Professional Documents
Culture Documents
Motor Skills
Pain tolerance
Question??
What are the four aspects of self-efficacy?
Decreased absenteeism
Enhanced immunity
Emotional Disclosure and
Rheumatoid Arthritis
The onset of RA is
associated with
stressful life events
when compared to
controls (Baker, 1982)
Emotional disclosure
in RA has been shown
to alter symptoms in
the following ways.
Physical Dysfunction following
Emotional Disclosure in RA
(Kelley, Lumley & Leisen, 1997)
3.5
2.5
2 Disclosure
1.5 Control
0.5
0
Baseline 2 weeks 3 months
Affective Disturbances in RA
with Emotional Disclosure
(Kelley, Lumley & Leisen, 1997)
4.5
4
3.5
3
2.5 Disclosure
2 Control
1.5
1
0.5
0
Baseline 2 Weeks 3 Months
Question??
Name the three foundational principles of
Health Psychology.
3) Operant Conditioning
4) Classical Conditioning
5) Social/Observational Learning
Body Mind Medicine
Hans Seyle is known
as the great pioneer of
body-mind medicine
(Vogel, 1991)
He was the first to
discuss the role of
stress in the fields of
medicine and
psychology
Body Mind Medicine
70% of visits to primary care physicians are for
problems related to stress and lifestyle (Vogel,
1999)
Methods of intervention
1. Educational
2. Cognitive-Behavioral
-skills training, pacing, distraction, imagery,
and decreasing catastrophizing
Biopsychosocial Medicine:
A New Medical Model
An alternative medical model which
approaches patient management with a team
of professionals at initial onset (Dea, 2000)
Adult Primary Care Team
One PT
Personal Health Improvement
Program (PHIP)
Meditation Based
Program created by
Matthew Budd of the
Harvard Pilgrim Plan
Kaiser Permanente, a
California HMO,
tested the Personal
Health Improvement
Program in its CAD
members
Bromwyn & Ford, 2000
Studied the effects of PHIP in Kaiser
Permanente’s members with Coronary
Artery Disease
Lifestyle Modification Program
- Nutrition (vegetarian diet)
-Exercise (yoga, group and home exercise)
-Social (support group)
Results: Overall Disease Distress
in CAD with PHIP
0.9 Overall
Diseases
0.8 Distress
0.7 Psychological
Distress
0.6
0.5 Functional and
0.4 Health Status
0.3
0.2
0.1
0
Before PHIP Post-PHIP 6 Month Follow-
up
Cost Comparison Before and
After PHIP Referral in patients
with
1,800
CAD
1,709
1,650
1,600
1,400 1,270
1,200 1,119
1,010
1,000 6 months prior
800 760 6 months after
12 months after
600
400
200
0
Control PHIP Group
COMPLIANCE or should we
say, COLLABORATION
Compliance to a medical protocol, is a form
of passive adherence (Prokop, 1991)
Passive Adherence
Better term=Collaboration
STAGES OF MOTIVATION
THEORY: a review
Also called the
Transtheoretical
Model
Delineates stages of
readiness for
change
1) Precontemplation
2) Contemplation
3) Preparation
4) Action
5) Maintenance
Interventions to Increase Physical
Activity (ACSM, 2000)
POTENTIAL POWER!!