Clinical staging in severe mental disorders: Bipolar disorder, depression and schizophrenia

Publication date: Available online 4 July 2019Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Lorena de la Fuente-Tomas, Mónica Sánchez-Autet, Leticia García-Álvarez, Leticia González-Blanco, Ángela Velasco, Pilar A. Sáiz Martínez, María P. Garcia-Portilla, Julio BobesAbstractClinical 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 2 decades, 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.ResumenLa estadificación clínica es una herramienta diagnóstica utilizada en otras especialidades de la medicina que surge de la combinación de un enfoque categorial y dimensional. En las últimas 2 décadas, se ha planteado su aplic...
Source: Revista de Psiquiatria y Salud Mental - Category: Psychiatry Source Type: research