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 Rationale: smiline scientific bases

 

Depression (including related - less severe - affective disorders) represents a major health problem throughout the Western world, affecting about 10% of the general population; after heart disease, depression is expected to become the second most important human disease by 2020 (Delys Index, WHO report, Scentific American; September 2005).

In light of the growing need for a sustainable and affordable therapeutic approach to the treatment of depression and related diseases, the WHO strongly recommends seeking alternative therapeutic strategies to current treatments that are based mainly on medication and psychotherapy.

Considerable scientific evidence, over recent years, has supported the hypothesis of ‘de-synchronization’ and, in turn, the role of psycho-neuro-endocrinological ‘dysregulation’ (biological rhythms) in the pathogenesis of some forms of depression (Seasonal Affective Disorders/SAD).

These and other more common disorders (Non Seasonal Depression, Major/ Endogenous Depression) seem to respond more readily and rapidly (as tested in association with medication) (Smeraldi and co. 2004) to treatments based on ‘chronotherapy’ (International Society of Affective Disorders ad hoc Committee Consensus, Cancun, 2004), namely Light Therapy and Sleep Deprivation.

Other no-cost treatment approaches designed to reset the human biological clock have been proposed and are under evaluation (cold water exposure, outdoor exercise with workout).

In addition, it seems that a significant proportion of chronic musculoskeletal pain, some neuralgias, oro-facial pain and perhaps some headaches could be related to a central or peripheral ‘sensitization’ process mediated by hormonal ‘dysregulation’.

In order to adequately respond to the recommendations of the WHO and provide efficient and affordable alternative/supportive options to complement conventional treatments, a number of scientists have decided to set up an International Multidisciplinary Committee named the International Board of Psycho-neuro-endocrinology/IBOP) to promote:

  • accurate information and education on the possible role of hormones in biological rhythms and affective disorders;

  • the use of affordable supportive treatment procedures and strategies in the prevention and treatment of depression and other affective disorders.

  • research projects tailored to the abovementioned issues.

Since the Mission of such a Committee is strongly ‘Ethical’, aiming to raise the awareness of health care providers and the public at large, the contribution of scientists representing non-medical disciplines such as philosophers, sociologists, economists and information/communication technology experts is desirable.

No Institutional Profile including Association and Organization Status is presently being considered for IBOP so as to avoid the need for financial budgeting.

A permanent forum to provide updated scientific and clinical information and identify new findings and events related to the topic will be available online at the IBOP web site:
www.ibop.info.

 

Author: Riccardo Ciancaglini

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