Department of Psychiatry, Weill Cornell Medicine, New York, New York.
Department of Psychiatry, Weill Cornell Medicine, New York, New York.
Biol Psychiatry. 2021 Apr 1;89(7):651-658. doi: 10.1016/j.biopsych.2020.10.003. Epub 2020 Oct 10.
Anxiety and fear-related disorders peak in prevalence during adolescence, a window of rapid behavioral development and neural remodeling. However, understanding of the development of threat responding and the underlying neural circuits remains limited. Preclinical models of threat conditioning and extinction have provided an unparalleled glimpse into the developing brain. In this review we discuss mouse and rat studies on the development of threat response regulation, with a focus on the adolescent period. Evidence of nonlinear patterns of threat responding during adolescence and the continued development of the underlying circuitry is highly indicative of an adolescent sensitive period for threat response regulation. While we highlight literature in support of this unique developmental window, we also emphasize the need for causal studies to clarify the parameters defining such a sensitive period. In doing so, we explore how stress and biological sex affect the development and expression of threat response regulation during adolescence and beyond. Ultimately, a deeper understanding of how these factors interact with and affect developmental trajectories of learning and memory will inform treatment and prevention strategies for pediatric anxiety disorders.
焦虑和恐惧相关障碍在青少年时期达到高发峰值,这是一个行为发展和神经重塑迅速的时期。然而,人们对威胁反应的发展和潜在的神经回路的理解仍然有限。威胁条件反射和消退的临床前模型为发育中的大脑提供了无与伦比的视角。在这篇综述中,我们讨论了关于威胁反应调节的发育的小鼠和大鼠研究,重点是青少年时期。在青少年时期,威胁反应的非线性模式和潜在神经回路的持续发展,高度表明了威胁反应调节的青少年敏感时期。虽然我们强调了支持这一独特发育窗口的文献,但我们也强调需要进行因果研究来阐明定义这种敏感时期的参数。这样做的同时,我们探讨了压力和生物性别如何影响青少年时期及以后威胁反应调节的发育和表达。最终,更深入地了解这些因素如何相互作用并影响学习和记忆的发展轨迹,将为小儿焦虑障碍的治疗和预防策略提供信息。