Accepting multiple conditions in psychiatry: From comorbidity to multimorbidity.

IF 1.2 4区 医学 Q4 NEUROSCIENCES
Christophe Gauld, Emmanuel D'Incau, Pauline Espi, Pierre Fourneret, Aileen McGonigal, Jean-Arthur Micoulaud-Franchi
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引用次数: 0

Abstract

The concept of multimorbidity in psychiatry refers to the coexistence of multiple health conditions without conceptualizing a central disorder referring to a patient-centered approach that views every diagnosis equally. It emphasizes a shift from focusing on an index disorder to considering interrelated symptoms crucial in psychiatry due to frequent multimorbidity patterns. In clinical practice, multimorbidity guides patient-centered care helping to address the holistic needs of patients and challenging the organization of mental health care. In research, multimorbidity reshapes study outcomes and promotes the development of patient-reported outcome questionnaires, also posing ethical challenges and advocating for the inclusion of multimorbid patients in personalized interventions. Finally, multimorbidity in psychiatry has public health implications aligning with the socioecological systems perspective. This notion aims to improve prognosis, care, and health costs while impacting global mortality and challenging the conceptualization and organization of psychiatric care.

接受精神病学中的多重病症:从合并症到多病症。
精神病学中的多病症概念指的是多种健康状况并存,而没有将中心疾病概念化,指的是一种以患者为中心、平等看待每一种诊断的方法。它强调的是,由于多病共存模式的频繁出现,精神病学中至关重要的是要从关注一种指数性障碍转变为考虑相互关联的症状。在临床实践中,多病共存指导着以患者为中心的护理,有助于满足患者的整体需求,并对心理健康护理的组织形式提出了挑战。在研究中,多病模式重塑了研究结果,促进了患者报告结果问卷的开发,同时也带来了伦理挑战,并倡导将多病患者纳入个性化干预中。最后,精神病学中的多病症具有与社会生态系统观点一致的公共卫生意义。这一概念旨在改善预后、护理和医疗成本,同时影响全球死亡率,并对精神病护理的概念化和组织提出挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
7.40%
发文量
162
审稿时长
6-12 weeks
期刊介绍: Une revue française de renommée internationale. - Un comite de rédaction représentant tous les aspects de la prise en charge psychiatrique du patient. - Une sélection rigoureuse d''articles faisant l''objet de plusieurs expertises. - Des travaux d''auteurs et de chercheurs de renommée internationale. - Des indexations dans les grandes bases de données (Current Contents, Excerpta Medica, etc.). - Un facteur d''impact qui témoigne de la grande notoriété de la revue. La tribune des publications originales de haut niveau. - Une très grande diversité des sujets traités, rigoureusement sélectionnés à travers des sommaires dynamiques : - des éditoriaux de médecins référents, - une revue de presse sur les actualités internationales, - des articles originaux pour approfondir vos connaissances, - des mises au point et des cas cliniques pour engager votre réflexion sur les indications et choix possibles au travers de mises en situation clinique, - des dossiers thématiques pour faire le tour d''une question. - L''actualité de l''AFPB : L''Encéphale publie régulièrement des comptes rendus de l''Association française de psychiatrie clinique.
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