Paul Ciechanowski
Dados Biográficos
| ID | 2316830 |
|---|---|
| NOME | Paul Ciechanowski |
| PRENOMES | Paul |
| SOBRENOME | Ciechanowski |
| ASSINATURA | CIECHANOWSKI P |
| AFILIAÇÕES | University of Washington |
| ORCID | 0000-0001-6718-9600 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 15 |
| TOTAL DE CITAÇÕES | 7 |
| OBRAS COMO AUTOR | 15 |
| OBRAS COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1999 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2013 |
| ÍNDICE H | 1 |
Somatic symptoms and the association between hepatitis C infection and depression in HIV-infected patients
Studies of depression and hepatitis C virus (HCV) infection in HIV-infected patients have been contradictory and often not addressed key differences between HCV-infected and uninfected individuals including substance use. This cross-sectional observational study from the University of Washington HIV cohort examined associations between HCV, symptoms, and depression in HIV-infected patients in routine clinical care. Patients completed instruments …
Diabetes and Poor Disease Control
OBJECTIVE: To hypothesize that patients with comorbid depression and diabetes and poor disease control will have poorer adherence to disease control medication and less likelihood of physician intensification of treatment. Many patients with diabetes fail to achieve American Diabetes Association Guidelines for glycemic, blood pressure and lipid control. Depression is a common comorbidity and may affect disease control through adverse effects on a…
Physician support for diabetes patients and clinical outcomes
This observational study suggests that, in community practice settings, physician differences in practical support may influence glycemic control outcomes among patients with diabetes
The Association of Patient Relationship Style and Outcomes in Collaborative Care Treatment for Depression in Patients With Diabetes
PURPOSE: We sought to determine whether relationship style in patients with diabetes receiving depression treatment is associated with differential quality of care and depression outcomes. METHODS: From 9 health maintenance organization clinics, 324 primary care patients with diabetes and comorbid major depression and/or dysthymia participated in the Pathways randomized controlled trial of collaborative care for depression (n = 160) versus usual …
The interpersonal experience of health care through the eyes of patients with diabetes
Potentially Modifiable Factors Associated With Disability Among People With Diabetes
Objective: This article seeks to identify potentially modifiable factors associated with disability among people with diabetes. Study Design and Setting: Among people with diabetes (N = 4357) in a large health maintenance organization, disease severity, psychologic and behavioral risk factors for disability were assessed. Disability was evaluated by the WHO Disability Assessment Scale (WHO-DAS-II), the SF-36 Social Functioning scale, and days of …
Depression-Related Hyperglycemia in Type 1 Diabetes
OBJECTIVE: Depression is linked with hyperglycemia and with an increased risk for diabetes complications, but the mechanisms underlying these relationships have not been established. In this study, we applied mediational analysis methods to determine whether the hyperglycemic effect of depression could be mediated by poor diabetes self-care. METHODS: Depression symptoms and diabetes self-care activity were assessed in a primary care sample of 188…
Influence of Patient Attachment Style on Self-care and Outcomes in Diabetes
OBJECTIVE: Difficulties collaborating with providers and important others may adversely influence self-management in patients with diabetes. We predicted that dismissing attachment style, characterized by high interpersonal self-reliance and low trust of others, would be associated with poorer self-management in patients with diabetes. METHODS: A population-based mail survey was sent to all patients with diabetes from nine primary care clinics of…
Quality of Depression Care in a Population-Based Sample of Patients With Diabetes and Major Depression
OBJECTIVES: Major depression occurs in approximately 11% to 15% of patients with diabetes and is associated with poor glycemic control and adverse medical outcomes. This study examined the rates and predictors of recognition of depression among primary care patients with diabetes and comorbid major depression and the quality of depression care provided during a 12-month period. METHODS: This study used automated utilization, pharmacy, and laborat…
Attachment Theory
OBJECTIVE: Attachment theory proposes that cognitive schemas based on earlier repeated experiences with caregivers influence how individuals perceive and act within interpersonal relationships. We hypothesized that medical patients with two types of insecure attachment-preoccupied and fearful attachment-would have higher physical symptom reporting compared with those with other attachment styles, but that preoccupied attachment would be associate…
Attachment Theory
Objective Attachment theory proposes that cognitive schemas based on earlier repeated experiences with caregivers influence how individuals perceive and act within interpersonal relationships. We hypothesized that medical patients with two types of insecure attachment—preoccupied and fearful attachment—would have higher physical symptom reporting compared with those with other attachment styles, but that preoccupied attachment would be associated…
Attachment Style and Adherence in the Diabetic Patient
s of Papers for 1999 Annual Meeting: Paper Session: Psychosocial Determinants of Healthcare Utilization and Outcomes
Collaborative Care for Patients with Depression and Chronic Illnesses
BACKGROUND: Patients with depression and poorly controlled diabetes, coronary heart disease, or both have an increased risk of adverse outcomes and high health care costs. We conducted a study to determine whether coordinated care management of multiple conditions improves disease control in these patients. METHODS: We conducted a single-blind, randomized, controlled trial in 14 primary care clinics in an integrated health care system in Washingt…
Depression and Diabetes
BACKGROUND: Depression is common among patients with chronic medical illness. We explored the impact of depressive symptoms in primary care patients with diabetes on diabetes self-care, adherence to medication regimens, functioning, and health care costs. METHODS: We administered a questionnaire to 367 patients with types 1 and 2 diabetes from 2 health maintenance organization primary care clinics to obtain data on demographics, depressive sympto…
Improving Confidence for Self Care in Patients with Depression and Chronic Illnesses
The aim of this study was to examine whether patients who received a multicondition collaborative care intervention for chronic illnesses and depression had greater improvement in self-care knowledge and efficacy, and whether greater knowledge and self-efficacy was positively associated with improved target outcomes. A randomized controlled trial with 214 patients with comorbid depression and poorly controlled diabetes and/or coronary heart disea…
Attachment Style and Adherence in the Diabetic Patient
s of Papers for 1999 Annual Meeting: Paper Session: Psychosocial Determinants of Healthcare Utilization and Outcomes
Attachment Theory
OBJECTIVE: Attachment theory proposes that cognitive schemas based on earlier repeated experiences with caregivers influence how individuals perceive and act within interpersonal relationships. We hypothesized that medical patients with two types of insecure attachment-preoccupied and fearful attachment-would have higher physical symptom reporting compared with those with other attachment styles, but that preoccupied attachment would be associate…
Attachment Theory
Objective Attachment theory proposes that cognitive schemas based on earlier repeated experiences with caregivers influence how individuals perceive and act within interpersonal relationships. We hypothesized that medical patients with two types of insecure attachment—preoccupied and fearful attachment—would have higher physical symptom reporting compared with those with other attachment styles, but that preoccupied attachment would be associated…
Influence of Patient Attachment Style on Self-care and Outcomes in Diabetes
OBJECTIVE: Difficulties collaborating with providers and important others may adversely influence self-management in patients with diabetes. We predicted that dismissing attachment style, characterized by high interpersonal self-reliance and low trust of others, would be associated with poorer self-management in patients with diabetes. METHODS: A population-based mail survey was sent to all patients with diabetes from nine primary care clinics of…
Quality of Depression Care in a Population-Based Sample of Patients With Diabetes and Major Depression
OBJECTIVES: Major depression occurs in approximately 11% to 15% of patients with diabetes and is associated with poor glycemic control and adverse medical outcomes. This study examined the rates and predictors of recognition of depression among primary care patients with diabetes and comorbid major depression and the quality of depression care provided during a 12-month period. METHODS: This study used automated utilization, pharmacy, and laborat…
Potentially Modifiable Factors Associated With Disability Among People With Diabetes
Objective: This article seeks to identify potentially modifiable factors associated with disability among people with diabetes. Study Design and Setting: Among people with diabetes (N = 4357) in a large health maintenance organization, disease severity, psychologic and behavioral risk factors for disability were assessed. Disability was evaluated by the WHO Disability Assessment Scale (WHO-DAS-II), the SF-36 Social Functioning scale, and days of …
Depression-Related Hyperglycemia in Type 1 Diabetes
OBJECTIVE: Depression is linked with hyperglycemia and with an increased risk for diabetes complications, but the mechanisms underlying these relationships have not been established. In this study, we applied mediational analysis methods to determine whether the hyperglycemic effect of depression could be mediated by poor diabetes self-care. METHODS: Depression symptoms and diabetes self-care activity were assessed in a primary care sample of 188…
The Association of Patient Relationship Style and Outcomes in Collaborative Care Treatment for Depression in Patients With Diabetes
PURPOSE: We sought to determine whether relationship style in patients with diabetes receiving depression treatment is associated with differential quality of care and depression outcomes. METHODS: From 9 health maintenance organization clinics, 324 primary care patients with diabetes and comorbid major depression and/or dysthymia participated in the Pathways randomized controlled trial of collaborative care for depression (n = 160) versus usual …
The interpersonal experience of health care through the eyes of patients with diabetes
Diabetes and Poor Disease Control
OBJECTIVE: To hypothesize that patients with comorbid depression and diabetes and poor disease control will have poorer adherence to disease control medication and less likelihood of physician intensification of treatment. Many patients with diabetes fail to achieve American Diabetes Association Guidelines for glycemic, blood pressure and lipid control. Depression is a common comorbidity and may affect disease control through adverse effects on a…
Physician support for diabetes patients and clinical outcomes
This observational study suggests that, in community practice settings, physician differences in practical support may influence glycemic control outcomes among patients with diabetes
Somatic symptoms and the association between hepatitis C infection and depression in HIV-infected patients
Studies of depression and hepatitis C virus (HCV) infection in HIV-infected patients have been contradictory and often not addressed key differences between HCV-infected and uninfected individuals including substance use. This cross-sectional observational study from the University of Washington HIV cohort examined associations between HCV, symptoms, and depression in HIV-infected patients in routine clinical care. Patients completed instruments …
Collaborative Care for Patients with Depression and Chronic Illnesses
BACKGROUND: Patients with depression and poorly controlled diabetes, coronary heart disease, or both have an increased risk of adverse outcomes and high health care costs. We conducted a study to determine whether coordinated care management of multiple conditions improves disease control in these patients. METHODS: We conducted a single-blind, randomized, controlled trial in 14 primary care clinics in an integrated health care system in Washingt…
Depression and Diabetes
BACKGROUND: Depression is common among patients with chronic medical illness. We explored the impact of depressive symptoms in primary care patients with diabetes on diabetes self-care, adherence to medication regimens, functioning, and health care costs. METHODS: We administered a questionnaire to 367 patients with types 1 and 2 diabetes from 2 health maintenance organization primary care clinics to obtain data on demographics, depressive sympto…
Improving Confidence for Self Care in Patients with Depression and Chronic Illnesses
The aim of this study was to examine whether patients who received a multicondition collaborative care intervention for chronic illnesses and depression had greater improvement in self-care knowledge and efficacy, and whether greater knowledge and self-efficacy was positively associated with improved target outcomes. A randomized controlled trial with 214 patients with comorbid depression and poorly controlled diabetes and/or coronary heart disea…
Medicine (15 obras) · Diabetes Management and Education (11 obras) · Diabetes mellitus (9 obras) · Internal Medicine (9 obras) · Depression (economics) (8 obras) · Internal Medicine (8 obras) · Chronic Disease Management Strategies (7 obras) · Clinical Psychology (7 obras) · Psychiatry (7 obras) · Psychology (7 obras)