Document Detail


Does evidence-based medicine apply to psychiatry?
MedLine Citation:
PMID:  17503219     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Evidence-based psychiatry (EBP) has arisen through the application of evidence-based medicine (EBM) to psychiatry. However, there may be aspects of psychiatric disorders and treatments that do not conform well to the assumptions of EBM. This paper reviews the ongoing debate about evidence-based psychiatry and investigates the applicability, to psychiatry, of two basic methodological features of EBM: prognostic homogeneity of clinical trial groups and quantification of trial outcomes. This paper argues that EBM may not be the best way to pursue psychiatric knowledge given the particular features of psychiatric disorders and their treatments. As a result, psychiatry may have to develop its own standards for rigour and validity. This paper concludes that EBM has had a powerful influence on how psychiatry investigates and understands mental disorders. Psychiatry could influence EBM in return, reshaping it in ways that are more clinically useful and congruent with patients' needs.
Authors:
Mona Gupta
Related Documents :
19292899 - The psycolaus study: methodology and characteristics of the sample of a population-base...
19913919 - Altered levels of extracellular signal-regulated kinase signaling proteins in postmorte...
25202909 - First baseline of circulating genotypic lineages of mycobacterium tuberculosis in patie...
16316909 - Recorded psychiatric comorbidity with bipolar disorder--a finnish hospital discharge re...
20703409 - Cognitive deficits in psychiatric disorders: current status.
24238779 - Fledgling pathoconnectomics of psychiatric disorders.
666059 - On respirable organic antigens, mattresses and some idiopathic lung diseases.
24792129 - Disordered glycometabolism involved in pathogenesis of kashin-beck disease, an endemic ...
16082159 - Unique cerebellar-cerebral form of autosomal recessive ataxia.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2007-05-15
Journal Detail:
Title:  Theoretical medicine and bioethics     Volume:  28     ISSN:  1386-7415     ISO Abbreviation:  Theor Med Bioeth     Publication Date:  2007  
Date Detail:
Created Date:  2007-07-09     Completed Date:  2007-09-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9805378     Medline TA:  Theor Med Bioeth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  103-20     Citation Subset:  E; IM    
Affiliation:
Department of Psychiatry, University of Toronto and Women's College Hospital, Toronto, Ontario, Canada, mona.gupta@utoronto.ca
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Clinical Trials as Topic
Evidence-Based Medicine* / ethics,  organization & administration
Humans
Mental Disorders / therapy*
Outcome Assessment (Health Care)
Philosophy, Medical
Practice Guidelines as Topic
Prognosis
Psychiatry* / ethics,  organization & administration

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Intravascular imaging of atherosclerotic human coronaries in a porcine model: a feasibility study.
Next Document:  Responsiveness to change [corrected] due to supportive-expressive group therapy, improvement in mood...