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精神分裂症谱系障碍的感觉运动神经科学研究进展:经验教训和未来方向。

Progress in sensorimotor neuroscience of schizophrenia spectrum disorders: Lessons learned and future directions.

机构信息

Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.

Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 2021 Dec 20;111:110370. doi: 10.1016/j.pnpbp.2021.110370. Epub 2021 Jun 1.

Abstract

The number of neuroimaging studies on movement disorders, sensorimotor, and psychomotor functioning in schizophrenia spectrum disorders (SSD) has steadily increased over the last two decades. Accelerated by the addition of the "sensorimotor domain" to the Research Domain Criteria (RDoC) framework in January 2019, neuroscience research on the role of sensorimotor dysfunction in SSD has gained greater scientific and clinical relevance. To draw attention to recent rapid progress in the field, we performed a triennial systematic review (PubMed search from January 1st 2018 through December 31st 2020), in which we highlight recent neuroimaging findings and discuss methodological pitfalls as well as challenges for future research. The identified magnetic resonance imaging (MRI) studies suggest that sensorimotor abnormalities in SSD are related to cerebello-thalamo-cortico-cerebellar network dysfunction. Longitudinal and interventional studies highlight the translational potential of the sensorimotor domain as putative biomarkers for treatment response and as targets for non-invasive neurostimulation techniques in SSD.

摘要

过去二十年来,针对精神分裂症谱系障碍(SSD)中的运动障碍、感觉运动和心理运动功能的神经影像学研究数量稳步增加。2019 年 1 月,“感觉运动领域”被添加到研究领域标准(RDoC)框架中,这使得神经科学对感觉运动功能障碍在 SSD 中的作用的研究具有更大的科学和临床相关性。为了引起人们对该领域最近快速发展的关注,我们进行了为期三年的系统评价(在 2018 年 1 月 1 日至 2020 年 12 月 31 日期间在 PubMed 上进行的搜索),其中我们强调了最近的神经影像学发现,并讨论了方法学上的陷阱以及未来研究的挑战。已确定的磁共振成像(MRI)研究表明,SSD 中的感觉运动异常与小脑-丘脑-皮质-小脑网络功能障碍有关。纵向和干预研究强调了感觉运动领域的转化潜力,它可作为治疗反应的潜在生物标志物,以及作为 SSD 中非侵入性神经刺激技术的靶点。

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