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Global case studies and collaborative frameworks. 全球案例研究和合作框架。
4区 医学 Q3 Neuroscience Pub Date : 2025-01-01 Epub Date: 2025-11-12 DOI: 10.1016/bs.pbr.2025.08.013
Manoj Kumar Jana, Piyal Mukherjee, Sai Sutheertha Chatla, Prachi Sharma, Jeenal Mistry, Vishnu Swarup, Achal Kumar Srivastava, Sudip Das, Neeraj Mohan Gupta, Anami Ahuja, Snigdha Samanta, Mahesh Narayan

As neurodegenerative diseases (NDDs) like Alzheimer's and Parkinson's continue to rise globally, the need for cross-border collaboration in research and treatment has never been more critical. This chapter explores prominent global case studies and collaborative frameworks that exemplify how united efforts are transforming the landscape of NDD research. By pooling expertise, data, and resources, international initiatives are accelerating discoveries in early diagnosis, biomarker identification, and personalized therapies. Highlighting landmark consortia such as the Alzheimer's Disease Neuroimaging Initiative (ADNI) (n.d.), Parkinson's Progression Markers Initiative (PPMI), and emerging multi-omics collaborations, the chapter illustrates how these partnerships overcome the complexity and heterogeneity of NDDs. It delves into technological innovations like artificial intelligence, blockchain data sharing, and real-time patient monitoring, which empower researchers and clinicians to connect genetic, environmental, and lifestyle factors in a holistic manner. Ethical considerations and data privacy frameworks are underscored as pivotal to fostering trust among participants and bridging disparities between regions with varying access to precision medicine. The chapter also sheds light on successful public-private partnerships and patient-focused global networks that place individuals at the center of discovery and care. Challenges such as standardizing protocols across countries, navigating legal frameworks, and securing sustainable funding are discussed alongside future directions for expanding collaborative reach. Ultimately, this comprehensive overview conveys the unprecedented promise held by global cooperation in combating neurodegenerative diseases-offering hope for improved diagnostics, innovative treatments, and enhanced quality of life for millions worldwide.

随着阿尔茨海默病和帕金森病等神经退行性疾病(ndd)在全球范围内的持续上升,在研究和治疗方面开展跨境合作的需求从未像现在这样迫切。本章探讨了突出的全球案例研究和合作框架,这些案例和框架说明了联合努力如何改变NDD研究的格局。通过汇集专业知识、数据和资源,国际倡议正在加速早期诊断、生物标志物识别和个性化治疗方面的发现。强调具有里程碑意义的联盟,如阿尔茨海默病神经影像学倡议(ADNI) (n.d),帕金森病进展标志物倡议(PPMI)和新兴的多组学合作,本章说明了这些伙伴关系如何克服ndd的复杂性和异质性。它深入研究了人工智能、区块链数据共享和实时患者监测等技术创新,使研究人员和临床医生能够以整体的方式将遗传、环境和生活方式因素联系起来。伦理考虑和数据隐私框架被强调为促进参与者之间的信任和弥合不同地区之间获得精准医疗的差异的关键。本章还介绍了成功的公私伙伴关系和以患者为中心的全球网络,这些网络将个人置于发现和护理的中心。在扩大合作范围的未来方向的同时,还讨论了各国协议标准化、法律框架导航和确保可持续资金等挑战。最终,这一全面的概述传达了全球合作在对抗神经退行性疾病方面所带来的前所未有的希望——为改善诊断、创新治疗和提高全球数百万人的生活质量提供了希望。
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引用次数: 0
Stress and gender differences in brain development. 大脑发育中的压力和性别差异。
4区 医学 Q3 Neuroscience Pub Date : 2025-01-01 Epub Date: 2025-04-02 DOI: 10.1016/bs.pbr.2025.01.013
Abraham Olufemi Asuku, Priscilla Omobonke Adebayo, Gbonjubola Oyinlola Ogungbangbe

This chapter investigates the ways in which male and female brains are differently affected by stress during early development, which in turn affects how susceptible each group is to stress-related illnesses. When examining the structure and function of the brain, gender differences and stress must be taken into account. Male and female brain development differs in response to the prenatal testis's secretion of androgen. It appears that when it comes to responding to stress, encoding memories, feeling emotions, solving specific issues, and making decisions, men and women use distinct areas of the brain. Findings revealed that stress led to specific changes in brain structure and function, with gender-specific differences observed. The prefrontal cortex, the hippocampus, and the amygdala are among the brain regions connected to the stress response. The stress response has been linked to the presentation of numerous mental and psychosomatic conditions. The way men and women respond to stress varies on a biological and psychological level. To gain more insight into the gender differences seen throughout brain development, these disparities must also be investigated. This chapter implies that gender-specific vulnerabilities should be addressed and healthy brain development should be promoted by stress-related interventions.

本章调查了男性和女性大脑在早期发育过程中受到压力影响的不同方式,这反过来又影响了每个群体对压力相关疾病的易感性。在检查大脑的结构和功能时,必须考虑到性别差异和压力。男性和女性大脑发育对产前睾丸分泌雄激素的反应不同。研究表明,在应对压力、编码记忆、感受情绪、解决具体问题和做出决定时,男性和女性使用的大脑区域是不同的。研究结果显示,压力会导致大脑结构和功能的特定变化,并存在性别差异。前额皮质、海马体和杏仁核是大脑中与压力反应有关的区域。应激反应与许多精神和心身疾病的表现有关。男性和女性应对压力的方式在生理和心理层面上有所不同。为了更深入地了解大脑发育过程中的性别差异,还必须对这些差异进行调查。本章暗示,应解决性别特定的脆弱性问题,并应通过与压力有关的干预措施促进健康的大脑发育。
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引用次数: 0
Physiological aspects of hormesis. 激效的生理方面。
4区 医学 Q3 Neuroscience Pub Date : 2025-01-01 Epub Date: 2025-07-23 DOI: 10.1016/bs.pbr.2025.05.001
Elisa Mitiko Kawamoto, Cristoforo Scavone, Rosana Camarini

Hormesis-the adaptive response of cells and organisms to moderate, intermittent stress-has emerged as a promising framework for treating neurological and neuropsychiatric disorders. This biphasic dose-response phenomenon can benefit biological systems by inducing neural plasticity, improving cognitive function, and enhancing antioxidant and anti-inflammatory responses. Hormetic interventions including intermittent fasting, physical exercise, and environmental enrichment, among others, work through common molecular pathways. These approaches collectively modulate essential transcription factors such as NF-κB, CREB, and Nrf2, and consequent increases in the expression of neuroprotective genes, such as BDNF and heat shock proteins. The relationship between stress and biological outcomes follows an inverted U-shaped curve, where moderate stress triggers beneficial adaptations while chronic or excessive stress leads to allostatic load and pathology. This mechanistic understanding bridges traditional concepts of homeostasis with modern views on neuroplasticity and resilience. By elucidating the cellular and molecular mechanisms of hormetic responses, researchers can develop precisely calibrated, personalized interventions that may lead to therapeutic approaches to neurodegenerative conditions, neuropsychiatric disorders, and age-related cognitive decline.

激效——细胞和生物体对中度、间歇性压力的适应性反应——已经成为治疗神经和神经精神疾病的一个有希望的框架。这种双相剂量反应现象可以通过诱导神经可塑性、改善认知功能、增强抗氧化和抗炎反应而有益于生物系统。包括间歇性禁食、体育锻炼和环境富集等在内的协同干预通过共同的分子途径起作用。这些方法共同调节必要的转录因子,如NF-κB、CREB和Nrf2,并随之增加神经保护基因的表达,如BDNF和热休克蛋白。压力和生物学结果之间的关系遵循倒u型曲线,其中适度的压力触发有益的适应,而慢性或过度的压力导致适应负荷和病理。这种机械的理解将传统的内稳态概念与现代的神经可塑性和弹性观点联系起来。通过阐明致敏反应的细胞和分子机制,研究人员可以开发出精确校准的个性化干预措施,这可能会导致神经退行性疾病、神经精神疾病和与年龄相关的认知衰退的治疗方法。
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引用次数: 0
Intermittent fasting and ketone bodies. 间歇性禁食和酮体。
4区 医学 Q3 Neuroscience Pub Date : 2025-01-01 Epub Date: 2025-05-21 DOI: 10.1016/bs.pbr.2025.05.002
Geovana Rosa Oliveira Dos Santos, Thiago Amorim de Souza Lima, Merle Gallus, Elisa Mitiko Kawamoto

Intermittent fasting (IF) is a dietary intervention based on time-restricted energy intake. Over the years, IF has been widely investigated as a non-pharmacological approach to increasing life expectancy and promoting brain health. The underlying mechanisms by which IF promotes its beneficial effects are attributed to hormesis, an evolutionary adaptive strategy that regulates cellular responses to stress. These effects include elevated levels of brain-derived neurotrophic factor (BDNF), enhanced neurogenesis and autophagy, increased synaptic plasticity, and improved cognitive functions such as memory and learning. The metabolic switch induced by IF promotes the production of ketone bodies (β-hydroxybutyrate, acetoacetate, and acetone), which serve as alternative energy substrate for the central nervous system (CNS) and modulator of vital processes, including cellular homeostasis, inflammation, and oxidative stress. The two most common neurodegenerative diseases, Alzheimer's Disease (AD) and Parkinson's Disease (PD), are characterized by mitochondrial dysfunction, neuroinflammation and energy deficits. IF has shown a promising therapeutic approach through its neuroprotective and anti-inflammatory effects, which need to be further assessed. Through similar mechanisms, IF appears to exert an antidepressant effect by regulating monoamines in limbic regions, and inhibiting neuroinflammation.

间歇性禁食(IF)是一种基于时间限制的能量摄入的饮食干预。多年来,IF作为一种延长预期寿命和促进大脑健康的非药物方法被广泛研究。IF促进其有益作用的潜在机制归因于激效,这是一种调节细胞对压力反应的进化适应策略。这些影响包括脑源性神经营养因子(BDNF)水平升高,神经发生和自噬增强,突触可塑性增加,以及记忆和学习等认知功能的改善。IF诱导的代谢开关促进酮体(β-羟基丁酸酯、乙酰乙酸酯和丙酮)的产生,这些酮体作为中枢神经系统(CNS)的替代能量底物和重要过程的调节剂,包括细胞稳态、炎症和氧化应激。两种最常见的神经退行性疾病,阿尔茨海默病(AD)和帕金森病(PD),其特征是线粒体功能障碍、神经炎症和能量不足。IF通过其神经保护和抗炎作用显示出有希望的治疗方法,需要进一步评估。通过类似的机制,IF似乎通过调节边缘区域的单胺和抑制神经炎症来发挥抗抑郁作用。
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引用次数: 0
Phytochemicals and brain health: The effects of curcumin, isoflavonoids, and ouabain. 植物化学物质与大脑健康:姜黄素、异黄酮和豆蔻碱的作用。
4区 医学 Q3 Neuroscience Pub Date : 2025-01-01 Epub Date: 2025-05-23 DOI: 10.1016/bs.pbr.2025.05.004
Arthur B Cantanzaro, Ana Maria Orellana

Recent data underscores a critical public health issue: more than 40 % of the global population suffers from neurological conditions, for which no cures currently exist. To combat this pressing challenge, researchers are turning to phytochemicals-bioactive compounds derived from plants that hold promising health benefits, particularly for cognitive function. This chapter intends to shed light on groundbreaking discoveries regarding curcumin, isoflavonoids, and cardiotonic steroids, natural compounds that act on the brain. These substances have shown significant potential for enhancing brain health as we age, especially in addressing neurodegenerative processes such as Alzheimer's and Parkinson's diseases. We will also examine the intricate molecular mechanisms these compounds activate to offer neuroprotection, supported by both in vitro and in vivo studies. Furthermore, we will analyze clinical trials that inspire optimism for the development of innovative therapeutic drugs in the near future. Supporting research in this area could be vital to transforming the landscape of neurological health.

最近的数据强调了一个重要的公共卫生问题:全球40%以上的人口患有神经系统疾病,目前尚无治愈方法。为了应对这一紧迫的挑战,研究人员正在转向植物化学物质——从植物中提取的生物活性化合物,它们对健康有很大的好处,尤其是对认知功能。本章旨在阐明有关姜黄素、异黄酮和强心剂类固醇等对大脑起作用的天然化合物的突破性发现。随着年龄的增长,这些物质已经显示出增强大脑健康的巨大潜力,特别是在治疗阿尔茨海默病和帕金森病等神经退行性疾病方面。我们还将研究这些化合物激活以提供神经保护的复杂分子机制,并得到体外和体内研究的支持。此外,我们将分析临床试验,激发乐观的创新治疗药物的发展在不久的将来。支持这一领域的研究对于改变神经健康的格局至关重要。
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引用次数: 0
Chemical diversity, receptor binding affinity, and pharmacology of phytocannabinoids: Insights into neuronal mechanisms. 化学多样性,受体结合亲和力和植物大麻素药理学:对神经机制的见解。
4区 医学 Q3 Neuroscience Pub Date : 2025-01-01 Epub Date: 2025-08-25 DOI: 10.1016/bs.pbr.2025.07.006
Claudio Marcos Queiroz, Laura de Oliveira Koren, Camila Rayane Pereira da Silva, Sidarta Ribeiro, Sérgio Ruschi Bergamachi Silva

Comparative studies of phytocannabinoids offer valuable insights into the therapeutic potential of cannabis. While Cannabis sativa can produce over 100 distinct phytocannabinoids, most are present only in trace amounts. This review examines the structural, biochemical, and pharmacological characteristics of five representative phytocannabinoids: cannabigerol (CBG), cannabichromene (CBC), cannabidiol (CBD), tetrahydrocannabinol (Δ9-THC), and cannabinol (CBN). We describe their biosynthetic pathways, abiotic transformations, and precursor roles in generating molecular diversity. Chemovar profiles are discussed based on seed bank data and chromatographic analyses of Brazilian-grown cultivars. Our findings suggest that high-CBD chemovars have recently emerged, possibly due to genetic drift from intensive hybridization. To evaluate the clinical relevance of these compounds, we conducted a systematic review and meta-analysis of binding affinities (Ki) for CB1, CB2, and other neuronal receptors. Δ9-THC and CBN showed high affinities for CB1 and CB2, while CBG, CBC, and CBD exhibited 10-100 times lower affinities. Statistical analysis confirmed significantly stronger CB1 and CB2 binding for Δ9-THC compared to CBD. These results support the hypothesis that non-psychotropic phytocannabinoids primarily act through non-canonical targets such as GPR55 (G Protein-Coupled Receptor 55), TRPV1 (Transient Receptor Potential Vanilloid 1), and TRPM8 (Transient Receptor Potential Melastatin 8), though affinity data for these receptors remain limited. Finally, we discuss preclinical pharmacological evidence highlighting how subtle structural differences yield distinct physiological effects. Our findings emphasize the need for expanded research into underexplored phytocannabinoids with unique therapeutic potential.

植物大麻素的比较研究为大麻的治疗潜力提供了有价值的见解。虽然大麻可以产生100多种不同的植物大麻素,但大多数仅以微量存在。本文综述了五种具有代表性的植物大麻素的结构、生化和药理学特征:大麻二酚(CBD)、四氢大麻酚(Δ9-THC)和大麻酚(CBN)。我们描述了它们的生物合成途径、非生物转化和前体在产生分子多样性中的作用。根据巴西栽培品种的种子库数据和色谱分析,讨论了化学变异谱。我们的研究结果表明,高cbd趋化物最近出现,可能是由于密集杂交的遗传漂变。为了评估这些化合物的临床相关性,我们对CB1、CB2和其他神经元受体的结合亲和力(Ki)进行了系统回顾和荟萃分析。Δ9-THC和CBN对CB1和CB2的亲和力较高,而CBG、CBC和CBD的亲和力低10-100倍。统计分析证实,与CBD相比,CB1和CB2对Δ9-THC的结合明显更强。这些结果支持了非精神药物植物大麻素主要通过非规范靶点(如GPR55 (G蛋白偶联受体55),TRPV1(瞬时受体电位香素1)和TRPM8(瞬时受体电位美拉他汀8)起作用的假设,尽管这些受体的亲和力数据仍然有限。最后,我们讨论了临床前的药理学证据,强调了细微的结构差异如何产生不同的生理效应。我们的研究结果强调需要扩大对具有独特治疗潜力的未充分开发的植物大麻素的研究。
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引用次数: 0
Music and art therapy in age-related neuropsychiatric disorders: Creative approaches to healing. 与年龄相关的神经精神疾病的音乐和艺术治疗:创造性的治疗方法。
4区 医学 Q3 Neuroscience Pub Date : 2025-01-01 Epub Date: 2025-09-13 DOI: 10.1016/bs.pbr.2025.08.023
Elaheh Hajizadeh, Sara Salatin, Mehdi Sarailoo, Halimeh Amirazad, Maryam Azarfarin, Masoomeh Dadkhah

Neuropsychiatric diseases are a serious disorders affecting an individual's life, which can constitute a great problem to health care systems and a reduced level of activity in elderly. These disorders mainly include schizophrenia (SCZ), anxiety, and depression. Art therapy (AT) as one of the non-pharmacological therapies seems to improve cognitive and behavioral symptoms in neuropsychiatric disorders in older adults but the exact neural mechanisms are not fully known. All these preventive methods contribute in decreasing psychological distress and promoting mental health in aging. Many different art media can be utilized by therapists for psychiatric and psychological conditions. AT, including music, painting, and architecture media as the most therapeutic processes can be served as a useful therapeutic option to alleviate disease related symptoms. Here, in this chapter we investigate the effectiveness of art therapies in age-related neuropsychiatric disorders adults. It's recommended for further research to stronger focus on processes and biological mechanisms underlying art related changes. We believe that this method has promoting potential in clinic on neuropsychiatric diseases to be further evaluated.

神经精神疾病是一种影响个人生活的严重疾病,对卫生保健系统构成重大问题,并使老年人的活动水平降低。这些障碍主要包括精神分裂症(SCZ)、焦虑和抑郁。艺术治疗作为一种非药物治疗方法似乎可以改善老年人神经精神疾病的认知和行为症状,但其确切的神经机制尚不完全清楚。这些预防方法都有助于减少老年人的心理困扰,促进心理健康。治疗师可以利用许多不同的艺术媒介来治疗精神和心理疾病。包括音乐、绘画和建筑媒体在内的最具治疗性的治疗过程可以作为缓解疾病相关症状的有用治疗选择。在这里,在本章中,我们研究艺术疗法在年龄相关神经精神障碍成人中的有效性。建议进行进一步的研究,以加强对艺术相关变化的过程和生物机制的关注。我们认为该方法在神经精神疾病的临床推广潜力有待进一步评估。
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引用次数: 0
The science behind non-pharmacological interventions. 非药物干预背后的科学。
4区 医学 Q3 Neuroscience Pub Date : 2025-01-01 Epub Date: 2025-09-02 DOI: 10.1016/bs.pbr.2025.08.020
Aaqil Ahamed Ayoubkhan, Sana Awan, Vaishali Jindal, Ruquiya Murtuzapurwala, Ali Fereidouni

The elderly population is rising in number, and along with it, the distribution of neuropsychiatric disorders is also increasing. These disorders pose a challenge in treating them effectively in a timely manner. As most geriatric patients have comorbidities, the side effects of multiple medications, including drugs for neuropsychiatric disorders, cumulatively impair their well-being. To decrease the drug doses and hence the side effects, Non-Pharmacological Interventions (NPIs) pave a prominent pathway for the handling of patients. Cognitive stimulation therapy, mindfulness and meditation, music and art therapy, physical activity, social engagement, occupational therapy, reminiscence therapy, and technology-assisted interventions are the treatment modalities of neuropsychiatric disorders. In conjunction with the outcomes of these interventions on neuropsychiatric disorders, their limitations, challenges, and future directions are also explored. Though these evidence-based therapies are beneficial, optimal guidelines, a shortage of skilled therapy providers, long-term outcomes, and knowledge about the mechanism of action are inadequate. Finally, engaging in social interaction, daily exercise, and having a creative hobby, such as drawing and listening to music, delays the worsening of neuropsychiatric symptoms in the aging population. In this chapter, we aim to review the science behind NPIs for neuropsychiatric disorders extensively.

随着老年人口的增加,神经精神疾病的分布也在增加。这些疾病对及时有效地治疗构成了挑战。由于大多数老年患者都有合并症,包括神经精神疾病药物在内的多种药物的副作用会逐渐损害他们的健康。为了减少药物剂量和副作用,非药物干预(NPIs)为患者的处理铺平了重要的道路。认知刺激疗法、正念和冥想、音乐和艺术疗法、体育活动、社会参与、职业疗法、回忆疗法和技术辅助干预是神经精神疾病的治疗方式。结合这些干预神经精神疾病的结果,他们的局限性,挑战和未来的方向也进行了探讨。尽管这些循证疗法是有益的,但最佳指南、缺乏熟练的治疗提供者、长期结果和对作用机制的了解都不足。最后,参与社会交往,日常锻炼,有一个创造性的爱好,如画画和听音乐,延缓老年人群神经精神症状的恶化。在本章中,我们旨在广泛回顾神经精神疾病npi背后的科学。
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引用次数: 0
Effect of stress on neuronal cell: Morphological to molecular approach. 应激对神经细胞的影响:形态学到分子学的研究。
4区 医学 Q3 Neuroscience Pub Date : 2025-01-01 Epub Date: 2025-03-10 DOI: 10.1016/bs.pbr.2025.01.010
Ishita Bhardwaj, Sippy Singh, Atifa Haseeb Ansari, Swayam Prabha Rai, Durgesh Singh

Stress can be characterized as any perceived or actual threat that necessitates compensatory actions to maintain homeostasis. It can alter an organism's behavior over time by permanently altering the composition and functionality of brain circuitry. The amygdala and prefrontal cortex are two interrelated brain regions that have been the focus of initial research on stress and brain structural and functional plasticity, with the hippocampus serving as the entry point for most of this knowledge. Prolonged stress causes significant morphological alterations in important brain regions such as the hippocampus, amygdala, and prefrontal cortex. Memory, learning, and emotional regulation are among the cognitive functions that are adversely affected by these changes, including neuronal shrinkage, dendritic retraction, and synaptic malfunction. Stress perturbs the equilibrium of neurotransmitters, neuronal plasticity, and mitochondrial function at the molecular level. On the other hand, chronic stress negatively impacts physiology and can result in neuropsychiatric diseases. Recent molecular research has linked various epigenetic processes, such as DNA methylation, histone modifications, and noncoding RNAs, to the dysregulation of genes in the impacted brain circuits responsible for the pathophysiology of chronic stress. Numerous disorders, including neurodegenerative diseases (NDDs) including Alzheimer's, amyotrophic lateral sclerosis, Friedreich's ataxia, Huntington's disease, multiple sclerosis, and Parkinson's disease, have been linked to oxidative stress as a possible cause.

压力可以被描述为任何感知到的或实际的威胁,需要采取补偿行动来维持体内平衡。它可以通过永久地改变大脑回路的组成和功能,随着时间的推移改变生物体的行为。杏仁核和前额叶皮层是两个相互关联的大脑区域,它们一直是压力和大脑结构和功能可塑性的初步研究的重点,而海马体是大多数这方面知识的切入点。长时间的应激会引起海马、杏仁核和前额皮质等重要脑区显著的形态学改变。记忆、学习和情绪调节是受这些变化不利影响的认知功能,包括神经元萎缩、树突收缩和突触功能障碍。应激在分子水平上扰乱神经递质、神经元可塑性和线粒体功能的平衡。另一方面,慢性压力会对生理产生负面影响,并可能导致神经精神疾病。最近的分子研究将各种表观遗传过程,如DNA甲基化、组蛋白修饰和非编码rna,与影响慢性应激病理生理的脑回路中的基因失调联系起来。许多疾病,包括神经退行性疾病(ndd),包括阿尔茨海默氏症、肌萎缩性侧索硬化症、弗里德赖希共济失调症、亨廷顿氏病、多发性硬化症和帕金森病,都可能与氧化应激有关。
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引用次数: 0
The neuroscientific basis of post-traumatic stress disorder (PTSD): From brain to treatment. 创伤后应激障碍(PTSD)的神经科学基础:从大脑到治疗。
4区 医学 Q3 Neuroscience Pub Date : 2025-01-01 Epub Date: 2025-03-03 DOI: 10.1016/bs.pbr.2025.01.009
Lila Agbaria, Foad Mirzaei, Nathalie Omar A'amar, Farah Tawfiq Raba, Garbis Papazian, Khushbu Bhatnagar, Nethmini Sirimanne, Aaqil Ahamed Ayoubkhan, Albankha Gerald Thilagendra, Anushka Gupta

Post-traumatic stress disorder (PTSD) is a debilitating mental health condition resulting from exposure to traumatic events, marked by persistent psychological distress and impairment in daily functioning. Risk factors for PTSD include genetic predispositions, neurobiological factors, as well as psychosocial and environmental influences. Specific demographic groups, such as veterans, first responders, and individuals in high-risk environments, are more susceptible to developing the disorder. Despite growing research, there remain gaps in understanding the full pathophysiology of PTSD, and existing diagnostic methods and treatments are not universally effective, contributing to a significant public health burden. This chapter explores the pathophysiology of PTSD, focusing on its underlying mechanisms, associated risk factors, and high-risk populations. Biological biomarkers such as neuroimaging findings, hormonal imbalances, genetic predispositions, and physiological indicators are discussed in the context of their role in PTSD diagnosis and understanding. Both pharmacological treatments and non-pharmacological interventions, including Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and mindfulness-based techniques, are reviewed for their effectiveness in symptom management. Further research is essential to advance individualized diagnostic techniques and optimize treatment strategies, ensuring more personalized care for PTSD patients.

创伤后应激障碍(PTSD)是由于暴露于创伤性事件而导致的一种使人衰弱的精神健康状况,其特征是持续的心理困扰和日常功能受损。创伤后应激障碍的危险因素包括遗传易感性、神经生物学因素以及社会心理和环境影响。特定的人口群体,如退伍军人、急救人员和高危环境中的个人,更容易患上这种疾病。尽管研究越来越多,但在了解创伤后应激障碍的全部病理生理方面仍存在差距,现有的诊断方法和治疗方法并非普遍有效,这给公众健康造成了巨大负担。本章探讨创伤后应激障碍的病理生理学,重点探讨其潜在机制、相关危险因素和高危人群。生物标志物如神经影像学发现、激素失衡、遗传易感性和生理指标在PTSD诊断和理解中的作用的背景下进行了讨论。药物治疗和非药物干预,包括认知行为疗法(CBT),眼动脱敏和再加工(EMDR),以及基于正念的技术,对其在症状管理中的有效性进行了综述。进一步的研究对于推进个体化诊断技术和优化治疗策略至关重要,从而确保PTSD患者获得更个性化的护理。
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引用次数: 0
期刊
Progress in brain research
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