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Families, Systems & Health : the... Sep 2018Health care organizations are embracing integrated primary care (IPC), in which mental health and behavioral health are addressed as part of routine care within primary... (Review)
Review
INTRODUCTION
Health care organizations are embracing integrated primary care (IPC), in which mental health and behavioral health are addressed as part of routine care within primary care settings. Behavioral medicine concerns, which include health behavior change and coping with medical conditions, are common in primary care populations. Although there are evidence-based behavioral interventions that target a variety of behavioral medicine concerns, integrated behavioral health providers need interventions that are sufficiently brief (i.e., ≤6 appointments) to be compatible with IPC.
METHOD
We conducted a literature review of published studies examining behavioral interventions that target prevalent behavioral medicine concerns and can feasibly be employed by IPC providers in adult primary care settings.
RESULTS
A total of 67 published articles representing 63 original studies met eligibility criteria. We extracted data on the behavioral interventions employed, results comparing the active intervention to a comparison group, general fit with IPC, and methodological quality. The vast majority of studies examined brief interventions targeting sleep difficulties and physical activity. The most commonly employed interventions were derived from cognitive-behavioral therapy and motivational interviewing. Outcomes were generally statistically significantly in favor of the active intervention relative to comparison, with highly variable methodological quality ratings (range = 0-5; M = 2.0).
DISCUSSION
Results are discussed in relation to the need for further evidence for brief behavioral interventions targeting other behavioral medicine concerns beyond sleep and physical activity, as well as for more specificity regarding the compatibility of such interventions with IPC practice. (PsycINFO Database Record
Topics: Adult; Behavioral Medicine; Cognitive Behavioral Therapy; Humans; Motivational Interviewing; Primary Health Care
PubMed: 29878797
DOI: 10.1037/fsh0000333 -
International Journal of Behavioral... Aug 2014
Topics: Behavioral Medicine; China; Humans
PubMed: 24898631
DOI: 10.1007/s12529-014-9419-1 -
Journal of Consulting and Clinical... Jun 2002A brief history of behavioral medicine and aging is followed by a series of perspectives that help to understand how age is used as a variable in this research, the... (Review)
Review
A brief history of behavioral medicine and aging is followed by a series of perspectives that help to understand how age is used as a variable in this research, the relative importance of age to declines in cognitive functioning, and the impact of behavioral risk indicators on healthy survival. The authors discuss Alzheimer's disease and the role of age in clinical practice. Also discussed are potential problems in age-related research, ways to improve the knowledge base in behavioral medicine and aging, and thoughts about future challenges to enhance work in behavioral medicine and aging.
Topics: Age Factors; Aged; Aged, 80 and over; Aging; Alzheimer Disease; Behavioral Medicine; Female; Health Promotion; Humans; Male
PubMed: 12090387
DOI: 10.1037//0022-006x.70.3.843 -
Annals of Behavioral Medicine : a... Aug 2020The global COVID-19 pandemic and efforts to stem its transmission highlights the essential role of behavioral medicine in contemporary healthcare. As a result, the...
The global COVID-19 pandemic and efforts to stem its transmission highlights the essential role of behavioral medicine in contemporary healthcare. As a result, the Annals of Behavioral Medicine instituted a COVID-19 rapid review process in mid-April to bring new knowledge to publication. This editorial describes the first two papers accepted through this mechanism and issues a broader call to recognize the human element in transmission and mitigation, and for behavioral medicine to play a central role in all phases of research, care, and public messaging.
Topics: Behavioral Medicine; COVID-19; Coronavirus Infections; Humans; Pandemics; Pneumonia, Viral
PubMed: 32744324
DOI: 10.1093/abm/kaaa057 -
Current Oncology Reports Mar 2018Psycho-oncology has come of age as its own unique subspecialty under the umbrella of oncology, vastly refining our knowledge regarding the psychosocial impact of cancer... (Review)
Review
Psycho-oncology has come of age as its own unique subspecialty under the umbrella of oncology, vastly refining our knowledge regarding the psychosocial impact of cancer and fostering acceptance of the psychological underpinnings of the cancer experience, in turn improving the overall quality of cancer care. The importance of integrating psychological practice into the comprehensive treatment of cancer has become readily apparent, and psychosocial support services are increasing in quantity and breadth. It is the aim of this article to present a cogent argument for the proliferation of Integrated Behavioral Medicine (IBM) programs in both inpatient and outpatient clinical cancer treatment centers via an in-depth discussion of a successful IBM program including analysis of program structure, service delivery model and description of clinical services provided, and a longitudinal review of referral trends.
Topics: Behavioral Medicine; Delivery of Health Care; Hospitals, Urban; Humans; Integrative Medicine; Models, Educational; Neoplasms
PubMed: 29572576
DOI: 10.1007/s11912-018-0677-y -
Journal of Behavioral Medicine Feb 2019The year 2017 was the 40th anniversary of the convening of the Yale Conference on Behavioral Medicine (Schwartz and Weiss, 1977). In honor of this defining moment in the...
The year 2017 was the 40th anniversary of the convening of the Yale Conference on Behavioral Medicine (Schwartz and Weiss, 1977). In honor of this defining moment in the history of the birthing of behavioral medicine as a formal integrative field of biobehavioral theories, research and applications, we were invited by the editors to take a retrospective and prospective look at the field. Recognizing that much has been written about this history over the years, we decided to write about the "back-channel," presenting never-before shared events associated with the birthing and evolution of the field in a way that would be fun to write and read. In the process we look back at the evolving definitions of behavioral medicine in light of contemporary advances and controversies in science. Our review includes a discussion of some of the present challenges/opportunities, and then considers the future with some "outside the box" possibilities. We outline some of the enormous advances which have taken place in technology since the 1970s and consider how such technologies can be transformative in redefining our field.
Topics: Behavioral Medicine; Humans
PubMed: 30825085
DOI: 10.1007/s10865-018-9960-5 -
Current Pain and Headache Reports Jun 2009Primary headaches, including migraine and medication overuse headache (MOH), can be conceptualized as biobehavioral disorders based on the interaction of biological,... (Review)
Review
Primary headaches, including migraine and medication overuse headache (MOH), can be conceptualized as biobehavioral disorders based on the interaction of biological, psychological, and environmental factors. This article reviews empirically supported and efficacious behavioral approaches to the treatment and management of headaches in general, with an emphasis on migraine and MOH from a biopsychosocial perspective. Evidence-based behavioral medicine treatments for migraine and MOH are reviewed, including patient education, cognitive behavioral therapy, and biobehavioral training (biofeedback, relaxation training, and stress management). Information regarding psychological comorbidities and risk factors for progression of migraine and the development of MOH is also reviewed. Strategies are provided for enhancing adherence and motivation, as well as facilitating medical communication.
Topics: Animals; Behavioral Medicine; Biofeedback, Psychology; Cognitive Behavioral Therapy; Headache Disorders, Secondary; Humans; Migraine Disorders; Relaxation Therapy
PubMed: 19457287
DOI: 10.1007/s11916-009-0041-x -
Current Opinion in Psychiatry Mar 2012Behavioral medicine is a vast field with an ever-increasing knowledge base. We review important findings over the last 18 months. (Review)
Review
PURPOSE OF REVIEW
Behavioral medicine is a vast field with an ever-increasing knowledge base. We review important findings over the last 18 months.
RECENT FINDINGS
We organized advances in behavioral medicine into four main topic areas: the doctor and patient, health-related behavior, integration of behavioral medicine in primary care, and teaching and assessing behavioral medicine competencies in primary care. Section I reviews research on difficult encounters, delivering bad and sad news, and physician well being. Section II examines improvements in the treatment of obesity and tobacco abuse, as well as interventions which boost adherence. Section III discusses advancements in care management and collaborative care in the USA and resource-constrained settings. Finally, section IV deals with teaching and assessing communication skills, behavior change, and professionalism.
SUMMARY
Physician skills such as communication, professionalism, behavior change, and self-care are not innate abilities, but teachable and learnable skills. Collaborative care and the integration of behavioral medicine with care for other conditions can benefit patients, and can be done effectively with case management and telemonitoring strategies. Future behavioral medicine research should include evaluation of implementation strategies so that we may incorporate principles of behavioral medicine more widely into clinical practice.
Topics: Behavioral Medicine; Communication; Education, Medical, Continuing; Health Behavior; Humans; Physician-Patient Relations; Primary Health Care; Professional Competence
PubMed: 22249080
DOI: 10.1097/YCO.0b013e3283503576 -
Hospital & Community Psychiatry Aug 1983Behavioral medicine had its formal beginnings at a Yale University conference in 1977; thus, as a field, it is still in an embryonic state of development. Behavioral... (Review)
Review
Behavioral medicine had its formal beginnings at a Yale University conference in 1977; thus, as a field, it is still in an embryonic state of development. Behavioral medicine practitioners focus on operationally defined behaviors to set treatment goals, formulate treatment plans, and monitor changes in symptoms. They evaluate a patient's current situation to determine the antecedent and consequence of a defined behavior. The authors review the history of behavioral medicine, discuss its current interpretations, and compare it with psychosomatic medicine. They also discuss potential hazards and the future outlook for this interdisciplinary approach.
Topics: Behavior; Behavior Therapy; Behavioral Medicine; Biofeedback, Psychology; Desensitization, Psychologic; Health Promotion; Humans; Psychosomatic Medicine
PubMed: 6137449
DOI: 10.1176/ps.34.8.702 -
Journal of Consulting and Clinical... Jun 2002This article reviews the research evidence for the efficacy of cognitive-behavioral therapy (CBT) for somatoform disorders. Randomized controlled studies support the... (Review)
Review
This article reviews the research evidence for the efficacy of cognitive-behavioral therapy (CBT) for somatoform disorders. Randomized controlled studies support the efficacy of individual CBT for the treatment of hypochondriasis, body dysmorphic disorder (BDD), and undifferentiated somatoform disorders including medically unexplained symptoms, chronic fatigue syndrome, and noncardiac chest pain, and group CBT for the treatment of BDD and somatization disorder. On the basis of this review of the existing research and a theoretical model of the processes involved in somatoform disorders, the authors offer suggestions for future research and effective treatment.
Topics: Behavioral Medicine; Humans; Somatoform Disorders
PubMed: 12090385
DOI: No ID Found