Academic journal article Canadian Psychology

Depression in the Medically Ill: An Integrated Approach // Review

Academic journal article Canadian Psychology

Depression in the Medically Ill: An Integrated Approach // Review

Article excerpt

This book provides an in - depth coverage of current issues in the management of depression in the medically ill. The book is balanced in theoretical perspective and quite comprehensive in coverage of the empirical literature.

The authors are well known to the area of depression and physical illness. Dr. G. Rodin is Psychiatrist - in - Chief at The Toronto Hospital and Associate Professor of Psychiatry at the University of Toronto. He has made several contributions to the literature on the prevalence and diagnosis of depression in the medically ill. Dr. Craven is Director of Psychosomatic Medicine at The Toronto Hospital and Associate Professor of Psychiatry at the University of Toronto. He has published several papers on issues of related to the diagnosis and treatment of depression in end stage renal disease. Dr. Littlefield is a Health Psychologist at The Toronto Hospital and Assistant Professor of Psychiatry at the University of Toronto. She has written on the psychosocial factors associated with depression in the medically ill.

This book is a timely contribution. The past decade has seen considerable research and theory devoted to elucidating the mechanisms linking depression and physical illness. However, only recently have there been systematic attempts to address clinical issues in the management of depression in the medically ill.

The book is organized into three main sections dealing with 1) Clinical Presentation, 2) Etiology and Pathogenesis, and 3) Treatment. Numerous case examples are provided throughout to highlight different aspects of symptom presentation, diagnostic problems, and therapeutic management. The authors begin with a thoughtful discussion of current issues in the measurement of depression in the medically ill. Topics related to symptom overlap, the use of self - report instruments, and prevalence are clearly presented. The review of prevalence studies includes work on diverse patient populations including general practice, renal disease, oncology, arthritis, myocardial infarction, pulmonary disease, Parkinson's, stroke, and multiple sclerosis. …

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