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精神分裂症的社会认知神经生物学与治疗:弥合床-台差距。

Neurobiology and treatment of social cognition in schizophrenia: Bridging the bed-bench gap.

机构信息

Department of Psychiatry, Nara Medical University School of Medicine, Kashihara, Japan.

Department of Psychiatry, Nara Medical University School of Medicine, Kashihara, Japan.

出版信息

Neurobiol Dis. 2019 Nov;131:104315. doi: 10.1016/j.nbd.2018.10.022. Epub 2018 Nov 2.

Abstract

Social cognition refers to the psychological processes involved in the perception, encoding, storage, retrieval, and regulation of information about others and ourselves. This process is essential for survival and reproduction in complex social environments. Recent evidence suggests that impairments in social cognition frequently occur in schizophrenia, mainly contributing to poor functional outcomes, including the inability to engage in meaningful work and maintain satisfying interpersonal relationships. With the ambiguous definition of social cognition, the neurobiology underlying impaired social cognition remains unknown, and the effectiveness of currently available intervention strategies in schizophrenia remain limited. Considering the advances and challenges of translational research for schizophrenia, social cognition has been considered a high-priority domain for treatment development. Here, we describe the current state of the framework, clinical concerns, and intervention approaches for social cognition in schizophrenia. Next, we introduce translatable rodent models associated with schizophrenia that allow the evaluation of different components of social behaviors, providing deeper insights into the neural substrates of social cognition in schizophrenia. Our review presents a valuable perspective that indicates the necessity of building bridges between basic and clinical science researchers for the development of novel therapeutic approaches in impaired social cognition in schizophrenia.

摘要

社会认知是指涉及感知、编码、存储、检索和调节关于他人和自己的信息的心理过程。这一过程对于在复杂的社会环境中生存和繁殖至关重要。最近的证据表明,社会认知障碍在精神分裂症中经常发生,主要导致功能不良的后果,包括无法从事有意义的工作和维持满意的人际关系。由于社会认知的定义不明确,其背后的神经生物学基础仍然未知,目前可用的精神分裂症干预策略的效果也仍然有限。考虑到精神分裂症转化研究的进展和挑战,社会认知已被认为是治疗开发的一个优先领域。在这里,我们描述了精神分裂症中社会认知的现有框架、临床关注点和干预方法。接下来,我们介绍了与精神分裂症相关的可转化的啮齿动物模型,这些模型允许评估不同的社会行为成分,为精神分裂症中社会认知的神经基础提供了更深入的见解。我们的综述提供了一个有价值的视角,表明有必要在基础科学研究人员和临床科学家之间建立桥梁,以开发精神分裂症中受损社会认知的新治疗方法。

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