Clinical health psychology: A health care specialty in professional psychology.

Clinical health psychology is a specialty recognized by both the American Board of Professional Psychology and the American Psychological Association. Clinical health psychology focuses on psychological and behavioral components of illness and health and promotes the understanding of psychology as a health profession. In this article the author reviews its definition, provides a brief overview of practice in the specialty, addresses its relevance for practitioners, and notes sample resources for further study. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Introduction.

The development of effective interventions that focus on the manipulation and utilization of behavioral and psychological variables to influence health outcomes is an important component of health psychology. Investigators in clinical health psychology make important contributions to our basic understanding of the role of behavioral and psychological factors in disease and contribute to improved patient care in primary, secondary, and tertiary prevention programs. The purpose of the present series of Health Psychology articles is to provide readers who may not be familiar with research in clinical health psychology with a sample of research in this area and to emphasize that the journal is an outlet for research in clinical health psychology. This series of articles represents some of the diversity and strengths of research in clinical health psychology. The investigations range from controlled laboratory investigations to worksite field interventions. The scope of outcome and process measures encompasses behavioral, subjective, and physiological changes. The studies utilize both hypothetico-deductive and inductive theoretical models to generate hypotheses. Finally, several of the studies provide outcomes that clinically benefit the study participants. It is hoped that identification of Health Psychology as a resource for clinical health psychology research will stimulate the submission of more high-quality articles in this area. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

APA 2020: A Perfect Vision for Psychology 2004 Five-Year Report of the Policy and Planning Board.

This report addresses the challenges that the American Psychological Association (APA) must face before attaining a perfect vision. It is divided into three sections: (a) meeting the needs of psychology and psychologists in the 21st century; (b) psychology and health care, working toward a true integration of biological, psychological, social, and cultural factors in primary service delivery and research; and (c) promoting psychology to the public. Each section describes the topic's current status, issues and challenges, and points of pride. It also offers recommendations on what steps the APA must take to make this vision of the future a reality in the present. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Health Services and Health Care Economics: The Health Psychology Marketplace.

In an effort toward cost containment, the health care system in the United States has undergone radical changes in the last decade. These changes have influenced the delivery of clinical health psychology services. This article reviews several economic and marketing factors salient to the clinical health psychology marketplace. For example, these economic changes have placed greater emphasis on the need for cost-effectiveness and accountability in the health psychology field. Implications for education and training, collaboration with other health care specialties, new practice initiatives, and public relations are reviewed. Future challenges and opportunities for clinical health psychology are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Introduction to the Special Section on the Future of Health Psychology.

Following 25 years of landmark progress, health psychology faces even greater change in the foreseeable future. Evolving patterns of health and illness and developments in medicine and related fields will shape the future of health psychology. The articles in this special section discuss these future issues in several areas: the biopsychosocial model, changes in demographics, prevention, clinical health psychology interventions, health care financing, and new technologies. In every case, the future holds a variety of important challenges and opportunities in research, practice, training, and policy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of work in psychological health and well-being: A conceptual, historical, and public policy perspective.

The primary theme of this article, which serves as the introductory contribution of a special section of the American Psychologist, is that work plays a central role in the development, expression, and maintenance of psychological health. The argument underlying this assumption is articulated at the outset of the article in conjunction with a historical review of vocational psychology and industrial/organizational psychology. The article follows with an overview of contemporary vocational psychology and a presentation of the psychology-of-working perspective, which has emerged from critiques of vocational psychology and from multicultural, feminist, and expanded epistemological analyses of psychological explorations of working. Three illustrative lines of inquiry in which research has affected the potential for informing public policy are presented. These three lines of scholarship (role of work in recovery from mental illness; occupational health psychology; and working, racism, and psychological health) are reviewed briefly to furnish exemplars of how the psychological study of working can inform public policy. (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)     

Spirituality, religion, and health: An emerging research field.

The investigation of spiritual/religious factors in health is clearly warranted and clinically relevant. This special section explores the persistent predictive relationship between religious variables and health, and its implications for future research and practice. The section reviews epidemiological evidence linking religiousness to morbidity and mortality, possible biological pathways linking spirituality/religiousness to health, and advances in the assessment of spiritual/religious variables in research and practice. This introduction provides an overview of this field of research and addresses 3 related methodological issues: definitions of terms, approaches to statistical control, and criteria used to judge the level of supporting evidence for specific hypotheses. The study of spirituality and health is a true frontier for psychology and one with high public interest. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Galton on Spirituality, Religion, and Health.

Comments on the four articles in the special section on spirituality, religion, and health in the January 2003 issue of American Psychologist (2003, Vol 58, 24-74). These articles acknowledged the long tradition of research in this area but cited no work prior to William James (1902) and Durkheim (1897/1951). This is a pity, as Francis Galton, the father of differential psychology, published pioneering works 30 years earlier in his book Hereditary Genius (1869) and in a paper titled "Statistical Inquiries Into the Efficacy of Prayer" (1872). (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological Treatments.

Psychology has recently identified itself as a health care profession and codified this change in the bylaws of the American Psychological Association. Although psychologists make a number of contributions to the nation's health-and mental health-the most identifiable activity focuses on treating physical or psychological pathology with psychological interventions. Recently, health care policymakers have established that evidence supporting the efficacy of these interventions is more than sufficient for their inclusion in health care systems around the world. To promote faster and more widespread dissemination of these interventions specifically targeting problems severe enough to be included in health care systems and to solidify the identification of psychology as a health care profession, perhaps it is time for a change in terminology. It is proposed that psychologists label these procedures psychological treatments so as to differentiate them from more generic psychotherapy, which is often used outside of the scope of health care systems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Health Psychology: What Will the Future Bring?

This commentary highlights several important themes and trends in this series of articles focusing on the future of health psychology. First, the challenges posed by changes in populations will only be met if health psychologists can develop a contextual competency. Second, with increasing evidence for the efficacy of health psychology interventions comes heightened interest in testing the effectiveness of these interventions. Third, issues of cost-effectiveness of health psychology will become increasingly important. Fourth, the growing integration of technological advances (e.g., telehealth, the Internet) into health psychology has major implications. Finally, the numerous changes outlined in this series of articles will demand that health psychologists extend and refine their theoretical models including the biopsychosocial model. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Primary care health psychology training: A collaborative model with family practice.

Are you planning a new postdoctoral training program in health psychology? Are your students seeking postdoctoral training in health psychology? Are you looking for a good formal postdoctoral fellowship in health psychology to continue your training? This article describes in detail the philosophy, educational objectives, and learning activities that make up a 13-year-old fellowship approved by the American Psychological Association in clinical health psychology, a model for clinical training in this specialty. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Introduction to the Special Section on Dissemination: Dissemination Research and Research Dissemination: How Can We Close the Gap?

One of the greatest challenges facing health promotion and disease prevention is translating research findings into evidence-based public health and clinical practices that are actively disseminated and widely adopted. Despite the tremendous strides made in developing effective disease prevention and control programs, there has been little study of effective dissemination of evidence-based programs to and adoption by community, public health, and clinical practice settings. This special section provides a venue in which to highlight exemplary dissemination research efforts while also identifying limitations in research to date and framing important future research questions. This issue establishes a resource for investigators interested in dissemination research, with relevance to health psychology. In this sense, it can serve as a benchmark by which to examine subsequent progress. The 6 articles reflect the state of the science in dissemination research for the promotion and adoption of health behavior change interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

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)     

Health psychology: The science and the field.

Reviews scientific and professional trends in the field of health psychology. I discuss recent research on health promotion, psychological factors in the development of illness, cognitive representations of health and illness, stress and coping, social support, interventions to promote coping, and trends that will affect progress in the field, such as the need for cost containment and the aging of the population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

American Psychological Association annual report.

Presents the 2009 American Psychological Association annual report. It highlights a very important year for APA and psychology by summarizing activities within each directorate. It describes strides made toward the goal of infusing psychology into the health care marketplace and of bringing psychology—and the unique skills of psychologists—to the attention of the public. This report aims to give insight into the contributions psychologists make to our communities and our country. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Acquiring CMS funding for an APA-accredited postdoctoral psychology fellowship program.

In 2001 Congress reinterpreted existing legislation allowing hospital based, postdoctoral psychology training programs that were accredited by the American Psychological Association (APA) to file for and receive allied health reimbursement through the Center for Medicare/Medicaid Services (CMS). This became effective on March 13, 2001 (Health Care Financing Administration, 2001). Historically physician and other allied health training programs have received government funding, while psychology training has been nonfunded. This new legislation symbolized a shift in federal health policy and recognized psychology as a valuable discipline within the health care system. This article discusses several postdoctoral programs' successful approach in obtaining CMS funding and encourages other eligible programs to pursue it as well. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The ethnicity gap: The past, present, and future.

The gap between the growth of ethnic minority groups nationally and the numbers of such groups within psychology is described. Three topics relevant to professional psychology are considered: mental health services, the educational pipeline, and the governance structure within the American Psychological Association. The authors outline past and current data and recommend actions for the future. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The increasing role of psychology health research and interventions and a vision for the future.

Psychology is on the cusp of becoming a major contributor to the health of the people living in the United States. Over the past 50 years, psychology research and psychologically based interventions and prevention strategies have increasingly influenced the health of people and health care services in the United States. In this article, the authors review briefly the first 40 years of psychology's development as a health profession. An overview of the accelerating changes for psychological involvement in health since the millennium follows. Then, a vision for the future is presented. This article has as its theoretical base a biopsychosocialcultural model of health that places increasing influence on the role of culture, which includes race, ethnicity, social class, gender, physical ablebodiness, and developmental age. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The psychology of health and health care: A Canadian perspective.

Reviews the book, The psychology of health and health care: A Canadian perspective by Gary Poole, Deborah Hunt Matheson, and David N. Cox (2001). This book is a timely introductory text that aims to situate the rapidly expanding field of health psychology within the geographic, socio-demographic, and empirical landscape of Canada. This textbook would be appropriate for beginning and intermediate undergraduate students across a range of disciplines, including psychology, public health, and nursing. As such, it has a number of features to commend it. It is written in a clear and concise style, with explanatory tracks guiding the reader step by step through each new concept. In keeping with health psychology's applied focus, web sites for important resources are provided and sample case studies are integrated with key concepts throughout each chapter. Finally, the up-to-date coverage of Canadian health statistics and research publications is a delight for those of us who have been struggling to find texts that reflect the unique ways in which we view, structure, fund, administer, and research health psychology and health care in this country. (PsycINFO Database Record (c) 2010 APA, all rights reserved)