• Title, Summary, Keyword: Biopsychosocial

Search Result 37, Processing Time 0.027 seconds

What Should We do with Korea's Biomedical Model of Medicine? - From Biomedical to Biopsychosocial Model - (우리나라 의료의 생의학적 모델 어떻게 할 것인가? - 생의학적 모델에서 생물정신사회적 모델로 -)

  • Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.20 no.1
    • /
    • pp.3-8
    • /
    • 2012
  • Understanding the biopsychosocial model of illness is crucial for any meaningful advance of health. The maintenance and promotion of health is achieved by different combinations of physical, mental, social and spiritual well-being. Health is not an objective of living. It is not only a state, but also a resource for everyday life. Health is a positive concept that emphasizes personal and social resources, as well as physical capacities. Understanding the biopsychosocial model of health and disease is very important in the medical system. George Engel challenged the medical profession to reconsider a strict biomedical approach to medical education and care, and to embrace a "new medical model," the biopsychosocial model. He argued that humans are at once biological, psychological, and social beings who behave in certain ways that can promote or harm their health. Although understanding the biopsychosocial model of illness is important, Korea's medical system have mainly been focusing on the biomedical model of illness. I would like to highlight the importance of biopsychosocial model of illness for Korea's medical system and real clinical field according to the 20th anniversary of Korean Society of Psychosomatic Medicine.

  • PDF

The Review for the Etiology of Irritable Bowel Syndrome : A Comprehension and Limitation of the Biopsychosocial Model (과민성 대장증후군의 병인론에 대한 고찰: 생물정신사회 모델의 이해와 한계)

  • Choi, Young-Rak;Lee, Sang-Ick;Kim, Sie-Kyeong
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.13 no.1
    • /
    • pp.3-15
    • /
    • 2005
  • Objectives The author aimed to investigate and understand the limitations of the biopsychosocial model for irritable bowel syndrome by reviewing the priorly reported etiologies in patients with irritable bowel syndrome(IBS). Methods The author reviewed all possible previous studies related to the investigation regarding IBS in the Pub-med & Kisep database from 1977 to 2003. Results : It was impossible that patients with IBS were diagnosed and traced to a single etiology. So, the biopsychosocial model was suggested to be a new paradigm for IBS. Biological, psychological and social factors are interplaying and contributing to the biopsychosocial model affecting each other, thus affecting the biopsychosocial model. Three factors were necessary for understanding the etiology, process of symptoms and clinical outcome of IBS by virtue of their key roles in the developing, precipitating and perpetuating of the illness. However, any treatment application for those three factors faces many obstacles to be overcome. Conclusion : The biopsychosocial model contributed relatively much to the explanation but little to the treatment application of patients with IBS. Therefore, because there seems to be little practical use at present, the author believes biopsychosocial aspects should be researched further.

  • PDF

Sasang Typology from a Personality Perspective (사상 유형학의 성격심리학적 고찰)

  • 채한;이수진;고광찬
    • The Journal of Korean Medicine
    • /
    • v.25 no.2
    • /
    • pp.151-164
    • /
    • 2004
  • Objectives : The objective of this study was to examine the biopsychological traits of each Sasang type from a personality theory perspective. Methods : A review of different theories of personality is provided, in addition to review of ten previous studies on the psychological characteristics of the Sasang types. Results : 1. Similarities and differences were found between Sasang typology and Western theories of personality. 2. The prevalence of Sasang type was 28:36:36 (So-Yang:Tae-Eum:So-Eum), and the majority of the study sample were males in their twenties. 3. The Yin-Yang and Large-Small axes of Sasang typology were comparable to Eysenck's Extraversion and Neuroticism dimension. So-Yang type showed high extraversion and low neuroticism, and So-Eum type exhibited low extraversion and high neuroticism. Tae-Eum type was extravert and neurotic, and highly distinctive in such physical traits as Body Mass Index and blood triglyceride concentration. 4. We make recommendations for future studies on Sasang typology within a biopsychosocial and cognitive framework. Conclusions : This study demonstrates the possibility of Sasang typology being explicable from a cross-cultural biopsychosocial theory.

  • PDF

Psychosocial Factors Associated with Metabolic Syndrome among Korean Men and Women Aged over 40 Years (40세 이상 성인 남녀의 대사증후군 관련 심리사회적 요인)

  • Ra, Jin Suk;Kim, Hye Sun
    • Journal of Korean Public Health Nursing
    • /
    • v.33 no.1
    • /
    • pp.20-32
    • /
    • 2019
  • Objectives: This study identified biopsychosocial factors associated with metabolic syndrome among Korean men and women aged over 40 years. Methods: Secondary data from the 2010-2016 Korean National Health and Nutrition Examination Survey were used for this study. Based on the biopsychosocial model, psychosocial factors (stress, depression, smoking, binge alcohol consumption, physical activity) were assessed with control of biomedical (age, body mass index, family history of hypertension, dyslipidemia, type 2 diabetes mellitus, and cardiovascular disease) and biosocial factors (educational level and economic status). Data from 8,624 men and 7,321 women were analyzed by logistic regression analysis using a complex sample procedure. Results: Among men, current or past smoking habits (Adjusted Odds Ratio [AOR]: 1.349; 95% Confidence Interval [CI]: 1.155-1.575, p<.001) and binge alcohol consumption (AOR: 1.570, CI: 1.389-1.774, p<.001) were associated with metabolic syndrome. In addition, moderate (AOR: 1.205, CI: 1.038-1.400, p=.014) and low levels of physical activity (AOR: 1.296, CI: 1.109-1.514, p=.001) were associated with metabolic syndrome. Among women, low level of physical activity (AOR: 1.276, CI: 1.017-1.602, p=.036) was associated with metabolic syndrome. Conclusion: Gender specific interventions such as encouraging physical activity and prevention of smoking and excessive alcohol drinking are important to prevention of metabolic syndrome.

A Review of Occupational Therapy Approach for Complex Regional Pain Syndrome (복합부위통증증후군의 작업치료적 접근에 관한 고찰)

  • Choi, Yoo-Im;Park, Soo-Hyun
    • The Journal of the Korea Contents Association
    • /
    • v.10 no.1
    • /
    • pp.286-294
    • /
    • 2010
  • Complex Regional Pain Syndrome(CRPS) is a chronic neruopathic pain syndrome, most frequently encountered after trauma, nerve injury, fracture, cerebral vascular accident(CVA), spinal injury, and surgery to a limb, and affected by diverse factors such as disease process, intervention method, and other biopsychosocial components. Occupational therapy as a multidisciplinary treatment approach may be potentially useful when simultaneously targeting such biological, psychological, and social components. Biological treatment can focus on increasing functional use of extremity for promoting independence. Psychological intervention can include relaxation/biofeedback training and cognitive-behavioral treatments, and social approach can focus on recreational therapy and vocational rehabilitation. Occupational therapy will encourage functional restoration, pain management, and regaining of psychological components with collaboration between different disciplines.

Study on the Temperament Construct of Sasang Typology with Biopsychological Measures (생리심리검사를 활용한 사상의학 성정의 구성개념 연구)

  • Lee, Soo Jin;Park, Soo Hyun;Chae, Han
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.27 no.2
    • /
    • pp.261-267
    • /
    • 2013
  • The purpose of this study was to examine the psychometric structure of Sasang typology with four personality measures and examine the construct validity of Sasang Personality Questionnaire (SPQ). We measured biopsychological traits of 104 university students using SPQ, Temperament and Character Inventory (TCI), NEO-Personality Inventory (NEO-PI) and Myers-Briggs Type Indicator (MBTI). The construct validity of SPQ was analyzed with TCI, NEO-PI and MBTI using Pearson's correlation. The temperament features of each Sasang groups were compared with Analysis of Variance and Profile Analysis. The SPQ showed significant correlation with TCI Novelty-Seeking (r=.398), TCI Harm-Avoidance (r=-.333), TCI Reward-Dependence (r=.465), TCI Self-Directedness (r=0.340), NEO-PI Extraversion (r=0.489) and MBTI Extraversion-Introversion (r=-0.509). The SPQ, TCI and NEO-PI revealed significant differences between Sasang constitutional groups. We examined the temperament construct of the Sasang typology and the validity of SPQ with well established western biopsychosocial instruments. This study would contribute to the objective studies on the biopsychosocial mechanism of Sasang medicine.

Psychosocial Rehabilitation of Chronic Depression (우울증 환자를 위한 정신사회 재활치료)

  • Hwang, Tae-Yeon
    • Korean Journal of Biological Psychiatry
    • /
    • v.6 no.1
    • /
    • pp.30-33
    • /
    • 1999
  • While depression is certainly a prevalent disorder, it is often severe and debilitating and does not always have the good prognosis we have been led to expect. Social approaches to affective disorders have not been subjected to the same level of scrutiny as the interventions used in the management of schizophrenia. Psychosocial Rehabilitation is now at a critical stage. Psychoeducation, social skill training, cognitive remediation, family education, vocational rehabilitation and case management programs are essential for the rehabilitation of chronic depression.

  • PDF

Assessment and Treatment of Somatization (신체화의 평가 및 치료)

  • Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.8 no.2
    • /
    • pp.149-164
    • /
    • 2000
  • Somatization is regarded as a process rather than a diagnostic entity. It should be emphasized to identify psychopathology rather than to make a choice regarding diagnosis in assessing somatizing patients. Psychiatrists should be aware of the psychosocial cues underlying the patients' physical symptoms. Special skills and strategies are required by nonpsychiatric physicians to facilitate the patients' acceptance of psychiatric treatment. The goal of treatment for somatization is management but not cure. The approach should be flexible, depending on the patients' responses and need. The difficulty in diagnosing and treating somatization is likely to be related to abnormal illness behavior such as the patients' denial of their psychosocial problems and resistance to psychiatric approach. In conclusion, biopsychosocial approach is needed to treat these patients effectively. Psychiatrists should also teach other physicians the interview skill that they could identify these patients as early as possible and facilitate their acceptance of psychiatric treatment.

  • PDF

Risk Factors of the Masticatory Function in Patients with Temporomandibular Disorders: A Cross-Sectional Cohort Study

  • Kim, Keon-Hyung;Park, Jo-Eun;Kim, Mee-Eun;Kim, Hye-Kyoung
    • Journal of Oral Medicine and Pain
    • /
    • v.44 no.3
    • /
    • pp.92-102
    • /
    • 2019
  • Purpose: To investigate the masticatory function of patients with different temporomandibular disorders (TMD) phenotypes, and to explore the risk factors for the masticatory function of TMD patients among multiple biopsychosocial variables using patient-reported outcomes (PROs). Methods: Clinical features and TMD diagnoses of 250 cases were investigated by reviewing medical records. Psychosocial factors were evaluated using four questionnaires representing pain severity and pain interference (Brief Pain Inventory), pain catastrophizing (Pain Catastrophizing Scale, PCS), psychological distress (Symptom Check List-90-Revised, SCL-90R) and kinesiophobia (Tampa Scale for Kinesiophobia for Temporomandibular Disorders, TSK-TMD). Masticatory function, as a dependent variable, was determined using the Jaw Functional Limitation Scale (JFLS). Kruskal-Wallis test and Spearman's rank correlation were used for analyses. Results: A total of 145 cases were included and classified into four subgroups including group 1: TMD with internal derangement without pain (n=14), group 2: TMD with muscle pain (n=32), group 3: TMD with joint pain (n=60) and group 4: TMD with muscle-joint combined pain (n=39). Pain severity (p=0.001) and interference (p=0.022) were the highest in group 2, but the mean global score of JFLS was the highest in group 3, followed by group 4, group 2, and group 1 (p=0.013). Pain severity, pain interference, the mean global score of PCS and the mean global score of TSK-TMD showed significant and moderate correlation with the mean global score of JFLS. All subdimensions and the global severity index of SCL-90R had significant, but weak correlations with all scores of JFLS. Conclusions: The results suggest that masticatory functional limitation depends on the TMD phenotypes. Among the various PROs, pain perception, pain catastrophizing and kinesiophobia seem to be more influential risk factors on jaw function than psychological distress, such as depression and anxiety.

The Past, Present and Future of Korean Research in Psychosmatic Medicine (한국 정신신체의학연구의 과거와 현재 그리고 미래)

  • Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.20 no.1
    • /
    • pp.9-13
    • /
    • 2012
  • Psychosomatic medicine is a part of medicine which is to find the effect of psychological, behavioral, and medical factors on the human body and disease. In the early $20^{th}$ century, the idea of psychogenesis had been developed and resulted in the concept of psychosomatic disease which was believed to be caused by psychological factors. However a multifactorial model of illness developed and it allowed illness to be viewed as a result of biopsychosocial interactions. The following have been highlighted by consultation-liaison psychiatry. Psychosomatic medicine has addressed stress and psychiatric factors which affect the etiology, course, and treatment of medical disorders. Moreover it contributes the growth of other related disciplines such as psychoneuroendocrinology, psychoimmunology, behavioral medicine, health psychology and quality of life research. Nowadays, psychosomatic field becomes enlarged because medical and surgical departments have been developed rapidly, and research methods and tools have brought forth rapid progress and advance in medical science. Therefore the author reviews the past and present psychosomatic researches and suggests the future of psychosomatic research in Korea.

  • PDF