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儿童和成人对获得奖励的初始反应与精神病理学:一项 RDoC 研究。

Initial Responsiveness to Reward Attainment and Psychopathology in Children and Adults: An RDoC Study.

机构信息

Department of Psychiatry and Behavioral Sciences and of Neuroscience and Physiology, State University of New York - Upstate Medical University, 750 East Adams Street, Syracuse, New York 13210, U.S.A; Department of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, New York 13244, U.S.A.

Department of Psychiatry and Behavioral Sciences and of Neuroscience and Physiology, State University of New York - Upstate Medical University, 750 East Adams Street, Syracuse, New York 13210, U.S.A.

出版信息

Psychiatry Res. 2020 Jul;289:113021. doi: 10.1016/j.psychres.2020.113021. Epub 2020 Apr 18.

Abstract

The Research Domain Criteria (RDoC) initiative of the National Institute of Mental Health (NIMH) established a dimensional framework for understanding psychiatric constructs. Initial Responsiveness to Reward Attainment (IRRA) was identified as a dimensional construct relevant to several psychiatric disorders. The current study aimed to (1) examine IRRA as a predictor of psychopathology and impairment in children and their parents, and (2) examine the potential effects of sex and ancestry on the relationship between IRRA and psychopathology. Participants included 1127 children ages 6 to 12, and 1018 of their parents. Parents and children completed self-report measures of IRRA. Psychopathology and impairment were measured using self-report for adults, and parent-report and semi-structured interview for children. In adults, IRRA was significantly, but modestly, related to adaptive functioning. In children, IRRA was significantly, but modestly, related to overall, school, spare time, home, and peer functioning. Findings suggest IRRA may be a helpful construct for understanding adaptive functioning in adults and children, however it may be less helpful for understanding specific dimensions of psychopathology. Additionally, ancestry should be taken into consideration when examining how IRRA relates to psychopathology and functioning.

摘要

国家心理健康研究所(NIMH)的研究领域标准(RDoC)倡议为理解精神疾病结构建立了一个维度框架。初始奖励反应(IRRA)被确定为与几种精神疾病相关的维度结构。本研究旨在:(1)检验 IRRA 作为儿童及其父母的精神病理学和功能障碍的预测指标;(2)检验性别和祖源对 IRRA 与精神病理学之间关系的潜在影响。参与者包括 1127 名 6 至 12 岁的儿童和 1018 名其父母。父母和儿童完成了 IRRA 的自我报告测量。精神病理学和功能障碍通过成人的自我报告、儿童的父母报告和半结构化访谈进行测量。在成年人中,IRRA 与适应功能显著相关,但相关性适中。在儿童中,IRRA 与整体、学校、业余时间、家庭和同伴功能显著相关,但相关性适中。研究结果表明,IRRA 可能是理解成年人和儿童适应功能的一个有用的结构,但它可能对理解精神病理学的特定维度帮助不大。此外,在研究 IRRA 与精神病理学和功能的关系时,应考虑祖源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ef/7572668/afc0c8fe45a8/nihms-1598512-f0001.jpg

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本文引用的文献

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