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对美国国立精神卫生研究所研究领域标准(RDoC)计划的六年研究:一项系统评价

Six Years of Research on the National Institute of Mental Health's Research Domain Criteria (RDoC) Initiative: A Systematic Review.

作者信息

Carcone Dean, Ruocco Anthony C

机构信息

Departments of Psychology and Psychological Clinical Science, University of Toronto Toronto, ON, Canada.

出版信息

Front Cell Neurosci. 2017 Mar 3;11:46. doi: 10.3389/fncel.2017.00046. eCollection 2017.

Abstract

Six years have passed since the National Institute of Mental Health (NIMH) in the United States launched the Research Domain Criteria (RDoC) initiative. The RDoC introduces a framework for research on the biology of mental illness that integrates research findings across multiple levels of information. The framework outlines constructs that represent specific quantifiable dimensions of behavior (e.g., responses to acute threat, cognitive control) and corresponding units of analysis that can be used to study the constructs, beginning at the levels of genes, molecules, cells, circuits and physiology, and moving up to behaviors and self-reports. In this systematic review, a literature search was conducted to synthesize empirical research published since the proposal of the framework that incorporated the RDoC. Forty-eight peer-reviewed scholarly articles met eligibility criteria for the review. Studies differed according to whether they analyzed RDoC constructs and units of analysis within vs. between clinically-diagnosed and non-psychiatric samples. The most commonly studied constructs were subsumed within the domains of Negative Valence Systems, Positive Valence Systems and Cognitive Systems, providing initial results which primarily connected genetics, brain circuits and physiology research findings with behavior and self-reports. Prospects for future research adopting the RDoC matrix and utilizing a dimensional approach to studying the biology of mental illness are discussed.

摘要

自美国国立精神卫生研究所(NIMH)发起研究领域标准(RDoC)计划至今,已过去六年。RDoC引入了一个精神疾病生物学研究框架,该框架整合了多个信息层面的研究结果。该框架概述了代表行为特定可量化维度的结构(例如,对急性威胁的反应、认知控制)以及相应的分析单元,这些分析单元可用于研究这些结构,研究起点为基因、分子、细胞、神经回路和生理学层面,进而上升到行为和自我报告层面。在本系统评价中,我们进行了文献检索,以综合自该纳入RDoC的框架提出以来发表的实证研究。48篇经同行评审的学术文章符合该评价的纳入标准。这些研究的差异在于,它们是在临床诊断样本与非精神科样本内部还是之间分析RDoC结构和分析单元。最常研究的结构归入负性效价系统、正性效价系统和认知系统领域,提供了初步结果,这些结果主要将遗传学、脑回路和生理学研究结果与行为和自我报告联系起来。本文还讨论了未来采用RDoC矩阵并利用维度方法研究精神疾病生物学的研究前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/443c/5334510/7f69f7272b5f/fncel-11-00046-g0001.jpg

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