Casey B J, Lin Yen-Chu, Meyer Heidi C
Department of Neuroscience and Behavior, Barnard College-Columbia University, 3009 Broadway, New York, NY 10027, United States.
Department of Psychological and Brain Sciences, Boston University, 610 Commonwealth Ave, 7th Floor, Boston, MA 02215, United States.
Cereb Cortex. 2025 Jan 8;35(1):19-33. doi: 10.1093/cercor/bhae449.
Adolescence has been characterized by risk taking and fearlessness. Yet, the emergence of anxiety disorders that are associated with fear peaks during this developmental period. Moreover, adolescents show heightened sensitivity to stress relative to children and adults. To address inconsistencies between the common characterization of adolescents as fearless and the evidence of heightened anxiety and stress during this time, we build upon foundational discoveries of threat-related circuitry and behavior in adult rodents by Joseph LeDoux and colleagues. Specifically, the conservation of this circuitry across species has provided opportunities for identifying mechanisms underlying threat responses that we have extended to developing humans and rodents. We elucidate situations in which adolescents show heightened threat responses and others where they appear fearless and link them to developmental changes of threat circuitry during this period. We discuss the potential adaptiveness of these threat responses for survival of the individual and species but also the potential risks for anxiety and stress. We end by offering potential new ways in which behavioral treatments for youth with anxiety and stress-related disorders may be optimized to target the developing vs developed brain.
青春期的特点是冒险和无畏。然而,与恐惧相关的焦虑症在这个发育阶段达到顶峰。此外,与儿童和成年人相比,青少年对压力表现出更高的敏感性。为了解决青少年无畏的常见特征与这段时期焦虑和压力加剧的证据之间的矛盾,我们借鉴了约瑟夫·勒杜克斯及其同事在成年啮齿动物中关于威胁相关神经回路和行为的基础发现。具体而言,这种神经回路在物种间的保守性为识别威胁反应的潜在机制提供了机会,我们将这些机制扩展到了发育中的人类和啮齿动物身上。我们阐明了青少年表现出增强的威胁反应的情况以及他们表现出无畏的其他情况,并将它们与这段时期威胁神经回路的发育变化联系起来。我们讨论了这些威胁反应对个体和物种生存的潜在适应性,以及焦虑和压力的潜在风险。最后,我们提出了一些潜在的新方法,通过这些方法可以优化针对患有焦虑和压力相关障碍的青少年的行为治疗,以针对发育中的大脑与已发育成熟的大脑。