance-Related
Disorders/complications
【中文关键词】 焦虑症；CK 焦虑症/并发
症；CK 焦虑症/心理学；
行为医学；抑郁症；抑郁
症/并发症；抑郁症/药物疗
法；人类；精神障碍；精
神障碍/并发症；精神障碍
/药物疗法；精神障碍/心理
学；偏头痛；偏头痛/并发
症；偏头痛/药物疗法；偏
头痛/心理学；研究资助,
非美国政府；物质相关性
障碍；物质相关性障碍/并
发症
【摘要】
OBJECTIVE: To review
psychiatric
issues
that
accompany migraine and
means of addressing these
issues.
BACKGROUND:
Psychiatric
factors
and
migraine may interact in
three
general
ways,
etiologically,
psychophysiologically
or
biobehaviorally,
and
comorbidly
two
(the
disorders coexist), which is
the present focus. There are
several
possible
mechanisms
of
comorbidity. The relation
between two disorders may
be a result of chance. One
disorder can cause another
disorder:
Diabetes
can
cause diabetic neuropathy.
There
might
be
shared
environmental risks: Head
trauma
can
cause
both
posttraumatic epilepsy and
posttraumatic
And
there
headache.
may
be
environmental or genetic
risk factors that produce a
brain state giving rise to
both conditions, that is,
there may be some common
biology
underlying
conditions.
This
both
last
mechanism seems to be the
most likely one underlying
comorbidity of migraine
and psychiatric disorders.
We introduce a possible
role for classical paradigms
of learned helplessness in
regard
to
psychiatric
comorbid depressive and
anxiety
disorders
and
migraine. RESULTS: There
appears to be an association
between
migraine
affective
and
disorders,
particularly depression and
anxiety. There are a number
of
formal
tools
for
recognizing depression, but
clinical evaluation should
not be overlooked. Once
diagnosed, depression and
anxiety should be treated,
both to improve the success
of migraine treatment and
to improve the patient's
quality of life. Patients with
recurring
much
headaches
more
likely
are
to
overuse and misuse, rather
than
abuse,
pain
medications. It is important
to be alert for signs that the
patient may be misusing
medication.
Behavioral
approaches can surround
and
support
pharmacological
therapy.
CONCLUSIONS: Migraine
is often comorbid with
psychiatric
disorders,
particularly depression and
anxiety. The relationship is
likely
based
on
shared
mechanisms and successful
treatment is possible.
122
【题名】
The doctor: a seminal video for cinemeducation.
【作者】
Alexander M；
【机构】
Department of Family Medicine, Carolinas Medical Center, Charlotte, NC 28232,
USA. Matthew.Alexander@carolinashealthcare.org
【刊年卷期】
Fam Med. 2002V34N2
【页】
92-94
【ISSN】
0742-3225
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Behavioral Medicine；EKBehavioral Medicine/*education；Family Practice；Family
Practice/*education；Humans；North Carolina；Physician-Patient Relations；*Internship
and Residency；*Medicine in Art；*Motion Pictures
【中文关键词】 行为医学；CK 行为医学/教育；家庭医学；家庭医学/教育；人类；北卡罗来纳；
医生病人关系；实习医师和住院医师职务；艺术中医学；电影
123
【题名】
Evaluation of the Massachusetts Behavioral Health Program: Year 8.
【作者】
Beinecke RH；Shepard DS；Leung M；Sousa D；
【机构】
Department of Public Management, Suffolk University, Boston, Massachusetts
02108-2770, USA. rickdeb61@aol.com
【刊年卷期】
Adm Policy Ment Health. 2002V30N2
【页】
141-157
【ISSN】
0894-587X
【出版国】
United States
【语种】
eng
【文献类型】
Evaluation Studies; Journal Article
【英文关键词】 Behavioral Medicine ； EKBehavioral Medicine/*organization & administration ；
EKBehavioral Medicine/standards；Continuity of Patient Care；Data Collection；
Humans ； Managed Care Programs ； Managed Care Programs/organization &
administration ； Managed Care Programs/*standards ； Massachusetts ； Mental
Disorders ； Mental Disorders/therapy ； Mental Health Services ； Mental Health
Services/*organization & administration；Mental Health Services/standards；Process
Assessment (Health Care)；Program Evaluation；Research Support, U.S. Gov't, P.H.S.
【中文关键词】 行为医学；CK 行为医学/组织与管理；CK 行为医学/标准；病人医护连续性；数
据收集；人类；管理医疗规划；管理医疗规划/组织与管理；管理医疗规划/标准；
马萨诸塞；精神障碍；精神障碍/治疗；精神卫生服务；精神卫生服务/组织与管
理；精神卫生服务/标准；过程评价(卫生保健)；方案评价；研究性资助, 美国政
府, 公共卫生署
【摘要】
The eight-year provider evaluation of the Massachusetts Behavioral Health Program
showed positive assessments of care provision, continuing problems in integration of
care, high assessments of the clinical review process, high evaluations for
administration, and positive ratings compared with other managed care organizations.
Changes in provider organizations continue. Substance abuse and mental health
providers gave similar ratings, while inpatient providers were more critical than
outpatient providers. Ratings in Year 8 were higher generally than in Year 7. The
program continues to be a success; however, improvement in several areas continues to
be difficult.
124
【题名】
Health psychology and the study of the case: from method to analytic concern.
【作者】
Radley A；Chamberlain K；
【机构】
Department
of
Social
Sciences,
Loughborough
University,
Loughborough,
Leicstershire, LE11 3TU, UK. a.r.radley@lboro.ac.uk
【刊年卷期】
Soc Sci Med. 2001V53N3
【页】
321-332
【ISSN】
0277-9536
【出版国】
England
【语种】
eng
【文献类型】
Case Reports; Journal Article
【英文关键词】 Behavioral Medicine ； EKBehavioral Medicine/*methods ； Evaluation Studies ；
Humans；Mental Disorders；Mental Disorders/*diagnosis；Models, Psychological；
Physician-Patient Relations；*Research Design
【中文关键词】 行为医学；CK 行为医学/方法；评价研究；人类；精神障碍；精神障碍/诊断；模
型, 心理学；医生病人关系；研究设计
【摘要】
This paper recommends that the study of the case be seen as of primary analytic
concern to social scientists, and particularly to health psychologists. Criticism is made
of the idea that a case is merely a medical instance or a methodological option. Instead,
we argue that health psychologists should re-direct their attention to the 'study of the
case' as being central to issues concerning health, illness and healing. There are three
reasons for doing this. First, case study is basic to any procedure that involves
collecting information about the context in which medicine is practiced. Second,
communication between health professionals involves presenting the clinical situation
of their patients as storied accounts, so that cases are made, not found. Third, there is
presentational work by patients, involving communications of (as well as about)
suffering and relief. This last feature is basic to how doctors and health psychologists,
especially those engaged in clinical work, understand individuals as 'cases'. The paper
explores differences between these different forms of case, while emphasizing
portrayal as a key feature of all of them. In justifying the study of the case on
conceptual as well as on clinical and methodological grounds, we highlight the
position of health psychology in its attempts both to study and to intervene in
health-care contexts.
125
【题名】
Bladder management in women with neurologic disabilities.
【作者】
Yang CC；Cardenas DD；
【机构】
Department of Urology, University of Washington, Veterans Affairs Puget Sound
Health Care System, Seattle 98195, USA.
【刊年卷期】
Phys Med Rehabil Clin N Am. 2001V12N1
【页】
91-110
【ISSN】
1047-9651
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Behavioral Medicine；Bladder；Bladder/anatomy & histology；Bladder/*innervation；
Bladder/physiology；Bladder, Neurogenic；Bladder, Neurogenic/diagnosis；Bladder,
Neurogenic/*etiology；Bladder, Neurogenic/*therapy；Electric Stimulation Therapy；
Female ； Humans ； Nervous
System
Diseases ； Nervous
System
Diseases/*complications；Urinary Catheterization；Urinary Tract Infections；Urinary
Tract Infections/complications；Urinary Tract Infections/therapy；Urologic Surgical
Procedures
【中文关键词】 行为医学；膀胱；膀胱/解剖学和组织学；膀胱/神经支配；膀胱/生理学；膀胱, 神
经原性；膀胱, 神经原性/诊断；膀胱, 神经原性/病因学；膀胱, 神经原性/治疗；
电刺激疗法；女(雌)性；人类；神经系统疾病；神经系统疾病/并发症；导尿管插
入术；泌尿道感染；泌尿道感染/并发症；泌尿道感染/治疗；泌尿外科手术
【摘要】
Women with neurologic disabilities can experience an array of bladder disorders.
There are many aspects of lower urinary tract management that are specific to women.
Treatments should be based on urodynamic findings, and individualized for each
woman's physical and cognitive abilities.
【题名】
126
A randomized controlled component analysis of a behavioral medicine rehabilitation
program for chronic spinal pain: are the effects dependent on gender?
【作者】
Jensen IB；Bergstrom G；Ljungquist T；Bodin L；Nygren AL；
【机构】
Karolinska Institute, Section for Personal Injury Prevention, Box 127 18, 112 94,
Stockholm, Sweden.
【刊年卷期】
Pain. 2001V91N1-2
【页】
65-78
【ISSN】
0304-3959
【出版国】
Netherlands
【语种】
eng
【文献类型】
Clinical Trial; Journal Article; Multicenter Study; Randomized Controlled Trial
【英文关键词】 Absenteeism；Adult；Behavioral Medicine；Behavioral Medicine/*methods；Chronic
Disease； Cognitive Therapy； Female；Humans；Male ；Middle Aged ；Pain ；
Pain/rehabilitation；Patient Compliance；Physical Therapy Modalities；Quality of Life；
Reference Values；Research Support, Non-U.S. Gov't；Spinal Diseases；Spinal
Diseases/physiopathology；Spinal Diseases/*rehabilitation；*Palliative Care；*Sex
Characteristics
【中文关键词】 缺勤；成年人；行为医学；行为医学/方法；慢性病；认知疗法；女(雌)性；人类；
男(雄)性；中年人；疼痛；疼痛/康复；病人依从；物理治疗技术；生活质量；参
考值；研究资助, 非美国政府；脊柱疾病；脊柱疾病/病理生理学；脊柱疾病/康复；
姑息疗法；性征
【摘要】
The aim of the present study was to evaluate the outcome of a behavioral medicine
(BM) rehabilitation program and the outcome of its two main components, compared
to a 'treatment-as-usual' control group (CG). The study employed a 4x4
repeated-measures design with four groups and four assessment periods (pre-treatment,
post-treatment, 6-month follow-up, and 18-month follow-up). The group studied
consisted of subjects on sick leave identified in a nationwide health insurance scheme
in Sweden. After inclusion, the subjects were randomized to one of four conditions,
which were: (1) behavior-oriented physical therapy (PT); (2) cognitive behavioral
therapy (CBT); (3) BM rehabilitation consisting of PT+CBT (BM); (4) a
'treatment-as-usual' CG. The treatments were given over a period of 4 weeks, PT and
CBT on a part-time basis and BM on a full-time basis. Outcome variables were sick
leave, early retirement, and health-related quality of life (measured using the Short
Form Health Survey, SF-36). The results showed that the risk of being granted
full-time early retirement was significantly lower for females in PT and CBT compared
to the CG during the 18-month follow-up period. However, the total absence from
work (sick listing plus early retirement) in days over the 18-month follow-up period
was not significantly different in the CG compared to the treatments. On the SF-36,
women in CBT and BM reported a significantly better health-related quality of life
than women in the CG at the 18-month follow-up. No significant differences for men
were found on the SF-36 scales. In conclusion, the results revealed gender differences
in the outcome of the treatments and that the components of this BM program yielded
as good results as the whole program.
127
【题名】
Introduction: Integrating health psychology into clinical practice.
【作者】
Dornelas EA；
【机构】
Hartford Hospital, Hartford, CT 06102, USA. edornel@harthosp.org
【刊年卷期】
J Clin Psychol. 2001V57N11
【页】
1261-1262
【ISSN】
0021-9762
【出版国】
United States
【语种】
eng
【文献类型】
Editorial
【英文关键词】 Behavioral Medicine；EKBehavioral Medicine/*methods；Humans；Psychotherapy；
Psychotherapy/*methods；United States；*Professional Practice
【中文关键词】 行为医学；CK 行为医学/方法；人类；心理疗法；心理疗法/方法；美国；专业业
务
【题名】
128
Evaluation of a randomized preventive behavioural medicine work site intervention for
public health workers at risk for developing chronic pain.
【作者】
Dahl JC；Nilsson A；
【机构】
Department of Education and Psychology, University of Gavle, Gavle, Sweden.
jdo@hig.se
【刊年卷期】
Eur J Pain. 2001V5N4
【页】
421-432
【ISSN】
1090-3801
【出版国】
England
【语种】
eng
【文献类型】
Clinical Trial; Journal Article; Randomized Controlled Trial
【英文关键词】 Attitude to Health ；Behavioral Medicine；Behavioral Medicine/*organization &
administration；Chronic Disease；Cognitive Therapy；Cognitive Therapy/organization
& administration ； Fear ； Follow-Up Studies ； Humans ； Leisure Activities ；
Musculoskeletal Diseases ； Musculoskeletal Diseases/*prevention & control ；
Musculoskeletal Diseases/therapy；Nursing, Practical；Occupational Health Services；
Occupational Health Services/*organization & administration；Pain；Pain/*prevention
& control ； Pain/therapy ； Preventive Health Services ； Preventive Health
Services/*organization & administration；Program Evaluation；Public Health Nursing；
Public Health Nursing/organization & administration；Quality of Life；Random
Allocation；Research Support, Non-U.S. Gov't
【中文关键词】 健康态度；行为医学；行为医学/组织与管理；慢性病；认知疗法；认知疗法/组
织与管理；恐惧；随访研究；人类；闲暇活动；肌骨骼疾病；肌骨骼疾病/预防与
控制；肌骨骼疾病/治疗；护理, 开业；职业卫生服务；职业卫生服务/组织与管理；
疼痛；疼痛/预防与控制；疼痛/治疗；预防卫生服务；预防卫生服务/组织与管理；
方案评价；公共卫生护理学；公共卫生护理学/组织与管理；生活质量；随机分配；
研究资助, 非美国政府
【摘要】
Because of the substantial increase of sick listing, reports of work disabilities and early
retirement due to the musculoskeletal chronic pain, prevention studies at the work site
are greatly needed. The purpose of the present study was to investigate the effects of a
cognitive behavioural work site intervention on a group of public health workers
judged to be at risk for developing chronic pain. Following baseline measurements, a
group of 29 practical nurses with daily pain symptoms working at services for the
elderly were randomized into two conditions: an active treatment based on cognitive
behaviour therapy and a passive treatment based on traditional symptom alleviation.
The two treatment conditions, provided by a registered nurse and a physical therapist,
took place 30 min a week each once a week, on an individual basis for 4 weeks at the
work site during work time. Results at 4 and 8 weeks and at 6, 12 and 24 month
follow-ups showed improvements for those individuals receiving the active treatment
with regard to the reduction of use of pain-killers, perception of one's self as being sick
and the fear-avoidance response to work-related activities. A preliminary conclusion
was that this short-term work site programme for the prevention of chronic pain for
individuals at risk may be a promising development in the treatment of pain.
【题名】
129
Report of the health care delivery work group: behavioral research related to the
establishment of a chronic disease model for diabetes care.
【作者】
Glasgow RE；Hiss RG；Anderson RM；Friedman NM；Hayward RA；Marrero DG；
Taylor CB；Vinicor F；
【机构】
AMC Cancer Research Center, Denver, Colorado, USA. russkpf@earthlink.net
【刊年卷期】
Diabetes Care. 2001V24N1
【页】
124-130
【ISSN】
0149-5992
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Chronic Disease；Diabetes Mellitus；Diabetes Mellitus/*therapy；Health Priorities；
Humans；Medically Underserved Area；Minority Groups；National Institutes of Health
(U.S.)；United States；*Behavioral Medicine；*Delivery of Health Care；*Health
Services Research；*Models, Theoretical
【中文关键词】 慢性病；糖尿病；糖尿病/治疗；卫生工作重点；人类；缺医地区；少数民族；国
立卫生研究院(美国)；美国；行为医学；卫生保健提供；卫生服务研究；模型, 理
论
【摘要】
As one of four work groups for the November 1999 conference on Behavioral Science
Research in Diabetes, sponsored by the National Institute on Diabetes and Digestive
and Kidney Diseases, the health care delivery work group evaluated the status of
research on quality of care, patient-provider interactions, and health care systems'
innovations related to improved diabetes outcomes. In addition, we made
recommendations for future research. In this article, which was developed and
modified at the November conference by experts in health care delivery, diabetes and
behavioral science, we summarize the literature on patient-provider interactions,
diabetes care and self-management support among underserved and minority
populations, and implementation of chronic care management systems for diabetes. We
conclude that, although the quality of care provided to the vast majority of diabetic
patients is problematic, this is principally not the fault of either individual patients or
health care professionals. Rather, it is a systems issue emanating from the acute illness
model of care, which still predominates. Examples of proactive population-based
chronic care management programs incorporating behavioral principles are discussed.
The article concludes by identifying barriers to the establishment of a chronic care
model (e.g., lack of supportive policies, understanding of population-based
management, and information systems) and priorities for future research in this area
needed to overcome these barriers.
【题名】
130
Behavioral science research in diabetes: lifestyle changes related to obesity, eating
behavior, and physical activity.
【作者】
Wing RR；Goldstein MG；Acton KJ；Birch LL；Jakicic JM；Sallis JF Jr；Smith West
D；Jeffery RW；Surwit RS；
【机构】
Weight Control and Diabetes Research Center, Miriam Hospital, Brown University,
Providence, Rhode Island 02906, USA. rwing@lifespan.org
【刊年卷期】
Diabetes Care. 2001V24N1
【页】
117-123
【ISSN】
0149-5992
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Behavior Therapy；Body Weight；Diabetes Mellitus；Diabetes Mellitus/prevention &
control；Diabetes Mellitus/therapy；Diabetes Mellitus, Type 2；Diabetes Mellitus, Type
2/*prevention & control；Diabetes Mellitus, Type 2/*therapy；Diet；Eating；Exercise；
Humans ； Hyperphagia ； Life Style ； Obesity ； Obesity/prevention & control ；
Obesity/therapy；*Behavioral Medicine；*Research
【中文关键词】 行为疗法；体重；糖尿病；糖尿病/预防与控制；糖尿病/治疗；糖尿病, 2 型；糖
尿病, 2 型/预防与控制；糖尿病, 2 型/治疗；膳食；进食；运动(Exercise)；人类；
摄食过度；生活方式；肥胖症；肥胖症/预防与控制；肥胖症/治疗；行为医学；
研究
【摘要】
Lifestyle factors related to obesity, eating behavior, and physical activity play a major
role in the prevention and treatment of type 2 diabetes. In recent years, there has been
progress in the development of behavioral strategies to modify these lifestyle
behaviors. Further research, however, is clearly needed, because the rates of obesity in
our country are escalating, and changing behavior for the long term has proven to be
very difficult. This review article, which grew out of a National Institute of Diabetes
and Digestive and Kidney Diseases conference on behavioral science research in
diabetes, identifies four key topics related to obesity and physical activity that should
be given high priority in future research efforts: 1) environmental factors related to
obesity, eating, and physical activity; 2) adoption and maintenance of healthful eating,
physical activity, and weight; 3) etiology of eating and physical activity; and 4)
multiple behavior changes. This review article discusses the significance of each of
these four topics, briefly reviews prior research in each area, identifies barriers to
progress, and makes specific research recommendations.
131
【题名】
Promoting behavioral science research in diabetes.
【作者】
Marrero DG；Peyrot M；Garfield S；
【刊年卷期】
Diabetes Care. 2001V24N1
【页】
1-2
【ISSN】
0149-5992
【出版国】
United States
【语种】
eng
【文献类型】
Comment; Editorial
【英文关键词】 Behavior；Diabetes Mellitus；Diabetes Mellitus/*therapy；Diet；Exercise；Humans；
*Behavioral Medicine；*Research
【中文关键词】 行为；糖尿病；糖尿病/治疗；膳食；运动(Exercise)；人类；行为医学；研究
【题名】
132
Behavioral neurology in the emergency room: language testing, brain imaging, and
acute stroke therapy.
【作者】
Kirshner HS；
【刊年卷期】
Ann Neurol. 2001V50N5
【页】
559-560
【ISSN】
0364-5134
【出版国】
United States
【语种】
eng
【文献类型】
Comment; Editorial
【英文关键词】 Animals；Behavioral Medicine；Behavioral Medicine/*methods；Brain；Brain/blood
supply ； Brain/pathology ； Brain/physiopathology ； Cerebrovascular Accident ；
Cerebrovascular Accident/*diagnosis；Cerebrovascular Accident/physiopathology；
Cerebrovascular Accident/therapy；Emergency Medical Services；Emergency Medical
Services/*methods；Humans；Temporal Lobe；Temporal Lobe/blood supply；Temporal
Lobe/pathology；Temporal Lobe/physiopathology；*Magnetic Resonance Imaging；
*Neuropsychological Tests
【中文关键词】 动物；行为医学；行为医学/方法；脑；脑/血液供给；脑/病理学；脑/病理生理学；
脑血管意外；脑血管意外/诊断；脑血管意外/病理生理学；脑血管意外/治疗；急
救医疗服务；急救医疗服务/方法；人类；颞叶；颞叶/血液供给；颞叶/病理学；
颞叶/病理生理学；磁共振成像；神经心理学测验
【题名】
133
The role of behavioral and psychosocial science in reducing cancer morbidity and
mortality.
【作者】
Burish TG；
【机构】
Vanderbilt
University,
Nashville,
Tennessee
37205,
USA.
thomas.g.burish@vanderbilt.edu
【刊年卷期】
Oncologist. 2000V5N3
【页】
263-266
【ISSN】
1083-7159
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Cost-Benefit Analysis；Humans；Morbidity；Neoplasms；Neoplasms/mortality；
Neoplasms/pathology；Neoplasms/*psychology；Psychotherapy；Quality of Life；
Research Support；*Behavioral Medicine；*Behavioral Medicine/economics；*Social
Support
【中文关键词】 费用效益分析；人类；年患病率；肿瘤；肿瘤/死亡率；肿瘤/病理学；肿瘤/心理
学；心理疗法；生活质量；研究资助；行为医学；行为医学/经济学；社会支持
【摘要】
Behavioral and psychosocial science has the potential to contribute much to the overall
effort to reduce cancer morbidity and mortality and to improve the quality of life for
cancer patients and their families. However, for a variety of reasons, including a lack
of sustained funding for research and training and a lack of confidence by some in the
potential payoff for investments in the area, this potential has not only not been
realized but also not been adequately explored. A special subcommittee of "The
March" Research Task Force studied research in this area and issued a report making
several recommendations for future funding for psychosocial and behavioral research
in cancer. This article reports those recommendations and the reasons the committee
supported them.
【题名】
134
Prospective randomized two-Arm controlled study to determine the efficacy of a
specific intervention to improve long-term adherence to highly active antiretroviral
therapy.
【作者】
Tuldra A；Fumaz CR；Ferrer MJ；Bayes R；Arno A；Balague M；Bonjoch A；Jou
A；Negredo E；Paredes R；Ruiz L；Romeu J；Sirera G；Tural C；Burger D；Clotet
B；
【机构】
HIV Unit, "Fundacio Lluita SIDA" and "IrsiCaixa" Retrovirology Laboratory,
"Germans
Trias
i
Pujol"
University
Hospital,
Badalona,
Spain.
atuldra@ns.hugtip.scs.es
【刊年卷期】
J Acquir Immune Defic Syndr. 2000V25N3
【页】
221-228
【ISSN】
1525-4135
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Clinical Trial; Journal Article; Randomized Controlled Trial
【英文关键词】 Adult；Analysis of Variance；Antiretroviral Therapy, Highly Active；Antiretroviral
Therapy,
Highly
Active/*psychology ； Behavioral
Medicine ； Behavioral
Medicine/*methods；Female；HIV Infections；HIV Infections/*drug therapy；HIV
Protease Inhibitors；HIV Protease Inhibitors/blood；HIV-1；Humans；Male；Middle
Aged；Patient Compliance；Patient Compliance/*psychology；Prospective Studies；
RNA, Viral；RNA, Viral/blood；Research Support, Non-U.S. Gov't；Viral Load；
*Patient Education
【中文关键词】 成年人；方差分析；抗逆转录病毒治疗, 高效；抗逆转录病毒治疗, 高效/心理学；
行为医学；行为医学/方法；女(雌)性；HIV 感染；HIV 感染/药物疗法；HIV 蛋白
酶抑制药；HIV 蛋白酶抑制药/血液；HIV-1；人类；男(雄)性；中年人；病人依
从；病人依从/心理学；前瞻性研究；RNA, 病毒；RNA, 病毒/血液；研究资助, 非
美国政府；病毒载量；病人教育
【摘要】
BACKGROUND: Nearly perfect compliance seems to be indispensable to obtain the
maximum benefit from highly active antiretroviral therapy (HAART). Interventions to
ensure a high level of adherence during a relatively long-term period of therapy are
necessary. METHODS: This is a prospective, randomized, two-arm controlled study
including patients starting their first-or second-line HAART who were randomized to
receive psychoeducative intervention to implement adherence (experimental group
[EG]) or a usual medical follow-up (control group [CG]). We aimed to study the
efficacy of a psychoeducative intervention to ensure long-term adherence to HAART,
its relation with the virologic efficacy of treatment, and to determine the variables
related to long-term adherence. Visits were made at weeks 0, 4, 24, and 48 for data
collection. Self-reported adherence was registered at each visit and its veracity was
tested by randomized blood analyses performed without previous warning to 40% of
patients. Appropriate adherence was defined as the consumption of >/=95% of
medication prescribed. Statistical analyses were performed both by the as treated (AT)
and the intention to treat missing = failure (ITT) methods. RESULTS: In all, 116
patients were included. At week 48, 94% of patients in the EG versus 69% controls
achieved adherence >/=95% (p =.008); 89% of patients in the EG versus 66% controls
had HIV-1 RNA levels <400 copies/ml (p =.026). Overall, 85% of patients with
adherence >/=95% but only 45% of those with adherence <95% had viral load (VL)
<400 copies/ml (p =. 008). In multivariate analysis, variables significantly related to
adherence were having received a psychoeducative intervention (odds ratio [OR], 6.58;
p =.04), poor effort to take medication (OR, 5.38; p =.03), and high self-perceived
capacity to follow the regimen (OR, 13.76; p =.04). Self-reported adherence and drug
plasma levels coincided in 93% of cases. However, differences in adherence did not
reach statistical significance in the ITT analysis although a clear tendency toward
benefit
was
observed
in
EG.
CONCLUSIONS:
Specific
and
maintained
psychoeducative interventions based on excellence on clinical practice are useful to
keep high levels of adherence as well as high levels of viral suppression. There is a
clear relation between high adherence levels and virologic success. Assessment of
certain specific variables related to adherence may be helpful to monitor patient's
compliance in the clinical setting.
135
【题名】
Community effects on access to behavioral health care.
【作者】
Gresenz CR；Stockdale SE；Wells KB；
【机构】
RAND, Santa Monica, CA 90407, USA.
【刊年卷期】
Health Serv Res. 2000V35N1Pt2
【页】
293-306
【ISSN】
0017-9124
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Consumer Participation；EKConsumer Participation/statistics & numerical data；
EKConsumer Participation/*utilization；Female；Health Maintenance Organizations；
Health Maintenance Organizations/statistics & numerical data；Health Maintenance
Organizations/utilization ； Health
Services
Research ； Health
Services
Research/methods；Health Services Research/statistics & numerical data；Humans；
Male；Mental Health Services；Mental Health Services/statistics & numerical data；
Mental Health Services/*utilization；Middle Aged；Models, Statistical；Random
Allocation；Research Support, Non-U.S. Gov't；Research Support, U.S. Gov't, P.H.S.；
Socioeconomic Factors ； United States ； *Behavioral Medicine ； *Behavioral
Medicine/statistics & numerical data；*Health Services Accessibility；*Health Services
Accessibility/statistics & numerical data
【中文关键词】 用户参与；CK 用户参与/统计学和数值数据；CK 用户参与/利用；女(雌)性；健
康维护组织；健康维护组织/统计学和数值数据；健康维护组织/利用；卫生服务
研究；卫生服务研究/方法；卫生服务研究/统计学和数值数据；人类；男(雄)性；
精神卫生服务；精神卫生服务/统计学和数值数据；精神卫生服务/利用；中年人；
模型, 统计学；随机分配；研究资助, 非美国政府；研究性资助, 美国政府, 公共
卫生署；社会经济因素；美国；行为医学；行为医学/统计学和数值数据；卫生服
务易得程度；卫生服务易得程度/统计学和数值数据
【摘要】
OBJECTIVE: To explore the effects of community-level factors on access to any
behavioral health care and specialty behavioral health care. DATA: Healthcare for
Communities household survey data, merged to supplemental data from the 1990
Census Area Resource File, 1995 U.S. Census Bureau Small Area Estimates, and 1994
HMO enrollment data. STUDY DESIGN: We use a random intercept model to
estimate the influences of community-level factors on access to any outpatient care,
any behavioral health care conditional on having received outpatient care, and any
specialty behavioral health care conditional on having received behavioral health care.
DATA COLLECTION: HCC data were collected in 1997 from about 10,000
households nationwide but clustered in 60 sites. PRINCIPAL FINDINGS: Individuals
in areas with greater HMO presence have better overall access to care, which in turn
affects access to behavioral health care; individuals in poorer communities have less
access to specialty care compared to individuals in wealthier communities.
CONCLUSIONS: Our findings of lower access to specialty care among those in poor
communities raises concerns about the appropriateness and quality of the behavioral
health care they are receiving. More generally, the findings suggest the importance of
considering the current status and expected evolution of HMO penetration and the
income level in a community when devising health care policy.
136
【题名】
Social ecology and behavioral medicine: implications for training, practice, and policy.
【作者】
Stokols D；
【机构】
School of Social Ecology, University of California, Irvine, USA. dstokols@uci.edu
【刊年卷期】
Behav Med. 2000V26N3
【页】
129-138
【ISSN】
0896-4289
【出版国】
United States
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Humans ； Sociology,
Medical ； Sociology,
Medical/education ； Sociology,
Medical/standards；Sociology, Medical/trends；United States；*Behavioral Medicine；
*Behavioral Medicine/education ； *Behavioral Medicine/standards ； *Behavioral
Medicine/trends；*Ecology；*Health Policy
【中文关键词】 人类；社会学, 医学；社会学, 医学/教育；社会学, 医学/标准；社会学, 医学/发
展趋势；美国；行为医学；行为医学/教育；行为医学/标准；行为医学/发展趋势；
生态学；卫生政策
【摘要】
Social ecology offers a conceptual framework for understanding the etiology of
multiple health problems and a basis for designing broad-gauge educational,
therapeutic, and policy interventions to enhance personal and community well-being.
Implications of social ecology for behavioral medicine are considered in relation to the
development of diagnostic and therapeutic practices, professional training programs,
and health policies implemented at municipal, state, and national levels. By
influencing the training and practices of healthcare professionals and the decisions of
corporate and community leaders, behavioral medicine can expand the scope and
impact of future interventions beyond the health gains achievable through provision of
direct services to patient populations. Potential barriers to establishing ecologically
based health programs and policies and directions for research at the interface of
behavioral medicine, social ecology, and public health are discussed.
137
【题名】
Group interventions and the limits of behavioral medicine.
【作者】
Dooley D；Catalano R；
【机构】
Department of Psychology and Social Behavior, School of Social Ecology, University
of California, Irvine, USA. cddooley@uci.edu
【刊年卷期】
Behav Med. 2000V26N3
【页】
116-128
【ISSN】
0896-4289
【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；Health Promotion；Health
Promotion/*methods；Humans；Primary Prevention；Sociology, Medical；Sociology,
Medical/methods ； United States ； *Health Planning ； *Public Health ； *Public
Health/economics
【中文关键词】 行为医学；CK 行为医学/发展趋势；健康促进；健康促进/方法；人类；一级预防；
社会学, 医学；社会学, 医学/方法；美国；健康计划；公共卫生；公共卫生/经济
学
【摘要】
A wide range of interventions has been devised to address health hazards in the social
and physical environment. The authors propose a 2-dimensional matrix to organize
these interventions. The timing of interventions is divided into 4 stages: preventing
exposure to hazard (proactive primary prevention), preventing symptoms from
appearing (reactive primary prevention), preventing early symptoms from becoming
chronic or leading to disease (secondary prevention), and managing the disease
(tertiary prevention). The level at which the intervention is targeted is divided into 2
categories: micro (individual or family) and macro (more aggregate social level).
Large-scale interventions such as media campaigns can target either individual health
behaviors (microlevel) or the environment (macrolevel). This typology is illustrated
with interventions designed to prevent or ameliorate the health consequences of
adverse employment changes such as job loss. The analysis concludes that behavioral
medicine and public health approaches are differentially suited to different intervention
types.
138
【题名】
Psychosomatic medicine: state of the art.
【作者】
Ursin H；
【机构】
Department of Biological and Medical Psychology, University of Bergen, Norway.
holger.ursin@psych.uib.no
【刊年卷期】
Ann Med. 2000V32N5
【页】
323-328
【ISSN】
0785-3890
【出版国】
ENGLAND
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Behavioral Medicine；Humans；Life Style；Psychosomatic Medicine；Psychosomatic
Medicine/*trends ； Stress,
Psychological ； *Psychophysiologic
Disorders ；
*Psychophysiologic Disorders/psychology
【中文关键词】 行为医学；人类；生活方式；心身医学；心身医学/发展趋势；应激, 心理学；心
理生理性障碍；心理生理性障碍/心理学
【摘要】
Contemporary psychosomatic medicine must take into consideration developments in
psychobiology. The difficulty in accepting dualistic concepts is a serious challenge to
positions distinguishing between psychological and 'real' causes of disease. There is
more emphasis on life style factors for disease and on the impact of psychosocial
factors on illness rather than on disease. The neurophysiological concept of activation
or arousal has been important in the development of rational pathophysiological
models that describe how sustained arousal may be a pathophysiological factor. For
illness, sensitization may be an acceptable psychobiological mechanism underlying
very frequently occurring and expensive medical conditions that require medical and
economical assistance. One possible alternative to old dynamic concepts is the
development of a cognitive arousal theory of stress.
139
【题名】
Behavioral medicine teaching rounds: improving doctor-patient interaction skills.
【作者】
Harvey RT；Cope DW；
【机构】
Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, SC,
USA.
【刊年卷期】
Acad Med. 2000V75N5
【页】
561-562
【ISSN】
1040-2446
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Behavioral Medicine ； EKBehavioral Medicine/*education ； South Carolina ；
*Education, Medical；*Physician-Patient Relations
【中文关键词】 行为医学；CK 行为医学/教育；南卡罗来纳；教育, 医学；医生病人关系
140
【题名】
Refractory gastrointestinal symptoms: a combined medical psychiatric approach.
【作者】
Olden KW；
【机构】
Department of Medicine and Psychiatry, Mayo Clinic Scottsdale, AZ 85259, USA.
【刊年卷期】
Semin Gastrointest Dis. 1999V10N1
【页】
37-45
【ISSN】
1049-5118
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Case Reports; Journal Article
【英文关键词】 Adult；Anxiety；Anxiety/psychology；Battered Women；Behavioral Medicine；Culture；
Depression ； Depression/psychology ； Female ； Gastrointestinal Diseases ；
Gastrointestinal Diseases/diagnosis；Gastrointestinal Diseases/*psychology；Humans；
Hypnosis ； Mental
Disorders ； Mental
Disorders/*diagnosis ； Mental
Disorders/*therapy；Sex Factors；*Patient Care Team
【中文关键词】 成年人；焦虑；焦虑/心理学；被殴打妇女；行为医学；文化；抑郁；抑郁/心理
学；女(雌)性；胃肠疾病；胃肠疾病/诊断；胃肠疾病/心理学；人类；催眠术；精
神障碍；精神障碍/诊断；精神障碍/治疗；性别因素；病人医疗小组
【摘要】
Gastroenterology has always been a collaborative specialty. Through the years,
gastroenterologists have created important partnerships with pathologists, radiologists,
surgeons, gynecologists, and pediatricians. These collaborative relationships have
greatly enhanced patient care and research. This article reviews the literature on
psychiatric comorbidity in the medical setting and gastroenterology practice in
particular. The ability to recognize psychiatric comorbidity and relate it to the patient's
presenting gastrointestinal (GI) complaint can pay great dividends for patients. The
ability to apply these observations to help facilitate psychiatric collaboration and
specifically, to initiate behavioral treatment, represents a new dimension in the care of
chronic GI disorders. Finally, the relationship between physical and sexual abuse and
GI illness and the usefulness of psychiatric interventions in the treatment of chronic GI
disorders is reviewed in detail.
【题名】
141
Consolidation:
the
changing face of the
behavioral health care
industry.
【作者】
Dowd CE；Ashley Dixon
R；
【机构】
Colleen
E.
Dowd
&
Associates, USA.
【刊年卷期】
Manag
Care
Q.
1999V7N1
【页】
61-63
【ISSN】
1064-5454
【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
；
EKBehavioral
Medicine/trends
；
Consumer Satisfaction；
Economic Competition；
Health Facility Merger；
Health
Facility
Merger/*trends
；
Humans；Managed Care
Programs；Managed Care
Programs/*organization
& administration；Mental
Health Services；Mental
Health
Services/*organization &
administration ； Mental
Health Services/trends；
United States
【中文关键词】 行为医学；CK 行为医学
/组织与管理；CK 行为
医学/发展趋势；用户满
意；经济竞争；卫生设
施合并；卫生设施合并
/发展趋势；人类；管理
医疗规划；管理医疗规
划/组织与管理；精神卫
生服务；精神卫生服务
/组织与管理；精神卫生
服务/发展趋势；美国
142
【题名】
David Hill: behavioural insights into cancer control.
【作者】
Tattam A；
【刊年卷期】
Lancet. 1999V354N9185
【页】
1186
【ISSN】
0140-6736
【出版国】
ENGLAND
【语种】
eng
【文献类型】
Biography; Historical Article; News
【英文关键词】 Australia；Behavioral Medicine；Behavioral Medicine/*history；History, 20th Century；
Humans；Neoplasms；Neoplasms/history；Neoplasms/*prevention & control；Portraits；
Smoking；Smoking/history；Smoking/*prevention & control
【中文关键词】 澳大利亚；行为医学；行为医学/历史；历史, 20 世纪；人类；肿瘤；肿瘤/历史；
肿瘤/预防与控制；肖像；吸烟；吸烟/历史；吸烟/预防与控制
143
【题名】
Self-directed smoking cessation.
【刊年卷期】
J Indian Med Assoc. 1999V97N9
【页】
385
【ISSN】
0019-5847
【出版国】
INDIA
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Behavioral Medicine；Humans；Smoking Cessation；Smoking Cessation/economics；
Smoking Cessation/*methods
【中文关键词】 行为医学；人类；戒烟；戒烟/经济学；戒烟/方法
【题名】
144
Regulating managed care: interest group competition for control and behavioral health
care.
【作者】
Ross EC；
【机构】
American Managed Behavioral Healthcare Association, USA.
【刊年卷期】
J Health Polit Policy Law. 1999V24N3
【页】
599-625
【ISSN】
0361-6878
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Behavioral Medicine；Conflict (Psychology)；Economic Competition；Economic
Competition/*legislation & jurisprudence；Facility Regulation and Control；Facility
Regulation and Control/economics；Facility Regulation and Control/*legislation &
jurisprudence ； Health Care Reform ； Health Care Reform/organization &
administration ； Humans ； Managed
Care
Programs ； Managed
Care
Programs/economics；Managed Care Programs/legislation & jurisprudence；Managed
Care Programs/*organization & administration；Mental Health Services；Mental Health
Services/economics；Mental Health Services/legislation & jurisprudence；Mental
Health Services/*organization & administration ； Power (Psychology) ； Quality
Assurance,
Health
Care ； Quality Assurance,
Health
Care/organization
&
administration；Social Responsibility；United States；*Consumer Advocacy；*Health
Behavior；*Lobbying
【中文关键词】 行为医学；冲突(心理学)；经济竞争；经济竞争/立法和法学；设施的规章和管理；
设施的规章和管理/经济学；设施的规章和管理/立法和法学；卫生保健改革；卫
生保健改革/组织与管理；人类；管理医疗规划；管理医疗规划/经济学；管理医
疗规划/立法和法学；管理医疗规划/组织与管理；精神卫生服务；精神卫生服务/
经济学；精神卫生服务/立法和法学；精神卫生服务/组织与管理；权力(心理学)；
质量保证, 卫生保健；质量保证, 卫生保健/组织与管理；社会责任；美国；消费
者辩护；健康行为；游说
【摘要】
In this essay I identify how historic patterns of competition among health care interest
groups have simultaneously retained their past contours and also changed significantly
as a result of the jolt created by the rise of managed care. I explain why it is that I and
other executives of for-profit managed behavioral health care organizations,
traditionally advocates of market-based approaches to accountability, have begun to
support some versions of regulation by the national government in order to restore
consumer confidence in the credibility of managed health plans. Key concepts that are
addressed include notions of public accountability, control of the purse strings,
consumer protections, and provider privileges.
【题名】
145
Cost and quality trends under managed care: is there a learning curve in behavioral
health carve-out plans?
【作者】
Sturm R；
【机构】
RAND, Santa Monica, CA 90401, USA. roland_sturm@rand.org
【刊年卷期】
J Health Econ. 1999V18N5
【页】
593-604
【ISSN】
0167-6296
【出版国】
NETHERLANDS
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Behavioral Medicine ； EKBehavioral Medicine/*economics ； Contract Services ；
Contract Services/economics；Contract Services/standards；Health Benefit Plans,
Employee；Health Benefit Plans, Employee/economics；Health Care Costs；Health
Care Costs/*trends；Health Expenditures；Health Expenditures/trends；Health Services
Research；Managed Care Programs；Managed Care Programs/*economics；Quality of
Health Care；Quality of Health Care/*trends；Research Support, Non-U.S. Gov't；
Research Support, U.S. Gov't, P.H.S.；United States
【中文关键词】 行为医学；CK 行为医学/经济学；合同业务；合同业务/经济学；合同业务/标准；
保健福利计划, 雇员；保健福利计划, 雇员/经济学；卫生保健费用；卫生保健费
用/发展趋势；卫生经费支出；卫生经费支出/发展趋势；卫生服务研究；管理医
疗规划；管理医疗规划/经济学；卫生保健质量；卫生保健质量/发展趋势；研究
资助, 非美国政府；研究性资助, 美国政府, 公共卫生署；美国
【摘要】
The paper studies the performance of network plans over time using data from 52
managed behavioral health plans. Costs exhibit a 'learning curve' with additional cost
declines of 10-15% with every doubling of experience, which are independent from
time trends and scale economies. Process-of-care measures show increased
appropriateness of follow-up care and reduced 30-day rehospitalization, but the
relationship to experience or time is not statistically significant. Possible causes of
organizational 'learning' could be faster referrals to network clinicians, increased
acceptance of network providers by patients, selection of more efficient providers,
improved care management procedures, or better monitoring techniques.
【题名】
146
Cardiovascular and mood responses to quantified doses of cigarette smoke in oral
contraceptive users and nonusers.
【作者】
Masson CL；Gilbert DG；
【机构】
University of California, San Francisco, USA. masson@itsa.ucsf.edu
【刊年卷期】
J Behav Med. 1999V22N6
【页】
589-604
【ISSN】
0160-7715
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Clinical Trial; Controlled Clinical Trial; Journal Article
【英文关键词】 Administration, Inhalation；Adolescent；Adult；Affect；Affect/*drug effects；Analysis
of Variance；Behavioral Medicine；Blood Pressure；Blood Pressure/drug effects；
Cardiovascular Physiology；Cardiovascular Physiology/*drug effects；Contraceptives,
Oral；Contraceptives, Oral/*administration & dosage；Contraceptives, Oral/adverse
effects；Coronary Disease；Coronary Disease/etiology；Coronary Disease/psychology；
Diastole；Dose-Response Relationship, Drug；Female；Heart Rate；Heart Rate/drug
effects；Humans；Menstruation；Menstruation/physiology；Menstruation/psychology；
Nicotine ； Nicotine/*administration & dosage ； Nicotine/adverse effects ； Self
Disclosure；Smoking；Smoking/adverse effects；Systole
【中文关键词】 投药, 吸入；青少年；成年人；情感；情感/药物作用；方差分析；行为医学；血
压；血压/药物作用；心血管生理学；心血管生理学/药物作用；避孕药, 口服；避
孕药, 口服/投药和剂量；避孕药, 口服/副作用；冠状动脉疾病；冠状动脉疾病/
病因学；冠状动脉疾病/心理学；心舒期；剂量效应关系, 药物；女(雌)性；心率；
心率/药物作用；人类；月经；月经/生理学；月经/心理学；尼古丁；尼古丁/投药
和剂量；尼古丁/副作用；自我揭露；吸烟；吸烟/副作用；心缩期
【摘要】
Previous research suggests that the female sex hormones may moderate cardiovascular
and mood responses to cigarette smoking and abstinence. To test this possibility, acute
effects of cigarette smoking on cardiovascular reactivity and mood were examined in
12 oral contraceptive users and 12 nonusers across two menstrual phases (early and
late cycle). After overnight deprivation, each participant attended two sessions in
which they first sham-smoked and then smoked two standard cigarettes, via a
quantified smoke delivery system. Oral contraceptive users exhibited larger cigarette
smoking-induced increases in heart rate compared with nonusers. In addition, cigarette
smoking-induced cardiovascular changes varied with both the phase of the menstrual
cycle and oral contraceptive use. No menstrual phase-dependent effects were observed
for tobacco withdrawal symptoms, premenstrual symptoms, or moods prior to
smoking. Cardiovascular hyperreactivity to cigarette smoke in oral contraceptive users
may help explain the mechanisms by which smoking and oral contraceptive use
contribute to an elevated risk for coronary heart disease.
147
【题名】
Group cohesion in older adult exercisers: prediction and intervention effects.
【作者】
Estabrooks PA；Carron AV；
【机构】
School of Kinesiology, University of Western Ontario, London, Canada.
【刊年卷期】
J Behav Med. 1999V22N6
【页】
575-588
【ISSN】
0160-7715
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Clinical Trial; Controlled Clinical Trial; Journal Article
【英文关键词】 Aged；Behavioral Medicine；Exercise；Exercise/physiology；Exercise/*psychology；
Humans；Social Support；Statistics；Time Factors；*Group Processes
【中文关键词】 老年人；行为医学；运动(Exercise)；运动(Exercise)/生理学；运动(Exercise)/心理
学；人类；社会支持；统计学；时间因素；团体处理
【摘要】
Two studies were conducted to examine the relationship between class cohesion and
exercise adherence in older adult exercisers. Study 1 examined the predictive ability of
four dimensions of cohesion on exercise participation at 1, 6, and 12 months following
the initial assessment of cohesion. Study 2 examined the effectiveness of a
team-building intervention, designed to enhance class cohesion (and based on Study 1
results), on improving exercise adherence and return rates. Participants were assigned
to a team-building, placebo, or control condition. Study 1 showed that three measures
of cohesion, Individual attractions to the group-social, Group integration-social, and
Group integration-task, were all significantly related to exercise class attendance
following a 1-month interval. Group integration-task was significantly related to class
attendance following a 6-and a 12-month interval. Study 2 showed that participants in
the team-building condition (a) attended more classes than the control and placebo
conditions and (b) had a higher return rate following a 10-week hiatus than the control
condition. It was concluded that (a) class cohesion plays a significant role in exercise
class participation, both short- and long-term, and (b) samples of older adult exercisers
are appropriate groups for interventions based on developing class cohesion.
【题名】
148
The negative impact of the cognitive movement on the continued growth of the
behavior therapy movement: a historical perspective.
【作者】
Levis DJ；
【机构】
Department of Psychology, SUNY Binghamton 13902-6000, USA.
【刊年卷期】
Genet Soc Gen Psychol Monogr. 1999V125N2
【页】
157-171
【ISSN】
8756-7547
【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/*history；Cognitive Therapy；Cognitive
Therapy/*history ； History, 20th Century ； Humans ； Mental Disorders ； Mental
Disorders/history；Mental Disorders/therapy；Philosophy；Philosophy/history
【中文关键词】 行为医学；CK 行为医学/历史；认知疗法；认知疗法/历史；历史, 20 世纪；人类；
精神障碍；精神障碍/历史；精神障碍/治疗；哲学；哲学/历史
【摘要】
In recent years, a growing number of behavior therapists have expressed concern over
the current state of the behavioral therapy movement. Some of the major problems
raised center on current overload and fractionization, the lack of a coherent overall
picture, the loss of identity, and the influx of cognitivism. In an attempt to enhance
understanding of the factors responsible for the current crises in the behavior therapy
field, the author provides a historical overview of the behavioral movement from its
original conception to its current state. An argument is made that the solution to the
afore-mentioned problems resides in the readoption of the underlying philosophy of
science that originally gave birth and purpose to the field.
149
【题名】
[Siblings of children with chronic disease]
【作者】
Odievre M；
【刊年卷期】
Arch Pediatr. 1999V6N11
【页】
1149-1151
【ISSN】
0929-693X
【出版国】
FRANCE
【语种】
fre
【文献类型】
Journal Article
【英文关键词】 Behavioral Medicine；Child；Cultural Characteristics；Humans；Nuclear Family；
Social Support；*Adaptation, Psychological；*Chronic Disease；*Disabled Children；
*Family Health
【中文关键词】 行为医学；儿童；文化特征；人类；核型家庭；社会支持；适应, 心理学；慢性
病；残疾儿童；家庭卫生
【题名】
150
Training in behavioral medicine and behavioral change
for family practice residents.
【作者】
McCarthy ME；Zoorob RJ；
【机构】
Department of Family Medicine, Louisiana State
University Medical Center, Kenner 70065, USA.
【刊年卷期】
Acad Med. 1999V74N5
【页】
606-607
【ISSN】
1040-2446
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Behavioral
Medicine
；
EKBehavioral
Medicine/*education ； Family
Practice ； Family
Practice/*education ； Health
Behavior ； Health
Promotion；Humans；Louisiana；Mental Disorders；
Mental
Disorders/psychology
；
Mental
Disorders/therapy；*Internship and Residency
【中文关键词】 行为医学；CK 行为医学/教育；家庭医学；家庭医学
/教育；健康行为；健康促进；人类；路易斯安那；
精神障碍；精神障碍/心理学；精神障碍/治疗；实习
医师和住院医师职务
【题名】
151
Journal
review:
Mind/Body
Medicine.
【作者】
Pickering TG；
Stone A；
【刊年卷期】
JAMA.
1998V279N10
【页】
749
【ISSN】
0098-7484
【出版国】
UNITED
STATES
【语种】
eng
【文献类型】
Letter
【英文关键词】 *Behavioral
Medicine
；
*Periodicals；
*Societies,
Medical
【中文关键词】 行为医学；期
刊；学会, 医
学
【题名】
152
Outcomes measurement: application of performance standards and practice guidelines
in managed behavioral healthcare.
【作者】
Beaudin C；
【机构】
Value Behavioral Health, Inc. Falls Church, VA, USA.
【刊年卷期】
J Nurs Care Qual. 1998V13N1
【页】
14-26
【ISSN】
1057-3631
【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 ； Health Maintenance
Organizations；Health Maintenance Organizations/*standards；Humans；Outcome and
Process Assessment (Health Care) ；Process Assessment (Health Care) ；Process
Assessment (Health Care)/*standards；United States；*Practice Guidelines
【中文关键词】 行为医学；CK 行为医学/标准；健康维护组织；健康维护组织/标准；人类；结果
与过程评价(卫生保健)；过程评价(卫生保健)；过程评价(卫生保健)/标准；美国；
开业医师诊疗工作准则
【摘要】
Managed
behavioral
health
care
organizations
(MBHOs)
have
increasing
accountability to their customers for measuring and managing the quality of care and
service rendered to consumers. Health plans, state and federal agencies, employers,
and unions express continued and growing interest in MBHOs, utilizing
evidence-based practice guidelines and incorporating performance standards into daily
operations. Standards and guidelines are often built into the behavioral health care
program design by the customer, established by accrediting organizations, developed
and disseminated by research and academic institutions, or promoted by professional
associations.
153
【题名】
Managing behavioral health.
【作者】
Grazier KL；
【机构】
University of Michigan, USA.
【刊年卷期】
J Healthc Manag. 1998V43N5
【页】
393-396
【ISSN】
1096-9012
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Behavioral
Medicine ； EKBehavioral
Medicine/economics ； EKBehavioral
Medicine/*organization & administration；Insurance Coverage；Insurance, Psychiatric；
Insurance,
Psychiatric/*trends ； Managed
Programs ； Managed
Care
Care
Programs/*organization & administration；Managed Care Programs/trends；Models,
Theoretical；Referral and Consultation；United States；*Contract Services
【中文关键词】 行为医学；CK 行为医学/经济学；CK 行为医学/组织与管理；保险范围；保险, 精
神病；保险, 精神病/发展趋势；管理医疗规划；管理医疗规划/组织与管理；管理
医疗规划/发展趋势；模型, 理论；转诊和会诊；美国；合同业务
154
【题名】
Behavioral health care: the keys to successful planning and management.
【作者】
Bender PA；Reynolds ME；Nauert RC；
【机构】
American Behavioral Systems, White Plains, NY, USA.
【刊年卷期】
J Health Care Finance. 1998V25N2
【页】
63-66
【ISSN】
1078-6767
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Behavioral Medicine ； EKBehavioral Medicine/*organization & administration ；
Community Networks；Community Networks/organization & administration；Delivery
of Health Care, Integrated；Delivery of Health Care, Integrated/*organization &
administration ； Humans ； Mental
Health
Services ； Mental
Health
Services/*organization & administration；United States
【中文关键词】 行为医学；CK 行为医学/组织与管理；社区网络；社区网络/组织与管理；卫生保
健提供, 联合；卫生保健提供, 联合/组织与管理；人类；精神卫生服务；精神卫
生服务/组织与管理；美国
【摘要】
Behavioral health care is an important component of health system development.
Unfortunately, many systems believe it is unmanageable in relation to both cost and
effectiveness. The keys to success include thorough planning and modernized
oversight procedures.
155
【题名】
The quarterback drops back for a grande plie.
【作者】
Holstein BB；
【机构】
holstein_barbara@mail.hcds.com
【刊年卷期】
Fam Med. 1998V30N8
【页】
551-552
【ISSN】
0742-3225
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Attitude of Health Personnel；Behavioral Medicine；Behavioral Medicine/*education；
Family Practice；Family Practice/*education；Health Priorities；Humans；Internship
and Residency；Interprofessional Relations；Physician-Patient Relations；Students,
Medical ； Students, Medical/psychology ； *Job Satisfaction ； *Teaching ；
*Teaching/methods
【中文关键词】 医务工作者的态度；行为医学；行为医学/教育；家庭医学；家庭医学/教育；卫
生工作重点；人类；实习医师和住院医师职务；职业间关系；医生病人关系；学
生, 医科；学生, 医科/心理学；职业满意；教学；教学/方法
156
【题名】
Absorption, social desirability, and symptoms in a behavioral medicine population.
【作者】
Gick M；McLeod C；Hulihan D；
【机构】
Department of Psychology, Carleton University, Ottawa, Ontario, Canada.
【刊年卷期】
J Nerv Ment Dis. 1997V185N7
【页】
454-458
【ISSN】
0022-3018
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Adult；Behavioral Medicine；Female；Humans；Hypnosis；Male；Mental Disorders；
Mental Disorders/diagnosis；Mental Disorders/*psychology；Personality Inventory；
Somatoform
Disorders ； Somatoform
Disorders/diagnosis ； Somatoform
Disorders/psychology；*Attitude to Health；*Personality；*Social Desirability
【中文关键词】 成年人；行为医学；女(雌)性；人类；催眠术；男(雄)性；精神障碍；精神障碍/
诊断；精神障碍/心理学；个性量表；躯体型障碍；躯体型障碍/诊断；躯体型障
碍/心理学；健康态度；人格；社会性愿望
【摘要】
The relationships among absorption, social desirability, and psychological and somatic
symptoms were examined in a clinical population of patients at a behavioral medicine
clinic. Absorption, as measured by the Tellegen Absorption Scale, was significantly
and positively related to the somatization and global distress indices of the Brief
Symptom Inventory. However, absorption was negatively related to social desirability,
as measured by the Marlowe-Crowne Scale. Global distress, but not somatization, also
was negatively related to social desirability. After controlling for social desirability,
global distress was marginally related to absorption. In addition, absorption interacted
with a measure of how much patients were bothered by their primary symptom.
Patients who had high absorption reported more somatic and global distress if they also
reported being very bothered by their primary symptom than if they were less bothered
by it. The results are discussed with respect to related research on absorption, social
desirability, and symptoms.
【题名】
157
Managed behavioral health care: a key component of integrated regional delivery
systems.
【作者】
Nauert RC；
【机构】
Radius Health System, Garden City, NY, USA.
【刊年卷期】
J Health Care Finance. 1997V23N3
【页】
49-61
【ISSN】
1078-6767
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Academic Medical Centers；Behavioral Medicine；Behavioral Medicine/economics；
Behavioral Medicine/organization & administration；Budgets；Capitation Fee；Delivery
of Health Care, Integrated；Delivery of Health Care, Integrated/economics；Delivery of
Health Care, Integrated/*organization & administration ； Evaluation Studies ；
Hospital-Physician Joint Ventures；Hospital-Physician Joint Ventures/economics；
Hospital-Physician Joint Ventures/organization & administration；Humans；Managed
Care
Programs ； Managed
Care
Programs/economics ； Managed
Care
Programs/*organization & administration；Mental Health Services；Mental Health
Services/economics；Mental Health Services/*organization & administration；Models,
Organizational；Regional Health Planning；Regional Health Planning/economics；
Regional Health Planning/*organization & administration；Substance Abuse Treatment
Centers；Substance Abuse Treatment Centers/economics；Substance Abuse Treatment
Centers/organization & administration；United States
【中文关键词】 医学科学研究中心；行为医学；行为医学/经济学；行为医学/组织与管理；预算；
按人收费；卫生保健提供, 联合；卫生保健提供, 联合/经济学；卫生保健提供, 联
合/组织与管理；评价研究；医院-医师联合医疗协议；医院-医师联合医疗协议/
经济学；医院-医师联合医疗协议/组织与管理；人类；管理医疗规划；管理医疗
规划/经济学；管理医疗规划/组织与管理；精神卫生服务；精神卫生服务/经济学；
精神卫生服务/组织与管理；模型, 组织管理；地区卫生计划；地区卫生计划/经济
学；地区卫生计划/组织与管理；物质滥用治疗中心；物质滥用治疗中心/经济学；
物质滥用治疗中心/组织与管理；美国
【摘要】
Managed behavioral health care is a key component of integrated regional delivery
systems. Mental health and chemical dependency services are of growing importance
in developing insurance programs and establishing health systems. Primary features
include full involvement of the medical community, development of a free-standing
organization, joint ventures with existing entities, and effective contract negotiations.
158
【题名】
Treatment of somatization in primary care.
【作者】
McLeod CC；Budd MA；McClelland DC；
【机构】
Health Care Partners/Bay Shores Medical Group, Torrence, CA 90503-1671, USA.
【刊年卷期】
Gen Hosp Psychiatry. 1997V19N4
【页】
251-258
【ISSN】
0163-8343
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Clinical Trial; Journal Article; Randomized Controlled Trial
【英文关键词】 Adult；Affect；Analysis of Variance；Anxiety；Anxiety/therapy；Behavior Therapy；
Behavior Therapy/*methods；Behavioral Medicine；Behavioral Medicine/*methods；
Depression；Depression/therapy；Family Practice；Family Practice/*methods；Female；
Follow-Up Studies ； Humans ； Male ； Patient Acceptance of Health Care ；
Psychophysiologic
Disorders
；
Psychophysiologic
Disorders/diagnosis ；
Psychophysiologic Disorders/psychology；Psychophysiologic Disorders/*therapy；
Research Support, Non-U.S. Gov't；Treatment Outcome；Waiting Lists
【中文关键词】 成年人；情感；方差分析；焦虑；焦虑/治疗；行为疗法；行为疗法/方法；行为
医学；行为医学/方法；抑郁；抑郁/治疗；家庭医学；家庭医学/方法；女(雌)性；
随访研究；人类；男(雄)性；病人接受卫生保健的程度；心理生理性障碍；心理
生理性障碍/诊断；心理生理性障碍/心理学；心理生理性障碍/治疗；研究资助, 非
美国政府；治疗结果；预约名单
【摘要】
A large proportion of patients present to primary care with chronic, stress-related
symptoms having no organic cause. Biomedical treatment of these patients is usually
ineffective and expensive. A 6-week behavioral medicine intervention designed to
provide adjunctive treatment to primary care was evaluated in a randomized,
controlled study. Thirty-eight individuals receiving treatment and 44 waiting for
treatment completed the SCL-90-R at times corresponding to 1 week before (time 1)
and 1 week after the course (time 2). The treatment group was then followed up at 6
months. After correction for initial levels, the treatment group reported significantly
less somatization, anxiety, and depression than did the wait-list group at time 2. Within
the treatment group, decreases in somatization, anxiety, and depression were
statistically significant and were maintained 6 months later. Within the wait-list group,
distress remained unchanged. A review of relevant literature reveals that a general
behavioral medicine course such as the one studied here has an important adjunctive
role in primary care, since 1) subsyndromal psychological distress is common in
primary care; 2) physicians are reluctant to address psychosocial issues; 3) negative
mood is associated with poor health; 4) negative mood is associated with high,
inappropriate medical utilization; and 5) negative mood is associated with help-seeking
behavior.
【题名】
159
The registered nurse's role in the office treatment of patients with histories of abuse: a
proposed treatment model.
【作者】
Dill B；Dill JE；Sibcy GA；Brende JO；
【机构】
Behavioral Medicine Solutions of Virginia, Division of Roanoke Gastroenterology
24024-2268, USA.
【刊年卷期】
Gastroenterol Nurs. 1997V20N5
【页】
162-167
【ISSN】
1042-895X
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Behavioral Medicine；Domestic Violence；Domestic Violence/*psychology；Humans；
Nurse Practitioners；Psychiatric Nursing；*Job Description；*Models, Nursing；*Office
Visits
【中文关键词】 行为医学；家庭暴力；家庭暴力/心理学；人类；开业护士；精神病护理学；职务
说明；模型, 护理学；诊室就医
【摘要】
Family violence has been recognized as a significant problem and has important
ramifications
for
nursing
practice.
Abuse
and
trauma
have
far-reaching
biopsychosocial consequences for affected individuals, many of whom are seen in
medical offices with primarily physical symptoms. These symptoms often involve the
gastrointestinal tract. In this article, the authors discuss the biopsychosocial as well as
psychosocial manifestations of abuse and trauma and the nurse's role in caring for this
patient population. Desirable characteristics for nurses who fulfill this role and a
description of the optimal therapeutic environment for this treatment approach are
outlined. Finally, a nursing treatment model is proposed for the office care of patients
with histories of abuse and trauma. The nurse has a crucial role in this model.
【题名】
160
Health
psychology:
what
is
an
unhealthy
environment and how does it get under the skin?
【作者】
Taylor SE；Repetti RL；Seeman T；
【机构】
Department
California,
of
Los
Psychology,
Angeles
University
90095-1563,
of
USA.
taylor@psych.sscnet.ucla.edu
【刊年卷期】
Annu Rev Psychol. 1997V48N
【页】
411-447
【ISSN】
0066-4308
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Journal Article; Review
【英文关键词】 Health Behavior ； Humans ； Internal-External
Control ； Psychophysiologic
Psychophysiologic
Disorders ；
Disorders/*psychology
；
Research Support, Non-U.S. Gov't ； Research
Support, U.S. Gov't, P.H.S.；Risk Factors；Social
Support ； Somatoform Disorders ； Somatoform
Disorders/*psychology；*Behavioral Medicine；
*Social Environment
【中文关键词】 健康行为；人类；体内外控制；心理生理性障碍；
心理生理性障碍/心理学；研究资助, 非美国政
府；研究性资助, 美国政府, 公共卫生署；危险
因素；社会支持；躯体型障碍；躯体型障碍/心
理学；行为医学；社会环境
【摘要】
This review explores the role of environments in
creating chronic and acute health disorders. A
general framework for studying the nesting of
social environments and the multiple pathways by
which environmental factors may adversely affect
health is offered. Treating socioeconomic status
(SES) and race as contextual factors, we examine
characteristics of the environments of community,
work, family, and peer interaction for predictors of
positive and adverse health outcomes across the
lifespan. We consider chronic stress/allostatic load,
mental distress, coping skills and resources, and
health habits and behaviors as classes of
mechanisms
that
address
how
unhealthy
environments get "under the skin," to create health
disorders.
Across
multiple
environments,
unhealthy environments are those that threaten
safety, that undermine the creation of social ties,
and that are conflictual, abusive, or violent. A
healthy environment, in contrast, provides safety,
opportunities for social integration, and the ability
to
predict
environment.
【题名】
161
Managed care may
feature
behavioral
medicine.
【作者】
Marwick C；
【刊年卷期】
JAMA.
1996V275N15
【页】
1144-1146
【ISSN】
0098-7484
【出版国】
UNITED STATES
【语种】
eng
and/or
control
aspects
of
that
【文献类型】
News
【英文关键词】 Humans
；
Life
Style ； Managed
Care Programs ；
Managed
Care
Programs/*trends；
Physician's Practice
Patterns
；
Physician-Patient
Relations ； Quality
of Health Care ；
Quality of Life ；
*Behavioral
Medicine
；
*Behavioral
Medicine/trends
【中文关键词】 人类；生活方式；
管理医疗规划；管
理医疗规划/发展
趋势；医师诊疗模
式；医生病人关系；
卫生保健质量；生
活质量；行为医学；
行为医学/发展趋
势
【题名】
162
Behavioral and prophylactic pharmacological intervention studies of pediatric
migraine: an exploratory meta-analysis.
【作者】
Hermann C；Kim M；Blanchard EB；
【机构】
Center for Stress and Anxiety Disorders, SUNY, Albany 12203, USA.
【刊年卷期】
Pain. 1995V60N3
【页】
239-255
【ISSN】
0304-3959
【出版国】
NETHERLANDS
【语种】
eng
【文献类型】
Journal Article; Meta-Analysis
【英文关键词】 Biofeedback (Psychology)；Child；Clonidine；Clonidine/therapeutic use；Dopamine
Agents；Dopamine Agents/therapeutic use；Humans；Migraine Disorders；Migraine
Disorders/prevention & control；Migraine Disorders/*therapy；Muscle Relaxation；
Serotonin Agonists ； Serotonin Agonists/therapeutic use ； Treatment Outcome ；
Vasodilator Agents；Vasodilator Agents/therapeutic use；*Behavioral Medicine
【中文关键词】 生物反馈(心理学)；儿童；可乐定；可乐定/治疗应用；多巴胺药；多巴胺药/治疗
应用；人类；偏头痛；偏头痛/预防与控制；偏头痛/治疗；肌松弛；血清素激动
药；血清素激动药/治疗应用；治疗结果；血管舒张药；血管舒张药/治疗应用；
行为医学
【摘要】
In this review, the effectiveness of behavioral and pharmacological treatments for
pediatric migraine was quantitatively summarized following the meta-analytic
approach outlined by Hedges and Olkin (1985). A first meta-analysis based on
treatment outcome within treatment conditions revealed that thermal biofeedback and
interventions combining biofeedback and progressive muscle relaxation seem to be
significantly
more
efficacious
than
other
behavioral
treatment
modalities,
psychological and drug placebo, and the more commonly used prophylactic drug
regimens. Though there is some evidence suggesting good effectiveness of
propranolol, the lack of systematic data precludes more definitive conclusions. A
second meta-analysis that included only studies providing data on the comparison
between control versus active treatment conditions replicated the initial findings only
partially. In the light of the relative small number of studies that met basic inclusion
requirements, the methodological flaws of many studies, and the under-representation
of certain treatment types, conclusions regarding differential effectiveness of the
treatment types have to be drawn with caution. Overall, our findings clearly
demonstrate the need for direct comparisons between behavioral and pharmacological
treatments and the need for more theory-driven research in order to determine the most
promising treatment approaches for pediatric migraine.
163
【题名】
Fellowship programs in behavioral neurology.
【作者】
Green RC；Benjamin S；Cummings JL；
【机构】
Department of Neurology, Emory University School of Medicine, Atlanta, GA.
【刊年卷期】
Neurology. 1995V45N3Pt1
【页】
412-415
【ISSN】
0028-3878
【出版国】
UNITED STATES
【语种】
eng
【文献类型】
Journal Article
【英文关键词】 Behavioral Medicine ； EKBehavioral Medicine/*education ； Data Collection ；
Fellowships and Scholarships；Fellowships and Scholarships/*statistics & numerical
data；Internship and Residency；Internship and Residency/statistics & numerical data；
Neurology； Neurology/*education ； Questionnaires ； Research Support, Non-U.S.
Gov't；Research Support, U.S. Gov't, P.H.S.
【中文关键词】 行为医学；CK 行为医学/教育；数据收集；助学金和奖学金；助学金和奖学金/
统计学和数值数据；实习医师和住院医师职务；实习医师和住院医师职务/统计学
和数值数据；神经病学；神经病学/教育；问卷调查；研究资助, 非美国政府；研
究性资助, 美国政府, 公共卫生署
【摘要】
We sent a behavioral neurology fellowship questionnaire to each of the training
directors of 160 neurology residency programs throughout the world, seeking
information about programs offering advanced training in behavioral neurology (or
similar fellowships in cognitive neurology, neurobehavior, or cognitive neuroscience).
Response rate was 100%. Thirty-four respondents reported active fellowship programs
in behavioral neurology, and 28 additional respondents indicated that a behavioral
neurology fellowship was planned. Nine of the 34 programs (26.5%) defined
themselves as exclusively or predominantly concerned with dementia and age-related
neurobehavioral disorders. Directors of the 34 active fellowship programs estimated
that their combined programs had graduated 199 fellows and were currently training
fifty. Most fellowships concentrated on outpatient clinical training, with teaching
required by 78.1% and research required by 81.8%. Specialty certification for
behavioral neurology was favored by over 75% of behavioral neurology fellowship
training directors but by only 30% of training directors in residency programs without
behavioral neurology fellowships. Behavioral neurology training programs have grown
dramatically in response to an increased recognition of the academic interest in and the
clinical needs for these services.