Compiled from presentations given at the 2004 American
Psychopathological Association (APPA) annual meeting, "Medical and
Psychiatric Comorbidity Over the Course of Life" reviews the
comorbidity of mental and chronic physical syndromes in an
epidemiological and life course context, offering fresh insights
and identifying crucial clues& mdash;gleaned from the
overlapping areas or areas of mutual pathogenesis linking disparate
realms of knowledge& mdash;to the etiology and nosological
distinctiveness of both physical and mental disorders.
Once relatively ignored, the study of lifetime comorbidity has
the potential to suggest etiological clues and to advance our
ability to prevent secondary disorders by increasing our knowledge
about the course and pathology of the primary disease.
The etiologically relevant period, beginning with the earliest
causal action and ending with diagnosis, helps us understand this
potential and thus is vital to the study of comorbidity. Divided
into five main sections (epidemiology, risk factors, mood
disorders, emotions and health, and schizophrenia), "Medical and
Psychiatric Comorbidity Over the Course of Life" discusses critical
aspects of the life course characteristics of the etiologically
relevant period: "It can be long," e.g., temperament, a relatively
enduring emotional predisposition, may situate an individual more
or less permanently at high risk, culminating in irreversibility
only after decades of induction. The action of identical genes
produces different disorders that may occur at different stages of
life, such as the comorbidity of panic disorder and cystitis. "It
may involve critical stages," i.e., relatively narrow periods
duringdevelopment, such as fetal growth and puberty, to which the
action of a given cause is limited. Critical periods of varying
durations may exist throughout the course of life. "It may have a
cumulative quality to it," in which years or even decades of
accumulation are required to reach the point of irreversibility,
e.g., the years-long burden of lower class life, or of increased
allostatic burden, for the causal nexus to reach sufficiency. "It
may involve multiple causes," representing different disciplines
and different spheres of action spread throughout the life
course.
"Medical and Psychiatric Comorbidity Over the Course of Life"
will prove invaluable for practitioners in general and
consultation-liaison psychiatry, family practice and internal
medicine, and psychosomatics, behavioral medicine, and health
psychology.
General
Imprint: |
American Psychiatric Publishing Inc
|
Country of origin: |
United States |
Release date: |
November 2005 |
First published: |
October 2005 |
Editors: |
William W Eaton
(Professor and Chair)
|
Authors: |
American Psychopathological Association
|
Dimensions: |
229 x 152 x 25mm (L x W x T) |
Format: |
Hardcover
|
Pages: |
320 |
ISBN-13: |
978-1-58562-231-3 |
Categories: |
Books
|
LSN: |
1-58562-231-1 |
Barcode: |
9781585622313 |
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