Brown Lily, White Lauren K, Makhoul Walid, Teferi Marta, Sheline Yvette I, Balderston Nicholas L
Center for the Treatment and Study of Anxiety, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, United States.
Lifespan Brain Institute, Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Int J Clin Health Psychol. 2023 Oct-Dec;23(4):100385. doi: 10.1016/j.ijchp.2023.100385. Epub 2023 Mar 22.
Our objective was to review the literature on the parietal cortex and intraparietal sulcus (IPS) in anxiety-related disorders, as well as opportunities for using neuromodulation to target this region and reduce anxiety. We provide an overview of prior research demonstrating: 1) the importance of the IPS in attention, vigilance, and anxious arousal, 2) the potential for neuromodulation of the IPS to reduce unnecessary attention toward threat and anxious arousal as demonstrated in healthy samples; and 3) limited data on the potential for neuromodulation of the IPS to reduce hyper-attention toward threat and anxious arousal among clinical samples with anxiety-related disorders. Future research should evaluate the efficacy of IPS neuromodulation in fully powered clinical trials, as well as the value in augmenting evidence-based treatments for anxiety with IPS neuromodulation.
我们的目标是回顾关于焦虑相关障碍中顶叶皮质和顶内沟(IPS)的文献,以及利用神经调节靶向该区域并减轻焦虑的机会。我们概述了先前的研究,这些研究表明:1)顶内沟在注意力、警觉性和焦虑唤醒中的重要性;2)如在健康样本中所证明的,对顶内沟进行神经调节有潜力减少对威胁的不必要关注和焦虑唤醒;3)关于在患有焦虑相关障碍的临床样本中,对顶内沟进行神经调节以减少对威胁的过度关注和焦虑唤醒的潜力的数据有限。未来的研究应在充分有力的临床试验中评估顶内沟神经调节的疗效,以及用顶内沟神经调节增强焦虑的循证治疗的价值。