Psychoneuroendocrinology: The Scientific Basis of Clinical PracticeOwen M. Wolkowitz, Anthony J. Rothschild American Psychiatric Pub, 2008 M08 13 - 606 pages The mind-body connection is one of the hottest topics in medicine today, documented by enormous amounts of data regarding hormone effects on the brain and behavior. Yet it is only now -- with the debut of this thought-provoking volume -- that we find an up-to-date, sophisticated reference that focuses on the clinical relevance of behavioral endocrinology and is written for practicing clinicians and researchers. This wide-ranging volume shows how the principles and emerging findings of psychoneuroendocrinology can inform modern clinical practice and lead to new breakthroughs in future science and practice. Here, leading authorities -- internationally respected researchers and practicing clinicians -- review empirical findings in their areas of expertise, highlight the clinical significance of these findings, and provide, wherever appropriate, clinical guidelines for the management of patients. Beginning with a lively history of psychoneuroendocrinology (including its many false starts), this book continues on to discussions of the hypothalamic-pituitary-adrenal axis hormone system, the gonadal hormone system, and the thyroid hormone system from each of the three paths generally used for psychoneuroendocrinological investigation: Alterations in endogenous hormone levels observed in primary psychiatric illness Psychiatric concomitants or sequelae of hormonal dysregulation in primary endocrinologic illness Behavioral effects of exogenously administered hormones or hormone antagonists (both the study of the side effects of hormonal medications and the use of hormones and hormone antagonists as psychotropic medications) An unmatched diversity of topics reveals the full breadth and depth of this volume: diabetes mellitus, corticosteroid effects on mood and cognition, Cushing's syndrome and Addison's disease, oral contraceptives and estrogen replacement therapy, psychiatric illness associated with the menstrual cycle and perimenopause, postpartum behavioral changes, anabolic/androgenic steroid use, and a thorough review of thyroid function in psychiatric disorders. Particularly fascinating are sections on the role of neuropeptides and hypothalamic-releasing factors in psychiatric illness, the use of laboratory tests and imaging procedures in evaluating hormonal function in psychiatric patients, the place of newer "alternative" hormonal medications such as melatonin and DHEA in therapeutics, and a provocative and compelling final chapter on the role stress plays in precipitating illness. Designed for both clinician and researcher-scientist, this richly informative guide will also prove an invaluable addition to graduate courses in neuroscience, neuroendocrinology, the biological basis of behavior, and consultation psychiatry. Neuroscientists/neurologists, endocrinologists, obstetricians/gynecologists, internists, family practitioners, nurses, and interested laypersons round out the wide audience for this remarkable volume. |
From inside the book
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... normal physiological function ( Fleming 1984 ) . Cannon referred to " stresses and strains " as the physical and psycho- logical forces that could disturb homeostatic processes ( Cannon 1935 ) . This concept of stress was greatly ...
... normal humans . Psychiatry Res 16 ( 2 ) : 101-109 , 1985 Wolkowitz OM , Doran AR , Breier A , et al : The effects of dexamethasone on plasma homovanillic acid and 3 - methoxy - 4 - hydroxyphenylglycol : evidence for abnormal ...
... normal after successful treatment of depression ( Amsterdam et al . 1988 ) . ( See also Chapter 17 for a more detailed description of CRH testing . ) The blunted ACTH response to exogenously administered CRH in depressed patients is ...
... normal in most subjects af- ter recovery . Hypercortisolemia appears to be state dependent , like the hypersecretion of CRH and the blunting of the ACTH response to CRH in patients with major depression . Surprisingly , such elevations ...
... Normal or decreased 24 - hour urinary free cortisol concentrations Diminished hippocampal volume Panic disorder Normal cerebrospinal fluid CRH concentrations Diminished ACTH response to CRH administration Obsessive - compulsive disorder ...
Contents
Chapter 10 | 245 |
Chapter 11 | 281 |
Chapter 12 | 303 |
Chapter 13 | 331 |
Chapter 14 | 361 |
Chapter 15 | 419 |
Chapter 16 | 445 |
Chapter 17 | 469 |
Chapter 6 | 139 |
Psychiatric Manifestations of Hyperadrenocorticism | 165 |
Chapter 8 | 174 |
Psychiatric Effects of Glucocorticoid Hormone Medications | 189 |
Chapter 9 | 205 |
Endocrine Imaging in Depression | 499 |
Chapter 19 | 513 |
Index | 547 |