從概念到實踐：臨床健康心理學實徵成果階段性檢視

From Concept to Practice: Current Empirical Outcomes for Clinical Health Psychology Studies in Taiwan

從Engel（1977）提出「生物－心理－社會」模式後，健康心理學在過去三十年間，相關研究逐漸不單獨採用生物醫學模式，引用Engel相關概念的研究，逐年呈現量增趨勢。無論其倡議的健康模式是否已經構成典範轉移，目前仍有爭議，視個體是整體有機組織的概念，已是普遍現象。但從概念到實踐的在地研究，仍須進一步探討。本專題收錄的三篇論文，是在證據導向下的實徵研究，探索慢性病患者的心理社會層面議題，是呼應「生物－心理－社會」健康模式的實踐成果，並著手建構符合台灣的評量工具之臨床應用。當然，專題論文無論是理論建構或方法思考，仍有尚待解決的研究議題，值得未來進一步探討。本專題策劃用意不僅是檢視階段性成果，更是建構對話平台的開端。

Ever since Engel proposed a biopsychosocial model to challenge the biomedical model thirty years ago, it has increasingly been recognized and applied in research. Although whether this new model constitutes a paradigm shift is still a point of debate, it is now common to conceptualize individuals as holistic organisms. How to move from this conceptualization to implementation in indigenous clinical health psychology research is now an important area for investigation. The three essays in this special issue are empirical studies of evidence–based practice that reflect the biopsychosocial health model: “Sleep disturbances in chronic kidney disease patients: A comparison between patients with and without hemodialysis”; “Coping with cancer pain: The moderating effect of locus of control on the relationship between coping strategies and quality of life”, and “Grouping patients with newly diagnosed chronic illness by their personal constructs: A clinical application of the Threat Index-Taiwan Version”. These articles explore the psychosocial issues of patients with chronic illness and investigate construction and clinical application of assessment tools in the Taiwan context. Although the results of the three studies are promising, there are still unresolved issues in terms of theory and methodology worthy of discussion. Hence, the main purpose of this special issue is not only to present current empirical outcomes of clinical health psychology studies in Taiwan, but also to facilitate a dialogue among scholars and practitioners in related fields.