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认知控制、反应抑制、攻击性、冲动性和暴力的生物标志物。

Biomarkers for Cognitive Control, Response Inhibition, Aggressivity, Impulsivity, and Violence.

机构信息

Nathan Kline Institute for Psychiatric Research, Orangeburg, NY, USA.

Department of Psychiatry, New York University School of Medicine, New York, NY, USA.

出版信息

Adv Neurobiol. 2024;40:725-756. doi: 10.1007/978-3-031-69491-2_24.

Abstract

Deficits in cognitive control contribute to behavioral impairments across neuropsychiatric disorders. Cognitive control is captured as a construct in the Research Domain Construct (RDoC) matrix and incorporate subdomains of goal selection, response selection, and performance monitoring. Relevant tasks for these subdomains include the "AX" version of the continuous performance task (goal selection) and the Go/NoGo and Stop-Signal reaction time tasks (response selection). Underlying mechanisms for these domains have been investigated intensively using fMRI and event-related potential (ERP) approaches, which provide candidate biomarkers for translational research. In RDoC, impulsive behaviors are provisionally assigned to the cognitive control/response selection construct, but other factors may also contribute. Impulsivity has gained increased importance over recent years due to its link to aggression and suicidality, which is mediated especially through the constructs of urgency and frustrative nonreward. These constructs, in turn, may be captured through scales such as the Urgency, (Lack of) Premeditation, (Lack of) Perseverance, and Sensation Seeking (UPPS-P) impulsivity scale and the Point Subtraction Aggression Paradigm (PSAP), respectively. At present, no validated biomarkers exist for either urgency or aggressivity. Potential directions for the development of predictive biomarkers for both targets are discussed.

摘要

认知控制缺陷导致神经精神障碍的行为障碍。认知控制是研究领域构建(RDoC)矩阵中的一个构念,并包含目标选择、反应选择和绩效监测等子领域。这些子领域的相关任务包括连续执行任务(目标选择)的“AX”版本和 Go/NoGo 及停止信号反应时任务(反应选择)。这些领域的潜在机制已经使用 fMRI 和事件相关电位(ERP)方法进行了深入研究,这些方法为转化研究提供了候选生物标志物。在 RDoC 中,冲动行为被临时分配到认知控制/反应选择构念,但其他因素也可能有贡献。近年来,由于冲动与攻击性和自杀倾向有关,因此其重要性有所增加,这主要是通过紧迫性和挫折性非奖励的构建来介导的。反过来,这些构建可以通过诸如紧迫感、(缺乏)预谋、(缺乏)毅力和感觉寻求(UPPS-P)冲动量表和点减法攻击范式(PSAP)等来捕捉。目前,既没有用于紧迫性也没有用于攻击性的验证生物标志物。讨论了针对这两个目标开发预测性生物标志物的潜在方向。

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