Table 3.
RDoC constructs, related mental states, and strategies for promotion/prevention and early intervention
| RDoC domain/construct | States related to positive mental health |
Promotion/prevention | Early intervention |
|---|---|---|---|
| Cognitive systems - effortful control - working memory |
Reasonable ability to sustain attention, engage in problem solving |
Parent-child joint attention activities, play involving concentration and memory, learning to structure work Whole-school interventions |
Task monitoring, organizational support, rewards for sustained attention |
| Positive valence systems | Reasonable ability to derive satisfaction from constructive social and intellectual activity |
Early cognitive and social stimulation, early exposure to role models intellectually stimulating peer activities |
Identification and intervention for learning disorders and other impediments to school success |
| Negative valence low mood |
Reasonable ability to regulate emotions and moderate responses to perceived threats |
Contingent responsiveness, parental warmth, cognitive coping skills, promotion of self- esteem, self-efficacy (via social processes domain), skills and activities that build social capital |
Behavioral activation, solution-focused problem solving |
| Negative valence - acute, potential, and sustained threat |
Differentiation of sustained versus acute or potential fears: cognitive coping, behavioral rehearsal, modeling, graded exposure |
||
| Tolerance of negative valence states |
Relaxation, distraction, mindfulness, controlled avoidance |
||
| Social processes - attachment - social communications - self representation |
Positive sense of self, ability to form bonds with others, ability to read and express emotions |
Parenting guidance Whole-classroom programmes Community-based group activities for children |
Social skills groups Parent-child bibliotherapy |
| Arousal - sleep cycles |
Evolving ability to match sleep needs with cultural norms |
Monitoring of electronic activities, sufficient physical activity, limiting intake of substances interfering with sleep and arousal |
Sleep hygiene, problem- solving around schedules, substance intake, increasing physical activity |
| Parent/family interventions | Support for parent to maintain these interactions over time, promotion of parental self-efficacy, mentalization, developmental knowledge |
Support from across formal and informal community agencies to provide these interventions; treatment of parental mental health problems |
|
| Support for the family in the community: social support of various kinds,promotion of financial stability; attention to mental health promotion and prevention across the lifespan | |||