Behavioral Medicine: Symbiosis between Laboratory and Clinic

Miller, Neal E.

doi:10.1146/annurev.ps.34.020183.000245

Cited by 62 publications

(33 citation statements)

References 24 publications

(27 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Issues concerned with disciplines related to psychosomatic medicine, such as behavioral medicine [10], health psychology [11], and mind-body medicine [12,13], are not included in this paper.…”

Section: Introductionmentioning

confidence: 99%

Current Psychosomatic Practice

Fava

Cosci²,

Sonino³

2016

Psychother Psychosom

239

317

View full text Add to dashboard Cite

Psychosomatic research has advanced over the past decades in dealing with complex biopsychosocial phenomena and may provide new effective modalities of patient care. Among psychosocial variables affecting individual vulnerability, course, and outcome of any medical disease, the role of chronic stress (allostatic load/overload) has emerged as a crucial factor. Assessment strategies include the Diagnostic Criteria for Psychosomatic Research. They are presented here in an updated version based on insights derived from studies carried out so far and encompass allostatic overload, type A behavior, alexithymia, the spectrum of maladaptive illness behavior, demoralization, irritable mood, and somatic symptoms secondary to a psychiatric disorder. Macroanalysis is a helpful tool for identifying the relationships between biological and psychosocial variables and the individual targets for medical intervention. The personalized and holistic approach to the patient includes integration of medical and psychological therapies in all phases of illness. In this respect, the development of a new psychotherapeutic modality, Well-Being Therapy, seems to be promising. The growth of subspecialties, such as psychooncology and psychodermatology, drives towards the multidisciplinary organization of health care to overcome artificial boundaries. There have been major transformations in health care needs in the past decades. From psychosomatic medicine, a land of innovative hypotheses and trends, many indications for changes in the current practice of medicine are now at hand. The aim of this critical review is to outline current and potential clinical applications of psychosomatic methods.

show abstract

Section: Introductionmentioning

confidence: 99%

Current Psychosomatic Practice

Fava

Cosci²,

Sonino³

2016

Psychother Psychosom

239

317

View full text Add to dashboard Cite

show abstract

“…In those years, however, behavioral medicine developed [16]as an interdisciplinary field that integrates behavioral and biomedical knowledge relevant to health and disease. It provided a room for the increasing number of psychologists dealing with basic laboratory research on the neural and humoral systems controlled by the brain, on visceral learning and on other aspects of behavior which lead to practical applications of medical significance [17]. Its main focus is on unhealthful behavior and risk factors (such as smoking and alcohol abuse), laboratory proof of effects of stress, visceral learning and behavior therapy in medical settings [17].…”

Section: Introductionmentioning

confidence: 99%

Psychosomatic Medicine: Emerging Trends and Perspectives

Fava

Sonino

2000

Psychother Psychosom

130

View full text Add to dashboard Cite

Developments have occurred in all aspects of psychosomatic medicine. Among factors affecting individual vulnerability to all types of disease, the following have been highlighted by recent research: recent and early life events, chronic stress and allostatic load, personality, psychological well-being, health attitudes and behavior. As to the interaction between psychological and biological factors in the course and outcome of disease, the presence of psychiatric (DSM-IV) as well as subclinical (Diagnostic Criteria for Psychosomatic Research) symptoms, illness behavior and the impact on quality of life all need to be assessed. The prevention, treatment and rehabilitation of physical illness include the consideration for psychosomatic prevention, the treatment of psychiatric morbidity and abnormal illness behavior and the use of psychotropic drugs in the medically ill. In the past 60 years, psychosomatic medicine has addressed some fundamental questions, contributing to the growth of other related disciplines, such as psychoneuroendocrinology, psychoimmunology, consultation-liaison psychiatry, behavioral medicine, health psychology and quality of life research. Psychosomatic medicine may also provide a comprehensive frame of reference for several current issues of clinical medicine (the phenomenon of somatization, the increasing occurrence of mysterious symptoms, the demand for well-being and quality of life), including its new dialogue with mind-body and alternative medicine.

show abstract

“…Many of these factors are intertwined with the growth of behavioral medicine and are reviewed in Neal Miller's (1983) Annual Review chapter, in papers by Matarazzo (1980Matarazzo ( , 1982, and in recent reports on health and behavior prepared by the Institute of Medicine (Hamburg et al 1982) and the National Research Council (Krantz et al 1982). While "behavioral medicine" is considered to be an interdisciplinary field bringing together biomedical and behavioral knowledge relevant to health and disease (Schwartz & Weiss 1978, Miller 1983, "health psychology" refers to psychol ogy's role in this domain (e.g. Matarazzo 1980).…”

Section: Introduction and Historical Backgroundmentioning

confidence: 99%

“…As a result, from both behavioral and biomedical communities there has been renewed interest in a broader model of health and illness encompassing psychological and social variables and their interaction with biological processes (Engel 1977, Matarazzo 1980, Miller 1983.…”

Section: Introduction and Historical Backgroundmentioning

confidence: 99%