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Abstract：
Research on the psychophysiology of stress is expanding rapidly, but the field lacks a clear integrative framework to help translate research findings into empirically supported stress interventions. The Research Domain Criteria (RDoC) is an excellent candidate to explore as a framework to integrate stress research. The RDoC framework is a dimensional, multi-modal approach to psychopathology proposed as an alternative to categorical approaches used by the International Classification of Diseases (ICD) and the Diagnostic and Statistical Manual (DSM). The goal of this paper is to explore the RDoC as a framework to integrate psychophysiology research into therapeutic interventions for stress. The RDoC consists of six domains: negative valence systems, positive valence systems, cognitive systems, social processes systems, arousal/regulatory systems, and sensorimotor systems, and provides an excellent structure for integrating information from multiple levels of functioning including physiology, behavior, and self-report, as well as genes, molecules, cells, and brain circuits. Integrating psychophysiological research on stress using the RDoC framework can direct and amplify stress management and psychotherapeutic interventions. First, the RDoC provides a clear foundation for conceptualizing the stress response in terms of important concepts such as allostasis and adaptation. In this perspective, the terms \"allostatic response\" or \"adaptation response\" are more descriptive terms than \"stress response\" in understanding bodily responses to life threats and challenges. Second, psychophysiological approaches can be used in the context of modalities such as biofeedback and mindfulness to both collect psychophysiological data and then integrate that data into a broader therapeutic framework. Heart rate variability (HRV) biofeedback is being used more frequently as part of a therapeutic intervention package with stress management and psychotherapy, and HRV data is also used to provide outcome evidence on the efficacy of treatment. Mindfulness practices are commonly used in combination with stress management and psychotherapy, and psychophysiological data (HRV, EEG, blood pressure, etc.) is often collected to explore and understand mind/body relationships. In conclusion, the lack of a clear framework to assess and understand mind/body functioning limits current stress research and interventions. The RDoC provides a strong framework to assess and integrate physiological and psychological data and improve stress interventions.
摘要：
压力的心理生理学研究正在迅速扩大，但该领域缺乏一个清晰的综合框架来帮助将研究结果转化为经验支持的压力干预措施。研究领域标准（RDoC）是探索整合压力研究框架的绝佳候选者。RDoC框架是一个维度，多模式的精神病理学方法被提议作为国际疾病分类（ICD）和诊断和统计手册（DSM）使用的分类方法的替代方法。本文的目的是探索RDoC作为将心理生理学研究整合到压力治疗干预中的框架。RDoC由六个域组成：负价系统，正价系统，认知系统，社会进程系统，唤醒/调节系统，和感觉运动系统，并提供了一个极好的结构，用于整合包括生理学在内的多个功能层面的信息，行为，和自我报告，以及基因，分子，细胞,和大脑回路。使用RDoC框架整合压力的心理生理学研究可以指导和扩大压力管理和心理治疗干预。首先,RDoC提供了一个明确的基础，概念化的应激反应的重要概念，如同种异体和适应。从这个角度来看,在理解身体对生命威胁和挑战的反应时，术语“同种异体反应”或“适应反应”比“应激反应”更具描述性。第二,心理生理学方法可以在生物反馈和正念等方式的背景下使用，以收集心理生理学数据，然后将这些数据整合到更广泛的治疗框架中。心率变异性（HRV）生物反馈被更频繁地用作压力管理和心理治疗的治疗干预包的一部分。和HRV数据也用于提供治疗效果的结果证据。正念实践通常与压力管理和心理治疗结合使用，和心理生理数据(HRV，脑电图,血压,等。)经常被收集来探索和理解身心关系。总之,缺乏一个明确的框架来评估和理解身心功能限制了当前的压力研究和干预措施。RDoC提供了一个强大的框架来评估和整合生理和心理数据，并改善压力干预。
