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Opinion EDITORIAL New Evidence for Shared Risk Architecture of Mental Disorders Steven E. Hyman, MD In this issue of JAMA Psychiatry, Plana-Ripoll et al provide which includes depressive disorders and bipolar disorder (ICD-10 codes F30-F39), as a single diagnosis, as they did with compelling insights into the frequency, nature, and temporal patterns of comorbidity among mental disorders. Comorbid- each of the other large groupings, such as the schizophrenia ity—the contemporaneous or successive occurrence of at least and related disorders grouping (ICD-10 codes F20-F29) and 1 additional mental disorder neurotic, stress-related, and somatoform disorders grouping given an index diagnosis— (ICD-10 codes F40-48). While the authors state that the deci- Related article page 259 has been well documented sion to use large groupings was based on their need for com- 2 3 by prior research and bedevils clinical practice. What putational tractability, the analysis of comorbidity by broad Plana-Ripoll et al emphatically bring home by analyzing very clusters confers a certain advantage. While the high-level large, high-quality administrative databases is the per- groupings in ICD-10 were never intended to be taken as natu- vasiveness of comorbidity across all domains of psychopa- ral kinds—and certainly do not achieve such status—they are thology.
JAMA Psychiatry – American Medical Association
Published: Mar 16, 2019
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