How to Practice Evidence-based Psychiatry: Basic Principles and Case Studies

✍ Scribed by C. Barr Taylor, C. Barr Taylor

• Publisher: American Psychiatric Publishing, Inc.
• Year: 2009
• Tongue: English
• Leaves: 389
• Edition: 1
• Category: Library

✦ Synopsis

How to Practice Evidence-Based Psychiatry: Basic Principles and Case Studies explains the methods and philosophy of evidence-based psychiatry and describes ways in which psychiatrists and other mental health specialists can incorporate evidence-based psychiatry into clinical practice. It expands and complements the popular text Concise Guide to Evidence-Based Psychiatry , which provides details on obtaining and interpreting medical evidence, and it allows experts from a variety of specialty areas and practice settings to describe interesting and inspiring cases of their own. The first section of this volume can be used as both an introduction to the topic and a ready reference for researching the literature and appraising evidence. It offers chapters devoted to systematic reviews and meta-analyses, clinical practice guidelines, diagnostic tests, surveys of disease frequency, and prognosis and psychometric measurement. The second and third sections, on the application of evidence-based psychiatry to major DSM-IV disorders and specific treatment settings, include relevant case examples in which 24 experienced clinicians from a variety of practice settings discuss situations in which they followed aspects of evidence-based care. This book is a valuable new tool to help residents, practicing psychiatrists, and other mental health workers understand and make use of evidence-based information to improve their everyday practice.

✦ Table of Contents

Contents......Page 6
Contributors......Page 10
Disclosure of Interests......Page 12
Foreword......Page 14
Preface......Page 16
Cautionary Statement......Page 18
Acknowledgments......Page 20
PART I: Basic Principles of Evidence-Based Psychiatry......Page 22
1 What Is Evidence-Based Psychiatric Practice?......Page 24
2 The 5-Step Evidence-Based Medicine Model......Page 34
3 Asking Answerable Questions......Page 38
4 Searching for Answers......Page 42
5 Clinical Trials......Page 56
6 Systematic Reviews and Meta-Analyses......Page 76
7 Clinical Practice Guidelines......Page 90
8 Measurement......Page 104
9 Diagnostic Tests......Page 114
10 Surveys of Disease Frequency......Page 122
11 Studies of Risk or Harm......Page 128
12 Studies of Prognosis......Page 138
13 Evaluating Your Performance of Evidence-Based Medicine......Page 142
14 Evidence-Based Psychiatric Practice......Page 146
15 Teaching Evidence-Based Medicine and Evidence-Based Psychiatric Practice to Psychiatry Residents......Page 154
PART II: Case Studies: Evidence-Based Medicine Applied to Major DSM-IV Disorders......Page 162
16 Introduction to the Cases......Page 164
17 Panic Disorder......Page 168
18 Major Depressive Disorder and Bulimia Nervosa......Page 178
19 Depression, Refusal to Eat, and Nasopharyngeal Carcinoma......Page 188
20 Anorexia, Obsessive-Compulsive Disorder, and Depression......Page 194
21 Major Depressive Disorder: A MEASUREMENT-BASED CARE APPROACH......Page 204
22 Major Depressive Disorder, Severe With Psychotic Features......Page 216
23 Acute Bipolar Depression......Page 224
24 Obsessive-Compulsive Disorder......Page 238
25 Schizophrenia: A FAMILY PSYCHOEDUCATIONAL APPROACH......Page 246
26 Substance Use Disorder Presenting as a Mood Disorder......Page 254
27 A Complex Personality Disorder Case......Page 268
28 Bulimia Nervosa......Page 274
PART III: Case Studies: Evidence-Based Psychiatric Practice in Different Settings......Page 282
29 Dual Diagnosis (PTSD/SUD) Treated in a Veterans Affairs Health Care Facility......Page 284
30 Severe, Recurrent Depression Managed in a Remote Setting Via the Internet: AN EXAMPLE OF REMOTE CARE USING THE HEALTHSTEPS SYSTEM......Page 296
31 Postpartum Depression Treated in Private Practice......Page 308
32 Bipolar Disorder Treated in the Kaiser Permanente Health Care System......Page 328
33 Consultation-Liaison Psychiatry......Page 336
34 Alcohol Dependence Treated by a Psychiatry Resident......Page 358
C......Page 370
R......Page 371
V......Page 372
B: Statistical Formulas and Tables......Page 374
A......Page 378
B......Page 379
C......Page 380
D......Page 381
E......Page 382
H......Page 383
M......Page 384
O......Page 385
P......Page 386
R......Page 387
S......Page 388
Z......Page 389