Bortolon C, Raffard S
Laboratoire inter-universitaire de psychologie : personnalité, cognition et changement social, université Grenoble Alpes, UFR SHS, 1251, avenue Centrale, 38058 Grenoble cedex 9, France; Departement Universitaire de Psychiatrie Adulte, CHU de Montpellier, 39, avenue Charles-Flahault, 34090 Montpellier, France.
Departement Universitaire de Psychiatrie Adulte, CHU de Montpellier, 39, avenue Charles-Flahault, 34090 Montpellier, France; Laboratoire Epsylon, EA 4556, Université Paul Valéry, Montpellier 3, 2033, avenue Bouisson Bertrand, 34090 Montpellier, France.
Encephale. 2019 Nov;45(5):433-440. doi: 10.1016/j.encep.2019.06.001. Epub 2019 Sep 5.
In a break with categorical and dimensional approaches and thus the classical medical model, the network approach applied to psychopathology constitutes a holistic approach to mental disorders. In this approach, mental disorders are conceived as an interconnected system of symptoms in which symptoms are the cause of each other. It is suggested that the interaction between the different symptoms would result in a feedback loop that leads to the installation and maintenance of these symptoms/disorders. In addition, this approach proposes that co-morbidities are the result of symptom-symptom interactions that cross the diagnostic boundary and interact with symptoms from other psychiatric disorders. A growing number of studies have applied the network approach to elucidate causal interactions within the symptoms of depression, post-traumatic stress disorder, schizophrenia, or anxiety disorders. The overall objective of this review is to raise awareness among researchers and clinicians in psychiatry and clinical psychology of the network approach applied to psychopathology. To do this, we present the main concepts and principles of the network approach and its application in post-traumatic stress disorder. We also discuss recent criticisms of this approach and its clinical applications.
与分类法和维度法以及经典医学模型不同,应用于精神病理学的网络方法构成了一种针对精神障碍的整体方法。在这种方法中,精神障碍被视为一个相互关联的症状系统,其中症状相互为因。有人提出,不同症状之间的相互作用会导致一个反馈循环,从而导致这些症状/障碍的形成和维持。此外,这种方法还提出,共病是症状与症状之间相互作用的结果,这些相互作用跨越诊断界限,并与其他精神障碍的症状相互影响。越来越多的研究应用网络方法来阐明抑郁症、创伤后应激障碍、精神分裂症或焦虑症症状之间的因果相互作用。本综述的总体目标是提高精神病学和临床心理学领域的研究人员和临床医生对应用于精神病理学的网络方法的认识。为此,我们介绍网络方法的主要概念和原则及其在创伤后应激障碍中的应用。我们还讨论了最近对这种方法及其临床应用的批评。