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The Literature Collection contains over 10,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
10858 Results
2101
Cognitive-behavioral therapy for chronic cardiopulmonary conditions: preliminary outcomes from an open trial
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: OBJECTIVE: To examine the effectiveness of tailored cognitive-behavioral therapy (CBT) for veterans with congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) with comorbid symptoms of depression and/or anxiety. METHOD: Twenty-three veterans with CHF and/or COPD, identified from electronic medical records at a large Veterans Affairs medical center, with clinically significant symptoms of depression (Beck Depression Inventory-II [BDI-II] score >/= 14) and/or anxiety (State Trait Anxiety Inventory [STAI] score >/= 40) were enrolled in an open trial from August 2007 to August 2008. All patients received CBT delivered mostly by advanced psychology trainees that consisted of 6 weekly sessions and 3 telephone booster calls. The intervention expanded traditional CBT techniques in order to address patients' emotional and physical health difficulties using in-person and telephone-based sessions. Outcomes examined depression (BDI-II), anxiety (STAI), and disease-specific quality of life (Chronic Respiratory Questionnaire [CRQ] and Kansas City Cardiomyopathy Questionnaire [KCCQ]) postintervention and at 3-month follow-up. RESULTS: Symptoms of depression (effect size = 0.97) and anxiety (effect size = 0.57) were improved at 8 weeks and maintained at 3-month follow-up. Physical disease outcomes were also improved for COPD (CRQ mastery effect size = 0.65, CRQ fatigue effect size = 0.75) and CHF (KCCQ overall summary score effect size = 1.19). CONCLUSIONS: Modifications to traditional CBT approaches have the potential to address the emotional and physical health challenges associated with complex cardiopulmonary patients. The brief duration and use of telephone-based sessions increase the opportunity for CBT interventions to be integrated within primary care settings, but additional trials are needed. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00727155.
Topic(s):
General Literature
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Reference Links: 
View the DOI record for Cognitive-behavioral therapy for chronic cardiopulmonary conditions: preliminary outcomes from an open trial
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View the PubMed citation for Cognitive-behavioral therapy for chronic cardiopulmonary conditions: preliminary outcomes from an open trial2102
Cognitive-behavioral therapy in depressed primary care patients with co-occurring problematic alcohol use: effect of telephone-administered vs. face-to-face treatment-a secondary analysis
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: This secondary analysis of a larger study compared adherence to telephone-administered cognitive-behavioral therapy (T-CBT) vs. face-to-face CBT and depression outcomes in depressed primary care patients with co-occurring problematic alcohol use. To our knowledge, T-CBT has never been directly compared to face-to-face CBT in such a sample of primary care patients. Participants were randomized in a 1:1 ratio to face-to-face CBT or T-CBT for depression. Participants receiving T-CBT (n = 50) and face-to-face CBT (n = 53) were compared at baseline, end of treatment (week 18), and three-month and six-month follow-ups. Face-to-face CBT and T-CBT groups did not significantly differ in age, sex, ethnicity, marital status, educational level, severity of depression, antidepressant use, and total score on the Alcohol Use Disorders Identification Test. Face-to-face CBT and T-CBT groups were similar on all treatment adherence outcomes and depression outcomes at all time points. T-CBT and face-to-face CBT had similar treatment adherence and efficacy for the treatment of depression in depressed primary care patients with co-occurring problematic alcohol use. When targeting patients who might have difficulties in accessing care, primary care clinicians may consider both types of CBT delivery when treating depression in patients with co-occurring problematic alcohol use.
Topic(s):
HIT & Telehealth
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2104
Cognitive-behaviour therapy for patients with Abridged Somatization Disorder (SSI 4,6) in primary care: a randomized, controlled study
Type: Journal Article
Year: 2008
Publication Place: England
Abstract: BACKGROUND: Somatoform disorders are characterized by the presence of multiple somatic symptoms without an organic cause that completely explains their symptoms. These patients generate a high cost in health services. We aim to evaluate the effectiveness and feasibility of a cognitive-behaviour therapy (CBT) programme, administered in group and individual formats in primary care for patients who are diagnosed with abridged somatization disorder. METHOD/DESIGN: Design: Multicentre, randomized, controlled trial involving 3 groups, one of which is the control group consisting of standardized recommended treatment for somatization disorder in primary care (Smith's norms) and the 2 others, the intervention groups, consisting of cognitive-behavioural therapy (10 sessions) administered in individual format (intervention group 1) or in group format (intervention group 2).Setting: 29 primary care health centres in the province of Zaragoza and 3 primary care health centres in the province of Mallorca, Spain.Sample: N = 204 patients, (68 in each of the three groups), aged 18-65 years, able to understand and read Spanish, who fulfil Escobar's criteria of Abridgged Somatization Disorder (SSI 4,6), stable with pharmacotherapy over the previous month, and who will remain stable for the next 3 months in the doctor's opinion, having signed informed consent.Intervention: Control group: Standardized recommended treatment for somatization disorder in primary care (Smith's norms). Intervention group: 10 weekly sessions of CBT, following a protocol designed by Prof. Escobar's group at UMDNJ, USA. There are 2 different treatment conditions: individual and group format.Measurements: Survey on the use of health services, number and severity of somatic symptoms, anxiety, depression, quality of life and clinical global impression. The interviewers will not know which group the patient belongs to (blind). The assessments will be carried out at baseline, post-treatment, 6 months and 12 post-treatment. Main variables: Utilization of health services, number and severity of somatic symptoms.Analysis: The analysis will be per intent to treat. We will use the general linear models of the SPSS v.15 statistical package, to analyse the effect of treatment on the result variable (utilization of health services, number and severity of somatic symptoms). DISCUSSION: It is necessary to develop more effective psychological treatments for somatoform disorders. This randomised clinical trial will determine whether cognitive behaviour therapy, both in group or in individual format, is effective for the treatment of these patients. TRIAL REGISTRATION: Current controlled trials ISRCTN69944771.
Topic(s):
Medically Unexplained Symptoms
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2105
Cohort study of team-based care among marginalized people who use drugs in Ottawa
Type: Journal Article
Year: 2022
Topic(s):
Medical Home
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, Opioids & Substance Use
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Reference Links:
View the DOI record for Cohort study of team-based care among marginalized people who use drugs in Ottawa
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View the PubMed citation for Cohort study of team-based care among marginalized people who use drugs in Ottawa2111
Collaboration between mental health professionals and family physicians: A survey of New Jersey family physicians
Type: Journal Article
Year: 2005
Abstract: Abstract. Background: Mental health problems are frequent in primary care, and there are many barriers to their detection and treatment. Clinical research protocols that include close collaboration between mental health professionals and primary care physicians have been found to be beneficial. This study explores the opinions of community family physicians regarding mental health professionals working directly in the primary care office.Method: Members of the New Jersey Academy of Family Physicians (N = 709) were sent a 25-item questionnaire about collaboration with mental health professionals. Three mailings were sent, with a 62% response rate. The surveys were mailed between May and July 1999.Results: Of family physicians included in the analysis, 13.5% reported having an in-office mental health professional. Of those who did not, 60.2% responded that they would consider having one. Compared with physicians who would not consider having an in-office mental health professional, physicians with a mental health professional and those without an in-office mental health professional but who would consider one were statistically more likely (p < .01) to respond that an in-office mental health professional would result in increased use of mental health services, improved acceptance of referrals to mental health professionals, and improved detection and treatment of mental health problems.Conclusion: Although few family physicians have an in-office mental health professional, many more would consider this arrangement and recognize the potential benefits of such collaboration.
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for Collaboration between mental health professionals and family physicians: A survey of New Jersey family physicians
2114
Collaboration in caring for psychiatric inpatients: Family physicians team up with psychiatrists and psychiatric nurses
Type: Journal Article
Year: 2008
Publication Place: Canada
Abstract: PROBLEM BEING ADDRESSED: The standard organization of psychiatric inpatient care at our hospital involved consultations with various specialist physicians visiting the psychiatry wards to assess patients' medical needs and to provide appropriate interventions. We thought that this type of clinical care pathway might not be leading to the best integration and timeliness of patient care, the most efficient use of specialist resources, or the least cost to the health care system. OBJECTIVE OF PROGRAM: To initiate a protocol that would involve an FP visiting all the psychiatry wards daily (on weekdays) to conduct medical consultations. We hoped this program would improve the timeliness and integration of patient care, reduce patients' length of stay in hospital, and alter the pattern of specialist consultations. PROGRAM DESCRIPTION: The FP consulted on patients referred by psychiatrists and registered psychiatric nurses; carried out assessments; initiated treatment of commonmedical problems; referred to other specialists when necessary; and made arrangements for follow-up care as appropriate. CONCLUSION: The FP consultations improved patient care in several ways, was highly valued by staff, and modified the pattern of specialist consultations on participatingpsychiatry wards.
Topic(s):
Education & Workforce
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2116
Collaboration Leading to Addiction Treatment and Recovery from Other Stresses (CLARO): process of adapting collaborative care for co-occurring opioid use and mental disorders
Type: Journal Article
Year: 2022
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Opioids & Substance Use
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2117
Collaboration with medical professionals in clinical practice: Pediatric abdominal pain as a case example
Type: Journal Article
Year: 2012
Publication Place: United States
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Collaboration with medical professionals in clinical practice: Pediatric abdominal pain as a case example
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View the PubMed citation for Collaboration with medical professionals in clinical practice: Pediatric abdominal pain as a case example