a Department of Psychology , University of Maryland at College Park.
J Clin Child Adolesc Psychol. 2015;44(2):221-37. doi: 10.1080/15374416.2014.891227.
The National Institute of Mental Health recently launched the Research Domain Criteria (RDoC). The RDoC is an initiative to improve classification of mental health concerns by promoting research on the brain mechanisms underlying these concerns, with the ultimate goal of developing interventions that target these brain mechanisms. A key focus of RDoC involves opening new lines of research examining patients' responses on biological measures. The RDoC presents unique challenges to mental health professionals who work with children and adolescents. Indeed, mental health professionals rarely integrate biological measures into clinical assessments. Thus, RDoC's ability to improve patient care rests, in part, on the development of strategies for implementing biological measures within mental health assessments. Further, mental health professionals already carry out comprehensive assessments that frequently yield inconsistent findings. These inconsistencies have historically posed challenges to interpreting research findings as well as assessment outcomes in practice settings. In this introductory article, we review key issues that informed the development of a special issue of articles demonstrating methods for implementing low-cost measures of physiological functioning in clinical child and adolescent assessments. We also outline a conceptual framework, informed by theoretical work on using and interpreting multiple informants' clinical reports (De Los Reyes, Thomas, Goodman, & Kundey, 2013 ), to guide hypothesis testing when using physiological measures within clinical child and adolescent assessments. This special issue and the conceptual model described in this article may open up new lines of research testing paradigms for implementing clinically feasible physiological measures in clinical child and adolescent assessments.
美国国立精神卫生研究院最近推出了研究领域标准(RDoC)。RDoC 是一项通过促进对这些问题的大脑机制的研究来改善心理健康问题分类的倡议,最终目标是开发针对这些大脑机制的干预措施。RDoC 的一个关键重点是开辟新的研究线,研究患者对生物测量的反应。RDoC 给从事儿童和青少年工作的心理健康专业人员带来了独特的挑战。事实上,心理健康专业人员很少将生物测量纳入临床评估。因此,RDoC 改善患者护理的能力部分取决于制定在心理健康评估中实施生物测量的策略。此外,心理健康专业人员已经进行了全面评估,这些评估经常产生不一致的结果。这些不一致性在历史上对解释研究结果以及在实践环境中评估结果构成了挑战。在这篇介绍性文章中,我们回顾了为在临床儿童和青少年评估中实施低成本生理功能测量方法的专题文章集的开发提供信息的关键问题。我们还概述了一个概念框架,该框架借鉴了关于使用和解释多个信息提供者的临床报告的理论工作(De Los Reyes、Thomas、Goodman 和 Kundey,2013),以指导在临床儿童和青少年评估中使用生理测量进行假设检验。本特刊和本文描述的概念模型可能为在临床儿童和青少年评估中实施临床可行的生理测量开辟新的研究测试范式。