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多巴胺激发试验作为心理特征的一个指标。

Dopamine challenge tests as an indicator of psychological traits.

作者信息

Netter P

机构信息

Dept. of Psychology, University of Giessen, Otto-Behaghel-Str. 10F, D-35394 Giessen, Germany.

出版信息

Hum Psychopharmacol. 2006 Mar;21(2):91-9. doi: 10.1002/hup.754.

Abstract

After discussing some introductory considerations about the value of challenge tests in general for discriminating personality dimensions which are considered extrapolations of psychopathological diseases, the present paper outlines the matter of responsivity to agonistic and antagonistic dopaminergic drugs or drugs of different mechanisms of action in the dopaminergic system, and elucidates that different hormones elicited by dopaminergic substances (prolactin, growth hormone) may indicate personality related differences in susceptibility of different brain areas. A further point was to demonstrate not only the well known relationship of dopaminergic hyperactivity with reward seeking and motivational factors associated with extraversion and novelty seeking, but also the relationship of dopaminergic hypofunction with the personality dimension of depression which had already been reported in studies on animals and psychiatric patients. A final point was to demonstrate that besides size of hormone responses additional parameters like time of response onset and initial prolactin increase can be used as biochemical indicators for identifying certain personality types, like highly depressive neurotic persons characterized by lower and later dopamine responses as compared to low depressives, and extraverted sensation-seeking types responding by an initial prolactin peak as opposed to low sensation seekers.

摘要

在讨论了关于一般挑战测试在区分被视为精神病理疾病外推的人格维度方面的价值的一些初步考虑之后,本文概述了对激动性和拮抗性多巴胺能药物或多巴胺能系统中不同作用机制药物的反应性问题,并阐明多巴胺能物质引发的不同激素(催乳素、生长激素)可能表明不同脑区易感性与人格相关的差异。另一个要点是不仅要证明多巴胺能功能亢进与与外向性和新奇寻求相关的奖励寻求和动机因素之间众所周知的关系,还要证明多巴胺能功能减退与抑郁人格维度之间的关系,这在动物和精神病患者的研究中已有报道。最后一点是要证明,除了激素反应的大小之外,诸如反应开始时间和催乳素初始增加等其他参数也可以用作识别某些人格类型的生化指标,例如与低抑郁者相比,高抑郁神经质者的多巴胺反应较低且较晚,而外向的感觉寻求型则以催乳素初始峰值做出反应,与低感觉寻求者相反。

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