Department of Psychiatry and Behavioral Sciences, University of California, Davis, Davis.
Department of Psychiatry, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California.
Biol Psychiatry Cogn Neurosci Neuroimaging. 2021 Feb;6(2):154-165. doi: 10.1016/j.bpsc.2020.09.012. Epub 2020 Oct 1.
Traumatic experiences during development are associated with an increased risk of developing psychosis. Individuals with psychosis also report a higher rate of past trauma than healthy control subjects and worse outcomes than those who do not have these experiences. It is thought that traumatic experiences negatively impact specific neurobiological processes to confer this increased risk, and that systems affected by trauma are similarly changed in individuals with psychosis. Examining animal models of psychosis and the shared neurobiological changes in response to stressors can offer valuable insight into biological mechanisms that mediate symptoms and targets for intervention. This targeted review highlights a subset of models of psychosis across humans and animals, examines the similarities with the brain's response to stress and traumatic events, and discusses how these models may interact. Suggestions for future research are described.
发展过程中的创伤经历与患精神病的风险增加有关。精神病患者报告的过去创伤发生率也高于健康对照组,且预后比没有这些经历的患者更差。人们认为,创伤经历会对特定的神经生物学过程产生负面影响,从而增加患病风险,而受创伤影响的系统在精神病患者中也会发生类似的变化。研究精神病的动物模型以及对压力源的共同神经生物学变化,可以为介导症状和干预靶点的生物学机制提供有价值的见解。本综述重点介绍了人类和动物的一组精神病模型,探讨了它们与大脑对应激和创伤事件反应的相似性,并讨论了这些模型如何相互作用。还描述了对未来研究的建议。