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Biopsychosocial

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https://www.readbyqxmd.com/read/28527235/implementing-the-icf-in-occupational-health-building-a-curriculum-as-an-exemplary-case
#1
C P M de Brouwer, L G P M van Amelsvoort, Y F Heerkens, G A M Widdershoven, I J Kant
BACKGROUND: This paper addresses the need for a paradigm shift from post-diagnosis tertiary care towards maintenance and promotion of health across the lifespan, for healthcare in general and in occupational healthcare specifically. It is based on the assumption that the realization of this paradigm shift may be facilitated by teaching (future) occupational health professionals to use the International Classification of Functioning, Disability and Health (ICF). OBJECTIVE: Describing the development of a an ICF based occupational health curriculum...
May 17, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/28525732/predictors-of-recovery-from-depression-and-anxiety-in-women-a-longitudinal-study-from-childbirth-to-6-years
#2
Radhika Shankar, Rinette Badker, Ursula Brain, Tim F Oberlander, Shaila Misri
OBJECTIVE: This study prospectively examined maternal biopsychosocial predictors of recovery from comorbid depression and anxiety from 25 weeks' gestation to 6 years postbirth. Specifically, the study investigated the influence of 1) maternal factors and 2) the child's behaviours and physical health on the course of the mother's depressed mood and anxiety. METHODS: Eighty-six women diagnosed with antenatal depression/anxiety were recruited through the Reproductive Mental Health Program and family practices in Vancouver...
May 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28524700/what-is-important-in-transdisciplinary-pain-neuroscience-education-a-qualitative-study
#3
Amarins J Wijma, Caroline M Speksnijder, Astrid F Crom-Ottens, J M Corine Knulst-Verlaan, Doeke Keizer, Jo Nijs, C Paul van Wilgen
PURPOSE: The main focus of Pain Neuroscience Education is around changing patients' pain perceptions and minimizing further medical care. Even though Pain Neuroscience Education has been studied extensively, the experiences of patients regarding the Pain Neuroscience Education process remain to be explored. Therefore, the aim of this study was to explore the experiences in patients with non-specific chronic pain. MATERIALS AND METHODS: Fifteen patients with non-specific chronic pain from a transdisciplinary treatment centre were in-depth interviewed...
May 19, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28521961/placebo-effect-and-therapeutic-context-a-challenge-in-clinical-research
#4
REVIEW
Antoni Morral, Gerard Urrutia, Xavier Bonfill
When we apply a physical or pharmacological treatment, there are many things that may explain the clinical improvement experienced by a patient. The drugs or physical agents applied are important, but we must also add other elements in the context of the patient-therapist relationship. Scientific evidence has proven that the placebo effect exists. This is a true biopsychosocial phenomenon produced by the context in which an intervention is carried out. Biases aside, placebo and nocebo responses are changes in patients' symptoms, due to their participation at the therapeutic meeting, with its rituals, symbols and interactions...
May 15, 2017: Medicina Clínica
https://www.readbyqxmd.com/read/28517941/cognitive-and-affective-factors-predicting-daily-somatic-complaints-in-college-students
#5
Garry L Spink, Randall S Jorgensen, Stephanie Cristiano
Evidence suggests that cumulative somatic complaints predict health care utilization in college students. The symptom perception hypothesis and the response expectancy theory are 2 theories concerning the generation of somatic complaints. The symptom perception hypothesis suggests that negative affect influences daily somatic complaints, whereas the response expectancy theory surmises somatic complaint generation relates to response expectancies. Some evidence suggests that understanding the complex interplay of these factors may enhance prediction of daily somatic complaints...
May 18, 2017: Journal of Counseling Psychology
https://www.readbyqxmd.com/read/28514516/which-factors-most-influence-referral-for-restorative-dental-treatment-under-sedation-and-general-anaesthesia-in-children-with-complex-disabilities-caries-severity-child-functioning-or-dental-service-organisation
#6
Johanna Norderyd, Denise Faulks, Gustavo Molina, Mats Granlund, Gunilla Klingberg
BACKGROUND: The UN Convention on the Rights of the Child gives all children right to the highest standard of services for treatment and rehabilitation. For children with disabilities, sedation and general anaesthesia (GA) are often indicated for dental treatment; however, accessibility to this varies. The International Classification of Functioning, Disability and Health - Child and Youth version (ICF-CY) enables a biopsychosocial description of children undergoing dental treatment. AIM: To investigate conscious sedation and GA in children with complex disabilities and manifest caries and analyse how caries, child functioning, and dental service organisation relate to dental GA (DGA), comparing Argentina, France, and Sweden using the ICF-CY...
May 17, 2017: International Journal of Paediatric Dentistry
https://www.readbyqxmd.com/read/28511823/dissociation-and-conversion-symptoms-in-dermatology
#7
Madhulika A Gupta, Branka Vujcic, Aditya K Gupta
Dissociation and conversion (defined as the somatic component of dissociation) can play an important mediating role in the exacerbation of the stress-reactive dermatoses (eg, psoriasis, idiopathic urticaria, atopic dermatitis), dermatoses that are exacerbated by excessive scratching (eg, lichen simplex chronicus, prurigo nodularis) and koebnerization, and the self-induced dermatoses (dermatitis artefacta, acne excoriée, skin picking disorder, trichotillomania, onychotillomania/onychophagia). Dissociative symptoms often coexist with obsessive-compulsive symptoms in the more severe cases of the self-induced dermatoses...
May 2017: Clinics in Dermatology
https://www.readbyqxmd.com/read/28510288/the-relationship-of-physiopsychosocial-factors-and-spiritual-well-being-in-elderly-residents-implications-for-evidence-based-practice
#8
Yi-Heng Chen, Li-Chan Lin, Li-Lan Chuang, Mei-Li Chen
BACKGROUND: Older adults in residential settings frequently suffer from functional decline, mental illness, and social isolation, which make them more vulnerable to spiritual distress. However, empirical evidence of the interrelationships between physiopsychosocial variables and spiritual well-being are still lacking, limiting the application of the biopsychosocial-spiritual model in institutional healthcare practice. AIMS: To explain the mechanisms by which these variables are linked, this cross-sectional study tested a causal model of predictors of spiritual well-being among 377 institutionalized older adults with disability using a structural equation modeling approach...
May 16, 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28508767/biopsychosocial-rehabilitation-programme-for-patients-with-chronic-back-pain-pilot-study
#9
Anna Cabak, Agnieszka Rudnicka, Leszek Kulej, Wiesław Tomaszewski
BACKGROUND: In the search for effective and comprehensive therapies of back pain, an increasing emphasis in being placed on the biopsychosocial model and multidimensional support programmes for patients as well the use of modern technologies in this area of medicine. This study aimed to assess a programme of customised ad hoc physiotherapeutic consultations for patients with back pain who had been on the waiting list for rehabilitation treatment for a long time. MATERIAL AND METHOD: The study group comprised 68 patients of the Rehabilitation Centre Non-Public Health Care Institution who had been waiting for rehabilitation treatment for at least three months...
April 12, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/28508675/serious-mental-illness-among-young-adult-women-who-use-drugs-in-the-club-scene-co-occurring-biopsychosocial-factors
#10
Maayan Lawental, Hilary L Surratt, Mance E Buttram, Steven P Kurtz
Young women who regularly attend nightclubs are at risk for numerous health and social consequences, including mental distress, sexual and physical victimization and substance dependence. This paper uses a biopsychosocial framework to examine co-occurring mental health problems, victimization, substance dependence, sexual risk and physical pain among a sample of young women who use drugs (N = 222) in Miami's club scene. The majority of women were under 24 years old, Hispanic, and identified as heterosexual...
May 16, 2017: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/28506867/towards-personalized-treatment-of-pain-using-a-quantitative-systems-pharmacology-approach
#11
Sebastiaan C Goulooze, Elke H J Krekels, Monique van Dijk, Dick Tibboel, Piet H van der Graaf, Thomas Hankemeier, Catherijne A J Knibbe, J G Coen van Hasselt
Pain is a complex biopsychosocial phenomenon of which the intensity, location and duration depends on various underlying components. Treatment of pain is associated with considerable inter-individual variability, and as such, requires a personalized approach. However, a priori prediction of optimal analgesic treatment for individual patients is still challenging. Another challenge is the assessment and treatment of pain in patients unable to self-report pain. In this mini-review, we first provide a brief overview of the various components underlying pain, and their associated biomarkers...
May 12, 2017: European Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/28506078/-my-husband-is-possessed-by-a-jinn-a-case-study-in-transcultural-mental-health
#12
Kylie Cheng
Objectives The objective of this study was to discuss jinn possession in Muslim culture, and the importance of understanding cultural differences in mental health. Conclusion It is important to understand cultural and religious differences in psychiatry, as it affects the way patients perceive and attribute symptoms. It also helps clinicians to reach an accurate diagnosis and provide appropriate treatments. Beliefs about jinn possession should not automatically be regarded as delusional. In alleged cases of jinn possession, clinicians should consider all the biopsychosocial, cultural and spiritual factors that are unique to the individual...
May 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28502436/abdominal-pain-in-children-from-the-eternal-city-to-the-examination-room
#13
REVIEW
Donna K Zeiter
Abdominal pain is a common presenting symptom in children. The differential diagnosis of abdominal pain is extensive; however, a vast majority of patients ultimately are diagnosed with functional abdominal pain disorders. Functional gastrointestinal disorders are defined using the recently released Rome IV criteria. These are not diagnoses of exclusion. If there are no alarm signs, the diagnosis may be made with a focused evaluation. Treatment of these disorders requires a biopsychosocial approach to the disorder and an individualized and multipronged treatment plan...
June 2017: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/28501812/integrating-culturally-informed-approaches-into-the-physiotherapy-assessment-and-treatment-of-chronic-pain-protocol-for-a-pilot-randomised-controlled-trial
#14
Bernadette Brady, Irena Veljanova, Siobhan Schabrun, Lucinda Chipchase
INTRODUCTION: There is strong evidence that biopsychosocial approaches are efficacious in the management of chronic pain. However, implementation of these approaches in clinical practice is known not to account for the beliefs and values of culturally and linguistically diverse (CALD) patients. This limitation in translation of research contributes to the disparities in outcomes for CALD patients with chronic pain adding to the socioeconomic burden of this prevalent condition. Cultural adaptation of chronic pain assessment and management is urgently required...
May 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/28498534/adolescent-life-stress-and-the-cortisol-awakening-response-the-moderating-roles-of-attachment-and-sex
#15
Kelly F Miller, Gayla Margolin, Lauren Spies Shapiro, Adela C Timmons
This longitudinal study investigated how past versus current life stresses relate to adolescents' cortisol awakening response (CAR), an index of hypothalamic-pituitary-adrenal activity. Ninety-nine adolescents reported previous year life stress at ages 12 and 18. At the second assessment, participants also provided self-reports of parent and peer attachment and 3 days of cortisol samples. Current stress was associated with heightened CAR for both males and females, whereas past stress was associated with attenuated CAR for males...
March 2017: Journal of Research on Adolescence: the Official Journal of the Society for Research on Adolescence
https://www.readbyqxmd.com/read/28496528/long-term-study-of-children-with-rome-iii-functional-gastrointestinal-disorders-managed-symptomatically-in-a-biopsychosocial-model
#16
Shailender Madani, Suchi Parikh, Rohit S Madani, Amornluck Krasaelap
BACKGROUND: Our study evaluated progression of and identified potential factors contributing to outcomes of ROME III defined-functional gastrointestinal disorders (FGIDs) in children treated symptomatically in a biopsychosocial model of care with a long-term follow-up. METHODS: We performed a retrospective review of pediatric patients who were diagnosed with ROME III defined-FGIDs including functional abdominal pain, functional dyspepsia, irritable bowel syndrome and abdominal migraine...
April 2017: Gastroenterology Research
https://www.readbyqxmd.com/read/28496375/revisiting-the-etiological-aspects-of-dissociative-identity-disorder-a-biopsychosocial-perspective
#17
REVIEW
Vedat Şar, Martin J Dorahy, Christa Krüger
Dissociative identity disorder (DID) is a chronic post-traumatic disorder where developmentally stressful events in childhood, including abuse, emotional neglect, disturbed attachment, and boundary violations are central and typical etiological factors. Familial, societal, and cultural factors may give rise to the trauma and/or they may influence the expression of DID. Memory and the construction of self-identity are cognitive processes that appear markedly and centrally disrupted in DID and are related to its etiology...
2017: Psychology Research and Behavior Management
https://www.readbyqxmd.com/read/28492213/psychiatry-outside-the-framework-of-empiricism
#18
Celestine Okorome Mume
Science is interested in whatever that is empirical and objective. Any claim that cannot be objectively demonstrated has no place in science, because the subject does not deviate from the role, which it has set out to play in the life of mankind. Psychiatry, as a scientific discipline, plays along these basic principles. In the etiology, symptomatology, and management of psychiatric disorders, the biopsychosocial model recognizes the role of biological, psychological, and social factors. This essay views psychiatry from the biopsychosocial perspective and asserts that certain elements, which may not be readily and empirically verifiable, are important in the practice of psychiatry...
January 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28490567/validity-and-reliability-of-the-patient-centred-assessment-method-for-patient-complexity-and-relationship-with-hospital-length-of-stay-a-prospective-cohort-study
#19
Shuhei Yoshida, Masato Matsushima, Hidetaka Wakabayashi, Rieko Mutai, Shinichi Murayama, Tetsuro Hayashi, Hiroko Ichikawa, Yuko Nakano, Takamasa Watanabe, Yasuki Fujinuma
OBJECTIVES: Several instruments for evaluating patient complexity have been developed from a biopsychosocial perspective. Although relationships between the results obtained by these instruments and the length of stay in hospital have been examined, many instruments are complicated and not easy to use. The Patient Centred Assessment Method (PCAM) is a candidate for practical use. This study aimed to test the validity and reliability of the PCAM and examine the correlations between length of hospital stay and PCAM scores in a regional secondary care hospital in Japan...
May 9, 2017: BMJ Open
https://www.readbyqxmd.com/read/28490204/exploring-participatory-behaviour-of-disability-benefit-claimants-from-an-insurance-physician-s-perspective
#20
Christiaan Sjobbema, Sijrike van der Mei, Bert Cornelius, Jac van der Klink, Sandra Brouwer
PURPOSE: In the Dutch social security system, insurance physicians (IPs) assess participatory behaviour as part of the overall disability claim assessment. This study aims to explore the views and opinions of IPs regarding participatory behaviour as well as factors related to inadequate participatory behaviour, and to incorporate these factors in the International Classification of Functioning, Disability and Health (ICF) biopsychosocial framework. METHOD: This qualitative study collected data by means of open-ended questions in 10 meetings of local peer review groups (PRGs) which included a total of 78 IPs of the Dutch Social Security Institute...
May 11, 2017: Disability and Rehabilitation
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