Heinrichs Markus, Gaab Jens
Institute of Psychology, Department of Clinical Psychology and Psychotherapy, University of Zurich, Zurich, Switzerland.
Curr Opin Psychiatry. 2007 Mar;20(2):158-62. doi: 10.1097/YCO.0b013e3280146a13.
The purpose of the present review is to consider further evidence for the role of neuroendocrine mechanisms in mental disorders by focusing on recent trends and advances in the field of psychoneuroendocrinology.
Recent studies confirm the importance of the hypothalamic-pituitary-adrenal axis for the development and course of mental disorders. Notably, the neuropeptide oxytocin has been shown to reduce the responsiveness of the hypothalamic-pituitary-adrenal axis to social stress and to improve social approach behavior. A better understanding of the neuroendocrine mechanisms of action underlying normal behavior has recently been translated to studies investigating novel therapeutic approaches using hormone administration.
Neuroendocrine systems relevant to behavior clearly demonstrate their impact for the field of psychiatry. Further neuroendocrine research provides insight into the origins of mental disorders both from an etiological perspective and an interventional perspective.
本综述旨在通过关注精神神经内分泌学领域的最新趋势和进展,进一步探讨神经内分泌机制在精神障碍中的作用的证据。
近期研究证实下丘脑 - 垂体 - 肾上腺轴在精神障碍的发生发展过程中的重要性。值得注意的是,神经肽催产素已被证明可降低下丘脑 - 垂体 - 肾上腺轴对社会应激的反应性,并改善社交趋近行为。最近,对正常行为背后神经内分泌作用机制的更好理解已转化为使用激素给药研究新型治疗方法的研究。
与行为相关的神经内分泌系统清楚地表明了它们对精神病学领域的影响。进一步的神经内分泌研究从病因学和干预角度为精神障碍的起源提供了见解。