Gandhi Arohi B, Kaleem Ifrah, Alexander Josh, Hisbulla Mohamed, Kannichamy Vishmita, Antony Ishan, Mishra Vinayak, Banerjee Amit, Khan Safeera
Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Cureus. 2020 Oct 29;12(10):e11241. doi: 10.7759/cureus.11241.
Bipolar disorder (BD) is known for impairments in neurotrophic and neuroprotective processes, which translate into emotional and cognitive deficits affecting various brain regions. Using its neuroplastic properties, lithium, thus far, is the mood stabilizer used to amend the pathophysiological imbalance in BD. Neuroplasticity has gained massive popularity in the research department in the past decade, yet it lacks direct effort in changing the protocol through which physicians treat BD. Physical activity alongside cognitive therapy is theorized to produce long-term changes in the executive control network due to the assimilation of new neurons, amendment of emotional lability through hippocampal neurogenesis, and strengthening the stability of frontosubcortical and prefrontolimbic brain regions via neurogenesis. This review aims to provide an incentive for utilizing neuroplastic mechanisms concerning impairments dispensed by BD.
双相情感障碍(BD)以神经营养和神经保护过程受损为特征,这些受损会转化为影响各个脑区的情绪和认知缺陷。锂盐利用其神经可塑性,是迄今为止用于改善双相情感障碍病理生理失衡的心境稳定剂。在过去十年中,神经可塑性在研究领域广受欢迎,但在改变医生治疗双相情感障碍的方案方面缺乏直接作用。理论上,体育活动与认知疗法相结合,由于新神经元的同化、通过海马神经发生改善情绪不稳定以及通过神经发生增强额颞叶皮质和前额叶边缘脑区的稳定性,会在执行控制网络中产生长期变化。本综述旨在激发人们利用与双相情感障碍所导致的损伤相关的神经可塑性机制。