Division of Translational Research, National Institute of Mental Health, Bethesda, MD, USA.
RDoC Unit, National Institute of Mental Health, Bethesda, MD, USA.
J Child Psychol Psychiatry. 2022 Apr;63(4):360-376. doi: 10.1111/jcpp.13543. Epub 2022 Jan 3.
The National Institute of Mental Health (NIMH) proposed the Research Domain Criteria (RDoC) initiative as an alternate way to organize research of mental illnesses, by looking at dimensions of functioning rather than being tied to categorical diagnoses. This paper briefly discusses the motivation for and organization of RDoC, and then explores the NIMH portfolio and recent work to monitor the utility and progress that RDoC has afforded developmental research. To examine how RDoC has influenced the NIMH developmental research portfolio over the last decade, we employed a natural language processing algorithm to identify the number of developmental science grants classified as incorporating an RDoC approach. Additional portfolio analyses examine temporal trends in funded RDoC-relevant grants, publications and citations, and research training opportunities. Reflecting on how RDoC has influenced the focus of grant applications, we highlight examples from research on Attention-Deficit Hyperactivity Disorder (ADHD), childhood irritability, and Autism Spectrum Disorder (ASD). Lastly, we consider how the dimensional and transdiagnostic approaches emphasized in RDoC have facilitated research on personalized intervention for heterogeneous disorders and preventive/early interventions targeting emergent or subthreshold psychopathology.
美国国立精神卫生研究院(NIMH)提出了研究领域标准(RDoC)倡议,作为一种替代方法来组织精神疾病的研究,通过关注功能维度,而不是与分类诊断挂钩。本文简要讨论了 RDoC 的动机和组织,然后探讨了 NIMH 的投资组合以及最近监测 RDoC 为发展研究提供的效用和进展的工作。为了研究 RDoC 在过去十年中如何影响 NIMH 的发展研究投资组合,我们采用了自然语言处理算法来确定被归类为采用 RDoC 方法的发展科学资助的数量。其他投资组合分析研究了与 RDoC 相关的资助、出版物和引文的时间趋势,以及研究培训机会。为了反思 RDoC 如何影响资助申请的重点,我们从注意力缺陷多动障碍(ADHD)、儿童易怒和自闭症谱系障碍(ASD)的研究中举例说明。最后,我们考虑了 RDoC 中强调的维度和跨诊断方法如何促进针对异质障碍的个性化干预以及针对新兴或阈下精神病理学的预防/早期干预的研究。