Diagnostic boundaries, reasoning and depressive disorder, II. Application of a probabilistic model to the OPCS general population survey of psychiatric morbidity in Great Britain
Diagnostic boundaries, reasoning and depressive disorder, II. Application of a probabilistic model to the OPCS general population survey of psychiatric morbidity in Great Britain
复制标题
诊断界限、推理和抑郁症，II。
作者：
P. Surtees;N. Wainwright;W. Gilks;T. Brugha;H. Meltzer;R. Jenkins
背景资料。精神疾病的可靠流行和风险评估是实现公共卫生精神病学目标的基石。因此，研究战略越来越依赖于诊断方法的逐步演变和改进，这些方法旨在更好地反映关于预后、病程和结果的当前知识，但基本上需要改善各种方案使用者之间的一致性。方法：研究方法。本文对比了传统的和概率的方法诊断抑郁症的基础上，OPCS，英国全国精神疾病发病率调查。概率方法虽然旨在模仿目前与抑郁症有关的诊断实践，但自然包括根据受访者目前病情的严重程度对他们进行诊断不确定程度分配的规定。结果。报告的结果源于将概率方法应用于公共卫生精神病学的三个研究领域，即：评估事件暴露与抑郁发病率的可加性，第二，使用该方法调查抑郁障碍的心理社会模型，第三，评估根据相互竞争的诊断方案分类时抑郁障碍之间的一致性。结论。结果表明，概率方法的应用为抑郁条件下风险分布估计的稳定性和精度的提高提供了坚实的基础。
Background. Reliable prevalence and risk estimation of psychiatric disorder is a cornerstone to achieving objectives in public health psychiatry. Research strategies have increasingly depended, therefore, upon the progressive evolution and refinement of diagnostic approaches designed to reflect better current knowledge concerning prognosis, course and outcome but essentially the need to improve agreement between users of the various schemes. Methods. This paper contrasts a conventional with a probabilistic approach to the diagnosis of depression based upon the OPCS United Kingdom National survey of psychiatric morbidity. The probabilistic approach, while designed to mimic current diagnostic practice in relation to the depressive disorders, naturally includes provision for the allocation of respondents on a scale of diagnostic uncertainty according to the severity of their presenting condition. Results. Findings are reported arising from the application of the probabilistic method to three areas of research interest in public health psychiatry, namely; an evaluation of additivity of event exposure and depressive morbidity, secondly use of the approach for investigating psychosocial models of depressive disorder and thirdly for assessing the agreement between depressive disorder when classified according to competing diagnostic schemes. Conclusions. The results show application of the probabilistic approach to provide a firm basis for achieving gains in both the stability and precision of risk profile estimation for depressive conditions.
双相情感障碍的争议边界和精神病学分类诊断的局限性。
DOI：
10.1176/ajp.149.11.1473
发表时间：
1992
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Blacker,D;Tsuang,MT
通讯作者：
Tsuang,MT