Abstract：
:As part of this special issue on psychology in primary care settings, we describe the Department of Veterans Affairs' (VA's) new approach to education for practice in the primary care setting and we concurrently address some general issues related to the education of clinical psychologists for practice in this setting. In this article we argue that the primary care psychologist, in parallel with the generalist in medicine, must have a strong generic background in clinical psychology in order to gain the broad range of clinical skills necessary to function effectively as an "in-depth generalist" (IDG) who is capable of addressing the variety of psychological issues that emerge in the primary care setting. The IDG model of professional practice, which we believe is best suited for primary care/managed care settings, requires extensive training in generic clinical skills and increased time devoted to its implementation at both the predoctoral and the postdoctoral levels.
journal_name
J Clin Psychol Med Settingsjournal_title
Journal of clinical psychology in medical settingsauthors
Zilberg NJ,Carmody TPdoi
10.1007/BF01988630subject
Has Abstractpub_date
1995-03-01 00:00:00pages
109-27issue
1eissn
1068-9583issn
1573-3572journal_volume
2pub_type
杂志文章abstract：:Urinary Incontinence (UI) affects 200 million people worldwide with annual direct costs in the US alone estimated at $16.3 billion. Those with UI have reported a decrease in general quality of life with symptoms of depression, anxiety, low self-esteem, poor body image, and social stigmatization. The purpose of this st...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-013-9361-4
更新日期：2013-09-01 00:00:00
abstract：:Disability in inflammatory bowel disease (IBD) is under-investigated. Models theorize that disability is the result of a disease and its related impairments, limitations, and restrictions. This disablement process can be affected by psychosocial factors. Pain, depression, catastrophizing, and social support are associ...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09627-1
更新日期：2020-03-01 00:00:00
abstract：:Low rates of adherence to medical treatments and adverse emotional states are a widespread problem in advanced chronic kidney disease (ACKD). Motivational interviewing using the stages of change model is an effective combination in promoting behavior modifications. The objective of the present study was to determine t...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-013-9383-y
更新日期：2014-03-01 00:00:00
abstract：:Rapidly occurring changes in the healthcare arena mean time is of the essence for psychology to formalize a strategic plan for training in primary care settings. The current article articulates factors affecting models of integrated care in Academic Health Centers (AHCs) and describes ways to identify and utilize reso...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-011-9291-y
更新日期：2012-03-01 00:00:00
abstract：:Noting a lack of such a resource, the authors developed a primer summarizing key concepts for career development and promotion for psychologists working in an academic health center. The present article presents a brief summary of the primer; however, the full version is available as an APAHC membership benefit (or fo...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-012-9334-z
更新日期：2012-12-01 00:00:00
abstract：:Research demonstrates that severe forms of grief and grief-related pathology exist in the general population. Less attention, however, has been paid to the grief of parents following the death of a young, dependent child. In this review, we summarize a search of Pubmed, PsycINFO and Web of Science from 1995 to 2017, u...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,评审
doi：10.1007/s10880-018-9590-7
更新日期：2019-09-01 00:00:00
abstract：:This is the first controlled study regarding personality and psychopathology in adults with Noonan syndrome (NS). Anxiety, depression, alexithymia and symptoms of Attention Deficit-Hyperactivity Disorder and Autism Spectrum Disorder, have been previously described in NS. More information regarding personality and psyc...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09659-7
更新日期：2020-06-01 00:00:00
abstract：:Heart rate recovery after 1 min of exercise cessation (HRR-1) is an important prognostic factor in patients with cardiovascular disease (CVD). We aimed to further elucidate the association between HRR-1 and known psychosocial risk factors in patients referred for comprehensive cardiac rehabilitation. We examined 521 p...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-017-9511-1
更新日期：2017-12-01 00:00:00
abstract：INTRODUCTION:Physical activity is believed to prevent cognitive decline and may enhance frontal lobe activity. METHODS:Subjects were 91 healthy adults enrolled in a wellness center. Over a 10 week intervention, controls were aerobically active 0-2 days per week. Half the intervention group was active 3-4 days/week and...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10880-009-9159-6
更新日期：2009-06-01 00:00:00
abstract：:People suffering from mental illness experience poor physical health outcomes, including an average life expectancy of 25 years less than the rest of the population. Stigma is a frequent barrier to accessing behavioral health services. Health equity refers to the opportunity for all people to experience optimal health...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-016-9465-8
更新日期：2017-12-01 00:00:00
abstract：:This study assessed the influence of clinical and socio-demographic variables on the psychological adaptation of transplanted adolescents. Twenty-six transplanted adolescents and 25 healthy adolescents, aged 13-17, and their parents participated in the study. The following domains were measured: social competence, emo...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-008-9114-y
更新日期：2008-06-01 00:00:00
abstract：:Psychological distress states have been related to rate of disease progression among HIV-positive individuals. However, the measures that have been used in this research as well as the treatment context of the populations studied are highly variable, making it challenging for clinicians to incorporate such measures in...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-011-9231-x
更新日期：2011-03-01 00:00:00
abstract：:Treatment-related fatigue significantly limits quality of life among chronic myeloid leukemia (CML) patients receiving tyrosine kinase inhibitors (TKIs), yet no interventions to reduce this symptom have been studied. We examined preliminary feasibility and efficacy of cognitive behavioral therapy for TKI treatment-rel...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09607-5
更新日期：2019-12-01 00:00:00
abstract：:Antenatal and postpartum depression has been associated with maternal, child and family-unit complications. Our aim was to assess the impact of a depression screening and intervention program on perinatal complications. This study included 2042 women. They were screened on the Edinburgh Postnatal Depression Scale (EPD...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09632-4
更新日期：2020-03-01 00:00:00
abstract：:The primary goal of this retrospective study was to assess parental report of current sleep disorders in school-aged attention deficit disorder (ADD) children, as well as recalled sleep problems from when the children were infants (0-12 months) and toddlers (1-3 years). Results of a sleep questionnaire completed by mo...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/BF01993909
更新日期：1996-09-01 00:00:00
abstract：:Sheridan (1995) presents the problem of the psychologist consulting to a medical residency program as an example of the difficulty one experiences in attempting to challenge, even from a data-based perspective, the calcification inherent in health systems and medical education in particular. This paper responds to her...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/BF01990884
更新日期：1995-09-01 00:00:00
abstract：:Individuals living with HIV show moderate decision-making deficits, though no prior studies have evaluated the ability to make optimal health-related decisions across the HIV healthcare continuum. Forty-three HIV+ individuals with HIV-associated neurocognitive disorders (HAND+), 50 HIV+ individuals without HAND (HAND-...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-016-9455-x
更新日期：2016-06-01 00:00:00
abstract：:Adherence and glycemic control usually decrease during adolescence and family relationships influence diabetes outcomes. This study analyzed the interaction effect of adolescents' family support, age, and gender in the relationship between adherence and glycemic control in adolescents with Type 1 Diabetes. The sample ...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09662-y
更新日期：2020-06-01 00:00:00
abstract：:The aim of the current descriptive study was to explore factors related to psychosocial wellbeing, weight gain and perceived barriers to exercise and nutrition in 135 obese adolescents enrolled in a multidisciplinary weight management program. Participants completed initial intake interviews, which included informatio...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-010-9186-3
更新日期：2010-06-01 00:00:00
abstract：:This study examined the interaction of race/ethnicity and income to health-related hindrance (HRH) of personal goals of adolescents with cancer. Adolescents (N = 94) receiving treatment for cancer completed a measure of HRH, (including identification of personal goals, rating the impact of health on goal pursuit, and ...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-014-9390-7
更新日期：2014-06-01 00:00:00
abstract：:Chronic gastrointestinal disorders are disruptive to patients physically and psychologically, and benefit from multidisciplinary care, including targeted psychological interventions. This case study details a case of a 42-year-old Caucasian female with idiopathic eructation, who was identified as having psychological ...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-020-09697-6
更新日期：2020-09-01 00:00:00
abstract：:The current study examined fear of hypoglycemia in 81 mothers and 64 fathers of young children with type 1 diabetes (T1DM) using the Hypoglycemia Fear Survey-Parents of Young Children (HFS-P-YC possible range = 26-130). Mothers and fathers completed the HFS-P-YC at enrollment and mothers completed it 2 weeks later. Fa...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-008-9123-x
更新日期：2008-09-01 00:00:00
abstract：:Posttraumatic Stress Disorder (PTSD) is common among primary care patients and is associated with significant functional impairment, physical health concerns, and mental health comorbidities. Significant barriers to receiving adequate treatment often exist for primary care patients with PTSD. Mental health professiona...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,评审
doi：10.1007/s10880-011-9237-4
更新日期：2011-09-01 00:00:00
abstract：:The comorbidity of psychological disorders with end-stage renal disease (ESRD) presents challenges for renal transplantation, including increased likelihood of medication noncompliance and poorer quality of life. Estimates of rates and severity of affective and anxiety disorders have varied significantly across studie...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-011-9249-0
更新日期：2011-09-01 00:00:00
abstract：:Romantic attachment rejection (RAR) is a highly prevalent phenomenon among young adults. Rejection by a romantic attachment figure can be a painful and incapacitating experience with lasting negative mental health sequelae, yet the underlying neurobiology of RAR is not well characterized. We systematically reviewed fu...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-020-09757-x
更新日期：2021-01-03 00:00:00
abstract：:Parent management training is an evidence-based treatment for disruptive behavior. However, the number of treatment sessions can be high, contributing to high attrition rates. The purpose of this study was to examine post-treatment, 6-month, and 1-year treatment outcomes of the Brief Behavioral Intervention. One hundr...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-013-9359-y
更新日期：2013-09-01 00:00:00
abstract：:This paper describes how psychology faculty positions in academic health centers (AHCs) have evolved to meet the changing needs in healthcare. In that context, the roles of psychologists have expanded significantly to include a wide array of clinical responsibilities, teaching and supervisory roles, administrative fun...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,评审
doi：10.1007/s10880-016-9453-z
更新日期：2016-03-01 00:00:00
abstract：:The PHQ-9 is a brief, 9-item, self-administered screening tool widely used in primary care medical settings to assess the potential presence of Major Depressive Disorder (MDD). Most published research on the PHQ-9 has focused on sensitivity and specificity with regard to the DSM-IV (American Psychiatric Association, i...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09629-z
更新日期：2020-03-01 00:00:00
abstract：:Psoriasis patients can experience a range of psychosocial difficulties, which can lead to issues with wellbeing, anxiety and depression. Mindfulness-based interventions have positive impacts on these outcomes; however, there is a need to identify the mechanisms of action of such interventions. This study attempts to d...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09686-4
更新日期：2020-12-01 00:00:00
abstract：:One of the reasons integrated care has not become a dominant service delivery model is the unmet training agenda. This article argues that the typical mental health professional is not trained to adequately address the challenges of integrated care. To insure competency both a macro and clinical training agenda are ne...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-008-9138-3
更新日期：2009-03-01 00:00:00
