Fairchild Victoria P, Aronowitz Catherine A, Langleben Daniel D, Wang An-Li
Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, and the Veterans Administration Medical Center, Philadelphia, PA 19104 USA.
Annenberg Public Policy Center, University of Pennsylvania, Philadelphia, PA 19104 USA.
Curr Addict Rep. 2018 Sep;5(3):372-378. doi: 10.1007/s40429-018-0221-z. Epub 2018 Jul 19.
Adolescents and young adults are a critical target for smoking prevention efforts. Health education is a key approach to these efforts, yet little is known about how adolescents and young adults process health information. One novel approach to understanding the neurobiological mechanisms of cognitive processing of public health communications is to use neuroimaging techniques to map the brain regions involved and make inferences about the neural systems engaged in the processing of health information. We reviewed recent studies that employed functional magnetic resonance imaging (fMRI) and electroencephalography (EEG) to examine the brain responses of adolescents and young adults to anti-smoking health messages and videos.
This narrative literature review found that the medial prefrontal cortex, amygdala, and hippocampus were the brain regions most commonly engaged in response to health warnings. Developmental factors modulate the relationship between brain regions, regulated emotional reaction, and frontal regions that are responsible for decision making.
Research that integrates neurophysiology and behavior to study adolescent and young adult neurocognitive responses to health messaging is an important tool for identifying optimal methods to communicate the health hazards of smoking to this vulnerable population.
青少年和青年是预防吸烟工作的关键目标人群。健康教育是这些工作的关键途径,但对于青少年和青年如何处理健康信息却知之甚少。一种理解公共卫生信息认知加工神经生物学机制的新方法是使用神经成像技术来描绘涉及的脑区,并推断参与健康信息加工的神经系统。我们回顾了最近采用功能磁共振成像(fMRI)和脑电图(EEG)来检查青少年和青年对反吸烟健康信息及视频的大脑反应的研究。
这篇叙述性文献综述发现,内侧前额叶皮质、杏仁核和海马体是对健康警告最常产生反应的脑区。发育因素调节脑区之间的关系、调节情绪反应以及负责决策的额叶区域。
将神经生理学与行为相结合来研究青少年和青年对健康信息的神经认知反应的研究,是确定向这一脆弱人群传达吸烟健康危害的最佳方法的重要工具。