Chronic physical diseases

Jessica F. Magidson, Kristen S. Regenauer, Lena S. Andersen, Steven A. Safren

Research output: Chapter in Book/Report/Conference proceedingChapter

2 Scopus citations


Chronic diseases account for a growing proportion of the global disease burden. Managing chronic conditions is typically lifelong and requires consistent medication adherence and engagement in care. To reduce the global burden of chronic disease, behavioral interventions are needed to improve nonadherence, especially in the context of psychiatric comorbidity. In this chapter, we first provide a framework for understanding the outcomes and the role of psychotherapy in chronic disease management, including the application to low- and middle-income countries. Next, we highlight lessons learned from the HIV epidemic and how they can be leveraged across chronic conditions, including the task sharing models for adherence support. We provide an example of implementing an evidence-based psychotherapy for adherence for HIV/AIDS in South Africa using a task sharing model that is applicable across other chronic diseases. Finally, we end this chapter with future directions, including the role of technology to support adherence across chronic conditions.

Original languageEnglish (US)
Title of host publicationGlobal Mental Health and Psychotherapy
Subtitle of host publicationAdapting Psychotherapy for Low- and Middle-Income Countries
Number of pages19
ISBN (Electronic)9780128149324
ISBN (Print)9780128149331
StatePublished - Jan 1 2019
Externally publishedYes


  • Behavioral medicine
  • Chronic disease
  • Cognitive behavioral therapy
  • Diabetes
  • Global mental health
  • Medication adherence
  • Task sharing

ASJC Scopus subject areas

  • Psychology(all)


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