Abstract：
:The aim of the current study is to evaluate internalized stigma in individuals diagnosed with an eosinophilic gastrointestinal disorder (EGID) and its impact on psychosocial and health-related outcomes. The final study sample consisted of 149 patients with a self-reported EGID diagnosis for at least 6 months. Participants completed measures evaluating internalized stigma, disease-specific quality of life, emotional distress (anxiety, depression) and answered questions regarding healthcare utilization. Overall, increased internalized stigma was associated with decreased disease-specific quality of life, and increased anxiety and depression. In addition, participants with greater overall internalized stigma felt that treatments were less effective, and the internalized stigma subscales of alienation and discrimination were associated with increased outpatient visits and endoscopies, respectively. Providers working with EGID patients should assess for signs of internalized stigma, such as social withdrawal and alienation. Psychogastroenterology services that deliver evidence-based psychological interventions may reduce some of the negative impacts of internalized stigma.
journal_name
J Clin Psychol Med Settingsjournal_title
Journal of clinical psychology in medical settingsauthors
Guadagnoli L,Taft THdoi
10.1007/s10880-019-09605-7subject
Has Abstractpub_date
2020-03-01 00:00:00pages
1-10issue
1eissn
1068-9583issn
1573-3572pii
10.1007/s10880-019-09605-7journal_volume
27pub_type
杂志文章abstract：:The growth of the Primary Care Behavioral Health model (PCBH) nationally has highlighted and created a workforce development challenge given that most mental health professionals are not trained for primary care specialization. This work provides a review of the current efforts to retrain mental health professionals t...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-017-9491-1
更新日期：2018-06-01 00:00:00
abstract：:With the expansion of integrated primary care and the increased focus on fiscal sustainability, it is critical for clinical managers of these innovative systems to have practical methods for measuring administrative outcomes. Administrative outcomes will assist leadership in the development of efficient, streamlined c...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,评审
doi：10.1007/s10880-015-9442-7
更新日期：2015-12-01 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：: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：: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：:Adverse childhood experiences (ACEs) are known to contribute to long-term harmful effects on mental health in young adults. Research has demonstrated that having a chronic medical condition (CMC) can also be conceptualized as being a potentially traumatic experience, and that young adults with a CMC are also at risk f...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09639-x
更新日期：2020-09-01 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：:An acute leukemia diagnosis can be an extremely stressful experience for most patients. Posttraumatic growth (PTG) is positive psychological change experienced following a struggle with highly challenging life circumstances. The current study is the first longitudinal investigation of predictors of PTG and distress in...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-012-9304-5
更新日期：2013-03-01 00:00:00
abstract：:The present study investigated whether differing diagnostic criteria for alcoholism used by mental health professionals versus hepatologists lead to different outcomes in predicting liver transplant survival as determined by the medical record and without a priori judgments. This was in contrast to past studies, parti...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-010-9201-8
更新日期：2010-09-01 00:00:00
abstract：:Little is known about how family functioning relates to psychosocial functioning of youth with inflammatory bowel disease (IBD). The study aim was to examine family problem solving and affective involvement as moderators between adolescent disease severity and depressive symptoms. Participants were 122 adolescents wit...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-013-9368-x
更新日期：2013-12-01 00:00:00
abstract：:The aim of this study was to identify factors contributing to clinician time spent in non-reimbursable activity on an inpatient pediatric consultation-liaison (C-L) service. A retrospective study was conducted using inpatient C-L service data on 1,246 consecutive referrals. For this patient population, the strongest p...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-013-9371-2
更新日期：2013-12-01 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：:Barriers for renal transplant patients to immunosuppressant medication adherence are poorly understood, despite the high rate and toll of non-adherence. We sought to assess factors that contribute to barriers to immunosuppressive medication adherence in an ethnically diverse sample of 312 renal transplant patients rec...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,多中心研究
doi：10.1007/s10880-017-9524-9
更新日期：2018-03-01 00:00:00
abstract：:We examined the relationship between two malleable risk factors, depressive symptoms and fear of hypoglycemia, in children and adolescents with Type 1 diabetes and their relationship to two important outcomes, adherence behaviors and metabolic control. To assess this relationship, we used a multidimensional measure of...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09676-6
更新日期：2020-06-01 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：:This paper begins by providing the landscape that undergirds the competency-based movement within professional psychology education, training, credentialing, and performance appraisal. Attention is then paid to the relevance of this culture shift for psychologists working as practitioners, educators, researchers, and ...
journal_title：Journal of clinical psychology in medical settings
pub_type：
doi：10.1007/s10880-008-9094-y
更新日期：2008-03-01 00:00:00
abstract：:Quality Improvement (QI) is a health care interprofessional team activity wherein psychology as a field and individual psychologists in health care settings can and should adopt a more robust presence. The current article makes the argument for why psychology's participation in QI is good for health care, is good for ...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,评审
doi：10.1007/s10880-018-9542-2
更新日期：2018-09-01 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：:Based on intergroup contact theory, a proposed comprehensive model of attitudes towards seeking professional psychological help was tested, including both potential barriers to mental health help-seeking (i.e., public stigma and self-stigma of seeking help, prejudicial and essentialist beliefs about mental illness, in...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-018-9573-8
更新日期：2019-06-01 00:00:00
abstract：:Literature suggests advantages for co-locating behavioral health care in primary care. We compared the impact of location of services on attendance at behavioral health appointments when access to care was assured for externalizing behavior problems with referral as usual. Two primary care pediatric practices had an e...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1007/s10880-012-9324-1
更新日期：2012-12-01 00:00:00
abstract：:Parent reported behavioral difficulties in young children are relatively common. Without adequate intervention, some children will later present with more severe problem behaviors. Parent management training is one of the best methods of treatment for behavior problems; however, existing treatments can be lengthy and ...
journal_title：Journal of clinical psychology in medical settings
pub_type： 临床试验,杂志文章
doi：10.1007/s10880-009-9166-7
更新日期：2009-09-01 00:00:00
abstract：:The current study examined the link between immune functioning (CD4 count) and physical symptoms, as well as the moderating role of optimism and depressive symptoms, in a sample of 99 low income, inner city African American women with HIV. Although there was no main effect of CD4 count on physical symptoms, depressive...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-008-9133-8
更新日期：2008-12-01 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：:The Primary Care Behavioral Health (PCBH) model of service delivery is being used increasingly as an effective way to integrate behavioral health services into primary care. Despite its growing popularity, scientifically robust research on the model is lacking. In this article, we provide a qualitative review of publi...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-017-9512-0
更新日期：2018-06-01 00:00:00
abstract：:Sexual minorities experience higher rates of several physical health problems compared to their heterosexual counterparts. The present study uses Meyer's Minority Stress Model (Psychological Bulletin, 129(5): 674-697, 2003) to examine physical health indicators among 250 adults who identified as sexual minorities. Stu...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-017-9504-0
更新日期：2017-12-01 00:00:00
abstract：:The prevalence of postural orthostatic tachycardia syndrome (POTS) in adolescents and young adults has been increasing during the past decade. Despite this increase, documentation regarding treatment of these patients is just beginning to emerge. In addition, despite a call for a multidisciplinary or interdisciplinary...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-015-9438-3
更新日期：2016-06-01 00:00:00
abstract：:Breast cancer is the most frequently occurring cancer in women, with 182,000 new cases diagnosed in 1993. Breast cancer will strike a sizable percentage of women during the child-rearing years impacting, therefore, not only on the woman, but on the significant others in her life. This article explores the impact of br...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/BF01991077
更新日期：1994-12-01 00:00:00
abstract：:The purpose of this study was to assess the effect of tailored cognitive behavioral therapy (CBT) on depression and anxiety symptoms present in Mexican terminal cancer patients. A non-concurrent multiple baseline design was used across individuals. Nine patients participated in the study, each receiving four to six th...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09620-8
更新日期：2020-03-01 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：:Cross-sectional, correlational analyses of data from two separate studies were conducted to examine the correlates of adjustment among family caregivers of women with disabilities. Participants included 40 caregivers of women with spinal cord injuries in the first study and 53 caregivers of women with cerebral palsy, ...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-006-9043-6
更新日期：2006-01-01 00:00:00
