A Critical Examination of the Use of the Term and Concept of Comorbidity in Psychopathology Research

A Critical Examination of the Use of the Term and Concept of Comorbidity in Psychopathology Research
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对精神病理学研究中共病术语和概念使用的批判性检验

DOI:
10.1111/j.1468-2850.1994.tb00007.x
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发表时间:
1994
影响因子:
5.8
通讯作者:
A. C. Israel
A. C. Israel
中科院分区:
心理学2区
文献类型:
--
作者:
S. Lilienfeld;I. Waldman;A. C. Israel

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合并症的术语和概念在精神病理学文献中越来越流行。然而,在当代精神病理学研究中,这个术语的大多数使用并没有充分区分有机医学(通常近似于“疾病”)和描述性精神病理学(通常是“综合征”,或者更罕见的是“紊乱”)的条件性质,并且模糊了潜在构象和明显指标之间的区别。使用“共病”一词的具体问题包括:(a)将其应用于儿童和人格障碍,以及(b)用法不一致。我们的结论是,除了可能使用它来描述一些器质性精神障碍之外,将“共病”一词应用于精神病理综合征鼓励了对诊断实体的过早重新教育,并且可以说导致了更多的混乱而不是澄清。
The term and concept of comorbidlty has been receiving increasing currency in the psychopathology literature. Nevertheless, most uses of this term in contemporary psychopathology research do not adequately distinguish between the nature of conditions in organic medicine (which typically approximate “diseases”) and those in descriptive psychopathology (which are typically “syndromes” or, more rarely, “disorders”), and blur the distinction between latent constructs and manifest indicators. Specific problems with use of the term comorbidlty include its (a) application to childhood and personality disorders and (b) inconsistent usage. We conclude that, with the possible exception of its use to describe some organic mental disorders, application of the term comorbidlty to psychopathologlcal syndromes encourages the premature rerHcation of diagnostic entities and arguably has led to more confusion than clarification.
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