创伤后应激障碍的神经生物学

Jonathan I. Bisson
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引用次数: 5

摘要

近年来,我们对创伤后应激障碍(PTSD)神经生物学的理解有了显著的提高。先前对恐惧和记忆发展的研究为后续对创伤后应激障碍的研究提供了基础。现在已经确定,大脑的特定区域对PTSD的发展和维持至关重要。其中包括杏仁核、海马体和内侧前额叶皮层,目前流行的一种假设是,前者在PTSD中过度活跃,是因为其他区域未能充分调节其活动。除了大脑的特定区域外,现在已知激素和神经递质,如皮质醇和去甲肾上腺素,似乎在创伤后应激障碍中起着重要作用。本文概述了这一领域的当前知识。
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The neurobiology of post-traumatic stress disorder

Our understanding of the neurobiology of post-traumatic stress disorder (PTSD) has improved significantly in recent years. Previous work on the development of fear and memory has underpinned subsequent research that has focused on PTSD. It is now well established that specific areas of the brain are key to the development and maintenance of PTSD. These include the amygdala, hippocampus and medial prefrontal cortex, a popular current hypothesis being that the former is overactive in PTSD due to failure of the other areas to regulate its activity sufficiently. In addition to specific areas of the brain, it is now known that hormones and neurotransmitters such as cortisol and noradrenaline appear to play major roles in PTSD. This article provides an overview of current knowledge in this area.

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