{"title":"[The research program in precision psychiatry (PEPR PROPSY), issues and challenges].","authors":"Marion Leboyer, Pierre-Michel Llorca","doi":"10.1051/medsci/2025064","DOIUrl":null,"url":null,"abstract":"<p><p>Current psychiatry, based on categorical descriptions of diagnostic entities, defined by international diagnostic manuals, is moving from this \"one size fits all\" strategy to a \"precision psychiatry\" that aims to be clinically informed by a dimensional, transdiagnostic perspective enriched by the use of objective, quantifiable and continuous markers such as omics, brain imaging, environmental and lifestyle variability of each individual. By recognizing the heterogeneity of existing categorical diagnostic entities, determined by the underlying biology, this approach aims to improve patient care. Precision medicine can be used to characterize and identify individuals with or at risk for a disorder, predict their prognosis, and make more specific choices of treatment strategies such as medications, psychological interventions, lifestyle rules, and/or brain stimulation, thereby improving prognosis and cost-effectiveness of the treatments.</p>","PeriodicalId":18205,"journal":{"name":"M S-medecine Sciences","volume":"41 5","pages":"411-415"},"PeriodicalIF":0.4000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"M S-medecine Sciences","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1051/medsci/2025064","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/26 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
引用次数: 0
Abstract
Current psychiatry, based on categorical descriptions of diagnostic entities, defined by international diagnostic manuals, is moving from this "one size fits all" strategy to a "precision psychiatry" that aims to be clinically informed by a dimensional, transdiagnostic perspective enriched by the use of objective, quantifiable and continuous markers such as omics, brain imaging, environmental and lifestyle variability of each individual. By recognizing the heterogeneity of existing categorical diagnostic entities, determined by the underlying biology, this approach aims to improve patient care. Precision medicine can be used to characterize and identify individuals with or at risk for a disorder, predict their prognosis, and make more specific choices of treatment strategies such as medications, psychological interventions, lifestyle rules, and/or brain stimulation, thereby improving prognosis and cost-effectiveness of the treatments.
期刊介绍:
m/s offers high-quality review articles in French, covering all areas of biomedical and health research, in a monthly magazine format (10 issues / year). m/s is read by the whole French-speaking community, in France but also in Belgium, Switzerland, Canada, Morocco, Algeria, Tunisia etc. m/s is not a primary publication, and thus will not consider unpublished data. Most articles are invited by the Editors, but spontaneous proposals are welcomed. Each issue combines news and views on the most recent scientific publications, as well as broadly accessible and updated review articles on a specific topic, and essays on science and society, history of science, public health, or reactions to published articles. Each year, m/s also publishes one or two thematic issues focused on a research topic of high interest. All review articles and essays are peer-reviewed.