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迷幻药与饮食失调:探索神经性厌食症及其他病症的治疗潜力

Psychedelics and Eating Disorders: Exploring the Therapeutic Potential for Anorexia Nervosa and Beyond.

作者信息

Hu Shuai, Lin Cong, Wang Hongshuang, Wang Xiaohui

机构信息

Laboratory of Chemical Biology, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun, Jilin 130022, China.

School of Applied Chemistry and Engineering, University of Science and Technology of China, Hefei, Anhui 230026, China.

出版信息

ACS Pharmacol Transl Sci. 2025 Mar 7;8(4):910-916. doi: 10.1021/acsptsci.5c00094. eCollection 2025 Apr 11.

Abstract

Anorexia nervosa (AN) is a severe psychiatric disorder characterized by extreme food restriction, an intense fear of weight gain, and a distorted body image, leading to significant morbidity and mortality. Conventional treatments such as cognitive-behavioral therapy (CBT) and pharmacotherapy often prove inadequate, especially in severe cases, highlighting the need for novel therapeutic approaches. Recent research into psychedelics, such as psilocybin and 3,4-methylenedioxymethamphetamine (MDMA), offers promising avenues for treating anorexia nervosa by targeting its neurobiological and psychological underpinnings. These psychedelics disrupt maladaptive neural circuits, enhance cognitive flexibility, and facilitate emotional processing, offering potential relief for patients unresponsive to traditional therapies. Early studies have shown positive outcomes with psychedelics, including reductions in anorexia nervosa symptoms and improvements in psychological well-being. However, further research is needed to establish their long-term safety, efficacy, and integration into clinical practice. Addressing the legal, ethical, and safety challenges will be crucial in determining whether psychedelics can transform the treatment landscape for anorexia nervosa and other eating disorders.

摘要

神经性厌食症(AN)是一种严重的精神疾病,其特征为极端的食物限制、对体重增加的强烈恐惧以及扭曲的身体形象,会导致显著的发病率和死亡率。认知行为疗法(CBT)和药物疗法等传统治疗方法往往被证明是不足的,尤其是在严重病例中,这凸显了对新型治疗方法的需求。最近对裸盖菇素和3,4-亚甲基二氧甲基苯丙胺(摇头丸)等迷幻剂的研究,通过针对神经性厌食症的神经生物学和心理基础,为治疗该疾病提供了有前景的途径。这些迷幻剂会破坏适应不良的神经回路,增强认知灵活性,并促进情绪处理,为对传统疗法无反应的患者提供了潜在的缓解。早期研究已显示迷幻剂有积极效果,包括减轻神经性厌食症症状和改善心理健康。然而,需要进一步研究以确定它们的长期安全性、有效性以及在临床实践中的整合情况。应对法律、伦理和安全挑战对于确定迷幻剂是否能改变神经性厌食症和其他饮食失调症的治疗格局至关重要。

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