A transdiagnostic model to prevention in mental and behavioral disorders: a comprehensive review and delineation of a new proposal.

IF 2.1 Q3 PSYCHIATRY
Graccielle Cunha, Andre Zugman, Pedro Pan, Lais Fonseca, Rodrigo Bressan, Cristiane S Paula, Zila M Sanchez, Jair Mari, Ary Gadelha
{"title":"A transdiagnostic model to prevention in mental and behavioral disorders: a comprehensive review and delineation of a new proposal.","authors":"Graccielle Cunha, Andre Zugman, Pedro Pan, Lais Fonseca, Rodrigo Bressan, Cristiane S Paula, Zila M Sanchez, Jair Mari, Ary Gadelha","doi":"10.47626/2237-6089-2020-0094","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Current disease-specific models for prevention of mental disorders are challenged by the overlap of psychopathology, biological mechanisms, and risk factors. Moreover, mental disorders usually begin during childhood or adolescence, when symptoms fluctuate and are highly non-specific.</p><p><strong>Discussion: </strong>We propose a staging model that integrates three domains - psychopathology, functional impairment and risk factors-, in which prevention is defined as actions to avoid stage progression, irrespective of diagnosis. Thus, preventive interventions should be broadened to include mental health promotion and strategies of risk reduction performed individually, at any stage, even for non-symptomatic subjects (before current at-risk definitions) currently exposed to risk factors.</p><p><strong>Conclusions: </strong>The model features three innovations: a focus shift from disease conversion to stage progression, highlights functionality as an independent target, and acknowledgment of risk factors in the staging. The model must be validated before implementation.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.1000,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Trends in Psychiatry and Psychotherapy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.47626/2237-6089-2020-0094","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: Current disease-specific models for prevention of mental disorders are challenged by the overlap of psychopathology, biological mechanisms, and risk factors. Moreover, mental disorders usually begin during childhood or adolescence, when symptoms fluctuate and are highly non-specific.

Discussion: We propose a staging model that integrates three domains - psychopathology, functional impairment and risk factors-, in which prevention is defined as actions to avoid stage progression, irrespective of diagnosis. Thus, preventive interventions should be broadened to include mental health promotion and strategies of risk reduction performed individually, at any stage, even for non-symptomatic subjects (before current at-risk definitions) currently exposed to risk factors.

Conclusions: The model features three innovations: a focus shift from disease conversion to stage progression, highlights functionality as an independent target, and acknowledgment of risk factors in the staging. The model must be validated before implementation.

精神和行为障碍预防的跨诊断模式:全面回顾和新建议的界定。
导言:由于精神病理学、生物机制和风险因素相互重叠,目前针对特定疾病的精神障碍预防模式面临挑战。此外,精神障碍通常始于童年或青春期,此时的症状起伏不定,且极具非特异性:讨论:我们提出了一个分期模型,该模型整合了三个领域--精神病理学、功能障碍和风险因素,其中预防被定义为无论诊断结果如何,都要采取行动避免阶段性进展。因此,预防性干预措施的范围应扩大到包括促进心理健康以及在任何阶段单独实施的降低风险策略,甚至包括目前暴露于风险因素的无症状受试者(在目前的高危定义之前):该模型有三个创新点:将重点从疾病转换转移到阶段进展,突出功能性作为独立目标,以及在分期中承认风险因素。该模型在实施前必须经过验证。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
4.40
自引率
0.00%
发文量
32
审稿时长
13 weeks
期刊介绍: Information not localized
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信