Department of Neurobiology, Yale University School of Medicine, New Haven, Connecticut 06510, USA.
Biol Psychiatry. 2011 Jun 15;69(12):1140-6. doi: 10.1016/j.biopsych.2010.07.005. Epub 2010 Aug 21.
Impulsivity refers to a set of heterogeneous behaviors that are tuned suboptimally along certain temporal dimensions. Impulsive intertemporal choice refers to the tendency to forego a large but delayed reward and to seek an inferior but more immediate reward, whereas impulsive motor responses also result when the subjects fail to suppress inappropriate automatic behaviors. In addition, impulsive actions can be produced when too much emphasis is placed on speed rather than accuracy in a wide range of behaviors, including perceptual decision making. Despite this heterogeneous nature, the prefrontal cortex and its connected areas, such as the basal ganglia, play an important role in gating impulsive actions in a variety of behavioral tasks. Here, we describe key features of computations necessary for optimal decision making and how their failures can lead to impulsive behaviors. We also review the recent findings from neuroimaging and single-neuron recording studies on the neural mechanisms related to impulsive behaviors. Converging approaches in economics, psychology, and neuroscience provide a unique vista for better understanding the nature of behavioral impairments associated with impulsivity.
冲动性是指沿着某些时间维度进行次优调整的一组异质行为。冲动的跨期选择是指放弃大但延迟的奖励,而寻求较差但更即时的奖励的倾向,而当主体未能抑制不适当的自动行为时,也会导致冲动的运动反应。此外,当在广泛的行为中过于强调速度而不是准确性时,也会产生冲动的行为,包括感知决策。尽管存在这种异质性,但前额叶皮层及其连接区域,如基底神经节,在各种行为任务中对冲动行为的门控起着重要作用。在这里,我们描述了最优决策所需的计算的关键特征,以及它们的失败如何导致冲动行为。我们还回顾了神经影像学和单细胞记录研究中与冲动行为相关的神经机制的最新发现。经济学、心理学和神经科学的融合方法为更好地理解与冲动性相关的行为障碍的本质提供了独特的视角。