Department of Psychiatry, Veteran Health Service Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Adv Exp Med Biol. 2019;1192:313-329. doi: 10.1007/978-981-32-9721-0_16.
With vigorous researches related to novel treatment in psychiatric field, paradigm shift is emerging with its design and assessment. Comprehension of the psychiatric phenomenon expanded beyond disease model, with dimensional approach. Assessment of patients' clinical state includes subjective reports related to problematic symptoms, functional change, and quality of life. They also include objective findings collected from mobile e-wearable monitoring system and advanced neuroimaging modalities. Novel treatment protocols are not just limited to pharmacology itself or psychotherapy itself, but the approach is integrated with stratification; pharmacological treatment enhanced by cognitive behavioral management and psychotherapeutic intervention has been emerged and studied for its impact. Numerous studies were conducted to understand placebo response and to differentiate this phenomenon with novel treatments. Trials to draw good adherence to research protocol with good compliance to treatment in real are strengthened by integrated approach, so-called psychopharmacology. With these paradigm shifts observed from recent researches, it is promising for great advance in quality of life and our mental health.
随着精神医学领域新型治疗方法的深入研究,其设计和评估也出现了范式转变。对精神现象的理解已经超越了疾病模型,采用了多维方法。对患者临床状态的评估包括与问题症状、功能变化和生活质量相关的主观报告。它们还包括从移动电子可穿戴监测系统和先进的神经影像学模式收集的客观发现。新型治疗方案不仅限于药理学本身或心理治疗本身,而是将方法与分层相结合;通过认知行为管理和心理治疗干预增强药理学治疗的方法已经出现并进行了研究,以了解其影响。为了理解安慰剂反应并将其与新型治疗方法区分开来,进行了大量的研究。通过所谓的精神药理学的综合方法,加强了对研究方案的良好依从性和对治疗的良好依从性的研究,以提高生活质量和我们的精神健康。随着最近研究中观察到的这些范式转变,在提高生活质量和我们的精神健康方面有很大的进展前景。