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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Psychiatric tertiary referral and clinical decision making
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Psychiatric tertiary referral and clinical decision making

机译：精神病学高等转诊和临床决策

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摘要

It is little news to any of us that psychiatry is a difficult exercise. Core diagnoses around which we built our practice, such as major depression and generalised anxiety, have turned out to have 'questionable' and 'unacceptable' reliability when formally assessed by the very organisation that proposed them (Regier et al., 2013). Our best efforts at painstaking diagnosis are often unstable over time, as illness evolves and psychosocial circumstances and phenomenology shift the face of the presentation (Ruggero et al., 2010). Even more concerning, landmark studies such as CATIE and STAR*D demonstrate the limitations of current treatment, and highlight the concern that appropriate and diligent treatment simply does not produce remission in large groups of patients (Insel and Wang, 2009; Lieberman et al., 2005).
机译：对我们中的任何人来说，这几乎没有消息，精神病学是一个艰难的运动。 核心诊断我们建立了我们的实践，例如重大抑郁和广义焦虑，在正式评估他们提出的组织（Regier等，2013）的情况下正式评估时，已经讨论了“可疑”和“不可接受”的可靠性。 随着时间的推移，由于疾病演变和心理社会的情况和现象学改变了演示文稿的面貌（Ruggero等，2010），我们随着时间的推移往往是不稳定的。 甚至更有关于CATIE和STAR * D等地标研究证明了当前治疗的局限性，并突出了适当和勤奋的治疗的担忧根本不会在大群患者中产生缓解（Insel和Wang，2009; Lieberman等人。 ，2005）。

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  • 作者

    KuiperS.; FritzK.; TaniousM.; BarghD.; CoulstonC.; CurranG.; MorganH.; LampeL.; MalhiG.S.;

  • 作者单位

    CADE Clinic Royal North Shore Hospital St Leonards NSW 2065 Australia Discipline of Psychiatry;

    CADE Clinic Royal North Shore Hospital St Leonards NSW 2065 Australia Discipline of Psychiatry;

    CADE Clinic Royal North Shore Hospital St Leonards NSW 2065 Australia Discipline of Psychiatry;

    CADE Clinic Royal North Shore Hospital St Leonards NSW 2065 Australia Discipline of Psychiatry;

    CADE Clinic Royal North Shore Hospital St Leonards NSW 2065 Australia Discipline of Psychiatry;

    CADE Clinic Royal North Shore Hospital St Leonards NSW 2065 Australia Discipline of Psychiatry;

    Discipline of Psychiatry University of Sydney Sydney NSW Australia Mindcare Centre Broadway;

    CADE Clinic Royal North Shore Hospital St Leonards NSW 2065 Australia Discipline of Psychiatry;

    CADE Clinic Royal North Shore Hospital St Leonards NSW 2065 Australia Discipline of Psychiatry;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 神经病学与精神病学;
  • 关键词

    Clinical decision making; diagnostic error; tertiary referral;

    机译：临床决策;诊断错误;第三推荐;

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