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This text outlines the importance of biopsychosocial factors in
improving medical care, and illustrates evidence-based,
state-of-the-art interventions for patients with a variety of
medical conditions. Each chapter is focused on a particular health
concern or illness, which is described both in terms of prevalence
and frequent psychological and psychiatric comorbidities that may
present to clinicians working with these populations. Consistent
with evidence-based care, information on the efficacy of the
treatments being described is presented to support their continued
use. To accommodate the needs of clinicians, we describe population
specific approaches to treatment, including goal settings, modules
and skills as well as strategies to assess and monitor progress. To
facilitate learning, each chapter contains one or more case
examples that explicate the skills described to convey change
within a behavioral medicine protocol. Each chapter also includes
resources in the form of books and websites to gain additional
knowledge and detail as needed. Authors are experts in the field of
each chapter, ensuring that information presented is recent and of
high quality.
This text outlines the importance of biopsychosocial factors in
improving medical care, and illustrates evidence-based,
state-of-the-art interventions for patients with a variety of
medical conditions. Each chapter is focused on a particular health
concern or illness, which is described both in terms of prevalence
and frequent psychological and psychiatric comorbidities that may
present to clinicians working with these populations. Consistent
with evidence-based care, information on the efficacy of the
treatments being described is presented to support their continued
use. To accommodate the needs of clinicians, we describe population
specific approaches to treatment, including goal settings, modules
and skills as well as strategies to assess and monitor progress. To
facilitate learning, each chapter contains one or more case
examples that explicate the skills described to convey change
within a behavioral medicine protocol. Each chapter also includes
resources in the form of books and websites to gain additional
knowledge and detail as needed. Authors are experts in the field of
each chapter, ensuring that information presented is recent and of
high quality.
We hypothesized that child abuse (CA) will be associated with
decreased social (e.g., high social support, low social conflict)
and personal (e.g., self-efficacy, self esteem) resources in
adulthood, which in turn, would increase risk for current
depression and PTSD symptoms. Participants were inner-city women (N
= 650). CA significantly predicted PTSD, and decreased social and
personal resources, but did not predict depression. Social
resources, but not personal resources directly predicted PTSD and
depression. Social resources significantly mediated the CA-PTSD and
CA-depression relationships. Personal resources impacted depression
and PTSD only through their significant relationship with social
resources. Ethnic differences on these models were also observed.
Depression and PTSD mediated the association between CA and
resources, in reversed models. Overall, results suggest a
bidirectional relationship between resources and psychopathology,
which may be mutually reinforcing and cyclically related over time.
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