Dworkin S F
Department of Oral Medicine, University of Washington, Seattle, Washington, USA.
J Indiana Dent Assoc. 2000;79(4):11-5.
The clinical field of behavioral medicine has become firmly entrenched as an indispensable part of modern health care. From a biopsychosocial perspective, susceptibility to disease invokes a powerful mix of complex factors beyond biology. Behavioral pathogens can be identified which cause us to get sick, stay sick, and resist sound treatment. Biopsychosocially based scientific inquiry can contribute to a more enriched understanding of fear of dental procedures, management of pain, prevention of oral malignancy, and changing patterns in availability of dental care. Dentistry will need to take new directions in research to understand behavioral and psychosocial factors as well as biologic factors that promote and contribute to health and disease.
行为医学的临床领域已牢固确立为现代医疗保健不可或缺的一部分。从生物心理社会角度来看,疾病易感性引发了一系列超越生物学范畴的复杂因素。可以识别出导致我们生病、久病不愈以及抗拒有效治疗的行为致病因素。基于生物心理社会的科学探究有助于更深入地理解对牙科治疗的恐惧、疼痛管理、口腔恶性肿瘤的预防以及牙科护理可及性的变化模式。牙科需要在研究中开拓新方向,以了解促进和导致健康与疾病的行为、心理社会因素以及生物因素。