RT Book, Section A1 Hoffman, Barbara L. A1 Schorge, John O. A1 Halvorson, Lisa M. A1 Hamid, Cherine A. A1 Corton, Marlene M. A1 Schaffer, Joseph I. SR Print(0) ID 1171529751 T1 Psychosocial Issues and Female Sexuality T2 Williams Gynecology, 4e YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781260456868 LK accessmedicine.mhmedical.com/content.aspx?aid=1171529751 RD 2024/03/29 AB Thirty years ago, psychiatrist George Engel coined a term to describe a developing paradigm for patient care, the “biopsychosocial model” (Engel, 1977). In the years since, this model has also incorporated cultural and spiritual factors. When conceptualizing a woman’s understanding of her reproductive events, this model highlights the distinction between disease, a pathologic process, and illness, a patient’s experience of that process. At times, psychologic health is linked directly with reproductive health. As an example, infertility can lead to mood and anxiety disorders. In contrast, preexisting psychologic distress might be an insidious cause of a health problem. For example, higher hysterectomy rates are noted in women with a low tolerance for the physical discomfort of menstruation.