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Atferdsmedisin HiST Atferdsmedisin-HiST.ppt
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Atferdsmeidisn - HiST06.04.2006

• K Gunnar Götestam
• Professor overlege, Dr med, Dr filos,
• Institutt for Nevromedisin, Det medisinske
  fakultet,
• NTNU, Trondheim, Faggruppe psykiatri og
  medisinske atferdsfag
• St Olavs Hospital, Psykisk helsevern, AFFU,
  Trondheim

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Definisjoner
Psykosomatikk Somatiske plager på psykologisk
grunnlag Atferdsmedisin Psykologiske faktorer i
utvikling av somatisk sykdom, og i forebygging og
behandling av medisinske plager bredere, bedre
systematikk, teoriforankret
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Årsak, komponent, tillegg
Psykologisk komponent m/tilleggsproblem smerte
kreft tinnitus parkinson Psykologisk
årsak psoriasis UC tvangslidelse ulcus??
hormonelle lidelser ...
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Klassifikasjon/Syntaks
Årsaks-dimensjon Bakgrunnsfaktorer Organ-dimensjon
Genetisk dimensjon Behandlings respons
dimensjon ...
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Analog-studier
Lidelse Analog-situasjon Depresjon Påført depr
tanker Angst Påført smerte Demens Nedsatt
orientering Schizofreni Vi som hører stemmer
...
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Atferds-approach
Compliance (følgsamhet) Management (HT)
Management (kirurgi) Maintenance
(røyking) Helserisiko for alvorlig
sykdom Atferdsteknikker i beh somatisk
sykdom Sykemeldt (ikke syk, men arbeidsufør)
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Forskningsprosjekter
(1) Behandling/intervensjon (potent!) (2)
Måleinstrument (reliab, valid, tydelig) (3)
Eksperimentelt design fange inn
endringer isolere vekk støy
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Doktorgrader Psykiatrisk institutt
1. Trond Haug Factors Regulating Behavioral
Effects of Drugs The Relative Strength of the
Conditional and Unconditional Stimulus, 1984. 2.
Steven J Linton A Behavioral Approach to Chronic
Pain and its Management, 1984. 3. Lasse Eriksen
Evaluation and Treatment of Alcohol Depen- dent
Behaviour, 1985. 4. Dagfinn Berntsen Analysis
and Management of Experimen- tal and Clinical
Pain, 1986. 5. Carl Bredo Dahl Animal Models in
Psychiatry, 1988. 6. Tore C Stiles Cognitive
Vulnerability Factors in the Develop- ment and
Maintenance of Depression, 1990. 7. Martin
Svartberg An Investigation of Process and
Outcome of Short-Term Psychodynamic
Psychotherapy, 1992. 8. Hal Sexton Studies
Related to the Treatment of Symptomatic
Non-Psychotic Patients, 1992. 9. Per O Feet
Increased Antidepressant and Antipanic Effect in
Combined Treatment with Dixyrazine and Tricyclic
Antidepres- sants, 1994. 10. Olav Linaker Mental
Retardation and Psychiatry Past and present,
1994.
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11. Gerd Inger Ringdal Quality of Life in Cancer
Patients, 1994. 13. Liv Berit Augestad
Psychosocial Factors with Relevance to a Healthy
Working Environment A Study of Employees in a
Maximum Security Hospital, 1994. 14. Kirsten
Rasmussen Violence in the Mentally Disordered A
Differential Clinical Perspective, 1995. 15. Hans
Stifoss-Hanssen Seeking Meaning or Happiness?
Studies of Selected Aspects of The Relationship
Between Reli- giosity and Mental Health,
1995. 16. Sigrid Hrrven Wigers Clinical Studies
of Fibromyalgia with Focus on Etiology,
Treatment and Outcome, 1996. 17. Geir Smedslund
A Theoretical and Empirical Investiga- tion of
Smoking, Stress and Disease Results from a
Popula- tion Survey, 1996. 18. Heidi Hjelmeland
Parasuicide General Epidemiology and Prediction
of Repetition and Suicidal Acts with Special
Reference to Intentions and Sex Differences,
1997. 19. Grethe Borchgrewink Diagnosis and
Treatment of Whip- lash/Neck Sprain Injuries
caused by Car Accidents, 1997. 20. Rolf W GrDwe
Epidemiological and Neuropsycholo- gical
Perspectives on Schizophrenia, 1997. 21. Hans M
Nordahl The Role of Adverse Parenting and
Cognitive Style in the Development of Personality
Disorders, 1999. 22. Gunnar Morken Seasonal
Variation of Human Mood and Behaviour, 2001 23.
.Egil A Fors Non-Malignant Pain in Relation to
Psychological and Environmental Factors.
Experimen- tal and Clinical Studies of Pain with
Focus on Fibromy- algia, 2002 24. Einar
Vedul-KjelsDs Eating Disorders and Physical
Activity in Non-Clinical samples, 2003 25. Jim
Aage Nrttestad Deinstitunalization and Mental
Health Changes Among People with Mental
Retardation, 2004 26. Eystein Stordal Aspects
of the epidemiology of depres- sions based on
self-rating in a large general health study,
2005 27. Robert Valderhaug Obsessive-compulsive
Disorder Among Children and Adolescents
Characterstics and Psychological Management of
Patients in Outpatient Psychiatric Clinics, 2005
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