Social and Preventive Medicine, Department of Sports and Health Sciences, University of Potsdam, Am Neuen Palais 10, 14469, Potsdam, Germany.
Department of Psychiatry and Psychotherapy CCM, Charité, Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Eur Arch Psychiatry Clin Neurosci. 2023 Apr;273(3):527-539. doi: 10.1007/s00406-022-01440-6. Epub 2022 Jul 1.
This study aimed to build on the relationship of well-established self-report and behavioral assessments to the latent constructs positive (PVS) and negative valence systems (NVS), cognitive systems (CS), and social processes (SP) of the Research Domain Criteria (RDoC) framework in a large transnosological population which cuts across DSM/ICD-10 disorder criteria categories. One thousand four hundred and thirty one participants (42.1% suffering from anxiety/fear-related, 18.2% from depressive, 7.9% from schizophrenia spectrum, 7.5% from bipolar, 3.4% from autism spectrum, 2.2% from other disorders, 18.4% healthy controls, and 0.2% with no diagnosis specified) recruited in studies within the German research network for mental disorders for the Phenotypic, Diagnostic and Clinical Domain Assessment Network Germany (PD-CAN) were examined with a Mini-RDoC-Assessment including behavioral and self-report measures. The respective data was analyzed with confirmatory factor analysis (CFA) to delineate the underlying latent RDoC-structure. A revised four-factor model reflecting the core domains positive and negative valence systems as well as cognitive systems and social processes showed a good fit across this sample and showed significantly better fit compared to a one factor solution. The connections between the domains PVS, NVS and SP could be substantiated, indicating a universal latent structure spanning across known nosological entities. This study is the first to give an impression on the latent structure and intercorrelations between four core Research Domain Criteria in a transnosological sample. We emphasize the possibility of using already existing and well validated self-report and behavioral measurements to capture aspects of the latent structure informed by the RDoC matrix.
本研究旨在建立在与既定的自我报告和行为评估的关系的基础上,以潜在的结构积极(PVS)和负价系统(NVS)、认知系统(CS)和社会过程(SP)的研究领域标准(RDoC)框架在一个跨越DSM/ICD-10 障碍标准类别的跨诊断群体中。1431 名参与者(42.1%患有焦虑/恐惧相关障碍,18.2%患有抑郁障碍,7.9%患有精神分裂症谱系障碍,7.5%患有双相情感障碍,3.4%患有自闭症谱系障碍,2.2%患有其他障碍,18.4%健康对照,0.2%无特定诊断),在德国精神障碍研究网络内的研究中招募,并接受了包括行为和自我报告措施在内的迷你-RDoC 评估。使用验证性因素分析(CFA)分析了各自的数据,以描绘潜在的 RDoC 结构。一个反映核心领域积极和消极价系统以及认知系统和社会过程的修订四因素模型在这个样本中表现出良好的拟合,并且与一个因素解决方案相比,表现出显著更好的拟合。PVS、NVS 和 SP 之间的联系可以得到证实,表明一个跨越已知分类实体的普遍潜在结构。这项研究首次在跨诊断样本中对四个核心研究领域标准的潜在结构和相互关系提供了初步了解。我们强调了使用已经存在的和经过充分验证的自我报告和行为测量来捕捉 RDoC 矩阵所提供的潜在结构方面的可能性。