A Framework for Understanding the Role of Psychological Processes in Disease Development, Maintenance, and Treatment: The 3P-Disease Model

A Framework for Understanding the Role of Psychological Processes in Disease Development, Maintenance, and Treatment: The 3P-Disease Model
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理解心理过程在疾病发展、维持和治疗中的作用的框架:3P 疾病模型

DOI:
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发表时间:
2019
影响因子:
3.8
通讯作者:
D. McNeil
D. McNeil
中科院分区:
心理学3区
文献类型:
--
作者:
C. Wright;Alaina G. Tiani;A. Billingsley;Shari A. Steinman;K. Larkin;D. McNeil

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健康心理学是多学科的,研究人员,从业人员和政策制定者发现自己至少需要在从心理学到生理学,公共卫生等各个领域的一定水平的能力。鉴于这种多学科本体论,先前的尝试已经建立了一个框架,以了解生物,心理和社会环境结构在疾病发展,维持和治疗中的作用。然而,其他模型并没有解释各种因素如何随着时间的推移相互作用和发展。本文的目的是应用和调整最初开发并用于治疗失眠的3P模型,以解释疾病如何发展,维持和治疗的方式来指导生物心理社会模型。本文概述了疾病状态和条件(3Ps)中的诱发因素,沉淀因素和永久因素的作用,并提供了如何调整和应用该模型的例子,以适应一些健康相关的疾病或障碍,包括慢性疼痛,胃肠道疾病,口腔疾病和心脏病。3P框架有助于促进多学科的理论方法和未来疾病研究和治疗的概念化方式。
Health psychology is multidisciplinary, with researchers, practitioners, and policy makers finding themselves needing at least some level of competency in a variety of areas from psychology to physiology, public health, and others. Given this multidisciplinary ontology, prior attempts have been made to establish a framework for understanding the role of biological, psychological, and socio-environmental constructs in disease development, maintenance, and treatment. Other models, however, do not explain how factors may interact and develop over time. The aim here was to apply and adapt the 3P model, originally developed and used in the treatment of insomnia, to couch the biopsychosocial model in a way that explains how diseases develop, are maintained, and can be treated. This paper outlines the role of predisposing, precipitating, and perpetuating factors in disease states and conditions (the 3Ps) and provides examples of how this model may be adapted and applied to a number of health-related diseases or disorders including chronic pain, gastrointestinal disorders, oral disease, and heart disease. The 3P framework can aid in facilitating a multidisciplinary, theoretical approach and way of conceptualizing the study and treatment of diseases in the future.
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