Can we predict the direction of sudden shifts in symptoms? Transdiagnostic implications from a complex systems perspective on psychopathology

Autor: Marieke Wichers, Rutger Goekoop, Marieke J. Schreuder, Robin N. Groen
Přispěvatelé: Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE)
Jazyk: angličtina
Rok vydání: 2018
Předmět:
DYNAMICS
Complex systems
EARLY WARNING SIGNAL
medicine.medical_treatment
Psychology
Clinical
Social Sciences
Systems Theory
CRITICAL SLOWING-DOWN
Behavioral Symptoms
03 medical and health sciences
0302 clinical medicine
Empirical research
Intervention (counseling)
MENTAL-DISORDERS
PSYCHOTHERAPY
medicine
Psychology
Humans
Applied Psychology
Psychiatry
MAJOR DEPRESSIVE DISORDER
Science & Technology
Invited Review
Warning system
Transition (fiction)
LIFETIME PREVALENCE
Mental Disorders
Perspective (graphical)
COGNITIVE THERAPY
medicine.disease
psychopathology
transdiagnostic approach
030227 psychiatry
Psychiatry and Mental health
STAGING MODEL
Cognitive therapy
Disease Progression
Major depressive disorder
COMORBIDITY
Life Sciences & Biomedicine
030217 neurology & neurosurgery
Psychopathology
Cognitive psychology
Zdroj: Psychological Medicine
Psychological Medicine, 49(3), 380-387. Cambridge University Press
ISSN: 1469-8978
0033-2917
Popis: Recently, there has been renewed interest in the application of assumptions from complex systems theory in the field of psychopathology. One assumption, with high clinical relevance, is that sudden transitions in symptoms may be anticipated by rising instability in the system, which can be detected with early warning signals (EWS). Empirical studies support the idea that this principle also applies to the field of psychopathology. The current manuscript discusses whether assumptions from complex systems theory can additionally be informative with respect to the specific symptom dimension in which such a transition will occur (e.g. whether a transition towards anxious, depressive or manic symptoms is most likely). From a complex systems perspective, both EWS measured in single symptom dynamics and network symptom dynamics at large are hypothesized to provide clues regarding the direction of the transition. Challenging research designs are needed to provide empirical validation of these hypotheses. These designs should be able to follow sudden transitions 'live' using frequent observations of symptoms within individuals and apply a transdiagnostic approach to psychopathology. If the assumptions proposed are supported by empirical studies then this will signify a large improvement in the possibility for personalized estimations of the course of psychiatric symptoms. Such information can be extremely useful for early intervention strategies aimed at preventing specific psychiatric problems. ispartof: Psychological Medicine vol:49 issue:3 pages:380-387 ispartof: location:England status: published
Databáze: OpenAIRE
Externí odkaz: