Paul S Ciechanowski

Summary

Affiliation: University of Washington
Country: USA

Publications

  1. pmc Physician support for diabetes patients and clinical outcomes
    Jochen Gensichen
    Institute for General Practice, University Hospital Jena, Jena, Germany
    BMC Public Health 9:367. 2009
  2. ncbi request reprint Depression and diabetes: impact of depressive symptoms on adherence, function, and costs
    P S Ciechanowski
    Box 356560, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98195, USA
    Arch Intern Med 160:3278-85. 2000
  3. ncbi request reprint The association of depression and perceptions of interpersonal relationships in patients with diabetes
    Paul 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
  4. ncbi request reprint Where is the patient? The association of psychosocial factors and missed primary care appointments in patients with diabetes
    Paul Ciechanowski
    Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, 98195 6560, USA
    Gen Hosp Psychiatry 28:9-17. 2006
  5. pmc Using relationship styles based on attachment theory to improve understanding of specialty choice in medicine
    Paul S Ciechanowski
    Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA
    BMC Med Educ 6:3. 2006
  6. ncbi request reprint The association of patient relationship style and outcomes in collaborative care treatment for depression in patients with diabetes
    Paul 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
  7. ncbi request reprint The interpersonal experience of health care through the eyes of patients with diabetes
    Paul 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
  8. pmc Relationship styles and mortality in patients with diabetes
    Paul Ciechanowski
    Department of Psychiatry, University of Washington, Seattle, Washington, USA
    Diabetes Care 33:539-44. 2010
  9. doi request reprint PEARLS depression treatment for individuals with epilepsy: a randomized controlled trial
    Paul Ciechanowski
    Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98195 6560, USA
    Epilepsy Behav 19:225-31. 2010
  10. ncbi request reprint Influence of patient attachment style on self-care and outcomes in diabetes
    Paul 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

Research Grants

  1. Patient-Provider Relationship and Diabetes Self-Care
    Paul Ciechanowski; Fiscal Year: 2006

Detail Information

Publications32

  1. pmc Physician support for diabetes patients and clinical outcomes
    Jochen 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...
  2. ncbi request reprint Depression and diabetes: impact of depressive symptoms on adherence, function, and costs
    P 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...
  3. ncbi request reprint The association of depression and perceptions of interpersonal relationships in patients with diabetes
    Paul 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...
  4. ncbi request reprint Where is the patient? The association of psychosocial factors and missed primary care appointments in patients with diabetes
    Paul 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...
  5. pmc Using relationship styles based on attachment theory to improve understanding of specialty choice in medicine
    Paul S Ciechanowski
    Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA
    BMC Med Educ 6:3. 2006
    ....
  6. ncbi request reprint The association of patient relationship style and outcomes in collaborative care treatment for depression in patients with diabetes
    Paul 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...
  7. ncbi request reprint The interpersonal experience of health care through the eyes of patients with diabetes
    Paul 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...
  8. pmc Relationship styles and mortality in patients with diabetes
    Paul 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...
  9. doi request reprint PEARLS depression treatment for individuals with epilepsy: a randomized controlled trial
    Paul 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...
  10. ncbi request reprint Influence of patient attachment style on self-care and outcomes in diabetes
    Paul 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...
  11. ncbi request reprint Adult health status of women HMO members with posttraumatic stress disorder symptoms
    Paul 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...
  12. ncbi request reprint Community-integrated home-based depression treatment in older adults: a randomized controlled trial
    Paul 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...
  13. ncbi request reprint Interpersonal predictors of HbA(1c) in patients with type 1 diabetes
    Paul S Ciechanowski
    Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington 98195, USA
    Diabetes Care 25:731-6. 2002
    ..We hypothesized that diabetic patients with dismissing attachment style, due to a decreased ability to collaborate with providers and others, would have significantly higher HbA(1c) levels than patients with secure attachment style...
  14. ncbi request reprint Attachment theory: a model for health care utilization and somatization
    Paul S Ciechanowski
    Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98195, USA
    Psychosom Med 64:660-7. 2002
    ....
  15. ncbi request reprint The patient-provider relationship: attachment theory and adherence to treatment in diabetes
    P 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...
  16. ncbi request reprint The relationship of depressive symptoms to symptom reporting, self-care and glucose control in diabetes
    Paul 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...
  17. ncbi request reprint The relationship of attachment style to depression, catastrophizing and health care utilization in patients with chronic pain
    Paul 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...
  18. ncbi request reprint Attachment theory in health care: the influence of relationship style on medical students' specialty choice
    Paul S Ciechanowski
    Department of Psychiatry and Behavioural Sciences, University of Washington, Seattle, Washington 98195, USA
    Med Educ 38:262-70. 2004
    ....
  19. ncbi request reprint Association of attachment style to lifetime medically unexplained symptoms in patients with hepatitis C
    Paul 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...
  20. doi request reprint Understanding why patients delay seeking care for acute coronary syndromes
    Mark 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...
  21. pmc Association of major depression and mortality in Stage 5 diabetic chronic kidney disease
    Bessie 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...
  22. pmc Long-term effects on medical costs of improving depression outcomes in patients with depression and diabetes
    Wayne 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...
  23. ncbi request reprint Depression-related hyperglycemia in type 1 diabetes: a mediational approach
    Patrick 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...
  24. ncbi request reprint Racial and ethnic differences in microalbuminuria prevalence in a diabetes population: the pathways study
    Bessie 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...
  25. ncbi request reprint Efficacy of sertraline in prevention of depression recurrence in older versus younger adults with diabetes
    Monique 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...
  26. pmc Development and evaluation of an interprofessional communication intervention to improve family outcomes in the ICU
    J Randall Curtis
    Harborview Medical Center, Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle, WA, USA
    Contemp Clin Trials 33:1245-54. 2012
    ..This manuscript also reports some of the lessons that we have learned early in this study...
  27. ncbi request reprint Isn't this just bedtime snacking? The potential adverse effects of night-eating symptoms on treatment adherence and outcomes in patients with diabetes
    Shereen 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
    ..Psychosocial variables and emotional triggers may be associated with these behaviors. In patients with diabetes, such behaviors may lead to glucose dysregulation and contribute to obesity and complications...
  28. ncbi request reprint Barriers to metabolic care for adults with serious mental illness: provider perspectives
    Michael G McDonell
    University of Washington School of Medicine, Seattle, USA
    Int J Psychiatry Med 41:379-87. 2011
    ....
  29. doi request reprint Angina pectoris during daily activities and exercise stress testing: The role of inducible myocardial ischemia and psychological distress
    Mark 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...
  30. ncbi request reprint Attaching a new understanding to the patient-physician relationship in family practice
    Darren Thompson
    Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle 98195, USA
    J Am Board Fam Pract 16:219-26. 2003
    ..A conceptual model is essential to assist in recognizing these key aspects...
  31. pmc Somatic symptoms and the association between hepatitis C infection and depression in HIV-infected patients
    Jeanie 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)...
  32. ncbi request reprint Sertraline for prevention of depression recurrence in diabetes mellitus: a randomized, double-blind, placebo-controlled trial
    Patrick 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 Grants1

  1. Patient-Provider Relationship and Diabetes Self-Care
    Paul 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. ..