Stevens Hanna E, Vaccarino Flora M
University of Iowa Carver College of Medicine, Iowa City and the Child Study Center, Yale School of Medicine, New Haven, CT.
Child Study Center and Yale School of Medicine.
J Am Acad Child Adolesc Psychiatry. 2015 May;54(5):352-9. doi: 10.1016/j.jaac.2015.01.019. Epub 2015 Feb 12.
Every available approach should be used to advance the field of child and adolescent psychiatry. Biological systems are important for the behavioral problems of children. Close examination of nonhuman animals and the biology and behavior that they share with humans is an approach that must be used to advance the clinical work of child psychiatry.
We review here how model systems are used to contribute to significant insights into childhood psychiatric disorders. Model systems have not only demonstrated causality of risk factors for psychiatric pathophysiology, but have also allowed child psychiatrists to think in different ways about risks for psychiatric disorders and multiple levels that might be the basis of recovery and prevention.
We present examples of how animal systems are used to benefit child psychiatry, including through environmental, genetic, and acute biological manipulations. Animal model work has been essential in our current thinking about childhood disorders, including the importance of dose and timing of risk factors, specific features of risk factors that are significant, neurochemistry involved in brain functioning, molecular components of brain development, and the importance of cellular processes previously neglected in psychiatric theories.
Animal models have clear advantages and disadvantages that must be considered for these systems to be useful. Coupled with increasingly sophisticated methods for investigating human behavior and biology, animal model systems will continue to make essential contributions to our field.
应采用一切可行方法推动儿童与青少年精神病学领域的发展。生物系统对于儿童的行为问题至关重要。仔细研究非人类动物以及它们与人类共有的生物学和行为,是推动儿童精神病学临床工作必须采用的一种方法。
我们在此回顾模型系统如何用于对儿童精神障碍形成重要见解。模型系统不仅证明了精神病理生理学危险因素的因果关系,还使儿童精神科医生能够以不同方式思考精神障碍的风险以及可能成为康复和预防基础的多个层面。
我们列举动物系统如何用于造福儿童精神病学的实例,包括通过环境、遗传和急性生物操纵。动物模型研究对于我们目前对儿童疾病的认识至关重要,包括危险因素的剂量和时机的重要性、显著的危险因素的具体特征、大脑功能涉及的神经化学、大脑发育的分子成分以及先前在精神病学理论中被忽视的细胞过程的重要性。
动物模型有明显的优点和缺点,要使这些系统有用就必须加以考虑。结合日益复杂的研究人类行为和生物学的方法,动物模型系统将继续为我们的领域做出重要贡献。