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Erschienen in: Journal of Clinical Psychology in Medical Settings 1/2008

01.03.2008

The Difficulty of Making Psychology Research and Clinical Practice Relevant to Medicine: Experiences and Observations

verfasst von: Rodger Kessler

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 1/2008

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Abstract

Psychology and medicine research and practice have demonstrated substantial and unique bodies of knowledge designed to both improve patient care and respond to contemporary health care needs for use of evidence and cost consciousness. At their full potential they represent a significant paradigm shift in healthcare. Despite impressive successes, it is clear that we are just on the cusp of such a change. These findings have had limited impact and penetration into medical practice, particularly outside of academic medicine and large, organized systems of health care, and there are multiple examples of such limitations in various arenas of health care. There also appear to be common themes to such examples which provide us opportunities to consider how psychologists might move things ahead. They also suggest how our unique position in academic medicine can both limit our impact and provide ways of creating continued shifts in the healthcare paradigm.
Literatur
Zurück zum Zitat Allen, L. A., Escobar, J. I., Lehrer, P. M., Gara, M. A., & Woolfolk, R. L. (2002). Psychosocial treatments for multiple unexplained physical symptoms: A review of the literature. Psychosomatic Medicine, 64, 939–950.PubMedCrossRef Allen, L. A., Escobar, J. I., Lehrer, P. M., Gara, M. A., & Woolfolk, R. L. (2002). Psychosocial treatments for multiple unexplained physical symptoms: A review of the literature. Psychosomatic Medicine, 64, 939–950.PubMedCrossRef
Zurück zum Zitat Anderson, R. J., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2001). The prevalence of co morbid depression in adults with diabetes: A meta analysis. Diabetes Care, 24, 1069–1078.PubMedCrossRef Anderson, R. J., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2001). The prevalence of co morbid depression in adults with diabetes: A meta analysis. Diabetes Care, 24, 1069–1078.PubMedCrossRef
Zurück zum Zitat Brazeau, C., Rovi, S., Yick, C., & Johnson, M. (2005). Collaboration between mental health professionals and family physicians: A survey of New Jersey family physicians. Primary Care Companion to the Journal of Clinical Psychiatry, 7, 12–14.PubMed Brazeau, C., Rovi, S., Yick, C., & Johnson, M. (2005). Collaboration between mental health professionals and family physicians: A survey of New Jersey family physicians. Primary Care Companion to the Journal of Clinical Psychiatry, 7, 12–14.PubMed
Zurück zum Zitat deGroot, M., Anderson, R., Freeland, K. E., Clouse, R. E., & Lustman, P. J. (2001). Association of depression and diabetes complications: A meta analysis. Psychosomatic Medicine, 63, 619–630. deGroot, M., Anderson, R., Freeland, K. E., Clouse, R. E., & Lustman, P. J. (2001). Association of depression and diabetes complications: A meta analysis. Psychosomatic Medicine, 63, 619–630.
Zurück zum Zitat Dilts, S. L., Mann, N., & Dilts, J. G. (2003). Accuracy of referring psychiatric diagnosis on a consultation liaison service. Psychosomatics, 44, 407–411.PubMedCrossRef Dilts, S. L., Mann, N., & Dilts, J. G. (2003). Accuracy of referring psychiatric diagnosis on a consultation liaison service. Psychosomatics, 44, 407–411.PubMedCrossRef
Zurück zum Zitat Frank, R. G., Huskamp, H. A., & Pincus, H. A. (2003). Aligning incentives in the treatment of depression in primary care with evidence-based practice. Psychiatric Services, 54, 682–687.PubMedCrossRef Frank, R. G., Huskamp, H. A., & Pincus, H. A. (2003). Aligning incentives in the treatment of depression in primary care with evidence-based practice. Psychiatric Services, 54, 682–687.PubMedCrossRef
Zurück zum Zitat Groopman, J. (2007). How doctors think. Boston: Houghton Mifflin. Groopman, J. (2007). How doctors think. Boston: Houghton Mifflin.
Zurück zum Zitat Hedrick, S. C., Chaney, E. F., Felker, B., Liu, C. F., Hasenberg, N., Heagerty, P., et al. (2003). Effectiveness of collaborative care depression treatment in Veterans Affairs primary care. Journal of General Internal Medicine, 18, 9–16.PubMedCrossRef Hedrick, S. C., Chaney, E. F., Felker, B., Liu, C. F., Hasenberg, N., Heagerty, P., et al. (2003). Effectiveness of collaborative care depression treatment in Veterans Affairs primary care. Journal of General Internal Medicine, 18, 9–16.PubMedCrossRef
Zurück zum Zitat Hunsley, J., & Lee, C. (2007). Research informed benchmarks for psychological treatments: Efficacy studies, effectiveness studies and beyond. Professional Psychology Research and Practice, 38, 21–33.CrossRef Hunsley, J., & Lee, C. (2007). Research informed benchmarks for psychological treatments: Efficacy studies, effectiveness studies and beyond. Professional Psychology Research and Practice, 38, 21–33.CrossRef
Zurück zum Zitat Irving, R. R., Mills, J. L., Choo-Kang, E. G., Morrison, E. Y., Wright-Pasco, A. W., McLaughlin, W. A., et al. (2007). Depressive symptoms in children of women with newly diagnosed type 2 diabetes. Primary Care Companion to the Journal of Clinical Psychiatry, 9, 21–24.PubMed Irving, R. R., Mills, J. L., Choo-Kang, E. G., Morrison, E. Y., Wright-Pasco, A. W., McLaughlin, W. A., et al. (2007). Depressive symptoms in children of women with newly diagnosed type 2 diabetes. Primary Care Companion to the Journal of Clinical Psychiatry, 9, 21–24.PubMed
Zurück zum Zitat Kahn, N., & the Future of Family Medicine Project Leadership Committee. (2004). The future of family medicine: A collaborative project of the family medicine community. Annals of Family Medicine, 2, S3–S32. Kahn, N., & the Future of Family Medicine Project Leadership Committee. (2004). The future of family medicine: A collaborative project of the family medicine community. Annals of Family Medicine, 2, S3–S32.
Zurück zum Zitat Katon, W., Roy-Byrne, P., Russo, J., & Cowley, D. (2002). Cost-effectiveness and cost offset of a collaborative care intervention for primary care patients with panic disorder. Archives of General Psychiatry, 59, 1098–1004.PubMedCrossRef Katon, W., Roy-Byrne, P., Russo, J., & Cowley, D. (2002). Cost-effectiveness and cost offset of a collaborative care intervention for primary care patients with panic disorder. Archives of General Psychiatry, 59, 1098–1004.PubMedCrossRef
Zurück zum Zitat Katon, W., Rutter, C., Simon, G., Lin, E. H., Ludman, E. J., Ciechanowsk, I. P., Kinder, L., et al. (2005). The association of comorbid depression with mortality in patients with type 2 diabetes. Diabetes Care, 28, 2668–2672.PubMedCrossRef Katon, W., Rutter, C., Simon, G., Lin, E. H., Ludman, E. J., Ciechanowsk, I. P., Kinder, L., et al. (2005). The association of comorbid depression with mortality in patients with type 2 diabetes. Diabetes Care, 28, 2668–2672.PubMedCrossRef
Zurück zum Zitat Katon, W., & Unutzer, J. (2006). Collaborative care models for depression: Time to move from evidence to practice. Archives of Internal Medicine, 166, 2304–2306.PubMedCrossRef Katon, W., & Unutzer, J. (2006). Collaborative care models for depression: Time to move from evidence to practice. Archives of Internal Medicine, 166, 2304–2306.PubMedCrossRef
Zurück zum Zitat Kessler, R. (2005). Treating psychological problems in medical settings: Primary care as the de facto mental health system and the role of hypnosis. Journal of Clinical and Experimental Hypnosis, 53, 290–305.CrossRef Kessler, R. (2005). Treating psychological problems in medical settings: Primary care as the de facto mental health system and the role of hypnosis. Journal of Clinical and Experimental Hypnosis, 53, 290–305.CrossRef
Zurück zum Zitat Kessler, R. (2007). Why we love collaborative care. Paper presented at the Collaborative Family Health Association, Ashville, North Carolina. Kessler, R. (2007). Why we love collaborative care. Paper presented at the Collaborative Family Health Association, Ashville, North Carolina.
Zurück zum Zitat Kessler, R., & Stafford, D. (2008). Primary care is the defacto mental health system. In R. Kessler & D. Stafford (Eds.), Collaborative medicine case studies: Evidence in practice (pp. 9–24). New York: Springer. Kessler, R., & Stafford, D. (2008). Primary care is the defacto mental health system. In R. Kessler & D. Stafford (Eds.), Collaborative medicine case studies: Evidence in practice (pp. 9–24). New York: Springer.
Zurück zum Zitat Kinder, L. S., Katon, W. J., Ludman, E., Russo, J., Simon, G., Lin, E. H., et al. (2006). Improving depression care in patients with diabetes and multiple complications. Journal of General Internal Medicine, 21, 1036–1041.PubMedCrossRef Kinder, L. S., Katon, W. J., Ludman, E., Russo, J., Simon, G., Lin, E. H., et al. (2006). Improving depression care in patients with diabetes and multiple complications. Journal of General Internal Medicine, 21, 1036–1041.PubMedCrossRef
Zurück zum Zitat Patterson, J., Peek, C. J., Heinrich, R. L., Bischoff, R. J., & Scherger, J. (2002). Mental health professionals in medical settings: A primer. New York: W.W. Norton. Patterson, J., Peek, C. J., Heinrich, R. L., Bischoff, R. J., & Scherger, J. (2002). Mental health professionals in medical settings: A primer. New York: W.W. Norton.
Zurück zum Zitat Piette, J. D., Richardson, C., & Valenstein, M. (2004). Addressing the needs of patients with multiple chronic illnesses: The case of diabetes and depression. American Journal of Managed Care, 10, 152–162.PubMed Piette, J. D., Richardson, C., & Valenstein, M. (2004). Addressing the needs of patients with multiple chronic illnesses: The case of diabetes and depression. American Journal of Managed Care, 10, 152–162.PubMed
Zurück zum Zitat Pinhas-Hamiel, O., Standiford, D., Hamiel, D., Dolan, L., Cohen, R., & Zeitler, P. (1999). The type 2 family: A setting for the development and treatment for adolescent type 2 diabetes mellitus. Archives of Pediatric and Adolescent Medicine, 153, 1063–1067. Pinhas-Hamiel, O., Standiford, D., Hamiel, D., Dolan, L., Cohen, R., & Zeitler, P. (1999). The type 2 family: A setting for the development and treatment for adolescent type 2 diabetes mellitus. Archives of Pediatric and Adolescent Medicine, 153, 1063–1067.
Zurück zum Zitat Raine, R., Haines, A., Sensky, T., Hutchings, A., Larkin, K., & Black, N. (2002). Systematic review of mental health interventions for patients with common somatic symptoms: Can research evidence from secondary care be extrapolated to primary care? British Medical Journal, 325, 1082–1093.PubMedCrossRef Raine, R., Haines, A., Sensky, T., Hutchings, A., Larkin, K., & Black, N. (2002). Systematic review of mental health interventions for patients with common somatic symptoms: Can research evidence from secondary care be extrapolated to primary care? British Medical Journal, 325, 1082–1093.PubMedCrossRef
Zurück zum Zitat Regier, D., Narrow, W., Rae, D., Manderscheid, R., Locke, B., & Goodwin, F. (1993). The de facto U.S. mental and addictive services system: Epedimiologic catchment area prospective 1-year prevalence rates of disorders and services. Archives of General Psychiatry, 50, 85–94.PubMed Regier, D., Narrow, W., Rae, D., Manderscheid, R., Locke, B., & Goodwin, F. (1993). The de facto U.S. mental and addictive services system: Epedimiologic catchment area prospective 1-year prevalence rates of disorders and services. Archives of General Psychiatry, 50, 85–94.PubMed
Zurück zum Zitat Rost, K., Pyne, J. M., Dickenson, L. M., & LoSasso, A. T. (2005). Cost-effectiveness of enhancing primary care depression management on an ongoing basis. Annals of Family Medicine, 3, 7–14.PubMedCrossRef Rost, K., Pyne, J. M., Dickenson, L. M., & LoSasso, A. T. (2005). Cost-effectiveness of enhancing primary care depression management on an ongoing basis. Annals of Family Medicine, 3, 7–14.PubMedCrossRef
Zurück zum Zitat Shadish, W., Matt, G., Navarro, A., Siegle, G., Crits-Cristoph, P., Hazelrigg, M., et al. (1997). Evidence that therapy works in clinically representative conditions. Journal of Consulting and Clinical Psychology, 65, 355–365.PubMedCrossRef Shadish, W., Matt, G., Navarro, A., Siegle, G., Crits-Cristoph, P., Hazelrigg, M., et al. (1997). Evidence that therapy works in clinically representative conditions. Journal of Consulting and Clinical Psychology, 65, 355–365.PubMedCrossRef
Zurück zum Zitat Simon, G. E., Katon, W. J., Lin, E. H., Ludman, E. J., Von Korff, M., Ciechanowski, P., et al. (2005). Diabetes complications and depression as predictors of health services costs. General Hospital Psychiatry, 27, 344–351.PubMedCrossRef Simon, G. E., Katon, W. J., Lin, E. H., Ludman, E. J., Von Korff, M., Ciechanowski, P., et al. (2005). Diabetes complications and depression as predictors of health services costs. General Hospital Psychiatry, 27, 344–351.PubMedCrossRef
Zurück zum Zitat Simon, G. E., Katon, W. J., Lin, E. H., Rutter, C., Manning, W. G., Von Korff, M., et al. (2007). Cost-effectiveness of systematic depression treatment among people with diabetes mellitus. Archives of General Psychiatry, 64, 65–72.PubMedCrossRef Simon, G. E., Katon, W. J., Lin, E. H., Rutter, C., Manning, W. G., Von Korff, M., et al. (2007). Cost-effectiveness of systematic depression treatment among people with diabetes mellitus. Archives of General Psychiatry, 64, 65–72.PubMedCrossRef
Zurück zum Zitat Spitzer, R., Williams, J., Kroenke, K., Linzer, M., deGruy, F., Hahn, S., et al. (1994). Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. Journal of the American Medical Association, 122, 1749–1756.CrossRef Spitzer, R., Williams, J., Kroenke, K., Linzer, M., deGruy, F., Hahn, S., et al. (1994). Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. Journal of the American Medical Association, 122, 1749–1756.CrossRef
Zurück zum Zitat Strosahl, K. (2007). Primary care behavioral health integration: Where do we go from here? Paper Presented at the Collaborative Healthcare: Putting it Together Conference, Ashville, North Carolina. Strosahl, K. (2007). Primary care behavioral health integration: Where do we go from here? Paper Presented at the Collaborative Healthcare: Putting it Together Conference, Ashville, North Carolina.
Zurück zum Zitat U.S. Preventative Services Task Force. (2002). Screening for depression: Recommendations and rationale. Annals of Internal Medicine, 136, 765–776. U.S. Preventative Services Task Force. (2002). Screening for depression: Recommendations and rationale. Annals of Internal Medicine, 136, 765–776.
Zurück zum Zitat Wagner, E. H., Austin, B. T., Davis, C., Hindmarsh, M., Schaefer, J., & Bonomi, A. (2001). Improving chronic care: Translating evidence into action. Health Affairs, 20, 64–78.PubMedCrossRef Wagner, E. H., Austin, B. T., Davis, C., Hindmarsh, M., Schaefer, J., & Bonomi, A. (2001). Improving chronic care: Translating evidence into action. Health Affairs, 20, 64–78.PubMedCrossRef
Metadaten
Titel
The Difficulty of Making Psychology Research and Clinical Practice Relevant to Medicine: Experiences and Observations
verfasst von
Rodger Kessler
Publikationsdatum
01.03.2008
Verlag
Springer US
Erschienen in
Journal of Clinical Psychology in Medical Settings / Ausgabe 1/2008
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-008-9096-9

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