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精神病学进展。抑郁症的习得性无助模型。

Psychiatric progress. The learned helplessness model of depression.

作者信息

Telner J I, Singhal R L

出版信息

J Psychiatr Res. 1984;18(3):207-15. doi: 10.1016/0022-3956(84)90011-6.

Abstract

Attempts have been made to model certain human psychopathological states in the laboratory, with varying degrees of success. The animal model has emerged as an alternative to clinical studies in psychiatry because it is able to provide greater experimental control and allows the exercise of ethical discretion. Although numerous animal models of depression have been proposed in the literature, most, if not all, fail to mimic human depressive symptomatology; their main function is to act as selective screens for antidepressant drugs. The learned helplessness approach has been suggested as an animal analogue of depression because of its similarities to the human depressive state in terms of provocation, manifestation and treatment. Furthermore, the learned helplessness model, which was originally based on animal experimentation, has been shown to be reproducible in human subjects, a finding not observed with other animal models of depression. Although this model has been much criticized in the past, recent reformulation adds credence to it as a more valid analogue of human depression, given the additional cognitive constructs in depressed human subjects.

摘要

人们已尝试在实验室中模拟某些人类精神病理状态,取得了不同程度的成功。动物模型已成为精神病学临床研究的一种替代方法,因为它能够提供更好的实验控制,并允许行使道德判断。尽管文献中已提出众多抑郁症动物模型,但大多数(即便不是全部)都无法模拟人类抑郁症状;它们的主要功能是作为抗抑郁药物的选择性筛选工具。习得性无助方法已被提议作为抑郁症的动物类似物,因为它在诱发、表现和治疗方面与人类抑郁状态相似。此外,最初基于动物实验的习得性无助模型已被证明在人类受试者中具有可重复性,这一发现是其他抑郁症动物模型所没有的。尽管该模型在过去受到了很多批评,但鉴于抑郁症人类受试者中存在额外的认知结构,最近的重新表述使其作为人类抑郁症更有效的类似物更具可信度。

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