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Introduction
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"The interface between psychiatry and all other branches of medicine and surgery"
Model
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Psychological precursors |
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Psychological features |
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Somatic presentation of |
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Psychological consequences of illness |
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Precursors
- Societal Forces
- Personality
- Life Events
Examples:
General Surgery - Peptic ulcer - Patients with gastric fistulae show changes in secretion, vascularlity and motility with emotion.
General Medicine - Hypertension - People under stress experience prolonged periods of elevated diastolic and systolic blood pressure while that stress lasts. Over a prolonged period this hypertension becomes irreversible due to peripheral vascular changes.
Ischaemic Heart Disease - Japanese migrants to the USA experience high rates of IHD, not the low Japanese rates. Type A personality a predisposing factor. Widowers over the age of 55 in the first six months after bereavement have a 40% increased mortality rate compared to a control group. High life events scores often precede illness onset.
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