Steffen Patrick R
Department of Psychology, Brigham Young University, Provo, UT, United States.
Front Neuroergon. 2023 Sep 29;4:1245946. doi: 10.3389/fnrgo.2023.1245946. eCollection 2023.
Research on the psychophysiology of stress is expanding rapidly, but the field lacks a clear integrative framework to help translate research findings into empirically supported stress interventions. The Research Domain Criteria (RDoC) is an excellent candidate to explore as a framework to integrate stress research. The RDoC framework is a dimensional, multi-modal approach to psychopathology proposed as an alternative to categorical approaches used by the International Classification of Diseases (ICD) and the Diagnostic and Statistical Manual (DSM). The goal of this paper is to explore the RDoC as a framework to integrate psychophysiology research into therapeutic interventions for stress. The RDoC consists of six domains: negative valence systems, positive valence systems, cognitive systems, social processes systems, arousal/regulatory systems, and sensorimotor systems, and provides an excellent structure for integrating information from multiple levels of functioning including physiology, behavior, and self-report, as well as genes, molecules, cells, and brain circuits. Integrating psychophysiological research on stress using the RDoC framework can direct and amplify stress management and psychotherapeutic interventions. First, the RDoC provides a clear foundation for conceptualizing the stress response in terms of important concepts such as allostasis and adaptation. In this perspective, the terms "allostatic response" or "adaptation response" are more descriptive terms than "stress response" in understanding bodily responses to life threats and challenges. Second, psychophysiological approaches can be used in the context of modalities such as biofeedback and mindfulness to both collect psychophysiological data and then integrate that data into a broader therapeutic framework. Heart rate variability (HRV) biofeedback is being used more frequently as part of a therapeutic intervention package with stress management and psychotherapy, and HRV data is also used to provide outcome evidence on the efficacy of treatment. Mindfulness practices are commonly used in combination with stress management and psychotherapy, and psychophysiological data (HRV, EEG, blood pressure, etc.) is often collected to explore and understand mind/body relationships. In conclusion, the lack of a clear framework to assess and understand mind/body functioning limits current stress research and interventions. The RDoC provides a strong framework to assess and integrate physiological and psychological data and improve stress interventions.
压力的心理生理学研究正在迅速扩展，但该领域缺乏一个清晰的综合框架来帮助将研究结果转化为基于实证的压力干预措施。研究领域标准（RDoC）是一个很好的可探索的框架，用于整合压力研究。RDoC框架是一种维度化、多模态的精神病理学研究方法，被提议作为国际疾病分类（ICD）和《精神疾病诊断与统计手册》（DSM）所使用的分类方法的替代方案。本文的目的是探讨将RDoC作为一个框架，将心理生理学研究整合到压力治疗干预中。RDoC由六个领域组成：负性效价系统、正性效价系统、认知系统、社会过程系统、觉醒/调节系统和感觉运动系统，它为整合来自多个功能水平的信息提供了一个很好的结构，这些功能水平包括生理学、行为和自我报告，以及基因、分子、细胞和脑回路。使用RDoC框架整合关于压力的心理生理学研究可以指导并加强压力管理和心理治疗干预。首先，RDoC为从诸如非稳态和适应等重要概念的角度概念化压力反应提供了一个清晰的基础。从这个角度来看，在理解身体对生活威胁和挑战的反应时，“非稳态反应”或“适应反应”这些术语比“压力反应”更具描述性。其次，心理生理学方法可以在生物反馈和正念等模式的背景下使用，以收集心理生理学数据，然后将这些数据整合到一个更广泛的治疗框架中。心率变异性（HRV）生物反馈作为治疗干预方案的一部分，越来越频繁地被用于压力管理和心理治疗，HRV数据也被用于提供治疗效果的结果证据。正念练习通常与压力管理和心理治疗结合使用，并且经常收集心理生理学数据（HRV、脑电图、血压等）来探索和理解身心关系。总之，缺乏一个清晰的框架来评估和理解身心功能限制了当前的压力研究和干预。RDoC提供了一个强大的框架来评估和整合生理和心理数据，并改善压力干预。
