Purpose Use a proposed case-definition approach to identify the prevalence of cancer-related fatigue (CRF), demographic, clinical and psychosocial predictors subsequent CRF, factors associated with concurrent CRF. Patients Methods Women (n = 288) undergoing adjuvant therapy for early-stage breast cancer were recruited from two outpatient clinics. completed baseline assessment before post-treatment at conclusion an initial course chemotherapy or radiotherapy. At both assessments, women...

As the newer mindfulness and acceptance-based cognitive behavioral therapies continue to grow, it is important that corresponding valid reliable assessment tools are developed evaluated. This article describes initial development validation of body compassion scale. The scale a theoretically derived measure designed bridge constructs image self-compassion provide targeted underlying constructs. Herein, two studies using exploratory confirmatory factor analysis examining subsequent...

Abstract The physical and psychosocial ‘health’ behaviors of cancer patients have become a more pressing issue as 5‐year survival rates continue to rise. This study investigated: (a) the extent positive change in four two health behaviors, (b) role predictors (drawn from theories Social Cognitive Processing optimism) behavior after diagnosis treatment, (c) possible influence social desirability reports change. showing greatest was time spent reflecting on life priorities; that least likely...

The impact of benign breast biopsy (BBB) on distress and perceptions risk for cancer (BC) was examined. Interviews were conducted with 100 women shortly after notification results 4 8 months post-BBB. Compared matched healthy comparison (HC) without BBB, the BBB group evidenced greater BC-specific at baseline. declined remaining elevated relative to HC 8-month follow-up. Dispositional (optimism, informational coping style), demographic (education), clinical (family history BC), cognitive (BC...

A cancer diagnosis can trigger change in both lifestyle behaviors and mental health outcomes such as 'growth' 'benefit-finding'. Assuming changes are based upon specific behaviors, the Theory of Planned Behavior (TPB) may facilitate understanding post-diagnosis physical psychosocial 'health' behaviors. Adults (n = 130) < or =2 years post-cancer completed an internet survey. Current performance future behavior intentions for two (e.g. eating a healthy diet) four spending quality time with...

Abstract Physical activity can have a beneficial effect on both physical and mental health in cancer survivors. However, evidence from cross-sectional and/or retrospective research suggests that treatment be associated with short- long-term reductions activity. A prospective, longitudinal design was used to examine the trajectory of leisure-time exercise early-stage breast patients two centers (n = 231). Participation mild, moderate, strenuous assessed before, during, following completion...

The need, benefit, and desirability of behavioral health integration in primary care is generally accepted has acquired widespread positive regard. However, many settings the economics, business aspects, financial sustainability practice integrated remains an unsolved puzzle. Organizational administrators may be reluctant to expand services without evidence that such programs offer clear benefits sustainability. tendency among mental professionals consider clinical outcomes (e.g., reduced...

Key factors in successful long-term exercise maintenance are not well understood. The Relapse Prevention Model (RPM) may provide a framework for this process.The purpose of study was to examine the relationships among characteristics high-risk situations, components RPM relevant slips, and follow-up outcomes community exercisers.We obtained exercisers' (N=65) open-ended responses situations ratings obstacle self-efficacy, guilt, perceived control. High-risk situation characteristics,...

Changes in the health care system and a renewed focus on patient-centered medical homes, which integrate behavioral services into primary care, present professional psychologists with unprecedented workforce growth opportunities. However, profession must act immediately to take full advantage of these emerging Although many conceptualize integrated as including mental practice, role extends far beyond concerns. The authors suggest two key domains action: First, order serve optimally...

Behavioral health integration in the patient-centered medical home (PCMH) offers opportunities for psychologists to play leadership roles. Widespread practice transition PCMH models of care are expected substantially impact psychology workforce. Conservative estimates suggest that approximately 90% 93,000 clinically trained would be required meet projected need these settings. This has implications how service trained. In addition relevant clinical competencies, they must versed...

In a sample of underserved youth, this study examined the relationship between achievement goal theory and affect attitudes. The also explored if constructs Hellison’s taking personal social responsibility (TPSR) model mediated dependent variables. Participants were 135 multiethnic boys girls (mean age 11.98 years) attending physical activity summer camp. Dispositional goals, perceptions motivational climate, elements TPSR model, affect, attitudes assessed. Hypothesized correlations emerged...

Introduction: The deleterious direct and indirect effects of burnout among physicians other health care professionals learners have been well documented. Recently, there calls to shift the focus from distress enhancing well-being providers learners. To this end, we developed a brief, focused intervention entitled “CU Flourish” embedded in PERMA theory: positive emotion (P), engagement (E), relationships (R), meaning (M), accomplishment (A) with sixth domain – Health our working model. Within...

The coronavirus disease 2019 (COVID-19) pandemic has affected the personal and professional lives of all health care workers. Anesthesiologists frequently perform virus-aerosolizing procedures (eg, intubation extubation) that place them at increased risk infection. We sought to determine how initial COVID-19 outbreak members Society for Pediatric Anesthesia (SPA) on both levels. Specifically, we examined potential effects gender age stress, burnout, sleep deprivation, anxiety, depression,...

Over 116 million Americans experience chronic pain, incurring an annual cost of $635bn in healthcare and lost work. Acceptance‐based therapies have gained increasing recognition for improving functional outcomes. In our online pain sample, we predicted that (1) patients would cluster into low, medium high groups acceptance (2) positive affect, negative affect perceived disability scores differ overall by cluster, with the most outcomes found least low cluster. Participants completed Chronic...

Abstract Physician burnout and healthcare worker stress are well‐covered topics in both the medical lay press. Burnout physicians can start as early school. Well‐being initiatives, programming, access to support for all professionals of paramount importance. In 2014, Accreditation Council Graduate Medical Education (ACGME) Milestones Resident/Fellow Anesthesiology added Professionalism a milestone. A subcategory includes: responsibility maintain personal, emotional, physical, mental health ....