颅脑损伤所致情绪调节障碍的功能性磁共振成像研究进展

Yuluo Liu, Longda Ma, Fang-mei Huang, Zilong Liu
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引用次数: 0

摘要

脑损伤患者往往伴有情绪障碍,可引起多种精神障碍,康复后精神障碍还会继续存在,严重影响患者适应和融入社会的能力,大大降低生活质量。因此,研究脑损伤后情绪障碍的发生机制,对临床防治与情绪障碍相关的精神障碍具有重要意义。功能性磁共振成像(fMRI)为研究情绪调节提供了一种更直观、更准确的研究方法,因此许多学者从不同角度对颅脑损伤后的情绪障碍进行了深入研究。本文回顾了近十年来颅脑损伤后情绪障碍的功能性MRI研究,大多数静息MRI研究表明,颅脑损伤后情感障碍的机制与静息默认网络、执行网络和显著性网络之间的相互作用失衡有关,而任务MRI研究发现,杏仁核、前额叶背外侧叶、前中央回和右额下回在注意力分配、认知重新评价、表达抑制等情绪调节策略中发挥着重要作用,这些大脑区域的损伤会引起相应的情绪调节障碍。本文系统综述了脑损伤后情绪障碍的神经机制和研究进展,总结了存在的问题,并从静息和任务状态功能MRI的角度提出了可能的解决方案。关键词:创伤性脑损伤;情绪失调;功能性磁共振成像
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Progress in functional magnetic resonance imaging of emotion dysregulation due to traumatic brain injury
Patients with brain injury are often accompanied by emotional disorders, which can cause a variety of mental disorders, and mental disorders will continue to exist after rehabilitation, seriously affecting the ability of patients to adapt and integrate into society, greatly reducing the quality of life.Therefore, the research on the mechanism of emotional disorders after brain injury is of great significance to the clinical prevention and treatment of mental disorders related to emotional disorders.Functional magnetic resonance imaging (fMRI) provides a more intuitive and accurate research method for the study of emotional regulation, so many scholars have conducted in-depth research on emotional disorders after craniocerebral injury from different perspectives.In this paper, the functional MRI studies of emotional disorders were reviewed after craniocerebral injury in the past decade and most of the resting MRI studies showed that the mechanism of emotional disorders after craniocerebral injury is related to the imbalance of interaction among the resting default network, executive network and salience network, while the task MRI studies found that the amygdala, dorsolateral prefrontal lobe and anterior Cingulate gyrus and right inferior frontal gyrus played an important role in attention distribution, cognitive reappraisal, expression inhibition and other emotional regulation strategies, and the damage of these brain regions will cause corresponding emotional regulation disorders.In this paper, the neural mechanism and research progress of emotional disorders after brain injury were systematically reviewed, summarize the existing problems, and propose possible solutions from the perspective of resting and task state functional MRI. Key words: Traumatic brain injury; Emotion dysregulation; Functional magnetic resonance imaging
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期刊介绍: "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.
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