Document Detail

Does evidence-based medicine apply to psychiatry?
MedLine Citation:
PMID:  17503219     Owner:  NLM     Status:  MEDLINE    
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.
Mona Gupta
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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    
Department of Psychiatry, University of Toronto and Women's College Hospital, Toronto, Ontario, Canada,
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MeSH Terms
Clinical Trials as Topic
Evidence-Based Medicine* / ethics,  organization & administration
Mental Disorders / therapy*
Outcome Assessment (Health Care)
Philosophy, Medical
Practice Guidelines as Topic
Psychiatry* / ethics,  organization & administration

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