评估人类享乐加工和动机的范式:对理解精神病理学中阴性症状的意义。

Paradigms for Assessing Hedonic Processing and Motivation in Humans: Relevance to Understanding Negative Symptoms in Psychopathology.

机构信息

Departments of Psychological & Brain Science and Psychiatry, Washington University, St. Louis, MO.

Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD.

出版信息

Schizophr Bull. 2017 Jul 1;43(4):701-705. doi: 10.1093/schbul/sbx063.

Abstract

Clinicians and researchers have long known that one of the debilitating aspects of psychotic disorders is the presence of "negative symptoms," which involve impairments in hedonic and motivational function, and/or alterations in expressive affect. We have a number of excellent clinical tools available for assessing the presence and severity of negative symptoms. However, to better understand the mechanisms that may give rise to negative symptoms, we need tools and methods that can help distinguish among different potential contributing causes, as a means to develop more targeted intervention pathways. Using such paradigms is particularly important if we wish to understand whether the causes are the same or different across disorders that may share surface features of negative symptoms. This approach is in line with the goals of the Research Diagnostic Criteria Initiative, which advocates understanding the nature of core dimensions of brain-behavior relationships transdiagnostically. Here we highlight some of the emerging measures and paradigms that may help us to parse the nature and causes of negative symptoms, illustrating both the research approaches from which they emerge and the types of constructs that they can help elucidate.

摘要

临床医生和研究人员长期以来一直认为,精神障碍的一个致残方面是存在“阴性症状”,这涉及到愉悦和动机功能的损伤,和/或表达情感的改变。我们有许多优秀的临床工具可用于评估阴性症状的存在和严重程度。然而,为了更好地理解可能导致阴性症状的机制,我们需要能够帮助区分不同潜在病因的工具和方法,以开发更有针对性的干预途径。如果我们希望了解在可能具有阴性症状表面特征的不同疾病中,病因是否相同或不同,那么这种方法尤其重要。这种方法符合研究诊断标准倡议的目标,该倡议主张跨诊断理解大脑-行为关系的核心维度的性质。在这里,我们重点介绍了一些可能有助于我们剖析阴性症状的性质和原因的新兴措施和范例,展示了它们所产生的研究方法和它们可以帮助阐明的类型的结构。

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