Abstract:
:The links between late-life depression and the medical comorbidities that are often associated with it can be divided into two paths. The path from medical illness to depression reflects general mechanisms related to stress, disability, and loss, as well as more specific physiological mechanisms, including those related to subclinical cerebrovascular disease, adverse drug effects, and endocrine/metabolic effects. Similarly the path from depression to medical illness includes general mechanisms related to self-neglect, decreased adherence to medical treatments, maladaptive health-related behaviors, and, possibly, more specific physiological mechanisms including those related to altered endocrine and autonomic functions, in the clinical context, these two paths can interact to constitute a vicious cycle. With further research, it should be possible to translate current understanding in these areas into advances in both basic knowledge and treatments that could initiate virtuous cycles with beneficial effects for both menial and physical health.
journal_name
Dialogues Clin Neuroscijournal_title
Dialogues in clinical neuroscienceauthors
Katz IRsubject
Has Abstractpub_date
1999-09-01 00:00:00pages
81-94issue
2eissn
1294-8322issn
1958-5969journal_volume
1pub_type
杂志文章abstract::Every human is unique. We differ in our genomes, environment, behavior, disease history, and past and current medical treatment-a complex catalog of differences that often leads to variations in the way each of us responds to a particular therapy. We argue here that true personalization of drug therapies will rely on ...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章
doi:
更新日期:2016-09-01 00:00:00
abstract::Hypersomnia, a complaint of excessive daytime sleep or sleepiness, affects 4% to 6% of the population, with an impact on the everyday life of the patient Methodological tools to explore sleep and wakefulness (interview, questionnaires, sleep diary, polysomnography, Multiple Sleep Latency Test, Maintenance of Wakefulne...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2005-01-01 00:00:00
abstract::Psychiatric disorders are complex multifactorial disorders involving chronic alterations in neural circuit structure and function. While genetic factors play a role in the etiology of disorders such as depression, addiction, and schizophrenia, relatively high rates of discordance among identical twins clearly point to...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2014-09-01 00:00:00
abstract::Brain plasticity is an intrinsic characteristic of the nervous system that allows continuous remodeling of brain functions in pathophysiological conditions. Although normal aging is associated with morphological modifications and decline of cerebral functions, brain plasticity is at least partially preserved in elderl...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2013-03-01 00:00:00
abstract::Epidemiological studies show that anxiety disorders are highly prevalent and an important cause of functional impairment; they constitute the most frequent menial disorders in the community. Phobias are the most common with the highest rates for simple phobia and agoraphobia. Panic disorder (PD) and obsessive-compulsi...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract::Despite the fact that 50 years have passed since the Nazi regime and the Holocaust the psychic sequelae are far from being overcome. The majority of Holocaust survivors and World War II veterans still list their experiences as the "most significant stressors" of their lives. The literature provides ample evidence that...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章
doi:
更新日期:2000-03-01 00:00:00
abstract::It is clinically important to recognize both bipolar disorder and borderline personality disorder (BPD) in patients seeking treatment for depression, and it is important to distinguish between the two. Research considering whether BPD should be considered part of a bipolar spectrum reaches differing conclusions. We re...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2013-06-01 00:00:00
abstract::Inborn errors of metabolism (IEMs) are particularly frequent as diseases of the nervous system. In the pediatric neurologic presentations of IEMs neurodevelopment is constantly disturbed and in fact, as far as biochemistry is involved, any kind of monogenic disease can become an IEM. Clinical features are very diverse...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2018-12-01 00:00:00
abstract::There is increasing knowledge about considerable comorbidity between psychiatric and somatic diseases, questioning whether variations in genes could be predisposing factors for both conditions. With respect to the multiple interactions between brain and body investigations have centered on variants in several candidat...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章
doi:
更新日期:2003-06-01 00:00:00
abstract::Anxiety comprises many clinical descriptions and phenotypes. A genetic predisposition to anxiety is undoubted; however, the nature and extent of that contribution is still unclear. Methods for the genetic analysis of such complex disorders is briefly reviewed, followed by a discussion of the comorbidity of anxiety wit...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
abstract::Illustrating the complexity of the stress response and its multifaceted manifestations is the leading idea of this overview of experimental paradigms used for stress induction in laboratory animals. The description of key features of models based on naturalistic stressors, pharmacological challenges, and genomic manip...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2006-01-01 00:00:00
abstract::Despite pharmacologic advances, the treatment of schizophrenia remains a challenge, and suboptimal outcomes are still all too frequent. Although treatment goals of response, remission, and recovery have been defined more uniformly, a good "effectiveness" measure mapping onto functional outcomes is still lacking. Moreo...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2010-01-01 00:00:00
abstract::Cognitive symptoms are a core feature of schizophrenia and are related to an unfavorable disease outcome. So far, there are no satisfactory pharmacological approaches to address cognitive symptoms. For some time now, aerobic exercise has been demonstrated in various trials to be a promising candidate for this indicati...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,meta分析,评审
doi:10.31887/DCNS.2019.21.3/aschmitt
更新日期:2019-09-01 00:00:00
abstract::Sleep disorders in children and adolescents is a topic that has been, and remains, neglected in both public health education and professional training. Although much knowledge has been accumulated in recent times, it has been poorly disseminated and, therefore, relatively little is put into practice. Only some general...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2009-01-01 00:00:00
abstract::Schizophrenia is still a condition with obscure causes and psychopathology. This paper aims to discuss the "disconnectivity" hypothesis in relation to some neurological conditions which are known to alter brain connectivity, as well as mimicking some aspects of the disorder. After a short historical introduction to th...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2006-01-01 00:00:00
abstract::This review serves as a systematic guide to the genetics of generalized anxiety disorder (GAD) and further focuses on anxiety-relevant endophenotypes, such as pathological worry fear of uncertainty, and neuroticism. We inspect clinical genetic evidence for the familialityl heritability of GAD and cross-disorder phenot...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2017-06-01 00:00:00
abstract::Mental disorders represent a significant public health burden worldwide due to their high prevalence, chronically disabling nature, and substantial impact on quality of life. Despite growing knowledge of the pathological mechanisms that underlie the development of these disorders, a high percentage of patients do not ...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章
doi:10.31887/DCNS.2020.22.3/pfadda
更新日期:2020-09-01 00:00:00
abstract::Recent research has overcome the old paradigms of the brain as an immunologically privileged organ, and of the exclusive role of neurotransmitters and neuropeptides as signal transducers in the central nervous system. Growing evidence suggests that the signal proteins of the immune system - the cytokines - are also in...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章
doi:
更新日期:2003-06-01 00:00:00
abstract::We carried out two studies to test the hypothesis that altered central serotonergic function, as assessed by lower prolactin (PRL) response to fenfluramine (D-FEN), is more closely associated with suicidal behavior than a particular psychiatric diagnosis. A D-FEN test was performed in 85 major depressed inpatients, 33...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract::The recognition that there are fundamental biological sex differences that extend beyond those that define sexual behavior and reproductive function has inspired the drive toward inclusion of both sexes in research design. This is supported by an underlying clinical rationale that studying both sexes is necessary to e...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2016-12-01 00:00:00
abstract::Pharmacogenomic developments hold promise for personalized medicine in psychiatry with adjusted therapeutic doses, predictable responses, reduced adverse drug reactions, early diagnosis, and personal health planning. The prospects are exciting, but at the same time, these new techniques stand faced with important scie...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2009-01-01 00:00:00
abstract::Impairment of cognitive function is the central feature of dementia. Although, clinically, the cognitive deficit most often manifests itself as memory problems, a number of other areas of cognition are affected, and memory is but one of the cognitive skills compromised in dementia. Dementia with Lewy bodies, for examp...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00
abstract::Understanding individual response to a drug-what determines its efficacy and tolerability-is the major bottleneck in current drug development and clinical trials. Intracellular response and metabolism, for example through cytochrome P-450 enzymes, may either enhance or decrease the effect of different drugs, dependent...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2006-01-01 00:00:00
abstract::Human memory is not a literal reproduction of the past, but instead relies on constructive processes that are sometimes prone to error and distortion. Understanding of constructive memory has accelerated during recent years as a result of research that has linked together its cognitive and neural bases. This article f...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2012-03-01 00:00:00
abstract::Increased physician prescribing of opioids to treat chronic nonprogressive pain has been accompanied by an increase in opioid addiction. Twin studies of opioid addiction are consistent with an inherited component of risk, approximately 50%. Several genome-wide association study (GWAS) reports indicate that genetic ris...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2017-09-01 00:00:00
abstract::It is timely to consider the ethical and social questions raised by progress in pharmacogenomics, based on the current importance of pharmacogenomics for avoidance of predictable side effects of drugs, and for correct choice of medications in certain cancers. It has been proposed that the entire population be genotype...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2014-12-01 00:00:00
abstract::An evidence-based review of nonpharmacological treatments for anxiety disorders is presented. The vast majority of the controlled research is devoted to cognitive behavior therapy (CBT) and shows its efficiency and effectiveness in all the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) ...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
abstract::We review critical trends in imaging genetics as applied to schizophrenia research, and then discuss some future directions of the field. A plethora of imaging genetics studies have investigated the impact of genetic variation on brain function, since the paradigm of a neuroimaging intermediate phenotype for schizophr...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2013-09-01 00:00:00
abstract::Biomarkers have been receiving increasing attention, especially in the field of psychiatry In contrast to the availability of potent therapeutic tools including pharmacotherapy, psychotherapy, and biological therapies, unmet needs remain in terms of onset of action, stability of response, and further improvement of th...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章,评审
doi:
更新日期:2011-01-01 00:00:00
abstract::The present study was conducted in order to investigate the relationships between central noradrenergic (NA) and serotonergic (5-HT) function and clinical characteristics of a major depressive episode according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. We measured growth hormone res...
journal_title:Dialogues in clinical neuroscience
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00