Allostatic load as a tool for monitoring physiological dysregulations and comorbidities in patients with severe mental illnesses.
Harv Rev Psychiatry
; 21(6): 296-313, 2013.
Article
en En
| MEDLINE
| ID: mdl-24201821
Severe mental illnesses like schizophrenia and bipolar disorder are disabling, chronic conditions that are often accompanied by medical comorbidities. In this theoretical article, we review the allostatic load model representing the "wear and tear" that chronic stress exacts on the brain and body. We propose an innovative way of monitoring physical and psychiatric comorbidities by integrating the allostatic load model into clinical practice. By interpreting peripheral biomarkers differently, medical professionals can calculate a simple, count-based, allostatic load index known to predict diverse stress-related pathologies. In addition to screening for comorbidities, allostatic load indices can be used to monitor the effects of pharmacological and psychosocial interventions. This framework can also be used to generate a dialogue between patient and practitioner to promote preventive and proactive approaches to health care.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Comorbilidad
/
Alostasis
/
Trastornos Mentales
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Harv Rev Psychiatry
Asunto de la revista:
PSIQUIATRIA
Año:
2013
Tipo del documento:
Article
Pais de publicación:
Estados Unidos