Research Topics
| Paul S CiechanowskiSummaryAffiliation: University of Washington Country: USA Publications
Research Grants
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Detail Information
Publications
Physician support for diabetes patients and clinical outcomesJochen Gensichen
Institute for General Practice, University Hospital Jena, Jena, Germany
BMC Public Health 9:367. 2009..Physician practical support (e.g. setting goals, pro-active follow-up) and communicative support (e.g., empathic listening, eliciting preferences) have been hypothesized to influence diabetes outcomes...- Depression and diabetes: impact of depressive symptoms on adherence, function, and costsP S Ciechanowski
Box 356560, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98195, USA
Arch Intern Med 160:3278-85. 2000..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... - The association of depression and perceptions of interpersonal relationships in patients with diabetesPaul S Ciechanowski
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Box 356560, 1959 NE Pacific Street, Seattle, WA 98195 6560, USA
J Psychosom Res 58:139-44. 2005..Using an instrument assessing interpersonal relationships in patients with diabetes, we hypothesized that a change in depression would be associated with a change in patients' perceptions of themselves and others in relationships... - Where is the patient? The association of psychosocial factors and missed primary care appointments in patients with diabetesPaul Ciechanowski
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, 98195 6560, USA
Gen Hosp Psychiatry 28:9-17. 2006..We predicted that compared to secure attachment style, fearful and dismissing attachment styles would be associated with greater number of missed primary care visits in patients with diabetes... - Using relationship styles based on attachment theory to improve understanding of specialty choice in medicinePaul S Ciechanowski
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA
BMC Med Educ 6:3. 2006.... - The association of patient relationship style and outcomes in collaborative care treatment for depression in patients with diabetesPaul S Ciechanowski
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98195 6560, USA
Med Care 44:283-91. 2006..We sought to determine whether relationship style in patients with diabetes receiving depression treatment is associated with differential quality of care and depression outcomes... - The interpersonal experience of health care through the eyes of patients with diabetesPaul Ciechanowski
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Box 356560, 1959 NE Pacific, Seattle, WA 98195 6560, USA
Soc Sci Med 63:3067-79. 2006..Implications of using a conceptual model of attachment theory to improve patient-centered care and customer service are discussed... - Relationship styles and mortality in patients with diabetesPaul Ciechanowski
Department of Psychiatry, University of Washington, Seattle, Washington, USA
Diabetes Care 33:539-44. 2010..Further research is needed to examine possible mechanisms for this relationship and to develop appropriate interventions... - PEARLS depression treatment for individuals with epilepsy: a randomized controlled trialPaul Ciechanowski
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98195 6560, USA
Epilepsy Behav 19:225-31. 2010..The objective of this randomized controlled trial was to determine the effectiveness of PEARLS, a home-based program for managing depression in adult individuals with epilepsy and clinically significant acute and chronic depression... - Influence of patient attachment style on self-care and outcomes in diabetesPaul Ciechanowski
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Box 356560, 1959 N E Pacific, Seattle, WA 98195 6560, USA
Psychosom Med 66:720-8. 2004..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... - Adult health status of women HMO members with posttraumatic stress disorder symptomsPaul S Ciechanowski
Department of Psychiatry and Behavioral Sciences, University of Washington, Box 356560, Seattle, WA 98195 6560, USA
Gen Hosp Psychiatry 26:261-8. 2004..Among female HMO members, PTSD symptoms are associated with a wide range of both self-reported and physician-coded adverse physical health outcomes... - Community-integrated home-based depression treatment in older adults: a randomized controlled trialPaul Ciechanowski
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle 98195 6560, USA
JAMA 291:1569-77. 2004..Older adults with social isolation, medical comorbidity, and physical impairment are more likely to be depressed but may be less able to seek appropriate care for depression compared with older adults without these characteristics... - Interpersonal predictors of HbA(1c) in patients with type 1 diabetesPaul S Ciechanowski
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington 98195, USA
Diabetes Care 25:731-6. 2002.... - Attachment theory: a model for health care utilization and somatizationPaul S Ciechanowski
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98195, USA
Psychosom Med 64:660-7. 2002.... - The patient-provider relationship: attachment theory and adherence to treatment in diabetesP S Ciechanowski
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98195, USA
Am J Psychiatry 158:29-35. 2001..This study attempts to improve understanding of both patient and provider factors involved in lack of adherence to treatment in diabetic patients by using the conceptual model of attachment theory... - The relationship of depressive symptoms to symptom reporting, self-care and glucose control in diabetesPaul S Ciechanowski
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98195, USA
Gen Hosp Psychiatry 25:246-52. 2003..Because of their association with clinical aspects of diabetes care such as diabetes symptom reporting and adherence to diabetes self-care, depressive symptoms are important to recognize in treating patients with diabetes... - The relationship of attachment style to depression, catastrophizing and health care utilization in patients with chronic painPaul Ciechanowski
Department of Psychiatry and Behavioral Sciences, Box 356560, University of Washington School of Medicine, Seattle, WA 98195 6560, USA
Pain 104:627-37. 2003..The findings suggest that attachment style may be a useful construct for examining factors affecting adjustment and treatment response of patients with chronic pain... - Attachment theory in health care: the influence of relationship style on medical students' specialty choicePaul S Ciechanowski
Department of Psychiatry and Behavioural Sciences, University of Washington, Seattle, Washington 98195, USA
Med Educ 38:262-70. 2004.... - Association of attachment style to lifetime medically unexplained symptoms in patients with hepatitis CPaul S Ciechanowski
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle 98195, USA
Psychosomatics 43:206-12. 2002..53, P < 0.01) and preoccupied attachment (r = 0.46, P < 0.01). Implications for treatment are discussed... - Understanding why patients delay seeking care for acute coronary syndromesMark D Sullivan
Department of Psychiatry and Behavioral Sciences, Division of Cardiology, University of Washington, Seattle, Wash, USA
Circ Cardiovasc Qual Outcomes 2:148-54. 2009..Delay in presenting for care after the onset of symptoms is common, limits the potential benefit of acute reperfusion, and has not been reduced by interventions tested thus far... - Association of major depression and mortality in Stage 5 diabetic chronic kidney diseaseBessie A Young
Epidemiologic Research and Information Center, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98101, USA
Gen Hosp Psychiatry 32:119-24. 2010..Depression is the most common psychiatric disorder in patients with chronic kidney disease (CKD). We sought to determine the association of major depression with mortality among diabetic patients with late stage CKD... - Long-term effects on medical costs of improving depression outcomes in patients with depression and diabetesWayne J Katon
Department of Psychiatry, University of Washington School of Medicine, Seattle, Washington 98195 6560, USA
Diabetes Care 31:1155-9. 2008..The purpose of this study was to examine the 5-year effects on total health care costs of the Pathways depression intervention program for patients with diabetes and comorbid depression compared with usual primary care... - Depression-related hyperglycemia in type 1 diabetes: a mediational approachPatrick J Lustman
Department of Psychiatry, Washington University School of Medicine, 660 South Euclid Avenue, St Louis, MO 63110, USA
Psychosom Med 67:195-9. 2005..In this study, we applied mediational analysis methods to determine whether the hyperglycemic effect of depression could be mediated by poor diabetes self-care... - Racial and ethnic differences in microalbuminuria prevalence in a diabetes population: the pathways studyBessie A Young
Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle, WA, USA
J Am Soc Nephrol 16:219-28. 2005..In this setting, racial/ethnic differences in early diabetic nephropathy were observed despite comparable access to diabetes care... - Efficacy of sertraline in prevention of depression recurrence in older versus younger adults with diabetesMonique M Williams
Department of Psychiatry, Washington University School of Medicine, St Louis, Missouri 63110, USA
Diabetes Care 30:801-6. 2007..A secondary analysis was performed to assess this effect in younger and older subsets of patients... - Isn't this just bedtime snacking? The potential adverse effects of night-eating symptoms on treatment adherence and outcomes in patients with diabetesShereen A Morse
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98195-6560, USA
Diabetes Care 29:1800-4. 2006..6 [1.5-4.5]). CONCLUSIONS: Night-eating behaviors are associated with adverse outcomes in patients with diabetes. Use of clinical screening tools may help identify patients with night-eating behaviors... - Barriers to metabolic care for adults with serious mental illness: provider perspectivesMichael G McDonell
University of Washington School of Medicine, Seattle, USA
Int J Psychiatry Med 41:379-87. 2011.... - Angina pectoris during daily activities and exercise stress testing: The role of inducible myocardial ischemia and psychological distressMark D Sullivan
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, 98195 6560, USA
Pain 139:551-61. 2008..These results lend support to angina treatment strategies that aim to reduce threat and distress as well as to reduce myocardial ischemia... - Attaching a new understanding to the patient-physician relationship in family practiceDarren Thompson
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle 98195, USA
J Am Board Fam Pract 16:219-26. 2003..CONCLUSION: Family physicians can more easily adopt an understanding, compassionate, and flexible treatment stance by recognizing patients' unique attachment relationship patterns, thereby improving medical treatment outcome... - Somatic symptoms and the association between hepatitis C infection and depression in HIV-infected patientsJeanie C Yoon
Department of Medicine, University of Washington, Seattle, USA
AIDS Care 23:1208-18. 2011..01). However, when nondepression somatic symptoms were included as covariates in multivariate analyses, HCV was no longer associated with depression (p=0.09)... - Sertraline for prevention of depression recurrence in diabetes mellitus: a randomized, double-blind, placebo-controlled trialPatrick J Lustman
Department of Veterans Affairs Medical Center, St Louis, MO, USA
Arch Gen Psychiatry 63:521-9. 2006..In patients with diabetes mellitus, depression is a prevalent and recurrent problem that adversely affects the medical prognosis...
Research Grants
- Patient-Provider Relationship and Diabetes Self-CarePaul Ciechanowski; Fiscal Year: 2006..This K-23 award will provide crucial support for the applicant's ongoing development as an investigator, clinician, and educator in the area of diabetes care. ..