Intramural Research Program, National Institute of Mental Health, Bethesda, Maryland 20892; email:
Annu Rev Psychol. 2015 Jan 3;66:459-85. doi: 10.1146/annurev-psych-010814-015038.
Progress in treating and preventing mental disorders may follow from research that integrates development, genetics, and neuroscience. This review first delineates how longitudinal research has identified three particular groups of disorders shown to differ on the basis of symptom trajectories and risk-factor profiles. In the next section, the review describes how research on genetic contributions to psychopathology has elucidated the nature of risk for two groups of disorders, the neurodevelopmental and psychotic disorders. In the third section, the review describes how research on environmental contributions to psychopathology has targeted early temperament, its associated perturbations in information-processing functions, and its relations to a third group of disorders, the emotional disorders. For all three groups of disorders, such integrative research has generated ideas about novel interventions. The hope is that over the coming decade such ideas will lead to novel treatments that alter the trajectory of risk in developmental psychopathology.
治疗和预防精神障碍方面的进展可能来自于整合发展、遗传学和神经科学的研究。这篇综述首先描述了纵向研究如何确定了三种特殊的疾病群体,这些群体在症状轨迹和风险因素特征上存在差异。在下一节中,该综述描述了精神病理学遗传贡献的研究如何阐明了两组疾病(神经发育和精神病性障碍)的风险本质。在第三节中,该综述描述了精神病理学环境贡献的研究如何针对早期气质及其相关信息处理功能的干扰,以及它与第三组疾病(情绪障碍)的关系。对于所有三组疾病,这种综合性研究都产生了关于新干预措施的想法。希望在未来十年中,这些想法将带来改变发展性精神病理学中风险轨迹的新治疗方法。