Clinical staging in severe mental disorders; bipolar disorder, depression and schizophrenia
Rev Psiquiatr Salud Ment (Engl Ed). 2019 Apr-Jun;12(2):106-115.
doi: 10.1016/j.rpsm.2018.08.002.
Epub 2018 Oct 9.
[Article in
English,
Spanish]
Affiliations
- 1 Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM G-05); Departamento de Psiquiatría, Universidad de Oviedo; Instituto de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, España.
- 2 Hospital Universitario Mutua Terrassa, Universidad de Barcelona, Terrasa, España.
- 3 Servicio de Salud del Principado de Asturias (SESPA), Departamento de Psiquiatría, Universidad de Oviedo; Instituto de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, España.
- 4 Departamento de Psiquiatría, Universidad de Oviedo, Oviedo, España.
- 5 Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM G-05); Departamento de Psiquiatría, Universidad de Oviedo; Instituto de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, España. Electronic address: albert@uniovi.es.
Abstract
Clinical staging is a diagnostic tool used in other medical specialties, which has resulted from the combination of a categorical and dimensional approach. In the last 2decades, the usefulness of its application in the field of psychiatry has been suggested, mainly as a tool for diagnostic help, and therapeutic and prognostic orientation. In this paper we review the clinical staging models that have been proposed to date for bipolar disorder, depression and schizophrenia. A literature search was performed in PubMed and Medline databases. A total of 15 studies were selected according to inclusion and exclusion criteria. Models were grouped according to the type of disorder for which staging was proposed (bipolar disorder: 4, depression: 5, schizophrenia: 6), and their characteristics were described. As a conclusion, we identify the need to empirically validate these models to demonstrate that staging is a useful tool for clinical practice.
Keywords:
Bipolar disorder; Depresión; Depression; Esquizofrenia; Estadificación; Psiquiatría; Psychiatry; Schizophrenia; Staging; Trastorno bipolar.
Copyright © 2018 SEP y SEPB. Publicado por Elsevier España, S.L.U. All rights reserved.
MeSH terms
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Bipolar Disorder / diagnosis*
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Depression / diagnosis*
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Depressive Disorder / diagnosis*
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Humans
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Psychiatric Status Rating Scales*
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Schizophrenia / diagnosis*
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Severity of Illness Index*