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抑郁症的发病途径:环境中对奖赏性线索的神经反应、压力与疾病发展之间的动态关联。

Pathways to depression: Dynamic associations between neural responses to appetitive cues in the environment, stress, and the development of illness.

作者信息

Weinberg Anna

机构信息

Department of Psychology, McGill University, Montreal, Quebec, Canada.

出版信息

Psychophysiology. 2023 Jan;60(1):e14193. doi: 10.1111/psyp.14193. Epub 2022 Oct 18.

Abstract

This review focuses on research my colleagues and I have conducted on etiological pathways to depression. Much of this work has focused on the measurement of neural responses to appetitive cues, using two event-related brain potential (ERP) components, the Late Positive Potential (LPP) and the Reward Positivity (RewP). Reductions in each of these components have been associated with current symptoms of depression, and in some cases have been shown to differentiate anxious from depressive phenotypes. In this review, I will describe three broad and related approaches we have taken in our research to address a series of interdependent issuess. The first attempts to understand different sources of variation in the LPP and RewP, and how these sources interact with one another. The second tries to identify whether variation in the processes measured by these ERP components might reflect a latent vulnerability to depression and its symptoms, that is evident prior to illness onset. And the third examines the possibility that the processes reflected in the LPP and RewP might play a mechanistic role in the development of depression.

摘要

本综述聚焦于我和同事们在抑郁症病因途径方面所开展的研究。这项工作大多集中于利用两种事件相关脑电位(ERP)成分,即晚期正电位(LPP)和奖赏正性电位(RewP),来测量对诱发食欲线索的神经反应。这些成分中的每一种降低都与当前的抑郁症状相关,并且在某些情况下已被证明能够区分焦虑型和抑郁型表型。在本综述中,我将描述我们在研究中采用的三种广泛且相关的方法,以解决一系列相互关联的问题。第一种方法试图理解LPP和RewP中不同的变异来源,以及这些来源如何相互作用。第二种方法试图确定这些ERP成分所测量的过程中的变异是否可能反映出在疾病发作之前就已存在的对抑郁症及其症状的潜在易感性。第三种方法则考察LPP和RewP所反映的过程在抑郁症发展过程中可能发挥机制性作用的可能性。

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