Journal
JOURNAL OF THE ROYAL COLLEGE OF PHYSICIANS OF EDINBURGH
Volume 45, Issue 1, Pages 55-59Publisher
ROYAL COLL PHYSICIANS EDINBURGH
DOI: 10.4997/JRCPE.2015.113
Keywords
anxiety; depression; endocrine disease; hormones; stress; quality of life
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This review illustrates how an innovative psychoneuroendocrine approach to endocrine patients may improve their management. Important psychological issues pertain to all the different phases of an endocrine disorder. Before disease onset, stressful life events may play a pathogenetic role and, together with chronic stress, may contribute to a cumulative burden also called allostatic load; psychological and psychiatric symptoms are common both in the prodromal and in the active phase of illness; after cure or remission, there could be residual symptoms and impaired quality of life that deserve attention. All these aspects should be taken into consideration and introduced in current endocrine care and practice.
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