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Biopsychosocial medicine research trends: connecting clinical medicine, psychology, and public health
BioPsychoSocial Medicine ( IF 2.754 ) Pub Date : 2020-12-08 , DOI: 10.1186/s13030-020-00204-9
Mutsuhiro Nakao , Gen Komaki , Kazuhiro Yoshiuchi , Hans-Christian Deter , Shin Fukudo

The journal BioPsychoSocial Medicine was launched in January 2007, nearly 13 years ago. This is a peer-reviewed online journal that encompasses all aspects of the interrelationships between the biological, psychological, social, and behavioral elements of health and disease [1]. The journal emphasizes a biopsychosocial approach to illness and health, covering the behavioral sciences, social sciences, neuroscience, stress physiology and epidemiology, psychoneuroendocrinology/immunology, gut-brain axis, psycho-cardiology and psycho-oncology, all of which are associated with mind–body interactions and psycho social interventions including psychosomatic/behavioral therapeutic approach..

As of October 2020, 331 articles have been published, comprising 222 original research reports (67.1%), 63 reviews (19.0%), 25 case reports (7.6%), 14 editorials (4.2%), and seven other articles (2.1%). When all published articles were assigned to three main areas of study, biological/psychosomatic medicine, psychology, and public health, 142 (42.9%) articles were categorized in the biological/psychosomatic domain, 120 (36.3%) in the psychological area, 51 (15.4%) in public health, and 18 (5.4%) as “others”. The main topics in each area are shown in Table 1. A variety of psychosomatic illnesses have been investigated, including eating disorders, irritable bowel syndrome, chronic pain, chronic fatigue syndrome, coronary heart diseases, and allergic diseases. Articles related to women’s and children’s health and series in several clinical fields like pediatrics, gynecology, and dentistry were initiated. Cognitive behavioral therapies, relaxation training, and special treatments as Yoga or Kampo medicine have often been employed with such psychosomatic illnesses, and were carefully evaluated. Social factors such as work stress and over-adaptation have been shown to be associated with mind/body health.

Table 1 Examples of research topics published in BioPsychoSocial Medicine from January 2007 to October 2020
Full size table

Interest in biopsychosocial medicine has grown recently. For example, according to tabulations by Springer Nature, articles in this journal were accessed 197,797 times during 2019. This translates to an average of 16,483 accesses per month, with frequencies ranging from 12,345 in January to 21,324 in December 2019. Major visits by geography were as follows; United States (35%), United Kingdom (10%), Japan (9%), India (7%), Australia (6%), Canada (5%), Philippines (3%), Germany (1%), Netherlands (1%), Italy (1%), Ireland (1%), and Indonesia (1%).

The top 10 articles, selected from among those published during 2007–2019 and most frequently accessed by Internet in 2019, are shown in Table 2. It is surprising that the first two original articles, one by Decety et al. (2007) and one by Sugimoto et al. (2009), are still accessed often, although it is now more than 10 years since their publication. When limiting the analyses to the articles published in the past 3 years, i.e., 2017–2019, the most frequently accessed article, authored by Hirayama et al. (2019), was a case series reporting the treatment effects of behavioral activation therapy for depression and anxiety in cancer patients (Table 3). No article published in 2017 and only one published in 2018 were identified among the top 10 in the 2019 access ranking.

Table 2 Top 10 articles published in BioPsychoSocial Medicine in the period from 2007 to 2019 based on the numbers of Internet access during 2019
Full size table
Table 3 Top 10 articles published in BioPsychoSocial Medicine in the past 3 years (2017 to 2019) that were most frequently accessed through the Internet during 2019
Full size table

Concerning the number of journal citations, Web of Science, the top 20 articles were shown in Table 4 [2]. Half of them were review articles, and the remaining half were original research ones. The most recent articles listed in the table were one by Kano et al. (2013) and one by Moriguchi et al. (2013), both of which were reviews addressing brain function of alexithymia.

Table 4 Top 20 articles published in BioPsychoSocial Medicine, based on the number of journal citations, Web of Science, in October, 2020 [2]
Full size table

Editors and colleagues have regularly carried out thematic series addressing psychosomatic medicine to facilitate researchers’ submission of reports focusing on a variety of biopsychosocial topics (Table 5). Interestingly, behavioral medicine was featured twice in the journal in 2016. Ours is an interdisciplinary field combining medicine, psychology, and social science, and the practice of psychosomatic medicine is closely related to that of behavioral medicine, particularly in terms of the biopsychosocial aspects of health.

Table 5 Examples of thematic series published in BioPsychoSocial Medicine
Full size table

More than 40 years have passed since Engel developed a biopsychosocial model that went beyond traditional biochemical models of clinical medicine [3], and more than 1500 articles have been published, according to the PubMed search using a text word of “biopsychosocial-model”. The Japanese Society of Psychosomatic Medicine defines psychosomatic illness as any physical condition with organic or functional damage affected by psychosocial factors in its onset or development [4], and the biopsychosocial model is useful in improving clinical outcomes of such psychosomatic illnesses and a variety of chronic diseases, through creating awareness on the interactions among biological, psychological, sociocultural, and spiritual factors, and to enhance self-management of illness conditions through multidisciplinary approach of patient care and other medical settings [5]. Although we know both favorable and critical opinions in the pre-existing literature, we still believe that the biopsychosocial model continues to offer valuable insights into clinical practice, medical education, and psychosomatic research and that it should be further developed to treat and prevent stress-related conditions.

According to the recent report [6], mind-body approach, including Yoga, meditation, or other Eastern medicine techniques, can be a helpful adjunct in managing stress-related noncommunicable diseases by fostering resilience through self-care. BioPsychoSocial Medicine is the unique journal locating in Asia but disseminating the importance of psychosomatic medicine all over the world. Such successive activities will help mutual understanding and fusion of East and West in terms of mind-body connections of health. The editors welcome high-quality research clarifying mind/body relationship as they affect and are affected by health behaviors and social life in humans.

Obtained data and materials were based on information about the journal and are available only to editorial board members.

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    BioPsychoSocial Medicine. Home page of BioPsychoSocial Medicine. [https://bpsmedicine.biomedcentral.com/] accessed on October 31, 2020.

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    Clarivate Analytics. Web of Science. [https://clarivate.com/webofsciencegroup/solutions/web-of-science/] accessed on October 31, 2020.

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    Dossett ML, Fricchione GL, Benson H. A new era for mind-body medicine. N Engl J Med. 2020;382:1390–1.

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Affiliations

  1. Department of Psychosomatic Medicine, School of Medicine, International University of Health and Welfare, 4-3, Kozunomori, Narita-shi, Chiba, 286-8686, Japan

    Mutsuhiro Nakao

  2. Fukuoka International University of Health and Welfare, Faculty of Medical Science, Fukuoka, Japan

    Gen Komaki

  3. Department of Psychosomatic Medicine, School of Medicine, The University of Tokyo, Tokyo, Japan

    Kazuhiro Yoshiuchi

  4. Medical Clinic, Psychosomatics, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm, Berlin, Germany

    Hans-Christian Deter

  5. Department of Behavioral Medicine, Tohoku University Graduate School of Medicine & Department of Psychosomatic Medicine, Tohoku University Hospital, Sendai, Japan

    Shin Fukudo

Authors
  1. Mutsuhiro NakaoView author publications

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  2. Gen KomakiView author publications

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  3. Kazuhiro YoshiuchiView author publications

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  4. Hans-Christian DeterView author publications

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  5. Shin FukudoView author publications

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Contributions

The authors wrote the manuscript and hold final responsibility for the decision to submit the manuscript for publication. The author(s) read and approved the final manuscript.

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Correspondence to Mutsuhiro Nakao.

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Nakao, M., Komaki, G., Yoshiuchi, K. et al. Biopsychosocial medicine research trends: connecting clinical medicine, psychology, and public health. BioPsychoSocial Med 14, 30 (2020). https://doi.org/10.1186/s13030-020-00204-9

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中文翻译:

生物心理医学研究趋势:连接临床医学,心理学和公共卫生

BioPsychoSocial Medicine杂志于13年前于2007年1月发布。这是一本经过同行评审的在线期刊,涵盖了健康与疾病的生物学,心理,社会和行为要素之间相互关系的所有方面[1]。该期刊强调对疾病和健康的生物心理社会学方法,涵盖了行为科学,社会科学,神经科学,应激生理学和流行病学,神经神经内分泌学/免疫学,肠脑轴,心理心脏病学和心理肿瘤学,所有这些都与心灵相关–身体互动和社会心理干预,包括心身/行为治疗方法。

截至2020年10月,已发表331篇文章,包括222篇原始研究报告(67.1%),63篇评论(19.0%),25例病例报告(7.6%),14篇社论(4.2%)和其他七篇文章(2.1%) )。将所有已发表的文章分配到三个主要研究领域(生物/心身医学,心理学和公共卫生)时,在生物学/心身领域分类为142篇(42.9%),在心理学领域为120篇(36.3%)51 (15.4%)为公共卫生,18(5.4%)为“其他”。表1列出了每个领域的主要主题。已经研究了多种心身疾病,包括饮食失调,肠易激综合症,慢性疼痛,慢性疲劳综合症,冠心病和过敏性疾病。有关妇女和儿童健康的文章以及在儿科,妇科和牙科等多个临床领域的文章均已开始。认知行为疗法,放松训练和特殊疗法(如瑜伽或Kampo药物)经常用于此类心身疾病,并经过仔细评估。工作压力和过度适应等社会因素已被证明与身心健康有关。

表1 2007年1月至2020年10月在《生物心理社会医学》上发表的研究主题示例
全尺寸表

最近,对生物心理医学的兴趣有所增长。例如,根据Springer Nature的列表,在2019年期间,访问该期刊的文章共197,797次。这意味着平均每月访问16,483次,频率范围从1月的12,345到2019年12月的21,324。按地理位置划分的主要访问是如下; 美国(35%),英国(10%),日本(9%),印度(7%),澳大利亚(6%),加拿大(5%),菲律宾(3%),德国(1%),荷兰(1%),意大利(1%),爱尔兰(1%)和印度尼西亚(1%)。

表2列出了从2007-2019年期间发表的文章中最热门的10篇文章,这些文章在2019年是Internet上访问频率最高的文章。令人惊讶的是,前两篇原创文章(一篇由Decety等人撰写)。(2007年)和Sugimoto等人的论文。(2009),仍然经常被访问,尽管距其发表已超过10年了。当将分析限制在过去3年(即2017-2019年)发表的文章时,由Hirayama等人撰写的访问量最高的文章。(2019)是一个病例系列,报告了行为激活疗法对癌症患者抑郁和焦虑的治疗效果(表3)。在2017年访问量排名的前10名中,2017年没有发表文章,而2018年只有一篇发表。

表2根据2019年的互联网访问量,2007年至2019年期间在BioPsychoSocial Medicine上发表的前10篇文章
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表3过去3年(2017年至2019年)在BioPsychoSocial Medicine上发表的前10条文章,在2019年期间最常通过互联网访问
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关于期刊引文数量(Web of Science),表4列出了排名前20的文章[2]。其中一半是评论文章,其余一半是原创研究文章。表中列出的最新文章是Kano等人的文章。(2013)和Moriguchi等人的论文之一。(2013年),这两个都是关于解决运动障碍的大脑功能的评论。

表4根据2020年10月Web of Science期刊引用的次数,在BioPsychoSocial Medicine上发表的前20条文章[2]
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编辑人员和同事定期开展针对心身医学的专题系列会议,以便利研究人员提交侧重于各种生物心理社会主题的报告(表5)。有趣的是,行为医学在2016年的期刊上两次被刊登。我们是一个跨学科的领域,结合了医学,心理学和社会科学,而心身医学的实践与行为医学密切相关,特别是在行为医学方面健康。

表5在BioPsychoSocial Medicine上发表的主题系列的示例
全尺寸表

自Engel开发出超越传统医学临床医学生化模型的生物心理模型以来,已有40多年的历史,根据PubMed使用“生物心理模型”一词的搜索,已发表了1500多篇文章。日本心身医学协会将心身疾病定义为在发病或发展过程中受到心理社会因素影响的任何器质性或功能性损害的身体状况[4],而生物心理社会模型可用于改善此类心身疾病和各种慢性病的临床结果通过提高对生物学,心理,社会文化和精神因素之间相互作用的认识,并通过多学科的患者护理和其他医疗环境来加强对疾病状况的自我管理[5]。尽管我们在现有文献中既有正面意见也有批评意见,但我们仍然相信生物心理社会模型继续为临床实践,医学教育和心身研究提供有价值的见识,因此应进一步发展以治疗和预防压力-相关条件。

根据最近的报告[6],包括瑜伽,冥想或其他东方医学技巧在内的身心方法可以通过自我保健来增强适应力,从而在管理与压力有关的非传染性疾病方面是一个有用的辅助手段。《 BioPsychoSocial Medicine》是亚洲唯一的期刊,但在世界范围内传播了心身医学的重要性。这些连续的活动将有助于在健康方面的身心联系,使东西方相互理解和融合。编辑们欢迎高质量的研究阐明人与人之间的关系,因为它们影响着人类的健康行为和社会生活。

获得的数据和材料是基于有关该期刊的信息,并且仅提供给编辑委员会成员。

  1. 1。

    生物心理社会医学。BioPsychoSocial Medicine主页。[https://bpsmedicine.biomedcentral.com/]于2020年10月31日访问。

  2. 2。

    Clarivate Analytics。科学网。[https://clarivate.com/webofsciencegroup/solutions/web-of-science/]于2020年10月31日访问。

  3. 3。

    恩格尔GL。对新医学模型的需求:对生物医学的挑战。科学。1977; 196:129–36。

    CAS文章Google学术搜索

  4. 4。

    日本心身医学会教育与培训委员会:心身医学的最新治疗指南。1991年:Jpn J Psychosom Med;31:537–576。[日文]。

  5. 5,

    Kusnanto H,Agustian D,Hilmanto D.初级保健中疾病的生物心理社会模型:解释学文献综述。J家庭医学基本护理。2018; 7:497–500。

    文章Google学术搜索

  6. 6。

    Dossett ML,Fricchione GL,BensonH。身心医学的新时代。N Engl J Med。2020; 382:1390-1。

    文章Google学术搜索

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隶属关系

  1. 国际卫生与福利大学医学院心身医学系,日本千叶市成田市小森盛4-3,日本286-8686

    中尾光裕

  2. 福冈国际保健福利大学医学科学院,日本福冈

    小牧源

  3. 东京大学医学院心身医学系,东京,日本

    吉内和宏

  4. 柏林Charité大学医学院,精神病学诊所,本杰明·富兰克林校区,兴登堡大街,柏林,德国

    汉斯·克里斯汀·德特

  5. 东北大学医学院研究生院行为医学系和东北大学医院心身医学系,日本仙台

    新福堂

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Nakao,M.,Komaki,G.,Yoshiuchi,K。等。生物心理医学研究趋势:连接临床医学,心理学和公共卫生。生物心理医学 14, 30(2020)。https://doi.org/10.1186/s13030-020-00204-9

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