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降低精度支持迷幻剂作用下的自我溶解和治疗效果。

Reduced Precision Underwrites Ego Dissolution and Therapeutic Outcomes Under Psychedelics.

作者信息

Stoliker Devon, Egan Gary F, Razi Adeel

机构信息

Turner Institute for Brain and Mental Health, Monash University, Clayton, VIC, Australia.

Monash Biomedical Imaging, Monash University, Clayton, VIC, Australia.

出版信息

Front Neurosci. 2022 Mar 17;16:827400. doi: 10.3389/fnins.2022.827400. eCollection 2022.

DOI:10.3389/fnins.2022.827400
PMID:35368271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8968396/
Abstract

Evidence suggests classic psychedelics reduce the precision of belief updating and enable access to a range of alternate hypotheses that underwrite how we make sense of the world. This process, in the higher cortices, has been postulated to explain the therapeutic efficacy of psychedelics for the treatment of internalizing disorders. We argue reduced precision also underpins change to consciousness, known as "," and that alterations to consciousness and attention under psychedelics have a common mechanism of reduced precision of Bayesian belief updating. Evidence, connecting the role of serotonergic receptors to large-scale connectivity changes in the cortex, suggests the precision of Bayesian belief updating may be a mechanism to modify and investigate consciousness and attention.

摘要

有证据表明,经典迷幻剂会降低信念更新的精确度,并使人能够接触到一系列替代假设,这些假设支撑着我们理解世界的方式。在大脑高级皮质中,这一过程被认为可以解释迷幻剂治疗内化性障碍的疗效。我们认为,精确度降低也是“[此处原文缺失特定术语]”这种意识改变的基础,并且迷幻剂作用下的意识和注意力改变具有贝叶斯信念更新精确度降低这一共同机制。将血清素能受体的作用与皮质中大规模连接变化联系起来的证据表明,贝叶斯信念更新的精确度可能是一种调节和研究意识与注意力的机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6940/8968396/c10fda527c11/fnins-16-827400-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6940/8968396/2377a51b60eb/fnins-16-827400-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6940/8968396/c10fda527c11/fnins-16-827400-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6940/8968396/2377a51b60eb/fnins-16-827400-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6940/8968396/c10fda527c11/fnins-16-827400-g002.jpg

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本文引用的文献

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Pharmacol Rev. 2022 Oct;74(4):876-917. doi: 10.1124/pharmrev.121.000508.
2
Bayesian theories of consciousness: a review in search for a minimal unifying model.贝叶斯意识理论:寻求最小统一模型的综述
Neurosci Conscious. 2021 Oct 13;2021(2):niab038. doi: 10.1093/nc/niab038. eCollection 2021.
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Psychedelics and Neuroplasticity: A Systematic Review Unraveling the Biological Underpinnings of Psychedelics.迷幻剂与神经可塑性:一项揭示迷幻剂生物学基础的系统综述
虚拟现实中的迷幻药复制及其作为治疗手段的潜力:一项开放标签可行性研究。
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Precision and the Bayesian brain.精度与贝叶斯大脑
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The Subjective Effects of Psychedelics Are Necessary for Their Enduring Therapeutic Effects.迷幻药的主观效应对于其持久的治疗效果是必要的。
ACS Pharmacol Transl Sci. 2020 Dec 10;4(2):568-572. doi: 10.1021/acsptsci.0c00194. eCollection 2021 Apr 9.
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Trial of Psilocybin versus Escitalopram for Depression.迷幻蘑菇与依地普仑治疗抑郁症的试验。
N Engl J Med. 2021 Apr 15;384(15):1402-1411. doi: 10.1056/NEJMoa2032994.
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Psychedelics in Psychiatry: Neuroplastic, Immunomodulatory, and Neurotransmitter Mechanisms.精神病学中的迷幻药:神经可塑性、免疫调节及神经递质机制
Pharmacol Rev. 2021 Jan;73(1):202-277. doi: 10.1124/pharmrev.120.000056.
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A mechanistic model of the neural entropy increase elicited by psychedelic drugs.致幻剂引起的神经熵增加的机械模型。
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Psychedelic drugs: neurobiology and potential for treatment of psychiatric disorders.致幻剂:神经生物学与治疗精神障碍的潜力。
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