Biopsychosocial model of disease: 40 years on. Which way is the pendulum swinging?

Jull, Gwendolen

doi:10.1136/bjsports-2016-097362

Cited by 42 publications

(28 citation statements)

References 9 publications

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“…Patientspecific personal and environmental factors play critical roles in how an individual responds to injury and its consequences. 21,22 The component interactions are drawn from dynamic systems theory [23][24][25][26] and the Melzack neuromatrix theory of pain 27,28 and used to hypothesize how the primary tissue injury, the 3 categories of impairments, and personal and environmental factors may interrelate to produce a patient's clinical outcome. Lastly, the spectrum of outcomes ranges from a fully successful recovery (coper) to an indisputably unsatisfactory outcome (CAI).…”

Section: Updated Model Of Caimentioning

confidence: 99%

“…20 However, all of the ankles did fit into 1 of the 7 subgroupings when the primary categories were combined. 20 Although the Hiller et al model 20 evolved the understanding of CAI, the advent of new evidence in areas such as self-reported function, health-related quality of life, kinesiophobia, altered movement patterns, and physical activity levels, as well as contemporary injury paradigms such as the biopsychosocial model, 21,22 dynamic systems theory, [23][24][25][26] and neuromatrix of pain theory 27,28 emphasizes the need for an updated model. The purpose of our article was to describe an updated model that provides a theoretical framework for the contemporary understanding of the causes of CAI while simultaneously offering a framework for clinicians evaluating and treating patients with LASs and CAI.…”

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confidence: 99%

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An Updated Model of Chronic Ankle Instability

Hertel

Corbett

2019

Journal of Athletic Training

492

386

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Lateral ankle sprains (LASs) are among the most common injuries incurred during participation in sport and physical activity, and it is estimated that up to 40% of individuals who experience a first-time LAS will develop chronic ankle instability (CAI). Chronic ankle instability is characterized by a patient's being more than 12 months removed from the initial LAS and exhibiting a propensity for recurrent ankle sprains, frequent episodes or perceptions of the ankle giving way, and persistent symptoms such as pain, swelling, limited motion, weakness, and diminished self-reported function. We present an updated model of CAI that aims to synthesize the current understanding of its causes and serves as a framework for the clinical assessment and rehabilitation of patients with LASs or CAI. Our goal was to describe how primary injury to the lateral ankle ligaments from an acute LAS may lead to a collection of interrelated pathomechanical, sensory-perceptual, and motor-behavioral impairments that influence a patient's clinical outcome. With an underpinning of the biopsychosocial model, the concepts of self-organization and perception-action cycles derived from dynamic systems theory and a patient-specific neurosignature, stemming from the Melzack neuromatrix of pain theory, are used to describe these interrelationships.

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Section: Updated Model Of Caimentioning

confidence: 99%

mentioning

confidence: 99%

An Updated Model of Chronic Ankle Instability

Hertel

Corbett

2019

Journal of Athletic Training

492

386

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“…The biopsychosocial model, originally introduced in the late 1970s, states that an individual with a health condition needs to be understood from a biological, psychological and social perspective [ 11 ]. The extent to which each domain contributes to the understanding of a health condition varies between individuals and within individuals over time [ 12 ]. We suggest that it is helpful to move beyond strict biomedical or psychological perspectives when exploring a poorly understood condition such as increased IRD.…”

Section: Introductionmentioning

confidence: 99%

Women’s experiences of living with increased inter-recti distance after childbirth: an interview study

Crommert

Fieril²,

Gustavsson

2020

BMC Women's Health

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Background Although an increased inter-recti distance, also known as diastasis recti, is common after pregnancy, evidence-based knowledge about the condition is relatively limited. In particular, little is known about the consequences as perceived by the women. The objective of the present study was to describe how postpartum women with increased inter-recti distance experience the condition as well as the contacts they have had with healthcare providers regarding their symptoms. Methods A purposeful sampling approach was used to recruit 19 participants from an existing study cohort of 144 women. All participants had an inter-recti distance of at least two finger widths and at least one child, with the youngest child between the ages of 1 and 6 years. Individual interviews based on a semi-structured interview guide were performed and subsequently analysed using qualitative content analysis. Results Four categories emerged from the interviews: the body’s function and ability has changed; the body does not look like it used to; uncomprehending attitudes and treatment in their surroundings; and trying to acquire an understanding of and strategies to cope with the diastasis. The findings reveal that women with increased inter-recti distance might experience fear of movement and engage in avoidance behaviour. In combination with feelings of physical instability in the midsection of their bodies and body dissatisfaction, many of the women restrict their everyday lives and physical activities. Conclusions The findings indicate that increased inter-recti distance is a complex phenomenon that affects the women in a multitude of ways, highlighting the importance of considering the condition for each individual in her own context from a biopsychosocial perspective.

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“…Nevertheless, we should also consider the ways in which the bio-psycho-social factors have the capacity to influence and restructure each other over time (Jull, 2017;Haslam et al, 2018). Moreover, if the hypothesis based on the hyperarousal theory and the theory of entrapment can be confirmed, then the next step is to reveal whether a decrease in psychological distress with adequate treatment induces daytime sleepiness in OSA patients .…”

Section: Social Support and Suicidal Ideationmentioning

confidence: 99%

“…Thus, the graphical presentation of the biopsycho-social factors as three mainly symmetrical areas can cause misleading information or errors in the clinical reasoning (Haslam et al, 2018). Therefore, when interpreting our results, we need to consider the relative and variable contributions of each domain of the bio-psycho-social model to individual patients' presentations over time (Jull, 2017;Haslam et al, 2018).…”

Section: Social Support and Suicidal Ideationmentioning

confidence: 99%

Self-reported health outcomes in patients with obstructive sleep apnoea: Unraveling the role of bio-psycho-social factors

Timková¹

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Self-reported health outcomes in patients with obstructive sleep apnoea Unraveling the role of bio-psycho-social factors Vladimira Timkova Copyright © Vladimira Timkova Thesis for the University of Groningen, the Netherlands-with summaries in Dutch and Slovak. All rights reserved. No parts of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise, without prior written permission of the author.

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Biopsychosocial model of disease: 40 years on. Which way is the pendulum swinging?

Cited by 42 publications

References 9 publications

An Updated Model of Chronic Ankle Instability

An Updated Model of Chronic Ankle Instability

Women’s experiences of living with increased inter-recti distance after childbirth: an interview study

Self-reported health outcomes in patients with obstructive sleep apnoea: Unraveling the role of bio-psycho-social factors

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