Offering a new framework for understanding and studying basic dimensions of normal and abnormal human functioning and mental disorders, the National Institute of Mental Health (NIMH) has initiated the Research Domain Criteria (RDoC) project in which a series of higher order domains, representing major systems of emotion, cognition, motivation, and social behavior, and their constituent operationally defined constructs serve as organizing templates for further research and inquiry, eg, to discover validated biomarkers and endophenotypes. Cutting across traditional DSM diagnoses, the domains are defined as Negative Valence Systems, Positive Valence Systems, Cognitive Systems, Systems for Social Processes, and Arousal/Regulatory Systems. To inform educators, trainees, and practitioners about RDoC, alert them to potential practical applications, and encourage their broad exploration in clinical settings, this article reviews the RDoC domains and their subsystem constructs with regard to potential current clinical considerations and applications. We describe ways in which the RDoC domains and constructs offer transdiagnostic frameworks for complementing traditional practice; suggest clinical questions to help elucidate salient information; and, translating RDoC domains and constructs headings into clinically friendly language, offer a template for the psychiatric review of systems that can serve in clinical notes.

译文

为理解和研究正常和异常的人类功能和精神障碍的基本维度提供了一个新的框架,美国国家精神卫生研究所 (NIMH) 发起了研究领域标准 (RDoC) 项目,其中一系列高阶领域代表了情绪、认知、动机、和社会行为,以及它们的组成操作定义的构建体作为进一步研究和调查的组织模板,例如,发现经过验证的生物标志物和内表型。跨越传统的DSM诊断,这些领域被定义为负价系统,正价系统,认知系统,社会过程系统和唤醒/调节系统。为了让教育工作者、受训者和从业人员了解RDoC,提醒他们潜在的实际应用,并鼓励他们在临床环境中进行广泛的探索,本文回顾了RDoC领域及其子系统结构,涉及当前潜在的临床考虑和应用。我们描述了RDoC领域和结构提供跨诊断框架以补充传统实践的方式; 提出临床问题以帮助阐明重要信息; 并且,将RDoC领域和构建标题转换为临床友好的语言,为可以在临床笔记中使用的系统的精神病学审查提供了模板。

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