A model for primary care psychology with general thoracic surgical patients

Jeff Baker, Lisa A. Keenan, Joseph Zwischenberger

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


This study examined a model for brief psychological assessment for providing primary psychological care to patients within a surgical, specialty outpatient clinic to provide early and accurate detection of psychological distress in patients to increase compassionate care. Questionnaires were completed by 351 outpatients and 227 of these outpatients were provided a model of primary care (brief psychological intervention). Patients were assessed and provided coping strategies, patient education, and a brief evaluation of anxiety and depressive symptoms. Psychologists, in a brief interview (mean = 12 min) identified individuals experiencing significant psychological distress. The ratings of emotional status also predicted health quality of life and anxiety. Younger individuals presenting for medical care appear to be more vulnerable to psychological distress. Brief psychological interventions provide accurate, efficient assessment of psychological distress and can be an effective way of increasing compassionate care. The results support the use of primary care psychology and brief psychological interventions in the management of medical patient care.

Original languageEnglish
Pages (from-to)359-366
Number of pages8
JournalJournal of Clinical Psychology in Medical Settings
Issue number4
StatePublished - Dec 2005

Bibliographical note

Funding Information:
This work was supported in part by the Health Resources and Services Administration (HRSA), Graduate Psychology Education (RSTG72). The authors wish to acknowledge: Philip Bush, Angela Cool, Patricia Daza, and Paul Schneider for their invaluable role in data collection and medical chart review.

Copyright 2008 Elsevier B.V., All rights reserved.


  • Brief psychological intervention
  • Graduate psychology education
  • Health psychology
  • Primary care psychology
  • Quality of life

ASJC Scopus subject areas

  • Clinical Psychology


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