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

被引:25
作者
Fava, Giovanni A. [1 ]
Tossani, Eliana [1 ]
Bech, Per [2 ]
Berrocal, Carmen [3 ]
Chouinard, Guy [4 ]
Csillag, Claudio [2 ]
Wittchen, Hans-Ulrich [5 ,6 ]
Rief, Winfried [7 ]
机构
[1] Univ Bologna, Dept Psychol, Lab Psychosomat & Clinimetr, I-40127 Bologna, Italy
[2] Univ Copenhagen, Mental Hlth Ctr, Psychiat Res Unit, Hillerod, Denmark
[3] Univ Malaga, PAIDI Res Grp Epidemiol & Psychometr Hlth & Behav, E-29071 Malaga, Spain
[4] Hop St Antoine, CRPMS, Dept Psychiat, EA 3522, F-75571 Paris, France
[5] Tech Univ Dresden, Inst Clin Psychol & Psychotherapy, D-01062 Dresden, Germany
[6] Tech Univ Dresden, Ctr Epidemiol & Longitudinal Studies CELOS, D-01062 Dresden, Germany
[7] Univ Marburg, Marburg, Germany
关键词
comorbidity; mental disorder; iatrogenic disturbances; illness behaviour; psychological well-being; clinical trials; MAJOR DEPRESSIVE DISORDER; SECONDARY DEPRESSION; ANXIETY DISORDERS; DSM-III; TRIALS; DISABILITY; MEDICINE; CRITERIA; THERAPY;
D O I
10.1002/mpr.1412
中图分类号
R749 [精神病学];
学科分类号
100204 [神经病学];
摘要
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. Copyright (c) 2013 John Wiley & Sons, Ltd.
引用
收藏
页码:92 / 101
页数:10
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