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La morbilità psichiatrica nella medicina di base: aspetti concettuali e diagnostici

Published online by Cambridge University Press:  11 October 2011

Marco Piccinelli  and
Aloisia Ferraris
Marco Piccinelli*
Affiliation:
Servizio di Psicologia Medica, Istituto di Psichiatria, Università di Verona, Verona
Aloisia Ferraris
Affiliation:
Servizio di Psicologia Medica, Istituto di Psichiatria, Università di Verona, Verona
*
Indirizzo per la corrispondenza: Dr. M. Piccinelli, Servizio di Psicologia Medica, Istituto di Psichiatria, Ospedale Pohchnico, 37134 Verona Fax (+39) 045-585.871
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Abstract

Riassunto

Gli Autori affrontano alcuni aspetti concettuali e metodologici legati allo studio della morbilità psichiatrica nella medicina di base. Vengono discussi i concetti di «malattia» in generale e di «caso psichiatrico» in particolare, con le ripercussioni che tali definizioni possono avere sull'attività di ricerca. Sono presentati i risultati di alcuni studi che hanno utilizzato i modelli statistici basati sulla latent trait theory per indagare i disturbi emotivi di comune riscontro tra i pazienti del medico di base. È stato cosi possibile evidenziare che tali disturbi tendono a distribuirsi lungo un continuum in assenza di punti di interruzione o di rarità. I problemi diagnostici tuttora presenti nella medicina di base sono considerati alia luce delle difficoltà nell'applicazione delle tradizionali categorie diagnostiche e delle prospettive aperte dai recenti sistemi multiassiali di classificazione.

Parole chiave

medicina di base, disturbi emotivi, diagnosi.

Summary

The Authors examine some conceptual and methodological issues involved in the study of psychiatric morbidity in primary care settings. The concept of «disease» in general and that of «psychiatric case» in particular are discussed together with the implications that such definitions may have in research activity. Some studies are reviewed which have employed statistical models based on latent trait theoryto investigate the emotional disorders commonly found among subjects who consult the general practitioner. It becomes apparent that these disorders tend to distribute along a continuum with no rarity points or interruptions. Diagnostic problems still present in primary care settings are considered paying attention to the difficulties in the application of traditional diagnostic categories and to the new perspectives disclosed by recent multiaxial systems of classification.

Keywords

primary careemotional disordersdiagnosis.
Type
Articoli
Information
Epidemiology and Psychiatric Sciences , Volume 1 , Issue 3 , December 1992 , pp. 185 - 190
Copyright
Copyright © Cambridge University Press 1992

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References

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