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终纹床核:经颅直流电刺激治疗焦虑障碍的研究进展。

The Bed Nucleus of the Stria Terminalis: Translational Deep Brain Stimulation to Reduce Anxiety.

机构信息

Faculty of Psychology and Educational Sciences, Centre for Psychology of Learning and Experimental Psychopathology, KU Leuven, Leuven, Belgium.

Leuven Brain Institute, Leuven, Belgium.

出版信息

Neuroscientist. 2020 Jun;26(3):278-284. doi: 10.1177/1073858419898381. Epub 2020 Jan 23.

Abstract

Recent clinical evidence has put forward a new region of interest for the treatment of psychiatric disorders. Deep brain stimulation in the bed nucleus of the stria terminalis (BST) significantly attenuates symptoms in patients suffering from severe, treatment-resistant obsessive-compulsive disorder (OCD). The BST is not typically implicated in OCD neuropsychopathology but is certainly not an unknown in the field of emotional learning and memory. Substantial evidence supports its involvement in anxiety responses, particularly to ambiguous threats. This seems consistent with the intolerance of uncertainty and tendency to overestimate danger, which fuel obsessions and compulsions in many patients with OCD. Translational research in rodents can help to obtain a deeper understanding of the effects of high-frequency electrical stimulation in the BST on anxiety, which may be valuable to improve treatment for psychiatric patients.

摘要

最近的临床证据提出了一个治疗精神疾病的新关注点。在终纹床核(BST)进行深部脑刺激显著减轻了患有严重、治疗抵抗性强迫症(OCD)的患者的症状。BST 通常与 OCD 神经病理学无关,但在情感学习和记忆领域肯定不是未知的。大量证据支持它参与焦虑反应,特别是对模棱两可的威胁。这似乎与无法容忍不确定性和高估危险的倾向一致,这种倾向在许多 OCD 患者中引发了强迫观念和强迫行为。啮齿动物的转化研究可以帮助我们更深入地了解高频电刺激 BST 对焦虑的影响,这对于改善精神科患者的治疗可能是有价值的。

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