Uitgebreide samenvatting THEORY AND RESEARCH - Semester 1 (2019/2020)
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Course
Theory and Research
Institution
Tilburg University (UVT)
Deze samenvatting omvat ALLE (incl. colleges, literatuur etc) stof voor het vak Theory and Research. Daarom fijn om te gebruiken voor zowel achtergrond- als verdiepende informatie. Met deze samenvatting is een ruim voldoende voor het tentamen te behalen!
Medische psychologie - Semester 1
Theory and research
General course information 2
Lecture 1: The field of medical psychology 3
Lecture 3
Literature 16
Lecture 2: The science behind Medical Psychology 23
Lecture 23
Literature 32
Lecture 3: Health behaviours and outcomes: lifetime perspective 40
Lecture 40
Literature 51
Lecture 4: Integrating Medical Psychology with other sciences part I 62
Lecture 62
Literature 72
Lecture 5: Managing high-risk health behaviors 75
Lecture 75
Literature 82
Lecture 6: Coping with chronic disease and self-management 86
Lecture 86
Literature 99
Lecture 7: General health and prevention 108
Lecture 108
Literature 116
Lecture 8: Managing risky behaviors 126
Lecture 126
Literature 138
, General course information
Course objectives:
- To add knowledge of the workfield of a Medical Psychologist as a scientist-practitioner
- To evaluate the status quo of Medical Psychology research and its importance
- To discuss the role of Medical Psychology (theory and research) in the advancement of (general)
health
Learning Objectives
⇒ The overarching goal of this course is: Students will learn how to approach challenges in medical
psychology from a scientist-practitioner perspective.
⇒ After this course, students will be able to.
1. Integrate theory, research, and clinical practice within the field of Medical Psychology
2. Evaluate the current state-of-the art of medical psychology research and use this knowledge in
medical science
3. Give recommendations for overcoming important barriers within medical psychology and how
other sciences can be used in finding solutions to overcoming these barriers
4. Have the skill to discuss the role of medical psychology in the advancement of national and
global health
5. Explain and discuss the complexity of (lifetime) health behaviors and disease management.
Study materials
→ ‘The book’ - J.M. Suls, K.W. Davidson & R.M. Kaplan (eds.) (2010). Handbook of Health Psychology and
Behavioral Medicine; The Guilford Press, New York, USA.
→ Scientific articles
→ Lecture sheets!
, Lecture 1: The field of medical psychology
Summary ➔ Dutch hospitals; over the past decades, the number of psychologists working in a medical
setting has increased.
- Clinical psychologists are now full members of the medical team.
- In order to enhance the development of the field a number of issues has to be addressed,
including a full adaptation of the biopsychosocial model and patient-centered research.
- In this lecture students will learn about the essential role of solid theory research in medical
psychology and related fields such as behavioral medicine, health psychology and psychosomatic
medicine in order to promote the clinical and public health applications of this field.
Lecture
What is medical psychology?
⇒ The field that aims to understand how biological, behavioral, psychological and social factors
influence health and illness (and vice versa)
- Het is niet één discipline maar een integratieveld van biologische, gedrags- en psychische
factoren
⇒ Illnesses related to psychological and behavioral factors include heart disease, cancer, diabetes,
stroke, HIV/AIDS, etc. → all diseases have a psychological component
⇒ The term “medical psychology" is often used interchangeably with the terms "behavioral
medicine," “health psychology“ and “psychosomatic medicine”
Workfield of the Medical Psychologist:
- Hospital ⇒ treatment and/or research
- Specialized Mental Health (Specialistische GGZ)
- Primary care
- University
- Research institute (e.g., NIVEL, Trimbos)
Career
⇒ The title “ Psycholoog” is not protected by Dutch law since 1993
⇒ “NIP Psychologist” has a University Degree + 1 year experience.
⇒ “GZ-Psychologen“ = BIG registratie (equivalent to APA licensed psychologist) → Wet Beroepen in de
Individuele Gezondheidszorg
⇒ “Klinisch Psycholoog” (and “Klinisch Neuropsycholoog”) another 4 yr
⇒ Separate BIG registration for “Psychotherapist”
1. Het garandeert kwaliteit.
2. Beroepsorganisaties houden de kraan dicht waardoor mensen die goed opgeleid zijn niet krijgen
dat ze geen baan kunnen vinden.
De BAPD haal je tijdens de masteropleiding → Basis Aantekening Psychodiagnostiek → wij worden
opgeleid tot diagnostici
, How to get to a Medical Psychologist?
GP = general practitioner
POH-GGZ = Praktijkondersteuning Huisarts Geestelijke Gezondheidszorg (2008)
Als Medisch Psycholoog gaat het er vooral om dat je de taal leert spreken van het ziekenhuis. Het gaat er
niet om dat je een cardioloog wordt maar het gaat erom dat je weet wat er over gaat.
Most common referrals:
After referral
1. Intake interview and assessment
2. Short term treatment (individual) → Kan revalidatie zijn (dus binnen het ziekenhuis) maar ook op
andere gebieden zoals gedragsstoornissen, psychosociaal gedrag etc.
3. Group therapy
What about research?
- Risk factors/personalized medicine
- Mechanisms
- Outcomes
- Mortality/disease onset or progression
- Intermediate (blood pressure, lipids)
- Disability/work-resumption
- Health behaviors
- QoL/Psychosocial (patient-centered outcomes)
- Interventions (psychotherapy (face-to-face), e-Health, blended care) ⇒ wat is NU hot
- Gezondheidsapps
- veranderende arts-patiënt relaties
- Development of theory and methods
⇒ Hoe werkt bijvoorbeeld stress? Als mensen heel lang gewerkt hebben en ze gaan op vakantie, dat ze
dan juist dan ziek worden. Hoe komt dat nou? → Dat soort dingen worden onderzocht.
- Mismatch tussen ernst van objectieve ziekten en ervaren klachten van patiënten.
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