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Biopsychosocial models

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https://www.readbyqxmd.com/read/28730890/the-biopsychosocial-model-of-illness-a-model-whose-time-has-come
#1
Derick T Wade, Peter W Halligan
The biopsychosocial model outlined in Engel's classic Science paper four decades ago emerged from dissatisfaction with the biomedical model of illness, which remains the dominant healthcare model. Engel's call to arms for a biopsychosocial model has been taken up in several healthcare fields, but it has not been accepted in the more economically dominant and politically powerful acute medical and surgical domains. It is widely used in research into complex healthcare interventions, it is the basis of the World Health Organisation's International Classification of Functioning (WHO ICF), it is used clinically, and it is used to structure clinical guidelines...
August 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28730889/purposefulness-as-a-critical-factor-in-functioning-disability-and-health
#2
Joshua Y Lee, Emily A Ready, Eric N Davis, Philip C Doyle
Guided by theoretical frameworks of health and illness such as the International Classification of Functioning, Disability, and Health (ICF), we seek to describe the importance of purposefulness in the context of rehabilitation. We argue that ascribing meaning to life events, particularly changes in health, and acting in a manner that is driven by purpose is a universal characteristic of human beings. The ability to contextualize purposefulness within the broader biopsychosocial model of illness may provide a greater understanding of the relationship of purpose in the process of rehabilitation...
August 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28730301/biopsychosocial-factors-predict-quality-of-life-in-thoracolumbar-spine-surgery
#3
Dean A Tripp, Edward Abraham, Maude Lambert, Kate Wagg, Erin Bigney, Eden Daly, Phylicia Verreault, Neil Manson
PURPOSE: Surgical intervention is a treatment option for various spinal pathology but many patients report no improvement or even an exacerbation of symptoms like pain. This study examined the association of preoperative (pre-op) biopsychosocial risk factors with poor quality of life at 2 and 6 months using hierarchical models controlling demographic and medical variables. METHOD: Participants undergoing thoracolumbar spine surgery (N = 214) were provided with questionnaire packages to complete pre-op, at 2 and at 6-month postoperative clinical follow-ups (i...
July 20, 2017: Quality of Life Research
https://www.readbyqxmd.com/read/28717823/-interdisciplinary-pain-assessment-in-the-hospital-setting-merely-a%C3%A2-door-opener-to-multimodal-pain-therapy
#4
E Sens, M Mothes-Lasch, J F Lutz
BACKGROUND: Chronic pain is characterized by a complex interaction of somatic, mental and social factors. Assessing these factors in patients with chronic pain is vital during the diagnostic work-up and when making a structured treatment plan. Interdisciplinary pain assessment (ISA) is the most promising method to deal with these challenges. This article presents our experience in performing pain assessments in the hospital setting and also illustrates the characteristic features of chronic pain patients undergoing such assessments...
July 17, 2017: Der Schmerz
https://www.readbyqxmd.com/read/28712424/determinants-and-incidence-of-depression-in-multiple-sclerosis-a-prospective-cohort-study
#5
S A Berzins, A G Bulloch, J M Burton, K S Dobson, G H Fick, S B Patten
OBJECTIVE: To estimate the incidence and explore potential determinants of incidence of depression in MS. METHODS: A prospective cohort study used a sample of 192 patients from the southern Alberta MS clinic registry. Participants completed baseline risk factor assessment questionnaires using either online, mail or telephone surveys, and completed the Patient Health Questionnaire every 2weeks for 6months to assess depressive symptoms in real time. Risk factors assessed included biopsychosocial variables such as socioeconomic status, illness-related factors, childhood risk factors, psychosocial factors, and health behaviors...
August 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/28712416/biopsychosocial-risk-factors-of-persistent-fatigue-after-acute-infection-a-systematic-review-to-inform-interventions
#6
REVIEW
Katrin Hulme, Joanna L Hudson, Philine Rojczyk, Paul Little, Rona Moss-Morris
OBJECTIVES: Fatigue is a prevalent and debilitating symptom, preceded by an acute infectious episode in some patients. This systematic review aimed to identify risk factors for the development of persistent fatigue after an acute infection, to develop an evidence-based working model of post-infectious fatigue. METHODS: Electronic databases (Medline, PsycINFO and EMBASE) were searched, from inception to March 2016, for studies which investigated biopsychosocial risk factors of on-going fatigue after an acute infection...
August 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/28689495/machine-learning-methods-to-predict-child-posttraumatic-stress-a-proof-of-concept-study
#7
Glenn N Saxe, Sisi Ma, Jiwen Ren, Constantin Aliferis
BACKGROUND: The care of traumatized children would benefit significantly from accurate predictive models for Posttraumatic Stress Disorder (PTSD), using information available around the time of trauma. Machine Learning (ML) computational methods have yielded strong results in recent applications across many diseases and data types, yet they have not been previously applied to childhood PTSD. Since these methods have not been applied to this complex and debilitating disorder, there is a great deal that remains to be learned about their application...
July 10, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28686557/the-biopsychosocial-model-40-years-of-application-in-psychiatry
#8
G Papadimitriou
In 1977, the American pathologist and psychiatrist George Engel (1913-1999) published in the Journal Science his paper "TheIn 1977, the American pathologist and psychiatrist George Engel (1913-1999) published in the Journal Science his paper "Theneed for a new medical model: A challenge for biomedicine", introducing the term Biopsychosocial Model. This model basedon the results of Engel's studies in ulcerative colitis, depression and psychogenic pain, constituted a challenge for biomedicineand the biomedical model...
April 2017: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/28685944/what-can-the-treatment-of-parkinson-s-disease-learn-from-dementia-care-applying-a-bio-psycho-social-approach-to-parkinson-s-disease
#9
Grant Gibson
BACKGROUND: Within contemporary medical practice, Parkinson's disease (PD) is treated using a biomedical, neurological approach, which although bringing numerous benefits can struggle to engage with how people with PD experience the disease. A bio-psycho-social approach has not yet been established in PD; however, bio-psycho-social approaches adopted within dementia care practice could bring significant benefit to PD care. METHODS: This paper summarises existing bio-psycho-social models of dementia care and explores how these models could also usefully be applied to care for PD...
July 7, 2017: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/28684014/the-evolution-of-empathy-research-models-muddles-and-mechanisms
#10
Richard M Frankel
The word empathy enters the English language in 1909, translated incompletely from German by a British-born psychologist interested in introspection. In the ensuing 100+ years, the term has been defined in a range of different ways by researchers and scholars. The biopsychosocial framework developed by George Engel comes closest to capturing empathy as a biological, psychological and social phenomenon. In this paper, I explore the psychological and social/communicative dimensions of empathy. Psychologists ask the question, How does the capacity for empathy vary across individuals? By contrast, interaction scholars ask, How is empathy communicated from one person (a healthcare provider) to another (a sufferer)? A communication focus involves the accuracy and impact of empathic communication as evidenced in a sufferer's response...
May 5, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28673489/verona-coding-definitions-of-emotional-sequences-vr-codes-conceptual-framework-and-future-directions
#11
REVIEW
Lidia Del Piccolo, Arnstein Finset, Anneli V Mellblom, Margarida Figueiredo-Braga, Live Korsvold, Yuefang Zhou, Christa Zimmermann, Gerald Humphris
OBJECTIVE: To discuss the theoretical and empirical framework of VR-CoDES and potential future direction in research based on the coding system. METHODS: The paper is based on selective review of papers relevant to the construction and application of VR-CoDES. RESULTS: VR-CoDES system is rooted in patient-centered and biopsychosocial model of healthcare consultations and on a functional approach to emotion theory. According to the VR-CoDES, emotional interaction is studied in terms of sequences consisting of an eliciting event, an emotional expression by the patient and the immediate response by the clinician...
June 21, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28670550/thyro-stress
#12
Sanjay Kalra, Komal Verma, Yatan Pal Singh Balhara
Our understanding of the biopsychosocial model of health, and its influence on chronic endocrine conditions, has improved over the past few decades. We can distinguish, for example, between diabetes distress and major depressive disorders in diabetes. Similar to diabetes distress, we suggest the existence of "thyrostress" in chronic thyroid disorders. Thyro-stress is defined as an emotional state, characterized by extreme apprehension, discomfort or dejection, caused by the challenges and demand of living with thyroid disorders such as hypothyroidism...
July 2017: Indian Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/28666251/evaluation-of-a-community-based-integrated-heroin-addiction-treatment-model-in-chinese-patients
#13
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...
June 27, 2017: Oncotarget
https://www.readbyqxmd.com/read/28656659/multidisciplinary-biopsychosocial-rehabilitation-for-subacute-low-back-pain
#14
REVIEW
Teresa J Marin, Dwayne Van Eerd, Emma Irvin, Rachel Couban, Bart W Koes, Antti Malmivaara, Maurits W van Tulder, Steven J Kamper
BACKGROUND: Low back pain (LBP) is associated with enormous personal and societal burdens, especially when it reaches the chronic stage of the disorder (pain for a duration of more than three months). Indeed, individuals who reach the chronic stage tend to show a more persistent course, and they account for the majority of social and economic costs. As a result, there is increasing emphasis on the importance of intervening at the early stages of LBP.According to the biopsychosocial model, LBP is a condition best understood with reference to an interaction of physical, psychological, and social influences...
June 28, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28651371/sleep-and-physiological-dysregulation-a-closer-look-at-sleep-intraindividual-variability
#15
Bei Bei, Teresa E Seeman, Judith E Carroll, Joshua F Wiley
Study Objectives: Variable daily sleep (i.e., higher intraindividual variability; IIV) is associated with negative health consequences, but potential physiological mechanisms are poorly understood. This study examined the associations between sleep timing, duration, and quality IIV and physiological dysregulation, with diurnal cortisol trajectories as a proximal outcome, and allostatic load (AL) as a multi-system distal outcome. Methods: Participants are 436 adults (Mage±SD=54...
June 23, 2017: Sleep
https://www.readbyqxmd.com/read/28650199/an-initial-application-of-a-biopsychosocial-framework-to-predict-posttraumatic-stress-following-pediatric-injury
#16
Meghan L Marsac, Nancy Kassam-Adams, Douglas L Delahanty, Jeffrey Ciesla, Danielle Weiss, Keith F Widaman, Lamia P Barakat
OBJECTIVE: Each year millions of children suffer from unintentional injuries that result in poor emotional and physical health. This study examined selected biopsychosocial factors (i.e., child heart rate, peritrauma appraisals, early coping, trauma history) to elucidate their roles in promoting emotional recovery following injury. The study evaluated specific hypotheses that threat appraisals (global and trauma-specific) and coping would predict subsequent posttraumatic stress symptoms (PTSS), that coping would mediate the association between early and later PTSS, and that heart rate would predict PTSS and appraisals would mediate this association...
June 26, 2017: Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association
https://www.readbyqxmd.com/read/28637605/-i-need-to-do-another-course-italian-physiotherapists-knowledge-and-beliefs-when-assessing-psychosocial-factors-in-patients-presenting-with-chronic-low-back-pain
#17
Giacomo Zangoni, Oliver P Thomson
OBJECTIVES: Psychosocial factors play an important role in the development and subsequent recovery of individuals suffering from chronic low back pain (CLBP). The study explored physiotherapists' personal beliefs and knowledge about the biopsychosocial model and the different ways they assess and manage psychosocial factors in patients presenting with CLBP. METHODS: Qualitative research design using semi-structured interviews and a constructivist grounded theory approach to data collection and analysis...
February 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28637132/international-employee-perspectives-on-disability-management
#18
Shannon Wagner, Nicholas Buys, Ignatius Yu, Thomas Geisen, Henry Harder, Christine Randall, Alex Fraess-Phillips, Benedikt Hassler, Liz Scott, Karen Lo, Dan Tang, Caroline Howe
PURPOSE: To provide an international analysis of employees' views of the influence of disability management (DM) on the workplace. METHODOLOGY: An international research team with representation from Australia, Canada, China, and Switzerland collected survey data from employees in public and private companies in their respective regions. Due to lack of availability of current measures, a research team-created survey was used and a total of 1201 respondents were collected across the four countries...
February 7, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28629291/chronic-pain-care
#19
Jessie Dezutter, Martin Offenbaecher, Miguel A Vallejo, Siebrecht Vanhooren, Evalyne Thauvoye, Loren Toussaint
Objective Experiencing pain not only affects patients' biopsychosocial functioning but also the existential domain. Attention to the existential, in addition to the biopsychosocial domains, might thus be important in chronic pain care. Therefore, we investigated: (a) how satisfied patients were with the attention of their practitioners to the impact of pain on biological, psychological, social, and existential life domains, and (b) how satisfaction with each domain was related to patient functioning. Method Pain patients ( N = 163) were questioned on their satisfaction with the attention of their practitioners to biological, psychological, social, and existential life domains, and on pain intensity, pain disability, life satisfaction, and depressive symptoms...
August 2016: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/28619697/depression-and-pain-in-asian-and-white-americans-with-knee-osteoarthritis
#20
Hyochol Ahn, Michael Weaver, Debra Lyon, Eunyoung Choi, Roger B Fillingim
Few studies have examined the underlying psychosocial mechanisms of pain in Asian Americans. Using the biopsychosocial model, we sought to determine whether variations in depression contribute to racial group differences in symptomatic knee osteoarthritis pain between Asian Americans and non-Hispanic white Americans. The sample consisted of 100 participants, including 50 Asian Americans (28 Korean Americans, 9 Chinese Americans, 7 Japanese Americans, 5 Filipino Americans, and 1 Indian American) and 50 age- and sex-matched non-Hispanic white Americans with symptomatic knee osteoarthritis pain...
June 12, 2017: Journal of Pain: Official Journal of the American Pain Society
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