Adolescent health care: A public policy perspective.

Focuses on the importance of psychosocial and behavioral components of health care in the area of adolescent health care. The authors contend that it will ultimately be as a direct result of psychology's tangible (and visual) successes in areas such as adolescent health that will lead to psychological services becoming fully accepted within the overall health care system. The underlying policy notion is that if psychology addresses society's perceived needs, society (i.e., the nation's public policy/political leadership) will strive to meet the mental health profession's needs. The majority of problems adolescents face, regardless of apparent physical symptomatology, are essentially behavioral (psychosocial) in nature. The symptom distress model provides for a school-based integration of psychological knowledge with clinical and educational expertise. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comment: Mental Health Is Not a Fearsome Thing.

Letter comments on the June 1963 American Psychologist. According to the author, there is a great deal of experimentation and research to be done and an opportunity to funnel into mental health the many behavioral science and technological advances and apply them toward the needs of a growing and problem-wracked society. He states that psychology has a challenge of actively participating, or abdicating and letting other professional groups pre-empt the area of mental health. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Public Health and Psychology: An Important, Expanding Interaction.

The authors opine that the behavioral sciences and the field of psychology are absolutely vital in meeting the nation's needs regarding health and health policy. Psychologists have become increasingly involved in health psychology, as reflected by the establishment and rapid growth of Division 38 (Health Psychology). This expansion of psychologists' involvement in physical health research and intervention has led to increased contact between psychologists and nurses, public health experts, and nonpsychiatric physicians. With such contact, psychologists are being recruited into the faculties of schools of nursing, schools of public health, and schools of medicine. This article examines aspects of psychology's role in, involvement with, and contribution to one sector of this arena--public health. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Race and Ethnicity in the Genome Era: The Complexity of the Constructs.

The vast amount of biological information that is now available through the completion of the Human Genome Project presents opportunities and challenges. The genomic era has the potential to advance an understanding of human genetic variation and its role in human health and disease. A challenge for genomics research is to understand the relationships between genomics, race, and ethnicity and the implications of uncovering these relationships. Robust and scholarly discourse on the concept of race and ethnicity in genomic research should be expanded to include social and behavioral scientists. Interdisciplinary research teams are needed in which psychologists, as well as other social and behavioral scientists, work collaboratively with geneticists and other natural scientists. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Congress looks at science.

Congress "has been inviting the nation's top scientists… to come to the witness table… . Congress is not trying to crack down on science; rather it is trying… to equip itself for its constitutional role in an area where it has heretofore been rather laggard." The "Federal Government has been extremely generous to science." Science "has become terribly expensive in recent years… . Congress is beginning to demand, in effect, that the scientific community vouch for it productivity… . Congress is aware of its own inadequacy, which is why the scientific community should be pleased, rather than distressed, by the sudden rush of investigations and studies. They present a splendid opportunity for the nation's scientists to help the political process adopt itself to the needs of science." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effect of carotid sinus denervation on fetal heart rate variation in normoxia, hypoxia and post-hypoxia in fetal sheep

BACKGROUND: Previous reports documented high rates of tobacco use among Alaska Natives (Eskimos, Indians, and Aleuts). In this population, tobacco use is the leading preventable cause of death. Lung cancer is the leading cause of cancer death among Alaska Natives and tobacco is responsible for over one-third of all cancer deaths in this population. Until recently there has been no systematic surveillance of the prevalence of tobacco use in this high-risk population. Data that did exist were not readily available to those primarily responsible for the health care of this population. This is the first time since 1990 that data on Alaska Natives have been collected in one analysis; this permits a more representative evaluation of tobacco use. METHODS: Data on tobacco use were obtained and analyzed from national and state surveys and selected research projects from 1988 to 1993. RESULTS: Alaska Natives have high prevalence of tobacco use, including both cigarettes and smokeless tobacco. Tobacco use prevalence among Alaska Natives exceeds that of Alaska non-Natives, U.S. whites, and American Indians/Alaska Natives in the United States outside of Alaska. Smoking prevalence among Alaska Native women is twice that of non-Native women in Alaska and nearly twice as high among pregnant Alaska Natives than pregnant non-Natives. Overall, prevalence of smokeless tobacco use was four times higher among Alaska Natives than comparative state and national populations. CONCLUSION: Because this population has such high rates of tobacco use, it is important to public health that monitoring and educational programs be in place and that data specific to Alaska Natives be made available.     

Behavioral science activities at the Centers for Disease Control and Prevention: A selected overview of exemplary programs.

Behavioral research and surveillance activities are conducted across the Centers for Disease Control and Prevention (CDC). This article highlights activities in 4 program areas: violence against women, tuberculosis elimination, HIV prevention, and occupational health. The unique constraints and opportunities of each organization and program focus have shaped the way research has developed in each of these areas. Behavioral scientists also face many common challenges at CDC. Despite the difficulties of integrating behavioral research into an institution that historically has focused on biomedical and epidemiological research, behavioral scientists have made important contributions to public health. Many opportunities remain for psychologists to translate theory and operationalize constructs for use in solving important public health problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Supporting children's mental health in schools: Teacher perceptions of needs, roles, and barriers.

There is a significant research to practice gap in the area of mental health practices and interventions in schools. Understanding the teacher perspective can provide important information about contextual influences that can be used to bridge the research to practice gap in school-based mental health practices. The purpose of this study was to examine teachers' perceptions of current mental health needs in their schools; their knowledge, skills, training experiences and training needs; their roles for supporting children's mental health; and barriers to supporting mental health needs in their school settings. Participants included 292 teachers from 5 school districts. Teachers reported viewing school psychologists as having a primary role in most aspects of mental health service delivery in the school including conducting screening and behavioral assessments, monitoring student progress, and referring children to school-based or community services. Teachers perceived themselves as having primary responsibility for implementing classroom-based behavioral interventions but believed school psychologists had a greater role in teaching social emotional lessons. Teachers also reported a global lack of experience and training for supporting children's mental health needs. Implications of the findings are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Psychology, research, and social policy.

Contends that although it is important and timely for psychologists to be concerned with the interface between psychological research and social policy, academic and research psychologists may encounter problems in relating or adapting their research to matters of policy. For some researchers, there are few problems because their focus of research has both theoretical and policy relevance (e.g., those exploring the scientific question at hand with relevant populations or in policy-connected settings). However, it is suggested that the larger group of behavioral scientists are engaged in research that is more removed from immediate practicality or policy relatedness. It is argued that the ideal solution is not to promote the wholesale conversion of research scientists to redirect their scientific inquiry so that it deals directly with issues of policy. Rather, suggestions are tendered for the melding of policy concerns into research that maintains its relevance to the discipline and to issues of psychological theory or practice while touching also on issues of relevance to social policy. A classification model of social scientists involved with policy is included. (32 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

In the matter of juries, democracy, science, truth, senators, and bugs.

An investigation by the Internal Security Subcommittee of the Senate Judiciary Committee of a research inquiry at the University of Chicago involving the recording of jury deliberations is reported in detail. "In this instance freedom of enquiry… clashed… with the value society holds at least as dear as freedom of inquiry—the right to privacy." The incident illustrated "… some of the current hostility to social scientists." "It is vastly important, both for democracy and for behavioral science, that ways be found whereby our behavior and our institutions can be studied with greatest profit and least harm to the sanctities we live by." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The federal health scientist-administrator: An opportunity for role integration.

The federal health scientist-administrator is centrally involved in the national health program and serves in the interface between science and public policy. In this middleman role there is a role conflict which derives from the dichotomy between his values as a scientist and as an administrator. He is viewed as an expert in the process of federal grantsmanship as well as in the research area for which he has responsibility. It is suggested that he must be willing to accept this role conflict as an attribute of science administration today and work toward a process of integrating the 2 roles. Psychologists and other behavioral scientists should participate in such an effort at integration. (15 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Tobacco psychopharmacology and public health policy: It takes a community.

This commentary is based upon the author's lecture given as the 2010 recipient of the award named in honor of Drs. Joseph V. Brady and Charles R. Schuster, given by the Psychopharmacology and Substance Abuse Division (Division 28) of the American Psychological Association (APA). The focus is on the contributions of many behavioral pharmacology researchers who collaborated very much in the spirit of an interactive community dedicated to the common cause of advancing science in service of public health. Division 28 and its members hold a prominent place in this account because, throughout the 1980s and 1990s, the Division was the lead scientific forum for bringing together researchers addressing the behavioral pharmacology of tobacco and nicotine. The commentary provides an overview of how advances utilizing animal and human models of dependence and withdrawal came to inform public health policy and more recently, tobacco product regulation. The commentary also recounts how efforts by the tobacco industry collided with those of nonindustry researchers, including Division 28 members, and how this was taken up in congressional hearings that addressed behavioral pharmacology research on tobacco. The review concludes with an overview of current challenges to behavioral pharmacology researchers to assist in guiding the regulation of tobacco products by the United States Food and Drug Administration and other national regulatory authorities, as well as guiding the implementation of the international tobacco treaty—the World Health Organization Framework Convention on Tobacco Control. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The epidemiology of disasters

Over the last few years there has been an increasing awareness that some kind of disaster management should be possible. The emphasis is now moving from post-disaster improvisation to predisaster preparedness. The League of Red Cross Societies has increasingly encouraged predisaster planning in countries at risk. A new United Nations agency - United Nations Disaster Relief Office (UNDRO)- has been set up with headquarters in Geneva. Coordination and exchange of information between agencies engaged in disaster relief are becoming the rule rather than the exception, and a number of groups have started with the specific objective of making professional expertise available to disaster management. A number of private initiatives have been taken, meetings have been organized, research centers set up, and research projects launched. The study of disasters needs to be approached on a multidisciplinary basis, the more so since the health component is only one part of the broad disaster problem and, perhaps not the major one. Social scientists, psychologists, administrators, economists, geographers, have been or are conducting a number of studies on natural disasters. These studies have provided new insights and have proved most useful in preparing for disasters and increasing the effectiveness and acceptance of relief operations. This is a vital and challenging field, wide open for research. It is now time for epidemiologists and community health scientists to enter the fray and provide much needed information on which a rational, effective and flexible policy for the management of disasters can be based.     

Regional regulation of microtubule dynamics in polarized, motile cells

INTRODUCTION: Tobacco use, diet and physical activity patterns, and alcohol use are the leading causes of death in the United States. To make major improvements in the health status of the population, behavioral risk factors for disease must be addressed. METHODS: We propose a brief survey of behavioral risk factors for enrollees of health care organizations, employer groups, or other adult populations that can be used to profile the health risk behaviors of a population, assess performance of prevention and risk reduction programs, or make comparisons with other populations. The survey contains questions about tobacco, diet, physical activity, alcohol, firearms, motor vehicle safety, sexual behavior, and drugs. RESULTS: Recommendations for survey items, implementation, and calculation of performance measures are given. CONCLUSIONS: Widespread adoption of this type of survey would be a major step forward in acknowledging the impact that behavior has on health and in furthering individual and organizational accountability for improving health risk behaviors.     

Sampling of empirically supported psychological treatments from health psychology: Smoking, chronic pain, cancer, and bulimia nervosa.

Interventions in health psychology and behavioral medicine represent an integral area of research for the development of psychological therapies to enhance health behaviors, manage symptoms and sequelae of disease, treat psychological symptoms and disorders, prolong survival in the face of a life-threatening illness, and improve quality of life. A sampling of interventions in health psychology and behavioral medicine is offered that meet the criteria for empirically supported treatments for smoking cessation, chronic pain, cancer, and bulimia nervosa. Evidence for empirically supported treatments is identified, along with promising interventions that do not yet meet the criteria as outlined by D. L. Chambless and S. D. Hollon (1998). Evidence for the effectiveness and clinical significance of these interventions is reviewed, and issues in this area of research are outlined. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Motivation, cognition and pseudoscience

CONTEXT: Research on the promotion of physical activity has been based on a variety of conceptual models. These models generally target one level of analysis, such as the individual, community, or the environment, and differ in their relative contact with basic or applied science. There have been limited attempts to develop approaches that target multiple levels of analysis and can stimulate basic and applied research. OBJECTIVE: Theoretical integration in a multidiscliplinary field such as promotion of physical activity should take into account that social, behavioral, and biomedical colleagues may use different explanatory models, and use different approaches to the development of scientific knowledge. This essay argues for the development of integration of theory across multiple domains that can incorporate methods and findings of basic and applied scientists, and that uses language and methods common to social, behavioral, and biomedical scientists. METHOD: Behavioral choice theory is presented as an example of one theoretical approach that bridges different approaches to physical activity intervention, and that can stimulate both basic and applied research on physical activity. Behavioral research on choice was discussed in relationship to basic research, human laboratory research, and community and clinical research. CONCLUSIONS: Implications of behavioral choice theory for community and environmental change was discussed. The essay ends with ideas for future directions in integration of theory for physical activity research.     

Psychological interventions with AIDS and HIV: Prevention and treatment.

In the decade since AIDS was first diagnosed, behavioral research has focused intensively on risk reduction change processes and, to a lesser extent, on mental health needs of persons with HIV conditions. Although research to date has yielded important findings for primary prevention efforts and has identified some psychological dimensions relevant to mental health interventions, there is a pressing need for much more systematic intervention outcome research in both the prevention/behavior change and emotional coping areas. Progress in these areas will be facilitated by better linkage of intervention approaches to behavioral theory; identification of intervention elements that produce HIV risk behavior change; evaluated field-testing of promising intervention models; continued focus on populations that remain at risk (such as gay men and iv drug users); and expansion of prevention efforts to urban, poor, and minority populations increasingly threatened as AIDS/HIV enters a "2nd wave." Although AIDS is still a relatively new problem, existing behavioral medicine conceptual models and intervention strategies can be adapted to meet the enormous challenges created by AIDS and HIV infection. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Health maintenance organizations: are they for the inner cities?

Health Maintenance Organizations present some major limitations as a means to address the health care needs in our nation's inner cities. The HMO as it has been affected by HMO legislation is discussed and an identification made of those areas that may adversely affect the delivery of health services to inner-city residents where costs may be greatest for those who can least afford it.     

Tobacco, alcohol, and caffeine use: A review of their interrelationships.

Reviews observational and survey studies on the simultaneous use of 2 or more of the following substances: tobacco, alcohol, or caffeine. Evidence to date indicates that, among each of the 3 possible pairs of relationships of these 3 substances, alcohol and tobacco use and tobacco and caffeine use are moderately to strongly related, and caffeine and alcohol use weakly related. These studies included the use of tobacco and alcohol by adolescents and the use of cigarettes by alcoholics. No studies examined the concurrent use of all 3 substances. The need for improved methods of assessing substance use and research examining health-risk behaviors as interrelated clusters is emphasized, and mechanisms that might account for these interrelationships are discussed. Although there are no general theoretical models that adequately account for these interrelationships, the role of several specific pharmacological or behavioral mechanisms as well as generalized individual difference factors may be postulated. (89 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Why study socioeconomic factors and cancer?

The occurrence of cancer within a population can be studied at many different levels, including forms of social organization, the individual, a particular organ system, or a particular molecule. The causes of cancer can also be studied at these different levels, including socioeconomic factors, lifestyle, the organ burden of a carcinogen, or DNA adducts. Clearly, there are advantages in understanding disease causation at all of the different levels at which it operates. Although cancer risk factors such as tobacco smoke may appear to operate at the individual level, exposure may occur due to a wide range of political, economic and social factors; conversely, tobacco smoke ultimately also has effects at the cellular and molecular levels, including the production of mutations in DNA. Of course, it is important to gain information, and take action, at all possible levels, but the history of public health shows that changes at the population level are usually more fundamental and effective than changes at the individual level, even when a single risk factor accounts for most cases of disease. In this sense, a risk factor such as smoking can be regarded as a secondary symptom of deeper underlying features of the social and economic structure of society. Thus, just as a variety of health effects in various organ systems (for example, various types of cancer) may have a common contributing cause (for example, tobacco smoking) at the level of the individual, a variety of individual exposures (for example, smoking and diet) may have common socioeconomic causes at the population level. In many instances there is clear evidence that cancer is related to socioeconomic factors, but this does not appear to be fully explained by known risk factors. More importantly, there is little evidence as to which socioeconomic factors are of most importance, or whether it is the overall 'package' of social inequality that is responsible for the differences in cancer risk. The aim of this book is therefore to summarize what is already known, and to identify gaps in our knowledge.