Allostatic Load and Allostatic Overload: Preventive and Clinical Implications

Pfaltz, Monique C.; Schnyder, Ulrich

doi:10.1159/000534340

Cited by 10 publications

(2 citation statements)

References 37 publications

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“…Staging may play an important role also in setting preventive strategies in the general population or in evaluating treatment responses. However, in these clinical settings the phenomena are more complex and require staging procedures that are not limited to symptoms (e.g., depression, panic) but are extended to relevant issues such as allostatic load [29,[61][62][63] and behavioral toxicity [41,45].…”

Section: Discussionmentioning

confidence: 99%

Clinical Use of Staging in Psychiatry

Fava

2024

Psychother Psychosom

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Section: Discussionmentioning

confidence: 99%

Clinical Use of Staging in Psychiatry

Fava

2024

Psychother Psychosom

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“…Even though there are many questionnaires covering psychosocial aspects of medical illness [3,4,24], and patient-reported outcome measures appear to be particularly valuable [28], interviewing is the key instrument for collecting information on psychosocial aspects of medical disease. Individual perception of the stressfulness of an environment exceeding his/her resources (allostatic load), presence of depression, demoralization and anxiety, and health attitudes and behavior stand as particularly important in the clinical process [4,[29][30][31].…”

Section: Clinical Domainsmentioning

confidence: 99%

Clinical Interviewing: An Essential but Neglected Method of Medicine

Fava,

Sonino,

Aron

et al. 2024

Psychother Psychosom

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Clinical interviewing is the basic method to understand how a person feels and what are the presenting complaints, obtain medical history, evaluate personal attitudes and behavior related to health and disease, give the patient information about diagnosis, prognosis, and treatment, and establish a bond between patient and physician that is crucial for shared decision making and self-management. However, the value of this basic skill is threatened by time pressures and emphasis on technology. Current health care trends privilege expensive tests and procedures and tag the time devoted to interaction with the patient as lacking cost-effectiveness. Instead, the time spent to inquire about problems and life setting may actually help to avoid further testing, procedures, and referrals. Moreover, the dialogue between patient and physician is an essential instrument to increase patient’s motivation to engage in healthy behavior. The aim of this paper was to provide an overview of clinical interviewing and its optimal use in relation to style, flow and hypothesis testing, clinical domains, modifications according to settings and goals, and teaching. This review points to the primacy of interviewing in the clinical process. The quality of interviewing determines the quality of data that are collected and, eventually, of assessment and treatment. Thus, interviewing deserves more attention in educational training and more space in clinical encounters than it is currently receiving.

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Association of allostatic load with functional disability in the China Health and Retirement Longitudinal Study

Zhao,

Si,

et al. 2024

The Journal of nutrition, health and aging

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Allostatic Load and Allostatic Overload: Preventive and Clinical Implications

Cited by 10 publications

References 37 publications

Clinical Use of Staging in Psychiatry

Clinical Use of Staging in Psychiatry

Clinical Interviewing: An Essential but Neglected Method of Medicine

Association of allostatic load with functional disability in the China Health and Retirement Longitudinal Study

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