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Clinical health psychology (ClHP) is a term that refers to the application of scientific knowledge, derived from the field of health psychology, to clinical questions that may arise across the spectrum of health care. ClHP is one of many specialty practice area for clinical psychologists. It is also a major contributor to the prevention focused field of behavioral health and the treatment oriented field of behavioral medicine. Clinical practice includes education, the techniques of behavior change, and psychotherapy. In some countries, a clinical health psychologist, with additional training, can become a medical psychologist and, thereby, obtain prescription privileges.Public health psychology (PHP) is population oriented. A major aim of PHP is to investigate potential causal links between psychosocial factors and health at the population level. Public health psychologists present research results to educators, policy makers, and health care providers in order to promote better public health. PHP is allied to other public health disciplines including epidemiology, nutrition, genetics and biostatistics. Some PHP interventions are targeted toward at-risk population groups (e.g., undereducated, single pregnant women who smoke) and not the population as a whole (e.g., all pregnant women).Community health psychology (CoHP) investigates community factors that contribute to the health and well-being of individuals who live in communities. CoHP also develops community-level interventions that are designed to combat disease and promote physical and mental health. The community often serves as the level of analysis, and is frequently sought as a partner in health-related interventions.

Critical health psychology (CrHP) is concerned with the distribution of power and the impact of power differentials on health experience and behavior, health care systems, and health policy. CrHP prioritizes social justice and the universal right to health for people of all races, genders, ages, and socioeconomic positions. A major concern is health inequalities. The critical health psychologist is an agent of change, not simply an analyst or cataloger. A leading organization in this area is the International Society of Critical Health PsychologHealth psychology is both a theoretical and applied field. Health psychologists employ diverse research methods. These methods include controlled randomized experiments, quasi-experiments, longitudinal studies, time-series designs, cross-sectional studies, and case-control studies as well as action research. Health psychologists study a broad range of variables including genotype, cardiovascular disease (cardiac psychology), smoking habits, religious beliefs, alcohol use, social support, living conditions, emotional state, social class, and much more. Some health psychologists treat individuals with sleep problems, headaches, alcohol problems, etc. Other health psychologists work to empower community members by helping community members gain control over their health and improve quality of life of entire communitiesOrigins and DevelopmePsychological factors in health had been studied since the early 20th century by disciplines such as psychosomatic medicine and later behavioral medicine, but these were primarily branches of medicine, not psychology. Health psychology began to emerge as a distinct discipline of psychology in the United States in the 1970s. In the mid-20th century there was a growing understanding in medicine of the effect of behavior on health. For example, the Alameda County Study which began in the 1960s showed that people who ate regular meals (e.g. breakfast), maintained a healthy weight, received adequate sleep, did not smoke, drank little alcohol and exercise regularly were in better health and lived longer.[5] At the same time, there was a growing realization of the importance of good communication skills in medical consultations. In addition, psychologists and other scientists were discovering relationships between psychological processes and physiological ones. These included the impact of stress on the cardiovascular and immune systems of the body, and the early finding that the functioning of the immune system could be altered by learning.[6]

Psychologists had been working in medical settings for some years previously in several countries such as the UK (sometimes termed medical psychology). However it was a small field, primarily working with adjustment to illness, with psychological factors usually as (often emotional) reactions to illness. In 1969, William Schofield prepared a report for the American Psychological Association entitled The Role of Psychology in the Delivery of Health Services.[7] While there were exceptions, he found that the psychological research of the time frequently saw mental health and physical health as entirely separate, and devoted very little attention to psychology's impact upon physical health. Of the psychologists working at the time, few were involved with this area, and he proposed that new forms of education and training for future psychologists would be needed. The APA reacted in 1973 by setting up a task force to consider how psychologists could help people to manage their health behaviours, as well as to better manage physical health problems and train healthcare staff to work most effectively with patients.[8]

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Health psychologists help to promote health and well-being by preventing illness.[4] Some illnesses can be treated better if they are caught early.Health Psychologists have worked to understand why some people do not go for screening or immunisations and are finding ways to encourage people to have health checks for illnesses such as cancer or heart disease.[4] Health Psychologists are also finding ways to try to help people to avoid risky behaviours that may affect their health and well-being, such as unprotected sex and can also help to encourage regular teeth brushing or hand washing to prevent future ill health.[4]Health psychologists also aim at educating health professionals, including physicians and nurses, in communicating effectively with patients in ways that overcome barriers to understanding, remembering, and implementing effective strategies for reducing exposures to risk factors and making health-enhancing behavior changes.[26]There is also evidence from occupational health psychology that stress-reduction interventions at the workplace can be effective. For example, Kompier and his colleagues[27] have shown that a number of interventions aimed at reducing stress in bus drivers has had beneficial effects for employees and bus companies.
Health psychologists investigate how disease affects individuals' psychological well-being. An individual who becomes seriously ill or injured faces many different practical stressors. The stressors include problems meeting medical and other bills; problems obtaining proper care when home from the hospital; obstacles to caring for dependents; having one's sense of self-reliance compromised; gaining a new, unwanted identity as a sick person; and so on. These stressors can lead to depression, reduced self-esteem, etc.[28]
This set in train a series of events that led in 1977 to the formation of a division of the APA dedicated to health psychology, led by Joseph Matarazzo. At its first conference, Matarazzo gave a speech often seen as a foundation of health psychology, in which he defined the new field as "Health psychology is the aggregate of the specific educational, scientific and professional contributions of the discipline of psychology to the promotion and maintenance of health, the prevention and treatment of illness, the identification of diagnostic and etiologic correlates of health, illness and related dysfunction, and the analysis and improvement of the healthcare system and health policy formation".[9] In the 1980s, similar organisations were set up in the UK as the British Psychological Society's Division of Health Psychology in 1986, and the European Health Psychology Society that same year. Similar organizations developed in other countries such as Australia and Japan.[10] Training programs were set up in these countries, usually training health psychologists at graduate level, and in the United States, at postdoctoral level after completing a doctoral degree in clinical psychology such as the PsyD or PhD. In addition, PhDs began to be awarded in health psychology. Today, health psychology is one of the most popular courses in undergraduate psychology degrees, as a choice for Masters degrees such as MSc, and as a career choice in psychology.

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By understanding and harnessing psychological factors, health psychologists can improve health by working directly with individual patients, indirectly in large-scale public health programs, and by training healthcare professionals (e.g. physicians and nurses) to take advantage of this knowledge when working with their patients. Health psychologists work in a variety of settings: alongside other medical professionals in hospitals and clinics, in public health departments working on large-scale behavior change and health promotion programs, and in universities and medical schools where they teach and conduct research.Although its early beginnings can be traced to the kindred field of clinical psychology, four different divisions within health psychology and one allied field have developed over time. The four divisions include clinical health psychology, public health psychology, community health psychology, and critical health psychology.[3] The allied field is occupational health psychology. Professional organizations for the field of health psychology include Division 38 of the American Psychological Association, the Division of Health Psychology of the British Psychological Society, and the European Health Psychology Society. Advanced credentialing in the U.S. as a Clinical Health Psychologist is provided through the American Board of Professional Psychology.
Recent advances in psychological, medical, and physiological research have led to a new way of thinking about health and illness. This conceptualization, which has been labeled the biopsychosocial model, views health and illness as the product of a combination of factors including biological characteristics (e.g., genetic predisposition), behavioral factors (e.g., lifestyle, stress, health beliefs), and social conditions (e.g., cultural influences, family relationships, social support).sychologists who strive to understand how biological, behavioral, and social factors influence health and illness are called health psychologists.Health Psychologists use their knowledge of psychology and health to promote general well-being and understand physical illness.[4] They are specially trained to help people deal with the psychological and emotional aspects of health and illness. The term "health psychology" is often used synonymously with the terms "behavioral medicine" and "medical psychology". Health psychologists work with many different health care professionals (e.g., physicians, dentists, nurses, physician's assistants, dietitians, social workers, pharmacists, physical and occupational therapists, and chaplains) to conduct research and provide clinical assessments and treatment services. Many health psychologists focus on prevention research and interventions designed to promote healthier lifestyles and try to find ways to encourage people to improve their health. For example, they may help people to lose weight or stop smoking.[4] Health Psychologists also use their skills to try to improve the healthcare system. For example, they may advise doctors about better ways to communicate with their patients [4] Health Psychologists work in many different settings including the NHS, private practice, universities, communities, schools and organisations. While many health psychologists provide clinical services as part of their duties, others function in non-clinical roles, primarily involving teaching and research. Leading journals include Health Psychology, the Journal of Health Psychology, the British Journal of Health Psychology, and Applied Psychology: Health and Well-Being. Health Psychologists can work with people on a one-to-one basis, in groups, as a family, or at a larger population level.[4]

This set in train a series of events that led in 1977 to the formation of a division of the APA dedicated to health psychology, led by Joseph Matarazzo. At its first conference, Matarazzo gave a speech often seen as a foundation of health psychology, in which he defined the new field as "Health psychology is the aggregate of the specific educational, scientific and professional contributions of the discipline of psychology to the promotion and maintenance of health, the prevention and treatment of illness, the identification of diagnostic and etiologic correlates of health, illness and related dysfunction, and the analysis and improvement of the healthcare system and health policy formation".[9] In the 1980s, similar organisations were set up in the UK as the British Psychological Society's Division of Health Psychology in 1986, and the European Health Psychology Society that same year. Similar organizations developed in other countries such as Australia and Japan.[10] Training programs were set up in these countries, usually training health psychologists at graduate level, and in the United States, at postdoctoral level after completing a doctoral degree in clinical psychology such as the PsyD or PhD. In addition, PhDs began to be awarded in health psychology. Today, health psychology is one of the most popular courses in undergraduate psychology degrees, as a choice for Masters degrees such as MSc, and as a career choice in psychology.
Other OHP research reveals a relation between unemployment and elevations in blood pressure.[22] OHP research also documents a relation between social class and cardiovascular disease.[23]

Health psychologists also aim to change health behaviors for the dual purpose of helping people stay healthy and helping patients adhere to disease treatment regimens (also see Health Action Process Approach). Health psychologists employ cognitive behavior therapy and applied behavior analysis (also see behavior modification) for that purpose.
Preventing illnesHealth psychologists work towards promoting health through behavioral change, as mentioned above; however, they attempt to prevent illness in other ways as well. Health Psychologists try to help people to lead a healthy life by developing and running programmes which can help people to make changes in their lives such as stopping smoking,reducing the amount of alcohol they drink, eating more healthily,and taking regular exercise.[4] Campaigns informed by health psychology have targeted tobacco use. Those least able to afford tobacco products consume them most. Tobacco provides individuals with a way of controlling aversive emotional states accompanying daily experiences of stress that characterize the lives of deprived and vulnerable individuals.[24] Practitioners emphasize education and effective communication as a part of illness prevention because many people do not recognize, or minimize, the risk of illness present in their lives. Moreover, many individuals are often unable to apply their knowledge of health practices owing to everyday pressures and stresses. A common example of population-based attempts to motivate the smoking public to reduce its dependence on cigarettes is anti-smoking campaigns.[25]

Health psychologists help to promote health and well-being by preventing illness.[4] Some illnesses can be treated better if they are caught early.Health Psychologists have worked to understand why some people do not go for screening or immunisations and are finding ways to encourage people to have health checks for illnesses such as cancer or heart disease.[4] Health Psychologists are also finding ways to try to help people to avoid risky behaviours that may affect their health and well-being, such as unprotected sex and can also help to encourage regular teeth brushing or hand washing to prevent future ill health.[4]Health psychologists also aim at educating health professionals, including physicians and nurses, in communicating effectively with patients in ways that overcome barriers to understanding, remembering, and implementing effective strategies for reducing exposures to risk factors and making health-enhancing behavior changes.[26]There is also evidence from occupational health psychology that stress-reduction interventions at the workplace can be effective. For example, Kompier and his colleagues[27] have shown that a number of interventions aimed at reducing stress in bus drivers has had beneficial effects for employees and bus companies.
Health psychologists investigate how disease affects individuals' psychological well-being. An individual who becomes seriously ill or injured faces many different practical stressors. The stressors include problems meeting medical and other bills; problems obtaining proper care when home from the hospital; obstacles to caring for dependents; having one's sense of self-reliance compromised; gaining a new, unwanted identity as a sick person; and so on. These stressors can lead to depression, reduced self-esteem, etc.[28]