The Food Addiction Clinical Treatment (FACT) Manual: A Harm Reduction Treatment Approach.

While the construct of food addiction has been controversial, there is growing evidence that certain foods can activate biobehavioral and neurological mechanisms consistent with addiction to other substances. Despite increased evidence and acceptance of certain foods as addictive substances amongst the scientific community, there is a paucity of interventions available that are uniquely suited for the treatment of this condition. Further, many of the addiction and disordered eating treatment models currently utilized for food addiction are seemingly at odds, with the former often recommending complete abstinence from trigger foods and the latter promoting intake of all foods in moderation.

Survivorship care planning, quality of life, and confidence to transition to survivorship: A randomized controlled trial with women ending treatment for breast cancer.

Purpose: The Polaris Oncology Survivorship Transition (POST) system is a computer-based program that integrates information from the electronic health record, oncology team, and the patient to produce a personalized Survivorship Care Plan. The purpose of this study was to compare the POST to treatment as usual on confidence, quality of life, and interest in mental health referrals in women ending treatment for breast cancer.

Sample: Two hundred women (100 POST, 100 treatment as usual) ending treatment for breast cancer were enrolled in a randomized controlled trial.

Predictors of psychological distress and interest in mental health services in individuals with cancer.

Identifying risk factors for psychological distress in patients with cancer may help providers more efficiently screen, identify, and manage distress. This article presents predictors of psychological distress in a large heterogeneous sample of cancer patients. In total, 836 patients were enrolled in a large randomized control trial and completed computerized psychosocial assessments Mental Health Assessment and Dynamic Referral for Oncology.

Randomized controlled trial to test a computerized psychosocial cancer assessment and referral program: methods and research design.

The National Cancer Coalition Network, National Cancer Institute, and American College of Surgeons all emphasize the need for oncology providers to identify, address, and monitor psychosocial needs of their patients. The Mental Health Assessment and Dynamic Referral for Oncology (MHADRO) is a patient-driven, computerized, psychosocial assessment that identifies, addresses, and monitors physical, psychological, and social issues faced by oncology patients. This paper presents the methodology of a randomized controlled trial (RCT) that tested the impact of the MHADRO on patient outcomes at 2, 6, and 12 months.

Posttraumatic stress symptoms in children of mothers diagnosed with breast cancer.

There are inconsistent findings regarding whether a mother's diagnosis of cancer affects her child's psychological health. The aim of this study was to compare maternally perceived symptoms of posttraumatic stress disorder (PTSD) in children of women with and without breast cancer. Forty mothers with breast cancer (assessed within 8 weeks of diagnosis) and 39 mothers without breast cancer were administered the Child Behavior Checklist (CBCL/6-18), UCLA Post Traumatic Stress Disorder (PTSD) Index, and Patient Health Questionnaire (PHQ-9).

The relationship between breast cancer anxiety and mammography: experiential avoidance as a moderator.

Although mammography can aid in the early detection and prevention of breast cancer, many women do not receive annual mammograms. It remains unclear whether anxiety about breast cancer inhibits or promotes mammography rates. The way in which women regulate their anxiety (ie, level of experiential avoidance) may play a role in predicting mammography adherence.

Initial Development of the Mental Health Assessment and Dynamic Referral for Oncology (MHADRO).

The Mental Health Assessment and Dynamic Referral for Oncology (MHADRO) is a program that conducts a computerized assessment of physical, psychological, and social functioning related to oncology treatment, prints personalized summary reports for both the patient and the provider, and for those who provide consent, faxes a referral and assessment summary report to a matched mental health treatment provider (i.e., dynamic referral).

Social problem solving and depression in couples coping with cancer.

Objective: When one person in a couple has cancer, both members may experience depressive symptoms and may react as an emotional system. However, the variables that influence this depressive system have not been identified. This study examined whether social problem solving, an important moderator of individual cancer-related depression, is related to depression in the couple system.

Sexual body esteem and mindfulness in college women.

Literature suggests that many young women hold negative perceptions of their sexual bodies and facial features. This may be related to deficits in mindfulness, manifested by rigid and automatic thoughts, feelings, and behavior about one's sexual body. The present study examined the relationships between the five factors of mindfulness measured by the Five Factor Mindfulness Questionnaire (FFMQ) and sexual body esteem, measured by the Sexual Attractiveness subscale of the Body Esteem Scale (BES) in 79 college women.

The multidimensional health locus of control scales: testing the factorial structure in sample of African American medical patients.

Objective: A fifth subscale was recently added to the widely used multidimensional health locus of control (MHLC) measure, and little is known about the factor structure of the MHLC with the new scale among African Americans from disadvantaged backgrounds. Also, few studies have examined differences in Health Locus of Control (HLOC) beliefs across medical patients from similar demographic backgrounds.

Methods: We asked participants to complete a survey about HLOC beliefs and extracted biological markers from their medical charts.

The interaction of locus of control, self-efficacy, and outcome expectancy in relation to HbA1c in medically underserved individuals with type 2 diabetes.

A common thread among health behavior theories is the importance of perceived control, often defined within the health psychology literature as locus of control. Inconsistencies have been found regarding the role of locus of control in predicting health behaviors. These inconsistencies may be resolved by exploring interactions between internal locus of control and other perceived control constructs such as self-efficacy and outcome expectancy.

Body image issues in women with breast cancer.

Diagnosis and treatment of breast cancer affects women physically as well as psychologically. There are many obvious and real factors that are related to psychological distress in women coping with breast cancer, such as facing a life-threatening illness, painful and impairing treatments, and significant role changes. Although these factors are clearly important, issues related to body image in women faced with breast cancer can also add to psychological distress.

Predicting medical regimen adherence: the interactions of health locus of control beliefs.

The present study examined the interactions between five dimensions of health locus of control beliefs and their relationships with medical regimen adherence in low-income individuals diagnosed with type 2 diabetes. One hundred and nine patients were administered an expanded Multidimensional Health Locus of Control (MHLC) scale. HbA1c was used as a biological indicator of medical regimen adherence.

Stage of change movement across three health behaviors: the role of self-efficacy.

Purpose: In this study, we examined the influence of self-efficacy in predicting stage of change (SOC) movement, without intervention, over a 1-month period for smoking cessation, exercise adoption, and dietary fat reduction.

Design: The design of this study was longitudinal. Patients' stage of change and self-efficacy were assessed at baseline, and stage of change was reassessed at a 1-month follow-up.

Patient satisfaction in the Emergency Department: a review of the literature and implications for practice.

This article reviews the empirical literature on patient satisfaction in the Emergency Department (ED). It explores the implications for clinical practice, discusses limitations and weaknesses of the literature, and provides direction for future research. Articles resulting from a comprehensive electronic search were obtained, their references examined, and all other relevant articles not already discovered via the electronic search were acquired and reviewed.

The transtheoretical model: gender differences across 3 health behaviors.

Objective: To investigate gender differences in stage-of-change distribution, self-efficacy, and decisional balance, for 3 health behaviors.

Methods: Five hundred fifty-four (males = 107; females = 447) low-income, predominantly African American, patients completed stage-of- change, self-efficacy, and decisional balance scales for smoking cessation, exercise adoption, and dietary fat reduction.

Results: Males and females differ in stage of change for smoking and exercise, but not dietary fat intake.