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Meeting the Care Needs of Patients with Multiple Chronic Conditions

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Behavioral Medicine and Integrated Care

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Abstract

Primary care facilities and hospitals have long been aware of the significant burden borne by patients who present with chronic medical conditions. Current estimates suggest that nearly 50% of American adults have at least one chronic medical condition (Ward, Schiller, & Goodman, 2014; Wu & Green, 2000). Patients commonly present to the primary care setting for management of symptoms and functional impairments associated with hypertension, high cholesterol, diabetes, skin conditions, or arthritic conditions. Patients with chronic medical conditions often experience marked changes in overall quality of life, with varying degrees of compromise experienced across work, household, recreational, social, interpersonal, and familial domains of function. These changes in overall quality of life, in conjunction with the stress of diagnosis and the demands of disease management, often result in psychological distress that would be deemed clinically significant and require intervention. Primary care physicians are among the first healthcare providers tasked with managing these chronic medical conditions and the associated physical and psychological compromise. For patients with chronic medical conditions that require extensive intervention by medical providers or involve complex self-management regimens, patient care needs are much more likely to be assessed and managed through any number of general and specialty care clinics.

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References

  • Alonso-Moran, E., Nuno-Solinis, R., Onder, G., & Tonnara, G. (2015). Multimorbidity in risk stratification tools to predict negative outcomes in adult population. European Journal of Internal Medicine, 26, 182–189.

    Article  PubMed  Google Scholar 

  • Anderson, G., & Horvath, J. (2004). The growing burden of chronic disease in America. Public Health Reports, 119, 263–270.

    Article  PubMed  PubMed Central  Google Scholar 

  • Anderson, G. (2010). Chronic care: Making the case for ongoing care. Princeton: Robert Wood Johnson Foundation.

    Google Scholar 

  • Andrews, N. E., Strong, J., & Meredith, P. J. (2012). Activity pacing, avoidance, endurance, and associations with patient functioning in chronic pain: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, 93(11), 2109–2121.

    Article  PubMed  Google Scholar 

  • Ashman, J., & Beresovsky, V. (2013). Multiple chronic conditions among US adults who visited physician offices: Data from the National Ambulatory Medical Care Survey, 2009. Preventing Chronic Disease, 10, E64.

    Article  PubMed  PubMed Central  Google Scholar 

  • Banhato, E. F. C., Galil, A. G. D., Campos, T. D. S., Colugnati, F. A. D., Richter, K. P., Bastos, M. G., & Cupertino, A. P. (2016). Depression symptoms among patients with multiple chronic conditions. Journal of Depression and Anxiety, 5(3). https://doi.org/10.4172/2167-1044.1000230

  • Baikie, K. A., & Wilhelm, K. (2005). Emotional and physical health benefits of expressive writing. Advances in Psychiatric Treatment, 11(5), 338–346.

    Article  Google Scholar 

  • Barile, J. P., Thompson, W. W., Zack, M. M., Krahn, G. L., Horner-Johnson, W., & Bowen, S. E. (2013). Multiple chronic conditions and health-related quality of life in older adults, 2004-2006. Preventing Chronic Diseases, 10, E162.

    Google Scholar 

  • Barth, J., Schneider, S., & von Känel, R. (2010). Lack of social support in the etiology and the prognosis of coronary heart disease: A systematic review and meta-analysis. Psychosomatic Medicine, 72(3), 229–238.

    Article  PubMed  Google Scholar 

  • Bayliss, E. A., Ellis, J. L., Shoup, J., Zeng, C., McQuillan, D. B., & Steiner, J. F. (2015). Effect of continuity of care on hospital utilization for seniors with multiple medical conditions in an integrated health care system. Annals of Family Medicine, 13, 123–129.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ben-Shlomo, Y., & Kuh, D. (2002). A life course approach to chronic disease epidemiology: Conceptual models, empirical challenges and interdisciplinary perspectives. International Journal of Epidemiology, 31, 285–293.

    Article  PubMed  Google Scholar 

  • Bice, T. W., & Boxerman, S. B. (1977). A quantitative measure of continuity of care. Medical Care, 15, 347–349.

    Article  PubMed  Google Scholar 

  • Bleich, S. N., Sherrod, C., Chaing, A., Boyd, C., Wolff, J., DuGoff, E., … Anderson, G. (2015). Systematic review of programs treating high-need and high-cost people with multiple chronic diseases or disabilities in the United States, 2008-2014. Preventing Chronic Disease, 12, E197.

    Article  PubMed  PubMed Central  Google Scholar 

  • Boissy, A., Windover, A. K., Bokar, D., Karafa, M., Neuendorf, K., Frankel, R. M., … Rothberg, M. B. (2016). Communication skills training for physicians improves patient satisfaction. Journal of General Internal Medicine, 31(7), 755–761.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bovend’Eerdt, T. J., Botell, R. E., & Wade, D. T. (2009). Writing SMART rehabilitation goals and achieving goal attainment scaling: A practical guide. Clinical Rehabilitation, 23(4), 352–361.

    Article  PubMed  Google Scholar 

  • Boyd, C. M., & Fortin, M. (2010). Future of multimorbidity research: How should understanding of multimorbidity inform health system design? Public, Health Reviews, 32, 451–474.

    Article  Google Scholar 

  • Brady, T. J., Murphy, L., O’Colmain, B., Beauchesne, D., Daniels, B., Greenberg, M., … Chevrin, M. (2013). A meta-analysis of health status, health behaviors, and health care utilization outcomes of the chronic disease self-management program. Preventing Chronic Disease, 10, 120112.

    Article  PubMed  Google Scholar 

  • Brashers, D. E., Haas, S. M., & Neidig, J. L. (1999). The patient self-advocacy scale: Measuring patient involvement in health care decision-making interactions. Health Communication, 11(2), 97–121.

    Article  PubMed  Google Scholar 

  • Bruehl, S., Chung, O. Y., & Burns, J. W. (2006). Anger expression and pain: An overview of findings and possible mechanisms. Journal of Behavioral Medicine, 29(6), 593–606.

    Article  PubMed  Google Scholar 

  • Burns, J. W., Gerhart, J. I., Bruehl, S., Peterson, K. M., Smith, D. A., Porter, L. S., … Keefe, F. J. (2015). Anger arousal and behavioral anger regulation in everyday life among patients with chronic low back pain: Relationships to patient pain and function. Health Psychology, 34(5), 547–555.

    Article  PubMed  Google Scholar 

  • Byles, J. E., Robinson, I., Banks, E., Gibson, R., Leigh, L., Rodgers, B., … Jorm, L. (2014). Psychological distress and comorbid physical conditions: Disease or disability. Depression and Anxiety, 31, 524–532.

    Article  PubMed  Google Scholar 

  • Cabassa, L. J., Humensky, J., Druss, B., Lewis-Fernandez, R., Gomes, A. P., Wang, S., & Blanco, C. (2013). Do race, ethnicity, and psychiatric diagnoses matter in the prevalence of multiple chronic medical conditions. Medical Care, 51, 540–547.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cegala, D. J., McClure, L., Marinelli, T. M., & Post, D. M. (2000). The effects of communication skills training on patients’ participation during medical interviews. Patient Education and Counseling, 41, 209–222.

    Article  PubMed  Google Scholar 

  • Centers for Medicare and Medicaid. (2016). Chronic conditions. Retrieved from https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/CC_Main.html.

  • Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. Journal of Chronic Diseases, 40, 373–383.

    Article  PubMed  Google Scholar 

  • Clark, N. M., Lachance, L., Benedict, M. B., Little, R., Leo, H., Awad, D., & Wilkin, M. K. (2015). The extent and patterns of multiple chronic conditions in low-income children. Clinical Pediatrics, 54, 515–524.

    Google Scholar 

  • Cocchiarelli, L., & Andersson, G. B. J. (2001). American Medical Association: Guides to the evaluation of permanent impairment (4th ed.). Chicago, IL: Author.

    Google Scholar 

  • Cohen, R., Bavishi, C., & Rozanski, A. (2016). Purpose in life and its relationship to all-cause mortality and cardiovascular events: A meta-analysis. Psychosomatic Medicine, 78(2), 122–133.

    Article  PubMed  Google Scholar 

  • Cohen, S. (2004). Social relationships and health. American Psychologist, 59(8), 676–684.

    Article  PubMed  Google Scholar 

  • Cohen, S., Gottlieb, B. H., & Underwood, L. G. (2001). Social relationships and health: Challenges for measurement and intervention. Advances in Mind-Body Medicine, 17(2), 129–141.

    PubMed  Google Scholar 

  • Compare, A., Zarbo, C., Manzoni, G. M., Castelnuovo, G., Baldassari, E., Bonardi, A., … Romagnoni, C. (2013). Social support, depression, and heart disease: A ten year literature review. Frontiers in Psychology, 4, 384–391.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cummings, J. A., Hayes, A. M., Saint, D. S., & Park, J. (2014). Expressive writing in psychotherapy: A tool to promote and track therapeutic change. Professional Psychology: Research and Practice, 45(5), 378–386.

    Article  Google Scholar 

  • Doran, G. T. (1981). There’s a SMART way to write management’s goals and objectives. Management Review, 70(11), 35–36.

    Google Scholar 

  • Duckworth, M. P. (2008). Assertiveness skills and the management of related factors. In J. E. Fisher & W. O’Donohue (Eds.), Cognitive behavior therapy: Applying empirically supported techniques in your practice (2nd ed., pp. 26–34). New York, NY: Springer.

    Google Scholar 

  • Duckworth, M. P., & Iezzi, T. (2010). Physical injuries, pain, and psychological trauma: Pathways to disability. Psychological Injury and Law, 3, 241–253.

    Article  Google Scholar 

  • Duckworth, M. P., Iezzi, T., & Shearer, E. (2012). Retraumatization associated with disabling physical injuries. In M. P. Duckworth & V. Follette (Eds.), Retraumatization: Assessment, treatment, and prevention (pp. 377–421). New York, NY: Routledge Press.

    Chapter  Google Scholar 

  • Duckworth, M. P., & Mercer, V. (2006). Assertiveness training. In J. E. Fisher & W. O’Donohue (Eds.), Practice guidelines for evidence based psychotherapy (pp. 80–92). New York, NY: Springer Publishing Company.

    Chapter  Google Scholar 

  • Feros, D. L., Lane, L., Ciarrochi, J., & Blackledge, J. T. (2013). Acceptance and commitment therapy (ACT) for improving the lives of cancer patients: A preliminary study. Psycho-Oncology, 22(2), 459–464.

    PubMed  Google Scholar 

  • Fortin, M., Lapointe, L., Hudon, C., Vanasses, A., Ntetu, A. L., & Maltais, D. (2004). Multimorbidity and quality of life in primary care: A systematic review. Health and Quality of Life Outcomes, 2, 51.

    Article  PubMed  PubMed Central  Google Scholar 

  • Freid, V. M., Bernstein, A. B., & Bush, M. A. (2012). Multiple chronic conditions among adults aged 45 and over: Trends over the past 10 years. NCHS Data Brief, 100, 1–8.

    Google Scholar 

  • Frisina, P. G., Borod, J. C., & Lepore, S. J. (2004). A meta-analysis of the effects of written emotional disclosure on the health outcomes of clinical populations. The Journal of Nervous and Mental Disease, 192(9), 629–634.

    Article  PubMed  Google Scholar 

  • Fujimori, M., Shirai, Y., Asai, M., Kubota, K., Katsumata, N., & Uchitomi, Y. (2014). Effect of communication skills training program for oncologists based on patient preferences for communication when receiving bad news: A randomized controlled trial. Journal of Clinical Oncology, 32(20), 2166–2172.

    Article  PubMed  Google Scholar 

  • Galante, J., Galante, I., Bekkers, M. J., & Gallacher, J. (2014). Effect of kindness-based meditation on health and Well-being: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 82(6), 1101–1114.

    Article  PubMed  Google Scholar 

  • Gandaglia, G., Briganti, A., Jackson, G., Kloner, R. A., Montorsi, F., Montorsi, P., & Vlachopoulos, C. (2014). A systematic review of the association between erectile dysfunction and cardiovascular disease. European Urology, 65(5), 968–978.

    Article  PubMed  Google Scholar 

  • Gerteis, J., Izrael, D., Deitz, D., LeRoy, L., Ricciardi, R., Miller, T., & Basu, J. (2014). Multiple chronic conditions chartbook. Rockville, MD: Agency for Healthcare Research and Quality Publications.

    Google Scholar 

  • Gijsen, R., Hoeymans, N., Schellevis, F. G., Ruwaard, D., Satariano, W. A., & van den Bos, G. A. M. (2001). Causes and consequences of comorbidity: A review. Journal of Clinical Epidemiology, 54, 661–674.

    Article  PubMed  Google Scholar 

  • Goyal, M., Singh, S., Sibinga, E. M., Gould, N. F., Rowland-Seymour, A., Sharma, R., … Ranasinghe, P. D. (2014). Meditation programs for psychological stress and Well-being: A systematic review and meta-analysis. JAMA Internal Medicine, 174(3), 357–368.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gully, S. P., Rasch, E. K., & Chan, L. (2011). The complex web of health: Relationships among chronic conditions, and health services. Public Health Reports, 126, 495–507.

    Article  Google Scholar 

  • Hann, K. E., & McCracken, L. M. (2014). A systematic review of randomized controlled trials of acceptance and commitment therapy for adults with chronic pain: Outcome domains, design quality, and efficacy. Journal of Contextual Behavioral Science, 3(4), 217–227.

    Article  Google Scholar 

  • Harrington, J., Noble, L. M., & Newman, S. P. (2004). Improving patients’ communication with doctors: A systematic review of intervention studies. Patient Education and Counseling, 52(1), 7–16.

    Article  PubMed  Google Scholar 

  • Hayes, S. C., Barlow, D. H., & Nelson-Gray, R. O. (1999). The scientist practitioner: Research and accountability in the age of managed care (2nd ed.). Boston, MA: Allyn & Bacon.

    Google Scholar 

  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25.

    Article  PubMed  Google Scholar 

  • Heath, M. A., Sheen, D., Leavy, D., Young, E., & Money, K. (2005). Bibliotherapy: A resource to facilitate emotional healing and growth. School Psychology International, 26(5), 563–580.

    Article  Google Scholar 

  • Hibbard, J. H., & Greene, J. (2013). What the evidence shows about patient activation: Better health outcomes and care experiences; fewer data on costs. Health Affairs, 32(2), 207–214.

    Article  PubMed  Google Scholar 

  • Hibbard, J. H., Greene, J., Shi, Y., Mittler, J., & Scanlon, D. (2015). Taking the long view: How well do patient activation scores predict outcomes four years later? Medical Care Research and Review, 72(3), 324–337.

    Article  PubMed  Google Scholar 

  • Hibbard, J. H., Mahoney, E., & Sonet, E. (2017). Does patient activation level affect the cancer patient journey? Patient Education and Counseling, 100(7), 1276–1279.

    Article  PubMed  Google Scholar 

  • Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427–440.

    Article  PubMed  PubMed Central  Google Scholar 

  • Högdahl, L., Birgegård, A., & Björck, C. (2013). How effective is bibliotherapy-based self-help cognitive behavioral therapy with internet support in clinical settings? Results from a pilot study. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 18(1), 37–44.

    Article  Google Scholar 

  • Holland, J. M., Currier, J. M., Coleman, R. A., & Neimeyer, R. A. (2010). The integration of stressful life experiences scale (ISLES): Development and initial validation of a new measure. International Journal of Stress Management, 17(4), 325–352.

    Article  Google Scholar 

  • Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social relationships and mortality risk: A meta-analytic review. PLoS Medicine, 7(7), e1000316.

    Article  PubMed  PubMed Central  Google Scholar 

  • Institute of Medicine. (2004). Health literacy: A prescription to end confusion. Washington, DC: National Academic Press.

    Google Scholar 

  • Jackson, C. A., Jones, M., Tooth, L., Mishra, G. D., Byles, J., & Dobson, A. (2015). Multimorbidity patterns are differentially associated with functional ability and decline in a longitudinal cohort of older women. Age and Ageing, 44, 810–816.

    Article  PubMed  Google Scholar 

  • Jindai, K., Nielson, C. M., Vorderstrasse, B. A., & Quinones, A. R. (2016). Multimorbidity and functional limitations among adults 65 or older, NHANES 2005-2012. Preventing Chronic Disease, 13, 160174.

    Article  Google Scholar 

  • Johnston, M., Foster, M., Shennan, J., Starkey, N. J., & Johnson, A. (2010). The effectiveness of an acceptance and commitment therapy self-help intervention for chronic pain. The Clinical Journal of Pain, 26(5), 393–402.

    Article  PubMed  Google Scholar 

  • Kaptein, A. A., Meulenberg, F., & Smyth, J. M. (2015). A breath of fresh air: Images of respiratory illness in novels, poems, films, music, and paintings. Journal of Health Psychology, 20(3), 246–258.

    Article  PubMed  Google Scholar 

  • Karademas, E. C., Tsagaraki, A., & Lambrou, N. (2009). Illness acceptance, hospitalization stress and subjective health in a sample of chronic patients admitted to hospital. Journal of Health Psychology, 14(8), 1243–1250.

    Article  PubMed  Google Scholar 

  • Katz, S., Ford, A. B., Moskowitz, Jackson, & Jaffe, M. W. (1963). Studies of illness in the aged- The Index of ADL: A standardized measure of biological and psychosocial function. Journal of the American Medical Association, 185, 914–919.

    Article  PubMed  Google Scholar 

  • Kessler, R., Andrews, G., Colpe, L., Hirpi, E., Mroczek, D. K., Normand, S. L., … Zaslavsky, A. M. (2002). Shortscreen scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32, 959–976.

    Article  PubMed  Google Scholar 

  • Kim, E. S., Sun, J. K., Park, N., Kubzansky, L. D., & Peterson, C. (2013). Purpose in life and reduced risk of myocardial infarction among older US adults with coronary heart disease: A two-year follow-up. Journal of Behavioral Medicine, 36(2), 124–133.

    Article  PubMed  Google Scholar 

  • Kim, Y., Duberstein, P. R., & Sörensen, S., & Larson, M. R. (2005). Levels of depressive symptoms in spouses of people with lung cancer: Effects of personality, social support, and caregiving burden. Psychosomatics, 46(2), 123–130.

    Article  PubMed  Google Scholar 

  • Kop, W. J., Weissman, N. J., Zhu, J., Bonsall, R. W., Doyle, M., Stretch, M. R., … Tracy, R. P. (2008). Effects of acute mental stress and exercise on inflammatory markers in patients with coronary artery disease and healthy controls. American Journal of Cardiology, 101(6), 767–773.

    Article  PubMed  Google Scholar 

  • Lancaster, S. L., & Carlson, G. C. (2015). Meaning made, distress, and growth: An examination of the integration of stressful life experiences scale. International Journal of Stress Management, 22(1), 92–110.

    Article  Google Scholar 

  • Lee, T. A., Shields, A. E., Vogeli, C., Gibson, T. B., Woong-Sohn, M., Marder, W. D., … Weiss, K. B. (2007). Mortality rate in veterans with multiple chronic conditions. Journal of General Internal Medicine, 22(Supple. 3), 403–407.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lehnert, T., Heider, D., Leicht, H., Heinrich, S., Corrieri, S., Luppa, M., … Konig, H. (2011). Health care utilization and costs with elderly persons with multiple chronic conditions. Medical Care Research and Review, 68, 387–420.

    Article  PubMed  Google Scholar 

  • Leung, J., Pachana, N. A., & McLaughlin, D. (2014). Social support and health-related quality of life in women with breast cancer: A longitudinal study. Psycho-Oncology, 23(9), 1014–1020.

    Article  PubMed  Google Scholar 

  • Lin, Y. R., Shiah, I. S., Chang, Y. C., Lai, T. J., Wang, K. Y., & Chou, K. R. (2004). Evaluation of an assertiveness training program on nursing and medical students’ assertiveness, self-esteem, and interpersonal communication satisfaction. Nurse Education Today, 24(8), 656–665.

    Article  PubMed  Google Scholar 

  • Lin, Y. R., Wu, M. H., Yang, C. I., Chen, T. H., Hsu, C. C., Chang, Y. C., … Chou, K. R. (2008). Evaluation of assertiveness training for psychiatric patients. Journal of Clinical Nursing, 17(21), 2875–2883.

    Article  PubMed  Google Scholar 

  • Linehan, M. (2014). DBT® skills training manual. New York, NY: Guilford Publications.

    Google Scholar 

  • Lorig, K. R., Sobel, D. S., Stewart, A. L., Brown, B. W., Bandura, A., Ritter, P., … Holman, H. R. (1999). Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: A randomized trial. Medical Care, 37, 5–14.

    Article  PubMed  Google Scholar 

  • Machlin, S. R., & Soni, A. (2013). Health care expenditures for adults with multiple treated chronic conditions: Estimates from the medical expenditure panel survey, 2009. Preventing Chronic Disease, 10, E63–E71.

    Article  PubMed  PubMed Central  Google Scholar 

  • Marengoni, A., von Strauss, E., Rizzuto, D., Winblad, B., & Fratiglioni, L. (2009). The impact of chronic multimorbidity and disability on functional decline and survival in elderly person: A community-based, longitudinal study. Journal of Internal Medicine, 265, 288–295.

    Article  PubMed  Google Scholar 

  • Martin, L. T., Schonlau, M., Haas, A., Derose, K. P., Rudd, R., Loucks, E. B., … Buka, S. L. (2011). Literacy skills and calculated 10-year risk of coronary heart disease. Journal of General Internal Medicine, 26(1), 45–50.

    Article  PubMed  Google Scholar 

  • McCracken, L. M. (1998). Learning to live with the pain: Acceptance of pain predicts adjustment in persons with chronic pain. Pain, 74(1), 21–27.

    Article  PubMed  Google Scholar 

  • McCracken, L. M., & Vowles, K. E. (2014). Acceptance and commitment therapy and mindfulness for chronic pain: Model, process, and progress. American Psychologist, 69(2), 178–187.

    Article  PubMed  Google Scholar 

  • McCrory, C., Dooley, C., Laytr, R., & Kenny, R. A. (2015). The lasting legacy of childhood adversity for disease risk in later life. Health Psychology, 34, 687–696.

    Article  PubMed  Google Scholar 

  • McGee, D. S., & Cegala, D. J. (1998). Patient communication skills training for improved communication competence in the primary care medical consultation. Journal of Applied Communication Research, 26, 412–430.

    Article  Google Scholar 

  • Miller, W. (2014). Interactive journaling as a clinical tool. Journal of Mental Health Counseling, 36(1), 31–42.

    Article  Google Scholar 

  • Monson, C. M., Schnurr, P. P., Resick, P. A., Friedman, M. J., Young-Xu, Y., & Stevens, S. P. (2006). Cognitive processing therapy for veterans with military-related posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 74(5), 898–907.

    Article  PubMed  Google Scholar 

  • Moriarty, D. G., Zack, M. M., & Kobau, R. (2003). The Centers for Disease Control and Prevention’s health days measure-population tracking and perceived physical and mental health over time. Health and Quality of Life Outcomes, 1, 37.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mostofsky, E., Penner, E. A., & Mittleman, M. A. (2014). Outbursts of anger as a trigger of acute cardiovascular events: A systematic review and meta-analysis. European Heart Journal, 35(21), 1404–1410.

    Article  PubMed  PubMed Central  Google Scholar 

  • Muschalla, B., Glatz, J., & Linden, M. (2013). Bibliotherapy on coping with illness improves health literacy but not heart-related anxiety of patients in cardiological rehabilitation. Psychotherapy and Psychosomatics, 82(5), 349–350.

    Article  PubMed  Google Scholar 

  • Nielson, W. R., Jensen, M. P., Karsdorp, P. A., & Vlaeyen, J. W. (2013). Activity pacing in chronic pain: Concepts, evidence, and future directions. The Clinical Journal of Pain, 29(5), 461–468.

    Article  PubMed  Google Scholar 

  • Obiegło, M., Uchmanowicz, I., Wleklik, M., Jankowska-Polańska, B., & Kuśmierz, M. (2016). The effect of acceptance of illness on the quality of life in patients with chronic heart failure. European Journal of Cardiovascular Nursing, 15(4), 241–247.

    Article  PubMed  Google Scholar 

  • Penedo, F. J., Dahn, J. R., Kinsinger, D., Antoni, M. H., Molton, I., Gonzalez, J. S., … Schneiderman, N. (2006). Anger suppression mediates the relationship between optimism and natural killer cell cytotoxicity in men treated for localized prostate cancer. Journal of Psychosomatic Research, 60(4), 423–427.

    Article  PubMed  Google Scholar 

  • Pietromonaco, P. R., Uchino, B., & Schetter, C. D. (2013). Close relationship processes and health: Implications of attachment theory for health and disease. Health Psychology, 32(5), 499–513.

    Article  PubMed  PubMed Central  Google Scholar 

  • Pinquart, M., & Duberstein, P. R. (2010). Depression and cancer mortality: A meta-analysis. Psychological Medicine, 40(11), 1797–1810.

    Article  PubMed  PubMed Central  Google Scholar 

  • Quinones, A. R., Markwardt, S., & Botoseneanu, A. (2016). Multimorbidity combinations and disability in older adults. Journal of Gerontology: Medical Sciences, 71, 823–830.

    Google Scholar 

  • Rao, J. K., Anderson, L. A., Inui, T. S., & Frankel, R. M. (2007). Communication interventions make a difference in conversations between physicians and patients: A systematic review of the evidence. Medical Care, 45(4), 340–349.

    Article  PubMed  Google Scholar 

  • Raposa, E. B., Hammen, C. L., Brennan, P. A., O’Callaghan, F., & Najman, J. M. (2014). Early adversity and health outcomes in young adulthood: The role of ongoing stress. Health Psychology, 33, 410–418.

    Article  PubMed  Google Scholar 

  • Reis, H. T., & Franks, P. (1994). The role of intimacy and social support in health outcomes: Two processes or one? Personal Relationships, 1(2), 185–197.

    Article  Google Scholar 

  • Repetti, R. L., Taylor, S. E., & Seeman, T. E. (2002). Risky families: Family social environments and the mental and physical health of offspring. Psychological Bulletin, 128, 330–366.

    Article  PubMed  Google Scholar 

  • Resick, P. A., & Schnicke, M. (1993). Cognitive processing therapy for rape victims: A treatment manual. Newbury Park, CA: Sage Publications.

    Google Scholar 

  • Salive, M. E. (2013). Multimorbidity in older adults. Epidemiologic Reviews, 35, 75–83.

    Article  PubMed  Google Scholar 

  • Schneider, K. M., O'Donnell, B. E., & Dean, D. (2009). Prevalence of multiple chronic conditions in the United States' Medicare population. Health and Quality of Life Outcomes, 7, 1–11.

    Article  Google Scholar 

  • Schneider, R. H., & Carr, T. (2014). Transcendental meditation in the prevention and treatment of cardiovascular disease and pathophysiological mechanisms: An evidence-based review. Advances in Integrative Medicine, 1(3), 107–112.

    Article  Google Scholar 

  • Schover, L. R., van der Kaaij, M., van Dorst, E., Creutzberg, C., Huyghe, E., & Kiserud, C. E. (2014). Sexual dysfunction and infertility as late effects of cancer treatment. European Journal of Cancer Supplements, 12(1), 41–53.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sinnott, C., McHugh, S., Fitzgerald, A. P., Bradley, C. P., & Kearney, P. K. (2015). Psychosocial complexity in multimorbidity: The legacy of adverse childhood experiences. Family Practice, 32, 269–275.

    Article  PubMed  Google Scholar 

  • Skinner, H. G., Coffey, R., Jones, J., Heslin, K. C., & Moy, E. (2016). The effects of multiple chronic conditions on hospitalization costs and utilization for ambulatory care sensitive conditions in the United States: A nationally representative cross-sectional study. BMC Health Services Research, 16, 77.

    Article  PubMed  PubMed Central  Google Scholar 

  • Smith, A. E., Molton, I. R., & Jensen, M. P. (2016). Self-reported incidence and age of chronic comorbid medical conditions in adults aging with long-term physical disability. Disability and Health Journal, 9, 533–538.

    Article  PubMed  Google Scholar 

  • Smith, S. M., Wallace, E., O’Dowd, T., & Fortin, M. (2016). Interventions for improving outcomes in patients with multimorbidity in primary care and community settings. Cochrane Database of Systematic Reviews, 3, CD006560.

    PubMed  Google Scholar 

  • Steiner, C. A., & Friedman, B. (2013). Hospital utilization, costs, and mortality for adults with multiple chronic conditions, Nationwide inpatient sample, 2009. Preventing Chronic Disease, 10, E62.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tavakoli, S., Lumley, M. A., Hijazi, A. M., Slavin-Spenny, O. M., & Parris, G. P. (2009). Effects of assertiveness training and expressive writing on acculturative stress in international students: A randomized trial. Journal of Counseling Psychology, 56(4), 590–596.

    Article  PubMed  PubMed Central  Google Scholar 

  • Thoits, P. A. (2010). Stress and health: Major findings and policy implications. Journal of Health and Social Behavior, 51(Supple. 1), S41–S53.

    Article  PubMed  Google Scholar 

  • Thorsell, J., Finnes, A., Dahl, J., Lundgren, T., Gybrant, M., Gordh, T., & Buhrman, M. (2011). A comparative study of 2 manual-based self-help interventions, acceptance and commitment therapy and applied relaxation, for persons with chronic pain. The Clinical Journal of Pain, 27(8), 716–723.

    Article  PubMed  Google Scholar 

  • Tolstedt, B. E., & Stokes, J. P. (1983). Relation of verbal, affective, and physical intimacy to marital satisfaction. Journal of Counseling Psychology, 30(4), 573–580.

    Article  Google Scholar 

  • U.S. Department of Health and Human Services. (2010). Multiple chronic conditions—A strategic framework: Optimum health and quality of life for individuals with multiple chronic conditions. Washington, DC: Author.

    Google Scholar 

  • Uitterhoeve, R. J., Bensing, J. M., Grol, R. P., Demulder, P. H. M., & van Achterberg, T. (2010). The effect of communication skills training on patient outcomes in cancer care: A systematic review of the literature. European Journal of Cancer Care, 19(4), 442–457.

    Article  PubMed  Google Scholar 

  • Von Korff, M. (2000). Individualized stepped care of chronic illness. Western Medical Journal, 172, 133–137.

    Article  Google Scholar 

  • Wagner, E. H., Austin, B. T., Davis, C., Hindmarsh, M., Schaefer, J., & Bonomi, A. (2001). Improving chronic illness care: Translating evidence into action. Health Affairs, 20, 64–78.

    Article  PubMed  Google Scholar 

  • Wagner, E. H., Austin, B. T., & Von Korff, M. (1996). Organizing care for patients with chronic illness. The Millbank Quarterly, 74, 511–544.

    Article  Google Scholar 

  • Ward, B. W., Schiller, J. S., & Goodman, R. A. (2014). Multiple chronic conditions among US adults: A 2012 update. Preventing Chronic Disease, 11, E62–E66.

    PubMed  PubMed Central  Google Scholar 

  • Ware, J. E., Kosinski, M., & Keller, S. K. (1994). SF-36 physical and mental health summary scales: A user’s manual. Boston, MA: The Health Institute.

    Google Scholar 

  • White, V. M., English, D. R., Coates, H., Lagerlund, M., Borland, R., & Giles, G. G. (2007). Is cancer risk associated with anger control and negative affect? Findings from a prospective cohort study. Psychosomatic Medicine, 69(7), 667–674.

    Article  PubMed  Google Scholar 

  • Wolff, J. L., Starfield, B., & Anderson, G. (2002). Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Archives of Internal Medicine, 162(20), 2269–2276.

    Article  PubMed  Google Scholar 

  • Wu, S. Y., & Green, A. (2000). Projection of chronic illness prevalence and cost inflation. Washington, D.C.: RAND Health.

    Google Scholar 

  • Zachariae, R., & O’Toole, M. S. (2015). The effect of expressive writing intervention on psychological and physical health outcomes in cancer patients—A systematic review and meta-analysis. Psycho-Oncology, 24(11), 1349–1359.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zhong, W., Finnie, D. M., Shah, N. D., Wagie, A. E., Sauver, J. L., Jacobson, D. J., & Nassens, J. M. (2015). Effect of multiple chronic diseases on the health care expenditures in childhood. Journal of Primary Care & Community Health, 6, 2–9.

    Article  Google Scholar 

  • Zilioli, S., Slatcher, R. B., Ong, A. D., & Gruenewald, T. L. (2015). Purpose in life predicts allostatic load ten years later. Journal of Psychosomatic Research, 79(5), 451–457.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zulman, D. M., Chee, C. P., Wagner, T. H., Yoon, J., Cohen, D. M., Holmes, T. H., … Asch, S. M. (2015). Multimorbidity and healthcare utilization among high-cost patients in the US veterans affairs health care system. BMJ Open, 5, e007771.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, University of Nevada, Reno, Reno, NV, USA

    Melanie P. Duckworth & Gwendolyn C. Carlson

  2. Behavioral Medicine Service, London Health Sciences Center, London, ON, Canada

    Tony Iezzi

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  1. Melanie P. Duckworth
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Correspondence to Melanie P. Duckworth .

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  1. Department of Psychology, University of Nevada, Reno, Reno, NV, USA

    Melanie P. Duckworth

  2. Department of Psychology, University of Nevada, Reno, Reno, NV, USA

    William T. O'Donohue

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Duckworth, M.P., Iezzi, T., Carlson, G.C. (2018). Meeting the Care Needs of Patients with Multiple Chronic Conditions. In: Duckworth, M., O'Donohue, W. (eds) Behavioral Medicine and Integrated Care. Springer, Cham. https://doi.org/10.1007/978-3-319-93003-9_10

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