Richard D Bruehlman

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BACKGROUND Adherence to medication is unacceptably low in both medical and psychiatric disorders. Explanatory models of illness beliefs and behaviors suggest that an individual's beliefs about a disorder and its treatment will influence their adherence. Given that beliefs about medications may influence adherence to antidepressants, we examined beliefs(More)
BACKGROUND Despite the fact that more than half of depressed persons are treated for this disorder by primary care physicians, depression is often under-recognized or treated inadequately. There is continued emphasis on effective treatment of depression in primary care patients, but little attention has been paid to the role of the depressed person's(More)
OBJECTIVE During the 2000 to 2001 influenza season, distribution of influenza vaccine was delayed, and national self-reported vaccination rates declined. The purposes of this study were to characterize missed opportunities for adult vaccinations and assess the impact of the vaccine delay on missed opportunities for influenza vaccination as recorded in(More)
OBJECTIVE The applicability and clinical utility of Leventhal et al.'s model of illness cognition were evaluated in depressed primary care patients. The intercorrelations of illness beliefs and the mediational effects of coping behavior on these beliefs were also evaluated. Moderating effects of coping behaviors were explored. METHODS Baseline evaluations(More)
BACKGROUND A substantial delay in distribution of influenza vaccine occurred in the 2000-2001 influenza season. Our objective was to quantify the impact of this delay on immunization rates, location of receipt of immunization, and patient attitudes and beliefs about the influenza vaccine. METHODS Inner-city and suburban medical practices that received(More)
Flexible fiberoptic sigmoidoscopy has gained wide acceptance among family physicians for colorectal cancer screening and as a diagnostic tool in patients with symptoms referable to the lower gastrointestinal tract. The procedure is generally regarded as safe, and serious complications are rare. I Reported here is an unusual case of a 36-year-old man, with(More)
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