精神分裂症的威胁反应:一个负性价值系统框架。

Threat Responses in Schizophrenia: A Negative Valence Systems Framework.

机构信息

Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, 1601 23rd Avenue South, Nashville, TN, 37212, USA.

Department of Psychological and Brain Sciences, Indiana University Bloomington, Bloomington, IN, USA.

出版信息

Curr Psychiatry Rep. 2024 Jan;26(1):9-25. doi: 10.1007/s11920-023-01479-9. Epub 2024 Jan 6.

Abstract

PURPOSE OF REVIEW

Emotions are prominent in theories and accounts of schizophrenia but are largely understudied compared to cognition. Utilizing the Research Domain Criteria (RDoC) Negative Valence Systems framework, we review the current knowledge of emotions in schizophrenia. Given the pivotal role of threat responses in theories of schizophrenia and the substantial evidence of altered threat responses, we focus on three components of Negative Valence Systems tied to threat responses: responses to acute threat, responses to potential threat, and sustained threat.

RECENT FINDINGS

Individuals with schizophrenia show altered responses to neutral stimuli during acute threat, bed nucleus of the stria terminalis connectivity in response to potential threat, and threat responses associated with sustained threat. Our review concludes that Negative Valence Systems are altered in schizophrenia; however, the level and evidence of alterations vary across the types of threat responses. We suggest avenues for future research to further understand and intervene on threat responses in schizophrenia.

摘要

目的综述

情绪在精神分裂症的理论和解释中很突出,但与认知相比,研究得还不够充分。利用研究领域标准(RDoC)负性情绪系统框架,我们综述了精神分裂症中情绪的现有知识。鉴于威胁反应在精神分裂症理论中的关键作用以及大量证据表明威胁反应发生改变,我们重点关注与威胁反应相关的负性情绪系统的三个组成部分:急性威胁反应、潜在威胁反应和持续威胁反应。

最新发现

精神分裂症患者在急性威胁期间对中性刺激的反应发生改变,终纹床核在潜在威胁下的连接性发生改变,以及与持续威胁相关的威胁反应发生改变。我们的综述得出结论,负性情绪系统在精神分裂症中发生改变;然而,改变的程度和证据在不同类型的威胁反应中有所不同。我们提出了未来研究的途径,以进一步了解和干预精神分裂症中的威胁反应。

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