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关于酗酒的病因学和病理生理学的简短综述。

A short review on the aetiology and pathophysiology of alcoholism.

机构信息

Second Psychiatry Department, Athens University Medical School, Attikon General Hospital, Athens, Greece.

出版信息

Ann Gen Psychiatry. 2009 May 14;8:10. doi: 10.1186/1744-859X-8-10.

DOI:10.1186/1744-859X-8-10
PMID:19442280
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2685788/
Abstract

Alcoholism is a chronic remitting and relapsing condition; its aetiology and pathophysiology remains largely obscure despite recent advances. This review summarises the current knowledge about the causation (biological or psychological) of alcohol addiction. This involves heredity, candidate genes, alcohol metabolism regulation and the influence of alcohol in the pathophysiology of the different neurotransmitter systems. Alcohol addiction is a multifactorial phenomenon where personality structure, individual state of mind and social influences are in constant interaction with brain neurobiology and pathophysiology. This disorder influences different sexes in different ways and causes major problems, especially in developed societies.

摘要

酒精中毒是一种慢性、缓解和复发的病症;尽管最近有所进展,但它的病因和病理生理学仍很大程度上不为人知。本综述总结了目前关于酒精成瘾的病因(生物学或心理学)的知识。这涉及遗传、候选基因、酒精代谢调节以及酒精对不同神经递质系统的病理生理学的影响。酒精中毒是一种多因素现象,其中个性结构、个体心理状态和社会影响与大脑神经生物学和病理生理学不断相互作用。这种疾病以不同的方式影响不同性别,并导致重大问题,尤其是在发达社会。

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Hum Mol Genet. 2008 Mar 15;17(6):854-8. doi: 10.1093/hmg/ddm357. Epub 2007 Dec 4.
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Genetic and environmental influences on the development of alcoholism: resilience vs. risk.遗传和环境因素对酒精中毒发展的影响:复原力与风险
Ann N Y Acad Sci. 2006 Dec;1094:193-201. doi: 10.1196/annals.1376.019.
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Possible contributors to the gender differences in alcohol use and problems.饮酒行为及问题中性别差异的可能影响因素。
J Gen Psychol. 2006 Oct;133(4):357-74. doi: 10.3200/GENP.133.4.357-374.
4
Genetic associations of alcohol and aldehyde dehydrogenase with alcohol dependence and their mechanisms of action.酒精和乙醛脱氢酶与酒精依赖的遗传关联及其作用机制。
Ther Drug Monit. 2005 Dec;27(6):700-3. doi: 10.1097/01.ftd.0000179840.78762.33.
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Neurobiochemical and clinical aspects of craving in alcohol addiction: a review.酒精成瘾中渴望的神经生化及临床方面:综述
Addict Behav. 2005 Jul;30(6):1209-24. doi: 10.1016/j.addbeh.2004.12.011.
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The role of the NMDA receptor in alcohol relapse: a pharmacological mapping study using the alcohol deprivation effect.N-甲基-D-天冬氨酸受体在酒精复吸中的作用:一项利用酒精戒断效应的药理学定位研究。
Neuropharmacology. 2005 May;48(6):822-9. doi: 10.1016/j.neuropharm.2005.01.002.
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Pharmacotherapy for alcohol-related disorders: what clinicians should know.
Harv Rev Psychiatry. 2004 Nov-Dec;12(6):351-66. doi: 10.1080/10673220490905697.
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Neurobiologic processes in drug reward and addiction.药物奖赏与成瘾中的神经生物学过程。
Harv Rev Psychiatry. 2004 Nov-Dec;12(6):305-20. doi: 10.1080/10673220490910844.
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Pharmacogenetics. 2004 Nov;14(11):725-32. doi: 10.1097/00008571-200411000-00003.