Diagnostic classification of psychiatric disorders and familial-genetic research.

Abstract:

:The validity of diagnostic definitions in psychiatry is directly related to the extent to which their etiology can be specified. However, since detailed knowledge of causal or susceptibility factors is lacking for most psychiatric disorders with a known or suspected familial-genetic origin, the current widely accepted classification systems largely fail to achieve this ideal. To illustrate this problem, this paper looks at the difficulties posed by the criteria for schizophrenia as laid down in the International Classification of Diseases, 10th revision (ICD-10) and the Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised (DSM-III-R), and highlights the discrepancies between the majority of diagnostic boundaries and the various phenotype aggregation patterns observed in family studies. Progress in our understanding of psychiatric disorders requires to be firmly based on the findings of epidemiological studies as well as on a clear appreciation of the limitations of classification tools.

authors

Maier W

subject

Has Abstract

pub_date

1999-12-01 00:00:00

pages

191-6

issue

3

eissn

1294-8322

issn

1958-5969

journal_volume

1

pub_type

杂志文章
  • Core symptoms of major depressive disorder: relevance to diagnosis and treatment.

    abstract::The construct of major depressive disorder makes no etiological assumptions about populations with diverse symptom clusters. "Depressed mood" and "loss of interest or pleasure in nearly all activities" are core features of major depressive episode, though a strong case can be made to pay increasing attention to sympto...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Kennedy SH

    更新日期:2008-01-01 00:00:00

  • The evaluation of cognitive function in the dementias: methodological and regulatory considerations.

    abstract::Impairment of cognitive function is the central feature of dementia. Although, clinically, the cognitive deficit most often manifests itself as memory problems, a number of other areas of cognition are affected, and memory is but one of the cognitive skills compromised in dementia. Dementia with Lewy bodies, for examp...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章

    doi:

    authors: Wesnes KA,Harrison JE

    更新日期:2003-03-01 00:00:00

  • Ethical and public policy challenges for pharmacogenomics.

    abstract::It is timely to consider the ethical and social questions raised by progress in pharmacogenomics, based on the current importance of pharmacogenomics for avoidance of predictable side effects of drugs, and for correct choice of medications in certain cancers. It has been proposed that the entire population be genotype...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Gershon ES,Alliey-Rodriguez N,Grennan K

    更新日期:2014-12-01 00:00:00

  • Ethology and the biological correlates of mood.

    abstract::The insights of ethology-the science of animal behavior from a biological and psychological point of view-were incorporated in the 1950s by the British developmental psychiatrist, John Bowlby, into his attachment theory, which argued that a secure affective base in infancy was critical to the normal development of per...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Cyrulnik B

    更新日期:2005-01-01 00:00:00

  • Partial remission, residual symptoms, and relapse in depression.

    abstract::Partial remission from depression, with residual symptoms, is an important problem in depression. This paper reviews the frequency and features of this outcome, and its association with relapse. Residual symptoms occur in many depressed patients after acute treatment. They span the typical symptoms of depression, exce...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Paykel ES

    更新日期:2008-01-01 00:00:00

  • Research on serotonin and suicidal behavior: neuroendocrine and molecular approaches.

    abstract::We carried out two studies to test the hypothesis that altered central serotonergic function, as assessed by lower prolactin (PRL) response to fenfluramine (D-FEN), is more closely associated with suicidal behavior than a particular psychiatric diagnosis. A D-FEN test was performed in 85 major depressed inpatients, 33...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章

    doi:

    authors: Corrêa H,Romano-Silva MA,Duval F,Campi-Azevedo AC,Lima V,Macher JP

    更新日期:2002-12-01 00:00:00

  • The genetics of obsessive-compulsive disorder: a review.

    abstract::Obsessive-compulsive disorder (OCD) is a serious psychiatric disorder that affects approximately 2% of the populations of children and adults. Family aggregation studies have demonstrated that OCD is familial, and results from twin studies demonstrate that the familiality is due in part to genetic factors. Only three ...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Pauls DL

    更新日期:2010-01-01 00:00:00

  • Psychosis related to neurological conditions: pro and cons of the dis- / mis-connectivity models of schizophrenia.

    abstract::Schizophrenia is still a condition with obscure causes and psychopathology. This paper aims to discuss the "disconnectivity" hypothesis in relation to some neurological conditions which are known to alter brain connectivity, as well as mimicking some aspects of the disorder. After a short historical introduction to th...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Foucher JR,Luck D

    更新日期:2006-01-01 00:00:00

  • The frontoparietal network: function, electrophysiology, and importance of individual precision mapping.

    abstract::The frontoparietal network is critical for our ability to coordinate behavior in a rapid, accurate, and flexible goal-driven manner. In this review, we outline support for the framing of the frontoparietal network as a distinct control network, in part functioning to flexibly interact with and alter other functional b...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Marek S,Dosenbach NUF

    更新日期:2018-06-01 00:00:00

  • Constructive memory: past and future.

    abstract::Human memory is not a literal reproduction of the past, but instead relies on constructive processes that are sometimes prone to error and distortion. Understanding of constructive memory has accelerated during recent years as a result of research that has linked together its cognitive and neural bases. This article f...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Schacter DL

    更新日期:2012-03-01 00:00:00

  • Serotonergic and noradrenergic function in depression: clinical correlates.

    abstract::The present study was conducted in order to investigate the relationships between central noradrenergic (NA) and serotonergic (5-HT) function and clinical characteristics of a major depressive episode according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. We measured growth hormone res...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章

    doi:

    authors: Duval F,Mokrani MC,Bailey P,Corrêa H,Crocq MA,Son Diep T,Macher JP

    更新日期:2000-09-01 00:00:00

  • Epigenetic signaling in psychiatric disorders: stress and depression.

    abstract::Psychiatric disorders are complex multifactorial disorders involving chronic alterations in neural circuit structure and function. While genetic factors play a role in the etiology of disorders such as depression, addiction, and schizophrenia, relatively high rates of discordance among identical twins clearly point to...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Bagot RC,Labonté B,Peña CJ,Nestler EJ

    更新日期:2014-09-01 00:00:00

  • The epidemiology of anxiety disorders: a review.

    abstract::Epidemiological studies show that anxiety disorders are highly prevalent and an important cause of functional impairment; they constitute the most frequent menial disorders in the community. Phobias are the most common with the highest rates for simple phobia and agoraphobia. Panic disorder (PD) and obsessive-compulsi...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章

    doi:

    authors: Martin P

    更新日期:2003-09-01 00:00:00

  • Nonpharmacological treatment of dyscognition in schizophrenia: effects 
of aerobic exercise
.

    abstract::Cognitive symptoms are a core feature of schizophrenia and are related to an unfavorable disease outcome. So far, there are no satisfactory pharmacological approaches to address cognitive symptoms. For some time now, aerobic exercise has been demonstrated in various trials to be a promising candidate for this indicati...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,meta分析,评审

    doi:10.31887/DCNS.2019.21.3/aschmitt

    authors: Maurus I,Röh A,Falkai P,Malchow B,Schmitt A,Hasan A

    更新日期:2019-09-01 00:00:00

  • New findings in the genetics of major psychoses.

    abstract::Schizophrenia and bipolar disorder have a largely unknown pathophysiology and etiology, but they are highly heritable. Although linkage and association studies have identified a series of chromosomal regions likely to contain susceptibility genes, progress in identifying causative genes has been largely disappointing....

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Nöthen MM,Nieratschker V,Cichon S,Rietschel M

    更新日期:2010-01-01 00:00:00

  • Alcoholism: the dissection for endophenotypes.

    abstract::Alcohol dependence (alcoholism) is a complex disorder attributed to the interaction of genetic and environmental factors that form a collage of "disease" predisposition, which is not identical for every alcohol-dependent individual. There is considerable evidence to demonstrate that genetic predisposition accounts for...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Hines LM,Ray L,Hutchison K,Tabakoff B

    更新日期:2005-01-01 00:00:00

  • Experimental models of stress.

    abstract::Illustrating the complexity of the stress response and its multifaceted manifestations is the leading idea of this overview of experimental paradigms used for stress induction in laboratory animals. The description of key features of models based on naturalistic stressors, pharmacological challenges, and genomic manip...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Patchev VK,Patchev AV

    更新日期:2006-01-01 00:00:00

  • Biomarkers in development of psychotropic drugs.

    abstract::Biomarkers have been receiving increasing attention, especially in the field of psychiatry In contrast to the availability of potent therapeutic tools including pharmacotherapy, psychotherapy, and biological therapies, unmet needs remain in terms of onset of action, stability of response, and further improvement of th...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Wiedemann K

    更新日期:2011-01-01 00:00:00

  • Dementia prevention and reserve against neurodegenerative disease.

    abstract::Similar to other complex disorders, the etiology of Alzheimer disease is multifactorial and characterized by an interplay of biological and environmental risk and protective factors. Potentially modifiable risk factors have emerged from epidemiological research and strategies to prevent neurodegeneration and dementia ...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章

    doi:

    authors: Perneczky R

    更新日期:2019-03-01 00:00:00

  • Internet interventions for depression: new developments.

    abstract::A wide range of Internet interventions, mostly grounded in methods of cognitive behavioral therapy, have been developed and tested for several mental disorders. The evidence to date shows that these interventions are effective in reducing symptoms of depression. Metaanalyses report small-to-medium effect sizes when In...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Schröder J,Berger T,Westermann S,Klein JP,Moritz S

    更新日期:2016-06-01 00:00:00

  • Depression and associated physical diseases and symptoms.

    abstract::Depression can occur in association with virtually all the other psychiatric and physical diagnoses. Physical illness increases the risk of developing severe depressive illness. There are two broadly different mechanisms. The most obvious has a psychological or cognitive mechanism. Thus, the illness may provide the li...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Goodwin GM

    更新日期:2006-01-01 00:00:00

  • An overview of inborn errors of metabolism affecting the brain: from neurodevelopment to neurodegenerative disorders.

    abstract::Inborn errors of metabolism (IEMs) are particularly frequent as diseases of the nervous system. In the pediatric neurologic presentations of IEMs neurodevelopment is constantly disturbed and in fact, as far as biochemistry is involved, any kind of monogenic disease can become an IEM. Clinical features are very diverse...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Saudubray JM,Garcia-Cazorla A

    更新日期:2018-12-01 00:00:00

  • Pharmacologic treatment of schizophrenia.

    abstract::Despite pharmacologic advances, the treatment of schizophrenia remains a challenge, and suboptimal outcomes are still all too frequent. Although treatment goals of response, remission, and recovery have been defined more uniformly, a good "effectiveness" measure mapping onto functional outcomes is still lacking. Moreo...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Kane JM,Correll CU

    更新日期:2010-01-01 00:00:00

  • Lifelong posttraumatic stress disorder: evidence from aging Holocaust survivors.

    abstract::Despite the fact that 50 years have passed since the Nazi regime and the Holocaust the psychic sequelae are far from being overcome. The majority of Holocaust survivors and World War II veterans still list their experiences as the "most significant stressors" of their lives. The literature provides ample evidence that...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章

    doi:

    authors: Barak Y,Szor H

    更新日期:2000-03-01 00:00:00

  • The development concept of "endogenous psychoses".

    abstract::Several structural deviances in the brain in "endogenous psychoses" have been described over the last decades. The enlargement of the lateral ventricles and the subtle structural deficits in temporobasal and orbital frontal structures (hypofrontality) are reasonably well established in the majority of schizophrenic pa...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Beckmann H,Jakob H,Senitz D

    更新日期:2006-01-01 00:00:00

  • The impact of classification on psychopharmacology and biological psychiatry.

    abstract::Nosological classification in psychiatry, as it is currently applied, does not facilitate biological and psychopharmacological research.• Syndromal acuity has disappeared. Consequently, it is impossible to determine: (i) vi/hether a particular drug affects a particular symptom configuration; (ii) what exactly the beha...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章

    doi:

    authors: van Praag HM

    更新日期:1999-12-01 00:00:00

  • Depression in late life: psychiatric-medical comorbidity.

    abstract::The links between late-life depression and the medical comorbidities that are often associated with it can be divided into two paths. The path from medical illness to depression reflects general mechanisms related to stress, disability, and loss, as well as more specific physiological mechanisms, including those relat...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章

    doi:

    authors: Katz IR

    更新日期:1999-09-01 00:00:00

  • Medical and substance-related comorbidity in bipolar disorder: translational research and treatment opportunities.

    abstract::It is well established that individuals with bipolar disorder are differentially affected by substance-related as well as medical disorders (ie, cardiometabolic disorders, respiratory disorders, neurological disorders, and infectious diseases). Emerging evidence indicates that some comorbid conditions (eg, diabetes me...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: McIntyre RS,Nguyen HT,Soczynska JK,Lourenco MT,Woldeyohannes HO,Konarski JZ

    更新日期:2008-01-01 00:00:00

  • Behavioral disturbances in Parkinson's disease.

    abstract::Treatment of Parkinson's disease (PD) is complex and often involves addressing behavioral changes in addition to the movement disorder. Patients with PD are susceptible to any psychiatric condition seen in the general population; some disorders, such as depression and anxiety, may result from PD-related neuropathologi...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章

    doi:

    authors: Anderson KE

    更新日期:2004-09-01 00:00:00

  • Aspects of sleep disorders in children and adolescents.

    abstract::Sleep disorders in children and adolescents is a topic that has been, and remains, neglected in both public health education and professional training. Although much knowledge has been accumulated in recent times, it has been poorly disseminated and, therefore, relatively little is put into practice. Only some general...

    journal_title:Dialogues in clinical neuroscience

    pub_type: 杂志文章,评审

    doi:

    authors: Stores G

    更新日期:2009-01-01 00:00:00