Behavioral Medicine Course Tuesday 4-7pm at Briarwood Preliminary Outline Drs. Peter Trask and Steven Schwartz Week Topic 1. Peter, Steve Introduction to Behavioral Medicine -- goals and aims of the course, history, definitions of beh. med./psychosomatic med. -- biology of stress reactions 2. Peter Chronic Pain -- include gate control theory, acute v. chronic pain, self-management of pain, CBT model, therapy 3. Peter Cancer -- include smoking cessation 4. Steve Cardiovascular Disease -- include hypertension, Type A, depression, lifestyle 5. Peter, Steve Diabetes and Asthma -- include issues of comliance 6. Peter Gastrointestinal Disorders -- Crohn’s, IBS, GI reflux 7. Steve Transplants 8. Peter Psychosomatic illnesses 9. Steve Structure and Authority of Hospitals -- politics, medical subculture 10. Steve Consultation/liaison Work 11. Peter, Steve Research in Medical Settings 12. Steve Financial Efficacy of Psychologists in Medical Settings -- marketing of psych. services in hospitals 13. Peter Ethics in Medical Settings 14. TBA Note: Throughout the course we need to include gender differences, ethnic/racial differences, incidence/prevalence of disease, biological and physiological issue about disease and tx., psychological factors contributing to disease outcomes, case examples, and visual demonstrations. Structure of class: Class will be reading intensive and in seminar style. The class itself will consist of 30- 60 minutes of lecture, and then class discussion with several (3-4) pointed questions on each topic being a source for focusing the discussion to get students to think about the disease and issues. Grading: Grading will be based on class participation, a paper which can either be a literature review of a disease or topic area, or a study proposal in NIH format that includes bibliography and copies of all measures along with a proposed budget outlining personnel and costs. Text: Handbook of Clinical Psychology in Medical Settings (HCPMS) (1991). J. J. Sweet, R. H. Rozensky, & S. M. Tovian (Eds.). New York: Plenum. Syllabus 1. Required reading: Ch. 1 from HCPMS: Clinical Psychology in Medical Settings: Past and Present Pomerleau, O.F., & Brady, J. P. (1979). Introduction: The scope and promise of behavioral medicine. In O. F. Pomerleau and J. P. Brady (Eds.), Behavioral Medicine: Theory and Practice (pp. xi-xxvi). Baltimore: Williams and Wilkins. Asterita, M. F. (1985). The physiology of stress. (pp. 7-34). New York: Human Sciences Press. Additional readings: Epstein, L. H. (1992). Role of behavior theory in behavioral medicine. Journal of Consulting and Clinical Psychology, 60, 493-498. Frankenhaeuser, M. (1991). Mini series: Behavioral medicine an international perspective. Annals of Behavioral Medicine, 13, 197-204. Boone, J. L., & Christensen, J. F. (1997). Stress & disease. In M. D. Feldman and J. F. Christensen (Eds.), Behavioral medicine in primary care: A practical guide. (pp. 265-276). Stamford, CT: Appleton & Lange. Baum, A., & Grunberg, N. E. (1991). Gender, stress, and health. Health Psychology, 10, 80-85. Asterita, M. F. (1985). The physiology of stress. (pp. 168-184). New York: Human Sciences Press. Asterita, M. F. (1985). The physiology of stress. (pp. 185-195). New York: Human Sciences Press. Gatchel, R. J. (1994). Psychophysiological disorders: Past and present perspectives. In R. J. Gatchel and E. B. Blanchard (Eds.) Psychophysiological disorders: Research and clinical applications. (pp. 1-21). Washington, DC: American Psychological Association. Belar, C. D., & Deardorff, W. W. (1995). Clinical health psychology in medical settings: A practitioner’s guidebook. (pp. 1- 11). Washington, DC: American Psychological Association. Belar, C. D., & Deardorff, W. W. (1995). Clinical health psychology in medical settings: A practitioner’s guidebook. (pp. 13-37). Washington, DC: American Psychological Association. Rodin, J., & Salovey, P. (1989). Health psychology. Annual Review of Psychology, 40, 533-579. 2. Required reading: Ch. 23 from HCPMS: Chronic Pain: Psychological Assessment and Treatment Turk, D. C. (1996). Biopsychosocial perspective on chronic pain. In R. J. Gatchel and D. C. Turk (Eds.). Psychological approaches to pain management: A practitioners handbook. (pp. 3- 32). New York: Guilford. Additional readings: Turk, D. C., & Rudy, T. E. (1988). Toward an empirically derived taxonomy of chronic pain patients: Integration of psychological assessment data. Journal of Consulting and Clinical Psychology, 56, 233-238. Tunks, E. (1996). Comorbidity of psychiatric disorder and chronic pain. In J. N. Campbell (Ed.), Pain 1996- An updated review. (pp. 287-296). Seattle: IASP Press. Tyrer, S. P. (1996). Psychological and psychiatric assessment of patients in pain. In J. N. Campbell (Ed.), Pain 1996- An updated review. (pp. 495-504). Seattle: IASP Press. Keefe, F. J. (1996). Cognitive-behavioral approaches to assessing pain and pain behavior. In J. N. Campbell (Ed.), Pain 1996- An updated review. (pp. 517-523). Seattle: IASP Press. Merikangas, K. R., Angst, J., Isler, H. (1990). Migraine and psychopathology: Results of the Zurich Cohort Study of young adults. Archives of General Psychiatry, 47, 849-853. Reesor, K. A., & Craig, K. D. (1988). Medically incongruent chronic back pain: Physical limitations, suffering, and ineffective coping. Pain, 32, 35-45. Tan, S. Y. (1982). Cognitive and cognitive-behavioral methods for pain control: A selective review. Pain, 12, 201-228. Polatin, P. B. (1996). Integration of pharmacotherapy with psychological treatment of chronic pain. In R. J. Gatchel and D. C. Turk (Eds.). Psychological approaches to pain management: A practitioners handbook. (pp. 305- 328). New York: Guilford. Klapow, J. C., Slater, M. A., Patterson, T. L., et al. (1995). Psychosocial factors discriminate multidimensional clinical groups of chronic low back pain patients. Pain, 62, 349-355. Turner, J. A., & Jensen, M. P. (1993). Efficacy of cognitive therapy for chronic low back pain. Pain, 52, 169-177. 3. Required reading: Ch. 20 in HCPMS: Integration of Clinical Psychology into Adult and Pediatric Oncology Programs Nuland, S. B. (1994). The malevolence of cancer (pp. 202-221). How we die: Reflections on life’s final chapter. New York: Alfred Knopf. Additional readings: Anderson, B. L., Anderson, B., & deProsse, C. (1989). Controlled prospective longitudinal study of women with cancer II: Psychological outcomes. Journal of Consulting and Clinical Psychology, 57, 692-697. Fawzy, F. I., Fawzy, N. W., Arndt, l. A., & Pasnau, R. O. (1995). Critical review of psychosocial interventions in cancer care. Archives of General Psychiatry, 52, 100-113. Holland, J. F. (1998). Biology of cancer for the psycho-oncologist. In J. C. Holland (Ed.), Psycho-oncology (pp. 16-23). New York: Oxford University. Andersen, B. L., Kiecolt-Glaser, J. K., & Glaser, R. (1994). A biobehavioral model of cancer stress and disease course. American Psychologist, 49, 389-404. Holland, J. C. (1998). Societal views of cancer and the emergence of psycho-oncology. In J. C. Holland (Ed.), Psycho-oncology (pp. 3-15). New York: Oxford University. Travis, C. B. (1988). Breast cancer: Risk factors. Women and health psychology: Biomedical issues, (pp. 203-228). Hillsdale, NJ: Lawrence Erlbaum Associates. Travis, C. B. (1988). Breast cancer: Detection and management. Women and health psychology: Biomedical issues, (pp. 229-256). Hillsdale, NJ: Lawrence Erlbaum Associates. 4. Required reading: Ch. 21 in HCPMS: Cardiovascular Disorders: Hypertension and Coronary Heart Disease Frasure-Smith, N., Lesperance, F., & Talajic, M. (1993). Depression following myocardial infarction: Impact on 6-month survival. JAMA, 270, 1819-1825. Scheidt, S. (1996). A whirlwind tour of cardiology for the mental health professional. In R. Allan and S. Scheidt (Eds.), Heart and mind: The practice of cardiac psychology (pp.15-62). Washignton, DC: American Psychological Association. Additional readings: Ch. 27 “Coronary Atherosclerotic Disease” Williams, R. B. (1996). Coronary-prone behaviors, hostility, and cardiovascular health: Implications for behavioral and pharmacological interventions. In K. Orth-Gomer and N. schneiderman (Eds.), Behavioral medicine approaches to cardiovascular disease prevention (pp. 161-168). Mahwah, NJ: Lawrence Erlbaum. Chesney, M. A. (1996). New behavioral risk factos for coronary heart disease: Implications for intervention. In K. Orth-Gomer and N. schneiderman (Eds.), Behavioral medicine approaches to cardiovascular disease prevention (pp. 169-182). Mahwah, NJ: Lawrence Erlbaum. Matthews, K. A. (1989). Interactive effects of behavior and reproductive hormones on sex differences in risk for coronary heasrt disease. Health psychology, 8, 373- 387. Polefrone, J. M., & Manuck, S. B. (1987). Gender differences in cardiovascular and neuroendocrine response to stressors. In R. C. Barnett, L. Biener, & G. K. baruch (Eds.), Gender and stress, (pp. 13-38). New York: Free Press. Salkovskis, P. M. (1992). Psychological treatment of noncardiac chest pain: The cognitive approach. American Journal of Medicine, 92 (suppl 5A), 114s-121s. Katon, W. J. (1990). Chest pain, cardiac disease, and panic disorder. Journal of Clinical Psychiatry, 51 (5, suppl), 27-30. Beitman, B. D., Basha, I., Flaker, G., DeRosear, L., Mukerji, V., & Lamberti, J. W. (1987). major depression in cardiologu chest pain patients without coronary artery disease and with panic disorder. Journal of Affective Disorders, 13, 51-59. Serlie, A. W., Duivenvoorden, H. J., Passchier, J., Ten Cate, F.