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Biopsychosocial models are a class of trans-disciplinary models which look at the interconnection between biology, psychology, and socio-environmental factors. These models specifically examine how these aspects play a role in topics ranging from human development to health and disease.
The biopsychosocial model considers the 4 Ps for each of the biological, psychological, and social factors: Predisposing factors are areas of vulnerability that increase the risk for the presenting problem.
The Biopsychosocial model was first conceptualised by George Engel in 1977, suggesting that to understand a persons medical condition it is not simply the biological factors to consider, but also the psychological and social factors.
The biopsychosocial (BPS) model emphasizes the interconnection between biological, psychological and socio-environmental factors. When this model is applied to health, it demonstrates the importance of maintaining wellness in all aspects of our lives.
The biopsychosocial perspective is an integrated approach to psychology that incorporates three different perspectives and types of analysis: biological, psychological, and social-cultural.

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The biopsychosocial approach systematically considers biological, psychological, and social factors and their complex interactions in understanding health, illness, and health care delivery.
The biopsychosocial model is based on the understanding of the dynamic nature of differing factors that affect a patients experience and ultimate outcomes. Social factors may impact a patients behavioral response to physical conditions or symptoms [9].
The four Ps of case formulation (predisposing, precipitating, perpetuating, and protective factors) also provide a useful framework for organizing the factors that may contribute to the development of anticipatory distress (Barker, 1988; Carr, 1999; Winters, Hanson, Stoyanova, 2007).

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