Sandford J J, Argyropoulos S V, Nutt D J
Psychopharmacology Unit, School of Medical Sciences, University Walk, Bristol BS8 1TD, UK.
Pharmacol Ther. 2000 Dec;88(3):197-212. doi: 10.1016/s0163-7258(00)00082-6.
The authors provide an overview of the current state of knowledge with regards to the neurobiological mechanisms involved in normal and pathological anxiety. A brief review of the classification and cognitive psychology of anxiety is followed by a more in-depth look at the neuroanatomical and neurochemical processes and their relevance to our understanding of the modes of action of anxiolytic drugs. The serotonergic, noradrenergic, and gamma-aminobutyric acidergic systems are reviewed. The numerous physiological and pharmacological methods of anxiety provocation and the increasing importance of functional neuroimaging are also examined. The review provides an overview of the biology and basic pharmacology of anxiolytic drugs, and compliments the more clinically oriented companion review.
作者概述了目前关于正常和病理性焦虑所涉及的神经生物学机制的知识现状。在对焦虑的分类和认知心理学进行简要回顾之后,将更深入地探讨神经解剖学和神经化学过程及其与我们理解抗焦虑药物作用模式的相关性。文中对血清素能、去甲肾上腺素能和γ-氨基丁酸能系统进行了综述。还研究了引发焦虑的众多生理和药理学方法以及功能神经影像学日益增加的重要性。该综述概述了抗焦虑药物的生物学和基础药理学,并补充了更侧重于临床的相关综述。