Behavioral Medicine – Spring 2019

Goals: The goals of this course are as follows:

(1) provide an overview of the nature of behavioral medicine

(2) analyze the role of behavioral medicine in the development of an integrative care model in health research and care

(3) provide a selective focus on the implementation of applied behavioral interventions for specific health problems

(4) emphasize the importance of an evidence-based approach in translating the principles and procedures of behavioral science to health care

Evaluation: Take-home final examination, consisting of short essay questions.

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Required Rutgers statement on Accommodation

Rutgers University welcomes students with disabilities into all of the University's educational programs. In order to receive consideration for reasonable accommodations, a student with a disability must contact the appropriate disability services office at the campus where you are officially enrolled, participate in an intake interview, and provide documentation: https://ods.rutgers.edu/students/documentation-guidelines. If the documentation supports your request for reasonable accommodations, your campus’s disability services office will provide you with a Letter of Accommodations. Please share this letter with your instructors and discuss the accommodations with them as early in your courses as possible. To begin this process, please complete the Registration form on the ODS web site at: https://ods.rutgers.edu/students/registration-form

Syllabus

Seminar 1: History and Current Status

a. Behavioral medicine and health psychology

b. Behavioral medicine and traditional psychotherapy

c. Implementation of CBT for psychiatric disorders in primary care

d. Psychological treatment of medical disorders

Readings

Johnson, S. (2013). Increasing psychology’s role in health research and health care.

American Psychologist, 68, 311-321.

Richardson, L. P., Ludman, E., McCauley, E., Lindenbaum, J., Larison, C., Zhou, C.,

Clarke, G. et al. (2014). Collaborative care for adolescents with depression in

primary care: A randomized clinical trial. JAMA, 312, 809-816.

Craske, M., et al. (2011). Disorder-specific impact of coordinated anxiety learning and

management treatment for anxiety disorders in primary care. Archives of General

Psychiatry, 68, 378-388.

Slides – HANDOUT

Seminar 2: Behavioral Medicine: Clinical Overview

Presentation by Lynn Clemow, Ph.D.

Readings

McDaniel, S. H., Grus, L., Cubic, B. A., et al. (2014). Competencies for psychology

practice in primary care. American Psychologist, 6(4), 409-429.

Seminar 3: Dissemination and Implementation: Increased Access to Behavioral

Health and Mental Health Care

Readings

Kazdin, A.E. (2017). Addressing the treatment gap: A key challenge for extending

evidence-based psychosocial interventions. Behaviour Research and Therapy,

88, 7-18.

Heapy, A.A., et al. (2017). Interactive voice response-based self-management for

chronic back pain. JAMA Internal Medicine, 177, 765-773.

HANDOUT

Seminars 4 and 5. Adherence

Readings

Gawande, A. (2013). Slow ideas. Annals of Medicine, July 29. http://www.newyorker.com/reporting/2013/07/29/130729fa_fact_gawande?currentPage= 1

Interian, S., Martinez, I., Iglesias Rios, L., Krejci, J., & Guarnaccia, P. J. (2010).

Adaptation of a motivational interviewing intervention to improve antidepressant

adherence among Latinos. Cultural Diversity and Ethnic Minority Psychology,

16, 215-225.

Kahana, S., Drotar, D., & Frazier, T. (2008). Meta-analysis of psychological

interventions to promote adherence to treatment in pediatric chronic health

conditions. Journal of Pediatric Psychology, 33, 590-611.

Berra, K. et al. (2015). Making physical activity counseling a priority in clinical

practice. JAMA, 314, 2617-2618. Seminars 6 and 7: Psychological Treatment of Sleep Disorders

Presentation by Elaine Wilson, Ph.D.

Readings

Williams, J. et al. (2013). Cognitive behavioral treatment of insomnia. Chest, 143(2),554- 565.

Ritterband, L.M. et al. (2017). Effect of a web-based cognitive behavior therapy for insomnia intervention with a 1-year follow-up. JAMA Psychiatry, 74, 68-75.

Cary, B. (2013) Sleep therapy is expected to gain a wider role in depression treatment. New York Times. 2013: A30. http://www.nytimes.com/2013/11/24/health/sleep-therapy-is-expected-to-gain-a-wider- role-in-depression-treatment.html?_r=0

Seminar 8: Health Anxiety/Hypochondriasis and Irritable Bowel Syndrome (IBS)

Readings

Olatunji, B.O. et al. (2014). Cognitive-behavioral therapy for hypochondriasis/health

anxiety: A meta-analysis of treatment outcome and moderators. Behaviour

Therapy and Research, 58, 65-74.

Ljotsson et al. (2014). Provoking symptoms to relieve symptoms: A randomized

controlled dismantling study of exposure therapy in irritable bowel syndrome.

Behaviour Research and Therapy, 55, 27-39.

Lackner, J. M., Gudleski, G. D., Keefer, L., Krasner, S. S., Powell, C., & Katz, L. A.

(2010). Rapid response to cognitive behavior therapy predicts treatment outcome

in patients with irritable bowel syndrome. Clinical Gastroenterology and

Hepatology, 8, 426-432.

Seminar 9: Clinical Decision-Making

Readings

Arkes, H. R. & Gaissmaier, W. (2012). Psychological research and the prostate-cancer

screening controversy. Psychological Science, 23(6), 547-553.

Croskerry, P. (2013). From mindless to mindful practice – Cognitive bias and clinical

decision making. New England Journal of Medicine, 368, 2445-2448.

Seminars 10 - 11: Obesity

Readings

Stokes, A., NI, Y., & Preston, S. (2017). Prevalence and trends in lifetime

obesity in the U.S., 1988-2014. American Journal of Preventive Medicine.

GBD 2015 Obesity Collaborators (2017). Health effects of overweight and obesity in

195 countries over 25 years. New England Journal of Medicine, July 16.

Brownell, K. D., & Warner, K. E. (2009). The perils of ignoring history: Big

tobacco played dirty and millions died. How similar is big food? The

Milbank Quarterly, 87, 259-294.

Galchen, R. (2016). Bariatric surgery: the solution to obesity? The New Yorker,

September 26.

Recommended:

Huberman, W.L. (2012). Through thick and thin: The emotional journey of weight loss surgery. New York: Graphite Press.

Useful Websites

www.niddk.nih.gov/

- WIN (Weight Information Network)

www.uconnruddcenter.org/

Seminar 12: Diabetes

Readings

The Look AHEAD Research Group. (2013). Cardiovascular effects of intensive lifestyle

intervention in type 2 diabetes. New England Journal of Medicine, 369(2), 145-

164

Safren, S.A. et al. (2014). A randomized controlled trial of cognitive behavioral therapy

for adherence and depression (CBT-AD) in patients with uncontrolled Type 2

diabetes. Diabetes Care, 37, 625-633.

Seminar 13: Cardiovascular Disorders

Presentation by Lyn Clemow, Ph.D.

Readings

Davidson, K.W. (2012). Depression and coronary heart disease. ISRN Cardiology, 2012,

Article ID 743813, 18 pages http://dx.doi.org/10.5402/2012/743813

Elderon, L., & Whooley, M. A. (2013). Depression and cardiovascular disease. Process

in Cardiovascular Disease, 55, 511-523.

Seminar 14: Anxiety and Cardiovascular Disorders

Presentation by Samantha Farris, Ph.D.

Seminar 15: Review and Reflection: Towards Integrated Medical Care