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精神障碍中的认知功能障碍:特征、病因和改善治疗的探索。

Cognitive dysfunction in psychiatric disorders: characteristics, causes and the quest for improved therapy.

机构信息

Institut de Recherche Servier, 78290 Croissy/Seine, France.

出版信息

Nat Rev Drug Discov. 2012 Feb 1;11(2):141-68. doi: 10.1038/nrd3628.

Abstract

Studies of psychiatric disorders have traditionally focused on emotional symptoms such as depression, anxiety and hallucinations. However, poorly controlled cognitive deficits are equally prominent and severely compromise quality of life, including social and professional integration. Consequently, intensive efforts are being made to characterize the cellular and cerebral circuits underpinning cognitive function, define the nature and causes of cognitive impairment in psychiatric disorders and identify more effective treatments. Successful development will depend on rigorous validation in animal models as well as in patients, including measures of real-world cognitive functioning. This article critically discusses these issues, highlighting the challenges and opportunities for improving cognition in individuals suffering from psychiatric disorders.

摘要

传统上,精神障碍的研究主要集中在情绪症状上,如抑郁、焦虑和幻觉。然而,认知缺陷控制不佳同样突出,并严重影响生活质量,包括社会和职业融合。因此,人们正在努力描述认知功能的细胞和大脑回路,定义精神障碍中认知障碍的性质和原因,并确定更有效的治疗方法。成功的发展将取决于在动物模型以及患者中的严格验证,包括对真实世界认知功能的测量。本文批判性地讨论了这些问题,强调了改善精神障碍患者认知能力的挑战和机遇。

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