Pan Han-Qing, Xia Tian, Zhang Yu-Ya-Nan, Zhang Hui-Jie, Xu Meng-Jie, Guo Jing, Liu Yan, Bai Xue-Ying, Liu Qian, Liu Wei-Zhu, Zhang Wen-Hua, Zhou Qi-Gang, Yue Wei-Hua, Pan Bing-Xing
Department of Neurology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China.
Jiangxi Provincial Key Laboratory of Brain Science and Brain Health, School of Basic Medical Sciences and Institute of Biomedical Innovation, Jiangxi Medical College, Nanchang University, Nanchang, 330031, China.
Sci China Life Sci. 2025 Aug 28. doi: 10.1007/s11427-025-3024-y.
Anxiety disorders and depression are among the most prevalent and disabling mental health conditions globally, profoundly impairing both individual well-being and societal functioning. Recent research has elucidated key neurobiological underpinnings of these disorders, including neurotransmitter imbalances, dysregulation of stress response systems, and dysfunctions within neural circuits governing emotion regulation. These insights offer significant potential for refining diagnostic approaches, enhancing prevention strategies, and improving therapeutic interventions. While conventional pharmacotherapy and psychotherapy have shown efficacy in managing anxiety and depression, their limitations underscore the urgent need to deepen understanding of the underlying pathophysiological mechanisms and to develop more targeted and personalized therapies. This review synthesizes recent progress in delineating the neurobiological, genetic, and psychosocial mechanisms contributing to anxiety and depression. It further evaluates current therapeutic strategies, encompassing both pharmacological and non-pharmacological interventions, to offer an integrated perspective on treatment paradigms. By bridging foundational scientific research with clinical applications, this review aims to inform future investigations and facilitate the development of more effective, individualized therapeutic approaches to improve patient outcomes.
焦虑症和抑郁症是全球最普遍且致残的心理健康问题之一,严重损害个人福祉和社会功能。最近的研究阐明了这些疾病的关键神经生物学基础,包括神经递质失衡、应激反应系统失调以及调节情绪的神经回路功能障碍。这些见解为完善诊断方法、加强预防策略和改进治疗干预提供了巨大潜力。虽然传统的药物治疗和心理治疗在管理焦虑和抑郁方面已显示出疗效,但其局限性凸显了迫切需要加深对潜在病理生理机制的理解,并开发更具针对性和个性化的疗法。本综述综合了在描绘导致焦虑和抑郁的神经生物学、遗传和心理社会机制方面的最新进展。它进一步评估了当前的治疗策略,包括药物和非药物干预,以提供治疗模式的综合观点。通过将基础科学研究与临床应用相结合,本综述旨在为未来的研究提供信息,并促进开发更有效、个性化的治疗方法以改善患者预后。