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How does socio economic status impact on health
Key points of the biopsychosocial model of health and illness
Key points of the biopsychosocial model of health and illness
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Health Psychology Case Report: Grace Peters
Engel’s biopsychosocial model attempts to explain illness through the interaction between biological, psychological, and social factors. Differing from the traditional biomedical model in that it focuses on patient-centred care rather than the biological condition, this model has improved the approach to preventative medicine. This paper will provide a biopsychosocial analysis of the case of Grace Peters, and discuss the relevant psychological issues with regards to the theory of planned behaviour (TPB), the social cognitive theory (SCT), and Maslow’s Hierarchy of Needs.
Conforming to the biomedical model, the traditional approach to disease in medicine was organ-oriented; a perspective that significantly
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Psychological factors include financial stress, being her family’s primary provider, thinking that paying bills is more important than her health, not appreciating the need for change, and having little expectations that anything she does will result in weight loss because she is “just like” her overweight Mother. Social issues include being in the lower socioeconomic bracket, having an unemployed husband, her job status (i.e. cleaner), and long working hours that limit social interaction. Consistent with the biopsychosocial model, the interplay between these factors can have outstanding effects on Grace’s well-being. For example, the interaction between her psychological factors and having a family history of being overweight is likely to negatively impact her attitudes towards any prescribed intervention that she is given for her issues. This can be portrayed by her aversion to change, and unvarying weight despite encouragement from her doctor to eat healthier and exercise regularly. Similarly, the interplay between her psychological and social factors suggest that she may lose the support that she requires in her relationships to effectively cope with her circumstances. Without these, Grace may not be motivated to or be proactive in producing the changes needed to improve her health, and will continue to follow a …show more content…
Self-efficacy greatly influences the activities that people choose, the goals that they set, and the effort and persistence that they will have in performing a behaviour. When an individual possesses high self-efficacy, they tend to set higher goals, exert more effort in the activities in which they engage, and are more persistent when challenges are presented, despite having the same initial abilities to someone with low self-efficacy (Ormrod, 2016). It is evident that Grace has low self-efficacy because she does not believe that anything she does will result in weight loss. Consequently, she is likely to set lower goals, exert minimal efforts into losing weight, and give up more easily because she foresees
However, these views don’t take social process into consideration. Therefore, they organized a self-help group for bulimics and anorexics known as BANISH in order to determine what societal aspects cause these disorders. The author’s group consisted mostly of college age females which is significant because this is group primarily affected by these disorders. Interestingly, the backgrounds of the women in the BANISH group are strikingly similar in that they are excellent students, good children who have very close parental relationships, from “functional” families - all having been brought up with an emphasis on thin physical appearance. The authors also allude to the fact that in today’s society, slimness is considered attractive and most worthy, while being overweight is viewed as both morally and physically wrong. Society labels heavy people as “lazy, obscene, and unhealthy”. (244) It is noted that when members of the group lost weight, they reported feeling more accepted and
In Andre Dubus’ The Fat Girl, Louise is a young adolescent with detrimental eating habits and broken self-esteem. Her lack of self-confidence stems from her atrocious emotional habitat. Louise receives constant criticism from her mother regarding her weight. Her mother states “If you are fat the boys won’t like you.” That kind of ridicule being said by a mother to her 9 year old daughter creates an atmosphere of self-hatred and self-loathing. It is not only her familial environment that contributes so greatly to Louise’s destructive behavior. She has few friends and the one’s she does have agree she needs to change. The society in which she lives also is a contributing factor; the society is laden with stigmas positioned on appearance. That manner of daily ridicule only introverts Louise even more, causing her secretive, binge eating to deteriorate. In research conducted by Ursula Polli-Potts PhD, Links between Psychological Symptoms and Disordered Eating behaviors in Obese Youths, she explains the correlation between psychological, emotional factors and eating disorders in overweight adolescents. Potts states, “The association between binge eating symptoms and eating in response to feelings of distress and sadness with depression/anxiety symptoms corresponds with the results of other studies.” Potts and her colleagues took overweight adolescents and placed them into control and variable groups to ensure correct data. The outcome of their research was that there is a direct correlation with emotional binge eating and psychological factors. Although more extensive research needs to be implemented, Potts and associates were pleased with the results of the case studies.
Although Brandy does not go on direct binges, she does pig out on candy and related junk food occasionally. Second, she tries to eat healthy and has defaulted to purging in order to stay skinny. Therefore, Brandy meets the second condition on the DSM-5 checklist for bulimia nervosa: “inappropriate behavior in order to prevent weight gain” (Comer, 2013, p.320). Nonetheless, instead of her symptoms lasting longer than a week, the side-effects of her condition continue endlessly. Lastly, all the signs and symptoms negatively impact Brandy’s self-esteem and self-concept. One could say the entire problem has an “undue influence of weight or shape on self-evaluation” (Comer, 2013, p.320). For example, Brandy believes no one wants to be around her because they are disgusted by her weight and overall appearance. Therefore, she shuts herself off from her friends and society. When individuals start paying too much attention, she begins to feel nervous and
In an episode of the popular sitcom Full House, “Shape Up,” DJ Tanner under-eats and over-exercises, but she recovers from her negative relationship with food and exercise by the end of the episode. Though it should be noted that this episode does not claim to represent a specific eating disorder and does not glamorize eating disorders in any way, representations like this solidify the stereotype that eating disorders are easily solved and recovered from. Also, eating disorders can be tied to other disabilities of mental health, including bipolar disorder, Obsessive Compulsive Disorder, anxiety, and depression (Adair). Disabilities of mental health in general are often intertwined. This can be seen in The Quiet Room; Schiller often shows signs of depression and anxiety during treatment. In Schiller’s case and in many others, disabilities of mental health can snowball in many ways.
Mr. A is burdened with both of these diseases and he may suffer from further complications in the future do to his condition. Public health education campaigns can inform Mr. A that he is experiencing a pre-contemplation behavioural stage in which he is not aware of a need to change his current lifestyle. As previously stated, the case shows that study Mr. A is not currently living a lifestyle that supports the management of his current health conditions. In conjunction with the transtheoretical theory, health campaigns can inform Mr A about his diagnosed conditions and encourage him to change his habits by understanding the 6 behavioural stages. Although the transtheoretical model of can be beneficial in educating Mr. A’s behaviour. Addition of maslow’s hierarchy of needs theory would yield a better outcome for Mr. A by explaining why he has not currently changed his behaviour. Communities can additionally help to support Mr. A by taking on the role of facilitating, participating, fundraising and volunteering in health promotions. With the amalgamation of the knowledge of behavioural theories, exposure to multimodal education campaigns and communities participating in health education interventions, Mr. A can be informed if his current health
Ross, C. E. (1999). Overweight and depression. Journal of Health and Social Behavior, 35(1), 63-79.
Interest in the social aspects of obesity is nothing new. Jeffrey Sobal has written extensively about the social and psychological consequences of obesity , including the stigmatisation and discrimination of obese and even overweight individuals (Sobal 2004).
Firstly, as a GP, it is crucial to explore the biopsychosocial model of health. One must realise that biological, psychological and social factors all contribute to a person’s overall health. The social dimension cannot be ignored in Anne’s case. According to the World Health Organisation, the social determinants of health are ‘the conditions in which people are born, grow, live, work and age.’ (World Health Organisation. 2013) From the information provided, one could suggest that various social factors have contributed to Anne’s obesity. Anne grew up in a deprived area of the inner city. Growing up in a deprived area does not directly cause obesity, however, social determinants are known as causes of the causes of ill health. (WMA. 2011) Obesity can be caused by consuming too many calories, leading a sedentary lifestyle and not sleeping enough. (Christian Nordqvist. 2011) These, in turn, could be referred to as consequences of living in the inner city. Studies have shown that ‘inner city parents have high levels of anxiety about neighbourhood safety. While these concerns may not entirely explain the discrepancy in activity levels between inner city and suburban children, a safe environment is crucial to increasing opportunities for physical activity.’ (Weir, L.A., Etelson, D. & Brand, D.A. 2006) Similarly, it is possible that Anne’s socio-economic status has influenced her smoking since a person below the poverty threshold is more likely than somebody at or above the threshold to be both a current smoker and not to have quit. (Flint, A.J. & Novotny, T.E. 1997)
Human behavior is a vital component in the sustainment of health and the prevention of illness. For some decades now there has been an increasing attention to the contribution of psychological and social components to improving and changing health. Health specialists have used the help of models of behavior change in order to reduce health risks. Through all these years psychosocial models have been a leading influence in predicting and explaining health behaviors. The most accustomed are the social cognition models. A central principle of social cognition is that people’s social behavior is comprehended by examining their perceptions about their own behaviour
This model considers other aspects of an individual 's life such as their culture and environment. Unlike the biomedical model, the social model tries to prevent the disease in the first place, so it focuses more on educating people and health promotion. The biomedical looks at an individual’s physical disease but the social model also looks at a person’s well-being. According to Stephan Sutton, Andrew Baum and Marie Johnston (2004) the SAGE Handbook of Health psychology ‘a combination of high psychological demands, such as time pressure and low decision latitude increases the risk of psychophysiological stress reactions and subsequent ill
The biomedical model of health has been criticised because it fails to include the psychological and social causes relating to an individual’s medical illness or health, looking only at the biological causes (Giddens and Sutton, 2013). Therefore, sociologists being aware of the impacts of social structure and lifestyle on health have put in various efforts to place the study of ‘the social’ at the core of health and healthcare examination.
conditions in her life and marriage, she is not able to make real changes – like most of the
Health Psychology: Psychological constructs at various stages of Fatima's health Introduction Health Psychology is seen as the study of illnesses while focusing mainly on health behavior, illness beliefs, behavior change and health outcomes (Ogden 2017). Basically, health Psychology is the study of how psychology contributes to any physical health problem. The biomedical model states that illness come from outside the body and causes a physical change within (Ogden 2017) Health psychology believes that we need a combination of the biomedical and psychological approach to health and illness but so far there has been challenges. (Robert 2009)
Health psychology is a relatively new concept rapidly growing and could be defined as the biological and psychological influences affect ones behaviour also bringing in social influences of health and illness (MacDonald, 2013). Biological determinants consider genetic and biological factors of an illness whereas psychological determinants focus on the psychological factors such as why people behave the way they do when dealing with issues such as anxiety and stress. Models such as the Health Belief Model and Locus of Control were developed in attempt to try and explain psychological issues around a chronic illness such as breast cancer (Ogden, 2012). Sociological factors can cause an enormous amount of pressure for one to behave in a certain way for example gender roles in society and religious considerations when dealing with health beliefs. Health Beliefs can be defined as one’s own perception to their own personal health and illness and health behaviours (Ogden, 2012). There are also theories and models used to explain pain and coping with diagnosis such as Moos and Schaefer (1984) Crisis theory and Shontz (1975) cycle of grief people go through when being diagnosed with a serious illness.
The concept of self-efficacy is grounded in Bandura’s (1977) social learning theory. Bandura (1994) defines perceived self-efficacy as “people’s beliefs about their capabilities to produce efforts” (p. 71). In essence, one having strong self-efficacy experience increase in motivation, accomplishment, and personal well-being ( Bandura, 1994). Those with a low sense of self-efficacy, on the other hand, often suffer stress and depression; unbelieving of their capabilities and often succumbed to failure (Bandura, 1994).