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自伤行为与非自杀性自伤:中枢兴奋剂苯丙胺作为自毁行为的模型。

Self-injurious behavior vs. nonsuicidal self-injury: the CNS stimulant pemoline as a model of self-destructive behavior.

机构信息

Department of Psychology, Providence College, Providence, RI 02918, USA.

出版信息

Crisis. 2012 Jan 1;33(2):106-12. doi: 10.1027/0227-5910/a000127.

Abstract

BACKGROUND

Historically, the field of self-injury has distinguished between the behaviors exhibited among individuals with a developmental disability (self-injurious behaviors; SIB) and those present within a normative population (nonsuicidal self-injury; NSSI),which typically result as a response to perceived stress. More recently, however, conclusions about NSSI have been drawn from lines of animal research aimed at examining the neurobiological mechanisms of SIB. Despite some functional similarity between SIB and NSSI, no empirical investigation has provided precedent for the application of SIB-targeted animal research as justification for pharmacological interventions in populations demonstrating NSSI.

AIMS

The present study examined this question directly, by simulating an animal model of SIB in rodents injected with pemoline and systematically manipulating stress conditions in order to monitor rates of self-injury.

METHODS

Sham controls and experimental animals injected with pemoline (200 mg/kg) were assigned to either a low stress (discriminated positive reinforcement) or high stress (discriminated avoidance) group and compared on the dependent measures of self-inflicted injury prevalence and severity.

RESULTS

The manipulation of stress conditions did not impact the rate of self-injury demonstrated by the rats. The results do not support a model of stress-induced SIB in rodents.

CONCLUSIONS

Current findings provide evidence for caution in the development of pharmacotherapies of NSSI in human populations based on CNS stimulant models. Theoretical implications are discussed with respect to antecedent factors such as preinjury arousal level and environmental stress.

摘要

背景

从历史上看,自伤领域将具有发育障碍个体表现出的行为(自伤行为;SIB)与正常人群中存在的行为(非自杀性自伤;NSSI)区分开来,后者通常是对感知到的压力的反应。然而,最近关于 NSSI 的结论是从旨在研究 SIB 的神经生物学机制的动物研究得出的。尽管 SIB 和 NSSI 之间存在一些功能相似性,但没有实证研究为将针对 SIB 的动物研究应用于表现出 NSSI 的人群中的药理学干预提供依据。

目的

本研究通过在注射苯丙胺的啮齿动物中模拟 SIB 动物模型,并系统地操纵应激条件来监测自伤率,直接检验了这一问题。

方法

假手术对照和注射苯丙胺(200mg/kg)的实验动物被分配到低应激(辨别性正强化)或高应激(辨别性回避)组,并在自我伤害的流行率和严重程度等依赖指标上进行比较。

结果

应激条件的操纵并没有影响大鼠表现出自伤的速度。结果不支持啮齿动物应激诱导 SIB 的模型。

结论

目前的发现为基于中枢神经系统兴奋剂模型在人类人群中开发 NSSI 的药物治疗提供了谨慎的证据。讨论了与损伤前唤醒水平和环境应激等先行因素有关的理论意义。

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