How to classify psychosocial interventions in chronic disease?Maes has designed a cubical model to structure the variety of interventions which are offered to patients with chronic diseases. This model distinguished between three different dimensions along which an intervention can be located:Intervention aimsQuality of Life interventions and self-management interventionsIntervention levelThe individual patient, a group of patients or the social and physical environment of the patientInterventional channelThis is can be either in a way of direct face-to-face contact between the psychologist and the patient, or in a way of indirect interventions. For example with self-help, lay people or other health care professionals. Intervention aims: Quality of Life interventionsQuality of Life intervention focus on restoring and improving the physical, psychological and social well-being of the patient and his/her immediate environment. This is done by stimulating a process of adaption to and/or acceptance of the disease. QoL interventions focus on reducing stress, reducing pain, or reducing problems related to performance of everyday activities which cause physical, emotional or social limitations. Physical training programs are in most cases part of larger (multicomponent) rehabilitation programs, for example for patients with CHD, cancer or diabetes. These programs have beneficial effects on morbidity and mortality and it has effect on quality of life and well-being of patients (with anxiety and/or depression) as long as patient engage in physical activity. Stress management programs have positive effects on quality of life, but also on disease progression and mortality in patients with e.g. cancer, CHD, diabetes and HIV. Cognitive restructuring is a stress management program which focuses on changing cognitions which can influence your behaviour and emotions.The Hook is a cognitive restructuring program. Its aim is to help post myocardial...


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