Journal of Clinical Psychology in Medical Settings最新文献_第3页

The Importance of Honoring Family Caregiver Burden: Challenges in Mental Health Care Delivery. 减轻家庭照顾者负担的重要性：提供心理健康护理的挑战。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-06-01 Epub Date: 2024-10-13 DOI: 10.1007/s10880-024-10051-3

Allison J Applebaum, Timothy S Sannes

{"title":"The Importance of Honoring Family Caregiver Burden: Challenges in Mental Health Care Delivery.","authors":"Allison J Applebaum, Timothy S Sannes","doi":"10.1007/s10880-024-10051-3","DOIUrl":"10.1007/s10880-024-10051-3","url":null,"abstract":"There is growing recognition of the profound mental health challenges faced by the 53 million U.S. family caregivers, and the need for increased access to psychosocial care for this vulnerable population. Family caregivers are increasingly seeking support from hospital-based counseling centers. This trend-combined with a public policy landscape that promotes the delivery of caregiver-specific supports and services-highlights challenges faced by mental health professionals to provide and bill for psychosocial care to family caregivers. In this paper, we discuss three interrelated challenges that mental health professionals face in providing care to family caregivers and which our field needs to confront as healthcare transfers more responsibilities onto the shoulders of family caregivers: (1) caregiver burden is not recognized as a formal diagnosis; (2) current documentation for caregivers is typically linked to patient encounters; and (3) support for family caregivers occurs within larger systematic barriers to mental health integration. By accurately describing and documenting caregiver burden and advocating for increased parity in mental health coverage, we hope that the field can bridge the gap between emerging research, momentum in policy, and available psychosocial services for this vulnerable population.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"193-201"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142466706","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

Supporting Emotional Recovery After Spontaneous Coronary Artery Dissection: Development and Pilot Testing an Online Facilitated Support-Group Program. 支持自发冠状动脉夹层后的情绪恢复：在线促进支持小组计划的开发和试点测试。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-05-17 DOI: 10.1007/s10880-025-10083-3

Michelle C Rogerson, Rosemary O Higgins, Michael R Le Grande, Stephanie Hesselson, Siiri E Iismaa, Jodi Brown, Alex Wynd, Donita Baird, Sarah Zaman, Sarah Ford, Trudi Musgrave-Edwards, Sarah T Clarke, Robert M Graham, Alun C Jackson, Barbara M Murphy

{"title":"Supporting Emotional Recovery After Spontaneous Coronary Artery Dissection: Development and Pilot Testing an Online Facilitated Support-Group Program.","authors":"Michelle C Rogerson, Rosemary O Higgins, Michael R Le Grande, Stephanie Hesselson, Siiri E Iismaa, Jodi Brown, Alex Wynd, Donita Baird, Sarah Zaman, Sarah Ford, Trudi Musgrave-Edwards, Sarah T Clarke, Robert M Graham, Alun C Jackson, Barbara M Murphy","doi":"10.1007/s10880-025-10083-3","DOIUrl":"https://doi.org/10.1007/s10880-025-10083-3","url":null,"abstract":"Spontaneous coronary artery dissection (SCAD) is a major medical event with a high burden of psychosocial sequelae. SCAD survivors require psychological support to facilitate recovery. This pilot study involved feasibility testing of an online group support program for SCAD survivors, co-designed by clinicians, survivors and researchers. The SCAD Online Support Program uses the principles of Acceptance and Commitment Therapy. The four-session-manualized program, facilitated by a registered psychologist and a SCAD survivor, was delivered to 33 SCAD survivors (6-7 per group). Participant and Project Advisory Group feedback led to iterative program refinements. Qualitative and quantitative acceptability data were evaluated. Participants completed pre- and post-program questionnaires to assess engaged living (life fulfilment and valued living), enrichment, self-efficacy, anxiety, depression and cardiac distress. Changes in proportions classified as anxious, depressed and distressed were identified. Qualitative comments highlighted the support, camaraderie and skills gained through the program. There were improvements in levels of life fulfilment, valued living, enrichment, self-efficacy, anxiety, depression, and cardiac distress, and reductions in proportions classified as anxious, depressed and distressed. The SCAD Online Support Program was successfully co-designed, implemented and modified, shown to be acceptable to SCAD survivors, and demonstrates potential for improving mental health outcomes.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086296","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

A Novel Application of the Child Psychiatry Access Program Model to Inpatient Psychiatry: The Transitional Care Coordination Program. 儿童精神病学可及项目模式在住院精神病学中的新应用：过渡性护理协调项目。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-05-09 DOI: 10.1007/s10880-025-10080-6

Olivia Soutullo, Lael Coleman, Samantha Hamburger, Frances Cooke, Deborah Zlotnik, Colby Tyson, Priya Punnoose, Melissa Long

{"title":"A Novel Application of the Child Psychiatry Access Program Model to Inpatient Psychiatry: The Transitional Care Coordination Program.","authors":"Olivia Soutullo, Lael Coleman, Samantha Hamburger, Frances Cooke, Deborah Zlotnik, Colby Tyson, Priya Punnoose, Melissa Long","doi":"10.1007/s10880-025-10080-6","DOIUrl":"https://doi.org/10.1007/s10880-025-10080-6","url":null,"abstract":"Pediatric patients who have been discharged from psychiatric hospitalizations are at high risk of negative outcomes, especially if they do not connect to outpatient mental health services. This paper describes the development and implementation of the Transitional Care Coordination Program (TCCP), a novel adaptation of the Child Psychiatry Access Program (CPAP) model, to provide mental health consultation and care coordination services after psychiatric hospitalization. The program offered discharging patients' pediatric primary care providers telephonic child psychiatry consultations and three months of care coordination for patient families over multiple timepoints. Between March 2020 and November 2021, 163 unique patients were enrolled in the TCCP from 170 admissions. Patient families from 89 admissions (52% of total) were reached and participated in the TCCP, with 22 of those (25%) requesting new behavioral health provider resources and 39 (44%) requesting other behavioral health supports. The TCCP reached out to 110 (65% of total) primary care providers, none of whom requested a psychiatric consultation. Findings support the initial feasibility of a novel adaptation of the CPAP model for preemptive support at psychiatric hospitalization discharge. This is the first program of its kind, showing promise as a way for existing CPAPs to leverage their infrastructure to help families connect to needed mental health care after discharge and potentially prevent readmissions or other adverse outcomes. More research is needed to understand its efficacy and applicability to other settings.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020041","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

Exploring the Role of Psychologists on Addiction Consult Services in Acute Care Settings. 探讨心理学家在成瘾咨询服务中的作用在急性护理设置。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-04-26 DOI: 10.1007/s10880-025-10081-5

Emi Caprio, Kara Belfer, Dale Terasaki

{"title":"Exploring the Role of Psychologists on Addiction Consult Services in Acute Care Settings.","authors":"Emi Caprio, Kara Belfer, Dale Terasaki","doi":"10.1007/s10880-025-10081-5","DOIUrl":"https://doi.org/10.1007/s10880-025-10081-5","url":null,"abstract":"An Addiction Consult Service (ACS) utilizes an interdisciplinary approach to fill an important gap in substance use treatment for patients who are admitted to an acute care hospital. While each ACS team's composition mirrors the needs of the patient population, there is a lack of literature on the role of psychologists within ACS teams despite psychotherapeutic intervention being a key component of substance use treatment. The current article aims to clarify how psychologists with specialized training in the treatment of substance use can contribute to the overall goal of an ACS in an acute care hospital setting. Drawing from the competency benchmarks put forth by the American Psychological Association to guide doctoral-level psychology training, we draw connections between relevant competencies for independent psychological practice and the ACS landscape. The importance of psychologists' competencies in Interdisciplinary Systems, Scientific Knowledge and Methods, Evidence-Based Practice, Individual and Cultural Diversity, and Relationships are highlighted and demonstrated through hypothetical case scenarios. This article provides an introduction to the ways in which psychology can contribute to the interdisciplinary environment of ACS, both clinically and foundationally. With this work, we hope to encourage additional inquiry into the intersection of psychology and addiction consult work.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985476","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

Intervention Development to Promote Medical Adherence After Stem Cell Transplant. 促进干细胞移植后医疗依从性的干预发展。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-04-26 DOI: 10.1007/s10880-025-10078-0

Donna M Posluszny, Arthur M Nezu, Dana H Bovbjerg, Karen L Syrjala, Mary Amanda Dew

{"title":"Intervention Development to Promote Medical Adherence After Stem Cell Transplant.","authors":"Donna M Posluszny, Arthur M Nezu, Dana H Bovbjerg, Karen L Syrjala, Mary Amanda Dew","doi":"10.1007/s10880-025-10078-0","DOIUrl":"https://doi.org/10.1007/s10880-025-10078-0","url":null,"abstract":"Allogeneic hematopoietic cell transplantation (HCT) can be a lifesaving treatment for patients with hematologic disease. However, adherence to the post-HCT clinical regimen has many challenges that patients and their family caregivers must manage after hospital discharge. To address their needs, we developed a Dyadic Problem-Solving Therapy (DPST) intervention, then examined its feasibility and acceptability to patients and their family caregivers. Twelve patient-family caregiver dyads participated. Four dyads received DPST in person, four received it via online video conferencing. Another four received an enhanced usual care (EUC) intervention of the same length. Feasibility was assessed using completion rates, while acceptability was assessed using satisfaction ratings on the Client Satisfaction Questionnaire. DPST and EUC were both feasible (100% of dyads who started the intervention completed it) and acceptable with satisfaction ratings ranging from 3.6 to 4 for patients and 3.6-3.9 for family caregivers on a 1-4 scale for both DPST groups and ranging from 3.3 to 3.8 for EUC patients and 3.5-4 for EUC family caregivers. There were no evident differences by mode of intervention delivery. DPST, both in person and via video, appears feasible and acceptable for training patient-family caregiver dyads to manage challenges to adherence to the post-HCT regimen.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009906","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

A Semi-structured Interview Predicts Spinal Cord Stimulator Implantation in Patients with Chronic Pain. 半结构化访谈预测慢性疼痛患者的脊髓刺激器植入。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-04-21 DOI: 10.1007/s10880-025-10077-1

Julia Russell, Nancy Hamilton, Jessica Hamilton

{"title":"A Semi-structured Interview Predicts Spinal Cord Stimulator Implantation in Patients with Chronic Pain.","authors":"Julia Russell, Nancy Hamilton, Jessica Hamilton","doi":"10.1007/s10880-025-10077-1","DOIUrl":"https://doi.org/10.1007/s10880-025-10077-1","url":null,"abstract":"Pre-surgical psychological evaluations (PSPE) are required during the spinal cord stimulator (SCS) implantation process, but there is no standard protocol for SCS PSPE. In this study, we assessed the concurrent and predictive validity of the Stanford Integrated Pyschosocial Assessment for Transplantation (SIPAT) compared with patient-reported measures and election for SCS implantation. This study used prospectively collected data at the time of PSPE from N = 222 patients at a Midwestern academic medical center. We collected SIPAT scores and Patient-Reported Outcome Measurement Information Systems (PROMIS) scores, and recorded receipt of permanent SCS implantation as a binary (yes/no) outcome. The SIPAT correlated with patient-reported outcomes of Anxiety, Depression, Fatigue, Sleep, and Pain Interference in the expected direction. The SIPAT was a significant predictor of election for permanent SCS implantation when accounting for age and pain diagnosis, such that individuals with higher SIPAT scores were less likely to elect for surgery. Exploratory analyses showed that the SIPAT Patient Readiness subscale and patient-reported Anxiety and Depression PROMIS scales correlated with election for SCS surgery. Results of this study demonstrated validity of the SIPAT in a novel population, patients with chronic pain referred for SCS implantation.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023653","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

Exploring the Psychometric Properties of the Spanish Version of the Life Orientation Test-Revised Among Multiple Sclerosis Patients: Insights into Optimism. 探讨西班牙语版生活取向测验在多发性硬化症患者中的心理测量特性：乐观主义的见解。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-04-11 DOI: 10.1007/s10880-025-10076-2

Yunier Broche-Pérez, Rodneys M Jiménez-Morales, Diego D Díaz-Guerra

{"title":"Exploring the Psychometric Properties of the Spanish Version of the Life Orientation Test-Revised Among Multiple Sclerosis Patients: Insights into Optimism.","authors":"Yunier Broche-Pérez, Rodneys M Jiménez-Morales, Diego D Díaz-Guerra","doi":"10.1007/s10880-025-10076-2","DOIUrl":"https://doi.org/10.1007/s10880-025-10076-2","url":null,"abstract":"Optimism, defined as the tendency to expect positive outcomes and view challenges as manageable, plays a vital role in the lives of individuals with chronic illnesses, including multiple sclerosis. Given its potential benefits, measuring optimism through validated tools like the Life Orientation Test-Revised (LOT-R) is essential for both research and clinical practice. This study aims to validate the Spanish version of the LOT-R within a sample of MS patients, assessing its psychometric properties and exploring its potential utility in clinical settings. This study included 179 patients with Relapsing-Remitting Multiple Sclerosis (PwMS). Confirmatory factor analysis (CFA) was performed to assess the factor structure of the LOT-R. Model fits were evaluated by the χ2/df value, comparative fit index (CFI), and root mean square error of approximation (RMSEA). The LOT-R showed good psychometric characteristics in our sample of PwMS. The CFA's for both models (the two correlated factors model and the second-order factor model) yielded a good model fit. Cronbach's alpha and McDonald's omega were acceptable. Optimism was significantly correlated with quality-of-life scores, resilience, and fear of relapse scale. In general terms, the LOT-10 has satisfactory psychometric properties and is suitable for measuring dispositional optimism in Spanish-speaking patients with multiple sclerosis.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017877","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

Health Psychology Consultation in Inpatient Medical Settings: Physicians' Perspectives and Preferences. 住院医疗环境中的健康心理咨询：医生的观点和偏好。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-03-23 DOI: 10.1007/s10880-025-10075-3

Brooke E Palmer, Megan L Petrik, Rachel D Barnes, Janet L Thomas, William N Robiner

{"title":"Health Psychology Consultation in Inpatient Medical Settings: Physicians' Perspectives and Preferences.","authors":"Brooke E Palmer, Megan L Petrik, Rachel D Barnes, Janet L Thomas, William N Robiner","doi":"10.1007/s10880-025-10075-3","DOIUrl":"https://doi.org/10.1007/s10880-025-10075-3","url":null,"abstract":"Authors sought to elucidate physician perspectives of a health psychology inpatient consultation service to refine practices in addressing physicians' and patients' needs. Invitations to participate in an anonymous online survey were sent to credentialed physicians at an academic medical center in the Midwest. Twelve survey items assessed topics such: perceptions of medical inpatients' behavioral health needs; factors affecting referrals for consultation; types of services needed; preferences for communication; confidence in making referrals to health psychology; and contributions of psychologists beyond patient care. Forty-nine physicians from 12 medical and surgical services completed the survey. Nearly half believed that hospitalized patients could benefit from psychological consultation. Physicians had varied understanding of differences between the roles and services of psychology and other disciplines that address mental and behavioral health. Barriers to referral for consultation included insufficient integration with medical teams and longer wait times to complete consultations. Physicians appreciated direct conversation with health psychology consultants to discuss recommendations for patient care versus exclusive reliance on communication in the electronic medical record. Health psychology consultation is recognized by physicians as a valuable clinical service enhancing inpatient care and as providing additional institutional (e.g., educational) benefits.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692332","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

Cognitive Impairments in Two Samples of Individuals with ME/CFS and Long COVID: A Comparative Analysis. 两例ME/CFS和长冠状病毒感染者的认知障碍比较分析

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-03-22 DOI: 10.1007/s10880-025-10074-4

Zoe Sirotiak, Jenna L Adamowicz, Emily B K Thomas

{"title":"Cognitive Impairments in Two Samples of Individuals with ME/CFS and Long COVID: A Comparative Analysis.","authors":"Zoe Sirotiak, Jenna L Adamowicz, Emily B K Thomas","doi":"10.1007/s10880-025-10074-4","DOIUrl":"https://doi.org/10.1007/s10880-025-10074-4","url":null,"abstract":"Cognitive impairments, including memory and concentration difficulties, are common in individuals with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and long COVID. These conditions frequently co-occur, but it remains unclear how cognitive difficulties differ between individuals with ME/CFS, long COVID, both, or neither. The purpose of this study was to examine cognitive impairment presence and type for individuals with and without these conditions. Data from the 2022 and 2023 National Health Interview Survey were analyzed. Participants included 27,512 and 29,404 U.S. adults in 2022 and 2023, respectively. Survey weights and variance estimation variables were utilized and multivariate logistic regression models assessed the likelihood of cognitive difficulty, accounting for sociodemographics and shared variance. Participants from both cohorts were primarily female, white, and non-Hispanic/Latine, with an average age of 48.1 years in both cohorts. ME/CFS (aOR 6.18; 95% CI 4.82-7.93; aOR 5.33; 95% CI 4.04-7.05) and long COVID (aOR 2.01; 95% CI 1.67-2.44; aOR 2.16; 95% CI 1.82-2.56) were significantly associated with reported cognitive difficulties, after controlling for the other condition and sociodemographic factors. Individuals with ME/CFS, particularly those with comorbid long COVID, are especially prone to memory and concentration difficulties.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692331","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

VA Primary Care Patients with Chronic Pain: A Comparison of Healthcare Utilization and Patient Characteristics Across Alcohol Risk Categories. VA初级保健慢性疼痛患者：跨酒精风险类别的医疗保健利用和患者特征的比较

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-03-13 DOI: 10.1007/s10880-025-10072-6

Travis A Loughran, Jacob L Scharer, Dezarie Moskal, Jennifer S Funderburk, Katherine A Buckheit, Gregory P Beehler

{"title":"VA Primary Care Patients with Chronic Pain: A Comparison of Healthcare Utilization and Patient Characteristics Across Alcohol Risk Categories.","authors":"Travis A Loughran, Jacob L Scharer, Dezarie Moskal, Jennifer S Funderburk, Katherine A Buckheit, Gregory P Beehler","doi":"10.1007/s10880-025-10072-6","DOIUrl":"https://doi.org/10.1007/s10880-025-10072-6","url":null,"abstract":"Chronic pain is common in primary care and can be influenced by alcohol use. Co-occurring pain and at-risk alcohol use is associated with poor outcomes, but the prevalence of this co-occurrence is less well understood. This study aims to establish the prevalence of at-risk alcohol use in a sample of VA primary care patients with chronic pain, and determine health characteristics and care utilization of these patients. Eligible VA primary care patients with a musculoskeletal condition (n = 47,091) were classified as at risk, low risk, or abstainers based on responses to annual alcohol screening. Differences across groups in demographics, comorbid health conditions, health factors, and healthcare encounters were assessed. 45.7% of participants were abstainers, 38.5% were low risk, and 15.8% were at risk. Comparisons revealed abstainers to have higher frequencies of health conditions, as well as higher rates of emergency department and primary care utilization. At-risk patients had the highest rate of overall healthcare utilization and, when compared directly to low-risk patients, were more likely to be diagnosed with many physical and mental health conditions. Primary care teams will benefit from considering the impact of alcohol when treating patients with chronic pain. Further prioritization of integrated primary care is recommended.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624934","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