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Br J Nurs. 2021 Mar 11;30(5):272-275. doi: 10.12968/bjon.2021.30.5.272.

非自杀性自伤及相关行为的时间框架和生物学指标

Temporal Framework and Biological Indicators of Non-Suicidal Self-Injury and Related Behaviours.

作者信息

Ilyas Uzma, Butt Ayera, Awan Khurram, Asim Javeria, Shakoor Muhammad Suleman, Fatima Muqadas

机构信息

Department of Psychology, University of Central Punjab, Lahore, Pakistan.

Department of Psychology, Lahore Garrison University, DHA, Lahore, Pakistan.

出版信息

Malays J Med Sci. 2024 Aug;31(4):218-222. doi: 10.21315/mjms2024.31.4.18. Epub 2024 Aug 27.

DOI:10.21315/mjms2024.31.4.18
PMID:39247103
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11377006/
Abstract

Adolescence is a transitional stage between puberty and maturity. Significant alterations in brain chemistry and hormone activity cause mood swings and other psychological and physical symptoms. On their journey to adolescence, adolescents deal with complex emotions, moral dilemmas, sexual concerns, identity crises and particular societal expectations related to their upbringing. Impulsivity in adolescents is frequent and causes multiple issues. Impulsivity often lead towards non-suicidal self-injury (NSSI), which has devastating consequences, which are both physical and mental. Both impulsivity and NSSI have their roots in brain chemistry and its related functions. The aim of this special communication was to delve into brain chemistry through studying the function of neurotransmitters and brain areas in NSSI and impulsivity. Multiple papers were sought on the topic of neurochemistry and neuroanatomy. The results identified serotonin, dopamine and glutamate as the neurotransmitters responsible for NSSI and impulsivity. Dysregulation in these neurotransmitters lead to the presentation of NSSI and impulsivity. Other than the neurotransmitters, the brain areas identified were prefrontal cortex, medial prefrontal cortex and ventrolateral prefrontal cortex. The compiled results of this research would help individuals in understanding the neurotransmitters and the brain areas responsible. This would also help in generating awareness regarding the biological nature of the phenomenon as well, leading to less stigmatisation. The less stigmatisation towards these phenomena can help the affected individuals to seek help without any guilt or shame, along with support from society as well.

摘要

青春期是从青春期到成熟期的过渡阶段。大脑化学和激素活动的显著变化会导致情绪波动以及其他心理和身体症状。在走向青春期的过程中,青少年要应对复杂的情绪、道德困境、性方面的问题、身份认同危机以及与他们成长相关的特定社会期望。青少年的冲动行为很常见,并会引发多种问题。冲动行为常常导致非自杀性自伤(NSSI),这会产生身心方面的毁灭性后果。冲动行为和非自杀性自伤都源于大脑化学及其相关功能。这篇专题通讯的目的是通过研究神经递质和脑区在非自杀性自伤和冲动行为中的功能来深入探究大脑化学。我们在神经化学和神经解剖学主题上查找了多篇论文。结果确定血清素、多巴胺和谷氨酸是导致非自杀性自伤和冲动行为的神经递质。这些神经递质的失调会导致非自杀性自伤和冲动行为的出现。除了神经递质外,确定的脑区有前额叶皮质、内侧前额叶皮质和腹外侧前额叶皮质。这项研究的汇总结果将有助于人们了解相关神经递质和负责的脑区。这也将有助于提高对这一现象生物学本质的认识,从而减少污名化。对这些现象的污名化减少有助于受影响的个体毫无愧疚或羞耻地寻求帮助,同时也能得到社会的支持。