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Psychosocial Interventions for Genetically Influenced Problems in Childhood and Adolescence


Psychosocial Interventions for Genetically Influenced Problems in Childhood and Adolescence


1. Aufl.

von: Richard Rende

44,99 €

Verlag: Wiley
Format: EPUB
Veröffentl.: 18.08.2014
ISBN/EAN: 9781118235690
Sprache: englisch
Anzahl Seiten: 240

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Beschreibungen

<p><b>How to weigh genetic factors while choosing the best psychosocial interventions</b></p> <p><i>Psychosocial Interventions for Genetically Influenced Problems in Childhood and Adolescence</i> explores empirically supported psychosocial interventions in light of our current understanding of the genome. It considers how interventions may be modified and enhanced as the products of genomic research continue to expand – and why they offer the most promise for making substantial gains in treatment and prevention.</p> <p>Providing a clear, accessible assessment of our current knowledge, both of the genome and evidence based treatments, <i>Psychosocial Interventions for Genetically Influenced Problems in Childhood and Adolescence</i> provides practical advice to clinicians,policy makers, and others invested in treating young people who present with a variety of conditions including anxiety, depression, ADHD, autism, substance abuse, and dyslexia. Rende discusses the current understanding of genetic etiology of psychopathology, and explores the support, or lack thereof, for various modes of treatment in light of new genomic knowledge. The overall premise is that our advances in genetics will be put to best therapeutic use by fueling translational psychosocial interventions.<br /> <br /> Key points raised include:</p> <ul> <li>The need for treating children suffering today, rather than waiting for a biological "magic bullet"</li> <li>Discussion of how empirically-supported interventions mesh with genetic vulnerabilities</li> <li>Ways in which interventions may change as genetic research continues</li> </ul>
<p>Preface ix</p> <p>Acknowledgments xiii</p> <p><b>1 Prelude: Great Expectations 1</b></p> <p>Aren’t Magic Bullets Possible? 10</p> <p>So Aren’t Similar Successes Imminent? 11</p> <p>What Will be the Yield of Genetic Research in Terms of Intervention? 14</p> <p>Where Will All of This Lead? 17</p> <p><b>2 Autism Spectrum Disorder: Can We Use Environmental Intervention to Reprogram Genetic Effects? 21</b></p> <p>Genomic Approaches to ASD 24</p> <p>Is There a New Fundamental Etiological Model of ASD? 27</p> <p>Genomics, Complex Disorders, Hype, and Hope 30</p> <p>Using the Environment to Reprogram the Effects of Genes 34</p> <p>What’s Next? 41</p> <p>References 44</p> <p><b>3 Attention-Deficit/Hyperactivity Disorder and Reading Disorder: Illuminating How the Environment Shapes Highly Heritable Disorders 45</b></p> <p>Genetic Models of ADHD and RD: Why Has Gene Discovery Been So Elusive? 47</p> <p>Why Would the Environment be Important for Highly Heritable Disorders? 51</p> <p>More Nuanced Models of Gene–Environment Interplay for ADHD and RD 54</p> <p>The Promise of Psychosocial Interventions 59</p> <p>Concluding Remarks 66</p> <p>References 67</p> <p><b>4 Conduct Problems and Substance Use: The Underappreciated Role of Shared Environmental Influences 69</b></p> <p>Genetic Models of CP and SU 73</p> <p>The Impact of Shared Environmental Influences 75</p> <p>Getting Molecular About the Environment 81</p> <p>A Developmental Gene–Environment Model 86</p> <p>Family-Based Interventions and Genetic Epidemiology 90</p> <p>Summary and Looking Ahead 95</p> <p>References 96</p> <p><b>5 Depression: The Importance of the Family as a Context for Gene Expression 99</b></p> <p>High-Risk Studies of Offspring of Depressed Parents 101</p> <p>Genetic Models of MDD 104</p> <p>GxE Interaction and Depression 108</p> <p>Depression in Adolescents and Children 112</p> <p>Who Should be Treated in Families at Risk? 116</p> <p>Implications of the Parental Treatment Studies 120</p> <p>References 124</p> <p><b>6 Pediatric Bipolar Disorder: Complex Phenotypes, Genotypes, and Environments 127</b></p> <p>Current Thinking on the Genetics of BP 128</p> <p>Is PBD an Early Manifestation of Genetic Risk to BP? 130</p> <p>The Clinical Complexity of PBD 138</p> <p>Emphasizing Psychosocial Interventions for PBD 143</p> <p>Conclusions 148</p> <p>References 150</p> <p><b>7 Pediatric Anxiety Disorders: The Intersection of Genes and Environments 153</b></p> <p>The Heterogeneity of Anxiety Disorders: Focusing on Anxiety-Related Behaviors in Childhood and Adolescence 154</p> <p>Anxiety in the Family: The Intersection of Genes and Parenting 164</p> <p>Genes, Environment, and Anxiety: Newer Methdologies 168</p> <p>Concluding Remarks 174</p> <p>References 177</p> <p><b>8 The Future: Why Psychosocial Intervention Will Matter Even More 179</b></p> <p>Future Genetic Research and the Conceptualization of Disorders 183</p> <p>Genomics May Refine Diagnosis and Point to Tailored Interventions 188</p> <p>Genomics Will Lead to Earlier Intervention 191</p> <p>Genomics Will Accelerate the Development of Psychosocial Interventions 193</p> <p>Will We Discover Magic Bullets? 194</p> <p>Author Index 197</p> <p>Subject Index 203</p>
<p><b>Richard Rende, Ph.D.,</b> is a nationally and internationally recognized researcher who combines expertise at the intersection of developmental psychopathology and developmental behavioral genetics. As Associate Professor of Psychiatry and Human Behavior at Alpert Medical School of Brown University, he has been awarded multiple grants from 4 branches of the National Institutes of Health. He is the founder of Social Behavioral Research Applications (SBRA), a unique consultation service for industry, government, and academics. Rende developed the Red-Hot Parenting blog for Parents.com and a monthly column for the <i>New Bedford Standard Times</i>. His work has been featured on NPR, ABC News, <i>The Huffington Post</i>, Yahoo!, Time.com, CNN.com, and MSNBC.</p>
<p><b>A guide to weighing the genetic factors when selecting effective psychosocial interventions</b></p> <p><i>Psychosocial Interventions for Genetically Influenced Problems in Childhood and Adolescence</i> offers an accessible guide and well-researched assessment of the most current knowledge, both of the genome and evidence-based treatments, for treating young people who present with a variety of conditions such as anxiety, depression, ADHD, autism, substance abuse, and dyslexia. The text also contains information on how interventions may be adapted as the products of genomic research continue to develop. Written for clinicians, policymakers, and others invested in working with youth, this important book is filled with up-to-date research findings, practical advice, effective interventions, and illustrative examples.</p> <p>Designed as a useful resource, the book puts the focus on what professionals can do right now to improve the lives of children and adolescents, using environmental designs combined with the growing sophistication about how genes have their influence. The book includes a valuable and illuminating discussion of how empirically-supported interventions mesh with genetic vulnerabilities.</p> <p>The author also reveals when “reprogramming” genetically influenced pathways via the environment are most appropriate and explores how the effects of genes may be circumvented or shaped. The author includes compelling examples in which genes and environment seem to be inextricably linked, but in surprising ways that can direct new ways of thinking about changing the result of that mix by manipulating the environment.</p> <p>While the burgeoning field of genomic research holds great promise for the future, this important text shows how today’s clinicians can use the emerging knowledge about genetics and integrate it with non-biological approaches to effective treatment.</p>

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