Shioiri Toshiki
Department of Psychiatry, Gifu University, Graduate School of Medicine, 1-1 Yanagido, Gifu, 501-1194 Japan.
Nihon Shinkei Seishin Yakurigaku Zasshi. 2010 Jun;30(3):135-9.
Anxiety disorders are a significant problem in the community. Brain imaging study, mainly study on MRI, f-MRI, MRS, PET, SPECT and NIRS, has recently advanced and has focused on determining the brain circuits that underlie them. In this article, we reviewed recent knowledge and a biological base of anxiety disorders, especially stress-induced fear circuitry disorders (SFCDs) such as panic disorder, social anxiety disorder, posttraumatic stress disorder, and specific phobias. In animal models and the study of brain responses to emotional stimuli in healthy subjects, research on the neuro-circuitry of the SFCDs has its roots in the study of fear circuits. Generally, these studies have reported relatively heightened pathological amygdala activation in response to disorder-related stimuli. The amygdala is a brain structure that is critically involved in the processing of memory and emotion, including fear and anxiety. In this review, we discuss the functional and neuro-anatomical hypotheses of pathology of the SFCDs in detail, including the neural circuit of hypothesis of Gorman et al. (2000).
焦虑症是社区中的一个重大问题。脑成像研究,主要是关于磁共振成像(MRI)、功能磁共振成像(f-MRI)、磁共振波谱(MRS)、正电子发射断层扫描(PET)、单光子发射计算机断层扫描(SPECT)和近红外光谱(NIRS)的研究,近年来取得了进展,并专注于确定其潜在的脑回路。在本文中,我们综述了焦虑症的最新知识和生物学基础,特别是应激诱导的恐惧回路障碍(SFCDs),如惊恐障碍、社交焦虑障碍、创伤后应激障碍和特定恐惧症。在动物模型以及对健康受试者大脑对情绪刺激反应的研究中,对SFCDs神经回路的研究源于对恐惧回路的研究。一般来说,这些研究报告称,在对与疾病相关的刺激做出反应时,杏仁核的病理性激活相对增强。杏仁核是一种大脑结构,在包括恐惧和焦虑在内的记忆和情绪处理中起着关键作用。在这篇综述中,我们详细讨论了SFCDs病理学的功能和神经解剖学假说,包括戈尔曼等人(2000年)的假说神经回路。