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研究中精神障碍共病模式的新出现的临床趋势及观点。

Emerging clinical trends and perspectives on comorbid patterns of mental disorders in research.

作者信息

Fava Giovanni A, Tossani Eliana, Bech Per, Berrocal Carmen, Chouinard Guy, Csillag Claudio, Wittchen Hans-Ulrich, Rief Winfried

机构信息

Laboratory of Psychosomatics and Clinimetrics, Department of Psychology, University of Bologna, Bologna, Italy.

出版信息

Int J Methods Psychiatr Res. 2014 Jan;23 Suppl 1(Suppl 1):92-101. doi: 10.1002/mpr.1412.

Abstract

Comorbidity is a well-established and documented phenomenon in mental disorders and medicine with heuristic value. The concept of comorbidity remains however poorly defined and lacks a comprehensive and coherent theoretical framework. There is a need to develop coherent methodological strategies in order to promote a fuller understanding of the implications of comorbidity and to exploit its potential value with regard to etiopathogenic and therapeutic issues. This position paper makes recommendations of improved methodological standards and procedures and discusses a range of options that can provide incremental information that is likely to improve therapeutic outcomes.

摘要

共病是精神障碍和医学领域中一个已被充分确立且有文献记载的现象,具有启发价值。然而,共病的概念仍定义不清,且缺乏一个全面连贯的理论框架。有必要制定连贯的方法策略,以更全面地理解共病的影响,并挖掘其在病因和治疗问题方面的潜在价值。本立场文件提出了改进方法标准和程序的建议,并讨论了一系列能够提供可能改善治疗效果的增量信息的选项。

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本文引用的文献

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THE PRE-THERAPEUTIC CLASSIFICATION OF CO-MORBIDITY IN CHRONIC DISEASE.慢性病共病的治疗前分类
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Stratified medicine for mental disorders.精神障碍的分层医学。
Eur Neuropsychopharmacol. 2014 Jan;24(1):5-50. doi: 10.1016/j.euroneuro.2013.09.010. Epub 2013 Oct 4.
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The concept of mental pain.精神痛苦的概念。
Psychother Psychosom. 2013;82(2):67-73. doi: 10.1159/000343003. Epub 2012 Dec 22.
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Staging of mental disorders: systematic review.精神障碍的分期:系统评价。
Psychother Psychosom. 2013;82(1):20-34. doi: 10.1159/000342243. Epub 2012 Nov 6.
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Innovative trends in the design of therapeutic trials in psychopharmacology and psychotherapy.精神药理学和心理治疗学治疗试验设计的创新趋势。
Prog Neuropsychopharmacol Biol Psychiatry. 2013 Jan 10;40:306-11. doi: 10.1016/j.pnpbp.2012.10.014. Epub 2012 Oct 31.
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Nowhere patients.没有患者的地方。 (不过感觉这个“Nowhere patients”表述不太准确规范呢)
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