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Record identifier : 565609
Personal Name - Primary Intelectual Responsibility : Schinaman, Scott A
Title and statement of responsibility : Psychological interventions for COPD in pulmonary medicine settings: New opportunities for effective disease management [Thesis]
Publication, Distribution,Etc. : Alliant International University, San Francisco Bay, 2005
Language of the Item : eng
Dissertation of thesis details and type of degree : Psy.D.
Body granting the degree : , Alliant International University, San Francisco Bay
Summary or Abstract : Chronic obstructive pulmonary disease (COPD) is a grouping of obstructive respiratory diseases, including chronic bronchitis, emphysema and chronic asthma, which share a common constellation of physiologic symptoms and are progressive. Not unlike other chronic illnesses, patients with COPD have a higher rate of concomitant psychological disorders, predominantly generalized anxiety, major depressive and panic disorders, as compared to the general population. Although there are a plethora of studies describing successful interventions for these psychological disorders, there is scant evidence regarding treating these psychological disorders among a COPD patient population. In this study, semi-structured individual interviews with a convenience sample of ten healthcare practitioners who work with pulmonary patients were conducted to identify common themes regarding the impact of psychological conditions and need for psychological interventions in pulmonary medicine settings. Three independent reviewers read the interview transcripts and identified potential themes from the participant's responses. These emerging themes were then further examined and synthesized into a set of common and agreed upon themes by the reviewers. The main themes identified were: (a) there is a high prevalence of psychological factors among patients with pulmonary disease; (b) communication barriers between mental and medical providers exist; (c) providers have limited knowledge of how to intervene with psychological factors among patients; (d) providers have limited knowledge about the existing role of psychologists in medical settings; and (e) considerable frustration with the lack of mental health resources to care for COPD patients with concomitant psychological disorders exists. In sum, medical providers are both acutely aware of, and often frustrated by, the psychological problems among their patients. Moreover, they believe medical treatment is hindered by untreated psychological disorders. A model of integrated COPD management that includes having a mental health provider working in the pulmonary medicine setting to help identify, assess, and intervene with patients is introduced. This model is discussed relative to improved COPD disease management, access to mental health care, and improved overall quality of care..
Topical Name Used as Subject : Psychotherapy, Behaviorial sciences, Surgery
Information of biblio record : TL
 
 
 
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