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Auswahl der wissenschaftlichen Literatur zum Thema „Biopsychosocial determinants“
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Zeitschriftenartikel zum Thema "Biopsychosocial determinants"
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Campbell, C., und P. Durning. „Expectations for breast treatment — complex biopsychosocial determinants“. European Journal of Cancer Supplements 2, Nr. 3 (März 2004): 109–10. http://dx.doi.org/10.1016/s1359-6349(04)90797-5.
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Topa, Alexandra. „Biopsychosocial determinants of treatment adherence in hypertension“. Public Health, Economy and Management in Medicine, Nr. 2(93) (Dezember 2022): 55–62. http://dx.doi.org/10.52556/2587-3873.2022.2(93).09.
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Increasing adherence to treatment among patients with hypertension can prevent the complications, decrease mortality and the costs. The aim of the literature review was to identify publications on the biological, psychological and social determinants associated with treatment adherence among patients with arterial hypertension in order to optimize therapeutic strategies. Bibliographic sources were searched in the PubMed, Google Scholar and Hinari databases. The search strategies contained the key words – adherence, hypertension, biopsychosocial. The full text of the studies was evaluated based on the variables – aim, methodology, number of participants and results. 1,232 citations were identified, 34 articles were reviewed in full, 12 articles – included in the review: six systematic reviews and meta-analyses, three narrative reviews one cohort study and two cross-sectional studies. The biological determinants associated with treatment adherence were: age, sex, disease-related factors; psychological determinants: attitude towards illness and treatment, self-efficacy, perception of illness, beliefs about illness and treatment, depression, health awareness; social determinants: family and social support, socio-economic status, monthly income, factors related to medical assistance, education, civil status, place of residence. Adherence to treatment among patients with hypertension can be improved by using single-pill combination, improving the doctor-patient relationship, family and social support, developing therapeutic education programs for patients with hypertension.
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Bíró, Éva, Sándor Kovács, Ilona Veres-Balajti, Róza Ádány und Karolina Kósa. „Modelling Health in University Students: Are Young Women More Complicated Than Men?“ International Journal of Environmental Research and Public Health 18, Nr. 14 (08.07.2021): 7310. http://dx.doi.org/10.3390/ijerph18147310.
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The biopsychosocial model of health in a limited life course perspective was tested among students in higher education using data from a nationwide cross-sectional survey of students on track to become teachers in Hungary. Health determinants were grouped into categories of biological, psychological, and social determinants and arranged in a temporal manner from childhood to the present. The model was tested by canonical correlation analysis followed by multivariate analysis of covariance. One composite outcome of health and six determinant groups were examined out of a total of 24 variables in both genders. Separate sets of health determinants were identified for men and women. The health of men was determined by fewer variables that were more proximal in time, more centred around physical activity, and less influenced by social relations. As opposed to that of men, women’s health was influenced by age; determinants were grouped around the ingestion of various substances and social support. In contrast to men, the health of women seemed to be more obviously multifactorial. The study supports the usefulness of the biopsychosocial model of health in research. The best fit models provided evidence for the importance of gender awareness when designing public health interventions aimed at students.
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Kaushal, Navin, Donya Nemati und Thomas Best. „A BIOPSYCHOSOCIAL APPROACH TOWARD PREDICTING PHYSICAL ACTIVITY AMONG OLDER ADULTS WITH KNEE OSTEOARTHRITIS“. Innovation in Aging 7, Supplement_1 (01.12.2023): 613–14. http://dx.doi.org/10.1093/geroni/igad104.2003.
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Abstract Regular physical activity (PA) is imperative for preventing disability among older adults with knee osteoarthritis (KOA). However, PA is a complex behavior that relies on determinants from biological, psychological and social factors. Identifying determinants that predict PA would be informative for providing support for patients with KOA who are physically inactive. This study aimed to employ a biopsychosocial (BPS) approach to identify the strongest PA determinants among older adults with KOA. Methods: Adults (age 65+) diagnosed with KOA (n=1,343) from the Osteoarthritis Initiative dataset were included to test the BPS model. Putative BPS determinants from baseline were identified by testing if they correlated with two-year follow-up change scores of accelerometry PA data. Each model factor was tested using ordinary least-squared regressions, and significant determinants were then used for the biopsychosocial model test, which employed hierarchical multiple regression. Results: Bivariate correlations revealed 21 variables representing biological (n=13), psychological (n=4), and social (n=4) variables that correlated with change in levels of PA. Four significant variables were identified in separate regression models. Testing these predictors using hierarchical regression revealed the strongest determinant to be the 400-meter walk (β =-.26, p<.001), followed by age (β=-.23, p<.001), general health (β=-.15, p<.001), and BMI (β=-.21, p<.001). Conclusion: The BPS model test revealed 50% of determinants to be mutable (fitness and BMI), and the remaining to be non/less mutable. The 400-meter walk test was the strongest indicator of future PA, suggesting that individuals with KOA who score low on this test could benefit from supported PA programs.
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Deshpande, Ojas A., John A. Tawfik, Aram A. Namavar, KimNgan P. Nguyen, Sitaram S. Vangala, Tahmineh Romero, Neil N. Parikh und Erin P. Dowling. „A Prospective Observational Study Assessing the Impacts of Health Literacy and Psychosocial Determinants of Health on 30-day Readmission Risk“. Journal of Patient Experience 9 (Januar 2022): 237437352210791. http://dx.doi.org/10.1177/23743735221079140.
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Our objective was to assess the utility of an assessment battery capturing health literacy (HL) and biopsychosocial determinants of health in predicting 30-day readmission in comparison to a currently well-adopted readmission risk calculator. We also sought to capture the distribution of inpatient HL, with emphasis on inadequate and marginal HL (an intermediate HL level). A prospective observational study was conducted to obtain HL and biopsychosocial data on general medicine inpatients admitted to the UCLA health system. Five hundred thirty-seven subjects were tracked prospectively for 30-day readmission after index hospitalization. HL was significantly better at predicting readmission compared to LACE + (Length, admission acuity, comorbidities, emergency room visits) alone ( P = .013). A multivariate model including education, insurance, and language comfort was a strong predictor of adequate HL ( P < .001). In conclusion, HL offered significant improvement in risk stratification in comparison to LACE + alone. Patients with marginal HL were high-risk, albeit difficult to characterize. Incorporating robust HL and biopsychosocial determinant assessments may allow hospital systems to allocate educational resources towards at-risk patients, thereby mitigating readmission risk.
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St-Laurent, Jennifer, Philippe De Wals, Jean-Marie Moutquin, Theophile Niyonsenga, Manon Noiseux und Loretta Czernis. „Biopsychosocial determinants of pregnancy length and fetal growth“. Paediatric and Perinatal Epidemiology 22, Nr. 3 (Mai 2008): 240–48. http://dx.doi.org/10.1111/j.1365-3016.2008.00926.x.
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Seyedzadeh Dalooyi, Seyed Iman, Hamidreza Aghamohammadian Sharbaaf, Mohammad Saeed Abdekhodaei und Ali Ghanaei Chamanabad. „Biopsychosocial Determinants of Problematic Pornography Use: A Systematic Review“. Addiction and Health 15, Nr. 3 (29.07.2023): 202–18. http://dx.doi.org/10.34172/ahj.2023.1395.
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Background: Although some studies have examined the determinants of problematic pornography use (PPU), few systematic comparisons of risk profiles have been conducted so far. Research on risk profiles can shed a bright light on our knowledge of both the early diagnosis and etiology of such highly prevalent disorders. Accordingly, the present study aimed to provide a comprehensive overview of the determinants of PPU. Methods: Scopus, Web of Science, PubMed, and PsycINFO databases were systematically searched, and relevant English articles, including longitudinal and cross-sectional studies on risk factors published from January 2000 to February 2022 were reviewed. Findings: The determinants of PPU extracted from the investigated studies (n=66) were summarized and clustered into biological, psychological, and social categories. The findings indicated that ventral striatum activity is a consistent biological factor which plays a key role in the development of PPU, while there were other psychological factors influencing PPU as mentioned in several studies, including craving, low self-esteem, sexual arousal, coping styles, stress, frequent pornography watching, avoidance, negative beliefs, and emotional deficiency. In addition, the social factors affecting PPU have been reported to be male gender, age, religion, moral incompatibility, and loneliness. According to these results, the identified factors could be considered in preventive treatment. Conclusion: This systematic review provided a comprehensive overview of the biopsychosocial determinants of PPU by analyzing 66 articles mostly from Europe and North America. Most studies showed that ventral striatum activity, craving, self-esteem, stress, frequent pornography watching, gender, age, and religion are related to PPU.
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Alfiyani, Lina, Setyo Sri Rahardjo und Bhisma Murti. „Biopsychosocial Determinants of Multi Drug Resistant Tuberculosis in Surakarta“. Journal of Epidemiology and Public Health 02, Nr. 03 (2017): 255–66. http://dx.doi.org/10.26911/jepublichealth.2017.02.03.07.
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Steptoe, Andrew. „Why Biopsychosocial Determinants Matter: Is Age Just a Number?“ Innovation in Aging 4, Supplement_1 (01.12.2020): 641. http://dx.doi.org/10.1093/geroni/igaa057.2201.
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Abstract Aging is a physiological and dynamic process enduring time, which is influenced by various underlying mechanisms occurring within the biological, psychological and social spheres. We investigated biopsychosocial determinants of subsequent health and mortality in the English Longitudinal Study of Ageing (ELSA) (Steptoe). Cognitive impairment and dementia, particularly Alzheimer’s disease (AD), represent significant challenges to individuals, families and healthcare. We found an indication of socioeconomic differentials influencing the mediating biological and psychological pathways in relation to subsequent cognitive health, which was ascertained with a latent g factor across various cognitive domains in the Harmonised Cognitive Assessment Protocol in ELSA (Cadar). We also identified an interplay between socioeconomic markers and genetic factors influencing the time of dementia and Alzheimer’s disease (AD) diagnosis in individuals from the English Longitudinal Study of Ageing, particularly in those with a polygenetic predisposition to AD (Ajnakina). Within the same cohort, we found that participants who transitioned into a single household due to divorce or bereavement had a higher risk of mortality (Abell). The adverse health outcomes associated with loneliness are well documented, but less is known in terms of hospitalization and accessing health care. In the Healthy Ageing in Scotland (HAGIS), we found an increased hospitalization for older individuals reporting higher loneliness (Douglas); and various loneliness patterns in relation to age, gender, marital status and socioeconomic status in participants from first wave of the Northern Ireland Cohort for the Longitudinal Study of Ageing (NICOLA) (Neville). Our findings highlight the imperative need for policy interventions and tailored strategies.
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Thierry, Amy. „BIOPSYCHOSOCIAL DETERMINANTS OF COGNITIVE FUNCTION AMONG BLACK OLDER ADULTS“. Innovation in Aging 7, Supplement_1 (01.12.2023): 155. http://dx.doi.org/10.1093/geroni/igad104.0508.
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Abstract Black older adults in the United States have twice the risk of being diagnosed with Alzheimer’s disease and related dementias than their white counterparts. However, there remains a gap in knowledge of which factors may contribute to this disparity as well as mechanisms that either increase or decrease risk for poor cognitive outcomes, specifically in older Black adults. This presentation will highlight recent interdisciplinary population health research on the biopsychosocial determinants of cognitive function among Black adults 65 years and older in the Health and Retirement Study. Using within-group regression analyses, studies examine associations between multiple measures across neighborhood, psychosocial, and biomarker domains with cognitive function, measured by Telephone Interview for Cognitive Status scores (range: 0-35) which captures memory and overall mental status. We find that high neighborhood disorder and low social cohesion were associated with worse cognitive function, especially for more highly educated Black older adults and those living in urban communities. Greater frequency of experiences of everyday discrimination among Black older adults was also related to lower cognitive function. Volunteering and having a high sense of purpose in life were associated with better cognitive function for older Black men and women, while being physical active was associated with increased cognitive function for older Black women. C-reactive protein, a measure of systemic inflammation, was positively associated with cognitive function. Overall, this body of work demonstrates the need to further critically assess both risk and resilience processes underlying cognitive function among older Black adults towards reducing current cognitive health inequities.
Dissertationen zum Thema "Biopsychosocial determinants"
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Johnson, Claire. „Association between Biopsychosocial Factors and Physical Activity among U.S. Stroke Survivors“. ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/1898.
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Stroke causes substantial morbidity and mortality, and physical activity can reduce the risk of stroke occurrence. The purpose of this study was to test the association between biopsychosocial factors and levels of physical activity and to develop a model to predict inactivity for US stroke survivors. A quantitative, cross-sectional analysis was performed of the 2013 National Health Interview Survey (NHIS), which is a representative sample of US households. Association for 1,077 stroke survivors was tested with chi-square between physical activity and independent variables: biological factors (age, sex, race, body mass index, musculoskeletal conditions, and cardiovascular diseases), psychological factors (mental distress, perception of health), and sociological factors (income, health provider contact, family structure, neighborhood, region, marriage, and education). Multiple variable logistic regression was weighted and adjusted for a complex sampling design. Independent associations were found among biopsychosocial variables. A multiple logistic regression model demonstrated statistically significant variables of older age (OR 6.1, 95% CI 2.1 to 17.6), poor perceived health (OR 4.6, 95% CI 3.0 to 6.8), lower levels of education (OR 2.8, 95% CI 1.5 to 5.0) and living in the Northwest (OR 2.2, 95% CI 1.2 to 4.1) or Midwest region (OR 1.6, 95% CI 1.0 to 2.7), predicting the likelihood of inactivity for stroke survivors. This biopsychosocial model may contribute to positive social change by identifying stroke survivors at risk for inactivity and directing interventions and supportive care. Targeting those most at risk and increasing activity could help to reduce morbidity and mortality among stroke survivors, which could improve their lives and the lives of their families and communities.
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Holm, Sara. „Children and Adolescents with Pain in Primary care : Biopsychosocial determinants and behavioral medicine treatment in a physical therapy framework“. Doctoral thesis, Uppsala universitet, Fysioterapi, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-220957.
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Pain during childhood and adolescents is prevalent and longstanding pain can have severe consequences for children, their families and in the long run for the society. Persisting pain influences many aspects of life and pain-related disability is often associated with impairment, decreased health-related quality of life, school functioning, participation in social life, emotional well-being, and with increased healthcare utilization. The overall aim was to explore, with cross-sectional design, pain conditions, to identify biopsychosocial determinants and their association with pain-related disability, and to study the feasibility of applying a behavioral medicine treatment for adolescents experiencing musculoskeletal pain using randomized controlled design and multimethod approach. Samples of children and adolescents and their parents seeking primary care physical therapy for a pain condition, and a sample of treating physical therapists were included. The results showed that some children had profiles of biopsychosocial determinants that could increase the risk for long-term pain-related disability. Many had long pain duration and multiple pain locations. Girls reported higher levels of catastrophizing compared to boys, who in turn used more behavioral distraction generally regarded as a positive coping strategy. Behavioral medicine treatment, based on a biopsychosocial approach, targeting adolescents with pain was shown to be feasible for use in primary care, with promising outcomes. Tailoring of the treatment was suboptimal but the effect of behavioral medicine treatment in pain-related disability exceeded the effect of the control treatment. The satisfaction with treatment content and results were high for both the control- and experimental condition, significantly higher for the experimental condition as rated by participants. Learning and delivering the behavioral medicine intervention was perceived challenging but rewarding by the treating physical therapists. The biopsychosocial approach in tailoring the treatment, and dialogs with parents were identified as key aspects in the behavioral medicine treatment program. In conclusion, in children seeking primary care for pain, the factors associated with pain-related disability were complex and interrelated. The findings highlight the importance for primary care health care providers to apply a biopsychosocial approach in assessment and treatment, for improvement of activities and participation, and thereby helping children and adolescents regain health.
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Fournier, Hugo. „Vivre l'albinisme avec son proche entourage : une étude pilote sur l'ajustement dyadique à la maladie“. Electronic Thesis or Diss., Bordeaux, 2024. http://www.theses.fr/2024BORD0161.
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L'albinisme désigne un ensemble de maladies génétiques rares caractérisées principalement par une déficience visuelle (DV) et un phénotype d'hypopigmentation variable. Par convention, on estime que, dans le monde, une personne sur 17,000 est touchée par une forme d'albinisme, même si l'on sait aujourd'hui que ce chiffre tend à beaucoup varier d'une région à l'autre. L'albinisme a été le sujet d'un grand nombre d'études en médecine et en génétique, révélant encore aujourd'hui l'émergence de nouvelles formes génotypiques et élargissant ainsi le spectre de cette affection rare. Si les Sciences Humaines et Sociales ont également exploré la problématique de l'albinisme, c'est principalement sur le continent africain que les recherches ont été conduites, car les personnes concernées sont souvent victimes de discriminations violentes alimentées par de nombreuses croyances et superstitions. En Europe, et particulièrement en France, les implications psychosociales de l'albinisme ont été peu étudiées, rendant presque invisible ce handicap sensoriel aux yeux de la société. Néanmoins, en parallèle, depuis quelques années, les chercheur·euse·s en psychologie reconnaissent de plus en plus l'importance d'examiner comment les personnes ayant un handicap ou une maladie chronique et leurs proches s'adaptent ensemble et font face aux situations. C'est dans ce contexte que le projet ALBIPSY, financé par la Fondation des Maladies Rares, a été construit en vue de répondre à deux objectifs exploratoires et transversaux principaux : examiner l'expérience vécue par les personnes ayant un albinisme et leur entourage proche ; déterminer dans quelle mesure l'ajustement dyadique avec un proche significatif contribue au maintien d'une bonne qualité de vie pour chacun des deux partenaires. Cette recherche doctorale s’articule autour de trois articles : une revue systématique de la littérature sur les implications psychosociales des maladies génétiques rares affectant la peau ; une étude qualitative fondée sur l’analyse de contenu d’entretiens menés auprès de neuf dyades de personnes adultes avec un albinisme et d'un de leurs parents ; une étude quantitative corrélationnelle couvrant l'ensemble des dyades (N=38). Au niveau qualitatif, quatre thèmes principaux ont émergé : la perception de l'albinisme par les personnes concernées et par la société (e.g., l'albinisme n'est pas toujours perçu comme une maladie), les difficultés rencontrées par les personnes avec un albinisme (e.g., la stigmatisation et la discrimination durant l'enfance), les ressources et facilitateurs pour faire face (e.g., les structures d'accompagnement pour le handicap), ainsi que le rôle crucial de la relation parent enfant (e.g., la transmission de leitmotivs parentaux). En outre, il apparaît que les multiples capacités d’adaptation développées par les personnes touchées semblent aller de pair avec un lourd fardeau associé à l’albinisme, vraisemblablement dû au fait que ces personnes puisent essentiellement dans leurs ressources personnelles et internes pour pallier leurs difficultés. De façon quelque peu surprenante, les résultats quantitatifs suggèrent qu'un coping commun accru pourrait être associé à une plus grande anxiété chez les personnes ayant un albinisme. Pour expliquer ce résultat, plusieurs hypothèses ont été formulées, relatives à la transmission des valeurs parentales, des attitudes et normes validistes, ainsi qu’à la perception que les deux partenaires de la dyade ont de l’albinisme : à quel point est-il ou non considéré comme une maladie ? Ce travail de thèse est parmi les premiers à dresser une carte du vécu de l'albinisme en France, par le biais d'un recueil de données, certes exhaustif, mais contraint par la taille de notre échantillon. Ces divers résultats soulignent combien il est important d'adopter une approche globale et multidisciplinaire pour s’assurer que les personnes avec un albinisme et leur famille (…)Somewhat unexpectedly, the quantitative results suggest that increased common coping might be associated with greater anxiety in individuals with albinism. To explain this finding, several hypotheses were proposed regarding the transmission of parental values, attitudes and ableist norms, as well as the perception both partners in the dyad have of albinism: to what extent is it perceived as a disease?This thesis represents one of the first comprehensive accounts of the lived experience of albinism in France, based on extensive data collection, albeit constrained by the sample size. These findings underscore the importance of adopting a holistic and multidisciplinary approach to ensure that individuals with albinism and their families receive support tailored to their needs
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Biggs, Sarah N. „Sleep/wake patterns and sleep problems in South Australian children aged 5-10 years: biopsychosocial determinants and effects on behaviour“. Thesis, 2010. http://hdl.handle.net/2440/61910.
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In 1913, Lewis Terman and his colleague, Adeline Hocking published a paper asking a seemingly simple question “But exactly how much sleep is required by this developing organism (child) for its healthy functioning and growth?” (Bracketed italics added). Almost 100 years later, this question remains largely unanswered. Whilst it is well acknowledged that sleep duration decreases as a child ages, changing sleep practices are determined not only by biological processes, but also by cultural and social influences. Few studies to date have adequately addressed this. It is also well acknowledged that sleep problems in childhood are common, yet research is limited due to lack of standard methodological protocols. Accurate knowledge of poor sleep/wake habits and prevalence of sleep problems may be vital to ensuring the behavioural well-being of many children.
The following thesis presents the results of the South Australian Paediatric Sleep Survey (SAPSS); a study designed to address the above limitations and examine sleep/wake patterns, sleep problems and behavioural associates in a large community sample of school-aged children in Australia. Using a combination of previous tools and author devised items, a sleep, health and behaviour questionnaire was developed and subjected to rigourous psychometric testing. Exploratory factor analysis revealed six robust factors: Sleep Routine, Bedtime Anxiety, Morning Tiredness, Night Arousals, Sleep Disordered Breathing, and Restless Sleep. These sub-scales demonstrated good internal reliability, face validity, and test-retest reliability at 6, 12 and 18 m The SAPSS questionnaire was distributed to parents of children through schools and provides the first indication of normative sleep/wake patterns in a representative sample of school-aged children in Australia (N=1904; mean age 7.7±1.7yrs). The results of this study add to the discussion that the process of sleep is embedded in cultural and social norms, with differences reported between Non-Caucasian and Caucasian children, as well as between weekend and school nights. These results also confirm the postulation that sleep and behaviour are inextricably linked. Bedtime anxiety, restless sleep, night arousals, bruxism, hyperhydrosis and sleepwalking were all associated with behavioural deficits, either independently or comorbidly.
Moreover, the SAPSS adds considerably to the current state of knowledge by revealing a regular sleep routine, in otherwise healthy children, has the strongest effect on daytime functioning. In addition to the traditional indicators of sleep/wake patterns, the current study examined sleep schedules, in particular the consistency of bedtimes, risetimes and sleep duration. More children reported poor sleep schedules than traditional indicators of poor sleep habits and a change in bedtimes greater than 2 hours across the week or a poor sleep routine resulted in up to four times the risk of reported behavioural problems.
The current paradigm regarding sleep in children is that ‘one size fits all’, however the current study demonstrates that sleep/wake patterns are largely dependent on cultural and social norms, and that there is a need for a focussed debate on what constitutes healthy sleep in children. The thesis presented below argues that new strategies for education and health information addressing healthy sleep in children are needed.Thesis (Ph.D.) -- University of Adelaide, School of Paediatrics and Reproductive Health, 2010
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Bulwer, Miranda. „Treatment development in problem and pathological gambling“. Thesis, 2006. http://hdl.handle.net/10500/1092.
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This study is an exploration, through ethnographic and auto-ethnographic inquiry, of the personal world, gambling experiences and underlying biopsychosocial vulnerabilities of three individual case studies - one male and two females - each representing a different sub-type of pathological gambler. It comprises the integration and implementation of a psycho-structural stage matching model to explore comorbidity and identify certain biopsychosocial manifestations in the respective stages of pathological gambling. Long term treatment strategies were identified and patient treatment matching was explored. Further, it comprises my personal relationship and therapeutic treatment of these sub-types of gamblers over a period of one year and longer.
In this study it is hypothesized that formulating appropriate matching long term treatment strategies should be based on the stage of change, the phase in the psycho-structural model, as well as the gambler's underlying vulnerability. From this a comprehensive gambling disposition profile can be completed with proper intervention matching approaches. A number of other hypotheses emerged from this study that could provide valuable information and serve as a guideline to those working with pathological gamblers.Psychology
D.Phil.
Bücher zum Thema "Biopsychosocial determinants"
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Mulder, C. L. Psycho-immunology and HIV infection: Biopsychosocial determinants of distress, immunological parameters, and disease progression in homosexual men infected with human immunodeficiency virus-1. Amsterdam: Thesis, 1994.
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Choinière, Manon, und M. Gabriella Pagé. Three determinants of pain. Herausgegeben von Paul Farquhar-Smith, Pierre Beaulieu und Sian Jagger. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198834359.003.0008.
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Building on the foundations laid by the gate control theory, Melzack and Casey theorized in 1968 the existence of three separate, yet related determinants of pain: sensory–discriminative, affective–motivational, and cognitive–evaluative. These determinants have roots in separate neurophysiological pathways that modulate the pain experience. The importance of this paper lies in its theoretical contribution to our understanding of pain. Melzack and Casey’s seminal paper, written almost 50 years ago, is not only still contemporary, as evidenced by the internationally agreed upon definition of chronic pain (the IASP taxonomy) but has also contributed to moving from a biomedical understanding of pain to a biopsychosocial model of evaluating and treating pain. This conceptualization of pain continues to influence the way pain is evaluated and is the foundation of the use of non-pharmacological and non-interventional modalities for the treatment of pain (e.g. psychological techniques), and multidisciplinary approaches to pain treatment.
Buchteile zum Thema "Biopsychosocial determinants"
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Galizio, Mark, und Stephen A. Maisto. „Toward a Biopsychosocial Theory of Substance Abuse“. In Determinants of Substance Abuse, 425–29. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4757-9990-3_13.
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Murdaugh, Donna L., Kathleen M. O’Toole und Tricia Z. King. „Brain Injury and Recovery Models within a Biopsychosocial Framework“. In Cognitive Remediation of Executive and Adaptive Deficits in Youth (C-READY), 3—C1P43. Oxford University PressNew York, 2023. http://dx.doi.org/10.1093/oso/9780197524459.003.0001.
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Abstract This chapter introduces a brain injury and recovery model that supports the theoretical framework for which C-READY was developed. Illustrations are provided about the level of skill acquisition at the time of injury and how the level impacts the development of skills. Cognitive and brain reserve constructs within a dynamic model of outcomes across the lifespan are discussed. The crucial biopsychosocial context of the individual is emphasized and combines the complementary Bronfenbrenner Bioecological Systems Theory and Maslow’s Hierarchy of Needs to provide a robust theoretical model for highlighting the intrinsic and extrinsic determinants of cognitive development. The chapter emphasizes the complex and dynamic interplay of risk and resiliencies in neurodevelopment that includes timing of the injury or condition with neurological, cognitive, social-emotional, and family and community risks, barriers, and resources.
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Ventriglio, Antonio, Rajiv Wijesuriya und Dinesh Bhugra. „All psychiatry is social“. In Oxford Textbook of Social Psychiatry, herausgegeben von Dinesh Bhugra, Driss Moussaoui und Tom J. Craig, 13–24. Oxford University PressOxford, 2022. http://dx.doi.org/10.1093/med/9780198861478.003.0002.
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Abstract Psychiatry, although a medical speciality, has used biopsychosocial models for understanding the aetiology of mental illnesses. After identifying various causative factors, medical interventions with or without psychological and social therapies have been utilized to a varying degree of effectiveness. Social psychiatry is the branch of psychiatry that looks at social aetiology and social interventions. It is a truism and a given that all psychiatry is social, from causation to management. In order to navigate biopsychosocial models, it is important to understand the role social determinants and social factors play in the aetiology, therapeutic engagement and therapeutic alliance, and influencing outcomes. There is considerable evidence that social factors also affect biological and psychological factors. In order to engage patients and their carers and families in therapeutic interventions social factors at various levels need to be identified and managed, as these work at macro, meso, and micro levels. In addition, social mores and norms influence functioning of the individuals thereby defining abnormal behaviours and deviance.
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Rothe, Eugenio M., Andres J. Pumariega und Rama Rao Gogineni. „Developing a Curriculum to Teach Social Psychiatry“. In The WASP Textbook on Social Psychiatry, herausgegeben von Rama Rao Gogineni, Andres J. Pumariega, Roy A. Kallivayalil, Marianne Kastrup und Eugenio M. Rothe, 78—C7P82. Oxford University PressNew York, 2023. http://dx.doi.org/10.1093/med/9780197521359.003.0007.
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Abstract Very few residency-training programs provide a formal curriculum of social psychiatry that teaches residents about the social determinants of health and the evidence-based social treatment approaches to treat these problems. In many cases, trainees learn about social aspects of psychiatry through clinical exposure to patients, their families, and the community. Trainees need to be taught that social psychiatry is a paradigm that combines medical training with the perspectives of social anthropology, social psychology, cultural psychiatry, sociology, and other disciplines relating to the human condition in order to better understand and treat mental disorders. This chapter describes the necessary elements that should be included in psychiatry residency-training programs so that future psychiatrists can learn to treat patients from a complete biopsychosocial perspective.
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Banerjee, Debanjan, und Prama Bhattacharya. „Revisiting the ‘gap’“. In Oxford Textbook of Social Psychiatry, herausgegeben von Dinesh Bhugra, Driss Moussaoui und Tom J. Craig, 181–94. Oxford University PressOxford, 2022. http://dx.doi.org/10.1093/med/9780198861478.003.0021.
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Abstract Quality of mental health, risks for developing psychiatric disorders, and access to mental health care are all unevenly distributed in the global landscape. The inequalities of these social determinants have been well-recognized. The medical model has increasingly laid more emphasis on biologized factors through genetics, imaging, and other neurophysiological correlates. At the same time, it has often eschewed the biopsychosocial model, undermining the social determinants including inequalities. Socio-economic disadvantage and relative poverty have been shown to be related to poor mental health. Psychiatric disorders are influenced by various inequalities through ‘social causation’, while those with mental illnesses tend to be very often socially excluded, leading to ‘social drift’. Besides poverty, there are a myriad of economic, political, cultural, relational, and ecological factors that can maintain the global inequalities in psychosocial well-being. Homelessness, urbanization, migration, social stigma, ageism, sexism, low educational attainment, and unemployment are some of them. In this chapter the aim is to provide an overview of the various social dimensions that cause, maintain, and perpetuate the mental health inequalities, and the underlying relationships. Strategies to address these issues are described, with a special focus on the role of advocacy, tailored policies, and intersectoral collaboration at various levels.
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Vaz de Almeida, Cristina. „In Principio Erat Verbum“. In Advances in Human Services and Public Health, 27–53. IGI Global, 2022. http://dx.doi.org/10.4018/978-1-7998-4396-2.ch002.
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This chapter discusses the origins of the various models used as a basis for health communication through a literature review. Models seek to represent reality and are dynamic constructs that evolve as the world's own needs and discoveries are made. Particularly in health, a territory for a long time dominated by the biomedical model and a passive view of its recipients, the models have brought a breath of fresh air to the true human dimension. Among the various models that have been defended based on a biopsychosocial perspective, the cognitive, behavioral, emotional components of the human being are reflected, as well as their context and environment in which they move, namely the social, economic, cultural, political, and other dimensions. It is also the determinants of health that influence the whole and that make the interpersonal relationship in health richer and representative of the complex human dimension seen in a holistic way.
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Powell, Richard A., Cheng-Pei Lin, Ping Guo und Eve Namisango. „Caring at the Culture and Spirituality Interface“. In Global Perspectives in Cancer Care, 22–32. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780197551349.003.0003.
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Palliative care is premised on the keystone principle that “total pain” involves suffering in the potentially reciprocally impacting physical, psychological, social, and spiritual domains. It is, therefore, underpinned by a multidimensional, biopsychosocial-spiritual model of care provision. Palliative care providers should not simply assess and manage these multiple domains of patient suffering holistically—including end-of-life spiritual concerns—but do so with a cognisance of, and sensitivity to, prevailing cultural practices and expectations within which the patient, their family and community, exist. This chapter explores palliative care provision at the interface between culture and spirituality, using four brief case studies from China, Taiwan, New Zealand, and sub-Saharan Africa. Insufficient research exists on culturally safe approaches to palliative care, especially among indigenous populations, as determinants of expectations and experiences of service users, and how services are organized and delivered. Similarly, more research is needed regarding the models of spiritual care provision, how death and the dying process are understood, how people find meaning in illness, and the preferred communication and rituals surrounding and planning for death. The chapter therefore proposes the need for research into the culture–spirituality–palliative care nexus. It concludes that by being sensitive to patients’ spiritual and cultural needs and wants, palliative care practitioners acquire the insights and understanding necessary to provide holistic care for the whole person, to address their suffering in its totality, in accord with the biopsychosocial-spiritual model of care provision, as well as helping ensure that their dignity, right to self-determination, and autonomy are respected.
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Beaumont, David. „The Art of Medicine“. In Positive Medicine, 29–41. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780192845184.003.0004.
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The author’s medical training. Hippocrates and the Hippocratic oath, but the shift from ‘First, do no harm’ to modern medicine’s mantra, ‘First, do something’. Modern medical education, and patient contact throughout. A consultant physician’s ward round in the bad old days. The film Patch Adams, based on the life of the maverick Dr Hunter ‘Patch’ Adams, founder of The Gesundheit Institute, and his vision of patient-centred care. The shift from ‘the cholecystitis in bed 3’ to patient-centred care—and patient-centred medical training. The RCGP’s vision statement of 2019, Fit for the Future. Ivan Illich’s 1974 critique of medicine in Medical Nemesis. His term iatrogenesis (clinical, social, cultural). RACP’s EVOLVE initiative seeking evidence of efficacy. Dr John Powles’ 1973 paper ‘On the limitations of modern medicine’. Pain management and the opioid epidemic. The social determinants of health explained. The biopsychosocial model compared with the reductionist medical model. Medically unexplained symptoms and the difficulty of diagnosis. Buck-passing. The purpose and use of Balint groups. Medically unexplained symptoms and chest pain.
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Loscalzo, Matthew J., Karen L. Clark, Barry D. Bultz und Juee Kotwal. „Integrating Interdisciplinary Supportive Care Programs“. In Psycho-Oncology, herausgegeben von Phyllis N. Butow, 775–81. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190097653.003.0097.
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Now that the needs of those affected by cancer have been well documented, primarily because of biopsychosocial distress screening as the sixth vital sign, it is time to address how these multiple and complex needs can be addressed by organized teams of health care professionals. Internationally, psychosocial oncology and supportive care programs have had significant growth. In addition to the humanistic cancer care provided by treating physicians, the interdisciplinary nature of supportive care creates unique opportunities across institutions and settings and in low- and high-resourced countries to bring compassionate expertise to people affected by serious illness. Although growth has been uneven, the trajectory for the greater need of supportive care services is clear: patient need (aging populations, environmental degradation, unequal resource distribution related to the social determinants of health), limited workforce capacity, and acute concerns about rising health care costs. These trends are expected to only accelerate and are to be seen and utilized as strategic opportunities. There is a serious dearth of strategic information on how to create supportive care programs. This chapter focuses on the unifying principles and essential infrastructure that enables integrated interdisciplinary supportive care programs to grow and, more significantly, to create team cultures that alchemize diversity and conflict into programmatic and clinical excellence.
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Kallivayalil, Roy Abraham. „Prologue“. In The WASP Textbook on Social Psychiatry, 1–6. Oxford University PressNew York, 2023. http://dx.doi.org/10.1093/med/9780197521359.003.0001.
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Abstract There is a renewed interest in social psychiatry and its relevance to clinical practice today. Breakthroughs in neurosciences and psychopharmacological research to find an answer to mental health problems were believed to be imminent but has not really happened! Social psychiatry is primarily concerned with effects of the social environment on the mental health of the individual and vice versa. The COVID-19 pandemic has been a lesson on this. The origin of social medicine and social psychiatry can be traced to ancient Greek, Ayurvedic and Chinese medical practices. And the WHO has incorporated mental and social well-being in the definition of health in its constitution in 1948. There is an increasing need to focus on social determinants of mental health and on the biopsychosocial aspects of health and disease. The social aspects remain an essential component in understanding the genesis and management of psychiatric disorders but are often ignored due to too much emphasis on the biological domain. We need increased funding for research in psychosocial aspects—this is important not only in psychiatry but also in other fields of medicine. Health is often a dynamic balance between opportunities and limitations directly affected by social and environmental conditions. These basic premises underline the necessity and importance on the need for a comprehensive textbook of social psychiatry. This book is a creation of such a vision! There are 41 chapters in this book which comprehensively deal with all aspects of social psychiatry providing scientific and authoritative reference.
Konferenzberichte zum Thema "Biopsychosocial determinants"
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Istyanto, Febry, Ambar Mudigdo und Setyo Sri Rahardjo. „Biopsychosocial Determinants Of Hypertension“. In The 5th Intenational Conference on Public Health 2019. Masters Program in Public Health, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/theicph.2019.01.05.
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Lestari, Esti, Eti Poncorini Pamungkasari und Yulia Lanti Retno Dewi. „Biopsychosocial Determinants of Exclusive Breastfeeding in Sleman, Yogyakarta“. In The 5th International Conference on Public Health 2019. Masters Program in Public Health, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/theicph.2019.03.33.
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Retyono, Sugeng, Setyo Sri Rahardjo und Bhisma Murti. „Biopsychosocial Determinants of Hepatitis A Outbreaks in Pacitan, East Java“. In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.01.38.
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ABSTRACT Background: Little studies have examined biopsychosocial factors associated with Hepatitis A. The purpose of this study was to biopsychosocial determinants of hepatitis a outbreaks in Pacitan, East Java. Subjects and Method: A case-control study was conducted in Pacitan, East Java, from January to February 2020. A sample of 200 adults was selected by fixed disease sampling, including (1) 50 Hepatitis A patients (case), and (2) 150 non Hepatitis A patients (control). The dependent variable was Hepatitis A. The independent variables were age, education, income, history of Hepatitis A vaccination, hand wash behavior, eating behavior, clean water availability, and latrine availability. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: The risk of Hepatitis A decreased with age ≥40 years old (b= -2.89; 95% CI= -4.46 to -1.31; p<0.001), high education (b= -1.95; 95% CI= -3.56 to -0.33; p= 0.018), high income (b= -1.93; 95% CI= -3.60 to -0.26; p= 0.023), and had Hepatitis A immunization (b= -2.60; 95% CI= -5.03 to -0.17; p= 0.036). The risk of Hepatitis A increased with poor washing hands behavior (b= 1.66; 95% CI= 0.28 to 3.05; p= 0.019), unhygienic eating behavior (b= 2.27; 95% CI= 0.88 to 3.66; p= 0.001), poor sanitation water (b= 3.12; 95% CI= 1.70 to 4.54; p<0.001), and latrine availability (b= 1.56; 95% CI= 0.35 to 2.78; p= 0.012). Conclusion: The risk of Hepatitis A decreases with age ≥40 years old, high education, high income, and had Hepatitis A immunization. The risk of Hepatitis A increases with poor washing hands behavior, unhygienic eating behavior, poor sanitation water, and latrine availability. Keywords: biopsychosocial determinants, Hepatitis A Correspondence: Sugeng Retyono. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Utami 36A, Surakarta 57126, Central Java. Email: sugengretyono@gmail.com. Mobile: +6287758732030. DOI: https://doi.org/10.26911/the7thicph.01.38
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Dwi Nurcahyanti, Febrina, und Astri Yunita. „Biopsychosocial Determinants ofBiopsychosocial Determinants of Preeclampsia in Kediri, East Java Preeclampsia in Kediri, East Java“. In The 4th International Conference on Public Health. Masters Program in Public Health Universitas Sebelas Maret, 2018. http://dx.doi.org/10.26911/theicph.2018.01.13.
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Karaca, N. B., G. I. Kinikli, S. Buran, C. Boström, O. Tüfekçi, L. Kiliç, E. Ünal und Ş. A. Bilgen. „AB1564-HPR DETERMINANTS OF BIOPSYCHOSOCIAL STATUS IN INDIVIDUALS WITH AXIAL SPONDYLOARTHRITIS“. In EULAR 2024 European Congress of Rheumatology, 12-15 June. Vienna, Austria. BMJ Publishing Group Ltd and European League Against Rheumatism, 2024. http://dx.doi.org/10.1136/annrheumdis-2024-eular.4717.
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Gita, Anggi Putri Aria, Isna Qadrijati und Bhisma Murti. „Biopsychosocial Determinants of Diabetes Mellitus Type 2: Evidence from Surakarta, Central Java“. In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.01.46.
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ABSTRACT Background: Stress has been shown to have major effects on metabolic activity. Diabetes mellitus (DM) is a metabolic disease characterized by chronic hyperglycemia that results from an alteration of the secretion or action of insulin. This study aimed to investigate biopsychosocial determinants of diabetes mellitus type 2 Subjects and Method: A case control study was conducted in Surakarta, Centra Java, Indonesia, from November 2019 to January 2020. A sample of 200 patients with type 2 DM was selected by fixed disease sampling. The dependent variable was type 2 DM. The independent variables were family history of DM, dietary pattern, physical activity, body mass index (BMI), central obesity, stress, hypertension, and smoking. The data were collected by medical record and questionnaire. The data were analyzed by a multiple logistic regression run on Stata 13. Results: The risk of type 2 DM increased with family history of tipe 2 DM (OR= 12.88; 95% CI= 5.18 to 32.04; p<0.001), poor dietary pattern (OR= 2.92; 95% CI= 1.16 to 7.36; p= 0.023), and low physical activity (OR= 3.15; 95% CI= 1.22 to 8.18; p= 0.018), central obesity (OR= 4.55; 95% CI= 1.55 to 13.41; p= 0.006), stress (OR= 3.07; 95% CI= 1.21 to 7.79; p= 0.018), history of hypertension (OR= 3.83; 95% CI= 1.49 to 9.79; p= 0.005), and smoking behavior (OR= 3.86; 95% CI= 1.29 to 11.57; p= 0.016). The risk of type 2 DM decreased with normal BMI (OR= 0.37; 95% CI= 0.13 to 1.01; p= 0.053). Conclusion: The risk of type 2 DM increases with family history of tipe 2 DM, poor dietary pattern, and low physical activity, central obesity, stress, history of hypertension, and smoking behavior. The risk of type 2 DM decreases with normal BMI. Keywords: Determinan biopsikososial, DM tipe 2. Correspondence: Anggi Putri Aria Gita. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: anggipag@gmail.com. Mobile: +628975406464. DOI: https://doi.org/10.26911/the7thicph.01.46
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Retnowati, Very, Pawito Pawito und Bhisma Murti. „Biopsychosocial Determinants of Tertiary Preventive Behaviors among Patients with Hypertension in Sragen, Central Java“. In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.60.
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Background: Tertiary hypertension prevention is an effort to prevent hypertensive patients from disabilities and complications, which lead to improve their quality of life. The biopsychosocial aspect influences individual behavior in maintaining blood pressure. This study aimed to analyze the biopsychosocial determinants of tertiary prevention behavior in hypertensive patients. Subjects and Method: A cross sectional study was conducted at 25 integrated health posts (posbindu) in Sragen, Central Java. A sample of 200 hypertensive patients was selected by stratified random sampling. The dependent variable was tertiary hypertension preventive behavior. The independent variables were attitude, observational learning, role model, imitation, vicarious learning, reinforcement, self-efficacy, self-regulation, and outcome expectation. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Tertiary hypertension preventive behavior increased with observational learning (b= 1.83; 95% CI= 0.31 to 3.35; p= 0.018), role model (b= 1.95; 95% CI= 0.75 to 3.16; p= 0.001), imitation (b= 2.13; 95% CI= 0.89 to 3.38; p= 0.001), vicarious learning (b= 1.60; 95% CI= 0.23 to 2.96; p= 0.022), reinforcement (b= 2.86; 95% CI= 1.25 to 4.47; p<0.001), self-efficacy (b= 1.99; 95% CI= 0.73 to 3.25; p= 0.002), self-regulation (b= 1.39; 95% CI= 0.18 to 2.61; p= 0.024), outcome expectation (b= 2.37; 95% CI= 0.85 to 3.89; p= 0.002), and positive attitude (b= 1.76; 95% CI= 0.40 to 3.13; p=0.011). Conclusion: Tertiary hypertension preventive behavior increases with observational learning, role model, imitation, vicarious learning, reinforcement, self-efficacy, self-regulation, outcome expectation, and positive attitude. Keywords: hypertension, tertiary prevention, biopsychosocial, social cognitive theory Correspondence: Very Retnowati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: veryretnowati@gmail.com. Mobile: +6281548592491 . DOI: https://doi.org/10.26911/the7thicph.02.60
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Dwi Astuti, Fitriyani, Harsono Salimo und Eti Poncorini Pamungkasari. „Biopsychosocial and Environmental Determinants of Autism in Children under Five in Tangerang, Banten“. In Mid-International Conference on Public Health 2018. Masters Program in Public Health, Universitas Sebelas Maret, 2018. http://dx.doi.org/10.26911/mid.icph.2018.01.36.
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Alfiyani, Lina, Setyo Sri Rahardjo und Bhisma Murti. „A Path Analysis on the Biopsychosocial Determinants of Multi Drug Resistant Tuberculosis in Surakarta“. In Mid-International Conference on Public Health 2018. Masters Program in Public Health, Universitas Sebelas Maret, 2018. http://dx.doi.org/10.26911/mid.icph.2018.01.03.
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Permana, Fransisca Novalia, Argyo Demartoto und Bhisma Murti. „BIOPSYCHOSOCIAL AND ECONOMIC DETERMINANTS OF CONDOM USE AMONG GAY IN TULUNGAGUNG DISTRICT, EAST JAVA“. In International Conference on Public Health. Masters Program in Public Health, Sebelas Maret University, 2017. http://dx.doi.org/10.26911/theicph.2017.051.
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