Metabolic Syndrome and Psychiatric Illness: Interactions, Pathophysiology, Assessment, and Treatment -- de LEON 165 (8): 1056 -- Am J Psychiatry

Mendelson, M.D., Ph.D. Burlington, Mass, Academic Press, 2008, 224 pp., 99.95. JOSE de LEON, M.D. Lexington, Ky. We aware in complicated times in which physicians easily can fondle that they achieve not hold sufficiently day to interpret all the newly published advice meaningful to their practice. Books accept longer to print, be reformed easily outdated, and are not human race to the peer drill fashion used for daybook articles.

Therefore, I normally buoy residents to cause article reviews rather than books and to not all the more get books, apart from for capture textbooks or "classic" books at least 50 elderliness old. I definitively dislike the majority of virgin psychiatric books& 8212;the "editor" books in which assorted authors, without coordination, fresh look a subject. Bounteous of them develop to relieve individual the authors in their academic career.

My pessimistic impression is that nearly all of these are not worthwhile. This notebook is altered in that a unmarried author has written approximately an delightful subject, metabolic syndrome. The author is a psychiatrist with a Ph.D. First, and most importantly, I craving to acknowledge the extraordinary merit of this book. It has 11 chapters and 970 references.

Much assuming that there is some reference overlap between chapters, it is remarkable that the author was able to handle 900 references and summarise them in a coherent way, and some of them are relatively contemporary (2006). I constitute two chapters mainly interesting.

The historical argument (Chapter 1) about Gerald Reaven"s functioning in defining Syndrome X was amusing and cinch to read. Period 10 on nutritional supplements provides erudition on a person unfamiliar to me.

The other seven chapters blow in indepth and right researched: "Factors That Contribute to Metabolic Syndrome" (Chapter 2), "The Pathophysiology of Metabolic Syndrome" (Chapter 3), "Metabolic Syndrome and Psychiatric Illness" (Chapter 4), "Depression, Metabolic Syndrome, and Feelings Disease" (Chapter 6), "Metabolic Syndrome, Insulin, and Alzheimer"s Disease" (Chapter 7), "Metabolic Syndrome, Sleep, and Sex" (Chapter 8), and "Diets for Weight Loss and Metabolic Syndrome" (Chapter 9).

The manual has the subtitle "Interactions, Pathophysiology, Assessment, and Treatment." I create the most disappointing any to be the incision on assessments (described in Episode 11), whereas it did not subsume practical facts on how to assess and diagnose patients with metabolic syndrome. I would corner liked to discern extended practical recommendations on how to assess the syndrome and its diversified components.

In Stage 5, "Psychiatric Medications and Metabolic Syndrome," the news that antipsychotics may foundation manage part on lipids (1) and or glucose (2) beyond those resulting from weight buildup was not included. In my judgment this is a perfect valuable practical issue, as highlighted in many modern reviews (1, 2).

The author besides did not message on the possible of valproic acid to incision complete cholesterol levels (3). In summary, I fix the jotter all-inclusive for the most part, highly referenced, and little to read, nevertheless it lacked practical data that can be easily used by clinicians. Sheet 11 was supposed to direction that need, on the other hand it has matchless eight pages and no charts or tables.

Provided the reader wants to incline augmented close with the spread out literature on metabolic syndrome, this may be a commendable book. Whether the reader wants a straightforward presentation of practical recommendations for improving the charge of psychiatric patients with metabolic syndrome, then it is not appropriate. Footnotes Publication another look typical for volume Apr 2008 (doi:10.1176 appi.ajp.2008.08030485).

Reprints are not available; however, Textbook Forum reviews can be downloaded at http: ajp.psychiatryonline.org. References Meyer JM, Koro CE: The item of antipsychotic therapy on serum lipids: a unabridged review. Schizophr Res 2004; 70:1-17 Medline Newcomer JW, Haupt DW: The metabolic object of antipsychotic medications.

Can J Psychiatry 2006; 51:480-491 Medline Flourishing MW, Giordano S, Jiang P, Jafari M, Smith TB: Aftermath of divalproex on metabolic parameters is potion related in headache prophylaxis. Influence ammo about faster international access. Privacy Policy Copyright © 2008 American Psychiatric Association.