Models of disease causation Flashcards
(48 cards)
True about Illness EXCEPT
a. What happens to the body
b. What happens to the person
c. What the patient feels when he goes to the
doctor
d. AOTA
e. NOTA
A
True about disease EXCEPT
a. What happens to the body
b. What he has on the way home from the doctor’s
office
c. Pathological changes diagnosed by signs and
symptoms;
d. Subjective
e. Defined by doctors
D
What is the standard for diagnosing diseases?
International
Classification of Diseases: ICD10
True about the definition of abnormal EXCEPT
a. Statistical: Mean +/- 2SD
b. Most representative - average
c. Most suited for survival
d. Product of consensus by experts
e. Most perfect
f. NOTA
F
In the illness-wellness continuum, the goal is to bring back the patient to a relative neutral point. T/F
F; aim is to bring to a higher level of wellness
Arrange the following in chronological order:
a. Evil Spirits
b. Body Mind Split
c. Psychoneuroimmunology
d. Humors
A-D-B-C
Why talk about models of disease causation?
o influences management
o determines resource allocation
o determines policies and programs
[Causation/Association] Smoking causes lung
cancer.
Causation
[Causation/Association] fat intake and breast cancer
Association
Nine guidelines for judging whether an
association is causal
(BCCCDRSSST)
Biologic plausibility
Consideration of alternate explanations
Cessation of exposure
Consistency with other knowledge
Dose-response relationship
Replication of findings
Strength of association
Specificity of the association
Temporal Relationships
Mind-body Dualism
A. BIOMEDICAL MODEL
B. BIOBEHAVIORAL MODEL
C. HOLISTIC MODEL
D. BIOPSYCHOSOCIAL MODEL
E. ETHNOMEDICAL-CULTURAL MODEL
F. ECOLOGICAL-TRANSACTIONAL MODEL
A
Systems perspective (Engel)
A. BIOMEDICAL MODEL
B. BIOBEHAVIORAL MODEL
C. HOLISTIC MODEL
D. BIOPSYCHOSOCIAL MODEL
E. ETHNOMEDICAL-CULTURAL MODEL
F. ECOLOGICAL-TRANSACTIONAL MODEL
D
A pill for every ill
A. BIOMEDICAL MODEL
B. BIOBEHAVIORAL MODEL
C. HOLISTIC MODEL
D. BIOPSYCHOSOCIAL MODEL
E. ETHNOMEDICAL-CULTURAL MODEL
F. ECOLOGICAL-TRANSACTIONAL MODEL
A
Considers the effects of poverty and inequities (e.g.
malnourishment vs. Hypertension & CVD), and the
vital role of healthcare delivery system
A. BIOMEDICAL MODEL
B. BIOBEHAVIORAL MODEL
C. HOLISTIC MODEL
D. BIOPSYCHOSOCIAL MODEL
E. ETHNOMEDICAL-CULTURAL MODEL
F. ECOLOGICAL-TRANSACTIONAL MODEL
F
Emphasis on individual responsibility and
personal control; Therapy consists of an eclectic collection of
alternative therapies
A. BIOMEDICAL MODEL
B. BIOBEHAVIORAL MODEL
C. HOLISTIC MODEL
D. BIOPSYCHOSOCIAL MODEL
E. ETHNOMEDICAL-CULTURAL MODEL
F. ECOLOGICAL-TRANSACTIONAL MODEL
C
Psychological processes and emotional states
influence the etiology and progression of disease and
contribute to overall host resistance or vulnerability to
A. BIOMEDICAL MODEL
B. BIOBEHAVIORAL MODEL
C. HOLISTIC MODEL
D. BIOPSYCHOSOCIAL MODEL
E. ETHNOMEDICAL-CULTURAL MODEL
F. ECOLOGICAL-TRANSACTIONAL MODEL
B
Emphasizes the patient’s understanding of his/her illness; To treat chronic illness, it isn’t enough to master relevant biology. Chronic illness cannot be cured. A doctor must appreciate the psychological and social components of the ailment.
A. BIOMEDICAL MODEL
B. BIOBEHAVIORAL MODEL
C. HOLISTIC MODEL
D. BIOPSYCHOSOCIAL MODEL
E. ETHNOMEDICAL-CULTURAL MODEL
F. ECOLOGICAL-TRANSACTIONAL MODEL
E
The biomedical model tries to cure everything at once;
encourage ________ rather than fostering
__________.
a. autonomy;dependency
b. dependency;autonomy
c. disease;cure
d. cure;disease
B
Medicalization of problems previously thought to be problems of daily living led to _________ __________ __ ____
unrealistic expectations of cure
The biomedical model fails to:
A. Account for psychological etiology
B. Explain iatrogenic disease
C. Account for biologic cause of disease
D. A and B
E. B and C
D
These are problems with which conceptual model of disease causation?
- Inadequate treatment strategies for lifestyle issues
related to disease etiology
- Frequently produces patient dissatisfaction
Biomedical Model
Enumerate behavioral contribution to management of illness
Stress and coping behavior, Health-enhancing vs. High-risk behaviors. Health-seeking behaviors and Adherence to treatment
What is the anticipated goal of the holistic model?
high-level wellness
Give 4 assumptions of the holistic model
- Psychosomatic nature of illness
- Person has body, mind, and spirit integrated
- Illness stems from adaptational failure, producing a disturbance in the self-regulation of one’s social, behavioral, psychological, and physical dimensions
- Illness is a creative opportunity (i.e. the illness
chooses a person who has done something bad)
