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Acute Effects and Long-Term Neuropsychological Consequences of Classic Psychedelics Use. 经典致幻剂使用的急性效应和长期神经心理后果。
Q3 Neuroscience Pub Date : 2025-08-23 DOI: 10.1007/7854_2025_600
Lukas Andreas Basedow, Thomas Günther Riemer

Psychedelics are gaining attention for their potential as therapeutic adjuncts for the treatment of psychological disorders. Additionally, the recreational use of these substances has been rising for the past years. In the context of a comprehensive analysis of potential harms induced by these substances, concerns regarding the cognitive and neuropsychological impact of their use remain. This chapter explores the acute, subacute, and long-term neuropsychological consequences of psychedelic use. Studies show that neuropsychological performance, especially attention and working memory, is reduced under the influence of a psychedelic. While not harmful in itself, this effect poses potential risks when combined with high-risk environments, such as road traffic. While these acute impairments seem to disappear on the day after psychedelic use, there is limited evidence that some impairments in executive functioning can persist for up to 24 h. Thus, caution is not only warranted during psychedelic use but also for the following day. In contrast, psychedelics do not seem to induce persistent changes in neuropsychological performance through repeated use, indicating no direct neuropsychological harms. However, further research is required to clarify the differential effects of various psychedelic substances and to assess the impact of chronic use across different contexts.

致幻剂因其作为治疗心理障碍的辅助药物的潜力而受到关注。此外,这些物质的娱乐性使用在过去几年一直在上升。在对这些物质的潜在危害进行全面分析的背景下,对其使用的认知和神经心理影响的担忧仍然存在。本章探讨致幻剂使用的急性、亚急性和长期神经心理学后果。研究表明,在迷幻药的影响下,神经心理学的表现,尤其是注意力和工作记忆会下降。虽然这种影响本身无害,但当与高风险环境(如道路交通)结合在一起时,就会构成潜在风险。虽然这些急性损伤似乎在使用迷幻药后的第二天消失,但有限的证据表明,一些执行功能的损伤可以持续长达24小时。因此,不仅在使用迷幻药期间,而且在第二天也要谨慎。相反,通过反复使用迷幻药,似乎不会引起神经心理表现的持续变化,这表明没有直接的神经心理危害。然而,还需要进一步的研究来阐明各种致幻剂的不同作用,并评估在不同情况下长期使用致幻剂的影响。
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引用次数: 0
Traumatic Psychedelic Experiences. 创伤性迷幻体验。
Q3 Neuroscience Pub Date : 2025-04-29 DOI: 10.1007/7854_2025_579
Abigail E Calder, Vincent J Diehl, Gregor Hasler

Psychedelic experiences involving extreme feelings of horror, helplessness, and perceived threats can be traumatizing. Traumatic psychedelic experiences are a rare, extreme, and largely preventable form of challenging experience which can arise due to frightening psychedelic drug effects, unsafe settings, and emergence of pre-existing trauma. Some people recover quickly, but others develop prolonged anxiety, sleep disturbances, derealization, or other potentially trauma-related symptoms. This chapter discusses the causes, phenomenology, and potential outcomes of traumatic psychedelic experiences, as well as how to prevent them and minimize their negative impact.

迷幻体验包括极端的恐惧、无助感和感知到的威胁感,这可能会造成精神创伤。创伤性迷幻体验是一种罕见的、极端的、在很大程度上可以预防的具有挑战性的体验形式,它可能是由于可怕的迷幻药物作用、不安全的环境和先前存在的创伤的出现而产生的。有些人恢复得很快,但其他人则会出现长期的焦虑、睡眠障碍、意识丧失或其他潜在的创伤相关症状。本章讨论了创伤性迷幻体验的原因、现象学和潜在后果,以及如何预防和减少其负面影响。
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引用次数: 0
Guruism and Cultic Social Dynamics in Psychedelic Practices and Organisations. 迷幻实践和组织中的古鲁主义和邪教社会动态。
Q3 Neuroscience Pub Date : 2025-01-04 DOI: 10.1007/7854_2024_535
Jules Evans, Joseph Holcomb Adams

This chapter explores the risks of guruism and cultic social dynamics in organisations that work with psychedelic drugs, which include therapist offices, clinics, research departments, retreat centres, training programmes, NGOs, underground ceremonies and new religious movements. It has been hypothesised, and argued by experienced practitioners, that psychedelics can increase suggestibility, amplify transference and facilitate an intense form of projective mechanisms in the recipients. They may thereby lead to ego-inflation and feelings of grandiosity and omnipotence in those giving the drugs and intensify cultic social dynamics in psychedelic communities - all of which can create conditions that make cases of harm and misconduct more likely to occur and go unreported. This chapter briefly introduces the terms 'guruism' and 'cultic social dynamics' and how these dynamics can lead to harm and abuse and then discusses how psychedelic drugs might amplify these processes, before outlining possible safeguards.

本章探讨了在使用迷幻药的组织中,包括治疗师办公室、诊所、研究部门、静修中心、培训项目、非政府组织、地下仪式和新兴宗教运动,古鲁主义和邪教社会动态的风险。有经验的从业人员假设,迷幻药可以增加受暗示性,扩大移情,促进接受者产生强烈的投射机制。因此,他们可能会导致那些给药者的自我膨胀、自大和无所不能的感觉,并加剧迷幻社区的邪教社会动态——所有这些都可能创造条件,使伤害和不当行为更有可能发生,而不被报道。本章简要介绍了术语“古鲁主义”和“邪教社会动力”,以及这些动力如何导致伤害和滥用,然后讨论了迷幻药如何放大这些过程,然后概述了可能的保障措施。
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引用次数: 0
Animal Models of Excessive Alcohol Consumption in Rodents. 啮齿动物过度饮酒的动物模型。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_461
Howard C Becker, Marcelo F Lopez

The development of animal models that demonstrate excessive levels of alcohol consumption has played an important role in advancing our knowledge about neurobiological underpinnings and environmental circumstances that engender such maladaptive behavior. The use of these preclinical models has also provided valuable opportunities for discovering new and novel therapeutic targets that may be useful in the treatment of alcohol use disorder (AUD). While no single model can fully capture the complexities of AUD, the goal is to develop animal models that closely approximate characteristics of heavy alcohol drinking in humans to enhance their translational value and utility. A variety of experimental approaches have been employed to produce the desired phenotype of interest-robust and reliable excessive levels of alcohol drinking. Here we provide an updated review of five animal models that are commonly used. The models entail procedural manipulations of scheduled access to alcohol (time of day, duration, frequency), periods of time when access to alcohol is withheld, and history of alcohol exposure. Specially, the models involve (a) scheduled access to alcohol, (b) scheduled periods of alcohol deprivation, (c) scheduled intermittent access to alcohol, (d) scheduled-induced polydipsia, and (e) chronic alcohol (dependence) and withdrawal experience. Each of the animal models possesses unique experimental features that engender excessive levels of alcohol consumption. Both advantages and disadvantages of each model are described along with discussion of future work to be considered in developing more optimal models. Ultimately, the validity and utility of these models will lie in their ability to aid in the discovery of new and novel potential therapeutic targets as well as serve as a platform to evaluate treatment strategies that effectively reduce excessive levels of alcohol consumption associated with AUD.

过度饮酒动物模型的开发在促进我们对导致这种不良行为的神经生物学基础和环境条件的了解方面发挥了重要作用。这些临床前模型的使用也为发现新的治疗靶点提供了宝贵的机会,这些靶点可能有助于酒精使用障碍(AUD)的治疗。虽然没有一种模型能完全捕捉到 AUD 的复杂性,但我们的目标是开发出与人类大量饮酒的特征非常接近的动物模型,以提高其转化价值和实用性。我们采用了多种实验方法来产生所需的表型--稳定可靠的过量饮酒。在此,我们对常用的五种动物模型进行了最新综述。这些模型需要对预定的饮酒时间(每天的时间、持续时间、频率)、禁止饮酒的时间段以及酒精接触史进行程序性操作。特别是,这些模型涉及(a)按计划接触酒精,(b)按计划剥夺酒精的时间段,(c)按计划间歇性接触酒精,(d)按计划诱发多饮,以及(e)慢性酒精(依赖)和戒断经历。每种动物模型都有其独特的实验特点,会导致过度饮酒。本文介绍了每种动物模型的优缺点,并讨论了在开发更理想的动物模型时需要考虑的未来工作。最终,这些模型的有效性和实用性在于它们能够帮助发现新的和新型的潜在治疗目标,并作为评估治疗策略的平台,有效降低与 AUD 相关的过量饮酒水平。
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引用次数: 0
Pre- and Postnatal Valproate Exposure Affects Brain Development. 产前和产后丙戊酸暴露影响大脑发育。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2025_603
Michaela A Pettie, Linda C M Wilkin-Krug, Bart Ellenbroek

This review investigates the teratogenic impact of valproic acid (VPA) on brain development, focusing on dose-dependent and timing-related behavioural and neurological outcomes in rats and mice, with an emphasis on using it as a model for autism spectrum disorders (ASD). Single and multiple administration methods (e.g., oral gavage and intraperitoneal injections) across various rat and mouse strains consistently report behavioural alterations (i.e., altered social interaction and locomotor activity) and neuronal changes, particularly in the hippocampus and cerebellum. We underscore the importance of understanding dose-related changes and the critical role of VPA exposure in determining the long-term neurodevelopmental effects. While animal models provide valuable insights into the pre- and postnatal effects of drug exposure, this chapter also addresses the limitation of extrapolating such findings to humans given the face and construct validity of the model. Overall, this review emphasises VPA's utility in modelling ASD-like behaviours and the need for ongoing research to refine these models for better applicability to humans.

本综述研究了丙戊酸(VPA)对大脑发育的致畸作用,重点关注大鼠和小鼠的剂量依赖性和时间相关的行为和神经学结果,并强调将其作为自闭症谱系障碍(ASD)的模型。在不同大鼠和小鼠品系中,单次和多次给药方法(如口服灌胃和腹腔注射)一致报告了行为改变(即社会互动和运动活动改变)和神经元变化,特别是在海马和小脑中。我们强调了解剂量相关变化的重要性,以及VPA暴露在确定长期神经发育影响中的关键作用。虽然动物模型为药物暴露的产前和产后影响提供了有价值的见解,但本章也解决了将这些发现外推到人类身上的局限性,因为该模型的外观和结构有效性。总的来说,这篇综述强调了VPA在模拟类自闭症行为方面的效用,以及对这些模型进行改进以更好地适用于人类的持续研究的必要性。
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引用次数: 0
Maternal SSRI Use During Pregnancy: Links Between Gut Microbiome, Offspring Behaviour, and Brain Transcriptomics. 怀孕期间母亲使用SSRI:肠道微生物组,后代行为和脑转录组之间的联系。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2025_602
Mayerli A Prado Rivera, Joëlle D Jagersma, Jocelien D A Olivier

Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed to treat maternal depression during pregnancy, yet their potential impact on foetal brain development remains a concern. Although maternal illness is a known confounder, growing evidence from both clinical and preclinical studies suggests that perinatal SSRI exposure may independently influence neurodevelopmental outcomes. This review draws on rodent studies to explore how developmental SSRI exposure affects the gut microbiome, maternal behaviour, myelination, and offspring social behaviour. Elevated serotonin levels caused by SSRIs can alter both brain development and the maternal gut microbiota, with possible long-term effects on offspring. Behaviourally, SSRI-exposed offspring often show reduced social play, altered social interactions, and sex-specific effects on aggression and sexual behaviour, in which males appear more sensitive to these effects than females. Maternal care is only modestly affected. Overall, developmental SSRI exposure in the absence of maternal illness can disrupt brain development and social behaviour in offspring, potentially through gut-brain axis mechanisms and altered myelination.

选择性血清素再摄取抑制剂(SSRIs)通常用于治疗怀孕期间的母亲抑郁症,但它们对胎儿大脑发育的潜在影响仍然令人担忧。虽然母体疾病是一个已知的混杂因素,但越来越多的临床和临床前研究证据表明,围产期SSRI暴露可能独立影响神经发育结果。这篇综述利用啮齿类动物研究来探讨发育性SSRI暴露如何影响肠道微生物群、母体行为、髓鞘形成和后代社会行为。SSRIs引起的血清素水平升高可以改变大脑发育和母体肠道微生物群,可能对后代产生长期影响。从行为上看,ssri暴露的后代往往表现出社交活动减少、社会互动改变以及对攻击性和性行为的性别特异性影响,其中雄性对这些影响似乎比雌性更敏感。产妇保健只受到轻微影响。总的来说,在没有母亲疾病的情况下,发育性SSRI暴露会破坏后代的大脑发育和社会行为,可能通过肠-脑轴机制和髓鞘形成的改变。
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引用次数: 0
Interoceptive and Bodily Processing in Prospective and Retrospective Timing. 前瞻性和回溯性计时中的互感和身体处理。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_516
Alice Teghil

This chapter reviews some directions along which Craig's proposal of subjective time as emergent from interoceptive and bodily dynamics allows to frame recent findings on prospective and retrospective time processing. Behavioral and neuroimaging evidence from prospective timing studies demonstrates that an interoceptive-insular system may support the development of a primary representation of time in the context of large-scale networks involved in duration processing. Studies showing a tight link between episodic memory and interoceptive, emotional, and sensorimotor states further provide insights on processes supporting retrospective timing. These lines of evidence show that acknowledging its dependence on bodily states is most likely a crucial step toward a mechanistic understanding of time perception.

本章回顾了克雷格提出的主观时间是由内感知和身体动力学产生的这一观点的一些发展方向,从而为最近关于前瞻性和回顾性时间处理的研究结果提供了框架。来自前瞻性时间研究的行为学和神经影像学证据表明,在参与持续时间处理的大规模网络背景下,感知间-脑室内系统可能支持时间主要表征的发展。研究显示,忆性记忆与内感知、情绪和感觉运动状态之间存在紧密联系,这进一步揭示了支持回溯性计时的过程。这些证据表明,承认时间感知对身体状态的依赖很可能是朝着从机制上理解时间感知迈出的关键一步。
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引用次数: 0
Interoception in Adolescence: Impacts on Mental Health and Adaptive Functioning. 青少年间感受:对心理健康和适应功能的影响。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2025_580
April C May, Susan Tapert

Interoception plays a critical role in emotion regulation and mental health during adolescence, a critical period marked by profound biological, cognitive, and emotional changes. Variability in interoceptive processing during adolescence is shaped by biological, hormonal, and psychosocial factors, with implications for both resilience and vulnerability to affective disorders such as anxiety, depression, disordered eating, and substance use. This chapter reviews the trajectory of interoceptive development in adolescence, emphasizing its role in shaping emotional and behavioral outcomes. Interventions aimed at improving interoceptive awareness, including mindfulness practices and body-awareness training, are also reviewed as promising strategies to support emotional resilience and mental well-being during this formative stage. Understanding the complexities of interoception in adolescence provides a foundation for advancing research and interventions that promote adaptive functioning and long-term mental health.

青春期是生理、认知和情绪发生深刻变化的关键时期,内感受在情绪调节和心理健康中起着关键作用。青春期内感受加工的变异性受到生物、激素和社会心理因素的影响,对焦虑、抑郁、饮食失调和物质使用等情感障碍的恢复力和脆弱性都有影响。本章回顾了青春期内感受发展的轨迹,强调其在塑造情感和行为结果中的作用。旨在提高内感受意识的干预措施,包括正念练习和身体意识训练,也被认为是在这一形成阶段支持情绪弹性和心理健康的有希望的策略。理解青春期内感受的复杂性为推进促进适应性功能和长期心理健康的研究和干预提供了基础。
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引用次数: 0
The Continuing Challenges of Studying Parallel Behaviours in Humans and Animal Models. 研究人类和动物模型并行行为的持续挑战。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_485
Hans S Crombag, Theodora Duka, David N Stephens

The use of animal models continues to be essential for carrying out research into clinical phenomena, including addiction. However, the complexity of the clinical condition inevitably means that even the best animal models are inadequate, and this may go some way to account for the apparent failures of discoveries from animal models, including the identification of potential novel therapies, to translate to the clinic. We argue here that it is overambitious and misguided in the first place to attempt to model complex, multifacetted human disorders such as addiction in animals, and especially in rodents, and that all too frequently "validity" of such models is limited to superficial similarities, referred to as "face validity", that reflect quite different underlying phenomena and biological processes from the clinical situation. Instead, a more profitable approach is to identify (a) well-defined intermediate human behavioural phenotypes that reflect defined, limited aspects of, or contributors to, the human clinical disorder, and (b) to develop animal models that are homologous with those discrete human behavioural phenotypes in terms of psychological processes, and underlying neurobiological mechanisms. Examples of past and continuing weaknesses and suggestions for more limited approaches that may allow better homology between the test animal and human condition are made.

使用动物模型对于开展包括成瘾在内的临床现象研究仍然至关重要。然而,临床症状的复杂性不可避免地意味着即使是最好的动物模型也是不够的,这可能在某种程度上解释了为什么动物模型的发现,包括潜在新疗法的鉴定,显然未能转化到临床。我们在此认为,试图用动物,尤其是啮齿类动物来模拟复杂、多方面的人类疾病(如成瘾)首先是好高骛远和误入歧途,而且这类模型的 "有效性 "往往局限于表面的相似性,即所谓的 "表面有效性",而这些相似性所反映的潜在现象和生物过程与临床情况大相径庭。相反,更有效的方法是确定:(a) 明确界定的中间人类行为表型,这些表型反映了人类临床失调症的明确、有限的方面或促成因素;(b) 建立在心理过程和潜在神经生物学机制方面与这些离散人类行为表型同源的动物模型。本文举例说明了过去和现在的不足之处,并建议采用更有限的方法,使试验动物和人类状况之间具有更好的同源性。
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引用次数: 0
Fears Worth Testing Out: A Systematic Review of the Neural Mechanisms of Treatment Outcome for Anxiety-Related Disorders. 值得测试的恐惧:焦虑症相关疾病治疗结果的神经机制系统回顾》(A Systematic Review of the Neural Mechanisms of Treatment Outcome for Anxiety-Related Disorders)。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_549
Robin Aupperle, Hannah Berg, Jacob Armstrong

With the advent of human neuroimaging, researchers were drawn to the idea that by better understanding the human brain, more effective mental health interventions could be developed. It has been more than 20 years since the first functional magnetic resonance imaging (fMRI) studies were conducted to examine changes in brain activation with anxiety-related treatments and more than 60 studies have since been published in this vein. For the current review, we conduct a systematic review of this literature, focusing on adult studies using task-based fMRI to measure brain activation changes with pharmacologic or psychotherapy interventions for phobia, social anxiety disorder, panic disorder, generalized anxiety disorder, posttraumatic stress disorder, and obsessive-compulsive disorder. Neuroscientific theories of anxiety-related disorders and their treatment have focused on prefrontal-insula-amygdala networks. Treatment-related decreases in amygdala and/or anterior insula activation were identified as the most consistent finding across disorders, with the most consistent results reported for specific phobia. Directionality of change and specific regions implicated in the prefrontal cortex were inconsistent across studies. The potential importance for probing other networks and processes as mechanisms of anxiety treatment was recognized, such as striatal regions underlying inhibitory learning or reward responsivity. Future treatment-fMRI research related to anxiety disorders would benefit from larger sample sizes, use of more nuanced computational approaches, and increased focus on replication. There is continued promise that fMRI research will enhance our understanding of how treatments work and inform the evolution of more effective or personalized mental health treatment.

随着人类神经成像的出现,研究人员被这样一种想法所吸引,即通过更好地了解人类大脑,可以开发出更有效的心理健康干预措施。20多年前,首次进行功能性磁共振成像(fMRI)研究,以检查与焦虑相关的治疗对大脑激活的影响。自那以来,已有60多篇相关研究发表。对于当前的回顾,我们对这些文献进行了系统的回顾,重点关注成人研究,使用基于任务的功能磁共振成像来测量药物或心理治疗干预对恐怖症、社交焦虑障碍、惊恐障碍、广泛性焦虑障碍、创伤后应激障碍和强迫症的大脑激活变化。焦虑相关疾病的神经科学理论及其治疗集中在前额叶-脑岛-杏仁核网络上。与治疗相关的杏仁核和/或脑岛前部激活减少被认为是所有疾病中最一致的发现,在特定恐惧症中报告的结果最一致。变化的方向性和涉及前额皮质的特定区域在研究中是不一致的。探索其他网络和过程作为焦虑治疗机制的潜在重要性被认识到,如纹状体区域潜在的抑制性学习或奖励反应。未来与焦虑症相关的fmri治疗研究将受益于更大的样本量,使用更细致的计算方法,并增加对复制的关注。功能性磁共振成像(fMRI)的研究有望增强我们对治疗方式的理解,并为更有效或个性化的心理健康治疗提供信息。
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引用次数: 0
期刊
Current topics in behavioral neurosciences
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