Steimer Thierry
Clinical Psychopharmacology Unit, Geneva University Hospital, Chêne-Bourg, Switzerland.
Dialogues Clin Neurosci. 2002 Sep;4(3):231-49. doi: 10.31887/DCNS.2002.4.3/tsteimer.
Anxiety is a psychological, physiological, and behavioral state induced in animals and humans by a threat to well-being or survival, either actual or potential. It is characterized by increased arousal, expectancy, autonomic and neuroendocrine activation, and specific behavior patterns. The function of these changes is to facilitate coping with an adverse or unexpected situation. Pathological anxiety interferes with the ability to cope successfully with life challenges. Vulnerability to psychopathology appears to be a consequence of predisposing factors (or traits), which result from numerous gene-environment interactions during development (particularly during the perinatal period) and experience (life events), in this review, the biology of fear and anxiety will be examined from systemic (brain-behavior relationships, neuronal circuitry, and functional neuroanatomy) and cellular/molecular (neurotransmitters, hormones, and other biochemical factors) points of view, with particular reference to animal models. These models have been instrumental in establishing the biological correlates of fear and anxiety, although the recent development of noninvasive investigation methods in humans, such as the various neuroimaging techniques, certainly opens new avenues of research in this field. Our current knowledge of the biological bases of fear and anxiety is already impressive, and further progress toward models or theories integrating contributions from the medical, biological, and psychological sciences can be expected.
焦虑是动物和人类因实际或潜在的对幸福或生存的威胁而诱发的一种心理、生理和行为状态。其特征是觉醒增强、预期增加、自主神经和神经内分泌激活以及特定的行为模式。这些变化的功能是促进应对不利或意外情况。病理性焦虑会干扰成功应对生活挑战的能力。心理病理学易感性似乎是由发育过程中(特别是围产期)和经历(生活事件)中众多基因 - 环境相互作用产生的易感因素(或特质)的结果。在本综述中,将从系统(脑 - 行为关系、神经回路和功能神经解剖学)和细胞/分子(神经递质、激素和其他生化因素)的角度研究恐惧和焦虑的生物学,特别参考动物模型。这些模型在确立恐惧和焦虑的生物学相关性方面发挥了重要作用,尽管人类非侵入性研究方法(如各种神经成像技术)的最新发展无疑为该领域开辟了新的研究途径。我们目前对恐惧和焦虑生物学基础的了解已经令人印象深刻,可以期待在整合医学、生物学和心理学贡献的模型或理论方面取得进一步进展。
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