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The British Journal of Psychiatry 160: 304-308 (1992)
© 1992 The Royal College of Psychiatrists

Research on symptoms versus research on syndromes. Arguments in favour of allocating more research time to the study of symptoms

CG Costello
Department of Psychology, University of Calgary, Alberta, Canada.

Research on symptoms may often be more fruitful than research on syndromes because: (a) the validities of psychiatric diagnoses remain questionable; (b) interview assessments of a large number of symptoms are inadequate; (c) the diagnostic approach results in problems of misclassification and confounding; (d) the dimensional/categorical issue may be more readily resolved with research using a symptom approach; (e) useful animal models of symptoms are more likely to be developed than useful animal models of syndromes; and (f) symptoms may be better phenotypes than syndromes in genetic research.


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Copyright © 1992 The Royal College of Psychiatrists.