Kelemen Oguz, Máttyássy Adrienn, Kéri Szabolcs
Bács-Kiskun Megyei Onkormányzat Kórháza, Pszichiátriai Osztály, Szegedi Tudományegyetem Altalános Orvostudományi Kar Oktatókórháza, Kecskemét.
Ideggyogy Sz. 2004 Jan 20;57(1-2):4-10.
Recently a significant conceptual change emerged in the interpretation of addictological disorders. Despite this significant progress, the exact neuronal mechanisms of these disorders are still unknown. By the development of cognitive neuroscience novel clinical tests became available which are devoted to the evaluation of more properly defined neuronal structures. These novel approaches are designed to separately investigate memory/attention-related and affective processes in decision-making. These investigations along with animal models and functional neuroimaging approaches suggest the crucial role of a complex neuronal network in the pathomechanism of addictological disorders, including the ventromedial prefrontal cortex and the amygdala-accumbens system. The aim of this paper is to review these novel findings in order to gain insight into the neurocognitive mechanisms of addictological disorders.
最近,在成瘾性疾病的解释方面出现了重大的概念性变化。尽管取得了这一重大进展,但这些疾病的确切神经机制仍然未知。随着认知神经科学的发展,出现了一些新颖的临床测试,这些测试致力于评估定义更准确的神经结构。这些新颖的方法旨在分别研究决策过程中与记忆/注意力相关的过程和情感过程。这些研究以及动物模型和功能性神经成像方法表明,一个复杂的神经网络在成瘾性疾病的发病机制中起着关键作用,包括腹内侧前额叶皮层和杏仁核-伏隔核系统。本文的目的是回顾这些新发现,以便深入了解成瘾性疾病的神经认知机制。