Faculty
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Division of Clinical Care and Research
Lydia R. Temoshok, Ph.D.
Director of Behavioral Medicine Program, Institute of Human Virology, UMBI
Professor of Medicine, University of Maryland School of Medicine, Baltimore
Adjunct Professor, Department of Psychology and Behavioral Sciences, University of Maryland Baltimore County
ltemoshok@ihv.umaryland.edu
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| Profile |
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Dr. Temoshok is an international leader in the field known as psychoneuroimmunology (PNI), which explores the multiple complex interrelationships among the mind, the central nervous system, the immune system, and the outcome of immunologically mediated diseases. In her previous appointment at the University of California San Francisco (UCSF) School of Medicine, she directed a decade-long program of research on PNI and cancer progression. In 1982, she was in the first small group of scientists to receive a federal grant to study the newly-recognized disease that would eventually be called AIDS. At UCSF, Dr. Temoshok created and directed the Biopsychosocial AIDS Project, researching the role of PNI linkages in HIV and AIDS progression, as well as the psychosocial and neuropsychological sequella of HIV infection.
In 1989, Dr. Temoshok was invited to initiate and direct a program of HIV behavioral research for the U.S. Military's HIV Research Program. As the logical basis for developing effective behavioral prevention and intervention programs, she set out to document the levels of both HIV exposure and transmission risk among military personnel. To accomplish this, she developed and conducted one of the largest HIV risk behavior surveys ever mounted in the United States: a probability survey of more than 18,000 soldiers. Dr. Temoshok was also one of the first HIV researchers to emphasize the concern about secondary prevention (preventing HIV transmission by already infected individuals), and to document significant levels of transmission risk-relevant behaviors among infected individuals.
From 1994 to 1997, Dr. Temoshok served as a liaison between the World Health Organization's Vaccine Unit in Geneva and the U.S. military's vaccine preparedness studies in Thailand, focusing on behavioral issues. She also served as Senior Scientist with the Division of Mental Health at WHO and as a consultant to the Joint United Nations Program on HIV/AIDS (UNAIDS), developing global programs and policy for HIV prevention in military populations, a report and global policy recommendations on neurocognitive impairment in early HIV infection, as well as an international Quality of Life assessment for persons living with HIV/ AIDS.
Dr. Temoshok has authored or edited 10 books or monographs, including her well-known 1992 book, The Type C Connection: The Behavioral Links to Cancer and Your Health (NY: Random House), in addition to over 40 book chapters, and more than 130 journal publications. Dr. Temoshok also edits a book series, Biobehavioral Perspectives on Health and Disease Prevention, published by Brunner-Routledge. The recipient of numerous academic awards, she has been elected a Fellow of the American Psychological Association, the Academy of Behavioral Medicine Research, and the Society of Behavioral Medicine.
Dr. Temoshok is currently serving a 4-year term on the Center for Disease Control (CDC)/ Health Resources and Services Administration (HRSA) Advisory Committee on HIV and STD Prevention and Treatment, appointed by the Secretary of Health and Human Services.
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| Education |
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B.S.(Summa cum laude) - Yale College, Connecticut
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M.A. and Ph.D. - Clinical Psychology and Social Psychology, University of Michigan, Ann Arbor |
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| Selected References |
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Temoshok L., & Baum A. (Eds). (1990). Psychosocial perspectives on AIDS: Etiology, prevention, and treatment. Englewood Cliffs, NJ: Lawrence Erlbaum. |
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Solomon GF, Kemeny M, & Temoshok L. Psychoneuroimmunologic aspects of Human Immunodeficiency Virus infection. In R Ader, DL Felten, & N Cohen (Eds.), Psychoneuroimmunology II. Orlando, FL: Academic Press, 1991:1081-1113. |
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Temoshok L. & Dreher H. (1992). The Type C connection: The behavioral links to cancer and your health. New York: Random House, 1992. (Penguin paperback edition, 1993). |
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Temoshok L. HIV/AIDS, psychoneuroimmunology, and beyond: A commentary and review. Advances in Neuroimmunology 1993; 3: 87-95. |
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Temoshok L. Behavioral research contributions to planning and conducting HIV vaccine efficacy studies. AIDS Research and Human Retroviruses 1994; 10: S227-S280. |
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Jenkins RA, Temoshok LR, & Virochsiri K.. Incentives and disincentives to participate in prophylactic HIV vaccine research. Journal of Acquired Immune Deficiency Syndromes 1995; 9: 36-42. |
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Temoshok L. On biobehavioral models of cancer stress and disease course. American Psychologist 1995; 50: 1104-1105. |
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Temoshok L., Patterson T. Risk of HIV transmission in infected US military personnel. The Lancet 1996; 347, 697 |
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Temoshok L. HIV/AIDS. In H Friedman (Ed.), Encyclopedia of Mental Health, Vol. 2. San Diego: Academic Press; 1998: 375-392. |
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Temoshok L. Psychological response and survival in breast cancer (refereed letter). Lancet 2000; 355: 404-405. |
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Temoshok L. Complex coping patterns and their role in adaptation and neuroimmunomodulation: Theory, methodology, and research. Annals NY Academy of Science 2000; 917: 446-455. |
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Temoshok, L.R. & Wald, R.L. Change is complex: Rethinking research on psychosocical interventions and cancer. Integrative Cancer Therapies 2002; 1: 135-145. |
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Solano L, Costa M., Temoshok L., et al. An emotionally inexpressive (Type C) coping style influences HIV disease progression at six and twelve month follow-ups. Psychology & Health 2002; 17: 641-655. |
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Temoshok L. Type C coping and cancer progression. In R Fernandez-Ballesteros (Ed.) The Encyclopedia of Psychological Assessment. NY: Sage; 2002. |
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Temoshok L. Connecting the dots linking mind, behavior, and disease: The biological concomitants of coping patterns. Integrative Cancer Therapies 2002; 1: 387-391 |
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Temoshok LR. Type C coping and cancer progression. In R Fernandez-Ballesteros (Ed.) The Encyclopedia of Psychological Assessment. NY: Sage; 2003, Volume 2: 1052-1056. |
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Temoshok LR. Rethinking theory and research in biopsychosocial oncology. Psycho-Oncology 2004; 13: 460-467. |
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Nyklicek I, Temoshok LR, Vingerhoets A. Emotional expression and health. London: Brunner-Routledge, 2004. |
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Temoshok LR. Type C coping or behavior pattern. In AJ Christensen, R Martin, & JM Smyth (Eds). Health Psychology (pp. 1052-1056). NY: Plenum, 2004. |
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Temoshok LR. The biopsychosocial model in health psychology. In AJ Christensen, R Martin, & JM Smyth (Eds). Health Psychology (pp. 1052-1056). NY: Plenum, 2004. |
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Weedn VW, McDonald MD, Locke SE, Schreiber M, Friedman NH, Newell RG, Temoshok LR. Crisis health risk self-assessment tools for personal biodefense and health infrastructure protection. Engineering Biol & Med 2004; 23-32. |
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Temoshok LR, Wald RL, Garzino-Demo A. Identifying potential biopsychosocial mediators of HIV progression. Psychosom Med 2005; 67: (1) A-44.
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Temoshok LR, Wald RL, Garzino-Demo A, Sun LL, Wiley J. Preliminary evidence for parallel dysregulation across coping, immune, and physiological response systems in patients from an HIV primary care clinic. Annals Behav Med 2006; 31: S015. |
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Research Interests
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| Click here to view Dr. Temoshok's Research Interests |
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