Place of evidence-based medicine in the diagnosis of mental disorders

Cover Page

Cite item

Full Text

Abstract

The polemic article is a presentation of the author’s opinion regarding the role of evidence-based medicine in the formulation of a psychiatric diagnosis, in particular schizophrenia. The principles of “clinical approach” and “evidence-based medicine” in psychiatry are compared.

About the authors

Evgeniya G. Poltavskaya

Mental Health Research Institute of Tomsk National Research Medical Center of the Russian Academy of Sciences

Author for correspondence.
Email: egbboyarko@mail.ru
Russian Federation, 634014, Тоmsk, Аleutskaya str., 4

References

  1. Власов В.В. Введение в доказательную медицину. М.: МедиаСфера. 2001; 392 с. [Vlasov V.V. Vvedenie v dokazatelʹnuyu meditsinu. M.: MediaSfera. 2001; 392 p. (In Russ.)]
  2. Менделевич В.Д. Фейк-диагнозы в психиатрических классификациях. Неврол. вестн. 2018; 50 (4): 15–18. [Mendelevich V.D. Fake-diagnoses in psychiatric classifications. Neurological bulletin. 2018; 50 (4): 15–18. (In Russ.)]
  3. Бухановский А.О., Кутявин Ю.А., Литвак М.Е. Общая психопатология. Изд. 3-е, перераб., доп. Ростов-на-Дону: Феникс. 2003; 416 с. [Bukhanovskiy A.O., Kutyavin Yu.A., Litvak M.E. Obshchaya psikhopatologiya. 3rd ed. Rostov-na-Donu: Feniks. 2003; 416 p. (In Russ.)]
  4. Зислин И. Текст и диагноз. Неврол. вестн. 2019; 51 (2): 12–29. [Zislin J. Text and diagnosis. Neurological bulletin. 2019; 51 (2): 12–29. (In Russ.)]
  5. Психиатрия. Национальное руководство. Под ред. Т.В. Дмитриевой, В.Н. Краснова, Н.Г. Незнанова, В.Я. Семке, А.С. Тиганова. М.: ГЭОТАР-Медиа. 2009; 1000 с. [Psikhiatriya. Natsionalʹnoe rukovodstvo. T.V. Dmitrieva, V.N. Krasnov, N.G. Neznanov, V.Ya. Semke, A.S. Tiganov eds. Moscow: GEOTAR-Media. 2009; 1000 p. (In Russ.)]
  6. Крылов В.И. Клиническая диагностика психических и поведенческих расстройств: семиотический и логический аспекты. Психиатрия и психофармакотерапия. 2015; 17 (3): 22–25. [Krylov V.I. Clinical diagnostics mental and behavioral disorders: the semiotic and logical aspects. Psychiatria and psychopharmacotherapy. 2015; 17 (3): 22–25. (In Russ.)]
  7. Носачев Г.Н. Место фейк-диагноза и функционального диагноза в психиатрии (институциональный дискурс). Неврол. вестн. 2019; 51 (2): 101–104. [Nosachev G.N. Place of fake-diagnosis and functional diagnosis in psychiatry (institutional discourse). Neurological bulletin. 2019; 51 (2): 101–104. (In Russ.)]
  8. Коцюбинский А.П., Шейнина Н.С., Аристова Т.А. и др. Функциональный диагноз в психиатрии. Обозрен. психиатрии и мед. психол. им. В.М. Бехтерева. 2011; 1: 4–8. [Kotsjubinsky A.P., Shejnina N.S., Aristova T.A. et al. The functional diagnosis in psychiatry. V.M. Bekhterev review of psychiatry and medical psychology. 2011; 1: 4–8. (In Russ.)]
  9. Кузнецов В.В. Употребление ПАВ с вредными последствиями — фейк-диагноз? Неврол. вестн. 2019; 51 (1): 47–51. [Kuznetsov V.V. The use of surfactants with harmful effects — fake-diagnosis. Neurological bulletin. 2019; 51 (1): 47–51. (In Russ.)]
  10. Rosenhan D.L. On being sane in insane places. Science. 1973; 179 (4070): 250–258.
  11. Lazarus A. Improving psychiatric services through mystery shopping. Psychiatr. Serv. 2009; 60 (7): 972–973.
  12. Данилов Д.С. Терапевтическая резистентность при шизофрении и биологические методы её преодоления. Ж. неврол. и психиатрии им. С.С. Корсакова. 2008; 10: 81–86. [Danilov D.S. Therapeutic resistance in schizophrenia and biological methods of its overcoming. Zh. Nevrol. Psikhiatr. im. S.S. Korsakova. 2008; 10: 81–86. (In Russ.)]
  13. Leucht S., Leucht C., Huhn M. et al. Sixty years of placebo-controlled antipsychotic drug trials in acute schizophrenia: Systematic review, Bayesian meta-analysis, and meta-regression of efficacy predictors. Am. J. Psychiatry. 2017; 174 (10): 927–942.

Copyright (c) 2020 Poltavskaya E.G.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies