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适应障碍:研究空白分析。

Adjustment disorders: A research gaps analysis.

机构信息

Psychological Health Center of Excellence.

出版信息

Psychol Serv. 2022 May;19(2):283-293. doi: 10.1037/ser0000517. Epub 2021 Jan 28.

Abstract

Adjustment disorders are among the most commonly diagnosed mental health disorders in both civilian and military clinical settings. Despite their high prevalence, adjustment disorders have received little research attention. The many gaps in our understanding of this group of disorders hinder the development of adequate, evidence-based treatment protocols. This study utilizes a systematic methodology to identify and prioritize research gaps in adjustment disorders. We used authoritative source reports to identify gaps in research domains from foundational science to services research. Subject-matter experts conducted literature searches to substantiate and refine research gaps, and stakeholders assessed the importance and impact of this work for researchers and policy-makers. We identified 254 possible research-needs statements, which were ultimately reduced to 11 final, prioritized research gaps. Two gaps addressed prevention and screening and three addressed treatment and services research. Six gaps addressed foundational science, epidemiology, and etiology research domains, highlighting the need for basic research. Until some of the basic science questions are resolved (e.g., diagnostic clarity, valid screening, and assessment measures) about adjustment disorders, we may not be able to develop adequate evidence-based interventions for the disorders, and it will be difficult to understand the trajectory of these disorders throughout treatment. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

适应障碍是在民用和军事临床环境中最常被诊断出的心理健康障碍之一。尽管它们的患病率很高,但适应障碍却很少受到研究关注。我们对这群障碍的理解存在许多空白,这阻碍了制定充分的、基于证据的治疗方案。本研究采用系统方法来确定和确定适应障碍的研究空白。我们使用权威来源报告来确定从基础科学到服务研究的研究领域中的空白。主题专家进行文献检索以证实和完善研究空白,利益相关者评估了这项工作对研究人员和政策制定者的重要性和影响。我们确定了 254 个可能的研究需求陈述,最终将其减少到 11 个最终的优先研究空白。两个空白涉及预防和筛查,三个空白涉及治疗和服务研究。六个空白涉及基础科学、流行病学和病因学研究领域,突出了对基础研究的需求。在解决有关适应障碍的一些基本科学问题(例如,诊断清晰度、有效筛查和评估措施)之前,我们可能无法为这些障碍开发出充分的基于证据的干预措施,也难以了解这些障碍在整个治疗过程中的轨迹。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。

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