Neven A, van Wamel A, van den Brink W
Tijdschr Psychiatr. 2018;60(2):114-119.
Although there is a great need for staging and profiling in psychiatry, no-one has so far devised a staging and profiling model to aid diagnosis and treatment.
To devise a basic staging and profiling strategy that can be used to treat patients suffering from both substance abuse disorder and a psychiatric disorder.
On the basis of existing staging model for addiction, we explore how staging could also be useful for the treatment of comorbidity in psychiatry.
Since there is hardly any evidence of the use of staging for this kind of comorbidity, we present a staging model that might help to provide a solution. To the described stages we add a recommended treatment setting or treatment intensity.
Further research is needed to ascertain whether the staging model that we have presented will lead to improvements in the prognosis and treatment of patients with dual disorders referred to Dutch psychiatrists.
尽管精神病学中对分期和剖析有很大需求，但迄今为止还没有人设计出一种分期和剖析模型来辅助诊断和治疗。
设计一种基本的分期和剖析策略，用于治疗同时患有物质使用障碍和精神疾病的患者。
基于现有的成瘾分期模型，我们探讨分期如何也有助于精神科共病的治疗。
由于几乎没有证据表明分期可用于此类共病，我们提出了一个可能有助于提供解决方案的分期模型。对于所描述的阶段，我们增加了推荐的治疗环境或治疗强度。
需要进一步研究以确定我们提出的分期模型是否会改善转诊至荷兰精神科医生处的双相障碍患者的预后和治疗。
