Organ Repair and Regeneration Preserving Organs in the Regenerative Medicine Era 1st Edition by Giuseppe Orlando, Shaf Keshavjee ISBN 0128194510 9780128194515

Chapter 1: Clinically Significant Mind–Body Interactions: Evolutionary History of the Scientific Basis

• Introduction

• Ancient medical practices in Egypt, Mesopotamia, India, and China

• Ancient Greco-Roman and European medical practice

• Soranus: An ancient Greek authority on women’s health

• The rationale behind developing psychosomatic awareness in healthcare

• Structural and functional basis of psychosomatic health/illness

• Embryological/neuroendocrinological correlates of psychosomatic pathophysiology

• Emotions and behaviour

• Pain: Physical and behavioural aspects

• Trends in psychosomatic thinking generated from the seventeenth century onwards

• Promoting the psychosomatic approach in futuristic clinical practice

• Conclusions

Chapter 2: Teaching Psychosomatic Obstetrics and Gynaecology

• Theoretical background

• The biomedical model

• Limits of the biomedical model

• The psychosomatic or biopsychosocial model

• Psychosomatic teaching in obstetrics and gynaecology

  • Communication skills

  • Professional listening: patient-centred communication

  • Response to emotions

  • Professional information giving: information exchange

  • Communication and counselling in special clinical situations

• Clinical application of the psychosomatic or biopsychosocial model

  • The application of the biopsychosocial model: therapeutic process

    • Catharsis

    • Clarifying of conflicts and conflict resolution

    • Cognitive reframing

    • Insight and understanding

    • Stress reduction techniques

    • Helping in behavioural change

• Psychosomatic education and training

Chapter 3: Maternal Mood in Pregnancy: Fetal Origins of Child Neurodevelopment

• Introduction

• Prenatal stress: Animal studies

• Prenatal stress: Human studies

• Types of stress

• Underlying mechanisms

• Conclusions

Chapter 4: Preconceptual to Postpartum Mental Health: Mental Illness and Psychosomatic Disease

• Introduction

• Normal physical and emotional changes of childbearing and mental illness

• Impact of childbearing on social health in relation to mental illness

• Epidemiology and risk of childbearing-related mental illness

• Anxiety and mood disorders

• Schizophrenia spectrum disorders

• Substance misuse and psychosomatic maternal/infant effects

• Personality disorders and conversion disorder

• Eating disorders

• Hyperemesis gravidarum

• Epileptic seizures and non-epileptic attack disorders

• Further discussions on psychotropic medication and pregnancy

  • Antidepressants and anxiolytics

  • Antipsychotics

  • Mood stabilisers and antiepileptics

  • Opioid substitutes

  • Antiemetics

• Planning biopsychosocial risk-reduction to improve pregnancy outcomes

  • Prepregnancy planning and early health education

  • Early pregnancy planning

  • Good communication and providing patient-centred care

• Conclusions

Chapter 5: Migraine and Pregnancy-Related Hypertension

• Introduction

• Impact of migraine on health and social life

• Migraine in women

• Migraine in pregnancy

• Common pathogenetic aspects of migraine and pre-eclampsia

• Migraine and pregnancy-related hypertension

• Conclusions

Chapter 6: Disease Severity, Pain, and Patient Perception: Themes in Clinical Practice and Research

• Introduction

• Gynaecological comorbidity requiring a psychosomatic approach

• Postpartum pelvic floor/perineal dysfunction and disease severity

• Emotional pain: Infertility and pregnancy loss

  • Miscarriage

  • Stillbirth and intrauterine fetal death

• Painful conditions related to pelvic organs

• Depression and chronic pain

  • Chronic pelvic pain: A psychosomatic manifestation of varied pathogenesis

  • The therapeutic approach to managing chronic pelvic pain

• Endometriosis: Variegated psychosomatic symptoms from a similar pathogenesis

  • Managing endometriosis: Increasing understanding of the psychosomatic approach

  • Developing a psychosomatic care pathway

  • Implementing age-related psychosomatic management of endometriosis

• Conclusions

Chapter 7: Premenstrual Disorders: Luteal Phase Recurrent Enigmatic Conditions

• Introduction

• Historical correlates

• Diagnosis

  • Differential diagnosis

  • Diagnostic instruments

• Epidemiology

• Presentation as biopsychosocial symptoms

• Health-related quality-of-life and burden of illness

• Personality and experience of traumatic events

• Aetiopathogenesis

  • Ovarian hormone fluctuation

  • An interaction between sex steroids and central neurotransmitters

  • Autonomic nervous system activity

  • Other physiological differences

• Treatment strategies

  • Non-pharmacological treatment options

  • Psychological interventions

  • Other complementary therapies

  • Pharmacological treatment options

• Conclusions

Chapter 8: Women’s Psychosomatic Health Promotion and the Biopsychosociocultural Nexus

• Introduction

• The global disease burden of cancer

  • Cervical intraepithelial neoplasia: Terminologies/definitions and the aetiopathology

  • Detection of CIN using cervical cytology and colposcopy

  • The psychosociocultural aspects of receiving a diagnosis of CIN and its treatment

  • Prophylaxis of CIN

• The disease burden of obesity in gynaecology and obstetrics

  • Obesity and endometrial cancer

  • The aetiopathogenesis of endometrial cancer

  • Clinicopathological correlates of endometrial cancer and obesity

  • Preventing/treating obesity to prevent endometrial cancer

    • Lifestyle alterations to prevent obesity

    • Bariatric surgery to reduce the impact of obesity

  • The impact of obesity on childbearing

    • Impact during pregnancy on the adolescent/child

    • Impact on ovulation and fecundity

    • Impact on subcutaneous fat thickness and obstetric outcomes

    • Impact on maternal and perinatal outcomes

• Conclusions

Chapter 9: Vulval Pain

• Introduction

• Prevalence

• Clinical findings

  • Biopsy findings

  • Other findings

• The causes of vulvodynia

  • Infection

  • Diet and oxalate levels

  • Inflammation

  • Hormonal contraception

  • Neurogenic mechanisms

  • Psychological, psychosomatic, and other factors

• Management

• Conclusions

Chapter 10: Psycho-Oncology and Psychosocial Aspects of Gynaecological Cancer

• Introduction

• Biopsychosocial problems with gynaecological cancer

  • Outline of normal psychological responses and psychiatric diseases in cancer patients

  • General reactions to receiving a diagnosis of cancer

  • Reported psychiatric disorders in sufferers of cancer

  • Psychiatric problems specific to gynaecological cancer

• Social problems

• Why is mental healthcare necessary during cancer therapy?

  • Distress of mental disorders

  • Reduction in quality-of-life

  • Impaired decision-making

  • Suicide

• Measures to treat the psychosocial problems of cancer patients

  • Psycho-oncological treatment of cancer patients

  • Mental disorders frequently noted in cancer patients

    • Adjustment disorder

    • Depression

    • Delirium

• Extending psycho-oncological care to families of cancer patients

  • Burden on families

  • Psychiatric intervention for families

    • Implications for bereaved families

      • Burden of bereaved families

      • Impact of bereavement

      • Psychiatric intervention for bereaved families

• Conclusions

Chapter 11: Psycho-Oncology: The Sexuality of Women and Cancer

• Introduction

• Sexual dysfunction in cancer patients

• Timeline of cancer treatment and sexuality

  • Gynaecological cancer: Surgical treatment and radiotherapy

  • Bladder and colorectal cancer: Surgical treatment and radiotherapy

  • Breast cancer: Surgical and hormonal treatment, and radio/chemotherapy

  • Leukaemias and lymphomas: Radio/chemotherapy and surgical treatment

• Hormonal deficiency

• Medication and sexual dysfunction

• Fertility preservation

• Educating healthcare providers

• Conclusions

Chapter 12: Migration, Gender, and Cultural Issues in Healthcare: Psychosomatic Implications

• Introduction

• Global aspects of gender-related health issues

  • Gender-related health issues in psychosomatic obstetrics and gynaecology

  • The aetiology of clinical presentations of gender-related health issues

  • Scoping clinical implications of gender-based violence

  • Disclosure and the obstetric/gynaecological impact of gender-based violence

  • Gender-related issues in generating psychosomatic disease with healthcare needs

  • Termination of pregnancy and sociocultural factors

    • Termination of pregnancy and emergency contraception

    • Ethical issues

    • Relevant issues in abortion, contraception, and family spacing

• Training

• Management and support pathways for managing gender-based violence

  • Prevention of gender-based violence

    • Role of the partner

    • Role of the community

    • Role of the obstetrician/gynaecologist