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Rhonda Brown - Comorbidity: Symptoms, Conditions, Behavior and Treatments

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Rhonda Brown Comorbidity: Symptoms, Conditions, Behavior and Treatments

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This book introduces a new theory on the substantial comorbidity that exists between many illnesses and disorders and concurrent symptoms such as pain, impaired sleep and fatigue. The specific illnesses and disorders discussed include obesity, diabetes mellitus type-II, medical illnesses including cardiovascular disease and sleep-disordered breathing, insomnia, disordered eating such as binge-eating disorder and night-eating syndrome, affective distress (anxiety and depression), and comorbidities that are linked to eating disorders such as anorexia nervosa and bulimia nervosa. The book posits that the comorbidities are the result of a complex bio-psycho-behavioral mechanism that includes circadian rhythm dysfunction. It examines the statistical and methodological (e.g. measurement) problems that can complicate the understanding of comorbidity and explores a broad range of novel, existing, and repurposed therapy approaches that could have utility in treating comorbid disorders. This book will be of great value to academics as well as practitioners working in the field of psychiatry, health psychology and medicine more broadly.

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Editors Rhonda Brown and Einar Thorsteinsson Comorbidity Symptoms - photo 1
Editors
Rhonda Brown and Einar Thorsteinsson
Comorbidity
Symptoms, Conditions, Behavior and Treatments
Editors Rhonda Brown Research School of Psychology Australian National - photo 2
Editors
Rhonda Brown
Research School of Psychology, Australian National University, Canberra, ACT, Australia
Einar Thorsteinsson
School of Psychology, University of New England, Armidale, NSW, Australia
ISBN 978-3-030-32544-2 e-ISBN 978-3-030-32545-9
https://doi.org/10.1007/978-3-030-32545-9
The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2020
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Cover illustration: Gregory Davies/Stockimo/Alamy Stock Photo

This Palgrave Macmillan imprint is published by the registered company Springer Nature Switzerland AG

The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Preface

Collectively, as co-authors, we have extensive clinical and research experience related to the various clinical disorders, symptoms, behaviour and biology covered in the book. Furthermore, as research collaborators, we can provide a unique perspective on the likely evolution and nature of disease comorbidity, which integrates biological, medical and psychological perspectives. The book was written with an academic audience in mind, although other interested individuals may appreciate the exploration of possible mechanisms underpinning disease comorbidity. To be clear, this isnota self-help book that reflects upon the way in which people should live a better life or which reflects upon the way that we as individuals live our own lives.

The stimulus for the book was research conducted by Laird Birmingham, Rhonda Brown and others, related to low body temperature and infection in anorexia nervosa patients, which later gave rise to discussions around the possible role played by body temperature in mediating some of the adverse health outcomes related to overweight/obesity. However, more broadly, the co-authors have worked collectively, in several different research groups, to answer the following questions related to disease comorbidity: What is causing the comorbidity between different medical and psychological conditions? What role (if any) is played by the shared (or overlapping) medical and psychological symptoms? Or is a common factor more likely to cause the co-occurrences? Finally, why is a similar profile of risk factors detected for a range of different but frequently comorbid illnesses and conditions?

As argued in this book, there is a crucial need to more fully integrate a broader range of comorbid illnesses and conditions, and their often overlapping risk factors, into the same disease models; to arrive at a more complex real-world understanding of comorbid illness causation. If such a clinical model could be developed, it might be used to test complex hypotheses related to the evolution and nature of disease comorbidity as well as evaluate potential new therapies.

Finally, as co-authors, we wish to thank the various researchers and clinicians we have worked with over many years, who each have contributed to the evolution of the thoughts that are collectively advanced in this book.

Rhonda Brown
Einar Thorsteinsson
Canberra, Australia Armidale, Australia
Contents
Rhonda Brown and Einar Thorsteinsson
Rhonda Brown and Einar Thorsteinsson
Rhonda Brown and Yasmine Umar
Christopher J. Nolan
C. Laird Birmingham
Einar Thorsteinsson and Rhonda Brown
Rhonda Brown and Einar Thorsteinsson
Einar Thorsteinsson and Rhonda Brown
Rhonda Brown and Einar Thorsteinsson
List of Figures
Fig. 2.1 Symptoms, states, and behaviour that can increasenocturnalbody temperature, and if practiced at night, thereby potentially interfere with sleep onset
Fig. 2.2 Original caption reads: Diagrammatic representation of normally entrained endogenous rhythms of core body temperature (solid curve), plasma melatonin (dotted curve), and objective sleep propensity (dashed curve) placed in the context of the 24-h clock time and normal sleep period (shaded area). Figure is from Lack et al. [25]
Fig. 2.3 Original caption reads: Fitted Fourier curves to the control group and insomniac group mean 24-h temperature data in the constant routine relative to subjects usual sleep onset times (vertical solid line). The usual mean lights out times (LOT) for each group are indicated as vertical dashed lines. The estimated mean wake maintenance zone (WMZ) for each group is indicated as shaded area. Figure is from Morris et al. [30]
Notes on Contributors
C. Laird Birmingham, M.D.

is a Specialist in Internal Medicine, Epidemiologist and Biostatistician and a Professor of Psychiatry at the University of British Columbia, where he was previously Professor of Medicine. He was Leader of the BC Eating Disorders Epidemiology Project in the Centre for Health Evaluation and Outcome Sciences until 2008 and then Medical Director of the Woodstone Residential Treatment Centre for Eating Disorders until December 2013. He is a Member of the Brain Research Centre at UBC and Senior Associate Clinician Scientist at the Children and Family Research Institute. He has more than 40 years of experience in eating disorder research and treatment and has 280 publications including 131 refereed articles, 23 invited chapters and 9 books. Dr. Birminghams research has focused on nutrition and the brain, the effect of ambient temperature on anorexia nervosa and the medical management of eating disorders. He is focused now on LORETA imaging and neurofeedback of patients with disorder.

Rhonda Brown

started her career as a lab-based researcher, developing an animal model for immune-mediated polyneuropathies during her Ph.D. and exploring the overlap between neurochemical, neuroendocrine and immune responses to stress and infective illness, including bacterial translocation (i.e. leaky gut), during her post-doctoral fellowship. She works as an Associate Professor in the Research School of Psychology, Australian National University. She teaches health psychology and her research examines predictive relationships between stress, affective distress (e.g. anxiety, depression), sleep, fatigue, other symptoms, and illness outcomes in patients (e.g. cancer, overweight/obesity, sleep apnoea, multiple sclerosis) and community-well individuals. She also collaborates with other researchers to examine work-stress, burnout, communication performance and empathy in medical staff and medical and psychology students as well as immune function, fever response and infection in patients with anorexia nervosa. Over the past 20-years, she has worked extensively with each of the co-authors of this book.

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