精神病学的第四次革命——解决慢性躯体障碍共病问题。
Fourth revolution in psychiatry - Addressing comorbidity with chronic physical disorders.
机构信息
Department of Psychiatry and Superintendent, Psychiatric Center, Jaipur, India.
出版信息
Indian J Psychiatry. 2010 Jul;52(3):213-9. doi: 10.4103/0019-5545.70973.
Abstract
The moral treatment of mental patients, Electro Convulsive therapy (ECT), and Psychotropic medications constitute the first, second, and third revolution in psychiatry, respectively. Addressing comorbidities of mental illnesses with chronic physical illnesses will be the fourth revolution in psychiatry. Mind and body are inseparable; there is a bidirectional relationship between psyche and soma, each influencing the other. Plausible biochemical explanations are appearing at an astonishing rate. Psychiatric comorbidity with many chronic physical disorders has remained neglected. Such comorbidity with cardiac, respiratory, Gastrointestinal, endocrinal, and neurological disorders, trauma, and other conditions like HIV and so on, needs to be addressed too. Evidence base of prevalence and causal relationship of psychiatric comorbidities in these disorders has been highlighted and strategies to meet the challenge of comorbidity have been indicated.
摘要
精神病人的道德治疗、电痉挛疗法（ECT）和精神药物分别构成了精神病学的第一、二、三次革命。治疗精神疾病与慢性躯体疾病的合并症将是精神病学的第四次革命。心身不可分割；心理和躯体之间存在双向关系，相互影响。合理的生化解释正在以惊人的速度出现。精神疾病与许多慢性躯体疾病的合并症一直被忽视。这种与心脏、呼吸、胃肠道、内分泌和神经等疾病、创伤以及 HIV 等其他情况的合并症也需要得到解决。强调了这些疾病中精神疾病合并症的患病率和因果关系的证据基础，并指出了应对合并症挑战的策略。
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