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强迫症谱系障碍的动物模型。

Animal models of obsessive-compulsive spectrum disorders.

机构信息

1 Departments of Psychology & Psychiatry, and Behavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge, United Kingdom.

2 Department of Psychiatry, University of Chicago, Chicago, Illinois, USA.

出版信息

CNS Spectr. 2014 Feb;19(1):28-49. doi: 10.1017/S1092852913000564. Epub 2013 Oct 2.

Abstract

Obsessive-compulsive disorder (OCD) and related conditions (trichotillomania, pathological skin-picking, pathological nail-biting) are common and disabling. Current treatment approaches fail to help a significant proportion of patients. Multiple tiers of evidence link these conditions with underlying dysregulation of particular cortico-subcortical circuitry and monoamine systems, which represent targets for treatment. Animal models designed to capture aspects of these conditions are critical for several reasons. First, they help in furthering our understanding of neuroanatomical and neurochemical underpinnings of the obsessive-compulsive (OC) spectrum. Second, they help to account for the brain mechanisms by which existing treatments (pharmacotherapy, psychotherapy, deep brain stimulation) exert their beneficial effects on patients. Third, they inform the search for novel treatments. This article provides a critique of key animal models for selected OC spectrum disorders, beginning with initial work relating to anxiety, but moving on to recent developments in domains of genetic, pharmacological, cognitive, and ethological models. We find that there is a burgeoning literature in these areas with important ramifications, which are considered, along with salient future lines of research.

摘要

强迫症(OCD)和相关疾病(拔毛癖、病理性皮肤搔抓、病理性咬甲癖)较为常见且具有致残性。目前的治疗方法未能帮助到相当一部分患者。多层次的证据将这些疾病与特定皮质-皮质下回路和单胺系统的潜在失调联系起来,这些系统是治疗的靶点。为了几个原因,设计用于捕捉这些疾病某些方面的动物模型至关重要。首先,它们有助于进一步了解强迫症(OC)谱系的神经解剖学和神经化学基础。其次,它们有助于解释现有治疗方法(药物治疗、心理治疗、深部脑刺激)对患者产生有益效果的大脑机制。第三,它们为寻找新的治疗方法提供了信息。本文对选定的 OC 谱系障碍的关键动物模型进行了批评性评估,从最初与焦虑相关的工作开始,但后来又发展到遗传、药理学、认知和行为学模型等领域的最新进展。我们发现,这些领域的文献越来越多,具有重要的影响,我们对这些影响进行了考虑,并探讨了未来的研究方向。

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