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一种神经精神科干预的系统方法:作为治疗靶点的症状领域背后的功能性神经解剖学。

A Systematic Approach to Neuropsychiatric Intervention: Functional Neuroanatomy Underlying Symptom Domains as Targets for Treatment.

作者信息

Kuhn Taylor, Haroon Jonathan, Spivak Norman M

机构信息

Department of Psychiatry and Biobehavioral Sciences (all authors) and UCLA-Caltech Medical Scientist Training Program (Spivak), David Geffen School of Medicine, University of California, Los Angeles.

出版信息

Focus (Am Psychiatr Publ). 2022 Jan;20(1):45-54. doi: 10.1176/appi.focus.20210024. Epub 2022 Jan 25.

Abstract

An ever-growing population experiences a wide range of psychopathologies, and there is now more than ever a need for clear differential diagnoses between disorders. Furthering this need is the fact that many psychological, psychiatric, and neurological disorders have overlapping features. Functional neuroimaging has been shown to differentiate not only between the function of different brain structures but also between the roles of these structures in functional networks. The aim of this article is to aid in the goal of parsing out disorders on the basis of specific symptom domains by utilizing the most recent literature on functional networks. Current literature on the role of brain networks in relation to different psychopathological symptom domains is examined and corresponding circuit-based therapies that have been or may be used to treat them are discussed. Research on depression, obsession and compulsions, addiction, anxiety, and psychosis is reviewed. An understanding of networks and their specific dysfunctions opens the possibility of a new form of psychopathological treatment.

摘要

越来越多的人患有各种各样的精神疾病,现在比以往任何时候都更需要对疾病进行明确的鉴别诊断。许多心理、精神和神经疾病具有重叠特征这一事实进一步凸显了这种需求。功能神经成像已被证明不仅可以区分不同脑结构的功能,还可以区分这些结构在功能网络中的作用。本文的目的是通过利用关于功能网络的最新文献,帮助实现基于特定症状领域来区分疾病的目标。本文考察了当前关于脑网络在不同精神病理症状领域中作用的文献,并讨论了已经或可能用于治疗这些症状的相应基于回路的疗法。对抑郁症、强迫观念与强迫行为、成瘾、焦虑症和精神病的研究进行了综述。对网络及其特定功能障碍的理解为一种新的精神病理治疗形式开辟了可能性。

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