Does evidence-based medicine apply to psychiatry?

Abstract
Evidence-based psychiatry (EBP) has arisen through the application of evidence-based medicine (EBM) to psychiatry. However, there may be aspects of psychiatric disorders and treatments that do not conform well to the assumptions of EBM. This paper reviews the ongoing debate about evidence-based psychiatry and investigates the applicability, to psychiatry, of two basic methodological features of EBM: prognostic homogeneity of clinical trial groups and quantification of trial outcomes. This paper argues that EBM may not be the best way to pursue psychiatric knowledge given the particular features of psychiatric disorders and their treatments. As a result, psychiatry may have to develop its own standards for rigour and validity. This paper concludes that EBM has had a powerful influence on how psychiatry investigates and understands mental disorders. Psychiatry could influence EBM in return, reshaping it in ways that are more clinically useful and congruent with patients’ needs.
Keywords evidence  evidence-based medicine  evidence-based psychiatry  outcome measures  prognosis  psychiatry  quantification  randomized controlled trials
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DOI 10.1007/s11017-007-9029-x
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References found in this work BETA
What Evidence in Evidence-Based Medicine?John Worrall - 2002 - Proceedings of the Philosophy of Science Association 2002 (3):S316-S330.
The Randomized Controlled Trial: Gold Standard or Merely Standard?J. Grossman & F. Mackenzie - 2005 - Perspectives in Biology and Medicine 48 (4):516-34.
Evidence‐Based Psychiatry: Understanding the Limitations of a Method.Thomas Maier - 2006 - Journal of Evaluation in Clinical Practice 12 (3):325-329.

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Citations of this work BETA
Evidence-Based Medicine and Progress in the Medical Sciences.Leen De Vreese - 2011 - Journal of Evaluation in Clinical Practice 17 (5):852-856.

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