Graduate Health Psychology - PSYC 630




1/24 Biopsychosocial Model, Integrative Care, & Health Promotion
What is health Psychology?
Biomedical vs. Biopsychosocial
Health Behaviors and Prevention
Integrative Team Models: Psychologists in Medical Settings
Ethical Issues for Clinical Health Psychology

1. Engel (1977) The need for a new medical model: A challenge for biomedicine, Science, 196, 129-136.
2. Kaplan (1994). The Ziggy theorem: Toward an outcomes-focused health psychology, Health Psychology, 13, 451-460.
3. Winett (1995). A framework for health promotion and disease prevention programs, American Psychologist, 50, 341-350.

____________Schwartz, G. E. (1982). Testing the biopsychosocial model: The ultimate challenge facing behavioral medicine? Journal of Clinical and Consulting Psychology, 50, 1040-1053.
____________Stokols, D. (1992). Establishing and maintaining healthy environments: Toward a social ecology of health promotion. American Psychologist, 47, 6-22.
____________Kaplan (2000) Two pathways to prevention. American Psychologist, 55, 382-396.
____________Belloc, N. & Breslow, L. (1972). Relationship of physical health status and health practices. Preventive Medicine, 1, 409-421.
____________Lutgendorf & Costanzo (2003) Psychoneuroimmunology and health psychology:
An integrative model. Brain, Behavior & Immunity 17, 225-232.
____________Belar (1997) Clinical Health Psychology: A specialty for the 21st Century. Health
Psychology, 411-416.
____________ Special section : The future of health psychology (2004). Health Psychology, 23, 115-156:
Smith & Suls 2004 intro
Suls & Rothman2004
Keefe & Blumenthal 2004
Tovian 2004

Required Readings:
1. Stroebe & Stroebe (1995). Determinants of health behavior: A social psychological analysis. Social Psychology & Health, pp 13-44.Brooks/Cole.
2. Prochaska & DiClemente (1992). In search of how people change. American Psychologist, 47, 1102-1114.
3. Brownell, Marlatt, Lichtenstein, & Wilson (1986). Understanding and preventing relapse. American Psychologist, 41, 765-782.
4. Rothman, A. J., & Salovey, P. (1997) Shaping perceptions to motivate healthy behavior: The role of message framing. Psychological Bulletin, 121: 3-19.
____________Jeffery (1989). Risk behaviors and health: Contrasting individual and population perspectives. American Psychologist, 44, 1194-1202.
____________Resnicow et al. (2002) Motivational interviewing in health promotion: It sounds like something is changing. Health Psychology, 21, 444-451.

____________Puska et al (1985). The community-based strategy to prevent CHD. Annual Review of Public Health, 6, 147-193.

____________Puska et al (2001). Community-based noncommunicable disease interventions: Lessons from developed countries for developing ones. Bulletin of the World Health Organization, 79: 963-970.

____________ Fortmann & Varady (2000) Effects of community-wide health education programs on cardiovascular disease morbidity and mortality. American Journal of Epidemiology, 152, 4, 316-323.
____________Farquhar (1978) The community-based model of life style intervention trials. American Journal of Epidemiology, 108, 103-111.(see me for hard copy)
____________Reppucci et al. (1999). Social, community, and prevention interventions. Annual Review of Psychology, 50, 387-418.
____________Fazio (1990) Multiple process by which attitudes guide behavior: The mode model as an integrative framework. Advances in Experimental Social Psychology, 23, 75-109. (see me for hard copy)
____________Bandura (1982). Self-efficay mechanism in human agency. American Psychologist, 37, 122-147.
____________Lipsey MW & Condray DS (2000). Evaluation methods for social intervention. Annual Review of Psychology, 51, 345-375.
____________Orleans (2000). Promoting health behavior change: Recommendations for the next generation of research and practice. Health Psychology,19, 76-83..(see me for hard copy)
____________Bouton (2000). A learning theory perspective on lapse, relapse, and maintenance of behavior change. Health Psychology,19, 57-63. (see me for hard copy)
____________Rothman (2000). Toward a theory based analysis of behavior maintenance. Health Psychology,19, 64-69.(see me for hard copy)
____________Wing (2000). Cross-cutting themes of behavior change. Health Psychology,19, 84-88.(see me for hard copy)
____________Prochaska & DiClemente (1992). Stages of change in the modification of problem behaviors. In Hersen, Eisler, & Miller (Eds) Progress in behavior modification (pp. 184-214). Sycamore, IL: Sycamore Press.(see me for hard copy)
___________Marlatt & Gordon (1985). Relapse Prevention: Maintenance strategies in the treatment of addictive behaviors (pp. 3-67). New York: Guilford Press.(see me for hard copy)
___________Miller, W. R. (1985) Motivation for treatment: A review with special emphasis on alcoholism. Psychological Bulletin, 98, 84-107.(see me for hard copy)
___________Turk, Meichenbaum & Genest (1983). The nature of cognitive-behavior modification: Applications to behavioral medicine. In Pain and behavioral medicine (pp. 1-68). New York: Guilford Press. (see me for hard copy)

___________Ajzen I (2001) Nature and operation of attitudes. Annual Review of Psychology, 52, 27-58.
___________Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179-211. (see me for hard copy)
___________Ajzen & Fishbein (1977) Attitude-behavior relations: A theoretical analysis and review of the empirical literature. Psychological Bulletin, 84, 888-918. (see me for hard copy)
___________Janz & Becker (1984). The health belief model: A decade later. Health Education Quarterly, II, 1-47. (see me for hard copy)

Required Readings: Taylor (1999). Health Psychology, Chapter 4
1) Wadden, Brownell, & Foster (2002). Obesity: Responding to the global epidemic. Journal of Clinical & Consulting Psychology, 70, 510-525.
2) Wilson & Schlam (2004). The transtheoretical model and motivational interviewing in the treatment of eating and weight disorders. Clinical Psychology Review, 24: 361-378.
3) Jeffery et al. (2000). Long-term maintenance of weight loss: current status. Health Psychology,19, 5-16.
4) Marcus et al (2000). Physical activity behavior change: Issues in adoption and maintenance. Health Psychology,19, 32-41.
5) Dubbert (2002). Physical activity and exercise: recent advances and current challenges. Journal of Consulting & Clinical Psychology, 70, 526-536.

Fisher & Fisher (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111, 455-474.

Tsai & Wadden 2005. Systematic review: An evaluation of major commercial weight loss programs in the United States. Annals of Internal Medicine, 142: 56-66.

Wadden, Sarwer, & Berkowitz (1999) Behavioral treatment of the overweight patient. Bailliere's Clinical Endocrinology & Metabolism, 13, 93-107.

Berkowitz, Wadden et al (2003) Behavior therapy and sibutramine for the treatment of adolescent obesity. JAMA, 289:1805-1812.

Wadden 2001 Benefits of lifestyle modification in pharmacological treatment of obesity. Archives of Internal Medicine, 161:218-227.

Wing et al 2001. Lifestyle changes related to obesity, eating behavior, and physical activity, Diabetes Care, 24:117-123.

Andersen, Wadden et al., 1999. Effects of lifestyle activity vs structured aerobic exercise in obese women. JAMA, 281:335-340.

Dunn et al 1999 Comparison of lifestyle and structured activity interventions to increase physical activity and cardiorespiratory fitness. JAMA, 281P327-334.

Dunn 2002 Translating evidence based physical activity interventions into practice American Journal of Preventive Medicine, 22: 8-9

Hu et al (2004) Adiposity as compared with physical activity in predicting mortality among women NEJM 351: 2694-2703.

Dishman et al (2004) Self-efficacy partially mediates the effect of school-based physical activity intervention among adolescent girls. Preventive Medicine, 628-636

Epel et al (2000) Stress and body shape Psychosomatic Medicine 62: 623-632.
Brownell & Wadden (1992). Etiology and treatment of obesity: Understanding a serious, prevalent, and refractory disorder. Journal of Consulting and Clinical Psychology, 60, 505-517.Kumanyika et al (2000). Maintenance of dietary behavior change, Health Psychology,19, 42-56.
Woods SC et al (2000). Food intake and the regulation of body weight. . Annual Review of Psychology, 51, 255-277.
Wei (1999). Relationship between low cardiorespiratory fitness and mortality in normal weight, overweight, and obese men. JAMA, 282, 1547-1553.
Must et al (1999). The disease burden associated with overweight and obesity. JAMA, 282, 1523-1529.
Ludwig (1999). Dietary fiber, weight gain, and cardiovascular disease risk factors in young adults. JAMA, 282, 1539-1546.
Jakicic (1999). The effects of intermittent exercise and use of home exercise equipment on adherence, weight loss, and fitness in overweight women: a randomized trial. JAMA, 282, 1554-1560.
Battle & Brownell (1996). Confronting a rising tide of eating disorders and obesity: Treatment versus prevention and policy. Addictive Behaviors, 21: 755-765.
Foster & Kendall (1994). The realistic treatment of obesity: Changing the scales of success. Clinical Psychology Review 14, 701-736.
Miller S. M., Shoda, Y., & Hurley, K. (1996). Applying social-cognitive theory to health-protective behavior: Breast-self examination in cancer screening. Psychological Bulletin, 119: 70-94.
Fisher et al (1996). Changing AIDS risk behavior: Effects of intervention emphasizing AIDS risk reduction information, motivation, and behavioral skills in a college student population. Health Psychology, 15, 114-123.
Fisher, Fisher, & Rye (1995). Understanding and promoting AIDS-preventive behavior: Insights from the theory of reasoned action. Health Psychology, 14, 255-264.
Weisenstein (1988). The precaution adoption process. Health Psychology, 7, 355-386.
Resnicow et al. (1997) Social-cognitive predictors of fruit and vegetable intake in children. Health Psychology, 16, 272-276.
Myers & Roth (1997) Perceived benefits and barriers to exercise and stage of exercise adoption in young adults. Health Psychology, 16, 277-283
Speilberger et al. (1992). Injury control. American Psychologist, 47, 1029-1049.
Peterson, L. & Brown, D. (1994) Integrating child injury and abuse-neglect research: Common histories, etiologies and solutions. Psychological Bulletin, 116, 293-315.
Mayer & Solomon (1992). Breast self-examination skill and frequency: A review. Annals of Behavioral Medicine, 14, 189-196.
Southard et al. (1992). Increasing the effectiveness of the national cholesterol education program: Dietary and behavioral interventions for clinical settings. Annals of Behavioral Medicine, 14, 21-30.
Greenwald et al. (1986). Diet and chemoprevention in NCI's research strategy to achieve national cancer control objectives. Ann. Rev. Public Health, 7, 267-291.
Carmody, T. P., Matarazzo, J.D., & Istvan, J. A. (1987). Promoting adherence to heart-healthy diets: A review of the literature. Journal of Compliance in Health Care, 2, 105-124.
Dishman (1991) Increasing and maintaining exercise and physical fitness. Behavior Therapy, 22, 345-378.
Blair et al (1996) Physical activity, nutrition, and chronic disease. Medicine and Science in Sports and Exercise, 28:335-349.
Fleshner, M. (2000). Exercise and neuroendocrine regulation of antibody production: International Journal of Sports Medicine, 21, Suppl, s14-s19.



Coping with Stress
SES and Racism as Stressors
1 ) Adler & Osterove (1999). SES and health: What we know and what we don’t. ANYAS, 896, 3-12.
2 ) Clark, Anderson, Clark, & Williams (1999). Racism as a stressor for African Americans. American Psychologist, 54, 805-816.
3 ) Kiecolt-Glaser, McGuire, Robles, & Glaser (2002) Emotions, morbity & mortality: New perspectives from PNI. Annu. Rev. Psychol. 2002. 53:83–107

GUEST: Jane Welsh, Ph.D. (10:30-12:00)
1) Parkin J & Cohen B. (2001). An overview of the immune system. Lancet, 357, 1777-1789.
2) Meagher 2002 Immune system structure and function


Tennen H, Affleck G, Armeli S, Carney MA. A daily process approach to coping. Linking theory, research, and practice. Am Psychol. 2000 Jun;55(6):626-36. Review.
Cohen, S. (1988). Psychosocial models of the role of social support in the etiology of physical disease. Health Psychology, 7, 269-297.
Marmot et al (1997) Contributions of job control and other risk factors to social varaitons in CHD incidence. Lancet, 350, 235-239.
Taylor et al (2000). Psychological resources, positive illusions, and health. American Psychologist, 55, 99-109.
Taylor et al., (2003) Are Self-Enhancing Cognitions Associated With Healthy or Unhealthy
Biological Profiles? Journal of Personality and Social Psychology 85, 605–615
Davison, Pennebaker, & Dickerson (2000). Who talks? The social psychology of illness support groups. American Psychologist, 55, 205-217.
Taylor (1997). Health Psychology: What is an unhealthy environment and how does it get under the skin? Annual Review of Psychology, 48: 411-47.
Bosma et al. (1997) Low job control and risk for CHD in Whitehall II prospective cohort study. British Medical Journal, 314, 558-565.
Salovey, Rothman, & Steward (2000). Emotional states and health. American Psychologist, 55, 110-121.
Cohen et al (1997). Social ties and susceptibility to the common cold. JAMA, 277: 1940-1944.
Aspinwall & Taylor (1997). A stitch in time: Self-regulation and proactive coping. Psychological Bulletin, 121, 417-436.
Uchino, Cappioppo, & Kielcolt-Glaser (1997). The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health. Psychological Bulletin, 119, 488-531.
Folkman et al (1986) The dynamics of a stressful encounter. JPSP, 50, 992-1003.
Folkman et al. (1986). Appraisal, coping, health status, and psychological symptoms, JPSP, 50, 571-9.
Kobassa, S. C. (1979). Stressful life events, personality, and health: An inquiry into hardiness. JPSP, 37, 1-11.
Kanner et al. (1981). Comparison of two modes of stress measurement: Daily hassles and uplifts vs. major life events. Journal of Behavioral Medicine, 4, 1-39.
Horne DJ. Vatmanidis P. Careri A. (1994). Preparing patients for invasive medical and surgical procedures. 1: Adding behavioral and cognitive interventions; and 2: Using psychological interventions with adults and children. Behavioral Medicine. 20(1):5-21.

PNI Intervention & Treatment Research: Cancer, AIDS, MS & Arthritis
1) Antonio M. H. (2003). Stress management effects on psychological, endocrinological, and immune functioning in men with HIV infection: empirical support for a PNI model. Stress, 6, 173-188.
2) Schiepers, Wichers & Maes (2005) Cytokines and major depression. Progress in Neuropsychopharmacology & Biological Psychology, 29, 201-217.
3) Kiecolt-Glaser, McGuire, Robles, & Glaser (2002) Psychoneuroimmunology: Psychological influences on immune function and health. Journal of Consulting and Clinical Psychology, 70, 537-547.


4/4 Utilization, Nonadherence, & Communication
Depression and anxiety in primary care medical settings
Minority health disparities
Patient preparation
Enhancing communication and adherence

Required Readings:
1) Cohen, S. & Rodriguez, M.S. (1995). Pathways linking affective disturbances and physical disorders. Health Psychology, 5, 374-380.
2 ) Katon & Ciechanowski (2002). Impact of major depression on chronic medical illness. Journal of Psychosomatic Research, 53, 859– 863.
3 ) Cioffi, D. (1991). Beyond attentional strategies: A cognitive-perceptual model of somatic interpretation. Psychological Bulletin, 109, 25-41.

Optional for group:

4/11 Pain Mechanisms
Gate Control Theory of Pain
Ascending and descending pain pathways
Central Sensitization
Pain modulation

Pain Power Point (Summarizing material below)

Required Readings:
1) Meagher (2002). Clinical implications of animal pain research. In Carroll & Overmeir (Eds), Linking animal research and human psychological health. Washington DC: APA.
2) Fields & Basbaum (1999). Central nervous system mechanisms of pain modulation, in Wall PD, Melzack R (eds): Textbook of Pain. London, Churchhill Livingstone, pp 309-329.
3) Woolf & Mannion (1999). Neuropathic pain: aetiology, symptoms, mechanisms, and management. Lancet, 353, 1959-64.


Pain Books:

4/25 Heart Disease, Hypertension, Stroke, and Diabetes
Cardiovascular system
Depression and hostility
Intervention & Treatment Research: Coronary Disease, Stroke, and Diabetes

XII. Cardiovascular Disease, Hypertension, and End-of-Life Care/Bereavement
Cardiovascular system
Coronary Heart Disease, Hypertension, Stroke, Diabetes
Hostility and depression
Death and dying
Required Readings:
1) Rozanski, Blumenthal, Davidson, Saab, & Kubzansky (2005) The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice
The emerging field of behavioral cardiology J Am Coll Cardiol: 45:637–651
2) Krantz & McCeney (2002). Effects of psychological and social factors on organic disease: A Critical Assessment of Research on Coronary Heart Disease. Annu. Rev. Psychol. 53:341–369
3) Bonanno & Kaltman (1999) Toward an integrative perspective on bereavement. Psychological Bulletin, 125, 760-776.
4) Werth, Gordon, & Johnson (2002). Psychosocial issues near the end of life. Aging & Mental Health: 6(4): 402–412

Optional papers: