Fava Giovanni A, Tossani Eliana, Bech Per, Berrocal Carmen, Chouinard Guy, Csillag Claudio, Wittchen Hans-Ulrich, Rief Winfried
Laboratory of Psychosomatics and Clinimetrics, Department of Psychology, University of Bologna, Bologna, Italy.
Int J Methods Psychiatr Res. 2014 Jan;23 Suppl 1(Suppl 1):92-101. doi: 10.1002/mpr.1412.
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.
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。