Table 1 Bio psycho social origins of chronic diseases (e.g coronary heart disease, bronchial asthma, rheumatoid arthritis, inflammatory bowel disease, essential hypertension, atopic dermatitis, diabetes, cancer and others; modified after Orth-Gomér et al 1997)
From: Psychosocial interventions for patients with chronic disease
|
Origins of Disease | Factor 1 | Factor 2 | Factor 3 | Factor 4 | Factor 5 | Factor 6 | Factor 7 |
|---|---|---|---|---|---|---|---|
| Psychological mediators | depression | anxiety | hostility | denial | type A | type C | type D |
| Behavioral risk factors | smoking | sedentary life style | poor nutrition | alcohol consumption | suicidal behavior | no care for the own person | over active |
| Pathological mechanism | genetic | autonomic im-balance | psycho-immunological path-ways | psycho-endocrinological path-ways | inflammation |
lipids/ glucose | coagulation |
| Severity of disease | |||||||
| somatic | bodily complaints | bodily limitations | pain | ||||
| psychological | psychic symptoms | chronic depression | suicidal tenden-cies | chronic anxiety | too many doctor visits | too many drugs | social inhibition |
| sociological | low social functioning | social isolation | unable to work | low income | high treatment costs |