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In addition to the editor, Regina C. Casper of the Department of Psychiatry and Behavioral Sciences at Stanford University, many of the contributors are women whose daily clinical encounters provide an experiential background for their reviews. The focus is on illnesses that occur uniquely in women by virtue of biology (reproductive disorders); those for which the incidence is significantly greater in women than in men (depression, anxiety, eating disorders, breast cancer, and thyroid disorders); and those in which sex differences are important but not so apparent (cardiovascular disease). Some of the best chapters are those on breast cancer and on cardiovascular disease because of the complexity of these problems. The reader learns, for example, that in the United States, cardiovascular disease is the leading cause of death among women, as it is among men (with equal rates after the seventh decade), but that women have been excluded from randomized, controlled studies of risk factors because fewer young and middle-aged women than men have coronary artery disease.
This book is a reminder of the need for individualized treatment. For instance, supplemental estrogen can be a mood-lifter or it can induce panic and depression, depending on the woman who takes the medication. There is no correlation between low estrogen levels and affective disorders. Also of interest in the study of women's health is the way that facts may not change a commonly held notion. A good example is the belief that hormonal imbalance produces premenstrual dysphoric disorder, despite the many double-blind, controlled trials demonstrating that hormone adjustment is an ineffective treatment.
The tables are excellent reference guides for comparing available data on controversial topics. They are not as useful for telling clinicians what to do, and there are too few guidelines about psychiatric and psychotherapeutic interventions. The observation that women have more psychiatric disorders, coexisting conditions, and refractory illnesses than do men is an implicit call for a more comprehensive and creative understanding of prevention and treatment in women. This book is an important step in that direction.
Reviewed by Roberta J. Apfel, M.D., M.P.H.
Copyright © 1998 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.
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Most Helpful Customer Reviews
1 of 1 people found the following review helpful:
4.0 out of 5 stars
A good source of information on womens health and diseases,
By A Customer
This review is from: Women's Health: Hormones, Emotions and Behavior (Psychiatry and Medicine) (Hardcover)
This book includes an overview of the complex relation between hormones and individual as well as environmental influences in health and disease in women. The book gives information and background material important for treating problems related to the reproductive cycle, eating disorders, drug treatment of women and treatment issues in coronary artery disease and breast cancer. The book is oriented firstly for the practicing physician in primary care, psychiatry, internal medicine and gynecology and obstetrics, but it is easy reading for general public with a basic knowledge of physiology and women's reproductive characteristics. This book offers a new view because it combines consideration of psychological and physical disorders affecting women and discusses their treatments. It is highly recommended, especially for women who are interested in how their bodies work and how hormones and behavior can influence in health and diseases.
4.0 out of 5 stars
A good source of information on womens health and diseases,
By
This review is from: Women's Health: Hormones, Emotions and Behavior (Psychiatry and Medicine) (Hardcover)
This book includes an overview of the complex relation between hormones and individual as well as environmental influences in health and disease in women. The book gives information and background material important for treating problems related to the reproductive cycle, eating disorders, drug treatment of women and treatment issues in coronary artery disease and breast cancer. The book is oriented firstly for the practicing physician in primary care, psychiatry, internal medicine and gynecology and obstetrics, but it is easy reading for general public with a basic knowledge of physiology and women's reproductive characteristics. This book offers a new view because it combines consideration of psychological and physical disorders affecting women and discusses their treatments. It is highly recommended, especially for women who are interested in how their bodies work and how hormones and behavior can influence in health and diseases.
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