Wurthmann C, Bondick I
Psychiatrische Klinik, Otto-von-Guericke-Universität Magdeburg.
Fortschr Neurol Psychiatr. 1995 Mar;63(3):121-5. doi: 10.1055/s-2007-996610.
In the aetiology and pathogenesis of obsessive-compulsive disorders (OCD) multiple factors play a role. Among biographic, genetic and behavioral factors, biological mechanisms seem to be of relevance. Some authors have proposed a neuroethiological model. This model implies a disconnection in neural circuits, linking prefrontal cortex, basal ganglia and thalamus. This review article addressed the question as to whether brain imaging studies support this theory. Conclusions drawn from these studies must be viewed cautiously because findings are not consistent and because of methodological limitations. The validity of a neuroethiological model in OCD seems questionable.
在强迫症(OCD)的病因学和发病机制中,多种因素发挥着作用。在个人经历、遗传和行为因素中,生物学机制似乎具有相关性。一些作者提出了一种神经病因学模型。该模型意味着前额叶皮质、基底神经节和丘脑之间的神经回路存在脱节。这篇综述文章探讨了脑成像研究是否支持这一理论的问题。由于研究结果不一致以及方法学上的局限性,从这些研究中得出的结论必须谨慎看待。神经病因学模型在强迫症中的有效性似乎值得怀疑。