The Unifying Concept of Illness Behavior

Sirri, Laura; Fava, Giovanni A.; Sonino, Nicoletta

doi:10.1159/000343508

Cited by 105 publications

(99 citation statements)

References 140 publications

(109 reference statements)

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“…In depressed patients with a history of type A behavior, use of mood-elevating strategies may be contraindicated. Psychotherapeutic strategies aimed at preventing reassumption of hypomanic features, particularly if they are concerned with illness behavior including underestimation of vulnerability to unhealthy habits and illness progression [82], may be more suitable. These patients should not be encouraged to return to their premorbid functioning, but rather to adopt a more adaptive lifestyle [83], e.g.…”

Section: Type a Behavior: A Reassessment Is Overduementioning

confidence: 99%

Is Depression the Wrong Treatment Target for Improving Outcome in Coronary Artery Disease?

Rafanelli¹,

Sirri

Grandi³

et al. 2013

Psychother Psychosom

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Section: Type a Behavior: A Reassessment Is Overduementioning

confidence: 99%

Is Depression the Wrong Treatment Target for Improving Outcome in Coronary Artery Disease?

Rafanelli¹,

Sirri

Grandi³

et al. 2013

Psychother Psychosom

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“…Furthermore, this study did not assess illness behavior or related constructs. Illness behavior helps explain the different ways in which people perceive, evaluate, and respond to symptoms (50). Future studies should examine how illness behavior impacts the association between purpose and health care use.…”

mentioning

confidence: 99%

Purpose in life and use of preventive health care services

Kim

Strecher

Ryff

2014

Proc. Natl. Acad. Sci. U.S.A.

255

204

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Purpose in life has been linked with better health (mental and physical) and health behaviors, but its link with patterns of health care use are understudied. We hypothesized that people with higher purpose would be more proactive in taking care of their health, as indicated by a higher likelihood of using preventive health care services. We also hypothesized that people with higher purpose would spend fewer nights in the hospital. Participants (n = 7,168) were drawn from the Health and Retirement Study, a nationally representative panel study of American adults over the age of 50, and tracked for 6 y. After adjusting for sociodemographic factors, each unit increase in purpose (on a six-point scale) was associated with a higher likelihood that people would obtain a cholesterol test [odds ratio (OR) = 1.18, 95% confidence interval (CI) = 1.08-1.29] or colonoscopy (OR = 1.06, 95% CI = 0.99-1.14). Furthermore, females were more likely to receive a mammogram/ X-ray (OR = 1.27, 95% CI = 1.16-1.39) or pap smear (OR = 1.16, 95% CI = 1.06-1.28), and males were more likely to receive a prostate examination (OR = 1.31, 95% CI = 1.18-1.45). Each unit increase in purpose was also associated with 17% fewer nights spent in the hospital (rate ratio = 0.83, 95% CI = 0.77-0.89). An increasing number of randomized controlled trials show that purpose in life can be raised. Therefore, with additional research, findings from this study may inform the development of new strategies that increase the use of preventive health care services, offset the burden of rising health care costs, and enhance the quality of life among people moving into the ranks of our aging society.purpose in life | meaning in life | well-being | health screening T hree factors converge to underscore the heightened importance of preventive health care services among United States adults. First, there is the rapidly aging population: by 2050, the number of United States adults over the age of 65 is estimated to double (1). Second, there is the rising cost of medical care: chronic illnesses and end-of-life issues that older adults face are expensive. The Congressional Budget office projects that spending on Medicare will nearly double as a share of gross domestic product (GDP), from 3.7% in 2012 to 7.3% by 2050 (2). Third, despite spending more on health care than any country in the world, United States adults generally have poorer health and lower life expectancies than those in other developed countries (3,4). This health disadvantage is not solely attributable to those who are poor and underprivileged, because even wealthy, educated Americans are in poorer health than their counterparts in comparable countries (3, 4).These troublesome realities could be offset by greater use of preventive health care services, which are known to enhance health and reduce health care costs. However, in 2007 the Brookings Institution estimated that only 4% of the $1.7 trillion spent on national health expenditures was for prevention (5). Older adults, in particular, use less prev...

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“…Además, proporcionan una clasificación de las conductas de enfermedad (ansiedad por la salud, negación de la enfermedad, fobia a la muerte y a la enfermedad, somatización, síntomas de conversión, sínto-mas somáticos funcionales, reacción de aniversario), las cuales reflejan distintos modos mediante los cuales las personas perciben, experimentan, evalúan y responden al propio estado de salud (Sirri, Grandi, & Fava, 2008). La conducta de enfermedad es un predictor significativo del uso de los servicios sanitarios, la automedicación y la adherencia terapéuti-ca, ejerciendo así un impacto nada desdeñable sobre los costes médicos y la carga laboral del personal sanitario (Sirri, Fava, & Sonino, 2013). De hecho, la conducta de enfermedad ha sido propuesta como un concepto unificador que podría explicar parte de la variabilidad de la respuesta terapéutica y el pronóstico de pacientes que sufren la misma enfermedad .…”

Section: Consideración Holística De La Atención Al Pacienteunclassified

Contribuciones de la Medicina Psicosomática a la Medicina Clínica y Preventiva

Montiel

Fava²,

Sonino

2016

AN PSICOL-SPAIN

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Resumen: El trabajo ofrece una revisión actualizada de las principales contribuciones de la Medicina Psicosomática a la medicina clínica y preventiva. Su contenido se basa en los resultados de revisiones sistemáticas, metaanálisis y estudios controlados. La evidencia acumulada indica que la perspectiva psicosomática podría contribuir significativamente a mejorar los resultados de la atención sanitaria, mediante una práctica clínica holística, la evaluación de los factores psicosociales implicados en la vulnerabilidad individual y la integración de intervenciones psicológicas en medicina. Dicha evidencia constituye el terreno ideal para afrontar necesidades emergentes en sanidad, como la gestión de enfermedades crónicas y de síntomas inexplicables, el paciente como productor activo de salud, la prevención temprana y una valoración de resultados que supere el reduccionismo biomédi-co. Palabras clave: medicina psicosomática; biopsicosocial; conducta de enfermedad; atención sanitaria.Title: Contributions of Psychosomatic Medicine to Clinical and Preventive Medicine. Abstract: This paper provides an updated review of the main contributions of Psychosomatic Medicine to clinical and preventive medicine. Metaanalyses, comprehensive reviews and controlled studies were selected. Current advances in the field indicate that health care can be improved by using a psychosomatic approach that takes into account psychosocial factors affecting individual vulnerability, the holistic consideration of patient care, and the integration of psychological interventions in medicine. Consolidated evidence in Psychosomatic Medicine provides the ideal background for dealing with new needs emerging in medical practice, including chronic illness management, somatic unexplained symptoms, the shift in the role of patients from health consumers to actively health producers, primary earlylife prevention, and the appraisal of health outcomes beyond the biomedical reductionism. Keywords: psychosomatic medicine; biopsychosocial; illness behavior; health care. IntroducciónEl término "psicosomático" se ha usado, con frecuencia, para hacer referencia a fenómenos distintos, denotando o generando así cierta ambigüedad en su significado. A veces se ha usado para aludir a un movimiento renovador en Medicina; otras, para referirse a la investigación sobre factores psicológicos implicados en la etiología de las enfermedades físi-cas, para clasificar enfermedades en las que se hipotiza que los factores psicológicos jueguen un papel crucial o, incluso, como etiqueta genérica para denominar todos aquellos sín-tomas somáticos para los que no se dispone de una explicación médica demostrada. Ninguna de estas acepciones es, sin embargo, completa o, al menos, ninguna refleja el concepto de Medicina Psicosomática (MP) que se ha desarrollado en los últimos años . La ambigüedad del término "psicosomático" deriva, probablemente, de la identificación de la MP con algunos de los marcos teóricos y/o métodos de investigación particulares de entre los que han formado parte ...

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The Unifying Concept of Illness Behavior

Cited by 105 publications

References 140 publications

Is Depression the Wrong Treatment Target for Improving Outcome in Coronary Artery Disease?

Is Depression the Wrong Treatment Target for Improving Outcome in Coronary Artery Disease?

Purpose in life and use of preventive health care services

Contribuciones de la Medicina Psicosomática a la Medicina Clínica y Preventiva

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