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焦虑和抑郁的性别差异:回路和机制。

Sex differences in anxiety and depression: circuits and mechanisms.

机构信息

Department of Psychology and Neuroscience Program, Temple University, Philadelphia, PA, USA.

出版信息

Nat Rev Neurosci. 2021 Nov;22(11):674-684. doi: 10.1038/s41583-021-00513-0. Epub 2021 Sep 20.

Abstract

Epidemiological sex differences in anxiety disorders and major depression are well characterized. Yet the circuits and mechanisms that contribute to these differences are understudied, because preclinical studies have historically excluded female rodents. This oversight is beginning to be addressed, and recent studies that include male and female rodents are identifying sex differences in neurobiological processes that underlie features of these disorders, including conflict anxiety, fear processing, arousal, social avoidance, learned helplessness and anhedonia. These findings allow us to conceptualize various types of sex differences in the brain, which in turn have broader implications for considering sex as a biological variable. Importantly, comparing the sexes could aid in the discovery of novel therapeutics.

摘要

焦虑障碍和重度抑郁症的流行病学性别差异已得到充分描述。然而,导致这些差异的回路和机制尚未得到充分研究,因为临床前研究历来排除了雌性啮齿动物。这种忽视正在开始得到解决,最近的研究包括雄性和雌性啮齿动物,正在确定神经生物学过程中的性别差异,这些差异是这些疾病特征的基础,包括冲突焦虑、恐惧处理、唤醒、社交回避、习得性无助和快感缺失。这些发现使我们能够将大脑中的各种类型的性别差异概念化,这反过来又对将性别视为生物学变量具有更广泛的意义。重要的是,比较性别可以帮助发现新的治疗方法。

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