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反社会型人格障碍的神经生物学。

The neurobiology of antisocial personality disorder.

机构信息

Department of Psychology, Nanyang Technological University, Singapore.

Departments of Criminology, Psychiatry, and Psychology, University of Pennsylvania, USA.

出版信息

Neuropharmacology. 2024 Dec 15;261:110150. doi: 10.1016/j.neuropharm.2024.110150. Epub 2024 Sep 5.

Abstract

Despite increasing recognition that there is a neurobiological basis of antisocial behavior in addition to its psychosocial foundation, much less is known about the specificity of the neurobiological findings to the psychiatric condition of antisocial personality disorder (APD). This article provides a review of research on genetic, brain imaging, neurocognitive, and psychophysiological factors in relation to assessments of APD. Findings show that there are significant genetic effects on APD, particularly related to the serotonergic system, as well as abnormalities in brain regions such as the frontal lobe. Associations between psychophysiological measures of autonomic nervous system functioning and APD are more mixed. Results indicating that APD has a significant genetic basis and is characterized by abnormalities in brain structure/function and neurocognitive impairments provide additional evidence that supports the conceptualization of APD as a neurodevelopmental disorder. Findings may also help inform treatment approaches that target neurobiological risks for APD symptoms. This article is part of the Special Issue on "Personality Disorders".

摘要

尽管越来越多的人认识到,除了其心理社会基础外,反社会行为还有神经生物学基础,但人们对神经生物学发现与反社会人格障碍(APD)这种精神疾病的特异性知之甚少。本文综述了与 APD 评估有关的遗传、脑成像、神经认知和心理生理学因素的研究。研究结果表明,APD 存在显著的遗传影响,特别是与 5-羟色胺能系统有关,以及额叶等脑区的异常。自主神经系统功能的心理生理学测量与 APD 之间的关联则更为复杂。结果表明 APD 具有重要的遗传基础,其特征是脑结构/功能异常和神经认知障碍,这为将 APD 概念化为神经发育障碍提供了更多证据。研究结果还可能有助于为针对 APD 症状的神经生物学风险的治疗方法提供信息。本文是“人格障碍特刊”的一部分。

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