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The need for a behavioural science focus in research on mental health and mental disorders

机译:需要将行为科学重点放在心理健康和精神障碍的研究中

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摘要

Psychology as a science offers an enormous diversity of theories, principles, and methodological approaches to understand mental health, abnormal functions and behaviours and mental disorders. A selected overview of the scope, current topics as well as strength and gaps in Psychological Science may help to depict the advances needed to inform future research agendas specifically on mental health and mental disorders. From an integrative psychological perspective, most maladaptive health behaviours and mental disorders can be conceptualized as the result of developmental dysfunctions of psychological functions and processes as well as neurobiological and genetic processes that interact with the environment. The paper presents and discusses an integrative translational model, linking basic and experimental research with clinical research as well as population‐based prospective‐longitudinal studies. This model provides a conceptual framework to identify how individual vulnerabilities interact with environment over time, and promote critical behaviours that might act as proximal risk factors for ill‐health and mental disorders. Within the models framework, such improved knowledge is also expected to better delineate targeted preventive and therapeutic interventions that prevent further escalation in early stages before the full disorder and further complications thereof develop. In contrast to conventional “personalized medicine” that typically targets individual (genetic) variation of patients who already have developed a disease to improve medical treatment, the proposed framework model, linked to a concerted funding programme of the “Science of Behaviour Change”, carries the promise of improved diagnosis, treatment and prevention of health‐risk behaviour constellations as well as mental disorders. Copyright © 2013 John Wiley & Sons, Ltd.
机译:心理学作为一门科学,为理解心理健康,异常功能,行为和精神障碍提供了大量理论,原理和方法论方法。对心理学领域的范围,当前主题以及优势和差距的选定概述,可能有助于描绘出必要的进展,以便为未来有关精神卫生和精神障碍的研究议程提供依据。从综合心理学的角度来看,可以将大多数适应不良的健康行为和精神障碍概念化,作为心理功能和过程以及与环境相互作用的神经生物学和遗传过程的发育障碍。本文介绍并讨论了一个整合的翻译模型,将基础研究和实验研究与临床研究以及基于人群的前瞻性纵向研究联系在一起。该模型提供了一个概念框架,可确定随着时间的推移各个漏洞如何与环境相互作用,并促进可能充当不良健康和精神障碍的近端危险因素的关键行为。在模型框架内,这种改进的知识也有望更好地描述针对性的预防和治疗干预措施,以防止在完全疾病及其进一步并发症发展之前的早期进一步升级。与传统的“个性化医学”通常针对已经发展成疾病以改善医学治疗的患者的个体(遗传)变异相反,与“行为改变科学”的统一筹资计划相联系的拟议框架模型具有有望改善健康风险行为群以及精神疾病的诊断,治疗和预防。版权所有©2013 John Wiley&Sons,Ltd.

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