Whole Person Modeling: a transdisciplinary approach to mental health research.

Daniel Felsky, Alyssa Cannitelli, Jon Pipitone
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Abstract

The growing global burden of mental illness has prompted calls for innovative research strategies. Theoretical models of mental health include complex contributions of biological, psychosocial, experiential, and other environmental influences. Accordingly, neuropsychiatric research has self-organized into largely isolated disciplines working to decode each individual contribution. However, research directly modeling objective biological measurements in combination with cognitive, psychological, demographic, or other environmental measurements is only now beginning to proliferate. This review aims to (1) to describe the landscape of modern mental health research and current movement towards integrative study, (2) to provide a concrete framework for quantitative integrative research, which we call Whole Person Modeling, (3) to explore existing and emerging techniques and methods used in Whole Person Modeling, and (4) to discuss our observations about the scarcity, potential value, and untested aspects of highly transdisciplinary research in general. Whole Person Modeling studies have the potential to provide a better understanding of multilevel phenomena, deliver more accurate diagnostic and prognostic tests to aid in clinical decision making, and test long standing theoretical models of mental illness. Some current barriers to progress include challenges with interdisciplinary communication and collaboration, systemic cultural barriers to transdisciplinary career paths, technical challenges in model specification, bias, and data harmonization, and gaps in transdisciplinary educational programs. We hope to ease anxiety in the field surrounding the often mysterious and intimidating world of transdisciplinary, data-driven mental health research and provide a useful orientation for students or highly specialized researchers who are new to this area.

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全人模型:心理健康研究的跨学科方法。
精神疾病的全球负担日益加重,促使人们呼吁采取创新的研究策略。心理健康的理论模型包括生物、社会心理、经验和其他环境影响的复杂贡献。因此,神经精神病学研究已经自我组织成很大程度上孤立的学科,致力于解码每个个体的贡献。然而,与认知、心理、人口统计学或其他环境测量相结合,直接模拟客观生物测量的研究现在才开始激增。本综述旨在(1)描述现代心理健康研究的景观和当前走向整合研究的趋势;(2)为定量整合研究提供一个具体框架,我们称之为“全人建模”;(3)探索全人建模中现有的和新兴的技术和方法;(4)讨论我们对高度跨学科研究的稀缺性、潜在价值和未经检验的方面的观察。全人模型研究有潜力提供对多层次现象的更好理解,提供更准确的诊断和预后测试,以帮助临床决策,并测试长期存在的精神疾病理论模型。目前的一些进步障碍包括跨学科沟通和合作的挑战,跨学科职业道路的系统性文化障碍,模型规范、偏见和数据协调方面的技术挑战,以及跨学科教育计划中的差距。我们希望能够缓解跨学科、数据驱动的心理健康研究这个神秘而令人生畏的领域的焦虑,并为刚进入这一领域的学生或高度专业化的研究人员提供有用的指导。
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