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我们需要实现(心理)健康的个性化,而不仅仅是精神病理学的个性化。

We need to personalize (mental) health, not only psychopathology.

作者信息

Zilcha-Mano Sigal

机构信息

University of Haifa, School of Psychological Sciences, Department of Psychology.

出版信息

J Psychopathol Clin Sci. 2025 May;134(4):343-344. doi: 10.1037/abn0000976.

Abstract

In their introduction to the special issue on addressing clinical heterogeneity in psychopathology through brain science, Damme and Mittal (see record 2025-40884-001) highlighted the transformative potential of using brain data to uncover variability in mental health diagnoses and their underlying mechanisms. The articles in this issue exemplify this, such as Reimann et al. (see record 2025-40884-008), who demonstrated how neurodevelopmental differences, like variations in structural properties, reveal subgroups with unique cognitive and clinical profiles among youths with similar psychopathology levels. This commentary builds on these important insights while proposing a critical broadening of focus. While much attention has been given to individual-specific psychopathology, the personalized "end goal" of treatment-defining individual-specific healthy states-has been largely neglected in the literature. Addressing both the starting and end points of interventions will deepen our understanding of psychopathology by integrating diverse definitions of health, ensuring treatment approaches are tailored to the uniqueness of each individual. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

在他们为通过脑科学解决精神病理学临床异质性的特刊撰写的引言中,达姆和米塔尔(见记录2025 - 40884 - 001)强调了利用脑数据揭示心理健康诊断及其潜在机制变异性的变革潜力。本期的文章就是例证,比如赖曼等人(见记录2025 - 40884 - 008),他们展示了神经发育差异,如结构特性的变化,如何在具有相似精神病理学水平的青少年中揭示出具有独特认知和临床特征的亚组。本评论在这些重要见解的基础上,同时提出了一个关键的关注点拓展。虽然人们对个体特异性精神病理学给予了很多关注,但治疗的个性化“最终目标”——定义个体特异性健康状态——在文献中却基本被忽视了。通过整合不同的健康定义来解决干预的起点和终点问题,将深化我们对精神病理学的理解,确保治疗方法能够根据每个人的独特性进行定制。(《心理学文摘数据库记录》(c)2025美国心理学会,保留所有权利)

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