The Center for Psychiatric and Chemical Dependency Services, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
Soc Work Public Health. 2013;28(3-4):388-406. doi: 10.1080/19371918.2013.774673.
Epidemiological studies find that psychiatric disorders, including mental disorders and substance use disorders, are common among adults and highly comorbid. Integrated treatment refers to the focus of treatment on two or more conditions and to the use of multiple treatments such as the combination of psychotherapy and pharmacotherapy. Integrated treatment for comorbidity has been found to be consistently superior compared to treatment of individual disorders with separate treatment plans. This article focuses on a review of the risks for developing comorbid disorders and the combinations of treatments that appear to be most effective for clients with particular comorbid disorders.
流行病学研究发现,精神障碍包括精神障碍和物质使用障碍,在成年人中很常见,且高度共病。综合治疗是指治疗的重点是两种或两种以上的疾病,并使用多种治疗方法,如心理治疗和药物治疗的结合。与针对单独疾病的单独治疗计划相比,针对共病的综合治疗一直被发现具有一致性的优越性。本文重点回顾了共病障碍的发展风险,以及针对特定共病障碍患者似乎最有效的治疗组合。