Department of Psychology and Neuroscience Program, Temple University, Philadelphia, PA 19122, USA.
Neurosci Biobehav Rev. 2022 Jun;137:104638. doi: 10.1016/j.neubiorev.2022.104638. Epub 2022 Mar 24.
Elevated impulsivity is a symptom shared by various psychiatric disorders such as substance use disorder, bipolar disorder, and attention-deficit/hyperactivity disorder. However, impulsivity is not a unitary construct and impulsive behaviors fall into two subcategories: impulsive action and impulsive choice. Impulsive choice refers to the tendency to prefer immediate, small rewards over delayed, large rewards, whereas impulsive action involves difficulty inhibiting rash, premature, or mistimed behaviors. These behaviors are mediated by the mesocorticolimbic dopamine (DA) system, which consists of projections from the ventral tegmental area to the nucleus accumbens and prefrontal cortex. Early life stress (ELS) alters both impulsive choice and impulsive action in rodents. ELS also changes DA receptor expression, transmission, and activity within the mesocorticolimbic system. This review integrates the dopamine, impulsivity, and ELS literature to provide evidence that ELS alters impulsivity via inducing changes in the mesocorticolimbic DA system. Understanding how ELS affects brain circuits associated with impulsivity can help advance treatments aimed towards reducing impulsivity symptoms in a variety of psychiatric disorders.
冲动性升高是物质使用障碍、双相情感障碍和注意缺陷/多动障碍等各种精神疾病共有的症状。然而,冲动性不是一个单一的结构,冲动行为分为两个亚类:冲动行为和冲动选择。冲动选择是指倾向于选择即时的、小的奖励,而不是延迟的、大的奖励,而冲动行为涉及到难以抑制轻率、过早或不合时宜的行为。这些行为由中脑边缘多巴胺(DA)系统介导,该系统由腹侧被盖区到伏隔核和前额叶皮层的投射组成。早期生活应激(ELS)改变了啮齿动物的冲动选择和冲动行为。ELS 还改变了中脑边缘 DA 系统中的 DA 受体表达、传递和活性。这篇综述整合了多巴胺、冲动性和 ELS 的文献,提供了证据表明 ELS 通过改变中脑边缘 DA 系统来改变冲动性。了解 ELS 如何影响与冲动性相关的大脑回路,可以帮助推进针对各种精神疾病减少冲动性症状的治疗方法。
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