Department of Anesthesiology, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Neurosci Biobehav Rev. 2010 Jul;34(8):1223-33. doi: 10.1016/j.neubiorev.2010.02.002. Epub 2010 Feb 11.
The effects of stressful life experience on learning are pervasive and vary greatly both within and between individuals. It is therefore unlikely that any one mechanism will underlie these complicated processes. Nonetheless, without identifying the necessary and sufficient circuitry, no complete mechanism or set of mechanisms can be identified. In this review, we provide two anatomical frameworks through which stressful life experience can influence processes related to learning and memory. In the first, stressful experience releases stress hormones, primarily from the adrenals, which directly impact brain areas engaged in learning. In the second, stressful experience indirectly alters the circuits used in learning via intermediary brain regions. Importantly, these intermediary brain regions are not integral to the stress response or learning itself, but rather link the consequences of a stressful experience with circuits used to learn associations. As reviewed, the existing literature provides support for both frameworks, with somewhat more support for the first but sufficient evidence for the latter which involves intermediary structures. Once we determine the circumstances that engage each framework and identify which one is most predominant, we can begin to focus our efforts on describing the neuronal and hormonal mechanisms that operate within these circuits to influence cognitive processes after stressful life experience.
应激性生活经历对学习的影响是普遍存在的,并且在个体内部和个体之间差异很大。因此,任何单一机制都不太可能成为这些复杂过程的基础。然而,如果不能确定必要和充分的神经回路,就不可能确定完整的机制或一组机制。在这篇综述中,我们提供了两个解剖学框架,通过这两个框架,应激性生活经历可以影响与学习和记忆相关的过程。在第一个框架中,应激体验释放应激激素,主要来自肾上腺,这些激素直接影响参与学习的大脑区域。在第二个框架中,应激体验通过中介脑区间接地改变学习中使用的回路。重要的是,这些中介脑区不是应激反应或学习本身所必需的,而是将应激体验的后果与用于学习关联的回路联系起来。正如综述中所提到的,现有文献为这两个框架提供了支持,第一个框架得到了更多的支持,但第二个框架也有足够的证据支持,第二个框架涉及中介结构。一旦我们确定了启动每个框架的情况,并确定了哪个框架更为主要,我们就可以开始努力描述在这些回路中运作的神经元和激素机制,以了解应激性生活经历后认知过程的变化。