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D-环丝氨酸促进恐惧消退:理论与临床意义

Facilitation of fear extinction by D-cycloserine: theoretical and clinical implications.

作者信息

Richardson Rick, Ledgerwood Lana, Cranney Jacquelyn

机构信息

School of Psychology, University of New South Wales, Sydney, New South Wales 2052, Australia.

出版信息

Learn Mem. 2004 Sep-Oct;11(5):510-6. doi: 10.1101/lm.78204.

DOI:10.1101/lm.78204
PMID:15466301
Abstract

Anxiety disorders are among the most common psychological disturbances in the industrialized world. Current behavioral therapy procedures for these disorders are somewhat effective, but their efficacy could be substantially improved. Because these procedures are largely based on the process of extinction, manipulations that enhance extinction may lead to improvements in treatment effectiveness. We review the evidence that D-cycloserine (DCS), a partial NMDA agonist, facilitates extinction of learned fear in rats. Although only a few studies have examined the effects of DCS on extinction of learned fear, this work suggests that this drug may have a number of potential clinical benefits. In addition, attempts at interpreting this research illustrate our limited understanding of the processes involved in extinction.

摘要

焦虑症是工业化世界中最常见的心理障碍之一。目前针对这些障碍的行为治疗方法有一定效果,但其疗效仍有很大提升空间。由于这些方法主要基于消退过程,增强消退作用的操作可能会提高治疗效果。我们回顾了相关证据,即D-环丝氨酸(DCS)作为一种部分N-甲基-D-天冬氨酸(NMDA)受体激动剂,可促进大鼠习得性恐惧的消退。尽管仅有少数研究考察了DCS对习得性恐惧消退的影响,但这些研究表明该药物可能具有许多潜在的临床益处。此外,对这项研究的解读尝试也表明我们对消退过程的理解有限。

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1
Facilitation of fear extinction by D-cycloserine: theoretical and clinical implications.D-环丝氨酸促进恐惧消退:理论与临床意义
Learn Mem. 2004 Sep-Oct;11(5):510-6. doi: 10.1101/lm.78204.
2
Effects of D-cycloserine on extinction: translation from preclinical to clinical work.D-环丝氨酸对消退的影响:从临床前研究到临床应用的转化
Biol Psychiatry. 2006 Aug 15;60(4):369-75. doi: 10.1016/j.biopsych.2006.03.084.
3
Effects of D-cycloserine on extinction of learned fear to an olfactory cue.D-环丝氨酸对嗅觉线索引发的习得性恐惧消退的影响。
Neurobiol Learn Mem. 2007 May;87(4):476-82. doi: 10.1016/j.nlm.2006.12.010. Epub 2007 Feb 1.
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A meta-analysis of D-cycloserine and the facilitation of fear extinction and exposure therapy.D-环丝氨酸与恐惧消退及暴露疗法促进作用的荟萃分析。
Biol Psychiatry. 2008 Jun 15;63(12):1118-26. doi: 10.1016/j.biopsych.2008.01.012. Epub 2008 Mar 7.
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Learning and memory in conditioned fear extinction: effects of D-cycloserine.条件性恐惧消退中的学习与记忆:D-环丝氨酸的作用
Acta Psychol (Amst). 2008 Mar;127(3):601-13. doi: 10.1016/j.actpsy.2007.07.001. Epub 2007 Aug 17.
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D-cycloserine facilitates extinction of learned fear: effects on reacquisition and generalized extinction.D-环丝氨酸促进习得性恐惧的消退:对重新习得和广义消退的影响。
Biol Psychiatry. 2005 Apr 15;57(8):841-7. doi: 10.1016/j.biopsych.2005.01.023.
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D-cycloserine facilitates extinction but does not eliminate renewal of the conditioned emotional response.D-环丝氨酸促进消退,但不能消除条件性情绪反应的恢复。
Behav Neurosci. 2006 Oct;120(5):1159-62. doi: 10.1037/0735-7044.120.5.1159.
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Effects of multiple exposures to D-cycloserine on extinction of conditioned fear in rats.多次暴露于D-环丝氨酸对大鼠条件性恐惧消退的影响。
Neurobiol Learn Mem. 2005 May;83(3):224-31. doi: 10.1016/j.nlm.2005.01.001.
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D-cycloserine and the facilitation of extinction of conditioned fear: consequences for reinstatement.D-环丝氨酸与条件性恐惧消退的促进作用:对恢复的影响
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The effect of D-cycloserine on immediate vs. delayed extinction of learned fear.D-环丝氨酸对习得性恐惧的即刻与延迟消退的影响。
Learn Mem. 2010 Oct 22;17(11):547-51. doi: 10.1101/lm.1927310. Print 2010 Nov.

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