Shors Tracey J, Leuner Benedetta
Department of Psychology and Center for Collaborative Neuroscience, Rutgers University, 152 Frelinghuysen Road, Piscataway, NJ 08854-8020, USA.
J Affect Disord. 2003 Mar;74(1):85-96. doi: 10.1016/s0165-0327(02)00428-7.
Women are twice as likely to suffer from depression as men. It has been proposed that the ovarian hormones estrogen and progesterone contribute to the higher incidence of this potentially debilitating disorder. Depression can also be accompanied by a loss of cognitive performance. Here we review estrogen-mediated effects on depression and memory formation in females. We propose that changes in levels of estrogen are associated with sex differences in learning as well as changes in affect prior to menses, immediately after pregnancy and during perimenopause and the menopausal transition. Finally, we discuss the animal model of depression known as 'learned helplessness' and describe research from our laboratory demonstrating that exposure to an acute stressful experience compromises a female's later ability to acquire certain types of new memories. This response to stressful experience is opposite to that observed in males and is dependent on the presence of estrogen, and more specifically-changing levels of estrogen. This observation indicates that females and males can use different hormonal and neural mechanisms to respond to the same emotional event and underscore the importance of studying the unique and changing biology of females, especially when considering treatment strategies for depression and stress-related illness.
女性患抑郁症的可能性是男性的两倍。有人提出,卵巢激素雌激素和孕酮导致了这种潜在致残性疾病的较高发病率。抑郁症还可能伴有认知能力下降。在此,我们综述雌激素对女性抑郁症和记忆形成的影响。我们提出,雌激素水平的变化与学习中的性别差异以及月经前、产后即刻、围绝经期和绝经过渡期情绪的变化有关。最后,我们讨论被称为“习得性无助”的抑郁症动物模型,并描述我们实验室的研究,该研究表明,经历急性应激体验会损害女性日后获取某些类型新记忆的能力。这种对应激体验的反应与在男性中观察到的相反,并且依赖于雌激素的存在,更具体地说是雌激素水平的变化。这一观察结果表明,女性和男性可以利用不同的激素和神经机制来应对相同的情感事件,并强调了研究女性独特且不断变化的生物学特性的重要性,尤其是在考虑抑郁症和应激相关疾病的治疗策略时。