Long-Term Outcomes in Psychopathology Research. Rethinking the Scientific Agenda

Description

• Covers findings from long-term psychopathology outcome studies, problematic case definitions, and research priorities for patients with chronic and severe disorders
• Contains chapters on cutting edge biological research that should be integrated into long-term outcome studies
• Emphasizes the importance of a bottom-up approach to learning from study populations rather than a top-down approach to believing we know what's important to learn and to measure
• Expands the outcomes research community beyond the boundaries of specific disorders
• Emphasizes the integration of personal narratives with pre-formulated question and response research

Based on the 103rd annual meeting of the American Psychopathological Association, Long-Term Outcomes in Psychopathology Research: Rethinking the Scientific Agenda explores the long-term course of illness and functioning of individuals treated for mental health and substance use disorders and the outcomes research derived from these cases. Sections cover topics including: findings from long-term psychopathology outcome studies, problematic case definitions, differing perspectives on the concept of recovery, the need for continued long-term outcomes research, and research priorities for patients with chronic and severe disorders. The book employs the experiences of innovative mental health providers, reflecting the value of personal narratives in research conducted in cross-sectional increments with pre-formulated questions and response options. As psychiatry continues to refine its diagnostic categories and psychology demands greater attention to dimensionality, the need for interdisciplinary long-term studies is as critical as ever. This final volume in the American Psychopathological Association Series reflects on developments in outcomes research conducted in parallel with different disorders and offers suggestions for preserving long-term outcome studies as the mainstay of clinical knowledge.

Readership: Psychiatrists, Clinical psychologists, Clinical Psychology, Public Health, and Psychiatric Epidemiology graduate students.

Contents

Part I FINDINGS FROM LONG-TERM OUTCOME STUDIES
1. Past and Future Directions in Psychosis Research
EVELYN J. BROMET
2. Course of Bipolar Disorder in Adults and Children
KATHLEEN RIES MERIKANGAS, NICOLE JAMESON, AND MAURICIO TOHEN
3. Can Course Help Reduce the Heterogeneity of Depressive Disorders?
DANIEL N KLEIN
4. The Course of Substance Use Disorders: Trajectories, Endpoints, and Predictors
CHRISTINE TIMKO, RUDOLF H. MOOS, AND JOHN W. FINNEY
5. Commentary: Divergent Views on Heterogeneity in Long-Term Course and Outcome of Adult Mental and Substance Disorders
RAMIN MOJTABAI

Part 2 ONGOING DEBATES ABOUT CASE DEFINITIONS: DIAGNOSTIC BOUNDARY ISSUES
6. Using Developmental Trajectories to Validate Diagnostic Categories: Comparing and Contrasting Asperger's Syndrome and Autism
PETER SZATMARI
7. Disruptive Mood Dysregulation Disorder: The Result of a Problem Looking for a Diagnosis
GABRIELLE A. CARLSON
8. Deconstructing PTSD
MATTHEW A. FRIEDMAN
9. The Quantitative Classification of Mental Illness: Emerging Solution to Boundary Problems
ROMAN KOTOV

Part 3 DIFFERING PERSPECTIVES ON THE CONCEPT OF RECOVERY
10. Long-term Outcomes of Juvenile-Onset Depression: Is Recovery a Viable Concept?
MARIA KOVACS
11. Long-term Trajectories and Recovery from PTSD
ZAHAVA SOLOMON, AVIGAL SNIR, HENRY FINGERHUT, AND MICHAL ROSENBERG
12. Preventive Strategies to Optimize Recovery In Psychosis
PATRICK MCGORRY AND SHERILYN GOLDSTONE
13. Advocacy, Stigma, and Self-Disclosure: A Personal Perspective
FREDERICK J. FRESE
14. Organizational Change towards Recovery Oriented Service Provision: A Provider's Perspective
EDYE SCHWARTZ; INTRODUCTION BY LISA DIXON

Part 4 THE NEED FOR CONTINUED LONG-TERM OUTCOMES RESEARCH
15. Nonsuicidal Self-Injury: Old Problem, New Disorder, Limited Data
CATHERINE R. GLENN, ADAM C. JAROSZEWSKI, ALEXANDER J. MILLNER, JACLYN C. KEARNS, AND MATTHEW K. NOCK
16. Blending Technological Innovations into Long-Term Prospective Research
CARLOS N. PATO, JANET L. SOBELL, MICHELE T. PATO
17. Functional Magnetic Resonance Imaging (fMRI) of PTSD: Current Status and Future Directions
EREL SHVIL, KATHARINE REINER VAN DER HOORN, SANTIAGO PAPINI, GREGORY M. SULLIVAN, AND YUVAL NERIA

Part 5 EPILOGUE
18. Epilogue - Reconsidering Outcome Priorities for Serious Mental Illnesses
ROBERT B. ZIPURSKY

Author

Dr. Evelyn J. Bromet is Distinguished Professor of Psychiatry and Preventive Medicine at Stony Brook University. She received her BA in history from Smith College, PhD in epidemiology from Yale University, and postdoctoral training at Stanford's Social Ecology Laboratory. She founded the Psychiatric Epidemiology Training Program at the University of Pittsburgh where she did research on the aftermath of the Three Mile Island accident and the neuropsychiatric effects of workplace exposures. At Stony Brook, she is the architect of the Suffolk County Mental Health Project, now in its 20th year of follow-up, and conducted longitudinal studies of Chernobyl evacuees and clean-up workers in Ukraine along with a national prevalence study. Her current research also focuses on mental-physical comorbidity among responders to the World Trade Center disaster.