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焦虑的神经化学:最新进展

The neurochemistry of anxiety: an update.

作者信息

Nutt D J, Glue P, Lawson C

机构信息

Reckitt and Colman Psychopharmacology Unit, School of Medical Sciences, University Walk, Bristol, England.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 1990;14(5):737-52. doi: 10.1016/0278-5846(90)90044-h.

DOI:10.1016/0278-5846(90)90044-h
PMID:1963497
Abstract
  1. Recent neurochemical investigations have enhanced our understanding of the anxiety disorders. Emphasis has been placed on dysfunction in central benzodiazepine, serotonergic and noradrenergic systems. 2. Changes in activity of endogenous ligands for the benzodiazepine receptor or in benzodiazepine receptor sensitivity appear to modulate anxiety. 3. There is evidence of serotonergic involvement in anxiety, in that serotonin agonists may increase anxiety, whilst drugs that reduce serotonin function are anxiolytic. 4. Noradrenergic dysfunction, especially that of alpha-2-adrenoceptors, provides the strongest etiological evidence in the development of anxiety. 5. A number of testable hypotheses can be generated from our present knowledge. As a result, new and more specific treatments may become apparent for the anxiety disorders.
摘要
  1. 最近的神经化学研究增进了我们对焦虑症的理解。研究重点在于中枢苯二氮䓬、血清素能和去甲肾上腺素能系统的功能障碍。2. 苯二氮䓬受体内源性配体活性的变化或苯二氮䓬受体敏感性的变化似乎可调节焦虑。3. 有证据表明血清素能参与焦虑,因为血清素激动剂可能会增加焦虑,而降低血清素功能的药物具有抗焦虑作用。4. 去甲肾上腺素能功能障碍,尤其是α-2-肾上腺素能受体的功能障碍,为焦虑症的发展提供了最有力的病因学证据。5. 根据我们目前的知识可以提出一些可检验的假设。因此,可能会出现针对焦虑症的新的、更具特异性的治疗方法。

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1
The neurochemistry of anxiety: an update.焦虑的神经化学:最新进展
Prog Neuropsychopharmacol Biol Psychiatry. 1990;14(5):737-52. doi: 10.1016/0278-5846(90)90044-h.
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Neurobiologic basis of anxiety and its treatment.焦虑症的神经生物学基础及其治疗
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Role of serotonergic and noradrenergic systems in the pathophysiology of depression and anxiety disorders.血清素能和去甲肾上腺素能系统在抑郁症和焦虑症病理生理学中的作用。
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Noradrenergic and serotonergic receptor system function in panic disorder and depression.去甲肾上腺素能和5-羟色胺能受体系统在惊恐障碍和抑郁症中的作用。
Acta Psychiatr Scand Suppl. 1988;341:138-50. doi: 10.1111/j.1600-0447.1988.tb08559.x.
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Serotonergic (5-HT2) mediation of anxiety-therapeutic effects of serazepine in generalized anxiety disorder.舍曲平对广泛性焦虑症焦虑治疗作用的血清素能(5-HT2)介导
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Serotonin and anxiety revisited.血清素与焦虑症再探讨。
Biol Psychiatry. 1988 Jan 15;23(2):189-208. doi: 10.1016/0006-3223(88)90091-1.

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