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Family history predicts presence and course of psychiatric disorders
July 07, 2009
A family history of depression, anxiety, alcohol dependence or drug dependence is associated with the presence of each condition and also may predict its course and prognosis, according to a report in the July issue of Archives of General Psychiatry, one of the JAMA/Archives journals. Family history of a psychiatric condition is generally known to increase an individual's risk of developing that condition, according to background information in the article. "However, there is a need to go further and test whether family history is also associated with clinical features of the disorder thought to represent a continuum of seriousness among individuals who meet criteria for diagnosis," the authors write.
Barry J. Milne, Ph.D., of University of Auckland, New Zealand, and colleagues studied 981 residents of Dunedin, New Zealand, born in 1972 or 1973. Participants were enrolled in the Dunedin Study at age 3 and followed up through age 32. Between 2003 and 2005, family history data were collected about each individual's biological parents, grandparents and siblings older than 10 years. Four psychiatric disorders were studied: major depressive episode, anxiety disorder, alcohol dependence and drug dependence.
"In general, we found that associations showed a consistent direction of effect across all four disorders: (1) family history was associated with the presence vs. absence of disorder for all four disorder types; (2) family history was associated with a recurrent course for all four disorders (but not significantly for women with depression); (3) family history was associated with worse impairment for all four disorders (but not significantly for depression and drug dependence); and (4) family history was associated with greater service use for all four disorders (but not significantly for anxiety disorders)," the authors write.
The results suggest implications for researchers who wish to study genetic forms of a disorder and also for clinicians treating psychiatric conditions, the authors note.
From a public health perspective, family history may be useful for determining which patients will have the poorest prognosis," they conclude. "For example, among those with depression, anxiety disorder, alcohol dependence and drug dependence, a family history screen may help determine whose illness will recur, whose illness will cause the greatest impairment and who will be the most likely to use treatment resources. Thus, family history may identify a subgroup in need of primary or early intervention, and for whom treatments appropriate for recurrent, highly disabling disorder may be needed."
JAMA and Archives Journals
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4th edition Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR Fourth Edition by American Psychiatric Association (Author) (APA Textbook For College and University Students)
by by American Psychiatric Association
Product Description
The last 6 years has seen many advances in our knowledge of illnesses. The DSM-IV-TRV spans the bridge between DSM- IVV and DSM-VV to ensur e that the most relevant new information since the DSM- IVV literature review in 1992 was incorporated and to enhance the educational value. Specifically, new information on associated features, including asso ciated laboratory and physical findings, has been added for many of th e disorders. Sections on prevalence, gender/age/culture, course, and familial pattern have also been revised to reflect recent research fin dings. More comprehensive differential diagnoses have been incorporat ed for many of the disorders.
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by Red Toad Road Company
TRAINING OBJECTIVES are to learn the following: Which mental health disorders benefit from BFT, the treatment outcome research for BFT, the underlying biological vulnerability-stress theory, the core treatment strategies in BFT, the communication skills training that is emphasized, the importance of problem-solving skills training, the importance of education about psychiatric disorders, how to use the handouts and worksheets.
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DESCRIPTION:
This course presents an empirically-supported behavioral family counseling approach to treating major mental health disorders such as schizophrenia, bipolar disorder, and complex PTSD. The approach emphasizes training in social skills and problem-solving that is coupled with a sizable psychoeducational component, which is...
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Multifamily Groups in the Treatment of Severe Psychiatric Disorders
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This volume presents a proven psychoeducational therapy approach for persons with severe mental illness and their families. Pioneering schizophrenia treatment developer William R. McFarlane first lays out the theoretical and empirical foundations of the multifamily model. Chapters coauthored with other leading clinician-researchers then provide detailed "how-to" instructions for forming groups; implementing educational and problem-solving interventions; managing clinical, relationship, and functional issues that may arise; and integrating psychoeducation with other forms of treatment. Also addressed are applications of the model--some described here for the first time--to a variety of disorders other than schizophrenia, including bipolar disorder, depression, obsessive-compulsive...
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(severe mental illness) Behavioral Family Therapy for Psychiatric Disorder2nd Edition (ISBN 1572241438) by Kim Mueser, Ph.D. and Shirley Glynn, Ph.D., (12 CE Credits or 12 CME Credits only, book not included)
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CE/CME CREDITS ONLY: Please note that you must already have access to the training material (book, etc.) for this CE/CME course to purchase the CE/CME packet (CE/CME credits, test, training objectives rating form) by itself. If you do not already have access, then purchase the training material together with the CE/CME packet by searching for the combination (training material + CE/CME packet) by browsing under the title of the training material in the RTR store..........................
TRAINING OBJECTIVES are to learn the following: Which mental health disorders benefit from BFT, the treatment outcome research for BFT, the underlying biological vulnerability-stress theory, the core treatment strategies in BFT, the communication skills training that is emphasized, the importance of...
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