感觉疼痛在抑郁症中是什么样子的:功能神经成像研究的综述
Isidora Tesic1, Alessandro Pigoni2, Chiara Moltrasio3
1Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Journal of affective disorders
|July 17, 2023
概括
大型抑郁症 (MDD) 影响疼痛处理,显示出大脑活动在预期和感知方面的改变. 在患有抑郁症的患者中,抗抑郁药治疗可能会使这些神经反应中的一些正常化.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 医疗成像医学成像
背景情况:
- 大型抑郁症 (MDD) 和疼痛有共同的神经生物学途径.
- MDD对疼痛处理的确切影响需要进一步阐明.
研究的目的:
- 审查功能磁共振成像 (fMRI) 关于MDD对疼痛预期和感知的影响的研究.
- 检查MDD患者抗抑郁药治疗前后疼痛处理中的神经变化.
主要方法:
- 在PubMed,Scopus和Web of Science上进行了系统的文献搜索.
- 包括的研究使用fMRI来调查MDD患者的疼痛处理.
主要成果:
- 在疼痛感知过程中,MDD患者在前额叶皮质,胰岛,边缘系统和皮质等大脑区域表现出较高的激活.
- 抗抑郁药物治疗与胰岛,前带皮和前额皮层的活化减少有关.
- 在MDD中疼痛预测显示出不同的结果,前额叶皮质,胰岛,叶,前带皮质,前回,叶的活性发生变化.
结论:
- 在MDD中,疼痛处理涉及到不同的大脑区域,这表明神经系统发生了复杂的变化.
- 需要对同质人群进行进一步严格的fMRI研究,以澄清抑郁症对疼痛处理的影响.
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