In Principio Erat Verbum

This chapter discusses the origins of the various models used as a basis for health communication through a literature review. Models seek to represent reality and are dynamic constructs that evolve as the world's own needs and discoveries are made. Particularly in health, a territory for a long time dominated by the biomedical model and a passive view of its recipients, the models have brought a breath of fresh air to the true human dimension. Among the various models that have been defended based on a biopsychosocial perspective, the cognitive, behavioral, emotional components of the human being are reflected, as well as their context and environment in which they move, namely the social, economic, cultural, political, and other dimensions. It is also the determinants of health that influence the whole and that make the interpersonal relationship in health richer and representative of the complex human dimension seen in a holistic way.

Interpreting physical sensations to guide health-related behavior

SummaryFrom a biopsychosocial perspective, maintaining health requires sufficient autoregulatory and self-regulatory capacity to both regulate somatic physiology and manage human-environment interactions. Increasing evidence from neuroscientific and psychological research suggests a functional link between so called interoceptive awareness and self-regulatory behavior. Self-regulation can, again, influence autoregulatory patterns as it is known from biofeedback training or meditation practices. In this review, we propose the psychosomatic competence model that provides a novel framework for the interrelation between interoceptive and self-regulatiory skills and health behavior. The term psychosomatic competence refers to a set of mind- and body-related abilities which foster an adequate interpretation of interoceptive signals to drive health-related behavior and physical well-being. Current related empirical findings and future directions of research on interoception and self-regulation are discussed.

Conceptualizing Drug Addiction and Chronic Pain through a Biopsychosocial Framework to Improve Therapeutic Strategies

The recent surge in opioid-related deaths has brought poor pain management practices to the forefront of our nation’s collective consciousness. However, improving treatments for chronic pain, substance use disorders (SUD), and comorbid expression of both requires a better understanding of the pathophysiology involved in their development. In this chapter, the authors present the argument that chronic pain and SUD can be conceptualized similarly from a biopsychosocial perspective to inform a better approach to treatment. The authors describe the common neurobehavioral mechanisms of SUD and chronic pain, then discuss the efficacy of several psychotherapeutic methods employed to combat chronic pain, addiction, and related disorders. Such methods may contribute to positive health outcomes in managing chronic pain and curbing drug addiction by reducing the role of opioid analgesics for long-term pain management.

Subjective cognitive impairment and presenteeism mediate the associations of rumination with subjective well-being and ill-being in Japanese adult workers from the community

Background In recent years, the roles of rumination, subjective cognitive impairment (SCI), and presenteeism have been emphasized in occupational mental health. However, associations between rumination, SCI, presenteeism, and psychological well-being are not fully understood. We hypothesized that SCI and presenteeism mediate the associations between rumination and subjective well-being (SWB) and subjective ill-being (SIB). Hence, we investigated the mediating roles of SCI and presenteeism in this study. Methods A total of 458 adult workers (mean age, 40.8±11.9 years; 44.1% male), who were recruited in Tokyo using convenience sampling, were analyzed in this study. The Ruminative Responses Scale, Cognitive Complaints in Bipolar Disorder Rating Assessment, Work Limitations Questionnaire 8, and Subjective Well-being Inventory were used to evaluate rumination, SCI, presenteeism, and psychological well-being (SWB and SIB), respectively. Path analyses were performed to evaluate the relations between these parameters. Results The path analysis indicated that rumination, SCI, and presenteeism were directly and negatively associated with SWB and SIB. Regarding indirect effects, rumination was negatively associated with SWB and SIB via SCI, presenteeism, and both SCI and presenteeism. Furthermore, SCI was negatively associated with SWB and SIB via presenteeism. Conclusions The results suggest that SCI and presenteeism mediate the associations of rumination with SWB and SIB in Japanese adult workers. To address the psychological well-being associated with rumination, evaluating SCI and presenteeism simultaneously may be useful in occupational mental health. This study provides key insights into the development of comprehensive intervention strategy based on the biopsychosocial perspective for worker’s psychological well-being.

‘Just Let Them Play’: Complex Dynamics in Youth Sport, Why It Isn’t So Simple

This ethnographic case study examines the long-term impact of youth sport coaching within tennis, using observations, field notes, and interviews as data sources. We highlight the complexities that youth sport coaches face in their role in developing young players within, in this example, tennis, but suggest that these issues are transferable across the youth sport context. There are some key messages for youth sport coaches and sporting organisations arising from this study, particularly around the role of a youth sport coach. We advocate an expertise approach to developing youth sport coaches due to the many roles, within their sport and from a biopsychosocial perspective, that they have to navigate. Additionally, we suggest that simplistic narratives in youth sport coaching are misplaced.