The Department of Psychiatry and the Sackler Institute for Developmental Psychobiology, Weill Cornell Medical College of Cornell University, New York.
Am J Psychiatry. 2019 Mar 1;176(3):179-185. doi: 10.1176/appi.ajp.2019.19010091.
The transition from childhood to adulthood represents the developmental time frame in which the majority of psychiatric disorders emerge. Recent efforts to identify risk factors mediating the susceptibility to psychopathology have led to a heightened focus on both typical and atypical trajectories of neural circuit maturation. Mounting evidence has highlighted the immense neural plasticity apparent in the developing brain. Although in many cases adaptive, the capacity for neural circuit alteration also induces a state of vulnerability to environmental perturbations, such that early-life experiences have long-lasting implications for cognitive and emotional functioning in adulthood. The authors outline preclinical and neuroimaging studies of normative human brain circuit development, as well as parallel efforts covered in this issue of the Journal, to identify brain circuit alterations in psychiatric disorders that frequently emerge in developing populations. Continued translational research into the interactive effects of neurobiological development and external factors will be crucial for identifying early-life risk factors that may contribute to the emergence of psychiatric illness and provide the key to optimizing treatments.
从儿童期到成年期的转变代表了大多数精神障碍出现的发展时间框架。最近,人们努力识别介导精神病理学易感性的风险因素,这导致人们更加关注神经回路成熟的典型和非典型轨迹。越来越多的证据强调了发育中大脑明显的巨大神经可塑性。尽管在许多情况下具有适应性,但神经回路改变的能力也会使大脑处于易受环境干扰的脆弱状态,因此,生命早期的经历对成年后的认知和情绪功能有持久的影响。作者概述了正常人类大脑回路发育的临床前和神经影像学研究,以及本期杂志中涵盖的平行研究,以确定在发育人群中经常出现的精神障碍中的大脑回路改变。对神经生物学发育和外部因素的相互作用的持续转化研究对于确定可能导致精神疾病出现的生命早期风险因素以及提供优化治疗的关键将是至关重要的。