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RDoC 运动领域在理解抑郁症精神运动症状中的效用。

The utility of an RDoC motor domain to understand psychomotor symptoms in depression.

机构信息

Translational Research Center, University Hospital of Psychiatry, University of Bern,Bern,Switzerland.

Department of Psychological and Brain Sciences,Texas A&M Institute for Neuroscience, Texas A & M University,College Station, TX,USA.

出版信息

Psychol Med. 2019 Jan;49(2):212-216. doi: 10.1017/S0033291718003033. Epub 2018 Oct 16.

Abstract

Despite the clinical impact of motor symptoms such as agitation or retardation on the course of depression, these symptoms are poorly understood. Novel developments in the field of instrumentation and mobile devices allow for dimensional and continuous recording of motor behavior in various settings, particularly outside the laboratory. Likewise, the use of novel assessments enables to combine multimodal neuroimaging with behavioral measures in order to investigate the neural correlates of motor dysfunction in depression. The research domain criteria (RDoC) framework will soon include a motor domain that will provide a framework for studying motor dysfunction in mood disorders. In addition, new studies within this framework will allow investigators to study motor symptoms across different stages of depression as well as other psychiatric diagnoses. Finally, the introduction of the RDoC motor domain will help test how motor symptoms integrate with the original five RDoC domains (negative valence, positive valence, cognitive, social processes, and arousal/regulation).

摘要

尽管运动症状(如激越或迟滞)对抑郁的病程有临床影响,但这些症状仍未得到充分理解。仪器和移动设备领域的新发展允许在各种环境下对运动行为进行维度和连续记录,特别是在实验室之外。同样,新评估方法的使用能够将多模态神经影像学与行为测量相结合,以研究抑郁中运动功能障碍的神经相关性。研究领域标准(RDoC)框架很快将包括一个运动领域,为研究心境障碍中的运动功能障碍提供框架。此外,该框架内的新研究将使研究人员能够研究抑郁的不同阶段以及其他精神诊断中的运动症状。最后,引入 RDoC 运动领域将有助于检验运动症状如何与原始的五个 RDoC 领域(负价、正价、认知、社会过程和唤醒/调节)整合。

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