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气质的神经生物学基础:旨在更好地理解精神病理学。

The neurobiological basis of temperament: towards a better understanding of psychopathology.

作者信息

Whittle Sarah, Allen Nicholas B, Lubman Dan I, Yücel Murat

机构信息

ORYGEN Research Centre, University of Melbourne, Vic. 3052, Australia.

出版信息

Neurosci Biobehav Rev. 2006;30(4):511-25. doi: 10.1016/j.neubiorev.2005.09.003. Epub 2005 Nov 9.

Abstract

The ability to characterise psychopathologies on the basis of their underlying neurobiology is critical in improving our understanding of disorder etiology and making more effective diagnostic and treatment decisions. Given the well-documented relationship between temperament (i.e. core personality traits) and psychopathology, research investigating the neurobiological substrates that underlie temperament is potentially key to our understanding of the biological basis of mental disorder. We present evidence that specific areas of the prefrontal cortex (including the dorsolateral prefrontal, anterior cingulate, and orbitofrontal cortices) and limbic structures (including the amygdala, hippocampus and nucleus accumbens) are key regions associated with three fundamental dimensions of temperament: Negative Affect, Positive Affect, and Constraint. Proposed relationships are based on two types of research: (a) research into the neurobiological correlates of affective and cognitive processes underlying these dimensions; and (b) research into the neurobiology of various psychopathologies, which have been correlated with these dimensions. A model is proposed detailing how these structures might comprise neural networks whose functioning underlies the three temperaments. Recommendations are made for future research into the neurobiology of temperament, including the need to focus on neural networks rather than individual structures, and the importance of prospective, longitudinal, multi-modal imaging studies in at-risk youth.

摘要

基于潜在神经生物学特征来描述精神病理学特征的能力,对于增进我们对疾病病因的理解以及做出更有效的诊断和治疗决策至关重要。鉴于气质(即核心人格特质)与精神病理学之间有充分记录的关系,研究气质背后的神经生物学基础可能是我们理解精神障碍生物学基础的关键。我们提供证据表明,前额叶皮质的特定区域(包括背外侧前额叶、前扣带回和眶额叶皮质)以及边缘结构(包括杏仁核、海马体和伏隔核)是与气质的三个基本维度相关的关键区域:消极情感、积极情感和约束性。所提出的关系基于两种类型的研究:(a)对这些维度下情感和认知过程的神经生物学相关性的研究;(b)对各种与这些维度相关的精神病理学的神经生物学研究。提出了一个模型,详细说明了这些结构如何构成神经网络,其功能构成了三种气质的基础。针对未来气质神经生物学研究提出了建议,包括需要关注神经网络而非单个结构,以及前瞻性、纵向、多模态成像研究对高危青少年的重要性。

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