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精神病学中的颠覆性创新。

Disruptive innovation in psychiatry.

机构信息

NICM Health Research Institute, Western Sydney University, Westmead, New South Wales, Australia.

The Florey Institute of Neuroscience and Mental Health & Department of Psychiatry, Melbourne University, Melbourne, Victoria, Australia.

出版信息

Ann N Y Acad Sci. 2022 Jun;1512(1):5-9. doi: 10.1111/nyas.14764. Epub 2022 Mar 1.

DOI:10.1111/nyas.14764
PMID:35233789
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9314580/
Abstract

Disruptive innovation is a cornerstone of various disciplines, particularly in the business world, where paradigm-altering approaches are often lauded. As a construct, disruptive psychiatry can be considered to embody such an approach by the pursuit of innovations within the field which test boundaries and shake up the status quo. Given the importance of addressing the current mental health pandemic, and the deficit of highly effective pharmacological treatments for various conditions, innovative disruptive thinking is required. Significant promise exists via the provision of potentially more effective innovative therapeutic options, including digital interventions, psychedelic medicines, microbiome-altering treatments, brain stimulation technology, and nanotechnology-based delivery systems. These approaches may be further advanced by individualization of the treatments using computational technology (including quantum computing, machine learning, and artificial intelligence) and genomics.

摘要

颠覆性创新是多个学科的基石,尤其是在商业领域,颠覆性的方法常常受到赞誉。作为一种构建方式,颠覆性精神病学可以被视为通过在该领域内追求创新来体现这种方法,这些创新检验了边界并颠覆了现状。鉴于解决当前精神健康流行病的重要性,以及各种情况下缺乏高度有效的药物治疗方法,需要具有创新性的颠覆性思维。通过提供潜在更有效的创新治疗选择,包括数字干预、迷幻药物、改变微生物组的治疗方法、脑刺激技术和基于纳米技术的输送系统,存在着巨大的希望。通过使用计算技术(包括量子计算、机器学习和人工智能)和基因组学对治疗方法进行个体化,可以进一步推进这些方法。

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本文引用的文献

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Legalization of Psychedelic Substances.迷幻物质合法化。
JAMA. 2021 Dec 21;326(23):2434-2435. doi: 10.1001/jama.2021.19372.
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The growing field of digital psychiatry: current evidence and the future of apps, social media, chatbots, and virtual reality.数字精神病学的发展领域:当前证据以及应用程序、社交媒体、聊天机器人和虚拟现实的未来。
World Psychiatry. 2021 Oct;20(3):318-335. doi: 10.1002/wps.20883.
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Power of data in quantum machine learning.量子机器学习中数据的力量。
Nat Commun. 2021 May 11;12(1):2631. doi: 10.1038/s41467-021-22539-9.
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MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo-controlled phase 3 study.MDMA 辅助治疗严重 PTSD:一项随机、双盲、安慰剂对照的 3 期研究。
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Influence of Context and Setting on the Mental Health and Wellbeing Outcomes of Ayahuasca Drinkers: Results of a Large International Survey.情境与环境对死藤水饮用者心理健康及幸福感结果的影响:一项大型国际调查的结果
Front Pharmacol. 2021 Apr 21;12:623979. doi: 10.3389/fphar.2021.623979. eCollection 2021.
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Trial of Psilocybin versus Escitalopram for Depression.迷幻蘑菇与依地普仑治疗抑郁症的试验。
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Medicinal psychedelics for mental health and addiction: Advancing research of an emerging paradigm.药用迷幻剂在精神健康和成瘾领域的应用:推进新兴范式的研究。
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Psychopharmacology (Berl). 2021 Feb;238(2):341-354. doi: 10.1007/s00213-020-05719-1. Epub 2021 Jan 11.
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