Singh Laura, Espinosa Lisa, Ji Julie L, Moulds Michelle L, Holmes Emily A
Department of Psychology, Uppsala University, Uppsala, Sweden.
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Cogn Neuropsychiatry. 2020 Sep;25(5):348-363. doi: 10.1080/13546805.2020.1804845. Epub 2020 Aug 26.
One route to advancing psychological treatments is to harness mental health science, a multidisciplinary approach including individuals with lived experience and end users (e.g., Holmes, E. A., Craske, M. G., & Graybiel, A. M. (2014). Psychological treatments: A call for mental-health science. , (7509), 287-289. doi:10.1038/511287a). While early days, we here illustrate a line of research explored by our group-intrusive imagery-based memories after trauma.
METHOD/RESULTS: We illustrate three possible approaches through which mental health science may stimulate thinking around psychological treatment innovation. First, focusing on single/specific target symptoms rather than full, multifaceted psychiatric diagnoses (e.g., intrusive trauma memories rather than all of posttraumatic stress disorder). Second, investigating mechanisms that can be in treatment (treatment mechanisms), rather than those which cannot (e.g., processes only linked to aetiology). Finally, exploring novel ways of delivering psychological treatment (peer-/self-administration), given the prevalence of mental health problems globally, and the corresponding need for effective interventions that can be delivered at scale and remotely for example at times of crisis (e.g., current COVID-19 pandemic).
These three approaches suggest options for potential innovative avenues through which mental health science may be harnessed to recouple basic and applied research and transform treatment development.
推进心理治疗的一条途径是利用心理健康科学,这是一种多学科方法,包括有实际生活经验的个体和最终用户(例如,霍姆斯,E.A.,克拉斯克,M.G.,& 格雷比尔,A.M.(2014年)。心理治疗:呼吁心理健康科学。,(7509),287 - 289。doi:10.1038/511287a)。虽然尚处于早期阶段,但我们在此阐述我们团队所探索的一系列研究——创伤后基于侵入性意象的记忆。
方法/结果:我们阐述了心理健康科学可能激发围绕心理治疗创新思考的三种可能途径。首先,关注单一/特定目标症状而非全面、多方面的精神疾病诊断(例如,侵入性创伤记忆而非所有创伤后应激障碍症状)。其次,研究可用于治疗的机制(治疗机制),而非那些不可用于治疗的机制(例如,仅与病因相关的过程)。最后,鉴于全球心理健康问题的普遍性,以及相应地需要能够大规模且远程提供的有效干预措施(例如在危机时期,如当前的新冠疫情),探索提供心理治疗的新方式(同伴/自我管理)。
这三种途径为潜在的创新途径提供了选择,通过这些途径可以利用心理健康科学来重新连接基础研究和应用研究,并改变治疗发展。