Levi L
Division of Psychosocial Factors and Health, Karolinska institutet, Stockholm, Sweden.
Acta Physiol Scand Suppl. 1997;640:103-6.
The interactive etiological and pathogenic processes between physical and psychosocial environ-mental stimuli, the individual's appraisal of these influences, and his or her reactions to them in terms of emotion, cognition, behaviour, and physiology; the modification of these reactions through coping, social support, and other interacting variables; and the resulting changes in health and well-being--are extremely complex and poorly understood. Against this background, this paper argues for a biopsychosocial approach, based on an ecological model influenced by, and influencing, James P. Henry's related approaches. This approach is exemplified in six studies carried out by our group and briefly reviewed in this paper.
身体和心理社会环境刺激之间的交互病因和致病过程、个体对这些影响的评估,以及他或她在情绪、认知、行为和生理方面对这些影响的反应;通过应对、社会支持和其他相互作用变量对这些反应的调节;以及由此导致的健康和幸福的变化——极其复杂且了解甚少。在此背景下,本文主张采用一种生物心理社会方法,该方法基于受詹姆斯·P·亨利相关方法影响并对其产生影响的生态模型。我们团队进行的六项研究体现了这种方法,并在本文中进行了简要回顾。