:::

詳目顯示

回上一頁
題名:建構以生物心理心靈社會面向於疾病之壓力-資源-調適模型圖:SRC BPS模型
書刊名:醫學與健康期刊
作者:蔡崇煌 引用關係黃素雲胡月娟 引用關係李孟智
作者(外文):Tsai, Chung-huangHuang, Su-yunHwu, Yueh-juenLee, Meng-chih
出版日期:2014
卷期:3:1
頁次:頁11-24
主題關鍵詞:調適策略個別化醫學教育壓力Coping strategyIndividualizedMedical educationStress
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:22
  • 點閱點閱:20
生物心理社會(Biopsychosocial; BPS)模型同時考量不同面向,但從字面上看,無法完全解釋相似壓力下,引致疾病的個別化差異;家庭壓力模型(ABCX)或健康照護模型(ABCDX),多加調適策略,則可解釋之,且改變生活型態亦可由此呈現,是比BPS模型更完整的呈現模式,但ABCD個別代表的意義,無法直接由其字母判定,致不易理解,且由字面上看亦未包含心理(靈)面向。因此,本文以蹺蹺板圖型,將以上模型做一整合,提出以BPS面向於疾病的壓力-資源-調適模型理論,是更完整的呈現模型。此模型有幾個特徵,1.以圖示呈現模型,將個人外形、內臟器官系統及心理(靈)代表一個完整個體,以蹺蹺板及BPS表示之,2.將ABCDX之壓力與資源、Double ABCX之時間考量及BPS融入模型中,位蹺蹺板兩側,3.支點代表面對壓力的調適策略,亦受BPS因素影響,進而改變支點不同位置及形狀,4.以SRC BPS命名之,字義分別代表壓力(stress)、資源(resource)、調適(coping)策略及生物心理心靈社會。本模型可供醫療人員的臨床應用,及畢業後一般醫學訓練全人醫療之醫學教育參考。
The biopsychosocial (BPS) model comprehensively explains the causes of illness, but it cannot interpret differences in individuals suffering similar stresses as well as ABCX the ABCDX models, which incorporate coping strategies. The latter two models also reveal modifications in lifestyle modification, making them more comprehensive than the BPS model. However, it is difficult to understand and interpret the different dimension of the ABC or ABCD of these models as their definitions of biomedical status do not include the psycho and spiritual dimensions. Therefore, the seesaw model was developed by integrating both models. In this model, first, the whole body with personal appearance, internal organ and psychology/spirit is displayed along with the traditional BPS. Second, the stress and resource dimentions of ABCX or ABCDX and the time sequence of Double ABCX are integrated with aspects of BPS, and located at either side of the seesaw. Third, the dynamic fulcrum, which denotes the coping strategy affected by BPS factors resulting in the different site and shape, is used to indicate the individualized differences. Fourth, SRC BPS is used to denote stress, resource, coping strategy and biopsychospiritsocial dimensions, respectively. Together, these make it possible for the model to serve as a reference for family physicians, other medical sub-specialties, and post-graduate students receiving further general medical education.
期刊論文
1.Schwartz, G. E.(1982)。Testing the biopsychosocial model: the ultimate challenge facing behavioral medicine。Journal of Consulting and Clinical Psychology,50(6),1040-1053。  new window
2.Halpert, A.、Drossman, D.(2005)。Biopsychosocial issues in irritable bowel syndrome。Journal of Clinical Gastroenterology,39(8),665-669。  new window
3.張琦郁、鄭逸如、呂碧鴻、陳秀蓉、洪福建(20090400)。身心壓力諮商門診患者之特性分析。臺灣家庭醫學研究,7(2),70-80。  延伸查詢new window
4.鄭逸如、呂碧鴻、陳秀蓉、李宇芬、吳英璋、陳慶餘(20031000)。壓力模式與壓力分析在家庭醫學部病人之應用:初探。臺灣家庭醫學研究,1(1),22-32。  延伸查詢new window
5.Soeiro, L. N.(1960)。Vagrancy and mendicity. Bio-psycho-social problem。Jornal do médico,41,189-200。  new window
6.Bergeron, M.(1951)。Bio-psycho-social problem of juvenile vagabondage。Le Medecin generaliste de France,11,77-81。  new window
7.Woods, S. B.、McWey, L. M.(2012)。A Biopsychosocial Approach to Asthma in Adolescents Encountering Child Protective Services。Journal of Pediatric Psychology,37(4),404-413。  new window
8.蔡崇煌、徐敏綺(20080700)。評估生物心理社會模式論文之發表情形。臺灣家庭醫學研究,6(3/4),124-133。  延伸查詢new window
9.Armstrong, D.(1987)。Theoretical tensions in biopsychosocial medicine。Social Science & Medicine,25(11),1213-1218。  new window
10.Engel, G. L.(1960)。Aunified concept of health and disease。Perspectives in Biology and Medicine,3,445-59。  new window
11.Lalonde, M.(1974)。A conceptual framework for health。RNAO News,30(1),5-6。  new window
12.Laframboise, H. L.(1973)。Conceptual approach to the analysis and evaluation of the health field。L'union medicale du Canada,102,1128-1133。  new window
13.Shimizu, K.、Nakaya, N.、Saito-Nakaya, K.(2012)。Clinical biopsychosocial risk factors for depression in lung cancer patients: a comprcheasive analysis using data from the Lung Cancer Database Project。Annals of Oncology,23(8),1973-1979。  new window
14.Zucker, K. J.、Wood, H.、Singh, D.、Bradley, S. J.(2012)。A Developmental, Biopsychosocial Model for the Treatment of Children with Gender Identity Disorder。Journal of Homosexuality,59(3),369-97。  new window
15.Hill, R.(1958)。Social stresses on the family-generic features of families under stress。Social Casework,39,139-150。  new window
16.Engel, George L.(1980)。The clinical application of the biopsychosocial model。The American Journal of Psychiatry,137(5),535-544。  new window
17.吳英璋(1983)。適應困難的發生--一種心理學的探討。中國心理衛生學刊,26,48-55。  延伸查詢new window
18.Basco, M. R.、Celis-de Hoyos, C. E.(2012)。Biopsychosocial Model of Hypersexuality in Adolescent Girls With Bipolar Disorder: Strategies for Intervention。Journal of Child and Adolescent Psychiatric Nursing,25(1),42-50。  new window
19.Barone, J. E.、Ivy, M. E.(2004)。Resident work hours: the five stages of grief。Academic medicine : Journal of the Association of American Medical Colleges,79(5),379-80。  new window
20.Peyrot, M.、McMurry, J. F. Jr.、Kruger, D. F.(1999)。A Biopsychosocial Model of Glycemic Control in Diabetes: Stress, Coping and Regimen Adherence。Journal of Health and Social Behavior,40(2),141-158。  new window
21.Koplan, J. P.、Bond, T. C.、Merson, M. H.(2009)。Towards a common definition of global health。Lancet,373(9679),1993-1995。  new window
22.吳英璋(1994)。壓力的因應與成功因應的副作用。測驗與輔導,123,2511-2516。  延伸查詢new window
23.陳慶餘、吳英璋(19870400)。以生物心理社會模式探討臺大新生之身心症狀。中華心理衛生學刊,3(1),89-105。new window  延伸查詢new window
24.Engel, George L.(1977)。The need for a new medical model: A challenge for biomedicine。Science,196(4286),129-136。  new window
25.McCubbin, H. I.、Patterson, J. M.(1983)。The family stress process: The double ABCX model of adjustment and adaptation。Marriage & Family Review,6(1/2),7-37。  new window
圖書
1.Cox, T.(1978)。Stress。London:MacMillan。  new window
2.吳英璋、金樹人、許文耀(1991)。面對壓力--身心健康手冊(高中職教師)。教育部訓育委員會。  延伸查詢new window
3.李孟智(2003)。家庭醫學與全民健保醫業管理。台北市:合記圖書出版社。  延伸查詢new window
4.劉信吾(2009)。組織與管理心理學。台北市:心理出版社。  延伸查詢new window
5.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
其他
1.WHO。Mental health: a state of well-being,http://www.who.int/features/factfiles/mental_health/en/, 2014/01/23。  new window
2.Loiselle, M.,McKenzie, L.。The wellness wheel: An Aboriginal contribution to social work,Universite du Quebec en Abitibi-Temiscamingue。,http://www.stu.ca/~spirituality/Loiselle.pdf, 2014/01/23。  new window
3.李志哲(2030)。認識車輛傳動系統,正確對調輪胎,http://g88203041.pixnet.net/blog/post/33817183-%E8%AA%8D%E8%AD%98%E8%BB%8A%E8%BC%9B%E5%82%B 3%E5%8B%95%E7%B3%BB%E7%B5%B1%EF%BC% 8C%E6%AD%A3%E7%A2%BA%E5%B0%8D%E8%AA%BF%E8%BC%AA%E8%83%8E, 2014/01/23。  new window
4.陳俊欽。調適策略,http://www.reangel.com/05-Read. php?LI=199, 2014/01/23。  new window
5.張慧羽。自然汰選,http://campus2.cligsh.chc.edu.tw/science/content/1986/00070199/0004.htm, 2014/01/23。  new window
6.吳英璋。壓力的因應,http://health.edu.tw/health/upload/tbteaching_kb/d20040411060732.doc, 2014/01/23。  new window
7.Recognising possible triggers of mental illness onset or relapse: The stress-vulnerability-coping model of mental illness,http://www.mifellowship.org/sites/default/files/styles/Fact%20Sheets/Stress%20Vulnerability%20Coping%20Model.pdf, 2014/01/23。  new window
8.王宏育。腸胃疾病知多少,http://talk.news.pts.org.tw/2010/12/blog-post.html, 2014/01/23。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
:::
無相關著作
 
QR Code
QRCODE