Academic literature on the topic 'Bio-psycho-social model'

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Journal articles on the topic "Bio-psycho-social model"

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Kholmogorova, A. B., and O. V. Rychkova. "40 years of Bio-Psycho-Social model: what’s new?" Social Psychology and Society 8, no. 4 (2017): 8–31. http://dx.doi.org/10.17759/sps.2017080402.

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Bio-Psycho-Social Model, proposed by George Engel in 1977, was recognized as a turning point in the praxis of medical diagnosis and treatments. Bio-Psycho-Social Model should be seen in a historical context as bucking against the trend of biological reductionism. Social Neuroscience has been formed ten years. Social neuroscience aims to investigate the biological systems that underlie people’s thoughts, feelings and actions in light of the social context in which they operate. Social neuroscience has captured the interest of anthropologists, psychiatrists, psychologists, and experts in other disciplines, as well as the general public who more and more draw upon the insights and methods of social neuroscience to explain, predict and change social behavior. An analysis of the current situation in neurosciences shows that new methods of instrumental brain research do not exclude biological reductionism. The authors qualify the situation in modern studies of social neuroscience as a methodological crisis associated with the prevalence of reductionist approaches that ignore the uniqueness of the human psyche. He substantiates the heuristic provisions of the cultural and historical development of Vygotsky’s psyche theory to overcome any contradictions
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Welze, Harald, and Hans Markowitsch. "Towards a bio-psycho-social model of autobiographical memory." Memory 13, no. 1 (January 2005): 63–78. http://dx.doi.org/10.1080/09658210344000576.

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Sajid, Ibadullah, Uzma Ashiq, and Raja Imran Sajid. "Paradigm Shifting From Bio-Medical to Bio-Psycho-Social and Role of Medical Social Work." Pakistan Journal of Medical and Health Sciences 15, no. 5 (May 30, 2021): 1047–50. http://dx.doi.org/10.53350/pjmhs211551047.

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The health miseries emerged after the horrific incident of Second World War challenged the bio-medical model dominating the healthcare perceptions during the 19th century. The healthcare interventions in post war years have had to change toward a new idea, the social perspective of health. In 1977, Engel introduced a new approach “bio-psycho-social” (BPS) which emphasized that merely bio-medical intervention by ignoring the psycho-social determinants cannot be helpful in achieving absolute recovery. Although this paradigm shift in healthcare was widely acknowledged but the application of the approach is limited. In the context, the role of Medical Social Work, a profession focused on the reduction of the psycho-social and environmental determinants of health for absolute recovery, is considerable. This review study concludes that the interventions of Social work profession with its unique attributes such as breadth, holistic care and believe in absolute rehabilitation, can make the health system more responsive. Keywords: Healthcare, determinants, Medical Social Work, Social, Psychological
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Arminjon, Mathieu. "The American Roots of Social Epidemiology and its Transnational Circulation. From the African-American Hypertension Enigma to the WHO’s Recommendations." Gesnerus 77, no. 1 (November 6, 2020): 35–63. http://dx.doi.org/10.24894/gesn-en.2020.77002.

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In 2008, the Commission on Social Determinants of Health at the World Health Organisation published a report demonstrating the existence of a socio-economic gradient for health. Though health inequalities had been apparent since at least the 19th century, the report introduced a bio-psycho-social aetiological model that was absent from 19th century social medicine, as well as from former WHO documents. To bio-psycho-social epidemiologists stress associated with social status is the main cause of morbidity and death. Here I begin by noting that the history social epidemiologists have written for their fi eld tends to inscribe their work in continuity with 19th century social medicine. This contributes towards minimizing the epistemological and contextual transformations that led bio-psycho-social epidemiology to initiate a profound transformation in international health policy. Adopting an epistemological and transnational perspective, I fi rstly argue that bio-psycho-social epidemiology emerged from René Dubos’ historical and epistemological critique of the foundation of 19th century social medicine. I secondly show how the political and epistemological research program elaborated by Dubos developed in the US context, which was characterized both by a growing concern for chronic diseases and for racial inequalities. Finally, I show that through its transnational circulation in the United Kingdom, bio-psycho-social epidemiology was “de-racialized”. This step was a prerequisite for its aetiological model to be integrated into international public health strategies and to transform them.
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Marks, Loren. "Religion and Bio-Psycho- Social Health: A Review and Conceptual Model." Journal of Religion and Health 44, no. 2 (June 2005): 173–86. http://dx.doi.org/10.1007/s10943-005-2775-z.

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Ettlin, Dominik A., Marcelo Henrique Napimoga, Miguel Meira e Cruz, and Juliana Trindade Clemente-Napimoga. "Orofacial musculoskeletal pain: An evidence-based bio-psycho-social matrix model." Neuroscience & Biobehavioral Reviews 128 (September 2021): 12–20. http://dx.doi.org/10.1016/j.neubiorev.2021.06.008.

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LIU, Junrong. "身體倫理視域下現代醫學模式的哲學反思與重構——對孫慕義先生〈身體〉一文的呼應與商榷." International Journal of Chinese & Comparative Philosophy of Medicine 13, no. 2 (January 1, 2015): 35–40. http://dx.doi.org/10.24112/ijccpm.131589.

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LANGUAGE NOTE | Document text in Chinese; abstract in English only.Sun Muyi’s article provides illuminating views and arguments regarding the proper model of medicine. From Sun’s perspective, the bio-psycho-social model of medicine retains traces of body-mind dualism. It differs from Michel Foucault’s view of the body, which is one of phenomenological holism. That view, as Sun sees it, constitutes a comprehensive philosophical reflection on the modern bio-psycho-social medical model, providing an objective understanding of the unity of body and mind. Sun argues that a religious dimension is inevitably embedded in this objective understanding when establishing a body ethics model of contemporary medicine. This commentary agrees that Sun’s view provides useful reflections on the construction of a proper model of medicine. It is right that we should go beyond the bio-psycho-social medical model to pay more attention to the sick individual him or herself and to strengthen doctor-patient communication regarding the body and human dignity. However, it is also contended that the body ethics model of medicine should constitute a criticism of religious medical models and resist any religious zeal being applied to the study of medical ethics.DOWNLOAD HISTORY | This article has been downloaded 77 times in Digital Commons before migrating into this platform.
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Wilhelmsen, I. "Brain-gut axis as an example of the bio-psycho-social model." Gut 47, no. 90004 (December 1, 2000): 5iv—7. http://dx.doi.org/10.1136/gut.47.suppl_4.iv5.

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Steinert, Tilman, and Richard Whittington. "A bio-psycho-social model of violence related to mental health problems." International Journal of Law and Psychiatry 36, no. 2 (March 2013): 168–75. http://dx.doi.org/10.1016/j.ijlp.2013.01.009.

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Lader, Malcolm. "Bio-psycho-social interactions in anxiety and panic disorders: a speculative perspective." Irish Journal of Psychological Medicine 8, no. 2 (September 1991): 154–59. http://dx.doi.org/10.1017/s0790966700015160.

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AbstractAnxiety states comprise three components, the subjective, the physiological and the behavioural. Anxiety disorders differ from normal anxiety in that cognitive clues inducing the emotion are covert. Anxiety can be induced by a variety of chemical agents, including the catecholamines, caffeine, lactate and some beta-carbolines. Models can be built up from the standpoints of Schachter, Lader and Matthews, and Clark to provide a cohesive theoretical framework for anxiety and panic disorders. Both pharmacological and psychological treatments are effective in these conditions and the model can incorporate the mode of action of these therapies. The ultimate goal is a holistic concept of anxiety combining the bio-psycho-social approaches.
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Dissertations / Theses on the topic "Bio-psycho-social model"

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Herd, Jane Emma. "Understanding hard to reach adolescents : a bio-psycho-social model of aetiology, presentation and intervention." Thesis, University of East London, 2014. http://roar.uel.ac.uk/4264/.

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This thesis examines hard to reach adolescents in respect of; the link between historical, contextual and familial factors, the young people’s inner working model and the manner of intervention with such young people and how one might understand what is most helpful. Psycho-social case work with seven Black and Minority Ethnic (BME) adolescent boys in an area of high social deprivation and ethnographic study of the direct and wider environment was undertaken. This environment of trauma organised systems, within a community dominated by gang violence was impactful on the whole project. The data was analysed by means of a case study approach using psychodynamic, attachment and neurodevelopmental paradigms. The findings suggest that early and ongoing adverse relational and attachment experiences impacts on four aspects of ‘hard to reachness’: Biological, Unconscious, Relational and Environmental. This includes neurochemical disregulation, excessive use of projective processes, emotional immaturity, difficulties with reciprocity and taking responsibility. The four aspects of ‘hard to reachness’ correspond to four domains of intervention: Management and Safety, Therapeutic, Relationship and Social/External. The relationship is seen as central to successful intervention and the worker needs to be able to move between domains as required. Three groupings of presentations were identified; Chameleons, Reactors and Fragmentors based on neurodevelopmental arousal states, types of projective process and attachment styles. Reactors were seen to be typical of the hard to reach group. It is argued that the Reactors continue to rely on very early teleological or concrete behavioural defences which are interactive rather than interpsychic. Thus their behaviour is seen as immature, annoying and deliberate rather than archaic defences against anxiety where neither workers nor young people understand the powerful unconscious forces underlying their acting out.
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Anske, Ute. "Chronopsychobiologische Pilotstudie zur objektiven Bestimmung funktioneller Gesundheitszustände." Doctoral thesis, Humboldt-Universität zu Berlin, Medizinische Fakultät - Universitätsklinikum Charité, 2003. http://dx.doi.org/10.18452/14965.

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1. Unterschiedliche Definitionen der Gesundheit mit verschiedenen Betrachtungsweisen (WHO: Der Mensch eine biopsychosoziale Einheit. Schulmedizin: ohne klinischen und paraklinischen Befund mit Orientierung an kritikbedürftigen Referenzmittelwerten) führt bei Fachleuten, Behörden und Laien zu Verwirrungen, wenn es um die Beurteilung gesundheitlicher Schäden geht. 2. Es wurde die Aufgabe gestellt zu prüfen, welche der beiden Definitionen der Realität näher kommt. 3. Mittels der chronopsychobiologischen Regulationsdiagnostik, des Dreiphasenentspannungstests (Hecht und Balzer 2001), wurden unter dem Aspekt der beiden Gesundheitsdefinitionen drei Gruppen untersucht (je 40 Probanden). - klinisch Gesunde (klinisch Gesunde nach Schulmedizin ) - Gesunde nach Definition der WHO - Probanden mit nichtorganische Insomnie (ohne pathologische klinische und paraklinische Befunde) 4. Die mit den verwendeten Methoden gewonnenen Daten wiesen aus, dass zwischen den klinisch Gesunden und den Probanden mit nichtorganischer Insomnie weitgehend größere Ähnlichkeiten bestehen. Beide Gruppen zeigten aber zu der Gruppe der Gesunden nach WHO-Definition, welche die biopsychosoziale Einheit des Menschen berücksichtigt, noch hochsignifikante Unterschiede. Die Gruppe der klinisch Gesunden kann daher auf Grund unserer Ergebnisse nicht den Anspruch erheben, real gesund zu sein. 5. Mit der Bezugnahme auf die Internationale Klassifikation der Krankheiten (ICD 10F) haben die von uns untersuchten klinisch Gesunden und die nichtorganischen Insomniker eine mehr oder weniger stark ausgeprägte Symptomatik von psychischen Störungen. Dies müsste bei der Beurteilung von Schadstoff-, Lärm-, und EMF-Wirkungen auf den Menschen, wie auch bei den klinisch-pharmakoloischen Untersuchungen beachtet werden. Die in der Arbeit erzielten Ergebnisse bedürfen durch weitere Untersuchungen eine Fundierung. Sie signalisieren aber sowohl unter praktischen als auch unter theoretischen Aspekten einen dringenden Forschungsbedarf.
1. Differing definitions of health using different criterea (WHO: The human being as a bio- psycho-social unit versus classical medicine: without clinical and paraclinical results based on suspect reference values) bring confusion to experts, authorities and laymen when assessing health damages. 2. The given task was to check which of the two definitions is closer to reality. 3. Using the chrono-psycho-biological diagnostic of regulation, the three-phase-relaxation test (Hecht and Balzer 2001), three groups were examined considering the aspects of the two health definitions (40 test subjects in the study group). - clinically healthy (clinically healthy per classical medicine definition) - healthy per definition of the WHO - test persons with non organic insomnia (i.e. no pathological or paraclinical findings) 4. The data gained from the employed methods revealed bigger similarities between clinically healthy persons and those with non organic insomnia. Both groups still showed highly significant differences to the group which fulfils the definition of the WHO regarding a human as a bio-psycho-social unit. As a result of this study, persons, though classified as "clinically healthy" might nevertheless not absolutely be healthy in reality. 5. In reference to the international classification of illnesses (ICD 10 F) the groups examined, both of clinically healthy and those with non organic insomnia, have more or less severe psychological symptoms. This should be taken into account when assessing the effects of pollution, noise, and EMF as well as clinical pharmacological studies. These present findings still need broader confirmation by further investigations. However, they clearly indicate, for practical and theoretical considerations, an urgent need for further research.
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Le, Fleur Celeste Catherine. "Comparing the BDI II and the HADS (HADS-D) as a screening tool for depression amongst HIV infected individuals attending a public health clinic." Thesis, University of the Western Cape, 2011. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_2733_1363786537.

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This study utilised secondary data from a larger study that looked at individuals that are already infected by HIV which is entitled Implicative personal dilemmas and cognitive conflicts in health decision making in HIV positive adults and adults with AIDS. The primary aim of the larger study was to examine the cognitive construction of the individual and how they utilised their individual resources to construct who they are and how they perceived the difficulties and challenges that they face and the decisions they make regarding their health. HIV and AIDS is a debilitating disease and it affects millions worldwide. South Africa, presently, has the largest burden of this disease with those between the ages of 15 &ndash
49 years of age being most affected. As previously 
mentioned the decisions that individuals make can impact on their health. Decisions to take necessary precautions such as protected sex during sexual intercourse can decrease the 
progression of the disease. Decisions made regarding abstinence of risky behaviour as well as being committed to taking medication could also positively impact health. People living with HIV and AIDS find it 
difficult to adjust to the challenges that this disease presents. Depression is often experienced due to the changes in self image and perception. Studies show that 
females are twice more likely to experience depression than men. There has however been no conclusive evidence showing the reason for this, however, the perception of stress based on 
gender could shed some light on this matter and how these perceptions can increase the likelihood of women being more vulnerable to depression. Due to the limitation of this study, it will 
only look at depression as it relates to HIV and AIDS. Psychological problems such as depression can hamper the adjustment process and the effect of depression is evident in that it can lower the CD 4 + cells. Not only are those 
living with HIV and AIDS affected by depression, but they also have a lifetime prevalence to depression. It is important to have an effective screening tool for depression so that the detection of this 
disease can be made and effective treatment can be implemented to enhance health. The sample consisted of 113 adult participants that have already been diagnosed with HIV and AIDS. The 
primary aim of this study was to compare the Beck&rsquo
s Depression Inventory II (BDI II) and the Hospital Anxiety and Depression Scale &ndash
(the Depression component) (HADS-D) as a screening tool 
 
for depression. Exploratory Factor Analysis revealed a 5 factor structure which accounted for 60.14 % of the total variance. The HADS yielded one factor accounting for 14.33% of total variance. The BDI II has proven to be more a reliable measure of depression with 0.89 according to the Cronbach&rsquo
s Alpha co efficient opposed to 0.375 as per the HADS-D. The secondary aim was to establish 
the sociodemographic and disease profiles of the participants under study.

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Franca, Ana Cristina Limongi. "Indicadores empresariais de qualidade de vida no trabalho: esforço empresarial e satisfação dos empregados no ambiente de manufaturas com certificação ISO 9000." Universidade de São Paulo, 1996. http://www.teses.usp.br/teses/disponiveis/12/12132/tde-14042009-113324/.

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Este trabalho examina Qualidade de Vida no Trabalho nas manufaturas, de médio porte que obtiveram certificação ISO 9000. Nosso principal objetivo foi investigar as prováveis relações entre esforço da empresa e satisfação dos empregados através de indicadores empresariais selecionados com critérios da abordagem biopsicossocial. O método de pesquisa foi estudo de campo, com o modelo de variáveis dependentes e independentes. Os dados foram coletados em 26 empresas e 446 questionários, na Região de São Paulo. Os resultados demonstram inicialmente comparações através de análise exploratória entre gerência de recursos humanos e empregados. A seguir, levantaram-se fatores de satisfação dos empregados, quais sejam: atuação organizacional, necessidades biológicas, inclusão social, prestação de serviços; e fatores de esforço das empresas: imagem, desenvolvimento profissional, administração de recursos humanos, saúde e ética, demandas legais e reposição de energias. Através de análise de conglomerados foram obtidos perfis de atitudes dos empregados. Os perfis são diferenciados entre realização, desconfiança ou crítica à empresa. Finalmente, obtivemos resultados sobre tipos de gestão. Os tipos identificados foram estruturado, reativo e aleatório. Relacionando-se esses tipos de gestão e perfis dos empregados, constatou-se que a satisfação dos empregados localiza-se mais na imagem da empresa e em programas de atendimento a saúde e benefícios, que no tipo de gestão.
This work deals with Life Quality at Work at medium-sized manufacturers that had been awarded ISO 9000 certificate. We targeted investigating the potential relationship between companys effort and employees satisfaction through the selected companys indicators based on criteria of the bio-psycho-social approach. Research method was the field study with the model of dependent and independent variables. Data were collected at 26 companies by 446 questionnaires in the São Paulo Region. Results show first comparisons through exploratory analysis of human resources management and employees. Following, employees satisfaction factors were identified as follows: organizational acting, biological needs, social integration, service rendering; so were the companys effort factors: image, professional development, human resources management, health and ethics, legal actions and energy recovery. By means of a cluster analysis, the employees attitude profile was obtained. They were made distinct among accomplishment, discredit or criticism about the company. Finally, we have obtained results related to kinds of management. Identified kinds were structured, reactive and random. After relating these kinds of management and employees profiles, we could find out that employees satisfaction is based more on the companys image and on medical services and benefits than on the kind of management.
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"Mechanisms Linking Daily Pain and Depressive Symptoms: The Application of Diary Assessment and Bio-Psycho-Social Profiling." Doctoral diss., 2018. http://hdl.handle.net/2286/R.I.48440.

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abstract: Despite the strong link between pain and depressive symptoms, the mechanisms by which they are connected in the everyday lives of individuals with chronic pain are not well understood. In addition, previous investigations have tended to ignore biopsychosocial individual difference factors, assuming that all individuals respond to pain-related experiences and affect in the same manner. The present study tried to address these gaps in the existing literature. Two hundred twenty individuals with Fibromyalgia completed daily diaries during the morning, afternoon, and evening for 21 days. Findings were generally consistent with the hypotheses. Multilevel structural equation modeling revealed that morning pain and positive and negative affect are uniquely associated with morning negative pain appraisal, which in turn, is positively related to pain’s activity interference in the afternoon. Pain’s activity interference was the strongest predictor of evening depressive symptoms. Latent profile analysis using biopsychosocial measures identified three theoretically and clinically important subgroups (i.e., Low Functioning, Normative, and High Functioning groups). Although the daily pain-depressive symptoms link was not significantly moderated by these subgroups, individuals in the High Functioning group reported the lowest levels of average morning pain, negative affect, negative pain appraisal, afternoon pain’s activity interference, and evening depressive symptoms, and the highest levels of average morning positive affect across 21 days relative to the other two groups. The Normative group fared better on all measures than did the Low Functioning group. The findings of the present study suggest the importance of promoting morning positive affect and decreasing negative affect in disconnecting the within-day pain-depressive symptoms link, as well as the potential value of tailoring chronic pain interventions to those individuals who are in the greatest need.
Dissertation/Thesis
Doctoral Dissertation Psychology 2018
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Shattah, Michael Joseph. "Quality of life and the impairment effects of pain in a chronic pain patient population as potentially moderated by self-compassion." Thesis, 2011. http://hdl.handle.net/2152/ETD-UT-2011-08-4286.

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Due to the subjective nature of pain and the profound debilitating effects of pain for a growing number of people, there are many challenges to approaching and fully addressing its problems. The traditional biomedical model of health limits its treatment focus to the physical components of pain. Biomedicine provides useful and effective short-term relief of bodily symptoms, but usually cannot cure pain that persists in both mind and body over time. Because chronic pain is often accompanied with discomfort, depression, and other significant life impairments, health researchers have recently conceptualized more comprehensive models to address pain. In the bio-psycho-social-spiritual health model, chronic pain is assessed and treated in the context of a person’s overall quality of life, considering biological, psychological, social, and spiritual health conditions. This movement towards adopting integrative health care models can also provide patient guidance needed for developing inner resources to adapt to pain, as well as recover from and prevent disease. Self-compassion comes from a fertile field of inquiry emerging out of a wider conception of health that includes spirituality. The construct is based on three related components that can assist a person living with pain: (a) being kind to oneself while in pain or suffering, (b) perceiving difficult times as shared human experiences, and (c) holding painful thoughts and feelings with mindfulness, instead of over-identification. Measured using the Self-Compassion Scale, it demonstrates positive associations with a variety of health indicators. However, a direct relationship with chronic pain has not yet been examined. In applying recent research in quality of life (QoL) and self-compassion to a chronic pain patient population, the purpose of this study is twofold: (a) to produce a comprehensive assessment of bio-psycho-social-spiritual QoL conditions (b) to examine differences in QoL with the presence of self-compassion and determine its potential moderating effect on life impairments due to pain. From this project, the QoL conditions that are affected by chronic pain and the moderation effect of self-compassion will be understood better so that more effective treatment and prevention procedures can be developed for people living with pain from long-term disease conditions.
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Kondorová, Lenka. "Kam směřuje česká politika duševního zdraví?" Master's thesis, 2017. http://www.nusl.cz/ntk/nusl-358462.

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This thesis deals with the Czech and international ideas applied in the "Strategy of Reform of Psychiatric Care" issued in 2013 by the Ministry of Health of the Czech Republic. The main starting point of this work is the fact that the care of people with mental illness in Czech and international environment is oriented on the biological treatment of the patient with psycho- pharmaceuticals and that there is a deficit in the area of psychosocial treatment. International and Czech mental health policy seeks to promote a bio-psycho-social approach to patient's care. However, current psychiatry continues to be involved in conducting clinical research focused on the efficiency of psycho-pharmaceuticals. These studies are driven and sponsored mainly by the pharmaceutical industry. But international and Czech policies are still not able to adequately reflect this situation within the field of psychiatry. The Czech Republic has not so far paid attention to mental health issues and has lagged behind the other developed countries in this area. The empirical part of this work is divided into two parts. The first part of the research focuses on the Czech and international ideas applied in the "Strategy of Reform of Psychiatric Care" issued in 2013 by Ministry of Health. The methods used here are - content...
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Majozi, Petronella Nondumiso Nompilo. "Examining anxiety and social support in adults diagnosed with HIV or AIDS in a public health clinic in the Western Cape Province." Thesis, 2010. http://hdl.handle.net/11394/3465.

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Magister Psychologiae - MPsych
Globally, and especially in Sub-Saharan Africa the advent of HIV and AIDS has created new inequalities within already challenged health care systems. Chronic illnesses have often been associated with increased prevalence of psychological symptoms. Both national and international studies have found a strong association between psychiatric morbidity and HIV and AIDS. Furthermore, studies have found that social support contributes to positive adjustment of individuals infected with HIV and provides a buffer against the effects of anxiety. The aim of this study was therefore to examine anxiety and social support in adults diagnosed with HIV or AIDS at a public health clinic in the Western Cape. The objectives in relation to the aim were: (1) To determine the prevalence of anxiety in adults diagnosed with HIV or AIDS. (2) To determine the degree of social support, as a component of quality of life,in adults diagnosed with HIV or AIDS. (3) To examine the relationship between anxiety and social support in adults diagnosed with HIV or AIDS. The broad theoretical framework that guides this study is the bio-psycho-social model. A cross-sectional design was used in which 70 participants were recruited using a purposive sampling method. Participants were assessed using well-validated self-administered questionnaires: Hospital Anxiety and Depression Scale(HADS) and Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q). Data were analysed using the Statistical Package for the Social Sciences (SPSS) version 17.1. Correlational and inferential statistics were conducted. The findings of this study indicated that participants in this study had higher levels of anxiety (28%) when compared to the general population (15.8%). Participants in this study, indicated a 59% enjoyment and satisfaction with social support, which indicates satisfaction with social support some of the time. There was however no significant relationship between anxiety and social support in this study. HIV intervention efforts should include screening HIV positive individuals for the presence of psychiatric symptoms. Interventions should also include encouraging HIV positive individuals to maintain and expand their social networks.
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Wager, Julia. "Development and validation of diagnostic tools for adolescent chronic pain patients." Doctoral thesis, 2014. https://repositorium.ub.uni-osnabrueck.de/handle/urn:nbn:de:gbv:700-2014012712259.

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Chronic pain in children and adolescents is common; approximately 5% of children and adolescents report chronic pain along with moderate to high pain-related disability. Chronic pain is a subjective experience and can best be explained by a bio-psycho-social approach, which suggests reciprocal relations between different levels of this multidimensional phenomenon. The different dimensions of chronic pain need to be considered for a comprehensive assessment. Due to the subjective nature of pain, the child’s self-report is usually considered the best available and most valid estimate of the pain experience. A reliable and multidimensional assessment is an indispensable requirement for treatment planning. To date, questionnaires in German language are available to assess a wide range of relevant parameters in pediatric chronic pain. However, so far, no validated self-report tool exists to assess sensory and affective pain perception in children. These two parameters are of relevance since they describe aspects of the biological as well as the psychological dimension of chronic pain. Furthermore, a comprehensive diagnostic approach combining parameters from the three dimensions of chronic pain does not yet exist for children and adolescents. Such a comprehensive approach could be used for sample descriptions and standardized comparisons across different populations; it could serve as an approach for treatment planning or to classify outcome. This doctoral thesis is aimed at further developing the available diagnostic measures for older children and adolescents with chronic pain based on the above mentioned gaps in pediatric pain assessment. Research was performed on three patient samples. Sample 1 includes data from a prospective assessment at the German Pediatric Pain Centre from August 2008 to March 2009 (N(1)=139). Sample 2 includes retrospective data from patients who were treated at the German Pediatric Pain Centre from July 2005 to June 2010 (N(2)=1242). Sample 3 consists of pediatric pain patients who started an intensive interdisciplinary inpatient treatment between November 2009 and July 2011 (N(3)=83). In a first study, a tool to assess sensory and affective pain perception, the Pain Perception Scale for Adolescents, was adapted and validated in an adolescent clinical sample (Sample 1). The Pain Perception Scale for Adolescents allows pain patients to provide a valid and reliable self-report of parameters for both the biological and psychological dimensions of pain. In a second study, this tool was applied to a further sample of adolescents with migraine and tension-type headache (subsample of Sample 2). It was demonstrated that, contrary to the official headache classification guidelines, the sensory pain perception in this sample did not differentiate between migraine and tension-type headache. To develop a multidimensional assessment approach, in a third study, an adult classification system (Chronic Pain Grading) was applied to a sample of pediatric pain patients (Sample 2). This approach proved useful as a valid measure for a brief operationalization of pain problem severity, including pain intensity and pain-related disability only, and as an outcome measure. However, it displayed major shortcomings with regards to treatment stratification. To further develop an approach for treatment stratification and treatment planning, a fourth study focused on developing a new multidimensional approach for subgroup classification (subsample of Sample 2). The stability of subgroups was demonstrated in a cross-validation with an independent sample (Sample 1). Furthermore, the identified subgroups displayed distinct treatment outcomes after a standardized treatment program (Sample 3). In conclusion, this doctoral thesis offers an addition to diagnostic measures for older children and adolescents with chronic pain by adding the Pain Perception Scale for Adolescents and by proving the validity of the Chronic Pain Grading for the application in this patient group. These tools allow a valid description of adolescents’ subjective pain experience. Results from this doctoral thesis also indicate that the findings from adults cannot be readily transferred to children and adolescents. The final output of this doctoral thesis is a bio-psycho-social classification approach that identifies subgroups of adolescents with chronic pain with treatment relevant differences. This is a first step toward the development of subgroup-specific treatment.
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Kovanda, Oto. "Sociálně pedagogická práce s rodinou dospívajícího problémového uživatele drog." Master's thesis, 2013. http://www.nusl.cz/ntk/nusl-328561.

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The thesis provide an analysis of environment that might influence processes of socialization of youth people. Next to this description of socially and/or pedagogically working organizations and institutions that focus on youth and their parents in the area of risk behaviour with an aim to prevent dependence on mind-altering substances is provided. Theoretical part of the thesis discusses socio-cultural factors. Therefore roles especially of family as primary institution responsible for socialization as well as of socio-pedagogically working organizations in drug prevention targeting youth and their parents is described. Empirical part of the thesis addresses ways that parents of young users of drugs used to prevent risky behaviour of their children, what sources and types of informations about drugs they used, and to what extend they have been prepared to solve potential problems that might result in drug dependence. Also with the use of a narrative analysis it is discussed where parents sought professional help and what was their opinion about quality of socio- pedagogical intervention delivered by individual organizations.
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Books on the topic "Bio-psycho-social model"

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Tacchi, Mary Jane, and Jan Scott. 4. Models of depression. Oxford University Press, 2017. http://dx.doi.org/10.1093/actrade/9780199558650.003.0004.

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Epidemiological studies of depression give important insights into populations at higher risk of depression, but not everyone in certain high-risk circumstances will develop a clinical depression. ‘Models of depression’ highlights some of the most well-known biological, psychological, and social models ranging from the monoamine hypothesis to Beck’s cognitive model, and then discusses attempts to integrate these into a multi-dimensional psycho-bio-social theory. It highlights the interaction between stress and vulnerability factors, and the importance of considering the origins of the vulnerabilities. In reality, there is no one cause and no single pathway to depression and multiple factors increase vulnerability to depression.
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Bradley, John C. The Psychopharmacological Treatment of Individuals at Risk of Recurrent Suicidal Behavior. Edited by Phillip M. Kleespies. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780199352722.013.40.

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Mental illness is the primary risk factor for suicidal ideation, attempts, and completion. Effective treatment of the psychiatric condition is the foundational strategy to reduce the risk of suicide associated with these conditions, but few medications can be demonstrated to independently reduce the risk of suicide. This chapter will describe how psychopharmacological treatment can be included as a component of bio-psycho-social treatments within the context of a recovery model for suicide prevention. The evidence for medication therapies will be reviewed both for specific behavioral health conditions and for any reduced suicide risk independent of general therapeutic effects to treat underlying conditions. A framework strategy will be described for the integration of evidence-based clinical decision making to provide the most effective treatment that also specifically targets suicide risk for patients.
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Torrington, Matthew. Addiction: Definition, Epidemiology, and Neurobiology. Edited by Shahla J. Modir and George E. Muñoz. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190275334.003.0001.

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This chapter discusses the DSM-5 diagnostic criteria for substance use disorders and identifies addiction as a disease of reward, motivation, and memory rooted in complex biologic changes. It explains the epidemiology of addiction and identifies the rise and fall of specific drug use and behaviors. It then moves to the neurobiology of addiction, naming the numerous survival systems that are intertwined with addiction’s genetics, early brain development, and learning pathways. Finally, it looks at why some people become addicts, describing it as a pro-inflammatory, bio-psycho-social-environmental-spiritual disease state. Addicted persons often engage in this behavior, no longer to obtain pleasure, but to relieve discomfort created by withdrawal from the drug and the negative life consequences of addiction. The chapter concludes by addressing what needs to be done in both the short- and long-term, noting that applying the disease model to addiction has been the most effective method of saving lives.
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Misra, Girishwar, ed. Psychology: Volume 4. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780199498871.001.0001.

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This survey of research on psychology in five volumes is a part of a series undertaken by the ICSSR since 1969, which covers various disciplines under social science. Volume Four of this survey, Themes in Contemporary Mental Health Research, deals with mental health, which constitutes one of the fascinating and important areas of psychological applications. With the rise in incidence and complexity of health-related challenges in the contemporary period, there is a growing need to understand the pattern of disorders and ways to improve health and well-being of the people. Psychological research in this area has moved beyond a medical model and has embraced a bio-psycho-social perspective on health, which suggests that the biological mechanisms alone are insufficient to maintain or promote health. Additionally, there is growing evidence that psychological knowledge can contribute substantially to health promotion. The emerging subfield of health psychology encompasses the strategies for health promotion and making preventive health measures more effective. Against this backdrop, the contributors focus on a set of psychological disorders, their treatment, and a critical analysis of the development of the field of health psychology. The six chapters of this volume look at the most recent perspectives in the fields of mental health and psychotherapy in India. They offer up-to-date assessment of the status of practice, training, and research in psychotherapy as well as examine the shift to critical and interpretive approaches in the disciplines of health and community psychology. Additionally, it evaluates some concepts of preventive mental health as applicable to children in India.
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Book chapters on the topic "Bio-psycho-social model"

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Miller, Warren B., and Joseph Lee Rodgers. "An Expanded Bio-Psycho-Social Model." In The Ontogeny of Human Bonding Systems, 21–69. Boston, MA: Springer US, 2001. http://dx.doi.org/10.1007/978-1-4615-1551-7_4.

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van de Wiel, Harry B. M., and K. Marieke Paarlberg. "Scholar: A Scholar Who Cannot See the Woods for the Trees: The Biopsychosocial Model as the Scientific Basis for the Psychosomatic Approach." In Bio-Psycho-Social Obstetrics and Gynecology, 417–31. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-40404-2_24.

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Wainwright, David, and Elaine Wainwright. "The Problem of Work Stress and the Need to Re-imagine the Bio-Psycho-Social Model." In Stress and Suffering at Work, 129–54. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-05876-0_7.

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Guldberg, Karen. "The bio-psycho-social-insider model." In Developing Excellence in Autism Practice, 15–22. Routledge, 2020. http://dx.doi.org/10.4324/9780429276286-3.

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Lewy, Alfred J., Jonathan S. Emens, Jeannie B. Songer, Amber L. Laurie, Neelam Sims, Steven C. Fiala, and Allie L. Buti. "The phase shift hypothesis and the bio-psycho-social-environmental model." In Seasonal Affective Disorder, 93–112. Oxford University Press, 2009. http://dx.doi.org/10.1093/med/9780199544288.003.0006.

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"Understanding the evolutionary bases of workplace mobbing behavior: a bio-psycho-social model." In Human Resource Management and Evolutionary Psychology, 11–29. Edward Elgar Publishing, 2019. http://dx.doi.org/10.4337/9781788977913.00007.

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"Improving women’s health via the bio-psycho-social model: Fibromyalgia management as a case study." In BioMedWomen, 25–28. CRC Press, 2016. http://dx.doi.org/10.1201/9781315644622-7.

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Martis, Elias Paul. "Biculturalism in Social Work Practice." In Handbook of Research on Indigenous Knowledge and Bi-Culturalism in a Global Context, 375–85. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-6061-6.ch023.

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Social work education and practice has primarily been dominated by a medical model worldview. Traditional social work frameworks and medical models have focused on deficits or psychopathology and limited wellness to bio-psycho-social dimensions. In 2005, Te Wānanga o Aotearoa (TWOA) introduced a social work degree that incorporates Māori holistic models of well-being and practice. The degree was further developed into a four-year degree in 2016. This chapter looks at the contribution made by this bicultural social work degree to social work education and practice. This innovative and bold initiative by TWOA accords privilege to Māori and other indigenous bodies of knowledge and practice frameworks equal to those of western theories and frameworks. The bicultural degree argues that an indigenous approach to social work education and practice frameworks are not in competition or antithesis to western frameworks but are complementary and complete the helping process.
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Pritchard, Colin. "A Social Work Approach in High-Tech Neurosurgery and Social Work Research Approaches in Health Care." In E-Health and Telemedicine, 1338–60. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-8756-1.ch067.

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Psychiatric social work is inherently inter-disciplinary with an interactive bio-psycho-social model of behaviour. This chapter mainly focuses upon an innovative study in neurosurgery. Sub-arachnoid haemorrhage (SAH) is a life-threatening condition and survivors are often left with serious cognitive impairment. Patients and their carers led the design of a two-year controlled prospective study of a patient and family support service, using the Specialist Neurovascular Nurse (SNVN) to speed rehabilitation and family readjustment. Cost-effective measures found the SNVN group gained significant psychosocial and fiscal benefits when compared to the control group, thus highlighting the effectiveness of a social work approach in neurosurgery. Other studies in healthcare, including surgical patient safety, effectiveness in reducing mortality, cultural influence on suicide rates and implications for prevention, and the implications of the changing patterns of neurological mortality in Western nations, are briefly described.
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Bezbaruah, Vaijayanti, and Nilika Mehrotra. "Gendered Understanding of Disability and Aging." In Handbook of Research on Multicultural Perspectives on Gender and Aging, 241–53. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-4772-3.ch018.

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In its early conventional sense, disability was largely understood in bio-medical model which subsequently was supplemented with the psycho-social underpinnings of disability. In recent times, the social identities in terms of race, religion, class, caste, and gender add other dimensions to the social science discourse on disability studies. The chapter attempts to inform through the dimensions of age and aging in relation to the disability discourse, drawing from ethnographic cases over a period of research in North India. In the process, this chapter offers an analysis of disability and aging with focusing on the lack of access to social and familial resources for people with disability who are old and people who acquire any kind of disability in their old age. This chapter examines uncertainties experienced by the older disabled and the disabled older persons in relation to the extent of family ties and other social resources in both the rural and urban context.
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