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(When and how) does basic research in clinical psychology lead to more effective psychological treatment for mental disorders?
Clinical Psychology Review ( IF 13.7 ) Pub Date : 2022-05-17 , DOI: 10.1016/j.cpr.2022.102163
Thomas Ehring 1 , Karina Limburg 1 , Anna E Kunze 1 , Charlotte E Wittekind 1 , Gabriela G Werner 1 , Larissa Wolkenstein 1 , Melike Guzey 1 , Barbara Cludius 1
Affiliation  

An important aim of basic research in Clinical Psychology is to improve clinical practice (e.g., by developing novel interventions or improving the efficacy of existing ones) based on an improved understanding of key mechanisms involved in psychopathology. In the first part of this article, we examine how frequently this translation has happened in the past by reviewing all 40 evidence-based psychological interventions recommended in current clinical guidelines for five important (groups of) mental disorders. Results show that only 23% of treatments showed a very strong link between basic research and the development of the intervention, and further 20% showed a strong link. These findings thus suggest that the route from basic research to clinical innovation may not be as strong historically as is commonly assumed. Important challenges for translational research in clinical psychology are reviewed, leading to the introduction of a new framework, and a discussion of possible solutions to overcome these challenges. Suggestions include increased attention to robust and replicable research findings, a stronger focus on experimental psychopathology research to establish causality of psychopathological mechanisms, a more systematic structural integration of basic and applied research in clinical psychology, a stronger emphasis on mechanisms of change and moderators of clinical interventions, increased attention to clinical subgroups, and emphasizing improvements to existing interventions over the development of novel interventions.



中文翻译:

(何时以及如何)临床心理学的基础研究为精神障碍带来更有效的心理治疗?

临床心理学基础研究的一个重要目的是基于对精神病理学所涉及的关键机制的更好理解来改进临床实践(例如,通过开发新的干预措施或提高现有干预措施的功效). 在本文的第一部分,我们通过回顾当前针对五种重要(组)精神障碍的临床指南中推荐的所有 40 种循证心理干预措施来检验这种转化在过去发生的频率。结果表明,只有 23% 的治疗表明基础研究与干预措施的发展之间存在非常紧密的联系,另外 20% 的治疗显示出很强的联系。因此,这些发现表明,从基础研究到临床创新的路径在历史上可能不像通常假设的那样强大。回顾了临床心理学转化研究的重要挑战,引入了一个新框架,并讨论了克服这些挑战的可能解决方案。建议包括增加对稳健和可复制的研究结果的关注,

更新日期:2022-05-17
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