Artículos de revistas: "Biopsychosocial determinants"

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Campbell, C. y P. Durning. "Expectations for breast treatment — complex biopsychosocial determinants". European Journal of Cancer Supplements 2, n.º 3 (marzo de 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, n.º 2(93) (diciembre de 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 y Karolina Kósa. "Modelling Health in University Students: Are Young Women More Complicated Than Men?" International Journal of Environmental Research and Public Health 18, n.º 14 (8 de julio de 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 y Thomas Best. "A BIOPSYCHOSOCIAL APPROACH TOWARD PREDICTING PHYSICAL ACTIVITY AMONG OLDER ADULTS WITH KNEE OSTEOARTHRITIS". Innovation in Aging 7, Supplement_1 (1 de diciembre de 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 y 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 (enero de 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 y Loretta Czernis. "Biopsychosocial determinants of pregnancy length and fetal growth". Paediatric and Perinatal Epidemiology 22, n.º 3 (mayo de 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 y Ali Ghanaei Chamanabad. "Biopsychosocial Determinants of Problematic Pornography Use: A Systematic Review". Addiction and Health 15, n.º 3 (29 de julio de 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 y Bhisma Murti. "Biopsychosocial Determinants of Multi Drug Resistant Tuberculosis in Surakarta". Journal of Epidemiology and Public Health 02, n.º 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 (1 de diciembre de 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 (1 de diciembre de 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.

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Díaz-Fernández, Ángeles, Irene Cortés-Pérez, Esteban Obrero-Gaitán, Ana Raquel Ortega-Martínez, María Catalina Osuna-Pérez, Noelia Zagalaz-Anula y Rafael Lomas-Vega. "Chronic Pain Management Approaches among Spanish Physiotherapists: Influences, Practices, Barriers, and Challenges". Journal of Personalized Medicine 14, n.º 9 (26 de agosto de 2024): 903. http://dx.doi.org/10.3390/jpm14090903.

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This study evaluated Spanish physiotherapists’ orientations toward biopsychosocial and biomedical approaches in chronic pain management through a cross-sectional survey of 447 registered professionals. Validated questionnaires assessed knowledge, attitudes, and beliefs. Multivariate analysis of covariance (MANCOVA) identified influential factors and ordinal regression determined the frequency of biopsychosocial application. Content analysis of open-ended responses explored barriers to biopsychosocial implementation. Over 50% of physiotherapists favored the biopsychosocial model, influenced by interdisciplinary work settings, advanced pain knowledge, and specific training. Comprehensive pain knowledge significantly impacted both biomedical and biopsychosocial orientations inversely. The biomedical approach was more prevalent among those with lower education levels and less pain knowledge, particularly at the beginning or over 20 years into their careers. Despite the theoretical preference for biopsychosocial among Spanish physiotherapists, practical application was infrequent, with only 9.8% always using it and 40.7% frequently. Self-reported confidence and skills were crucial determinants of biopsychosocial implementation frequency. Significant barriers included inadequate psychological skills (63.6%), coordination challenges (47.6%), time constraints (43.6%), patient misconceptions (34.2%), and systemic issues. These findings align with international research, highlighting the need to bridge the gap between theoretical knowledge and clinical practice. Addressing these challenges through targeted training and systemic reforms is crucial for improving chronic pain management globally.

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Salihu, MD, PhD, Hamisu M., Abraham Salinas, MD, PhD, Imelda Medina, MD, MPH, Janani Krishnaswami, MD, MPH y Muktar H. Aliyu, MD, DrPH. "Biopsychosocial determinants of opioid use disorder (OUD) and implications for maternal and child health research: A scoping review". Journal of Opioid Management 15, n.º 1 (1 de enero de 2019): 77–91. http://dx.doi.org/10.5055/jom.2019.0488.

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Background: Opioid use disorder (OUD) is on the rise among women of reproductive age in the United States, contributing to a marked increase in the incidence of adverse consequences on maternal and child health (MCH). There is a dearth of literature on the biopsychosocial determinants of OUD in MCH populations and their role in the current opioid epidemic. The aim of this study is to examine the epidemiology of OUD in the United States and develop a biopsychosocial research model of OUD among women of reproductive age.Methods: Utilizing a scoping review methodology, a systematic search strategy was implemented using MEDLINE/PubMed, Integrated Library searches, and Google Scholar. Scholarly/peer-reviewed articles published up to July 2017, in English, and restricted to populations in the United States were eligible for inclusion. A qualitative synthesis of the selected studies was performed to summarize study findings.Results: Multiple factors play a role at every level of the biopsychosocial model (BPSM) in OUD—from molecular (genetic, epigenetic), cellular-tissue, organ system, the person (psycho-affective, cognitive, and behavioral), to relationship-based (family, peers), community environment, healthcare-related, and policy levels. Conclusion: Important research gaps persist at every level and highlight the need for multiple-level biopsychosocial research to enhance our understanding of the nature, extent, distribution, etiology, and consequences of OUD among women of reproductive age. Our biopsychosocial model of OUD can be used to guide innovative MCH epidemiology research.

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Pishchikova, L. "The Biopsychosocial Paradigm in the Assessment of Mental Health of Older Persons". European Psychiatry 33, S1 (marzo de 2016): S464. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1686.

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The vulnerability of patients of late age in psychiatry increases the professional and ethical requirements to the quality of psychiatric and forensic psychiatric help. It must account for the clinical and dynamic features of mental disorders in old age, biopsychosocial determinants of their formation, be based on a conceptual approach and a comprehensive understanding of the involution processes. To identify biopsychosocial determinants of mental disorders in old age and (or) involving patients to the forensic psychiatric examination, we examined 235 late age patients in criminal and civil cases. Revealed: «non-dement» mental disorders – with 45.5%, psychosis – with 7.7%, dementia – with 46,8%. The results of biopsychosocial determinants of involution are determined as follows: biological: sensory and motor deprivation, multicomorbid somatic neurological pathology, specific syndromes and disorders if late age, dementia; socio-psychological: termination of labor activity, living alone and loneliness, problematic relationship with children because of housing disputes and alcohol; legal: conclusion and contestation of legal civil acts, participation in criminal proceedings as victims and defendants, legal illiteracy, legal controversy, lack of legal protection; victimological: physical (assault, abuse), psychological (threats of commitment into social security institutions, involuntary commitment to a psychiatric hospital and examination by a psychiatrist, hold in the psychiatric hospital), financial violence (fraud with housing for older people and deception, manipulation during conclusion of civil-legal acts), violation of rights of older person (unlawful deprivation of legal capacity).Disclosure of interestThe author has not supplied his/her declaration of competing interest.

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Carvalho, Joana y Pedro Nobre. "Biopsychosocial Determinants of Men's Sexual Desire: Testing an Integrative Model". Journal of Sexual Medicine 8, n.º 3 (marzo de 2011): 754–63. http://dx.doi.org/10.1111/j.1743-6109.2010.02156.x.

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Cadar, Dorina, Dorina Cadar, Jessica Abell, David J. Llewellyn y Andrew Steptoe. "BIOPSYCHOSOCIAL DETERMINANTS OF NEUROCOGNITIVE IMPAIRMENT IN THE ENGLISH LONGITUDINAL STUDY OF AGEING". Innovation in Aging 3, Supplement_1 (noviembre de 2019): S190. http://dx.doi.org/10.1093/geroni/igz038.683.

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Abstract Biological and psychosocial risk factors, particularly those that are malleable across the life course, are important determinants of neurocognitive health in later life. We investigated several determinants of cognitive impairment using the Mini-Mental Status Examination (MMSE), as part of the Harmonised Cognitive Assessment Protocol in 1,200 individuals aged ≥65 years from the English Longitudinal Study of Ageing. More than half the participants (55%) were married, 15% had diabetes, 12% had CHD, and fewer than 10% had a stroke. A longitudinal investigation of various risk factors measured at wave 6 (2012-13) was conducted in relation to neurocognitive impairment ascertained with the MMSE ≤24 in 2018. Our results indicate that certain environmental compensatory factors such as education, a marker of cognitive reserve, wealth and psychological wellbeing are relevant determinants of subsequent neurocognitive impairment six years later. These findings are highly informative for the development of interventions aiming to maintain neurocognitive health.

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Kotovskaya, S. V., L. Y. Belenkova y I. M. Boyko. "Emergent synergistic biopsychosocial determinants of resiliency of subjects of extreme activity". Marine Medicine 6, n.º 2 (21 de julio de 2020): 42–48. http://dx.doi.org/10.22328/2413-5747-2020-6-2-42-48.

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Purpose. To establish the emergent-synergistic biopsychosocial determinants of the resiliency of subjects of extreme activity.Materials and methods. To identify the determinants of resiliency 764 male subjects of various occupational groups, whose daily activities included an extreme component at a substantive level, were examined. All respondents were divided into 2 groups: a group of professionals with a high level of resiliency and a group of respondents with a low level of resiliency.Results. Comparison of biopsychosocial features of subjects of extreme activity with the different level of resiliency showed that respondents with the high level of resiliency were focused on strategic life utilization, possessedsthenichyperthymic-demonstrative type of the personality, rational perception of reality, adequate level of aspiration, satisfaction with achievements path from the past to the present. Representatives of group with the low level of resiliencypreferred tactical use of psychophysiological resources, were characterized by sthenichyperthymic type of the personality with prevalence of domination in interpersonal communication, the irrational attitude towards reality, overestimated level of aspiration with orientation towards the future achievements.

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Malary, Mina, Soghra Khani, Mehdi Pourasghar, Mahmood Moosazadeh y Zeinab Hamzehgardeshi. "Biopsychosocial Determinants of Hypoactive Sexual Desire in Women: A Narrative Review". Materia Socio Medica 27, n.º 6 (2015): 383. http://dx.doi.org/10.5455/msm.2015.27.383-389.

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Révész, Dóra, Yuri Milaneschi, Erik M. Terpstra y Brenda W. J. H. Penninx. "Baseline biopsychosocial determinants of telomere length and 6-year attrition rate". Psychoneuroendocrinology 67 (mayo de 2016): 153–62. http://dx.doi.org/10.1016/j.psyneuen.2016.02.007.

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Da Costa, Deborah, Michel Zummer y Mary-Ann Fitzcharles. "Biopsychosocial determinants of physical and mental fatigue in patients with spondyloarthropathy". Rheumatology International 31, n.º 4 (20 de diciembre de 2009): 473–80. http://dx.doi.org/10.1007/s00296-009-1250-7.

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Mohamad Fisal, Zul Aizat, Halimatus Sakdiah Minhat, Nor Afiah Mohd Zulkefli y Norliza Ahmad. "Biopsychosocial approach to understanding determinants of depression among men who have sex with men living with HIV: A systematic review". PLOS ONE 17, n.º 3 (14 de marzo de 2022): e0264636. http://dx.doi.org/10.1371/journal.pone.0264636.

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Introduction Men who have sex with men (MSM) living with HIV are more likely to be depressed than MSM without HIV. The AIDS epidemic will not end if the needs of people living with HIV and the determinants of health are not being addressed. Compared to HIV individuals without depression, depressed HIV individuals have worse clinical outcomes and higher mortality risk. Depression is caused by a complex combination of social, psychological, and biological variables. This systematic review, thereby motivated by the need to address this gap in the literature, aims to articulate determinants of depression among MSM living with HIV according to the biopsychosocial approach. Methodology We systematically searched four databases from 2011 to 2021. We searched for observational studies on determinants of depression among MSM living with HIV. The outcome is depression based on the categorical or numerical outcome. Two reviewers independently extracted data and assessed study risks of bias. Any disagreements are consulted with the third reviewer. Results We identified 533 articles, of which only eight studies are included. A total of 3,172 MSMs are included in the studies. We found the determinants of depression and categorized them according to biological, psychological, and social approaches. Conclusion The determinants of depression with the strongest evidence across studies were enacted HIV-related stigma, unemployment, sleep disturbance, current smoker, black ethnicity, born overseas, ART initiation, and access to mental health care. Despite weaker evidence, the other relevant determinants to be included were older age, internalized stigma, self-efficacy, and social support. Efforts to improve or prevent depression among MSM living with HIV could benefit from addressing the determinants of depression based on the biopsychosocial approach immediately after HIV diagnosis. Integrating mental health screening and care into HIV treatment settings would strengthen HIV prevention and care outcomes and improve access to mental healthcare.

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Blount, Ashley J., Charmayne R. Adams, Ann L. Anderson-Berry, Corrine Hanson, Kara Schneider y Gurudutt Pendyala. "Biopsychosocial Factors during the Perinatal Period: Risks, Preventative Factors, and Implications for Healthcare Professionals". International Journal of Environmental Research and Public Health 18, n.º 15 (3 de agosto de 2021): 8206. http://dx.doi.org/10.3390/ijerph18158206.

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Women face risks to their wellbeing during the perinatal period of pregnancy. However, there is a dearth of information on perinatal risk factors within the biopsychosocial paradigm. Emphasis is often placed on biological components associated with pregnancy and women’s health. However, psychological and social determinants of health are integral during the perinatal period, and mental wellness is often a determinant for positive maternal and neonatal health outcomes. This article reviews risk factors of perinatal wellness (e.g., physical and nutritional concerns, trauma, discrimination, adverse childhood events) and highlights protective factors for women in their perinatal period. Healthcare professionals can support perinatal health by focusing on culturally and contextually appropriate research and prevention, providing equal access to sexual and reproductive healthcare information and services, providing quality education and training for helping professionals, and supporting policies for positive sexual and reproductive women’s healthcare.

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Longoria, Kayla D., Tien C. Nguyen, Oscar Franco-Rocha, Sarina R. Garcia, Kimberly A. Lewis, Sreya Gandra, Frances Cates y Michelle L. Wright. "A sum of its parts: A systematic review evaluating biopsychosocial and behavioral determinants of perinatal depression". PLOS ONE 19, n.º 7 (12 de julio de 2024): e0290059. http://dx.doi.org/10.1371/journal.pone.0290059.

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Introduction Depression is one of the most common yet underdiagnosed perinatal complications and our understanding of its pathophysiology remains limited. Though perinatal depression is considered to have a multifactorial etiology, integrative approaches to investigation are minimal. This review takes an integrative approach to systematically evaluate determinants (e.g., biological, behavioral, environmental, social) and interactions among determinants of perinatal depression and the quality of methods applied. Methods Four databases (i.e., PubMed, CINAHL, APA PsycInfo, Web of Science) were systematically searched to identify studies examining determinants of perinatal depression in adult perinatal persons (≥ 18 years). Articles were excluded if the outcomes were not focused on perinatal persons and depression or depression symptoms, depression was examined in a specific subpopulation evidenced to have psychological consequences due to situational stressors (e.g., fetal/infant loss, neonatal intensive care unit admission), or was considered grey literature. The Critical Appraisal Skills Programme and AXIS tools were used to guide and standardize quality appraisal assessments and determine the level of risk of bias. Results Of the 454 articles identified, 25 articles were included for final review. A total of 14 categories of determinants were investigated: biological (5), behavioral (4), social and environmental (5). Though only 32% of studies simultaneously considered determinants under more than one domain, a pattern of interactions with the tryptophan pathway emerged. Concerns for risk of bias were noted or were unclear for three types of bias: 13 (52%) selection bias, 3 (12%) recall bias, and 24 (96%) measurement bias. Conclusions Future research is needed to explore interactions among determinants and the tryptophan pathway; to strengthen the methods applied to this area of inquiry; and to generate evidence for best practices in reporting, selecting, and applying methods for measuring determinants and perinatal depression.

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Karamushka, Liudmyla. "MENTAL HEALTH: ESSENCE, MAIN DETERMINANTS, STRATEGIES AND PROGRAMS". PSYCHOLOGICAL JOURNAL 7, n.º 5 (31 de mayo de 2021): 26–37. http://dx.doi.org/10.31108/1.2021.7.5.3.

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The purpose of the study. Based on the study of foreign experience to analyze the essence of mental health, its main determinants, strategies and programs and to determine the features of the use of foreign approaches in Ukraine. The results of the study. The article analyzes the essence of mental health based on the analysis of foreign and domestic sources (documents of state and non-governmental organizations, scientific research), defines its role in the life of the individual, society and society. It is noted that according to the documents of the World Health Organization (WHO), mental health is an integral part of health, is a state of well-being in which a person realizes his abilities, can cope with ordinary life stresses, can work productively and effectively to help his community. The role of the biopsychosocial model for determining the determinants of mental health is revealed. It is emphasized that according to the biopsychosocial model, a person is a holistic organism in which biological, psychological and social factors are constantly interrelated, so the idea of human health, causes of diseases and its care depends on the characteristics and condition of each of these factors. Government and non-governmental mental health strategies, general and specialized programs for the protection and promotion of mental health are analyzed in detail. It is emphasized that Ukraine needs to actively participate in the study, development and implementation of international standards on mental health in Ukraine, improving the culture of the population on this issue, attracting specialists in various fields (physicians, psychologists, social workers) to diagnose mental health problems and various professional groups , implementation of appropriate psychological support programs.

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Alabbas, Fahad Mahdi Abdullah, Ali Merzah Al Abbas, Hussain Mesfer Alabbas, Hamad Merzah Alabbas, Qidan Ayidh Qidan Albaqami, Abdullah Menwer Al Rashdi, Hussain Abdullah Hussain Almakrami, Abdullah Bin Mohammed Bin Abdullah Al-Khudhayr, Mansour Abdullah Ali Almakrami y Abdullah Mana Saeed Al Jamhour. "Understanding the Role of Social Determinants in Shaping Chronic Disease Outcomes: A Comprehensive Review". Journal of Ecohumanism 3, n.º 8 (18 de noviembre de 2024): 918–27. http://dx.doi.org/10.62754/joe.v3i8.4778.

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This review explores the influence of social determinants of health (SDH) on chronic disease outcomes, focusing on the interconnected roles of socioeconomic status, physical environment, community context, education, healthcare access, and behavioral determinants. Chronic diseases—such as cardiovascular disease, diabetes, and respiratory conditions—pose a significant public health challenge, with social determinants increasingly recognized as critical factors in shaping their prevalence, progression, and management. This review synthesizes findings from recent studies to elucidate how SDH create disparities in chronic disease outcomes, particularly among marginalized populations. We examine mechanisms linking SDH to chronic disease, including biopsychosocial and behavioral pathways, and discuss implications for public health interventions and policy-making. Addressing these social determinants through comprehensive public health strategies could help reduce the burden of chronic diseases, improve health equity, and support healthier communities.

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Thorpe,, Roland J. y Perry N. Halkitis. "Biopsychosocial Determinants of the Health of Boys and Men Across the Lifespan". Behavioral Medicine 42, n.º 3 (23 de junio de 2016): 129–31. http://dx.doi.org/10.1080/08964289.2016.1191231.

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Niemeier, Janet P. "Biological Sex/Gender and Biopsychosocial Determinants of Traumatic Brain Injury Recovery Trajectories". Current Physical Medicine and Rehabilitation Reports 7, n.º 4 (8 de agosto de 2019): 297–304. http://dx.doi.org/10.1007/s40141-019-00238-3.

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Edwards, Robert R., Claudia Campbell, Robert N. Jamison y Katja Wiech. "The Neurobiological Underpinnings of Coping With Pain". Current Directions in Psychological Science 18, n.º 4 (agosto de 2009): 237–41. http://dx.doi.org/10.1111/j.1467-8721.2009.01643.x.

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The biopsychosocial model treats pain as resulting from a complex interaction of biological, psychological, and social factors. Individual differences in approaches to coping with pain-related symptoms are important determinants of pain-related outcomes, and are often classified under the “psychological” category within the biopsychosocial model. However, engagement in various cognitive, affective, and behavioral pain-coping strategies appears to exert biological effects, which we review here. Pain-coping activities such as catastrophizing, distracting oneself from pain sensations, or reappraisal of pain may exert effects on activity in a variety of pain-processing and pain-modulatory circuits within the brain, as well affect the functioning of neuromuscular, immune, and neuroendocrine systems. The interface between pain-related neurobiology and the use of specific pain-coping techniques represents an important avenue for future pain research.

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Yang, Chenchen, Elias Mpofu, Xiaoli Li, Diana Dorstyn, Qiwei Li y Kaye Brock. "Physical activity participation among older adults with diabetes: Applying the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) Guidelines". Australian Journal of Rehabilitation Counselling 27, n.º 2 (18 de noviembre de 2021): 75–89. http://dx.doi.org/10.1017/jrc.2021.7.

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AbstractObjective:Physical activity (PA) is a known benefit to older adults with diabetes; however, the determinants of PA are less well studied in this population. Applying the World Health Organization’s International Classification of Functioning, Disability and Health (ICF), a well-established biopsychosocial framework, we explored PA participation among older adult with type 2 diabetes.Method:Using data from the Health and Retirement Study and the RAND Center for the Study of Aging (N = 2,016; mean age = 73.19; SD = 6.16), we conducted hierarchical stepwise regression analysis to evaluate the relative contribution of different biopsychosocial predictors to PA – namely, body functions and structure, activity and participation, personal, and environmental factors.Results:Altogether, biopsychosocial factors accounted for 20% of the variance in PA participation. Of the personal factors, high extraversion and low neuroticism explained approximately 54% of the variance in PA among the older adults – beyond sociodemographics. Low body mass index, reduced pain, reduced depression, and higher cognitive functioning also had good explanatory power (25% of explained variance), whereas activity participation and environment did not (10% each).Conclusion:Aligning care with components of the ICF will help to ensure a focus on person-centric practices and, in turn, optimize participation outcomes such as PA.

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Flynn, Michael A., Pietra Check, Andrea L. Steege, Jacqueline M. Sivén y Laura N. Syron. "Health Equity and a Paradigm Shift in Occupational Safety and Health". International Journal of Environmental Research and Public Health 19, n.º 1 (29 de diciembre de 2021): 349. http://dx.doi.org/10.3390/ijerph19010349.

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Despite significant improvements in occupational safety and health (OSH) over the past 50 years, there remain persistent inequities in the burden of injuries and illnesses. In this commentary, the authors assert that addressing these inequities, along with challenges associated with the fundamental reorganization of work, will require a more holistic approach that accounts for the social contexts within which occupational injuries and illnesses occur. A biopsychosocial approach explores the dynamic, multidirectional interactions between biological phenomena, psychological factors, and social contexts, and can be a tool for both deeper understanding of the social determinants of health and advancing health equity. This commentary suggests that reducing inequities will require OSH to adopt the biopsychosocial paradigm. Practices in at least three key areas will need to adopt this shift. Research that explicitly examines occupational health inequities should do more to elucidate the effects of social arrangements and the interaction of work with other social determinants on work-related risks, exposures, and outcomes. OSH studies regardless of focus should incorporate inclusive methods for recruitment, data collection, and analysis to reflect societal diversity and account for differing experiences of social conditions. OSH researchers should work across disciplines to integrate work into the broader health equity research agenda.

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Podgorski, Carol. "A BIOPSYCHOSOCIAL-ECOLOGICAL, FAMILY-FRAMED APPROACH TO DEMENTIA CARE". Innovation in Aging 6, Supplement_1 (1 de noviembre de 2022): 401–2. http://dx.doi.org/10.1093/geroni/igac059.1579.

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Abstract An individual’s experience of cognitive impairment is shaped by biopsychosocial factors, including their own perceptions of illness as well as interactions with family members, healthcare providers, and the communities in which they live. With advancing illness an individual’s dementia care requires the involvement and commitment of others, usually family. Hence, the quality of a person’s illness experience is shaped largely by relationships with family members and others throughout their respective communities. Current models of dementia care recognize family members as an important part of the care team, but fail to consider a patient’s family system and relationships as social determinants that affect care outcomes. This presentation will introduce a biopsychosocial-ecological, family-framed approach to dementia care that addresses factors that influence care considerations at both the individual and relational levels of the social ecological networks that the patient and their family members occupy.

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Sarriugarte, Jose María Aiarzaguena, Maite Espinosa Cifuentes, Idoia Gaminde Inda, Leticia Isla Baranda, Juan Eduardo PedreroJocano, Enrique de la peña Varona, Juan Ignacio del Pozo Garicano, Javier González Lavado y Susana Martinez Vallejo. "Barriers to and Facilitators of Implementing DEPENAS Biopsychosocial Intervention in Primary Care: A Study Protocol". International Journal of Qualitative Methods 18 (1 de enero de 2019): 160940691986535. http://dx.doi.org/10.1177/1609406919865359.

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Background: Our team has developed a biopsychosocial intervention called DEPENAS that has shown to be effective in primary health care in improving health and quality of life of patients with medically unexplained symptoms. We also found that general practitioners participating in the clinical trial do not use the intervention systematically because of barriers related to psychological determinants among professionals themselves. Based on the Theoretical Domains Framework (TDF) of Susan Michie, our study aims (1) to identify psychological determinants among professionals who are perceived to be facilitators of or barriers to the systematic and generalized use of the intervention in the consultation room and (2) to design an implementation strategy that considers these determinants and helps us to address them with a series of predesigned and validated techniques. Method: A qualitative exploratory study has been designed based on semistructured individual interviews conducted following a script based on the 14 TDF domains and analyzed in a deductive way. Participants will be doctors and nurses previously trained in the intervention that was put into practice under real-world conditions, from different health centers. Results of the analysis of the interviews will be used as the basis for designing the implementation strategy. Discussion: The implementation of the DEPENAS intervention in primary care to achieve its sustained and widespread use among primary care professionals involves changes in the model of patient care and the model of the health system, toward models that are more in tune with the needs of modern society. Investigating psychological determinants in professionals and addressing them with validated techniques, as part of the strategy for implementing a given intervention, is a novel approach that has the potential to help change the way in which we tackle change in healthcare organizations.

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Villwock, Jennifer A. y Barbara Polivka. "97448 Biopsychosocial Determinants of Pain Assessment and Management - Medical and Surgical Trainees’ Perspective". Journal of Clinical and Translational Science 5, s1 (marzo de 2021): 129. http://dx.doi.org/10.1017/cts.2021.730.

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ABSTRACT IMPACT: Better understanding how clinicians make decisions about pain management, particularly since our prior research has demonstrated that opioids prescribed at discharge is the strongest predictor of opioids taken, is critical to decrease high-risk medication prescribing while preserving high-quality care. OBJECTIVES/GOALS: (1) Identify major biological, psychological, and social determinants of medical and surgical residents’ pain management decisions; (2) Determine salient themes regarding the experience of residents in the management of acute and chronic pain METHODS/STUDY POPULATION: Focus groups of internal medicine and general surgery residents at an academic, tertiary care training hospital located in an urban setting were conducted. Due to the COVID-19 pandemic, all focus groups were conducted virtually and occurred during required didactic sessions to facilitate participation. All interviews were recorded and transcribed. Two reviewers independently reviewed and coded the data following the principles of constructivist grounded theory. RESULTS/ANTICIPATED RESULTS: 42 residents participated in ten focus groups ranging in size from two to five individuals. Six themes emerged demonstrating salient BPS factors in pain management decisions: (1) patient and clinician expectations determine what is considered normal/acceptable; (2) inability of pain scales to reliably capture patient pain; (3) desire for more objective methods of pain assessment, while simultaneously recognizing that pain is an inherently subjective experience; (4) difficulty in determine when pain is 'real’ or 'legitimate'; (5) lack of education and protocols regarding pain management; (6) the importance of engaging other services such as acute pain service or nurse educators in complicated situations. Junior residents often expressed doubt in the appropriateness of their approaches and decisions. DISCUSSION/SIGNIFICANCE OF FINDINGS: Surgical and medical trainees routinely treat pain and may struggle, particularly in the early phases of training, to determine if pain levels are appropriate. There is also a lack of education and/or best practices for assessing and managing pain. These areas represent high-value, clinician-focused targets for future interventions to improve care.

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Rahayu, Ria Muji, Eti Poncorini Pamungkasari y CSP Wekadigunawan. "The Biopsychosocial Determinants of Stunting and Wasting in Children Aged 12-48 Months". Journal of Maternal and Child Health 03, n.º 02 (2018): 105–18. http://dx.doi.org/10.26911/thejmch.2018.03.02.03.

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Saptowati, Dewi, Ambar Mudigdo y Bhisma Murti. "Biopsychosocial Determinants of Visual Inspection Acetic-Acid Test Uptake in Sragen, Central Java". Journal of Maternal and Child Health 03, n.º 03 (2018): 197–206. http://dx.doi.org/10.26911/thejmch.2018.03.03.04.

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Kamilda, Meylsa Rima, Ismi Dwi Astuti Nurhaeni y Rita Benya Adriani. "Biopsychosocial Determinants of Early Marriage in Wonogiri District, Central Java: A Logistic Regression". Journal of Maternal and Child Health 4, n.º 3 (2019): 170–79. http://dx.doi.org/10.26911/thejmch.2019.04.03.04.

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Cadar, Dorina, Jessica Abell, Carol Brayne, G. David Batty, David Llewellyn y Andrew Steptoe. "Biopsychosocial Determinants of Cognitive Health in Later Life: The Harmonised Cognitive Assessment Protocol". Innovation in Aging 4, Supplement_1 (1 de diciembre de 2020): 642. http://dx.doi.org/10.1093/geroni/igaa057.2203.

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Abstract Despite strong evidence for a socioeconomic gradient in many health outcomes, including cognition, substantial gaps remain in understanding these disparities. We investigated the biopsychosocial mechanisms underlying the associations between socioeconomic status (SES) and later-life cognitive health using the Harmonised Cognitive Assessment Protocol (HCAP), a sub-study of the English Longitudinal Study of Ageing (ELSA) which comprises of 1,273 ELSA participants aged 65+. A latent g factor was derived using 12 tests covering a broad range of cognitive domains (memory, language, executive function, and psychomotor speed). We estimated direct and indirect pathways between SES indicators, Apolipoprotein E, inflammatory markers, chronic conditions, and depression. We found that higher education was associated with better cognition, while wealth was not. Increased depressive symptoms were linked with lower cognition, while prior inflammation was indirectly associated with cognition via depressive symptoms and chronic conditions, supporting evidence for a psychosocial role in the context of a socioeconomic gradient.

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Albert, Justine G., Christopher Lo, Zeev Rosberger, Saul Frenkiel, Michael Hier, Anthony Zeitouni, Karen Kost et al. "Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study". Current Oncology 29, n.º 7 (22 de junio de 2022): 4438–54. http://dx.doi.org/10.3390/curroncol29070353.

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(1) Background: Patients and survivors of head and neck cancer (HNC) are at a high risk of developing body image concerns. Despite the prevalence of body image concerns in patients with HNC, there is a lack of longitudinal research exploring the wide array of its associated determinants. The current longitudinal study examined the determinants and longitudinal course of body image dissatisfaction in patients with HNC. (2) Methods: Patients participated in Structured Clinical Interviews and self-administered questionnaires at four time-points: (T1) upon cancer diagnosis, (T2) at 3 months post-diagnosis, (T3) at 6 months post-diagnosis, and (T4) at 12 months post-diagnosis. They also underwent a disfigurement rating on an objective scale. (3) Results: Two hundred and twenty-four patients participated in our study. Fourteen percent to twenty-eight percent of patients reported at least moderate body image concerns across time points, with the lowest rates at baseline and the highest at 3 months (T1). It was found that patients more predisposed to developing higher levels of body image concerns presented physical markers (i.e., advanced cancer stage, lower physical functioning, higher disfigurement), psychosocial markers (i.e., higher depression, higher anxiety, and higher levels of coping with denial), and health disparities (i.e., younger age, female sex, French language, and marital status, with divorced and widowers most affected). (4) Conclusions: The findings of this study highlight the multifaceted nature of body image concerns in patients with HNC and its biopsychosocial determinants. Clinicians should pay specific attention to these biopsychosocial markers in their clinics to predict high levels of body image concerns and tailor communication/refer for support accordingly.

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Kannadhasan, M., S. Aramvalarthan, S. K. Mitra y Vinay Goyal. "Relationship between Biopsychosocial Factors and Financial Risk Tolerance: An Empirical Study". Vikalpa: The Journal for Decision Makers 41, n.º 2 (junio de 2016): 117–31. http://dx.doi.org/10.1177/0256090916642685.

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Executive SummaryFinancial risk tolerance (FRT) refers to the retail investors’ willingness to accept the negative changes in the value of investment or an outcome that is adversely different from the expected one. Understanding and assessing FRT plays a crucial role in individual choices about wealth accumulation, portfolio allocation, and all other investment and finance-related decisions, and in achieving financial goals. An advisor has to accurately assess FRT for achieving his/her goal or investor’s goal. Failure to do so leads to the choice of an investment option/portfolio which is inconsistent with one’s FRT, resulting in investor disappointment, that is, unbearable loss to the client. Such a situation may adversely affect the client–advisor relationship.Measuring FRT is challenging as it is a multidimensional attitude. Besides, it is an elusive concept that appears to be influenced by a number of predisposing factors such as demographic, environmental, and psychosocial factors. This study aims to identify the factors that are related to risk tolerance from outside the financial services domain such as psychology, economics, and bio-sociology. It deals most specifically with the relationship between biopsychosocial factors and FRT. Those who are interested in assessing and predicting FRT can move closer to a theoretical account that blends psychological and economic insights and supplements the understanding of risk-taking attitudes and behaviour of retail investors. Such an understanding will help financial advisors, policy makers, and researchers in identifying the determinants of an individual’s FRT to suggest the suitable investment alternatives to their clients.A single cross-sectional survey was conducted among 951 retail investors with various levels of investment experience through a structured questionnaire covering a variety of demographic factors. An analysis of the data collected through the questionnaire indicates that all the three factors—self-esteem, personality type, and sensation seeking—are positively related to FRT. This study adds to the extant literature on psychological determinants of FRT.

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Permana, Fransisca Novalia, Argyo Demartoto y Bhisma Murti. "Biopsychosocial and Economic Determinants of Condom Use among Gay in Tulungagung District, East Java". Journal of Health Promotion and Behavior 02, n.º 01 (2017): 88–97. http://dx.doi.org/10.26911/thejhpb.2017.02.01.08.

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Trisnawati, Iga, Harsono Salimo y Bhisma Murti. "Biopsychosocial and Economic Determinants of Low Birth Weight in Jambi, South Sumatera: Path Analysis". Journal of Maternal and Child Health 03, n.º 01 (2017): 385–94. http://dx.doi.org/10.26911/thejmch.2017.03.01.01.

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Martin, Sean, Evan Atlantis, David Wilson, Kylie Lange, Matthew T. Haren, Anne Taylor y Gary Wittert. "Clinical and Biopsychosocial Determinants of Sexual Dysfunction in Middle‐Aged and Older Australian Men". Journal of Sexual Medicine 9, n.º 8 (agosto de 2012): 2093–103. http://dx.doi.org/10.1111/j.1743-6109.2012.02805.x.

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Truchon, Manon. "Determinants of chronic disability related to low back pain: Towards an integrative biopsychosocial model". Disability and Rehabilitation 23, n.º 17 (enero de 2001): 758–67. http://dx.doi.org/10.1080/09638280110061744.

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Chen, Kuan-Lin, Mei-Hui Tseng, Jeng-Yi Shieh, Lu Lu y Chien-Yu Huang. "Determinants of quality of life in children with cerebral palsy: A comprehensive biopsychosocial approach". Research in Developmental Disabilities 35, n.º 2 (febrero de 2014): 520–28. http://dx.doi.org/10.1016/j.ridd.2013.12.002.

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Leach, Matthew, Martin Jones y Marianne Gillam. "The biopsychosocial determinants of complementary medicine intervention and service utilisation in rural South Australia". Advances in Integrative Medicine 6 (mayo de 2019): S28. http://dx.doi.org/10.1016/j.aimed.2019.03.079.

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Botha, Karel F. H., Wynand F. Du Plessis, Johannes M. Van Rooyen y Marié P. Wissing. "Biopsychosocial Determinants of Self-Management in Culturally Diverse South African Patients with Essential Hypertension". Journal of Health Psychology 7, n.º 5 (septiembre de 2002): 519–31. http://dx.doi.org/10.1177/1359105302007005672.

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Shantz, Emily, Susan J. Elliott, Christine Sperling, Katherine Buhler, Karen H. Costenbader y May Y. Choi. "Towards an understanding of the biopsychosocial determinants of CVD in SLE: a scoping review". Lupus Science & Medicine 11, n.º 2 (julio de 2024): e001155. http://dx.doi.org/10.1136/lupus-2024-001155.

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ObjectiveSystemic lupus erythematosus (SLE) is a chronic autoimmune condition with significant physical, mental, psychosocial and economic impacts. A main driver of SLE morbidity and mortality is cardiovascular disease (CVD). Both SLE and CVD exhibit disparities related to gender, race and other social dimensions linked with biological outcomes and health trajectories. However, the biospsychosocial dimensions of CVD in SLE populations remain poorly understood. The objective of this study was to systematically investigate the existing literature around known social factors influencing the development of CVD in SLE.MethodsA scoping review protocol was developed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping reviews guidelines. The search strategy encompassed three main concepts: SLE, CVD and social factors. Four databases were searched (PubMed, SCOPUS, PsychINFO and CINAHL). 682 studies were identified for screening. Articles were screened in two phases (title/abstract and full text) to determine whether they fulfilled the selection criteria.ResultsNine studies were included after screening. All were conducted in the USA between 2009 and 2017. Six studies (67%) were cross-sectional and three (33%) were longitudinal. Most employed SLE cohorts (n=7, 78%) and two drew from healthcare databases (n=2; 22%). We identified five main themes encompassing social factors: socioeconomic status and education (n=5; 56%), race and/or ethnicity (n=7; 78%), mental health (n=2; 22%), gender (n=3; 33%) and healthcare quality and/or insurance (n=2; 22%). Overall, low income, fewer years of education, black race and/or ethnicity, depression, male gender, lack of insurance and healthcare fragmentation were all associated with CVD risk factors and outcomes in SLE.ConclusionsWhile several social factors contribute to CVD in SLE populations, considerable gaps remain as many social determinants remain un(der)explored. There is rich opportunity to integrate social theory, advance conceptualisations of race and/or ethnicity and gender, expand investigations of mental health and explore novel geographical contexts. In healthcare policy and practice, identified social factors should be considered for SLE populations during decision-making and treatment, and education resources should be targeted for these groups.

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Shari, P.A, Baby. "Social Determinants of Health: Blatant to Subtle Modes". Indian Journal of Health Studies 03, n.º 01 (2021): 65–77. http://dx.doi.org/10.56490/ijhs.2021.3105.

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Health is no longer considered as absence of disease, rather it is studied from a biopsychosocial perspective. However, it is imperative to acknowledge and implement its study and practise into the social awareness. Health professionals from different arenas, at times, attempt to ignore the biological cause of ill health and attribute causalities only to psychosocial causes. On the other hand, often during the determination of policies and development of research designs, the socio-cultural aspects are ignored. There is a need of direct and purposive inclusion of scientific temper in many medical interventions and primary prevention programmes. While analysing variety of social causes and determinants of health, it can be seen that those factors make a direct and indirect contribution towards health explicitly explained in terms of blatant and subtle ways determining health. It points out the need for more elaborate research and health intervention programmes considering the various social determinants of health. The author has taken a personal view, perspective and observations with the help of scientific arguments.

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Lolas, Fernando. "WELL-BEING: CONCEPTUAL AND MEDICAL CONSIDERATIONS". International Journal of Person Centered Medicine 9, n.º 1 (1 de abril de 2021): 57–62. http://dx.doi.org/10.5750/ijpcm.v9i1.963.

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Objectives: To present a conceptual and medical perspective on studies on wellbeing and its determinants. Method: The notion of well-being as a transient state and as a stable trait is considered conceptually. Results and Discussion: This consideration uncovers several linguistic dimensions relevant to well-being: subjectivity, multidimensionality, dynamism, contextdependency, complexity. These are related to the notions of health and quality of life, discussing the narrative dimensions of personal experience and the need to consider the psychophysiological triad composed of behavior, mentation, and physiology in the evaluation. Conclusion: The humanistic dimension of well-being and its determinants should be considered as a precondition for an attempt at a biopsychosocial/integrative approach. The methodical approach represented by overt language behavior is emphasized as important.

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Šimková, Katarína y Hana Válková. "The Determinants of Motivation Regarding Top Competitive Basketball of Juniors". Studia sportiva 13, n.º 2 (27 de enero de 2020): 55–69. http://dx.doi.org/10.5817/sts2019-2-6.

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The motivation plays an essential role in carrying out any activity in people´s lives. It is a critical aspect between individual stages of career transitions and its goals. The purpose is to describe the determinants of the motivation and adherence of junior basketball players. The research interviews 40 players who wish to continue at the professional stage. The Career Transition theory (Alfermann & Stambulova, 2007) is a scope for the research. The research is qualitative, using The Grounded Theory by Strauss and Corbin (1990). The chosen research instrument was a semi-structured interview. The sample consists of twenty girls and twenty boys between ages 15-18. The results illustrate eight determinants of motivation and adherence. 1.lifestyle, 2.the perception of competencies, 3.specifics of basketball, 4.biopsychosocial health. 5.enjoyment, 6.team spirit, 7.society, 8.time management. Time management is the most occurring reason for termination of the basketball career.

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Ramadhani, Alinda Nur, Rita Benya Adriani y Harsono Salimo. "Path Analysis on the Biopsychosocial Determinants of Quality of Life among Children with Cerebral Palsy". Journal of Maternal and Child Health 03, n.º 04 (2018): 301–7. http://dx.doi.org/10.26911/thejmch.2018.03.04.08.

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