Journal of Clinical Psychology in Medical Settings最新文献_第2页

Patient Experiences of Acute Pain Communication in Sickle Cell Disease and Perspectives on Improving Clinician Communication. 镰状细胞病患者急性疼痛沟通的经验及改善临床沟通的展望。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-03-23 DOI: 10.1007/s10880-026-10136-1

Miranda Ravicz Adelmann, Michelle S Diop, Sharl S Azar, Dima Hendricks, Piper K Tingleaf, Miriam A Osei, Stephanie B Kiser, Ana-Maria Vranceanu, Areej El-Jawahri, Christine S Ritchie

{"title":"Patient Experiences of Acute Pain Communication in Sickle Cell Disease and Perspectives on Improving Clinician Communication.","authors":"Miranda Ravicz Adelmann, Michelle S Diop, Sharl S Azar, Dima Hendricks, Piper K Tingleaf, Miriam A Osei, Stephanie B Kiser, Ana-Maria Vranceanu, Areej El-Jawahri, Christine S Ritchie","doi":"10.1007/s10880-026-10136-1","DOIUrl":"10.1007/s10880-026-10136-1","url":null,"abstract":"Pain in sickle cell disease (SCD) causes profound emotional and psychological consequences. Poor communication between clinicians and people with SCD can worsen the acute pain experience, yet strategies to improve these interactions remain unclear. We aimed to understand how people with SCD communicate with clinicians about pain and how patient-clinician communication could be improved.We conducted semi-structured qualitative interviews with people with SCD aged 16 and older (n = 30). We used rapid qualitative analysis to provide early insights into intervention development.Five themes emerged: 1) people with SCD want clinicians to believe their pain experiences, to show they care, and to demonstrate knowledge about SCD; 2) SCD-related pain directly impacts the ability to communicate; 3) communication about SCD pain should be tailored in content and pace based on the pain severity; 4) prior experiences influence how people with SCD communicate about pain; and 5) healthcare system and institutional factors can positively influence patient-clinician communication in SCD.Empathic communication from clinicians can have significant impact on the pain experiences of people with SCD, who adapt their communication strategies to access proper medical care. Training clinicians in SCD-specific communication skills may improve pain care for this population.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preparing the Psychology Workforce: Outcomes of a Novel Post-Baccalaureate Training Program at an Academic Medical Center. 准备心理劳动力：在学术医疗中心的一个新的学士学位后培训计划的结果。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-03-11 DOI: 10.1007/s10880-026-10143-2

Charleen I Roche, Megan M Griffith, Chenelle Miller, Cynthia A Gerhardt, Ahna Pai, Canice E Crerand, Leena Nahata

{"title":"Preparing the Psychology Workforce: Outcomes of a Novel Post-Baccalaureate Training Program at an Academic Medical Center.","authors":"Charleen I Roche, Megan M Griffith, Chenelle Miller, Cynthia A Gerhardt, Ahna Pai, Canice E Crerand, Leena Nahata","doi":"10.1007/s10880-026-10143-2","DOIUrl":"https://doi.org/10.1007/s10880-026-10143-2","url":null,"abstract":"Graduate school admissions are competitive, and few studies have documented post-baccalaureate (post-bacc) training program outcomes. This paper describes a post-bacc training program at an academic medical center and aims to (a) characterize participants and program recruitment, (b) examine productivity and graduate school matriculation, and (c) assess change in key outcomes (e.g., publications), demographic characteristics, and program reflections. Seventy-nine post-baccs have completed the post-bacc training program since 2017. Publication data were obtained via institution record-keeping and public resources (e.g., PubMed). Starting in 2021, new post-baccs (n = 28) completed entry and exit surveys (reporting demographics/academic history, awards/honors, publications/presentations, research skill confidence, and next steps). Of 79 post-baccs, 89% (n = 70) matriculated to graduate or medical school (41% clinical psychology). The median number of publications during training was three. Publications, presentations, and confidence were higher at exit vs. entry (p's < .05). There were no differences based on underrepresented group status (p > .05). Program satisfaction was high. Findings demonstrate success preparing post-baccs for admission into advanced degree programs, improving research productivity/skill (regardless of underrepresented group status), and garnering high satisfaction among post-baccs. This program model can serve as a bridge, offering rigorous clinical research training for the future workforce of clinical psychologists and related professionals.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147433082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Empathy and Coping Traits on Psychological Responses: A Longitudinal Study on Medical and Nursing Students. 共情和应对特质对医护生心理反应的影响：一项纵向研究

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-03-10 DOI: 10.1007/s10880-026-10144-1

Taku Saito, Norihito Noguchi, Kotaro Shoji, Fumiko Waki, Masanori Nagamine

{"title":"The Impact of Empathy and Coping Traits on Psychological Responses: A Longitudinal Study on Medical and Nursing Students.","authors":"Taku Saito, Norihito Noguchi, Kotaro Shoji, Fumiko Waki, Masanori Nagamine","doi":"10.1007/s10880-026-10144-1","DOIUrl":"https://doi.org/10.1007/s10880-026-10144-1","url":null,"abstract":"Introduction: Healthcare professionals are expected and motivated to engage empathetically with patients, their families, yet how different components of empathy, coping traits interact to shape psychological responses remains unclear. This study examined these relationships in medical, nursing students to inform tailored educational interventions METHODS: Participants who completed two surveys 2 years apart (30 medical students and 88 nursing students) were included. Empathy traits were assessed using the Interpersonal Reactivity Index, coping traits using the Brief Coping Orientation to Problems Experienced Inventory, and psychological responses using the Professional Quality of Life Scale. Mixed-effects models for repeated measures analyzed the impact of empathy and coping traits. Latent profile analysis (LPA) classified participants by empathy and coping traits.Results: Personal distress was significantly associated with increased secondary traumatic stress (STS) and burnout, and decreased compassion satisfaction. Empathic concern was associated with increased compassion satisfaction. Active coping and support seeking were associated with increased compassion satisfaction and reduced burnout, whereas indirect coping was associated with increased STS and burnout. LPA identified three distinct profiles of empathy and coping traits, showing significant differences in psychological responses.Discussion: Differences in empathy and coping traits influence psychological responses in medical and nursing students. Tailored interventions that consider these traits may be more effective.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147433072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Loneliness, Binge Eating, and Type 2 Diabetes: A Novel Theoretical Model Evaluation. 孤独、暴食和2型糖尿病：一个新的理论模型评估。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-03-08 DOI: 10.1007/s10880-026-10141-4

Emma Reid, Melissa Oxlad, Alicia Carter, Talitha Best

{"title":"Loneliness, Binge Eating, and Type 2 Diabetes: A Novel Theoretical Model Evaluation.","authors":"Emma Reid, Melissa Oxlad, Alicia Carter, Talitha Best","doi":"10.1007/s10880-026-10141-4","DOIUrl":"https://doi.org/10.1007/s10880-026-10141-4","url":null,"abstract":"Binge eating disorder and loneliness have both been identified as risk factors for developing Type 2 Diabetes (T2DM), and thus require attention and intervention. The interpersonal model of binge eating proposes that interpersonal problems lead to binge eating via the mediating pathway of negative affect. However, it is unclear whether the interpersonal construct of loneliness may serve a similar function. The current study aimed to test a loneliness model of binge eating in a T2DM population. Study participants (n = 192; mean age = 48.68 ± 14.85; 52.1% female gender) completed an online survey including measures of loneliness (UCLA Three-item Loneliness Scale and direct loneliness question), negative affect (Patient Health Questionnaire-4) and binge eating (Binge Eating Disorder Screener-7). We used structural equation modelling to assess the model and analysed mediation effects. The loneliness model of binge eating showed excellent model fit, and negative affect fully mediated the relationship between loneliness and binge eating (95% CI: 0.33, 0.90). Our findings indicate that interventions addressing loneliness may also be effective in reducing binge eating behaviours, contributing to the growing body of research emphasising the impact of loneliness on those living with T2DM.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147377654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Practice Members' Perspectives on the Implementation of Colorado Integrated Behavioral Health Plus (CIBH +). 实践成员对科罗拉多州综合行为健康+ (CIBH +)实施的看法。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-03-06 DOI: 10.1007/s10880-026-10134-3

Jodi Summers Holtrop, Dennis Gurfinkel, Vanessa Owen, Douglas H Fernald, Lakshmi Karra, Patrick Hosokawa, Shandra Brown Levey, Lauren Tolle, Jay Shore

{"title":"Practice Members' Perspectives on the Implementation of Colorado Integrated Behavioral Health Plus (CIBH +).","authors":"Jodi Summers Holtrop, Dennis Gurfinkel, Vanessa Owen, Douglas H Fernald, Lakshmi Karra, Patrick Hosokawa, Shandra Brown Levey, Lauren Tolle, Jay Shore","doi":"10.1007/s10880-026-10134-3","DOIUrl":"https://doi.org/10.1007/s10880-026-10134-3","url":null,"abstract":"Integrated Behavioral Health is a key solution in addressing significant problems of access and quality of care. This study assessed practice members' perspectives on the feasibility, acceptability, and appropriateness of an integrated care model called Colorado Integrated Behavioral Health Plus (CIBH +) in a large integrated health system. Seven family medicine practices implemented CIBH + . Practice members completed surveys regarding feasibility, acceptability, and appropriateness (analyzed with descriptive statistics) and semi-structured interviews (analyzed using a grounded theory hermeneutic editing approach). A total of 156 practice members responded to the survey (62% response rate) and 46 participated in interviews (78% response rate). Respondents indicated high levels of agreement about the perceived feasibility, acceptability, and appropriateness of CIBH + . Qualitative themes included: (1) observing the benefits to patients and comprehensive team care reinforced the value of integrating care; (2) supports from teamwork, leadership, and telehealth facilitated implementation; and (3) limitations from role clarity, staffing, space, telehealth, and lack of long-term care options remained challenging for implementation. Identifying the key features of CIBH + may make practical implementation in other settings more feasible to implement and acceptable for patients and care teams to use.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147365403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Measuring Physician Trust: An In-Depth Psychometric Analysis of the Trust in Physicians Scale Considering Social Desirability. 测量医生信任：考虑社会期望的医生信任量表的深度心理测量分析。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-03-04 DOI: 10.1007/s10880-026-10139-y

Chloe Lau, Francesco Bruno, Georgia Marunic, Lena Quilty, Catherine Li, Donald Saklofske, Francesca Chiesi

{"title":"Measuring Physician Trust: An In-Depth Psychometric Analysis of the Trust in Physicians Scale Considering Social Desirability.","authors":"Chloe Lau, Francesco Bruno, Georgia Marunic, Lena Quilty, Catherine Li, Donald Saklofske, Francesca Chiesi","doi":"10.1007/s10880-026-10139-y","DOIUrl":"https://doi.org/10.1007/s10880-026-10139-y","url":null,"abstract":"While the Trust in Physicians Scale demonstrates strong reliability and validity in previous findings, further research is necessary to continue evaluating item response theory parameters and the effects of social desirability. Undergraduate participants (N = 730) between 17 and 48 years of age (M = 18.41, SD = 1.63) completed the Trust in Physicians questionnaire and criterion validity measures. Results from Gulliksen's Pool indicated suitability for factor analysis and goodness of fit was appropriate for a unidimensional model (GFI = 1.00; RMSEA = .09; CFI = .98). When controlling for social desirability, factor loadings ranged from .39 to .84 for the Trust in Physicians factor. Loadings on the social desirability control scale ranged from .08 to .25, suggesting positive links with trust in physician and social desirability. Item response theory analyses under Samejima's graded response model reveal item discrimination values between .42 and 1.71 (m = 1.01). Proper measurement may enable physicians to identify patients who may require attention to therapeutic rapport.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147355298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Integrated Behavioral Health Works in Primary Care: An Observational Analysis. 综合行为健康如何在初级保健中起作用：一项观察性分析。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-03-01 Epub Date: 2025-12-09 DOI: 10.1007/s10880-025-10116-x

Lauren Woodward Tolle, Vanessa Owen, Carlee Kreisel, Marisa Kostiuk, Patrick Hosokawa, Dennis Gurfinkel, Jay Shore, Shandra Brown Levey, Jodi Summers Holtrop

{"title":"How Integrated Behavioral Health Works in Primary Care: An Observational Analysis.","authors":"Lauren Woodward Tolle, Vanessa Owen, Carlee Kreisel, Marisa Kostiuk, Patrick Hosokawa, Dennis Gurfinkel, Jay Shore, Shandra Brown Levey, Jodi Summers Holtrop","doi":"10.1007/s10880-025-10116-x","DOIUrl":"10.1007/s10880-025-10116-x","url":null,"abstract":"The way in which behavioral health providers (BHPs) in integrated primary care settings function and what is needed for their success has not been systematically examined. The present study used direct observation to capture integrated BHPs' clinical activities, workflows, and team interactions. Observations took place in seven integrated primary care clinics in a single health system. The model of integration combined components of the Primary Care Behavioral Health model and the Collaborative Care Model. A trained Research Service Professional (RSP) observed 13 BHPs each during one typical clinical day in an integrated primary care clinic. Data collection methods included surveys, process maps, time tracking, and field notes. We used quantitative and qualitative analysis to describe BHPs' activities. During the days observed, BHPs conducted 77 patient visits and many other activities, including supervising learners. BHPs' clinical time was divided among direct patient care (56%), administrative tasks (29%), and consultation with team members (15%). Process maps revealed similar workflows across BHPs/practices with differences in completing screening, rooming, and scheduling patients. BHPs supervising learners saw on average more patients per day than BHPs on their own (5.1 vs. 7.6). BHPs interacted with all practice team members, and most frequently with medical providers, social workers, care managers, and nurses. BHPs provide clinical care to primary care patients on a wide variety of concerns and spend time on other important team-based tasks. Recommendations for optimizing workflows, reimbursement models, and team-based care from these observations are provided.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"15-26"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145708319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preliminary Validation of Two Brief Screening Measures for Eating Disorders in Adults with Chronic Pain. 成人慢性疼痛患者饮食失调两种简单筛查方法的初步验证。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-03-01 Epub Date: 2025-12-28 DOI: 10.1007/s10880-025-10111-2

Lindsay G Flegge, Michelle L Miller, Amy E Williams, Brianna L Jehl, Michael A Bushey

{"title":"Preliminary Validation of Two Brief Screening Measures for Eating Disorders in Adults with Chronic Pain.","authors":"Lindsay G Flegge, Michelle L Miller, Amy E Williams, Brianna L Jehl, Michael A Bushey","doi":"10.1007/s10880-025-10111-2","DOIUrl":"10.1007/s10880-025-10111-2","url":null,"abstract":"Chronic pain and eating problems frequently co-occur, with disordered eating behaviors such as emotional eating, food restriction, and appetite fluctuation contributing to adverse outcomes. However, there are no validated screening tools specifically designed for assessing eating problems in chronic pain populations. This study aimed to validate two brief eating disorder measures, the Eating Attitudes Test-8 (EAT-8) and Eating Disorder Examination-Questionnaire-8 (EDE-Q8), for English-speaking adults presenting for chronic pain treatment. Participants included 173 adults seeking treatment at a pain evaluation service. Participants completed the EAT-8 and EDE-Q8 alongside self-report clinical measures. Demographic and clinical data were extracted from medical records. Statistical analyses assessed internal reliability, construct validity, and differences in eating disorder measures by BMI and eating disorder history. Both the EAT-8 and EDE-Q8 demonstrated acceptable internal reliability (McDonald's omega ≥ 0.7) and strong construct validity, with significant correlation between the two measures (r = 0.77). Scores varied significantly by BMI and eating disorder history, with higher scores observed among participants with obese BMI or a history of eating disorders. However, less than 20% of participants felt the measures fully captured their experiences, suggesting potential gaps in assessing eating problems specific to chronic pain. The EAT-8 and EDE-Q8 are valid and reliable tools for identifying disordered eating behaviors in chronic pain patients. However, these measures may not capture the full spectrum of eating problems unique to this population. Future research should refine screening tools to better assess eating behaviors as they relate to chronic pain.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"109-118"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145846671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intrinsic Motivation Moderates the Effect of Family Conflict on Disordered Eating Behaviors in Adolescents with Type 1 Diabetes. 内在动机调节家庭冲突对青少年1型糖尿病饮食失调行为的影响。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-03-01 Epub Date: 2025-08-30 DOI: 10.1007/s10880-025-10095-z

Gabrielle F Freitag, Luiza V Mali, Stephanie S J Morris, Janine Sanchez, Alan M Delamater

{"title":"Intrinsic Motivation Moderates the Effect of Family Conflict on Disordered Eating Behaviors in Adolescents with Type 1 Diabetes.","authors":"Gabrielle F Freitag, Luiza V Mali, Stephanie S J Morris, Janine Sanchez, Alan M Delamater","doi":"10.1007/s10880-025-10095-z","DOIUrl":"10.1007/s10880-025-10095-z","url":null,"abstract":"Few studies have examined effects of intrinsic motivation (IM) on adaptive behaviors among adolescents with type 1 diabetes (T1D), although greater IM has been associated with less diabetes-related family conflict (FC) and increased regimen adherence. Greater FC has also been associated with disordered eating behaviors (DEBs). We examined the moderating role of IM between FC and DEBs in a culturally diverse sample of youth with T1D. 226 adolescents (Mage = 15.03, 59.3% female, 65.8% Hispanic, 19.0% Black, MA1c = 8.19%, 74.30% eligible for subsidized health insurance) completed pre-visit screening measures assessing IM, FC, and DEBs. Gender, race, ethnicity, A1c, BMI, and insurance status were obtained from medical records and treated as covariates. Black youth had higher rates of DEBs (p < .01) and A1c levels (p < .001) than White youth. Significant correlations were observed across study variables. Accounting for covariates, IM moderated the relationship between FC and DEBs, whereby the effect of FC on DEBs emerged strongest at low IM (p < .001). As IM levels increased, the effect of FC on DEBs decreased, making the relationship between FC and DEBs non-significant. Greater IM for diabetes management attenuates the association between FC and DEBs. Promoting IM may decrease FC and DEBs in youth with T1D.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"60-67"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Moving Integrated Care for Pediatric Somatic Symptoms into Primary Care: An Innovative Approach. 将儿童躯体症状的综合护理纳入初级保健：一种创新方法。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-03-01 Epub Date: 2025-11-27 DOI: 10.1007/s10880-025-10115-y

Thea Senger-Carpenter, Brittany Barber Garcia, Kira Sieplinga, Natoshia Cunningham

{"title":"Moving Integrated Care for Pediatric Somatic Symptoms into Primary Care: An Innovative Approach.","authors":"Thea Senger-Carpenter, Brittany Barber Garcia, Kira Sieplinga, Natoshia Cunningham","doi":"10.1007/s10880-025-10115-y","DOIUrl":"10.1007/s10880-025-10115-y","url":null,"abstract":"Integrated behavioral healthcare has addressed common pediatric primary care concerns including anxiety and depression, but is infrequently applied to somatic symptoms (e.g., chronic pain, fatigue, or syncope unattributable to organic causes), which affect one in three youth. Developing an integrated care model for primary care-where most youth with somatic symptoms first present for evaluation and management-may increase access and positively impact child health. This manuscript summarizes the literature surrounding integrated care for pediatric somatic symptoms and proposes an adapted model for primary care. Drawing from the Pediatric Psychosocial Preventative Health model and cognitive-behavioral protocols for somatic symptom management, we propose that youth with mild to moderate symptoms can be effectively co-managed in primary care by a primary care provider delivering psychoeducation and facilitating team coordination, and an embedded behavioral healthcare provider conducting a brief, targeted intervention. This innovative approach leverages shared clinical responsibilities, as well as youth and families' trust in the primary care setting, to accessibly deliver care for mild-moderate symptoms otherwise unaddressed in current management approaches. Implementation likely requires developing clinician support tools and identifying sustainable billing practices, but may result in accessible, holistic, care that curtails symptom persistence and/or progression.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"27-38"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145634007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0