Boston Children's Hospital & Harvard Medical School, 2 Brookline Place, 4th Floor, Boston, MA, 02445, USA.
Res Child Adolesc Psychopathol. 2024 Apr;52(4):487-489. doi: 10.1007/s10802-024-01181-1. Epub 2024 Feb 27.
There is growing consensus that diagnostic labels are insufficient to describe the individual child's psychiatric profile, much less inform the precise combination of interventions that will minimize the impact of risk and/or bolster protective factors over the course of a particular child's development. Moreover, investigations of neurobiological and genetic mechanisms associated with psychopathology have revealed considerable cross-diagnostic overlap, undermining the validity of models that propose a 1:1 relationship between risk and psychiatric disorder. Accordingly, recent publications have advocated for neurodevelopmental models that utilize trait-based measurement, as well as increased emphasis on integration of biological and experiential mechanisms. Despite an expanding body of literature supporting this conceptual shift, the practical implications remain unclear. In this special issue, we compile a collection of novel empirical research papers and reviews that build on the trans-diagnostic principles of the RDoC framework.
越来越多的人认为,诊断标签不足以描述个体儿童的精神科特征,更不用说告知将风险的影响降至最低和/或增强特定儿童发展过程中的保护因素的确切干预措施组合了。此外,对与精神病理学相关的神经生物学和遗传机制的研究表明,存在相当大的跨诊断重叠,从而破坏了提出风险与精神障碍之间存在一一对应关系的模型的有效性。因此,最近的出版物提倡使用基于特征的测量的神经发育模型,并更加重视生物和体验机制的整合。尽管有越来越多的文献支持这种概念转变,但其实践意义仍不清楚。在本期特刊中,我们汇集了一系列新的实证研究论文和综述,这些论文和综述是基于 RDoC 框架的跨诊断原则构建的。