Abstract
This article argues for the necessity of cognitive-behavioral assessment for a thorough understanding of how psychological factors mediate disease process across a wide range of diseases including coronary artery disease, breast cancer, and human immunodeficiency disease. Based on empirical data presented as part of the APA Presidential miniconvention, “To Your Health: Psychology through the Life Span,” the conclusion is that psychological treatment can help extend life. Stress management programs can positively influence adherence to treatment regimens and positively influence the human immune system response during the course of treatment and recovery from illness. Even in the face of life-threatening circumstances such as liver transplantation, Stage II and III breast cancer, and after HIV infection has been diagnosed, the quality of life can be remarkably improved. Physicians and psychologists must work together to produce the beneficial effects of the synergy between mind-body processes.
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References
Adler, N., & Matthews, K. (1994). Why some people get sick and some people stay well. Annual Review of Psychology, 45, 229–259.
American Psychiatric Association (1994).Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
Andersen, B. L., Kiecolt-Glaser, J. K., & Glaser, R. (1994). A biobehavioral model of cancer stress and disease course.American Psychologist, 49 389–401.
Baumann, L. J., & Leventhal, H. (1985). “I can tell when my blood pressure is up, can't I?”Health Psychology 4, 203–218.
Cohen, S., & Rodriguez, M. (1995). Pathways linking affective disturbances and physical disorders.Health Psychology, 14 374–380.
Cummings, N. A., Pallak, M. S., Dorken, H., & Henke, C. J. (1992). The impact of psychological services on medical utilization and costs. HCFA Contract No. 11-C-98344/9 report. Baltimore, MD: Health Care Financing Administration.
Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine.Science, 196 129–136.
Fulup, G., Strain, J., Fahs, M. C., Hammer, J. S., & Lyons, J. S. (1989). Medical disorders associated with psychiatric comorbidity and prolonged hospital stay.Hospital Community Psychiatry, 40 80–82.
Hahn, S. R., Thompson, D., Wills, T., Stern, V., & Budner, N. (1994). The difficult doctor-patient relationship: Somatization, personality and psychopathology.Journal of Clinical Epidemiology, 47 647–657.
Herbert, T. B., & Cohen, S. (1993). Depression and immunity: A meta-analytic review.Psychological Bulletin, 113 472–486.
Jenkins, F. J., & Baum, A. (1995). Stress and reactivation of latent herpes simplex virus: A fusion of behavioral medicine and molecular biology.Annals of Behavioral Medicine, 17 116–123.
Kaplan, R. M., Sallis, J., Jr., & Patterson, T. L. (1993).Health and Human Behavior. New York: McGraw-Hill.
Kathol, R. G., Mutgi, A., Williams, J., Clamon, G., & Noyes, R., Jr. (1990). Diagnosis of major depression in cancer patients according to four sets of criteria.American Journal of Psychology, 147 1021–1024.
Levenson, J. L. (1992). Psychosocial interventions in chronic medical illness: An overview of outcome research.General Hospital Psychiatry, 14S 43–49.
Miranda, J., Hohmann, A., Attkisson, C., & Larson, D. (1994).Mental Disorders in Primary Care. San Francisco, CA: Jossey-Bass.
Mulder, C. L., Antoni, M. H., Emmelkamp, P. M. G., Veuglers, P. J., Sandfort, T. G. M., van de Vijver, & de Vries, M. J. (1995). Psychosocial group intervention and the rate of decline of immunological parameters in asymptomatic HIV-infected homosexual men.Psychother. Psychosomatic, 63 185–192.
Pallak, M. S., Cummings, N. A., Dorken, H., & Henke, C. J. (1994). Medical costs, Medicaid, and managed mental health treatment: the Hawaii study.Managed Care Quarterly, 2 64–70.
Pallak, M. S., Cummings, N. A., Dorken, H., & Henke, C. J. (1995). Effect of mental health treatment on medical costs.Mind/Body Medicine, 1 7–12.
Perez-Stable, E., Miranda, J., Munoz, R., & Ying, Y. (1990). Depression in medical outpatients: Underrecognition and misdiagnosis.Archives of Internal Medicine, 150 1083–1088.
Schlesinger, H., Mumford, E., Glass, G.,et al. (1983). Mental health treatment and medical care utilization in a fee-for-service system: Outpatient mental health treatment following onset of a chronic disease.American Journal of Public Health, 73 422–429.
Spitzer, R., Williams, J., Kroenke, K., deGruy, F., III, Hahn, S., Brody, D., & Johnson, J. (1994). Utility of a new procedure for diagnosing mental disorders in primary care.Journal of the American Medical Association, 272 1749–1756.
Stone, A. A., & Schiffman, S. (1994). Ecological Momentary Assessment (EMA) in behavioral medicine.Annals of Behavioral Medicine, 16 199–201.
Wells, K. B., Stewart, A., Hays, R. D.,et al. (1989). The functioning and well-being of depressed patients.Journal of the American Medical Association, 262 914–919.
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This paper is edited from the Presidential Miniseries, “To Your Health: Psychology Through the Life Span,” Can Psychological Treatment Help Extend Life? The Synergy Between Psychological and Medical Treatment. Presented at the 1995 APA Convention, New York, NY.
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Melamed, B.G. The interface between physical and mental disorders: The need to dismantle the biopsychosocialneuroimmunological model of disease. J Clin Psychol Med Settings 2, 225–231 (1995). https://doi.org/10.1007/BF01990878
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DOI: https://doi.org/10.1007/BF01990878