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神经认知在心理治疗中的应用:基于复杂神经网络观点的简要理论建议。

Neurocognition applied to psychotherapy: A brief theoretical proposal based on the complex neural network perspective.

机构信息

Faculdade de Psicologia, Universidade de Lisboa, Alameda da Universidade, Lisboa, Portugal.

出版信息

Appl Neuropsychol Adult. 2022 Nov-Dec;29(6):1626-1633. doi: 10.1080/23279095.2021.1883615. Epub 2021 Feb 28.

DOI:10.1080/23279095.2021.1883615
PMID:33645346
Abstract

Impairments on executive functions, attention, memory, and self-perception had been systematically associated and document across several psychological disorders. Individuals with anxiety, depression, and schizophrenia spectrum disorders tend to manifest difficulties in response modulation/inhibition, cognitive flexibility, selective attention, updating autobiographical memory patterns, and maintenance in the sense of self and boundaries of others. Difficulties in cognitive, emotional, behavioral, and interpersonal functions in intrapsychic and interpsychic mental domains may be theoretically related to the maladaptive functioning of several neural networks. Frontal-Parietal Executive Network (FPEN), Salience Network (SN), Amygdaloid-Hippocampal Memory Network (AHMN), and Default Mode-Network (DMN) are four major complex neural pathways associated with these neurocognitive processes, sharing some neuroanatomical elements. These shared elements may support a latent factor that accounts for the common neurocognitive symptomatology across several psychopathological conditions. Based on these preliminary observations a new theoretical neurocognitive syndrome is hypothesized, potentially a productive target for clinical case conceptualization. Several articulations bettween neurocognition and psychotherapy are discussed and a new assessment measure is proposed.

摘要

执行功能、注意力、记忆和自我感知方面的障碍与多种心理障碍有关,并得到了系统的记录。患有焦虑症、抑郁症和精神分裂症谱系障碍的个体往往表现出反应调节/抑制、认知灵活性、选择性注意、自传体记忆模式更新以及自我和他人边界维持方面的困难。在内心和人际心理领域的认知、情感、行为和人际关系功能方面的困难可能与几个神经网络的适应不良功能在理论上有关。额顶执行网络 (FPEN)、突显网络 (SN)、杏仁核-海马记忆网络 (AHMN) 和默认模式网络 (DMN) 是与这些神经认知过程相关的四个主要复杂神经网络,它们共享一些神经解剖学元素。这些共同的元素可能支持一个潜在的因素,解释了几种精神病理学状况下的常见神经认知症状。基于这些初步观察,假设了一种新的理论神经认知综合征,这可能是临床病例概念化的一个有潜力的目标。讨论了神经认知和心理治疗之间的几个联系,并提出了一种新的评估措施。

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