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去甲肾上腺素能药物对高焦虑和低焦虑健康志愿者焦虑及觉醒的不同影响。

Differential effects of noradrenergic drugs on anxiety and arousal in healthy volunteers with high and low anxiety.

作者信息

Mizuki Y, Suetsugi M, Ushijima I, Yamada M

机构信息

Department of Neuropsychiatry, Yamaguchi University School of Medicine, Japan.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 1996 Nov;20(8):1353-67. doi: 10.1016/s0278-5846(96)00131-5.

DOI:10.1016/s0278-5846(96)00131-5
PMID:9004342
Abstract
  1. The appearance of frontal midline theta activity (Fm theta), the distinct EEG theta rhythm in the frontal midline area during performance of a mental task, indicates relief from anxiety in humans. 2. The authors investigated the effects of clonidine and yohimbine on anxiety and arousal in 24 male university students with (Fm theta group, n = 12) and without (non-Fm theta group, n = 12) Fm theta. Subjects received placebo, 0.15 mg clonidine and 15 mg yohimbine in a double-blind crossover design. 3. Blood samples were obtained, state-trait anxiety inventory (STAI) scores were determined, and EEGs were recorded before and during the performance of an arithmetic addition task. The test was repeated twice: before and 1 hr after drug administration. 4. Clonidine reduced the 3-methoxy-4-hydroxyphenylglycol (MHPG) concentration in both groups; yohimbine caused an increase in both groups. In the Fm theta group, clonidine reduced the appearance time of Fm theta and the number of task performance but did not alter the state anxiety scores; yohimbine had no effects on Fm theta or the state anxiety but increased the task performance. In the non-Fm theta group, clonidine increased the Fm theta amount and reduced the state anxiety score but did not affect task performance, while yohimbine reduced Fm theta but increased the state anxiety, the task performance and the number of errors. 5. These results suggest that changes in noradrenaline (NA) activity affect both anxiety and arousal levels in high-anxiety humans, but predominantly affect only the arousal level in low-anxiety humans.
摘要
  1. 前额中线θ波活动(Fm theta)的出现,即在执行心理任务期间前额中线区域独特的脑电图θ节律,表明人类焦虑情绪得到缓解。2. 作者调查了可乐定和育亨宾对24名有(Fm theta组,n = 12)和无(非Fm theta组,n = 12)Fm theta的男性大学生焦虑和觉醒的影响。受试者采用双盲交叉设计接受安慰剂、0.15毫克可乐定和15毫克育亨宾。3. 采集血样,测定状态-特质焦虑量表(STAI)得分,并在执行加法算术任务之前和期间记录脑电图。该测试重复两次:给药前和给药后1小时。4. 可乐定降低了两组的3-甲氧基-4-羟基苯乙二醇(MHPG)浓度;育亨宾使两组浓度均升高。在Fm theta组中,可乐定缩短了Fm theta的出现时间并减少了任务执行次数,但未改变状态焦虑得分;育亨宾对Fm theta或状态焦虑无影响,但增加了任务执行次数。在非Fm theta组中,可乐定增加了Fm theta量并降低了状态焦虑得分,但不影响任务执行,而育亨宾减少了Fm theta但增加了状态焦虑、任务执行次数和错误数量。5. 这些结果表明,去甲肾上腺素(NA)活性的变化影响高焦虑人群的焦虑和觉醒水平,但主要仅影响低焦虑人群的觉醒水平。

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