Department of Psychiatry, University of Oxford, Oxford, UK
Oxford Precision Psychiatry Lab, NIHR Oxford Health Biomedical Research Centre, Oxford, UK.
BMJ Ment Health. 2023 Jun;26(1). doi: 10.1136/bmjment-2023-300759.
In anxiety, depression and psychosis, there has been frustratingly slow progress in developing novel therapies that make a substantial difference in practice, as well as in predicting which treatments will work for whom and in what contexts. To intervene early in the process and deliver optimal care to patients, we need to understand the underlying mechanisms of mental health conditions, develop safe and effective interventions that target these mechanisms, and improve our capabilities in timely diagnosis and reliable prediction of symptom trajectories. Better synthesis of existing evidence is one way to reduce waste and improve efficiency in research towards these ends. Living systematic reviews produce rigorous, up-to-date and informative evidence summaries that are particularly important where research is emerging rapidly, current evidence is uncertain and new findings might change policy or practice. Global Alliance for Living Evidence on aNxiety, depressiOn and pSychosis (GALENOS) aims to tackle the challenges of mental health science research by cataloguing and evaluating the full spectrum of relevant scientific research including both human and preclinical studies. GALENOS will also allow the mental health community-including patients, carers, clinicians, researchers and funders-to better identify the research questions that most urgently need to be answered. By creating open-access datasets and outputs in a state-of-the-art online resource, GALENOS will help identify promising signals early in the research process. This will accelerate translation from discovery science into effective new interventions for anxiety, depression and psychosis, ready to be translated in clinical practice across the world.
在焦虑、抑郁和精神疾病领域,开发新疗法以显著改善实践、预测哪些治疗方法对哪些患者和哪些环境有效方面,进展一直令人沮丧地缓慢。为了在疾病进程早期进行干预并为患者提供最佳护理,我们需要了解心理健康状况的潜在机制,开发针对这些机制的安全有效的干预措施,并提高我们在及时诊断和可靠预测症状轨迹方面的能力。更好地综合现有证据是减少这些研究中浪费和提高效率的一种方法。实时系统综述可生成严格、最新和信息丰富的证据总结,在研究迅速涌现、现有证据不确定且新发现可能改变政策或实践的情况下,这些总结尤为重要。全球焦虑、抑郁和精神疾病活体证据联盟(GALENOS)旨在通过编目和评估包括人类和临床前研究在内的所有相关科学研究,来应对精神卫生科学研究的挑战。GALENOS 还将使精神卫生界(包括患者、照顾者、临床医生、研究人员和资助者)能够更好地确定最需要回答的研究问题。通过在一个最先进的在线资源中创建开放获取数据集和产出,GALENOS 将有助于在研究过程早期识别有前景的信号。这将加速从发现科学到针对焦虑、抑郁和精神疾病的有效新干预措施的转化,以便在全球范围内的临床实践中进行转化。