Cisler Josh M, Dunsmoor Joseph E, Fonzo Gregory A, Nemeroff Charles B
Department of Psychiatry and Behavioral Sciences, University of Texas at Austin, Austin, TX, USA; Institute for Early Life Adversity Research, University of Texas at Austin, Austin, TX, USA.
Department of Psychiatry and Behavioral Sciences, University of Texas at Austin, Austin, TX, USA; Institute for Early Life Adversity Research, University of Texas at Austin, Austin, TX, USA.
Trends Neurosci. 2024 Feb;47(2):150-162. doi: 10.1016/j.tins.2023.12.002. Epub 2024 Jan 11.
Post-traumatic stress disorder (PTSD) is characterized by altered emotional and behavioral responding following a traumatic event. In this article, we review the concepts of latent-state and model-based learning (i.e., learning and inferring abstract task representations) and discuss their relevance for clinical and neuroscience models of PTSD. Recent data demonstrate evidence for brain and behavioral biases in these learning processes in PTSD. These new data potentially recast excessive fear towards trauma cues as a problem in learning and updating abstract task representations, as opposed to traditional conceptualizations focused on stimulus-specific learning. Biases in latent-state and model-based learning may also be a common mechanism targeted in common therapies for PTSD. We highlight key knowledge gaps that need to be addressed to further elaborate how latent-state learning and its associated neurocircuitry mechanisms function in PTSD and how to optimize treatments to target these processes.
创伤后应激障碍(PTSD)的特征是在创伤事件后情绪和行为反应发生改变。在本文中,我们回顾了潜在状态学习和基于模型的学习(即学习和推断抽象任务表征)的概念,并讨论它们与PTSD临床模型和神经科学模型的相关性。近期数据证明了PTSD患者在这些学习过程中存在大脑和行为偏差的证据。这些新数据可能将对创伤线索的过度恐惧重新定义为学习和更新抽象任务表征方面的问题,这与专注于特定刺激学习的传统概念不同。潜在状态学习和基于模型的学习中的偏差也可能是PTSD常见疗法所针对的共同机制。我们强调了一些关键的知识空白,这些空白需要得到解决,以进一步阐明潜在状态学习及其相关神经回路机制在PTSD中的作用方式,以及如何优化针对这些过程的治疗方法。
Trends Neurosci. 2024-2
J Psychiatr Res. 2018-5-12
Transl Psychiatry. 2015-12-15
Neuropsychopharmacology. 2025-2
Psychoneuroendocrinology. 2015-1
Neuropsychopharmacology. 2025-2
J Cogn Neurosci. 2024-11-1
Neurobiol Stress. 2024-2-8
J Mood Anxiety Disord. 2023-8
Transl Psychiatry. 2023-3-28
Trends Cogn Sci. 2023-1
Transl Psychiatry. 2022-6-27
Nat Rev Neurosci. 2022-7