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Psychiatry Boot Camp

2.3 Psychiatric Epidemiology

Nov 26, 2023
Dr. Erick Messias, Chair of Psychiatry at Saint Louis University, discusses psychiatric epidemiology, including the derivation of epidemiological figures and the naturalistic course of psychiatric illness. He also explores the history of diagnostic systems and important findings in psychiatric epidemiology. Dr. Messias emphasizes approaching situations as a 2 by 2 table and finding meaning in daily psychiatric practice.
51:41

Episode guests

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Quick takeaways

  • Psychiatric epidemiology provides population-level data that helps clinicians identify prevalent mental disorders and make informed diagnostic and treatment decisions.
  • Psychiatric epidemiology relies on two-by-two tables to understand the probabilities and associations between exposure and outcomes, shedding light on the interplay between genetics and environment in mental health.

Deep dives

Understanding the Role of Psychiatric Epidemiology in Clinical Decision Making

Psychiatric epidemiology plays a crucial role in clinical decision making by providing population-level data on psychiatric health. Dr. Eric Messius, a psychiatric epidemiologist, highlights the importance of understanding how these data are generated and their impact on clinical practice. By examining the distribution of mental disorders in different populations, epidemiology helps clinicians identify the most prevalent conditions and make informed diagnostic and treatment decisions. It also reveals the significant influence of both genetic and environmental factors in the development of mental illness. Through long-term follow-up studies, epidemiology sheds light on the chronic and episodic nature of psychiatric disorders, helping clinicians understand the natural course of these conditions. With the integration of genetics and neuroscience, psychiatric epidemiology continues to evolve, providing insights into the complex interplay between nature and nurture.

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