Davidson Richard J, Pizzagalli Diego, Nitschke Jack B, Putnam Katherine
Laboratory for Affective Neuroscience and W.M. Keck Laboratory for Functional Brain Imaging and Behavior, University of Wisconsin-Madison, Madison, Wisconsin 53705-2280, USA.
Annu Rev Psychol. 2002;53:545-74. doi: 10.1146/annurev.psych.53.100901.135148.
Depression is a disorder of the representation and regulation of mood and emotion. The circuitry underlying the representation and regulation of normal emotion and mood is reviewed, including studies at the animal level, human lesion studies, and human brain imaging studies. This corpus of data is used to construct a model of the ways in which affect can become disordered in depression. Research on the prefrontal cortex, anterior cingulate, hippocampus, and amygdala is reviewed and abnormalities in the structure and function of these different regions in depression is considered. The review concludes with proposals for the specific types of processing abnormalities that result from dysfunctions in different parts of this circuitry and offers suggestions for the major themes upon which future research in this area should be focused.
抑郁症是一种情绪和情感的表征及调节紊乱的疾病。本文回顾了正常情绪和情感的表征及调节所涉及的神经回路,包括动物层面的研究、人类脑损伤研究以及人类脑成像研究。这些数据被用于构建一个模型,以阐释在抑郁症中情感是如何变得紊乱的。本文还回顾了关于前额叶皮质、前扣带回、海马体和杏仁核的研究,并探讨了抑郁症中这些不同脑区结构和功能的异常情况。综述最后提出了关于该神经回路不同部位功能障碍导致的特定类型加工异常的建议,并为该领域未来研究应关注的主要主题提供了建议。