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揭开抑郁症的面纱:深入了解行为评估的病因及动物模型,探索抑郁症的多因素本质与治疗方法。

Depression unveiled: Insights into etiology and animal models for behavioral assessment, exploring the multifactorial nature and treatment of depression.

作者信息

More Sachin, Kaleem Mohammed, Kharwade Rohini, Almutairy Ali F, Shahzad Naiyer, Ali Mujtaba Md, Taha Murtada, Pise Ajay, Zafar Ameeduzzafar, Mahmood Danish

机构信息

Department of Pharmacology, Dadasaheb Balpande College of Pharmacy, Rashtrasant Tukadoji Maharaj Nagpur University, Nagpur 440037, Maharashtra, India.

Department of Pharmaceutics, Dadasaheb Balpande College of Pharmacy, Rashtrasant Tukadoji Maharaj Nagpur University, Nagpur 440037, Maharashtra, India.

出版信息

Brain Res. 2025 Jan 15;1847:149313. doi: 10.1016/j.brainres.2024.149313. Epub 2024 Nov 6.

Abstract

Over the past century, significant shifts in daily living have led to an increased prevalence of mental disorders, often linked to hormonal imbalances. Among these, anxiety and depression stand out as prevalent diagnoses, particularly in industrialized nations. Depression, according to the DSM-5, is a heterogeneous condition that affects emotional, cognitive, and physical functioning, with symptoms including insomnia, sexual dysfunction, and weight changes. Cognitive theories of depression highlight its impact on judgment, decision-making, thinking, and focus. Depression's multifaceted nature means that no two patients experience identical symptoms, risk factors, or treatment responses. The COVID-19 pandemic has exacerbated mental health issues, with social isolation, restricted contact, and altered daily routines contributing to increased anxiety and depression, especially among adolescents and young adults. The pandemic's psychological toll underscores the need for effective treatment strategies for mental disorders. The physical manifestations of major depressive disorder (MDD) are associated with a heightened risk of developing various medical conditions, including metabolic disorders, cardiovascular disease, stroke, epilepsy, and dementia. This review provides a comprehensive exploration of depression and anxiety, covering their different types, epidemiology, potential causes, diagnostic criteria, and available treatment options. It delves into the role of pharmacological interventions and examines recent advancements to enhance therapeutic outcomes. Additionally, the review assesses the therapeutic potential of drugs, offering insights into their efficacy in treating these complex mental health disorders. By targeting the multifactorial etiology of depression through drug repurposing and new drug development, researchers aim to enhance treatment efficacy and achieve better outcomes for patients with depression.

摘要

在过去的一个世纪里,日常生活发生了重大变化,导致精神障碍的患病率上升,这通常与激素失衡有关。其中,焦虑和抑郁是常见的诊断病症,在工业化国家尤为突出。根据《精神疾病诊断与统计手册》第五版(DSM - 5),抑郁症是一种影响情绪、认知和身体功能的异质性疾病,症状包括失眠、性功能障碍和体重变化。抑郁症的认知理论强调了它对判断、决策、思维和注意力的影响。抑郁症的多面性意味着没有两个患者会经历相同的症状、风险因素或治疗反应。新冠疫情加剧了心理健康问题,社交隔离、接触受限和日常作息改变导致焦虑和抑郁情绪增加,尤其是在青少年和年轻人中。疫情造成的心理创伤凸显了针对精神障碍制定有效治疗策略的必要性。重度抑郁症(MDD)的身体表现与患各种疾病的风险增加有关,包括代谢紊乱、心血管疾病、中风、癫痫和痴呆症。本综述全面探讨了抑郁症和焦虑症,涵盖了它们的不同类型、流行病学、潜在病因、诊断标准和可用的治疗方案。它深入研究了药物干预的作用,并审视了近期为提高治疗效果所取得的进展。此外,该综述评估了药物的治疗潜力,深入探讨了它们在治疗这些复杂心理健康障碍方面的疗效。通过药物重新利用和新药开发针对抑郁症的多因素病因,研究人员旨在提高治疗效果,为抑郁症患者取得更好的治疗结果。

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