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Behavioral Science. Faculty (in order of appearance): William Greenough: Course Director James Black, Psychiatry Brian Ross, Psychology Donna Korol, Psychology, Medicine Sarah Mangelsdorf, Psychology Mike Wilson, Teaching Assistant. Course Objectives: Bases.
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Behavioral Science Faculty (in order of appearance): William Greenough: Course Director James Black, Psychiatry Brian Ross, Psychology Donna Korol, Psychology, Medicine Sarah Mangelsdorf, Psychology Mike Wilson, Teaching Assistant
Course Objectives: Bases Many of the greatest health risk factors today are behavioral Self-injurious behaviors such as smoking, alcohol and drug abuse, poor dietary and exercise habits, constitute the largest controllable risk factors for mortality Psychiatric disorders major cause of disability Behavior can put others at risk (e.g., ARND)
Course Objectives: Bases Other behavioral issues Compliance (taking medicine or following medical advice) Sexual function (taking a sexual history) Is my child “normal”? Stress-related or affected disorders Lifestyle (Tobacco, Diet, Exercise, Alcohol)
Source: S. E. Taylor, Health Psychology (5th Edition), Mc Graw-Hill, 2003
Source: S. E. Taylor, Health Psychology (5th Edition), Mc Graw-Hill, 2003
Risk Factors for Leading Causes of Death in US Heart Disease: Tobacco, Obesity, Blood Pressure, Cholesterol (Diet), Exercise Cancer: Tobacco, Improper Diet, Alcohol, Environmental Exposure Stroke: Tobacco, Blood Pressure, Cholesterol, Exercise Accidents: Seat Belts, Alcohol, Home Hazards Chronic Lung Disease: Tobacco, Environment Source: M. McGinnis (1994). The role of behavioral research in National Health Policy, in S. Blumenthal et al. New Frontiers in Behavioral Medicine: Proceedings of the National Conference. NIH Publications.
Cost of Treatment for Selected Preventable Conditions Heart Disease: Coronary Bypass surgery, $30,000 Cancer: Lung Cancer Treatment, $29,000 Injuries: Quadriplegia (lifetime), $600,000 Total Annual US Cost of Alcohol Abuse: $148,021,000,000* Source: M. McGinnis (1994). The role of behavioral research in National Health Policy, in S. Blumenthal et al. New Frontiers in Behavioral Medicine: Proceedings of the National Conference. NIH Publications. *Source:THE ECONOMIC COSTS OF ALCOHOL AND DRUG ABUSE IN THE UNITED STATES, 1992. H. Harwood, D. Fountain, and G. Livermore. Analysis by the Lewin Group. Rockville, MD: DHHS, NIH, NIDA, OSPC, NIAAA, OPA.
Biomedical Model • Illnesses arise from somatic causes • Biochemical • Neurophysiological • Psychological and social processes largely independent of disease processes
Biopsychosocial Model • Emphasizes health maintenance over disease • Biological, Psychological and Social Factors are all important determinants of health • Health maintenance requires addressing issues at all of these levels
Course Objectives: Basis • Knowledge of human behavior is a critical tool of the physician. • Behavior is a product of the biology of the individual, physician or patient • Behavior is not only your primary source of information about your patients, it is also your primary tool for restoring or improving their health
Course Objectives • To understand behavior and its origins in the brain • To begin to understand psychiatric disorders and their treatment • To understand basic issues of human behavior • To know about development across the lifespan
Course Objectives • To prepare for the Behavioral Science component of Step I of the Boards!