Open Access. Powered by Scholars. Published by Universities.®

Behavioral Medicine Commons

Open Access. Powered by Scholars. Published by Universities.®

170 Full-Text Articles 663 Authors 148 Downloads 27 Institutions

All Articles in Behavioral Medicine

Faceted Search

170 full-text articles. Page 1 of 8.

Geriatrics In Clinical Practice And Beyond: Brain Health, The Sixth Vital Sign?, Nannette Hoffman 2020 HCA

Geriatrics In Clinical Practice And Beyond: Brain Health, The Sixth Vital Sign?, Nannette Hoffman

HCA Healthcare Journal of Medicine

Brain health in middle age and geriatric patients will take on greater importance for health care practitioners in our aging society. This article discusses various approaches clinicians can use for their patients to promote and improve brain health. These are generally the same lifestyle adoptions for cerebrovascular disease and cardiovascular disease prevention: weight management, exercise, and blood pressure and cholesterol lowering. Social stimulation and cognitive activities may also be important for the elderly.


Transforming Mental Health Care Through Implementation Of Evidence-Based Practices, Aaron Glickman, Janet Weiner, Rinad Beidas 2020 University of Pennsylvania

Transforming Mental Health Care Through Implementation Of Evidence-Based Practices, Aaron Glickman, Janet Weiner, Rinad Beidas

Issue Briefs

Changing clinical practice is hard, and changing practices within larger organizations is even harder. Increasingly, policymakers are looking to implementation science—the study of why some changes prove more durable than others—to understand the dynamics of successful transformation. In this brief, we summarize the results of an ongoing community-academicpartnership to increase the uptake of evidence-based practices in Philadelphia’s public behavioral health care system. Over five years, researchers found that widescale initiatives did successfully change the way care was delivered, albeit modestly and slowly. The evidence suggests that organizational factors, such as a proficient work culture, are more important ...


Acute Disseminated Encephalomyelitis, Ashan T. Hatharasinghe, Hossein Akhondi, Don Pepito 2020 Sunrise Health GME Consortium

Acute Disseminated Encephalomyelitis, Ashan T. Hatharasinghe, Hossein Akhondi, Don Pepito

HCA Healthcare Journal of Medicine

Introduction: Acute Disseminated Encephalomyelitis (ADEM) is a rare autoimmune demyelinating disorder of the central nervous system. Clinical manifestations include encephalopathy, motor deficits, ataxia, and meningeal signs. In most cases, ADEM is preceded by either vaccination or viral illness. Here, we present a case with neither of the two predisposing elements.

Discussion: A 28-year-old Hispanic female presenting with substance use and suicidal ideation was placed on an involuntary psychiatric hold, started on olanzapine and scheduled for a psychiatric facility transfer. The following day, she was noted to have neurological deficits when ambulating. Computed tomography of the brain showed a right frontal ...


Impact Of Rational And Experiential Thinking Styles On Interpersonal Conflict Resolution Among Young Adults, Ayesha Rafique, Hania Habib, Fariha Abdul Rehman, Shabnam Arshi 2020 INSTITUTE OF PROFESSIONAL PSYCHOLOGY, BAHRIA UNIVERSITY- KARACHI CAMPUS, KARACHI, PAKISTAN

Impact Of Rational And Experiential Thinking Styles On Interpersonal Conflict Resolution Among Young Adults, Ayesha Rafique, Hania Habib, Fariha Abdul Rehman, Shabnam Arshi

Journal of Mind and Medical Sciences

This research aimed to find the relationship between thinking styles (rational or experiential) and interpersonal conflict resolution (ICR) in young adults. A sample of 99 females and 103 males, age range 18 to 40 years, was selected via convenient and snow-ball sampling. Thinking styles were assessed using Rational-Experiential Inventory-40, and ICR was measured using Conflict Resolution Questionnaire. Regression analysis was used to predict ICR based on thinking style covariates and several relevant demographic covariates, including gender and family birth order. Rational thinking style (RTS) was most prevalent among young adults and was the strongest predictor of ICR. In addition, gender ...


Compassion And Suppression In Caregivers: Twin Masks Of Tragedy And Joy Of Caring, Emanuele Maria Merlo, Sean M. McNabney, Fabio Frisone, Federica Sicari, Mihai Paunica, Catalina Motofei, Salvatore Settineri 2020 DEPARTMENT OF COGNITIVE SCIENCES, PSYCHOLOGY, EDUCATIONAL AND CULTURAL STUDIES (COSPECS), UNIVERSITY OF MESSINA, ITALY

Compassion And Suppression In Caregivers: Twin Masks Of Tragedy And Joy Of Caring, Emanuele Maria Merlo, Sean M. Mcnabney, Fabio Frisone, Federica Sicari, Mihai Paunica, Catalina Motofei, Salvatore Settineri

Journal of Mind and Medical Sciences

Background: Compassionate caregiving is a critical skill for workers among the helping professions, but the degree of empathy required by caregivers can place high demands on their mental and emotional resources. While many professionals employ successful coping strategies to mitigate these stressors, others experience compassion fatigue or burnout from emotional exhaustion. The objective of this research was to evaluate the relationships between caregivers’ demographic/career variables, compassion satisfaction, compassion fatigue, and psychodynamic defense mechanisms such as suppression, repressive function, regression in the service of the Ego, and rationalization. Methods: Participants were 250 caregivers with 178 (71,2%) women and 72 ...


Society Of Behavioral Medicine Call To Action: Include Obesity/Overweight Management Education In Health Professional Curricula And Provide Coverage For Behavior-Based Treatments Of Obesity/Overweight Most Commonly Provided By Psychologists, Dieticians, Counselors, And Other Health Care Professionals And Include Such Providers On All Multidisciplinary Teams Treating Patients Who Have Overweight Or Obesity, Judith K. Ockene, Karen M. Ashe, Kenneth S. Peterson, Marian Fitzgibbon, Joanna Buscemi, Akilah Dulin 2020 University of Massachusetts Medical School

Society Of Behavioral Medicine Call To Action: Include Obesity/Overweight Management Education In Health Professional Curricula And Provide Coverage For Behavior-Based Treatments Of Obesity/Overweight Most Commonly Provided By Psychologists, Dieticians, Counselors, And Other Health Care Professionals And Include Such Providers On All Multidisciplinary Teams Treating Patients Who Have Overweight Or Obesity, Judith K. Ockene, Karen M. Ashe, Kenneth S. Peterson, Marian Fitzgibbon, Joanna Buscemi, Akilah Dulin

UMass Worcester PRC Publications

Obesity is a serious chronic disease whose prevalence has grown to epidemic proportions over the past five decades and is a major contributor to the global burden of most common cancers, heart disease, Type 2 diabetes, liver disease, and sleep apnea. Primary care clinicians, including physicians, nurse practitioners, and physician assistants, are often the first health care professionals to identify obesity or overweight during routine long-term care and have the opportunity to intervene to prevent and treat disease. However, they often lack the training and skills needed to deliver scientifically validated, behavior-based treatments. These gaps must be addressed in order ...


An Innovative Electronic Health Toolkit (Our Whole Lives For Chronic Pain) To Reduce Chronic Pain In Patients With Health Disparities: Open Clinical Trial, Paula Gardiner, Salvatore D'Amico, Man Luo, Niina Haas 2020 University of Massachusetts Medical School

An Innovative Electronic Health Toolkit (Our Whole Lives For Chronic Pain) To Reduce Chronic Pain In Patients With Health Disparities: Open Clinical Trial, Paula Gardiner, Salvatore D'Amico, Man Luo, Niina Haas

Center for Integrated Primary Care Publications

BACKGROUND: Chronic pain affects millions of Americans. Our Whole Lives, an electronic health (eHealth) toolkit for Chronic Pain (Our Whole Lives for Chronic Pain [OWLCP]), is a mind-body chronic pain management platform that teaches self-management strategies to reduce pain impact and pain medication use.

OBJECTIVE: The primary goal of this study was to evaluate the feasibility of OWLCP in reducing pain impact and pain-related outcomes.

METHODS: We conducted a pre-post clinical study (2 cohorts) to assess the feasibility of OWLCP usage among low-income patients with chronic pain. Outcome data, collected at baseline and 9 weeks, included Patient-Reported Outcomes Measurement Information ...


Understanding Medical Mistrust In Black Women At Risk Of Brca 1/2 Mutations, Arnethea L. Sutton, Jun He, Erin Tanner, Megan C. Edmonds, Alesha Henderson, Alejandra Hurtado de Mendoza, Vanessa B. Sheppard 2020 Virginia Commonwealth University School of Medicine

Understanding Medical Mistrust In Black Women At Risk Of Brca 1/2 Mutations, Arnethea L. Sutton, Jun He, Erin Tanner, Megan C. Edmonds, Alesha Henderson, Alejandra Hurtado De Mendoza, Vanessa B. Sheppard

Journal of Health Disparities Research and Practice

The benefits of genetic counseling and testing for hereditary breast and/or ovarian cancer (HBOC) are well documented; however, Black women are less likely to use these services compared to White women. Mistrust of the medical system has been associated with Black women’s use of genetic counseling and testing (GCT). However, relatively little is known about the correlates of medical mistrust in Black women at increased risk of HBOC. In this study, we examined the prevalence and predictors of medical mistrust in 94 Black women at-risk of HBOC. Most women were married (48.7%) and had at least some ...


The Efficacy Of Ketamine In Adult Patients With Obsessive Compulsive Disorder With Symptoms Refractory To Standard Of Care Treatment., Brooke Thornton 2020 Arcadia University

The Efficacy Of Ketamine In Adult Patients With Obsessive Compulsive Disorder With Symptoms Refractory To Standard Of Care Treatment., Brooke Thornton

Capstone Showcase

First line pharmacologic treatments for adult patients with Obsessive Compulsive Disorder (OCD) involve selective serotonin/norepinephrine reuptake inhibitors (SSRI/SNRIs). These drug classes often fail to deliver timely relief of symptoms as well as maintain longevity of symptom recurrence. This research analyzed the use of ketamine in adult patients suffering with OCD for the purposes of more efficacious management of symptoms. Although ketamine demonstrated a timelier relief of symptoms in some small clinical studies, its effects were ultimately unable to be sustained long term. Additionally, a wide range of adverse effects including dissociation, and rebound symptoms were observed. As a ...


Healthy Eating Policy Strategies In Community Health Improvement Plans: A Cross-Sectional Survey Of Us Local Health Departments, Meera Sreedhara, Karin V. Goins, Christine F. Frisard, Milagros C. Rosal, Stephenie C. Lemon 2019 University of Massachusetts Medical School

Healthy Eating Policy Strategies In Community Health Improvement Plans: A Cross-Sectional Survey Of Us Local Health Departments, Meera Sreedhara, Karin V. Goins, Christine F. Frisard, Milagros C. Rosal, Stephenie C. Lemon

UMass Worcester PRC Publications

CONTEXT: Policies (eg, regulations, taxes, and zoning ordinances) can increase opportunities for healthy eating. Community Health Improvement Plans (CHIP) may foster collaboration and local health department (LHD) engagement in policy decision making to improve local food environments. Limited research describes what policies supportive of healthy food environments are included in CHIPs nationally and relationships between LHD characteristics and participation in plans including such policies.

OBJECTIVES: To determine the proportion of US LHDs who participated in development of a CHIP containing healthy eating policy strategies and assess the association between LHD characteristics and inclusion of any healthy eating policy strategy in ...


Development Of A Customized Vaping Cessation Initiative To Assist Massachusetts Youth Who Wish To Quit Vaping, Karen Del'Olio, Nanette Vitali, Webb Camille, Caroline Cranos, Lori Pbert 2019 University of Massachusetts Medical School

Development Of A Customized Vaping Cessation Initiative To Assist Massachusetts Youth Who Wish To Quit Vaping, Karen Del'olio, Nanette Vitali, Webb Camille, Caroline Cranos, Lori Pbert

University of Massachusetts Medical School Publications

The U.S. Surgeon General has identified the use of e-cigarettes, known as vaping, as an epidemic among our youth, addicting a new generation to nicotine. In addition, the growing number of cases of lung injury and deaths associated with e-cigarette use reported to CDC adds to the urgency in addressing this epidemic.

The Massachusetts Youth Health Survey (MYHS, 2017) reports 20.1% of high schoolers currently use e-cigarettes while 10% of middle schoolers have tried e-cigarettes. Since the MYHS report, the vaping epidemic has risen nationally at an alarming rate with an additional 1.5 million more youth using ...


A Novel Tool To Improve Shared Decision Making And Adherence In Multiple Sclerosis: Development And Preliminary Testing, Nananda Col, Enrique Alvarez, Vicky Springmann, Carolina Ionete, Idanis Berrios Morales, Andrew Solomon, Christen Kutz, Carolyn Griffin, Brenda Tierman, Terrie Livingston, Michelle Patel, Danny van Leeuwen, Long Ngo, Lori Pbert 2019 Shared Decision Making Resources

A Novel Tool To Improve Shared Decision Making And Adherence In Multiple Sclerosis: Development And Preliminary Testing, Nananda Col, Enrique Alvarez, Vicky Springmann, Carolina Ionete, Idanis Berrios Morales, Andrew Solomon, Christen Kutz, Carolyn Griffin, Brenda Tierman, Terrie Livingston, Michelle Patel, Danny Van Leeuwen, Long Ngo, Lori Pbert

Open Access Articles

Background. Most people with multiple sclerosis (MS) want to be involved in medical decision making about disease-modifying therapies (DMTs), but new approaches are needed to overcome barriers to participation.

Objectives. We sought to develop a shared decision-making (SDM) tool for MS DMTs, evaluate patient and provider responses to the tool, and address challenges encountered during development to guide a future trial.

Methods. We created a patient-centered design process informed by image theory to develop the MS-SUPPORT SDM tool. Development included semistructured interviews and alpha and beta testing with MS patients and providers. Beta testing assessed dissemination and clinical integration strategies ...


Experimental Pharmacological Research Regarding The Antidepressant Effect Of Associating Doxepin And Selegiline In Normal Mice, Cornel Chiriță, Emil Ștefănescu, Cristina E. Zbârcea, Horațiu Mireșan, Simona Negreș, Diana C. Nuță, Carmen Limban, Rucsandra E. Dănciulescu Miulescu, Cristina D. Marineci 2019 Valparaiso University

Experimental Pharmacological Research Regarding The Antidepressant Effect Of Associating Doxepin And Selegiline In Normal Mice, Cornel Chiriță, Emil Ștefănescu, Cristina E. Zbârcea, Horațiu Mireșan, Simona Negreș, Diana C. Nuță, Carmen Limban, Rucsandra E. Dănciulescu Miulescu, Cristina D. Marineci

Journal of Mind and Medical Sciences

The severity and complexity of depression can vary widely among individuals, thus making single drug therapy ineffective in some cases. Taking this fact into account and using a mouse model, we set on investigating the possibility of obtaining a synergism of action between a classical tricyclic antidepressant that inhibits noradrenalin and serotonin reuptake (doxepin), and a modern antidepressant that inhibits type-B monoamine oxidase (selegiline). We measured the antidepressant effect using the forced swimming test and the tail suspension test. We determined motor activity using the Activity Cage test. Our results have shown that the antidepressant effect intensifies significantly in the ...


Insights Into The Pathogenesis Of Nicotine Addiction. Could A Salivary Biosensor Be Useful In Nicotine Replacement Therapy (Nrt)?, Anida-Maria Băbțan, Nausica B. Petrescu, Anca Ionel, Bianca A. Boșca, Willi A. Uriciuc, Claudia N. Feurdean, Codruța I. Mirică, Roxana Bordea, Viorel Miclăuș, Flavia Ruxanda, Adina D. Todea, Teodora G. Alexescu, Radu S. Câmpian, Aranka Ilea 2019 Valparaiso University

Insights Into The Pathogenesis Of Nicotine Addiction. Could A Salivary Biosensor Be Useful In Nicotine Replacement Therapy (Nrt)?, Anida-Maria Băbțan, Nausica B. Petrescu, Anca Ionel, Bianca A. Boșca, Willi A. Uriciuc, Claudia N. Feurdean, Codruța I. Mirică, Roxana Bordea, Viorel Miclăuș, Flavia Ruxanda, Adina D. Todea, Teodora G. Alexescu, Radu S. Câmpian, Aranka Ilea

Journal of Mind and Medical Sciences

Nicotine has gained the attention of the medical community due to its insidious addictive mechanisms which lead to chronic consumption. The multitude of compounds derived from tobacco smoke have local and systemic negative impacts, resulting in a large number of smoking-related pathologies. The present review offers insights into nicotine addiction physiopathology, as well as social and medical implications, with emphasis on its correlation with Advanced Glycation End Products (AGEs). Therapeutic strategies and new approaches to nicotine assessment and cessation treatment are discussed, noting that such strategies could take into account the possibility of slow and gradual nicotine release from a ...


Modern Concepts In Non-Surgical Esthetics; A Review, Anca Pantea Stoian, Razvan Hainarosie, Catalina Pietrosanu, Andreea Rusescu, Liliana F. Andronache, Stana Paunica, Cristian Balalau, Teodora S. Pituru 2019 Valparaiso University

Modern Concepts In Non-Surgical Esthetics; A Review, Anca Pantea Stoian, Razvan Hainarosie, Catalina Pietrosanu, Andreea Rusescu, Liliana F. Andronache, Stana Paunica, Cristian Balalau, Teodora S. Pituru

Journal of Mind and Medical Sciences

New non-surgical esthetics is the most dynamic field in contemporary medicine. At the same time, it is greatly influenced by our contemporary society. This paper reviews modern methods used in non-surgical esthetics, especially in Romania. From injectology and non-surgical face lifting to non-surgical body contouring, we analyzed all procedures performed by Romanian physicians, and we show the advantages and disadvantages of the advanced esthetic procedures. Injectology typically implies hyaluronic acid, botox and mesotherapy (for wrinkles and rejuvenation). Laser and radiofrequency treatment are used for wrinkles as well, with fewer unwanted adverse reactions and results exceeding those of injectables. Non-surgical lifting ...


Religious Practices And Long-Term Survival After Hospital Discharge For An Acute Coronary Syndrome, Hawa Ozien Abu, Kate L. Lapane, Molly E. Waring, Christine M. Ulbricht, Randolph S. Devereaux, David D. McManus, Jeroan J. Allison, Catarina I. Kiefe, Robert J. Goldberg 2019 University of Massachusetts Medical School

Religious Practices And Long-Term Survival After Hospital Discharge For An Acute Coronary Syndrome, Hawa Ozien Abu, Kate L. Lapane, Molly E. Waring, Christine M. Ulbricht, Randolph S. Devereaux, David D. Mcmanus, Jeroan J. Allison, Catarina I. Kiefe, Robert J. Goldberg

Open Access Articles

BACKGROUND: Prior studies of healthy populations have found religious practices to be associated with survival. However, no contemporary studies have examined whether religiosity influences survival among patients discharged from the hospital after an acute coronary syndrome (ACS). The present study examined the relationship between religious practices and 2-year all-cause mortality among hospital survivors of an ACS.

METHODS: Patients hospitalized for an ACS were recruited from 6 medical centers in Massachusetts and Georgia between 2011 and 2013. Study participants self-reported three items assessing religiosity: strength/comfort from religion, petition prayers for health, and awareness of intercessory prayers by others. All cause-mortality ...


Treating Substance Use Disorders: Enhancing Attendance At The Weekly Inpatient Medication Assisted Treatment Group, Devon Gillis, Jayne Weisberg, Dena Whitesell, Amy McAuliffe, Amy Sparks, Suneela Nayak, Ruth Hanselman, Stephen Tyzik 2019 Maine Medical Center

Treating Substance Use Disorders: Enhancing Attendance At The Weekly Inpatient Medication Assisted Treatment Group, Devon Gillis, Jayne Weisberg, Dena Whitesell, Amy Mcauliffe, Amy Sparks, Suneela Nayak, Ruth Hanselman, Stephen Tyzik

Operational Excellence

At a large academic tertiary medical center, an Integrated Medication Assisted Treatment (IMAT) program has been established for those medically stable inpatients with an addiction diagnosis. Over a four month period, this program had experienced a decline in attendance and a quality improvement project was initiated is to better understand the barriers to attendance and institute a process that would reverse the decline.

A goal was established to improve attendance by medically stable patients that have consented to participate to a minimum of 50%.

A root cause analysis outlined numerous causes for low attendance and several countermeasures were established to ...


Risk Assessment, Genetic Counseling, And Genetic Testing For Brca-Related Cancer: Us Preventive Services Task Force Recommendation Statement, US Preventive Services Task Force, Douglas K. Owens, Lori Pbert 2019 Stanford University

Risk Assessment, Genetic Counseling, And Genetic Testing For Brca-Related Cancer: Us Preventive Services Task Force Recommendation Statement, Us Preventive Services Task Force, Douglas K. Owens, Lori Pbert

UMass Worcester PRC Publications

Importance: Potentially harmful mutations of the breast cancer susceptibility 1 and 2 genes (BRCA1/2) are associated with increased risk for breast, ovarian, fallopian tube, and peritoneal cancer. For women in the United States, breast cancer is the most common cancer after nonmelanoma skin cancer and the second leading cause of cancer death. In the general population, BRCA1/2 mutations occur in an estimated 1 in 300 to 500 women and account for 5% to 10% of breast cancer cases and 15% of ovarian cancer cases.

Objective: To update the 2013 US Preventive Services Task Force (USPSTF) recommendation on risk ...


Screening For Pancreatic Cancer: Us Preventive Services Task Force Reaffirmation Recommendation Statement, US Preventive Services Task Force, Douglas K. Owens, Lori Pbert 2019 Stanford University

Screening For Pancreatic Cancer: Us Preventive Services Task Force Reaffirmation Recommendation Statement, Us Preventive Services Task Force, Douglas K. Owens, Lori Pbert

UMass Worcester PRC Publications

Importance: Pancreatic cancer is an uncommon cancer with an age-adjusted annual incidence of 12.9 cases per 100000 person-years. However, the death rate is 11.0 deaths per 100000 person-years because the prognosis of pancreatic cancer is poor. Although its incidence is low, pancreatic cancer is the third most common cause of cancer death in the United States. Because of the increasing incidence of pancreatic cancer, along with improvements in early detection and treatment of other types of cancer, it is estimated that pancreatic cancer may soon become the second-leading cause of cancer death in the United States.

Objective: To ...


Exploring Rural And Urban Go Nap Sacc Trained Child Care Providers Perceptions And Needs Regarding The Promotion Of Physical Activity And Healthy Eating, Kailey Snyder, Zainab Rida, Emily Hulse, Dipti Dev, Danae Dinkel 2019 University of Nebraska at Omaha

Exploring Rural And Urban Go Nap Sacc Trained Child Care Providers Perceptions And Needs Regarding The Promotion Of Physical Activity And Healthy Eating, Kailey Snyder, Zainab Rida, Emily Hulse, Dipti Dev, Danae Dinkel

Health and Kinesiology Faculty Publications

Introduction: Early childhood is an optimal time to support the development of physical activity and healthy eating behaviors. As over half of children are cared for in family child care homes and child care centers it is crucial to ensure these behaviors are being supported in the childcare setting. One such process that supports provider’s education and implementation of healthy behaviors in the childcare setting is the Nutrition and Physical Activity Assessment in Child Care (Go NAP SACC). However, after participation in Go NAP SACC, little is known regarding how to further support providers in their promotion of healthy ...


Digital Commons powered by bepress