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Journal of Clinical Psychology in Medical Settings

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Open Access 01-06-2009

Assessment of Biopsychosocial Risk Factors for Medical Treatment: A Collaborative Approach

Authors: Daniel Bruns, John Mark Disorbio

Published in: Journal of Clinical Psychology in Medical Settings | Issue 2/2009

Abstract

There is a growing body of evidence that psychosocial variables have a significant ability to predict the outcome of medical treatment procedures, especially when the procedure is performed to reduce pain. The study described in this paper serves as an illustration of the valuable role psychologists can play in dealing with the challenges of biopsychosocial assessment of patients who are candidates for medical treatments, especially elective, invasive procedures. Based on a convergent model of risk factors that can potentially influence outcomes from spinal surgery and spinal cord stimulation, exclusionary and cautionary risk factors were identified, and the BHI 2 and BBHI 2 tests were used to assess them. An estimate of the prevalence of these risk factors was calculated using data obtained from 1,254 patient and community subjects gathered from 106 sites in 36 US states. Standardized Cautionary Risk and Exclusionary Risk scores demonstrated a test-retest reliability of .85 to .91. Evidence of validity of these scores was also provided based on subjective and objective criteria, using multiple groups of patients and community subjects. Recommendations are made regarding how biopsychosocial assessments could be used in collaborative settings for presurgical candidates to identify risks that could compromise a patient’s ability to benefit from other medical treatments as well. Once identified, appropriate interventions could ameliorate these risks, or lead to the consideration of other treatments that are more likely to be effective. Methods of refining this approach for specific clinical applications are also discussed.

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Title: Assessment of Biopsychosocial Risk Factors for Medical Treatment: A Collaborative Approach
Authors: Daniel Bruns
John Mark Disorbio
Publication date: 01-06-2009
Publisher: Springer US
Published in: Journal of Clinical Psychology in Medical Settings / Issue 2/2009
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-009-9148-9

2024 ASCO Annual Meeting

Springer Medicine

Assessment of Biopsychosocial Risk Factors for Medical Treatment: A Collaborative Approach

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

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