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儿科时期焦虑和抑郁的跨诊断起源:将 NIMH 研究领域标准 (RDoC) 结构与生态系统联系起来。

The Transdiagnostic Origins of Anxiety and Depression During the Pediatric Period: Linking NIMH Research Domain Criteria (RDoC) Constructs to Ecological Systems.

机构信息

Department of Psychology, University of Denver.

出版信息

Dev Psychopathol. 2021 Dec;33(5):1599-1619. doi: 10.1017/s0954579421000559. Epub 2021 Dec 7.

Abstract

In the last decade, an abundance of research has utilized the NIMH Research Domain Criteria (RDoC) framework to examine mechanisms underlying anxiety and depression in youth. However, relatively little work has examined how these mechanistic intrapersonal processes intersect with context during childhood and adolescence. The current paper covers reviews and meta-analyses that have linked RDoC-relevant constructs to ecological systems in internalizing problems in youth. Specifically, cognitive, biological, and affective factors within the RDoC framework were examined. Based on these reviews and some of the original empirical research they cover, we highlight the integral role of ecological factors to the RDoC framework in predicting onset and maintenance of internalizing problems in youth. Specific recommendations are provided for researchers using the RDoC framework to inform future research integrating ecological systems and development. We advocate for future research and research funding to focus on better integration of the environment and development into the RDoC framework.

摘要

在过去的十年中,大量研究利用 NIMH 研究领域标准(RDoC)框架来研究青少年焦虑和抑郁的潜在机制。然而,相对较少的工作研究了这些内在机制过程如何在儿童和青少年时期与环境相互作用。本文综述了将 RDoC 相关结构与青少年内化问题的生态系统联系起来的综述和荟萃分析。具体来说,在 RDoC 框架内检查了认知、生物和情感因素。基于这些综述以及其中一些原始的实证研究,我们强调了生态因素在 RDoC 框架中预测青少年内化问题的发生和维持的重要作用。为使用 RDoC 框架的研究人员提供了将生态系统和发展纳入研究的具体建议。我们主张未来的研究和研究资金将重点关注更好地将环境和发展纳入 RDoC 框架。

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