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| 复杂系统视角下的抑郁障碍和焦虑障碍机制及心理干预策略 |
| Complex Systems Approach to Mechanisms of Depression, Anxiety, and Psychological Interventions Strategies |
| 投稿时间：2025-03-04 修订日期：2025-04-03 |
| DOI： |
| 中文关键词: 复杂系统 抑郁 焦虑障碍 跨诊断心理治疗 |
| 英文关键词:Complex systems Depression disorder Anxiety disorders Transdiagnostic psychotherapies |
| 基金项目:国家自然科学基金面上项目（检验正念干预缓解焦虑抑郁症状的起效机制: 痛苦耐受度，项目编号：32371138） |
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| 中文摘要: |
| 系统理论强调系统中各元素之间的多维交互作用及其随时间发生的动态变化，为理解和探究精神疾病的形成、维持和发展提供了重要的理论框架和分析工具。本文基于复杂系统视角，聚焦抑郁障碍和焦虑障碍，探讨多因素交互网络对两种障碍发生发展的影响，并简要概述动态系统理论框架下的早期预警信号在症状的预测研究中的进展。同时，本文选取两种系统导向的心理干预方案——接纳与承诺疗法（ACT）和针对情绪困扰的正念干预（MIED）。基于二者的心理病理模型，从跨诊断层面阐释抑郁障碍和焦虑障碍的多因素相互作用机制，并进一步分析相应的核心干预策略对关键因素的调适以实现临床改善。 |
| 英文摘要: |
| Systems theory emphasizes the multidimensional interactions among elements within a system and their dynamic changes over time, providing a crucial theoretical framework and analytical tools for investigating the onset and evolution of mental disorders. From a complex systems perspective, this review examines the influence of multi-factor interaction networks on the development of depressive and anxiety disorders, while also reviewing research progress on early-warning signals based on dynamical systems theory for symptom prediction. This study specifically examines two system-oriented psychological interventions: acceptance and commitment therapy (ACT) and mindfulness-based intervention for emotional distress (MIED). Building upon their respective psychopathological models, this review elucidates the multifactorial interaction mechanisms underlying depressive and anxiety disorders at a transdiagnostic level. It further analyzes how intervention strategies modulate key factors to achieve clinical improvements. |
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