Department of Psychiatry, University of Rochester Medical Center.
Department of Obstetrics and Gynecology, University of Rochester Medical Center.
Am Psychol. 2014 May-Jun;69(4):344-54. doi: 10.1037/a0036044.
As obstetrics and gynecology (ob/gyn) practices move toward becoming patient-centered medical homes for their patients, the need for providing integrated behavioral health care has increased. Themes common in ob/gyn settings-such as menstruation concerns, initiation of contraception, pregnancy, childbirth, and menopause-serve as occasions for health promotion and as life transitions where behavioral health concerns may arise. When these transitions are complicated by issues such as trauma, infertility, and pregnancy loss, the need for sensitive, collaborative care between psychology and obstetrics/gynecology becomes particularly critical. Women's health psychologists can serve a key role for ob/gyn practices by co-managing patients' care, offering consultation to providers, providing brief behavioral health consultations to patients, facilitating psychotherapy engagement, and providing treatment for women and their families.
随着妇产科 (ob/gyn) 实践向为患者提供以患者为中心的医疗之家的方向发展,提供综合行为健康护理的需求不断增加。妇产科环境中的常见主题 - 如月经问题、避孕措施的开始、怀孕、分娩和更年期 - 既是促进健康的机会,也是可能出现行为健康问题的生活转折点。当这些过渡因创伤、不孕和流产等问题而变得复杂时,妇产科与心理学之间进行敏感、协作的护理就变得尤为关键。女性健康心理学家可以通过共同管理患者的护理、向提供者提供咨询、向患者提供简短的行为健康咨询、促进心理治疗的参与以及为女性及其家庭提供治疗,在妇产科实践中发挥关键作用。