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EBM in practice: psychiatry
Author(s) -
OakleyBrowne Mark A
Publication year - 2001
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2001.tb143344.x
Subject(s) - systematic review , evidence based medicine , neglect , psychiatry , randomized controlled trial , medicine , alternative medicine , psychology , medical literature , psychotherapist , medline , surgery , pathology , political science , law
Psychiatry was one of the first medical specialties to use the tools of evidence‐based medicine (EBM) — randomised controlled trials (RCTs), systematic reviews with meta‐analyses — and as many treatment decisions in psychiatry are evidence‐based as in general medicine. Psychiatrists have some reservations about the EBM approach because of perceived limitations in methodology of RCTs and systematic reviews; gaps in the evidence base; problems interpreting the available evidence; and neglect of individual patient uniqueness in quantitative research based on groups or populations. Research supports the value of psychotherapy and there are now a number of empirically validated efficacious psychotherapies for a range of disorders.