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Comorbidity of Mental and Physical Disorders
This publication presents evidence about the magnitude and severe consequences of comorbidity of mental and physical illnesses from a personal and societal perspective. Leading experts address the huge burden of co-morbidity to the affected individual as well as the public health aspects, the costs to society and interaction with factors stemming from the context of socioeconomic developments. The authors discuss the clinical challenge of managing cardiovascular illnesses, cancer, infectious diseases and other physical illness when they occur with a range of mental and behavioral disorders, including substance abuse, eating disorders and anxiety. Also covered are the organization of health services, the training of different categories of health personnel and the multidisciplinary engagement necessary to prevent and manage comorbidity effectively. The book is essential reading for general practitioners, internists, public health specialists, psychiatrists, cardiologists, oncologists, medical educationalists and other health care professionals.
- Cover Page
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Front Matter
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Key Issues in Mental Health
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Title Page
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Copyright
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Contents
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Foreword
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References
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Preface
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Background
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Conceptual Perspectives on the Co-Occurrence of Mental and Physical Disease: Diabetes and Depression as a Model
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Abstract
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Biological, Psychological and Socioeconomic Influences in Diabetes and Depression
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The Breadth of Environmental Influence: Neighborhood Design and Social Isolation
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What Are We Preventing, Treating, and Managing? Key Definitional and Conceptual Issues
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Treatment: Integrative Clinical and Comprehensive Population Approaches
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Discussion
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Clinical Implications
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Integrative Role of Self-Management in Diabetes and Depression
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Disclosure Statement
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References
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Public Health Perspectives on the Co-Occurrence of Non-Communicable Diseases and Common Mental Disorders
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Abstract
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Current Views on the Prevention and Control of Non-Communicable Diseases and Common Mental Disorders
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Shared Determinants for Non-Communicable Diseases and Common Mental Disorders
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Shared Pathways for Non-Communicable Diseases and Common Mental Disorders
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Defining Public Health Interventions
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Prevention and Control of Comorbid Physical and Mental Disorders
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Considerations for Implementation and Scale-Up of Prevention and Control of Comorbid Non-Communicable Diseases and Common Mental Disorders
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Economic Impact of the Co-Occurrence of Non-Communicable Diseases and Common Mental Disorders: A Focus on the Workforce
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Future Efforts in Public Health
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Acknowledgment
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References
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Counting All the Costs: The Economic Impact of Comorbidity
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Abstract
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What Is Meant by Economic Cost?
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What Do We Already Know about the Economic Impacts of Comorbidity on Healthcare Systems?
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Impacts on Healthcare Systems
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Impacts beyond Healthcare Systems
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Strengthening the Case for Tackling Comorbid Mental and Physical Health Problems
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References
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Difficulties Facing the Provision of Care for Multimorbidity in Low-Income Countries
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Abstract
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Multimorbidity in a Low-Income Context
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The Health System Barriers to Care for Multimorbidity in Low-Income Countries
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Conclusion
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References
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Comorbidity of Mental and Physical Illness: A Selective Review
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Depression, Diabetes and Dementia
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Abstract
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Mechanisms Linking Depression, Diabetes and Dementia
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Implications for Treatment and Prevention
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Conclusion
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References
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Cardiovascular Disease and Severe Mental Illness
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Abstract
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Epidemiology of Cardiovascular Disease in Severe Mental Illness
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Aetiology of Cardiovascular Disease in Severe Mental Illness
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Antipsychotic Medication and Cardiovascular Disease
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Screening for Cardiovascular Risk Factors
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Managing Cardiovascular Risk Factors
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Conclusion
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Disclosure Statement
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References
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Multiple Comorbidities in People with Eating Disorders
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Abstract
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Alterations of Skin and Related Organs
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Oral Pathology
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Gastrointestinal Complications
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Hepatic and Pancreatic Pathology
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Cardiovascular Complications
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Pulmonary Disease
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Renal Disease
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Musculoskeletal Abnormalities
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Hematological Changes
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Metabolic Changes
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Electrolyte and Vitamin Alterations
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Endocrine Consequences
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Conclusions
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References
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Anxiety and Related Disorders and Physical Illness
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Abstract
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Epidemiology
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Etiology
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Clinical Features
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Management
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Conclusion
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References
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Cancer and Mental Illness
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Abstract
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Overview of Excess Mortality and Mental Illness
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The Evolution of Mental Illness and Cancer Research
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Cancer and Excess Mortality
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Incidence and Case Fatality Rates
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Factors Related to Higher Case Fatality
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Comorbidities and Challenges for Health and Mental Healthcare Providers
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Conclusions
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References
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Infectious Diseases and Mental Health
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Abstract
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The ‘Sickness Behavior’ Model in Major Depression
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Components and Functions of the Immune System
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The Proinflammatory Immune State in Major Depression
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Infections and Autoimmune Disorders as Risk Factors for Major Depression
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Infection and Autoimmunity Presenting with Symptoms of Schizophrenia
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Inflammation and the Effect on Neurotransmission in Schizophrenia
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Infection as a Possible Pathogenetic Factor in Schizophrenia
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Cyclooxygenase-2 Inhibition as an Example of an Anti-Inflammatory Therapeutic Approach in Schizophrenia and Major Depression
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Childhood Infections: A Common Cause for Mental Disorders?
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The Concepts of Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal Infections, Pediatric Infection-Triggered Autoimmune Neuropsychiatric Disorder and Pediatric Acute-Onset Neuropsychiatric Syndrome as Infectious Disorders Presenting as (Neuro-) Psychiatric Symptoms
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Conclusions
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References
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Physical Diseases and Addictive Disorders: Associations and Implications
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Abstract
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Immune System
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Infection
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Cancers
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Hematopoietic Disorders
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Cardiovascular Disease
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Oral, Ear, Nose and Throat Disorders
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Respiratory Disease
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Gastrointestinal Disorders
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Hepatobiliary Disease
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Metabolic, Nutritional and Endocrine Disorders
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Renal and Male Urogenital Disorders
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Female Reproductive System
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Pregnancy
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Dermatologic Disorders
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Neurological Disorders
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Musculoskeletal Disease
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Conclusion
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References
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Management of Comorbidity of Mental and Physical Illness
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The Role of General Practitioners and Family Physicians in the Management of Multimorbidity
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Abstract
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The Epidemiological Transition towards People with Multiple Chronic Conditions
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General Practice: From a Comorbidity to a Multimorbidity Perspective
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How Does the Health System Address Patients with (Several) Chronic Conditions Today?
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Why Primary Care?
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The Case of Jennifer
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How Can We Build an Evidence Base for Multimorbidity?
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From Problem-Oriented Towards Goal-Oriented Care
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The Need for New Types of Evidence
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Implications for the Health System
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Multimorbidity, Goal-Oriented Care and Equity
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The Role of the General Practitioner in the Management of Patients with Multimorbidity
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References
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Training Physicians at Undergraduate and Postgraduate Levels about Comorbidity
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Abstract
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Educational Theories, Principles and Implications for Training
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Training Goals
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Training Issues
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Teaching Consultation and Communication Skills
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Training Course Designs
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New Models of Learning
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Conclusions
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References
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The Dialogue on Diabetes and Depression African Nursing Training Programme: A Collaborative Training Initiative to Improve the Recognition and Management of Diabetes and Depression in Sub-Saharan Africa
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Abstract
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Background
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Programme Rollout
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Workshop Implementation and Evaluation
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Results
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Discussion
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Limitations of the Programme
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Next Steps in Comorbidity Training
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Conclusions
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Acknowledgements
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References
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The Challenge of Developing Person-Centred Services to Manage Comorbid Mental and Physical Illness
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Abstract
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The Fragmentation of Healthcare
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The Consequences of Specialisation and Fragmentation
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The Importance of Primary Care
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Developing Novel Models of Care for Comorbidity and Multimorbidity
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Developing the Skills of Professionals
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References
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Prevention of Comorbid Mental and Physical Disorders
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Abstract
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Developments in Preventing Mental Disorders
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Types of Comorbidity
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Four Explanatory Models
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Strategies to Prevent Comorbidity
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Promising Evidence-Based Preventive Programs
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Challenges for Research
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Challenges for Policy and Practice
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References
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Concluding Remarks
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Conclusions and Outlook
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Abstract
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Recommended Reading
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- Author Index
- Subject Index
- 出版地 : 德國
- 語言 : 德文
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