Bidirectional, longitudinal associations between chronic pain and family functioning in youth with spina bifida.
We examined longitudinal, bidirectional associations between chronic pain and family functioning in spina bifida (SB). We hypothesized a bidirectional association between pain and family functioning (cohesion and conflict); youth chronic pain status would be associated with maladaptive family functioning and maladaptive family functioning would be associated with youth chronic pain status. Method: Participants were from an ongoing longitudinal study of adolescents with SB (N = 140, 53.6% female, ages 8–15 at Time 1). Data were collected every 2 years, with this study using data from Times 1 and 2 (T1, T2; T1: 2006–2009...
Source: Families, Systems, and Health - July 20, 2023 Category: International Medicine & Public Health Source Type: research
Family strain, but not family support, is linked to worse pain interference among midlife adults reporting new chronic pain.
Discussion: Findings build on prior studies to suggest that not only are stressful family relationships likely associated with the odds of developing chronic pain, but they are also linked to the interference of that chronic pain when it develops. We recommend biopsychosocial screening in primary care that captures family relationship quality and can inform best practices for nonpharmacological, family-based pain management. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - July 6, 2023 Category: International Medicine & Public Health Source Type: research
“A tight knot of social maladies”.
Families, Systems, & Health, Vol 41(2), Jun 2023, 287-289; doi:10.1037/fsh0000815In this column, the author says that despite its pervasive influence, poverty remains unmitigated and out of focus as a target of economic and policy intervention. The daily experience of living in poverty is excruciating and more pronounced than crossing a line. Mathew Desmond’s (2023) description provides dimensions to the pernicious, cumulative influence of poverty when he writes: “Poverty is often material scarcity piled on chronic pain piled on incarceration piled on depression piled on addiction—on and on it goes. Poverty isn’t a...
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
Catatonia.
Families, Systems, & Health, Vol 41(2), Jun 2023, 286; doi:10.1037/fsh0000776In this poem, the author/doctor describes a female teenage patient with catatonia. The author asks her what she is thinking of. Her mother delays among the sleepers in the waiting room, touches the author's sleeve, blessing the faint music, fleet as hope. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
Five visits with Diane.
Families, Systems, & Health, Vol 41(2), Jun 2023, 284-285; doi:10.1037/fsh0000775This brief article is based on a patient’s experience the author witnessed as a medical oncology scribe. The article describes five visits with a cancer patient named Diane as she started chemotherapy. Mere months since Diane’s first visit, she died. The doctor read a slip of paper on her desk and told the author with tears in her eyes. The author turned over the visits she had with Diane, trying to find solace in the comfort she had in the end. It had all gone so fast, though. Four visits and she was gone. (PsycInfo Database Record (c) 20...
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
Miraculous existence.
Families, Systems, & Health, Vol 41(2), Jun 2023, 283; doi:10.1037/fsh0000768In this poem, the author, who is an MD, relates that she is a woman with caramel skin who is trying to learning a healing art. At times she finds herself wanting to give up the pursuit, questioning whether her sacrifice was worth it, whether she belongs in this hallowed profession. She allows herself to consider that the simple fact of her improbable existence is a miracle. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
My first day in the ER: Should I be worried about.
Families, Systems, & Health, Vol 41(2), Jun 2023, 282; doi:10.1037/fsh0000746In this poem, a medical resident describes his first day in the emergency room. He describes the patient bleeding and his plummeting pulse. The resident wonders if he worries too much or whether, when it truly matters, he will be enough. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
Behavioral health integration and specialty medical care: Opportunities for applying knowledge from primary care integration.
Families, Systems, & Health, Vol 41(2), Jun 2023, 278-281; doi:10.1037/fsh0000812While education and advocacy regarding behavioral health (BH) integration in primary care have been in full force at the state and national level for many years, specialty care BH integration has not received the same attention in terms of practice transformation, workforce development, and payment reform. Models of BH care have been tested in primary care and can be easily adapted to improve specialty patient care. There are many opportunities for using the knowledge base gained from integrated primary care to help move integration forward in...
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
Clinician’s commentary to accompany “Unmet need for mental health services utilization among under-resourced Black and Latinx adults”.
Families, Systems, & Health, Vol 41(2), Jun 2023, 276-277; doi:10.1037/fsh0000813Comments on the article by T. B. Loeb et al. (see record 2023-28006-001), which highlights a need to understand mental health service (MHS) utilization among Black and Latinx individuals given disparate and detrimental outcomes associated with underdiagnosis and untreated mental health disorders. The present author addresses four questions related to the article: (1) How does this article, written by researchers, resonate with your experience as a clinician? (2) What is one thing you might do differently in your practice after reading this art...
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
Psychological flexibility is the ACE we need: A commentary on ACEs screening in adolescent primary care: Psychological flexibility as a moderator.
This article shows how important it is to screen psychological flexibility. Going forward, clinicians would benefit from understanding the relationship between adverse childhood experiences (ACEs), psychological flexibility, and other common presenting issues, such as anxiety, eating disorders, and school refusal. And then extend the findings of ACE and psychological flexibility screening into trauma-informed care. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
Policies during COVID-19 and their impact on immigrant families’ psychological well-being: A critically engaged practice.
This article uses a critically engaged practice (CEP) framework to examine three policies and their implications for the health and well-being of immigrant families during the COVID-19 pandemic (a) Detention and Removal of Alien Parents or Legal Guardians policy, (b) Order Suspending the Right to Introduce Certain Persons from Countries where a Quarantinable Communicable Disease Exists, and (c) Field Guidance on Deportability and Inadmissibility on Public Charge Grounds. Results: Our article presents a CEP framework to empower clinicians in integrated healthcare settings to better understand and communicate policies with t...
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
Peer review: The jury duty of science.
In conclusion, the efforts of this editorial team to maintain a robust reviewer pool by inspiring, rewarding, training, and growing diversity cannot be the only efforts in this area. Those who “decline” jury duty may experience punitive consequences; however, there are no direct consequences for a qualified professional who declines to review, even routinely. Ultimately, the scientific community suffers, with a slower process that can then deteriorate. As a collective of professionals who value the contributions of science, we must all work to protect and grow participation in reviewing. (PsycInfo Database Record (c) 2...
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
Open to interpretation: An integrated primary care behavioral health training approach for treating linguistically diverse patients.
This article concludes with recommendations for implementation and dissemination of our training model on other sites. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - May 25, 2023 Category: International Medicine & Public Health Source Type: research
Implementation of a universal screening and follow-up care system for pediatric developmental and behavioral health in federally qualified health center sites.
Conclusions: Implementation of a multicomponent developmental and behavioral health screening and follow-up care intervention enabled FQHC sites to meet AAP recommendations and provide follow-up support. Disseminating the intervention may support population-level improvement in early detection and intervention for developmental delays and behavioral health concerns. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - May 25, 2023 Category: International Medicine & Public Health Source Type: research
Primary care provider perspectives on virtual and in-person depression management during the COVID-19 pandemic.
Conclusions: During the pandemic, there has been heightened PCP concern for patients’ emotional well-being and adaptations of clinic processes to meet needs for depression care. While PCPs were optimistic about new virtual care options for depression management, virtual care transfers remained poorly defined and the extent to which patient care experiences and health outcomes have been disrupted remains unknown. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - May 25, 2023 Category: International Medicine & Public Health Source Type: research
