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Journal of Consulting and Clinical Psychology Turk, D C, & Rudy, T E (1990) Neglected factors in chronic pain treatment outcome studies Referral patterns, failure to enter treatment, and attrition Pain, 43, 7 21 Turner, J A, Deyo, R A, & Loweser, J D (1994) The importance of placebo effects in pain treatment and research Journal of the American Medical Association, 271, 1609 1614 von Bertalanffy, L (1968) General systems theory New York: Braziller Wadden, T A, Brownell, K D, & Foster, G D (in press) Obesity: Responding to the global epidemic Journal of Consulting and Clinical Psychology Waltz, J, Addis, M E, Koerner, K, & Jacobson, N S (1993) Testing the integrity of a psychotherapy protocol: Assessment of adherence and competence Journal of Consulting and Clinical Psychology, 61, 620 630 Watson, D, & Pennebaker, J W (1989).

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activities Similarly, radiographic indicators have been shown to have little predictive value for the long-term functional capacity of a patient Poor reliability and questionable validity of physical examination measures has led to the development of selfreport functional status measures that seek to quantify symptoms, function, and behavior directly, rather than inferring them Self-report measures have been developed to assess peoples reports of their abilities to engage in a range of functional activities such as the ability to walk up stairs, to sit for speci c periods of time, the ability to lift speci c weights, performance of activities of daily living, as well as the severity of the pain experienced during the performance of these activities have been developed.

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Health complaints, stress, and distress: Exploring the central role of negative affectivity Psychological Review, 96, 234 254 Watson, D, & Tellegen, A (1985) Toward a consensual structure of mood Psychological Bulletin, 98, 219 235 Watson, D, Weber, K, Assenheimer, J S, Clark, L A, Strauss, M E, & McCormick, R A (1995) Testing a tripartite model: Vol 1 Evaluating the convergent and discriminant validity of anxiety and depression symptom scales Journal of Abnormal Psychology, 104, 3 14 Weinstein, N D (1993) Testing four competing theories of healthprotective behavior Health Psychology, 12, 324 333 Weinstein, N D, Rothman, A J, & Sutton, S R (1998) Stage theories of health behavior: Conceptual and methodological issues Health Psychology, 17, 211 213 Williams, P G, Holmbeck, G N, & Greenley, R N (in press) Adolescent health psychology Journal of Consulting and Clinical Psychology..

Some of the commonly used functional assessment scales include the Roland-Morris Disability Scale (1983), the Sickness Impact Pro le (Bergner, Bobbitt, Carter, & Gilson, 1981) and the Oswestry Disability Scale (Fairbank, Couper, Davies, & O Brien, 1980) These scales ask patients to report on their ability to engage in speci c activities such as sitting, standing, and walking The items tend to be quite speci c For example, one item from the Oswestry Disability Scale asks patients to indicate whether their pain prevents them from sitting at all, from sitting more than 10 minutes, sitting more than 1 hour, or sitting more than hour, or whether they 2 are able to sit for as long as they like Despite the obvious limitations of self-report instruments, they have several advantages.

Lilienfeld, S (1994) Conceptual problems in the assessment of psychopathy Clinical Psychology Review, 14, 17 38 Link, B G, & Stueve, A (1994) Psychotic symptoms and the violent/illegal behavior of mental patients compared to community controls In J Monahan & H J Steadman (Eds), Violence and mental disorder: Developments in risk assessment (pp 137 159) Chicago: University of Chicago Press Lyon, D R, Hart, S D, & Webster, C D (2001) Violence risk assessment In R Schuller & J R P Ogloff (Eds), Law and psychology: Canadian perspectives (pp 314 350) Toronto, Ontario, Canada: University of Toronto Press Maclure, M, & Mittleman, M A (2000) Should we use a casecrossover design Annual Review of Public Health, 21, 193 221 McNiel, D E (1994) Hallucinations and violence In J Monahan & H J Steadman (Eds), Violence and mental disorder: Developments in risk assessment (pp.

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