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Biopsychosocial Medicine is part of Stress medicine AB, a newly
started website focusing on development of Innovation, Development,
Research & Services, services in terms of interactive tools including
education and knowledge implementation related peoples´ health development.
At present we are
1. Developing a system called OICTOOLS
2. Building up centers
for Stress Medicine Interactive LEearning– called
SMILE
1. OICTOOLS – Observe, Identify & Change Tools
for Health Creators
Development
of interactive psychophysiological medicine communication systems based on complex systems
analysis including artificial intelligence treatment of data for effective
performance, health promotion, stress prevention and rehabilitation of life
styles- and society related diseases. OICTOOLS is a prototype system
contenting sensors, data transmission, Artificial intelligence (AI)-based
complex systems analysis of data which interactively communicated, which
can be adapted to different applications and individually tailored.
OICTOOLS can be used in private as well as in cooperation with health care
systems.
Aim: OICTOOLS is
developed for observation, identification and modification, when needed, of
crucial psychophysiological systems as autonomic nervous system (ANS) and
its interactions with other systems, be it
physiological and/or psychological. ANS is direct or indirect involved in
most life styles and society related dysfunctions. Other systems of
relevance are metabolic and cardiovascular systems.
Background: There are a
number of more or less well scientific grounded physiological measurement
systems on the international market but no one yet which can be used by
individuals as health creator tools where individuals learn basics about
biopsychosocial medicine and learn how they can tailor effective processes
themselves or in cooperation with health care systems as partners.
The
basis for development of this system is practical, functional
integration of many disciplines and competences on a biopsychosocial
medicine platform, which we have used clinically for many years manually.
So - we do have extensive experiences as well as use of actual present
knowledge but as the field is under develop theoretically, methodologically
and practically as well as more empirical studies are needed to be done, we
are open for cooperation with companies with related interest focuses – see
more below.
As the
system above has some very unique parts it will not be described in
details. PICTOOLS integrate competences from electronics, medicine,
psychology, psychophysiology, education, computer science, artificial
intelligence competences.
The
project is developed in cooperation with Mälardalen University (where I
also am professor 20% of full time), especially concerning AI but there is
much research within biopsychosocial medicine needed and therefore we are
interested also cooperation in terms of doctoral students within computer
science, psychophysiology and medicine, (please contact bo.vonscheele@stressmedicin.se in this
matter).
We are
open for discussions of cooperation related to
Systems development
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Improvement of different kind of sensors of
relevance
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Improvement of
wireless data transmission
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Improvement of Interactive
communications
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Further improved efficacy in tests, biofeedback
and adjunctive interventions
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Individual and normative biological evaluations at
highest scientific level
Different applications (design and tailoring of the prototype)
·
PTSD (post traumatic stress syndrome)
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Burnouts
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Other kind of different kind of stress related
problems
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Different kind of performance hand in hand with
health
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Health promotion
·
Product
marketing and production
2. SMILE - Stress Medicine Education Integrated LEarning
SMILE focuses on providing
individuals with biopsychosocial based services at our SMILE centers or on
the web (centers are planned to be available for services after June 1). As
we see health promotion, stress prevention and rehabilitation of stress
related dysfunctions as mainly an educational and knowledge implementation
matter SET focuses on providing needed tools – our code name is “man as a
health creator” - including biofeedback for different interests groups. Our
SET center will be opened during the spring, actually reopened while we
have been working with this concept since late 1980-ties but within a
non-profit organization.
What is special with the Stress
Medicine Concept is the way to use science and clinical perspective
together while using biopsychosocial medicine as a platform for assessment
and interventions where interventions are based on “man as a health
creator”, which means individuals are educated to become an active,
sufficient competent coworker for using, carry out and, in cooperation with
the clinical provider, tailor needed strategies.
ASPIRE is our tools for knowledge and
its implementation. Below is described the components of the intervention
package.
ASPIRE –
assisted by different kind of (bio)feedback is suggested tools for
promoting and sustained health as well as for rehabilitation – to be learned
and implemented according to individuals requirement and “style”
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Adequate, biological breathing behaviors. Clinically we can identify
destructive breathing with measurement of exhalation CO2. Using biofeedback
assisted breathing training chemical balance can be re-established. How we
breathe is crucial for biological functioning and biological functioning
influence breathing behaviors. Our breathing behaviors is closely connected
with both our autonomic nervous systems and cardiovascular systems as well
as basic chemistry, This means that individuals way to breathe has both
short termed and long termed consequences for health development and how we
manage stress. We provide crucial knowledge as well as an easy way to used
this knowledge and develop an own breathing strategy.
·
Slow motion (O2-balanced). Exercise is important for all of us but
for those suffering from severe biopsychosocial stress slow motion is
effective to normalize metabolic dysfunctions, which is common for such
complex disorders. There are different ways to adjust exercise to
individual prerequisites and we present an easy way to find out how to
“tailor” and connect with the other tools.
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Peaceful, problem solving thought/images. The way we think,
consciously or not (e.g. silent, automatic thoughts, images) is decisive
for effective, health promoting coping in life. A number of easy as well as
more complex approaches can be learned and integrated. Biofeedback
is also included here for learning to integrate cognitive-behavioral-physiological
systems. Very important when there are severe dysfunctions and related
symptoms/problems. In biofeedback it is important to use appropriate
strategies and modalities. This can mainly be provided via internet. About cognitive
behavioral strategies: There are easy to learn effective strategies
which can be integrated with the tools below. If not enough Cognitive
Behavioral Therapy (CBT) is recommended where we advise certified
CBT-psychologists.
·
Intake of required food/liquid. Recent knowledge development within
nutrition can be regarded as a revolution which knowledge used in a careful
way can be of outmost importance for most diseases. Thanks to much recent
work in molecular biology we now understand how crucial it is how we eat.
Many approaches are presented at the internet but mostly that basic actual
knowledge is now well covered here. This is what we work hard for and
thereby to present useful knowledge to prepare for our eating.
·
Relatedness and communications. The way we communicate and related is
mostly a result of our social heritage which, if not constructive, can be
developed using different kind of social strategies
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Ecological caring relates to the importance to consider our way of
improving in relations to our environment based on evolutionary aspects of
the earth and living species.
The above are individually tailored
using easy used strategies/approaches. They need to be considered both
nomothetic (Evidence Based Behavioral Medicine, EBBM, validation) &
ideographic (Individual biological evidence, IBE, validation (see link) considerations, where IBE is for clinical use and EBBM for normative
use.
Patient education focus on what is relevant related to observed and
identified dysfunctions. What dysfunctions are identified, possible reasons
for the dysfunction and how normalization can be done?
Before individuals use the ASPIRE tools we
advise a point of departure in terms of Screening or Stressogram (Psychophysiological stress profiling) which can be done in several
ways (more info will come here)
How to know if education and training (interventions) function?
We use Individual Biological Evidence where we follow changes in important
parameters where changes are predicted a priory and which also have
biological significance. A prerequisite is to identify dysfunctions with
psychophysiological measurement/test/protocols and from obtained data do
the predictions. Here function symptoms also as outcome measures but
sometimes there is a delay related to a number of factors, e.g. operational
conditioning that maintain symptoms although dysfunction generating the
symptoms is normalized. Mostly problems/symptoms are both psychological and
physiological and changes are often not well paralleled. This is one of a
number of reasons that a biopsychosocial platform needs while also the
social side cannot be neglected.
After – if the Screening or Stressogram is
repeated after the education and training conclusions can be made about the
general effect – increasing the IBE. If a base line period is done before
start, that is, two base line screenings or stressogram,
this increase the information about what causes what.
More information how the above will be made available will be
provided here after June 1
External social, ecological factors &
internal psychophysiological factors may generate health as well as
illnesses expressed as symptoms/problems/… But they are not always as early
visible as we want. Early identification facilitates fast, effective
normalization. Dysfunctions (independent variables) identified during
psychophysiological tests directly or indirectly related to
cardiovascular-, metabolic -, autonomic nervous systems diseases are mostly
treatable with biopsychosocial medicine strategies.
A number of factors are known to influence
development of life style related diseases
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Independent. v.
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Disease/dysfunction
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Independent. v.
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Promote
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Factors
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Prevent
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Yes
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Smoking
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No
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Yes
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Drugs/alcohol
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No
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AGE, C6H12O6
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Food
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Diet
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No
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Exercise
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Yes, slow
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Dysfunctional
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Breathing
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Functional
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Aut. Neg. Thoughts
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Cognitive-emotional
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Ellis, etc.
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Bad
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Social
interactions
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Good
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?
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???
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?
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*
Refer to Stig Bengmark´s work
Independent
variable means what causes changes. What promotes diseases needs to be
decreased and what prevent increased. To study intervention in only one the
“factors” above at group level is not clinically meaningful. Of clinical
significance is that patients find their own tailored application which is
a challenge for both health care providers and the particular individual
patient.
Interventions
are extracted from the above and repeated psychophysiological measurements
are conducted by both patients and health care providers, which validate
predicted changes during the process and thereby also identifying when
cut-off is reached. This is called Individual Biological Evidence (IBE).
IBE is also important as a motivator for extensive patient actions.
Follow-ups confirm stabilization of obtained results - habits changed and
stabilized!
In sum
Basics for biopsychosocial based stress medicine
work
q Problem identification with
biopsychosocial assessment
q Observe and identify factors what
promote and prevent/get rid of the problems as well as promote them
q Use the information above for
developing an intervention plan and do a priori predictions in crucial
parameters
q Carry out the plan while (also
patient is) doing repeated measurement and, if needed, modify according to
feedback
q Document the process and report
(clinical and to patient)
Contact
info@stressmedicin.se
– info@stressmedicine.se
Project
director
Bo von Schéele,
Ph D in Psychology, Stress Medicine AB
Professor in Medical Engineering, Mälardalen University
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