network theory

网络理论
  • 文章类型: Systematic Review
    心理障碍的网络理论认为,症状系统引起,或者与,其他症状的表现。迄今为止,关于症状网络的大量文献已经发表,尽管尚未对精神分裂症的症状网络进行系统评价,分裂情感障碍,和精神分裂症样(被诊断为精神分裂症的人;PDS)。本研究旨在比较过去21年中PDS症状网络出版物的统计数据,并确定文献中的一致性和差异。更具体地说,我们将专注于中心性统计。32项研究符合纳入标准。结果表明,认知,社会,职业功能是症状网络的核心。阳性症状,在许多不包括认知评估的研究中,妄想尤其重要.代表认知的节点在那些研究中最为重要。代表阴性症状的节点不像测量阳性症状的项目那样重要。一些包括情绪和影响测量的研究发现,测量抑郁的项目或分量表是网络中的中心节点。认知,社会,职业功能似乎是精神分裂症的核心症状,因为它们在网络中更重要,与评估阳性症状的变量相比。尽管研究设计存在异质性,但这似乎是一致的。
    The network theory of psychological disorders posits that systems of symptoms cause, or are associated with, the expression of other symptoms. Substantial literature on symptom networks has been published to date, although no systematic review has been conducted exclusively on symptom networks of schizophrenia, schizoaffective disorder, and schizophreniform (people diagnosed with schizophrenia; PDS). This study aims to compare statistics of the symptom network publications on PDS in the last 21 years and identify congruences and discrepancies in the literature. More specifically, we will focus on centrality statistics. Thirty-two studies met the inclusion criteria. The results suggest that cognition, and social, and occupational functioning are central to the network of symptoms. Positive symptoms, particularly delusions were central among participants in many studies that did not include cognitive assessment. Nodes representing cognition were most central in those studies that did. Nodes representing negative symptoms were not as central as items measuring positive symptoms. Some studies that included measures of mood and affect found items or subscales measuring depression were central nodes in the networks. Cognition, and social, and occupational functioning appear to be core symptoms of schizophrenia as they are more central in the networks, compared to variables assessing positive symptoms. This seems consistent despite heterogeneity in the design of the studies.
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  • 文章类型: Systematic Review
    背景:实现联合国可持续发展目标(SDG)超出了任何一个组织的能力范围。负责任的研究与创新(RRI)模型包括参与利益相关者的原则,并建议参与,多部门方法有望动员人类解决复杂和紧迫的全球问题。方法:本范围审查探讨了有效和可持续的组织间网络的特征,以促进RRI服务于可持续发展目标。对先前研究的归纳-演绎搜索(1990-2020),除了本森(1975)的开创性工作外,其重点是启动和维护与实施RRI和/或可持续发展目标相关的组织间网络的战略。搜索从以前的网络理论衍生的主题开始,重点关注:(a)网络的类型和功能;(b)目标和愿景;(c)网络与网络成员之间的关系。总的来说,最后包括55篇关于组织间网络理论的文章进行了分析。结果:结果报告的主题为:(1)有效性,可持续性,和成功;(2)治理和管理;和(3)网络关系。网络结构,管理和资金形式与可持续网络联系在一起。潜在的威胁包括网络内的功率失衡,以及可能影响网络和社区层面关系的内部和外部因素。很少有研究考察多样性或文化观点。研究强调了网络的好处,例如加强研究人员之间的知识共享,从业者,和其他利益相关者。结论:可以将管理结构的有效性视为组织间网络的意图和价值的输出。我们的审查表明,全球组织间网络方法是可以实现的。这样的网络会有很多好处,包括允许组织对变革和创新做出反应和灵活。关键词RRI,SDGs,网络理论,组织间网络,治理,信任。
    Background: Achieving the United Nations Sustainable Development Goals (SDGs) is beyond the capacity of any single organisation. The model for Responsible Research and Innovation (RRI) includes principles of engaging stakeholders and suggests that an engaged, multi-sectoral approach hold promise to mobilise humanity to solve complex and urgent global issues. Methods: This scoping review explores the characteristics of effective and sustainable inter-organisational networks for fostering RRI in service of the SDGs. An inductive-deductive search of prior studies (1990-2020), with the exception of Benson\'s (1975) seminal work was conducted, which focused on strategies to initiate and maintain inter-organisational networks relevant to the implementation of RRI and/or SDGs. The search began with themes derived from prior network theory, focusing on: (a) the type and function of networks; (b) the aims and vision; and (c) the relationships between networks and network members. In total, 55 articles on inter-organisational network theory were included for the final analysis. Results: Results are reported under themes of: (1) Effectiveness, Sustainability, and Success; (2) Governance and Management; and (3) Network Relationship. Network structures, forms of management and funding are linked to sustainable networks. Potential threats include power imbalances within networks, and internal and external factors that may affect relationships at network and community levels. Few studies examine diversity or cultural viewpoints. Studies highlight the benefits of networks such as enhancing knowledge sharing among researchers, practitioners, and other stakeholders. Conclusions: The effectiveness of the managerial structure may be observed as outputs of the intention and values of an inter-organisational network. Our review demonstrates that a global inter-organisational network approach is achievable. Such a network would have many benefits, including allowing organisations to be responsive and flexible towards change and innovation. Keywords RRI, SDGs, network theory, inter-organisational networks, governance, trust.
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  • 文章类型: Journal Article
    背景:医疗保健中的组织间网络并不总是达到他们的目标。现有模型概述了可以解释网络绩效不佳的因素:治理;结构;以及专业,组织和网络层面。然而,这些模型是非常通用的,并假设一种功能方法。我们调查了有关网络结构和治理如何相互关联以及在多层次背景下与网络性能相关的可用经验知识,为了获得更深入的洞察力,有经验的支持,为什么网络(未能)实现他们的目标。
    方法:基于WebofScience搜索的系统文献综述,BusinessSourceComplete和PubMed于2021年5月执行,并于2022年1月重复执行。如果全文是用英语撰写的,并在医疗保健组织间环境中报告了经验数据,则包括全文。包含的论文被编码为治理主题,结构,性能和多级网络。科学管理领域的论文,比较了管理和医疗保健。使用Vosviewer可视化文档引用和书目耦合网络,并使用UCINET计算网络测量值。
    结果:总体而言,184篇论文被纳入审查,其中大部分来自医疗保健期刊。医疗保健期刊的研究主要对护理质量感兴趣,而管理和行政期刊的研究往往集中在效率和财务方面。交叉引用在不同的领域是有限的。具有经纪治理形式的网络是最普遍的。网络性能主要在社区级别进行衡量。只有少数研究采用了多层次的视角,和交互效应通常不测量水平之间。
    结论:医疗保健网络的研究分散在不同的科学领域。目前的审查显示了一系列积极的,负面影响和混合效应,并指出需要更多的实证研究来确定这些结果的根本原因。关于不同网络结构和治理模式对不同级别医疗网络绩效的影响,几乎没有任何实证研究。我们发现需要更多的实证研究来研究多层次的医疗保健网络,同时承认可能适用于不同层次的混合治理模型。
    BACKGROUND: Interorganizational networks in healthcare do not always attain their goals. Existing models outline the factors that could explain poor network performance: governance; structure; and the alignment of professional, organizational and network levels. However, these models are very generic and assume a functional approach. We investigate available empirical knowledge on how network structure and governance relate to each other and to network performance in a multilevel context, to get deeper insight, supported with empirics, of why networks (fail to) achieve their goals.
    METHODS: A systematic literature review based on a search of Web of Science, Business Source Complete and PubMed was executed in May 2021 and repeated in January 2022. Full papers were included if they were written in English and reported empirical data in a healthcare interorganizational setting. Included papers were coded for the topics of governance, structure, performance and multilevel networks. Papers from the scientific fields of management, administration and healthcare were compared. Document citation and bibliographic coupling networks were visualized using Vosviewer, and network measures were calculated with UCINET.
    RESULTS: Overall, 184 papers were included in the review, most of which were from healthcare journals. Research in healthcare journals is primarily interested in the quality of care, while research in management and administration journals tend to focus on efficiency and financial aspects. Cross-citation is limited across different fields. Networks with a brokered form of governance are the most prevalent. Network performance is mostly measured at the community level. Only a few studies employed a multilevel perspective, and interaction effects were not usually measured between levels.
    CONCLUSIONS: Research on healthcare networks is fragmented across different scientific fields. The current review revealed a range of positive, negative and mixed effects and points to the need for more empirical research to identify the underlying reasons for these outcomes. Hardly any empirical research is available on the effects of different network structures and governance modes on healthcare network performance at different levels. We find a need for more empirical research to study healthcare networks at multiple levels while acknowledging hybrid governance models that may apply across different levels.
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  • 文章类型: Journal Article
    The network theory of psychopathology proposes that mental disorders arise from direct interactions between symptoms. This theory provides a promising framework to understand the development and maintenance of mental disorders such as depression. In this narrative review, we summarize the literature on network studies in the field of depression. Four methodological network approaches are distinguished: (i) studies focusing on symptoms at the macro-level vs. (ii) on momentary states at the micro-level, and (iii) studies based on cross-sectional vs. (iv) time-series (dynamic) data. Fifty-six studies were identified. We found that different methodological approaches to network theory yielded largely inconsistent findings on depression. Centrality is a notable exception: the majority of studies identified either positive affect or anhedonia as central nodes. To aid future research in this field, we outline a novel complementary network theory, the momentary affect dynamics (MAD) network theory, to understand the development of depression. Furthermore, we provide directions for future research and discuss if and how networks might be used in clinical practice. We conclude that more empirical network studies are needed to determine whether the network theory of psychopathology can indeed enhance our understanding of the underlying structure of depression and advance clinical treatment.
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  • 文章类型: Journal Article
    精神病理学的网络方法认为,可以将精神障碍概念化和研究为相互促进的症状的因果系统。这种方法,首次提出于2008年,在过去十年中已大幅增长,现在已成为精神病学研究的完整领域。在这篇文章中,我们提供了在本研究计划的第一个十年中产生的363篇文章的概述和批判性分析,专注于关键的理论,方法论,和经验贡献。此外,我们将注意力转向网络方法的下一个十年,并为每个领域的未来研究提出关键途径。我们认为,通过努力实现两个总体目标,可以最好地服务于该研究计划:(a)识别强大的经验现象和(b)发展可以解释这些现象的形式理论。我们建议在这个广泛的框架内采取具体步骤,并认为如果网络方法要发展成为一个渐进的研究计划,能够产生关于特定精神障碍如何作为因果系统运作的累积知识体系,这些步骤是必要的。
    The network approach to psychopathology posits that mental disorders can be conceptualized and studied as causal systems of mutually reinforcing symptoms. This approach, first posited in 2008, has grown substantially over the past decade and is now a full-fledged area of psychiatric research. In this article, we provide an overview and critical analysis of 363 articles produced in the first decade of this research program, with a focus on key theoretical, methodological, and empirical contributions. In addition, we turn our attention to the next decade of the network approach and propose critical avenues for future research in each of these domains. We argue that this program of research will be best served by working toward two overarching aims: (a) the identification of robust empirical phenomena and (b) the development of formal theories that can explain those phenomena. We recommend specific steps forward within this broad framework and argue that these steps are necessary if the network approach is to develop into a progressive program of research capable of producing a cumulative body of knowledge about how specific mental disorders operate as causal systems.
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  • 文章类型: Journal Article
    Network analysis (NA) is an analytical tool that allows one to explore the map of connections and eventual dynamic influences among symptoms and other elements of mental disorders. In recent years, the use of NA in psychopathology has rapidly grown, which calls for a systematic and critical analysis of its clinical utility.
    Following PRISMA guidelines, a systematic review of published empirical studies applying NA in psychopathology, between 2010 and 2017, was conducted. We included the literature published in PubMed and PsycINFO using as keywords any combination of \"network analysis\" with the terms \"anxiety,\" \"affective disorders,\" \"depression,\" \"schizophrenia,\" \"psychosis,\" \"personality disorders,\" \"substance abuse\" and \"psychopathology.\"
    The review showed that NA has been applied in a plethora of mental disorders in adults (i.e., 13 studies on anxiety disorders; 19 on mood disorders; 7 on psychosis; 1 on substance abuse; 1 on borderline personality disorder; 18 on the association of symptoms between disorders), and 6 on childhood and adolescence.
    A critical examination of the results of each study suggests that NA helps to identify, in an innovative way, important aspects of psychopathology like the centrality of the symptoms in a given disorder as well as the mutual dynamics among symptoms. Yet, despite these promising results, the clinical utility of NA is still uncertain as there are important limitations on the analytic procedures (e.g., reliability of indices), the type of data included (e.g., typically restricted to secondary analysis of already published data), and ultimately, the psychometric and clinical validity of the results.
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