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探索精神科干预措施的可转移性:一个概念框架。

Exploring transferability in psychiatric interventions: a conceptual framework.

作者信息

Nejati Vahid

机构信息

Psychology Department, Shahid Beheshti University, 1983969411, Tehran, Iran.

School of Behavioral and Brain Sciences, University of Texas at Dallas, Dallas, USA.

出版信息

J Neural Transm (Vienna). 2025 Feb;132(2):323-330. doi: 10.1007/s00702-024-02840-9. Epub 2024 Oct 14.

DOI:10.1007/s00702-024-02840-9
PMID:39402172
Abstract

The growing significance of generalization in psychiatric interventions stems from the need for effective and applicable treatments across diverse populations and settings. Addressing psychiatric disorders involves navigating the complex interplay of biological, cognitive, and behavioral factors, making it crucial to assess the transferability of interventions beyond controlled environments. To tackle this challenge, we propose a novel conceptual framework, the FIELD model (Function, Implement, Ecology, Level, and Durability). This model offers a comprehensive exploration of generalization by considering the function and tools used in interventions, the ecological contexts of their application, the various levels of impact, and the durability of effects over time. In this study, we explore the dimensions of the FIELD model, emphasizing the role of assessment tools as valuable indicators and the significance of effect sizes in quantifying the transfer of training effects. The FIELD model stands as a tool to enhance our understanding of psychiatric interventions, providing a systematic and nuanced approach to evaluate their generalization across diverse scenarios.

摘要

在精神科干预中,泛化的重要性日益凸显,这源于对不同人群和环境进行有效且适用治疗的需求。应对精神障碍涉及应对生物、认知和行为因素之间复杂的相互作用,因此评估干预措施在受控环境之外的可转移性至关重要。为应对这一挑战,我们提出了一个新颖的概念框架——FIELD模型(功能、实施、生态、水平和持久性)。该模型通过考虑干预中使用的功能和工具、其应用的生态背景、影响的各个层面以及随着时间推移效果的持久性,对泛化作了全面探讨。在本研究中,我们探究FIELD模型的各个维度,强调评估工具作为重要指标的作用以及效应大小在量化训练效果转移方面的意义。FIELD模型是一种增进我们对精神科干预理解的工具,为评估其在不同场景下的泛化提供了一种系统且细致入微的方法。

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