Possibility of a systemic biopsychosocial approach to the examination of adolescent orthopedic patients using the data of primary express-diagnostics of PSAF autodesadaptation
- Authors: Baindurashvili A.G.1,2, Soloviev M.M.3, Solovyova K.S.1, Pyatakova G.V.4, Zharuk I.A.1, Solovyova A.M.5, Baindurashvili A.A.3
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Affiliations:
- H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
- North-Western State Medical University named after I.I. Mechnikov
- Academician I.P. Pavlov First Saint Petersburg State Medical University
- Saint Petersburg State Pediatric Medical University
- Almazov National Medical Research Centre
- Issue: Vol 11, No 3 (2023)
- Pages: 417-426
- Section: Discussion
- Submitted: 31.05.2023
- Accepted: 27.07.2023
- Published: 29.09.2023
- URL: https://journals.eco-vector.com/turner/article/view/471287
- DOI: https://doi.org/10.17816/PTORS471287
- ID: 471287
Cite item
Abstract
BACKGROUND: A complex biopsychosocial approach to the diagnosis and treatment of patients of different ages and pathologies is a doctrine of modern medicine. However, this approach is slowly being implemented in practical healthcare, and a biomedical orientation and approach remains the dominant model.
AIM: To demonstrate the possibility of using the primary express diagnostics of PSAF autodesadaptation as the first unifying step to realize the biopsychosocial approach in the examination of adolescents and young adult patients with orthopedic pathology and traumatic injuries.
MATERIALS AND METHODS: The article presents the analysis of literary sources to substantiate the relevance of the biopsychosocial approach in medicine. Clinical examples and preliminary analysis of the express diagnostics of PSAF autodesadaptation in seven inpatients were also presented.
RESULTS: The expression and structure of patients’ complaints were obtained. Thus, individual-oriented recommendations for the treatment and rehabilitation of these patients were developed.
CONCLUSIONS: Further development and refinement of the technique of the primary express diagnostics of PSAF autodesadaptation, given its simplicity and accessibility, can allow its use during admission in a specialized hospital and outpatient admission when carrying out rehabilitation measures.
Full Text
About the authors
Alexey G. Baindurashvili
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery; North-Western State Medical University named after I.I. Mechnikov
Email: turner011@mail.ru
ORCID iD: 0000-0001-8123-6944
SPIN-code: 2153-9050
Scopus Author ID: 6603212551
MD, PhD, Dr. Sci. (Med.), Professor, Member of RAS, Honored Doctor of the Russian Federation
Russian Federation, Saint Petersburg; Saint PetersburgMikhail M. Soloviev
Academician I.P. Pavlov First Saint Petersburg State Medical University
Author for correspondence.
Email: solmm@rambler.ru
ORCID iD: 0000-0001-8608-3713
SPIN-code: 7458-9083
MD, PhD, Dr. Sci. (Med.), Professor, Honored Worker of Science
Russian Federation, Saint PetersburgKarina S. Solovyova
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: ks.solovyeva37@mail.ru
ORCID iD: 0000-0002-1890-2286
SPIN-code: 8427-6275
MD, PhD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, Saint PetersburgGalina V. Pyatakova
Saint Petersburg State Pediatric Medical University
Email: pyatakova@yandex.ru
ORCID iD: 0000-0002-9830-9959
SPIN-code: 1119-5811
Scopus Author ID: 57193279339
ResearcherId: P-1237-2015
PhD, Cand. Sci. (Psychol.), Assistant Professor
Russian Federation, Saint PetersburgIvan A. Zharuk
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: ivanzharuk@gmail.com
ORCID iD: 0009-0005-3899-0761
SPIN-code: 2750-5207
Russian Federation, Saint Petersburg
Anna M. Solovyova
Almazov National Medical Research Centre
Email: Anna-solovyeva@mail.ru
ORCID iD: 0000-0001-9845-2539
SPIN-code: 5523-5347
MD, PhD, Dr. Sci. (Med.), Professor
Russian Federation, Saint PetersburgAnna A. Baindurashvili
Academician I.P. Pavlov First Saint Petersburg State Medical University
Email: korably2001@mail.ru
ORCID iD: 0009-0009-7823-0678
SPIN-code: 1916-0319
MD, PhD, Cand. Sci. (Med.)
Russian Federation, Saint PetersburgReferences
- Ustav (Konstitutsiya) Vsemirnoi Organizatsii Zdravookhraneniya. New York; 1946. (In Russ.)
- Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196(4286):129–136. doi: 10.1126/science.847460
- Wade DT, Halligan PW. The biopsychosocial model of illness: a model whose time has come. Clin. Rehabil. 2017;31(8):995–1004. doi: 10.1177/0269215517709890
- Brown TM. George Engel and Rochester’s biopsychosocial tradition: historical and developmental perspectives. In: The Biopsychosocial Approach: Past, Present, Future. Ed. by R.M. Frankel, T.E. Quill, S.H. McDaniel. University Rochester Press; 2003.
- Ghaemi SN. The rise and fall of the biopsychosocial model. Br J Psychiatry. 2009;195(1):3–4. doi: 10.1192/bjp.bp.109.063859
- Biopsychosocial medicine: an integrated approach to understanding illness. Ed. by P. White. Oxford: Oxford University Press; 2005.
- Lugg W. The biopsychosocial model – history, controversy and Engel. Australas Psychiatry. 2022;30(1):55–59. doi: 10.1177/10398562211037333
- Saxena A, Paredes-Echeverri S, Michaelis R, et al. Using the biopsychosocial model to guide patient-centered neurological treatments. Semin Neurol. 2022;42(2)80–87. doi: 10.1055/s-0041-1742145
- Bolton D. Looking forward to a decade of the biopsychosocial model. BJPsych Bull. 2022;46(4):1–5. doi: 10.1192/bjb.2022.34
- Krainyukov SV, Mamaichuk II. The specificity and focus of psychological assistance to adolescents with spinal pathologies. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2019;7(3)71–78. (In Russ.) doi: 10.17816/PTORS7371-78
- Neznanov NG, Rukavishnikov GV, Kaysanov ED, et al. Biopsychosocial model in psychiatry as an optimal paradigm for relevant biomedical research. V.M. Bekhterev review of psychiatry and medical psychology. 2020;(2):3–15. (In Russ.) doi: 10.31363/2313-7053-2020-2-3-15
- Pyatakova GV, Vissarionov SV. Psychological aspects of idiopathic scoliosis: the specificity of the mother-daughter relationship. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2016;4(4):56–63. (In Russ.) doi: 10.17816/PTORS4456-63
- Rasskazova EI, Tkhostov ASh. Biopsikhosotsial’nyi podkhod k ponimaniyu zdorov’ya i bolezni. Obozrenie psikhiatrii i meditsinskoi psikhologii. 2015;2:17–21. (In Russ.)
- Psikhologicheskaya gazeta [Internet]. Solov’ev MM. Metodika ekspress-diagnostiki PSAF-autodezadaptatsii. (In Russ.) [cited 2023 Jul 21]. Available from: https://psy.su/feed/8856/
- Lewis M, Lewis DO. Depression in childhood: a biopsychosocial perspective. Am J Psychother. 1981;35(3):323–329. doi: 10.1176/appi.psychotherapy.1981.35.3.323
- Mann T, de Ridder D, Fujita K. Self-regulation of health behavior: social psychological approaches to goal setting and goal striving. Health Psychol. 2013;32(5):487–498. doi: 10.1037/a0028533
- Strauss J, Bernard P, Harper A. Towards a biopsychosocial psychiatry. Psychiatry. 2019;82(2):103–112. doi: 10.1080/00332747.2019.1579609
- Pyatakova GV, Okoneshnikova OV, Kudryavtseva SV, et al. Criteria of psychological health of adolescents with orthopedic diseases. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2019;7(1):71–80. (In Russ.) doi: 10.17816/PTORS7171-80
- Wojcik W, Lawrie SM. Towards a biopsychosocial model of gulf war illness? EBioMedicine. 2015;3:6–7. doi: 10.1016/j.ebiom.2015.12.021
- Kusnanto H, Agustian D, Hilmanto D. Biopsychosocial model of illnesses in primary care: a hermeneutic literature review. J Family Med Prim Care. 2018;7(3):497–500.
- Baindurashvili AG, Solov’eva KS, Zaletina AV. Disability of Russia children population due to injuries and diseases of the locomotor system. Genii ortopedii. 2013:(1);5–8. (In Russ.)
- Baindurashvili AG, Vissarionov SV, Falinskii AA, et al. Medical care service for children with spinal injuries in Saint Petersburg. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(4):8–14. (In Russ.) doi: 10.17816/PTORS248-14
- Baindurashvili AG, Zaletina AV, Vissarionov SV, et al. Follow-up care of children with vertebral body compression fractures (evidence from Saint Petersburg). Genii ortopedii. 2019;25(4):535–540. (In Russ.) doi: 10.18019/1028-4427-2019-25-4-535-540
- Khubulava GG. Disabled child and the society: relationships and socialization. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2017;5(3):66–73. (In Russ.) doi: 10.17816/PTORS5368-73
- Vasserman LI, Iovlev BV, Karpova EB, et al. Metodika TOBOL – tipy otnosheniya k bolezni (posobie dlya vrachei). Saint Petersburg: Sankt-Peterburgskii nauchno-issledovatel’skii psikhonevrologicheskii institut im. V.M. Bekhtereva; 2005. (In Russ.)
- Solov’ev MM. Ispol’zovanie sindroma psikho-sensorno-funktsional’noi dezadaptatsii dlya kontrolya sostoyaniya bol’nykh posle operativnykh vmeshatel’stv po povodu zabolevanii, povrezhdenii chelyustei i LOR-organov. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2013;19(1):25–28. (In Russ.)
- Malkova EE., Solov’ev MM. Ispol’zovanie indroma PSAF dezadaptatsii dlya koordinatsii sovmestnoi raboty vracha-stomatologa i psikhologa-psikhoterapevta. In: Tezisy Mezhdunarodnoi nauchno-prakticheskoi konferentsii, posvyashchennoi 55-letiyu osnovaniya stomatologicheskogo fakul’ta PSPbGMU im. akad. I.P. Pavlova “Fundamental’nye i prikladnye problemy stomatologii”. Saint Petersburg; 2014. P. 93–95. (In Russ.)
- Solov’ev MM. Dushevnyi diskomfort ili Sindrom PSAF autodezadaptatsii. Saint Petersburg: Severnaya Zvezda; 2021. (In Russ.)