Barriers to the integration of psychosocial factors in medicine: Results of a national survey of physicians

Journal of the American Board of Family Medicine

Volumn 19, Issue 6, 2006, Pages 557-565

  Astin, John A ^a   Soeken, Karen ^b   Sierpina, Victor S ^c   Clarridge, Brian R ^d  

^a CALIFORNIA PACIFIC MEDICAL CENTER   (United States)

^b UNIVERSITY OF MARYLAND SCHOOL OF NURSING   (United States)

^c UNIVERSITY OF TEXAS MEDICAL BRANCH   (United States)

^d UNIVERSITY OF MASSACHUSETTS BOSTON   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CONTROLLED STUDY; DEMOGRAPHY; FEMALE; HEALTH CARE; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HEALTH SURVEY; HUMAN; MALE; MEDICAL EDUCATION; MEDICAL PRACTICE; PATIENT CARE; PHYSICIAN; PHYSICIAN ATTITUDE; SEX DIFFERENCE; SOCIAL PSYCHOLOGY; STRESS;

ATTITUDE OF HEALTH PERSONNEL; EVIDENCE-BASED MEDICINE; FEMALE; HEALTH CARE SURVEYS; HUMANS; MALE; PATIENTS; PHYSICIAN'S PRACTICE PATTERNS; PSYCHOLOGY; PSYCHOPHYSIOLOGY; UNITED STATES;

EID: 33750960287     PISSN: 15572625     EISSN: 15587118     Source Type: Journal    
DOI: 10.3122/jabfm.19.6.557     Document Type: Article

References (29)

1. Engel GL. The need for a new medical model: A challenge for biomedicine. Science 1977;196:129-36.
2. Astin JA. Complementary and alternative medicine and the need for evidence-based criticism. Acad Med Sep 2002;77:864-8; discussion 869-75.
3. Levinson W, Gorawara-Bhat R, Lamb J. A study of patient clues and physician responses in primary care and surgical settings. JAMA 2000;284:1021-7.
4. Marvel MK. Involvement with the psychosocial concerns of patients. Observations of practicing family physicians on a university faculty. Arch Fam Med 1993;2:629-33.
5. Roter DL, Stewart M, Putnam SM, et al. Communication patterns of primary care physicians. JAMA 1997;277:350-6.
6. Levinson W, Roter D. Physicians' psychosocial beliefs correlate with their patient communication skills. J Gen Intern Med 1995;10:375-9.
7. Hall JA, Stein TS, Roter DL, Rieser N. Inaccuracies in physicians' perceptions of their patients. Med Care 1999;37:1164-8.
8. Tresolini CP, Shugars DA. An integrated health care model in medical education: interviews with faculty and administrators. Acad Med 1994;69:231-236.
9. Waldstein SR, Neumann SA, Drossman DA, Novack DH. Teaching psychosomatic (biopsychosocial) medicine in United States medical schools: survey findings. Psychosom Med 2001;63:335-43.
10. Jacobs GD, Pace-Schott EF, Stickgold R, Otto MW. Cognitive behavior therapy and pharmacotherapy for insomnia: a randomized controlled trial and direct comparison. Arch Intern Med Sep 27 2004;164:1888-96.
11. Astin JA, Shapiro SL, Eisenberg DM, Forys KL. Mind-body medicine: state of the science, implications for practice. J Am Board Fam Pract 2003;16:131-47.
12. Wolsko PM, Eisenberg DM, Davis RB, Phillips RS. Use of mind-body medical therapies. J Gen Intern Med 2004;19:43-50.
13. Cabana MD, Rand CS, Powe NR, et al. Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999;282:1458-65.
14. Bero LA, Grilli R, Grimshaw JM, et al. Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. The Cochrane Effective Practice and Organization of Care Review Group. BMJ 1998;317:465-8.
15. Astin JA, Goddard T, Forys K. Barriers to the integration of mind-body medicine: Perceptions of physicians, residents and medical students. Explore: J Sci Healing 2005;1:278-83.
16. Astin JA, Beckner W, Soeken K, Hochberg MC, Berman B. Psychological interventions for rheumatoid arthritis: a meta-analysis of randomized controlled trials. Arthritis Rheum Jun 15 2002;47:291-302.
17. Lorig K, Holman H. Arthritis self-management studies: a twelve-year review. Health Educ Q 1993;20:17-28.
18. Astin JA. Mind-body therapies for the management of pain. Clin J Pain 2004;20:27-32.
19. Linden W, Lenz JW, Con AH. Individualized stress management for primary hypertension: a randomized trial. Arch Intern Med 2001;161:1071-80.
20. Schneider RH, Alexander CN, Staggers F, et al. Long-term effects of stress reduction on mortality in persons ≤55 years of age with systemic hypertension. Am J Cardiol 2005;95:1060-4.
21. Schneider RH, Staggers F, Alexander CN, et al. A randomised controlled trial of stress reduction for hypertension in older African Americans. Hypertension 1995;26:820-7.
22. Blumenthal JA, Sherwood A, Babyak M, et al. Effects of exercise and stress management training on markers of cardiovascular risk in patients with ischemic heart disease: A randomized controlled trial. JAMA 2005;293:1626-34.
23. Benbassat J, Baumal R, Borkan JM, Ber R. Overcoming barriers to teaching the behavioral and social sciences to medical students. Acad Med 2003;78:372-80.
24. Kiecolt-Glaser JK, McGuire L, Robles TF, Glaser R. Psychoneuroimmunology: psychological influences on immune function and health. J Consult Clin Psychol 2002;70:537-47.
25. Kiecolt-Glaser JK, McGuire L, Robles TF, Glaser R. Emotions, morbidity, and mortality: new perspectives from psychoneuroimmunology. Annu Rev Psychol 2002;53:83-107.
26. Rozanski A, Blumenthal JA, Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation 1999;99:2192-2217.
27. Suls J, Rothman A. Evolution of the biopsychosocial model: prospects and challenges for health psychology. Health Psychol 2004;23:119-125.
28. Davis D, O'Brien MA, Freemantle N, et al. Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes?. JAMA 1999;282:867-74.
29. Simon SR, Pan RJD, Sullivan AM, et al. Views of managed care: a survey of students, residents, faculty, and deans at medical schools in the United States. N Engl J Med 1999;340:928-36.