Dispersion models provide a flexible class of non-normal distributions with
many potential applications in biostatistics, accommodating a wide range o
f continuous, discrete and mixed data. Starting with Liang and Zeger's gene
ralized estimating equation method, we review some recent applications of d
ispersion models in longitudinal data analysis, including state space model
s based on the Tweedle class of exponential dispersion models. In medical a
pplications the latent process of a state space model may often be interpre
ted as an unobserved potential morbidity process, which is modelled as a fu
nction of time varying covariates. By allowing a multivariate response vect
or of 'symptoms', the model integrates several response variables mixed typ
es into a single model. For growth curve models, the latent process reflect
s the 'true' growth. Copyright (C) 1999 John Wiley & Sons, Ltd.