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Biopsychosocial model

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https://www.readbyqxmd.com/read/28918107/depression-evening-salivary-cortisol-and-inflammation-in-chronic-fatigue-syndrome-a-psychoneuroendocrinological-structural-regression-model
#1
Sara F Milrad, Daniel L Hall, Devika R Jutagir, Emily G Lattie, Sara J Czaja, Dolores M Perdomo, Mary Ann Fletcher, Nancy Klimas, Michael H Antoni
INTRODUCTION: Chronic Fatigue Syndrome (CFS) is a poorly understood illness that is characterized by diverse somatic symptoms, hypothalamic pituitary adrenal (HPA) axis dysfunction and heightened inflammatory indicators. These symptoms are often exacerbated and accompanied by psychological distress states and depression. Since depression is known to be associated with HPA axis dysfunction and greater inflammation, a psychoneuroendocrinological (PNE) model of inflammation was examined in persons diagnosed with CFS in order to uncover underlying biopsychosocial mechanisms in this poorly understood chronic illness...
September 13, 2017: International Journal of Psychophysiology
https://www.readbyqxmd.com/read/28914459/testing-a-biopsychosocial-model-of-the-basic-birth-beliefs
#2
Heidi Preis, Rony Chen, Michal Eisner, Joseph Pardo, Yoav Peled, Arnon Wiznitzer, Yael Benyamini
BACKGROUND: Women perceive what birth is even before they are pregnant for the first time. Part of this conceptualization is the basic belief about birth as a medical and natural process. These two separate beliefs are pivotal in the decision-making process about labor and birth. Adapting Engel's biopsychosocial framework, we explored the importance of a wide range of factors which may contribute to these beliefs among first-time mothers. METHOD: This observational study included 413 primiparae ≥24 weeks' gestation, recruited in medical centers and in natural birth communities in Israel...
September 15, 2017: Birth
https://www.readbyqxmd.com/read/28914217/-unexplained-behaviour-and-dementia
#3
C M P M Hertogh, J Klijnman, J F Bastiaans
Behavioural changes, often resulting in negative or challenging behaviour, are highly prevalent in patients with dementia. Here we describe two patients in whom challenging behaviour was the first sign of an evolving dementia process. We discuss the relevance of a multifactorial approach in analysis and treatment, starting from a biopsychosocial model of behaviour in dementia. One pitfall is underestimating the contribution of physical co-morbidity to challenging behaviour in these patients; a further pitfall is the 'attribution phenomenon', i...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28905670/a-model-to-facilitate-implementation-of-the-international-classification-of-functioning-disability-and-health-into-prosthetics-and-orthotics
#4
Gustav Jarl, Nerrolyn Ramstrand
BACKGROUND: The International Classification of Functioning, Disability and Health is a classification of human functioning and disability and is based on a biopsychosocial model of health. As such, International Classification of Functioning, Disability and Health seems suitable as a basis for constructing models defining the clinical P&O process. The aim was to use International Classification of Functioning, Disability and Health to facilitate development of such a model. Proposed model: A model, the Prosthetic and Orthotic Process (POP) model, is proposed...
September 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28905648/personhood-dementia-policy-and-the-irish-national-dementia-strategy
#5
Niamh Hennelly, Eamon O'Shea
Personhood and its realisation in person-centred care is part of the narrative, if not always the reality, of care for people with dementia. This paper examines how personhood is conceptualised and actualised in Ireland through a content analysis of organisational and individual submissions from stakeholders in the development of the Irish National Dementia Strategy, followed by an examination of the Strategy itself. The organisational submissions are further categorised into dementia care models. A structural analysis of the Strategy examines its principles, actions and outcomes in relation to personhood...
January 1, 2017: Dementia
https://www.readbyqxmd.com/read/28903322/evaluation-of-a-community-based-integrated-heroin-addiction-treatment-model-in-chinese-patients
#6
Hong-He Zhang, Lin-Xiang Tan, Wei Hao, Qi-Jian Deng
In this study, we analyzed the efficacy and feasibility of a community-based integrated heroin addiction treatment model in Chinese patients. The 210 heroin addicts belonging to six Chinese communities received an integrated biopsychosocial intervention that included pharmacological treatment, counseling and social assistance. High proportions of study participants were retained at the 12-month (91.9%; 193/210) and 24-month (88.1%; 185/210) follow-up visits. The number of morphine-positive subjects declined from 61...
August 15, 2017: Oncotarget
https://www.readbyqxmd.com/read/28903100/from-the-lesson-of-george-engel-to-current-knowledge-the-biopsychosocial-model-40-years-later
#7
Giovanni A Fava, Nicoletta Sonino
No abstract text is available yet for this article.
September 14, 2017: Psychotherapy and Psychosomatics
https://www.readbyqxmd.com/read/28898134/the-management-of-complex-pain-in-children-referred-to-a-pain-clinic-at-a-tertiary-children-s-hospital-in-australia
#8
John Collins, Natasha Haynes, Hannah Klingberg, Heather Nicholas, Meg Pounder, Renee Sandells
Synopsis One of the key aspects of good healthcare for children and young people is the prevention and management of pain. The experience of persisting pain in children and adolescents has a major impact not only on the individual's physical, emotional, social, and developmental well-being but it also may have an impact on the broader world which may include family, school, and social networks. The multi-disciplinary paediatric pain clinic adopts a holistic approach to care through a biopsychosocial model. One outcome of an initial paediatric pain clinic review is the creation of a pain management plan which addresses the pharmacological, physical, psychological, and other domains of care...
September 12, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28895973/development-and-testing-of-a-neuropsychiatric-symptoms-model-in-mild-cognitive-impairment
#9
Laura Kirk, Glenn E Smith, Joseph E Gaugler, Ken Hepburn, David Knopman, Marsha Lewis
Neuropsychiatric symptoms are prevalent in individuals with mild cognitive impairment (MCI) and have a significant detrimental effect on health and quality of life. Identifying factors that contribute to their occurrence may enable prompt treatment and intervention. The current study entails the development and testing of a biopsychosocially based model to assist nurses in the identification of individuals with MCI who are most likely to experience symptoms of depression, apathy, and/or anxiety. Factors within the biological and sociodemographic domains of the Neuropsychiatric Symptoms in MCI (NPSMCI) model were tested using multivariate logistic regression analyses...
September 12, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28894385/genetic-and-epigenetic-epidemiology-of-chronic-widespread-pain
#10
REVIEW
Jasmine I Kerr, Andrea Burri
The etiology underlying chronic widespread pain (CWP) remains largely unknown. An integrative biopsychosocial model seems to yield the most promising explanations for the pathogenesis of the condition, with genetic factors also contributing to disease development and maintenance. Here, we conducted a search of studies investigating the genetic and epigenetic epidemiology of CWP through electronic databases including Web of Science, Medline, PubMed, EMBASE, and Google Scholar. Combinations of keywords including CWP, chronic pain, musculoskeletal pain, genetics, epigenetics, gene, twins, single-nucleotide polymorphism, genotype, and alleles were used...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28893676/rationale-and-design-of-the-staying-positive-with-arthritis-spa-study-a-randomized-controlled-trial-testing-the-impact-of-a-positive-psychology-intervention-on-racial-disparities-in-pain
#11
Leslie R M Hausmann, Said A Ibrahim, C Kent Kwoh, Ada Youk, D Scott Obrosky, Debra K Weiner, Ernest Vina, Rollin M Gallagher, Genna T Mauro, Acacia Parks
Knee osteoarthritis is a painful, disabling condition that disproportionately affects African Americans. Existing arthritis treatments yield small to moderate improvements in pain and have not been effective at reducing racial disparities in the management of pain. The biopsychosocial model of pain and evidence from the positive psychology literature, suggest that increasing positive psychological skills (e.g., gratitude, kindness) could improve pain and functioning and reduce disparities in osteoarthritis pain management...
September 8, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28890332/association-of-physical-function-anxiety-and-pain-interference-in-nonshoulder-upper-extremity-patients-using-the-promis-platform
#12
Nikolas H Kazmers, Man Hung, Ajinkya A Rane, Jerry Bounsanga, Cindy Weng, Andrew R Tyser
PURPOSE: The relationship between psychosocial factors and self-reported physical function among hand and upper extremity patients is complex. The Patient-Reported Outcomes Measurement Information System (PROMIS) platform has attempted to create a variety of specifically targeted metrics that can be administered using computer adaptive testing (CAT). Three metrics measuring self-reported physical function (herein referred to in combination as "functional" metrics) include the PROMIS Physical Function (PF) CAT, PROMIS Upper Extremity (UE) CAT, and the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH)...
June 29, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28858939/beyond-abdominal-pain-pain-beliefs-pain-affect-and-distress-as-determinants-of-quality-of-life-in-patients-with-chronic-pancreatitis
#13
Craig E Keller, Charles Mel Wilcox, Gregory D Gudleski, Stacey Branham, Jeffrey M Lackner
GOALS: To assess the relationship between pain, psychological processes, and quality of life (QOL) in chronic pancreatitis (CP). BACKGROUND: CP is a progressive inflammatory disorder of the pancreas characteristically resulting in abdominal pain and impairing QOL. Pain due to CP is poorly understood and frequently difficult to treat. This pain has historically been understood as a peripheral process originating from the pancreas itself, but a growing body of literature is revealing an important role offered by central influences...
August 30, 2017: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/28853017/-child-and-adolescent-psychiatry-a-panorama
#14
Franz Resch
The child- and adolescent psychiatry has emancipated itself 10 years ago from an additional specialist physician's area to a separate specialist medical domain with a specific curriculum. Associated with this is an irreconcilable interlacing with the psychotherapy of childhood and adolescence. Even if childhood and juvenile psychiatry is always settled within the framework of a biopsychosocial model, psychotherapy is of particular importance. In the following, the psychotherapeutic requirements and ethical issues of the human being are to be formulated according to a view on the new morbidity and the Zeitgeist in which we are working...
August 30, 2017: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
https://www.readbyqxmd.com/read/28842222/physical-performance-and-movement-evoked-pain-profiles-in-community-dwelling-individuals-at-risk-for-knee-osteoarthritis
#15
Yenisel Cruz-Almeida, Josue Cardoso, Joseph L Riley, Burel Goodin, Christopher D King, Megan Petrov, Emily J Bartley, Kimberly T Sibille, Toni L Glover, Matthew S Herbert, Hailey W Bulls, Adriana Addison, Roland Staud, David Redden, Laurence A Bradley, Roger B Fillingim
BACKGROUND: Knee pain associated with osteoarthritis is a significant contributor to decreased physical function. Recent evidence supports the inter-individual heterogeneity associated with knee pain presentation, but whether there is similar heterogeneity in physical performance among these individuals has not been previously examined. The aim of the present study was to characterize the variability in physical performance profiles and the pain evoked by their performance (i.e., movement-evoked pain)...
August 24, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/28838011/-bio-psycho-social-characteristics-and-therapeutic-aspects-of-methamphetamine-dependent-women-gender-specific-results-of-a-systematic-literature-search
#16
Stefanie Neumann, Michael Soyka, Andreas G Franke
Subject Compared to other illicit drugs Methamphetamine (MethA) is used more frequently by women than by men. Assuming the biopsychosocial etiology model, the dependency is based on several factors in which women and men differ significantly. Systematic gender-differentiated knowledge is missing until today. Method Based on a database research (PUBMED) the review examines biological, social and psychological as well as therapeutic aspects in MethA-dependent women. Results MethA-induced cognitive disturbance appear to have severer manifestations in women than in men...
August 24, 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/28828547/placing-health-trajectories-in-family-and-historical-context-a-proposed-enrichment-of-the-life-course-health-and-development-model
#17
Marian Moser Jones, Kevin Roy
Purpose This article offers constructive commentary on The Life Course Health and Development Model (LCHD) as an organizing framework for MCH research. Description The LCHD has recently been proposed as an organizing framework for MCH research. This model integrates biomedical, biopsychosocial, and life course frameworks, to explain how "individual health trajectories" develop over time. In this article, we propose that the LCHD can improve its relevance to MCH policy and practice by: (1) placing individual health trajectories within the context of family health trajectories, which unfold within communities and societies, over historical and generational time; and (2) placing greater weight on the social determinants that shape health development trajectories of individuals and families to produce greater or lesser health equity...
August 21, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28827877/occupational-therapy-in-india-focus-on-functional-recovery-and-need-for-empowerment
#18
Reema Samuel, K S Jacob
While there have been significant advances in treatments for mental disorders over the past century, cure for many mental disorders remains elusive. The complex problems of mental illness require a multi-sectoral, multi-disciplinary and multi-dimensional approach to care. The need for focus on biopsychosocial model rather than on biomedical practise, client-centred rather than physician-oriented care, personal rather than clinical recovery, are often preached but rarely practiced. The lack of emphasis on functioning and the limited workforce and evidence base complicate issues related to the care of people with chronic mental illness in India...
April 2017: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/28827277/an-investigation-of-the-predictors-of-photoprotection-and-uvr-dose-to-the-face-in-patients-with-xp-a-protocol-using-observational-mixed-methods
#19
Jessica Walburn, Robert Sarkany, Sam Norton, Lesley Foster, Myfanwy Morgan, Kirby Sainsbury, Vera Araújo-Soares, Rebecca Anderson, Isabel Garrood, Jakob Heydenreich, Falko F Sniehotta, Rute Vieira, Hans Christian Wulf, John Weinman
INTRODUCTION: Xeroderma pigmentosum (XP) is a rare genetic condition caused by defective nucleotide excision repair and characterised by skin cancer, ocular and neurological involvement. Stringent ultraviolet protection is the only way to prevent skin cancer. Despite the risks, some patients' photoprotection is poor, with a potentially devastating impact on their prognosis. The aim of this research is to identify disease-specific and psychosocial predictors of photoprotection behaviour and ultraviolet radiation (UVR) dose to the face...
August 21, 2017: BMJ Open
https://www.readbyqxmd.com/read/28815351/an-integrated-model-of-skin-cancer-risk-in-sexual-minority-males
#20
Aaron J Blashill, Benjamin M Rooney, Kristen J Wells
Sexual minority males are an at-risk group for developing skin cancer. Elevated rates of skin cancer among this population are thought to be driven by excess indoor tanning; however, motivations to indoor tan among this population are unknown. Theoretically, appearance-based and affect regulation motives may be proximal predictors of increased indoor tanning in this population. The current study tests an integrated biopsychosocial model of indoor tanning behaviors and future intentions among a sample of sexual minority males...
August 16, 2017: Journal of Behavioral Medicine
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