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焦虑症的风险因素研究与预防项目:一个转化研究框架。

Risk-factor research and prevention programs for anxiety disorders: a translational research framework.

作者信息

Zvolensky Michael J, Schmidt Norman B, Bernstein Amit, Keough Meghan E

机构信息

Department of Psychology, The University of Vermont, Colchester Avenue, John Dewey Hall, Burlington, VT 05405-0134, USA.

出版信息

Behav Res Ther. 2006 Sep;44(9):1219-39. doi: 10.1016/j.brat.2006.06.001.

Abstract

The aim of the present essay is to discuss the interconnection between risk-factor research and prevention program development for panic-spectrum psychopathology. We argue that prevention of panic-spectrum psychopathology specifically, and anxiety disorders more generally, is likely to be best advanced through active, systematic translation of basic, risk-factor research. After operationalizing key terminology, we present some exemplar risk-factor candidates for panic-spectrum psychopathology, summarize research related to their role as risk-factors for panic problems, and link this discussion to risk-factor nomenclature. We then present a translational framework for extrapolating extant knowledge on these and other potential risk-factors for panic-spectrum psychopathology with respect to the development of preventative interventions. The proposed translational framework is intended to describe a forward-feeding process by which risk-factor research could be used by clinical researchers to inform prevention programs; and reciprocally, how such prevention knowledge could be most effectively utilized to drive new, clinically focused risk-factor research.

摘要

本文的目的是探讨恐慌谱系精神病理学的风险因素研究与预防项目开发之间的相互联系。我们认为,专门针对恐慌谱系精神病理学,更广泛地说针对焦虑症的预防,很可能通过对基础风险因素研究进行积极、系统的转化而得到最好的推进。在对关键术语进行操作化定义后,我们列出了一些恐慌谱系精神病理学的典型风险因素候选者,总结了与它们作为恐慌问题风险因素的作用相关的研究,并将这一讨论与风险因素命名法联系起来。然后,我们提出了一个转化框架,用于推断关于这些以及恐慌谱系精神病理学的其他潜在风险因素的现有知识,以促进预防性干预措施的开发。所提出的转化框架旨在描述一个正向反馈过程,通过这个过程,临床研究人员可以利用风险因素研究为预防项目提供信息;反之,如何最有效地利用这种预防知识来推动新的、以临床为重点的风险因素研究。

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