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Psicologia, Saúde & Doenças

Print version ISSN 1645-0086

Psic., Saúde & Doenças vol.1 no.1 Lisboa Nov. 2000


Psychological interventions and health: critical connections

Cynthia D. Belar

University of Florida Health Science Center, USA


Abstract: The objective of the study was to discuss critical connections between psychological interventions and health can at various levels: the individual/family, the community/worksite, the health care system, and the general population itself. Psychologists have developed interventions that have positively impacted health in the areas of prevention and health promotion, recovery from illness, management of physical symptoms, stressful medical procedures, adherence and health care systems design. Sites of interventions can range from health care clinics and hospitals to school systems, worksites, communities and public health agencies. As the influence of psychological factors in health becomes more widely appreciated, there will be increasing needs for clinical health psychologists who are appropriately trained to provide these services. The Arden House Conference delegates (1983) outlined education and training for clinical health psychologists that has been accepted to date in the United States. In addition to a broad education in the discipline of psychology, clinical health psychologist need knowledge and skills in a broad core areas.

Key words: Psychological intervention in health, Health psychology, Training in health psychology.



Intervenção psicológica e saúde: conexões críticas

Resumo: O objectivo do presente estudo é discutir as relações fundamentais entre as intervenções psicológicas e a saúde a vários níveis: o indivíduo, a família e a população em geral. Os psicólogos desenvolveram intervenções que tiveram um impacto positivo em áreas de prevenção e de promoção da saúde, tratamento de doenças, gestão de sintomas físicos, procedimentos médicos stressantes, e promoção da adesão aos tratamentos. Os contextos de intervenção variam desde os cuidados de saúde e hospitais até ao sistema educacional, locais de trabalho, e contextos comunitários e de saúde pública.Com o desenvolvimento da aceitação da influência dos factores psicológicos na saúde, haverá um aumento das necessidades de psicólogos clínicos da saúde com treino apropriado para o fornecimento desses serviços. Os delegados à Conferência de Arden House (1983) desenharam programas de formação para os psicólogos clínicos da saúde que foi aceite nos Estados Unidos da América. Este programa torna mais ampla a formação destes psicólogos.

Palavras chave: Intervenção psicológica em saúde, Psicologia da saúde, Treino em psicologia da saúde.


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Belar, C.D., & Deardorff, W.W. (1995) Clinical Health Psychology in Medical Settings: A Practitioner’s Guidebook, Second Edition. Washington, D.C.: American Psychological Association.         [ Links ]

Belar, C.D., & Jeffrey, T.B. (1995). Board certification in Health Psychology. Journal of Clinical Psychology in Medical Settings, 2, 129-132.

Berkman, L.F. (1995). The role of social relations in health promotion. Psychosomatic Medicine, 57, 245-254.

Boggs, S.R., Rodrigue, J.R., Geisser, M., Belar, C.D., Cohen, M., Perry, N.W., Behen, J., & Shapiro, D. (1994). Development and evaluation of a communication skills training program for resident physicians.(Abstract) Proceedings of the 28th Annual Association for the Advancement of Behavior Therapy, 287.

Caudill, M., Schnable, R., Zuttermeister, P., Benson, H., & Friedman, R. (1991). Decreased clinic utilization by chronic pain patients after behavioral medicine intervention. Pain, 45, 334-335.

Christensen, A.J., Wiebe, J.S., Smith, T.W., & Turner, C.W. (1994). Predictors of survival among hemodialysis patients: Effect of perceived family support. Health Psychology, 13, 521-525.

Clark, N.S. (1989). Asthma self-management education: Research and implications for clinical practice. Chest, 95, 1110-1113.

Devine, E.C. (1992). Effects of psychoeducational care for adult surgical patients: A meta-ayanaysis of 191 studies. Patient Education and Counseling, 19, 129-142.

Fawzy, F.I., Fawzy, N.W., Hyun, C.S., Elashoff, R., Gurthrie, D., Fahey, J.L., & Morton, D.L. (1993). Malignant melanoma: Effects of an early structured psychiatric intervention, coping and affective state on recurrence and survival 6 years latger. Archives of General Psychiatry, 50, 681-689.

Frasure-Smith, N., Lesperance, F., & Talajic, M. (1995). The impact of negative emotions on prognosis following myocardial infarction: Is it more than depression? Health Psychology, 14, 388-398.

Freedman, R.R. (1993). Raynaud’s Disease and phenomenon. In R.J. Gatchel & E.B. Blanchard (Eds.), Psychophysiological Disorders: Research and Clinical Applications (pp. 245-267). Washington, DC: American Psychological Association.

Gustafsson, P.A., Kjellman, N.I.M., & Cederblad, M. (1986). Family therapy in the treatment of severe childhood asthma. Journal of Psychosomatic Research, 30, 369-374.

Hellman, C.J.C., Budd, M., Borysenko, J., McClelland, D.C., & Benson, H. (1990). A study of the effectiveness of two group behavioral medicine interventions for patients with psychosomatic complaints. Behavioral Medicine, 16, 165-173.

Johnston, M., & Vogele, C. (1993). Benefits of psychological preparation for surgery: A meta-analysis. Annals of Behavioral Medicine, 15, 245-256.

Kaplan, G. A. (1994). Reflections on present and future research on bio-behavioral risk factors. In S.J. Blumenthal, K. Matthews, & S.M. Weiss (Eds.), New Research Frontiers in Behavioral Medicine. Washington, DC: U.S. Government Printing Office.

Kennell, J., Klaus, M. McGrath, S., Robertson, S., & Hinkley, C. (1991) Continuous emotional support during labor in a U.S. Hospital: A randomized controlled trial. Journal of the American Medical Association, 265, 2197-2237.

Levy, R.A. (1989). Improving compliance with prescription medications: An important strategy for containing health care costs. Med. Interface, March, 34-41.

Lohr, J.A., Ingram, D.L., Dudley, S.M., Lawton, E.L., & Donowitz, L. (1991). Handwashing in pediatric ambulatory care settings. An inconsistent practice. American Journal of Diseases of Children, 145(10), 1198-1199.

Lorig, K., Mazonson, P.D., & Holman, H.R. (1993). Evidence suggesting that health education for self-management in patients with chronic arthritis has sustained health benefits while reducing heatlh care costs. Arthritis & Rheumatism, 36, 439-446.

Lyonfields, J., Talcott, W., Westerman, J., Sullivan, M., & Gates, B. (1995, March). The effect of a COPD rehabilitation program on utilization of hospital services. Paper presented at the annual meeting of the Society of Behavioral Medicine. Washington, D.C.

Martinez, R. (1995). Preventing motor vehicle injuries. HMO, 36, 27-32.

Matarazzo, J.D. (1982). Behavioral health’s challenge to academic, scientific, and professional psychology. American Psychologist, 37, 1-14.

McGinnis, J.M. (1994). The role of behavioral research in national health policy. In S.J. Blumenthal, K. Matthews, & S.M. Weiss (Eds.), New Research Frontiers in Behavioral Medicine. Washington, DC: U.S. Government Printing Office.

Moser, D.K., & Dracup, K. (1996). Is anxiety early after myocardial infaction associated with subsequent ischemic and arrhythmic events? Psychosomatic Mecicine, 58, 395-401.

Pilisuk, M., Boylan, R., & Acredolo, C. (1987). Social support, life stress and subsequent medical care utilization. Health Psychology, 6, 273-288.

Robinson, J.S., Schwartz, M.M., Magwene, K.S., Krengel, S.A., & Tamburello, D. (1989). The impact of fever health education on clinic utilization. American Journal of Diseases of Children, 143, 698-704.

Stone, G.C. (Ed.). (1983). National Working Conference on Education and Training in Health Psychology. Health Psychology, 2(Suppl. 5), 1-153.

Tovian, S.M., Rozensky, R.H., Sloan, T.B., & Slotnick, G.M. (1994). Adult urinary incontinence: Assessment, intervention and the role of clinical health psychology in program development. Journal of Clinical Psychology In Medical Settings, 1, 339-362.

Tulkin, S.R. (1995). Pain Management Program. HMO Practice, 9, 57-58.

Weiss, K.B., Gergen, P.J., & Hodgson, T.A. (1992). An economic evaluation of asthma in the United States. New England Journal of Medicine, 326, 862-866.

Whitehead, W.E., & Drossman, D.A.(1996). Biofeedback for disorders of elimination: Fecal incontinence and pelvic floor dyssnergia. Professional Psychology: Research and Practice, 27, 234-240.