疼痛的神经基础 精神障碍中的同理心失调:预先注册的神经成像元分析
Jingxian He1, Mercy Chepngetich Bore1, Heng Jiang1
1Center of Psychosomatic Medicine, Sichuan Provincial Center for Mental Health, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China; School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.
Biological psychiatry. Cognitive neuroscience and neuroimaging
|September 11, 2024
概括
心理健康障碍显示出疼痛同情神经反应的改变. 特定的大脑区域表现出增加或减少的活动,这表明社交功能障碍治疗的共同目标.
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.
- 社会认知是指社会认知.
背景情况:
- 疼痛同理心对于社会功能至关重要.
- 在各种精神障碍中观察到受损的疼痛同理心.
- 这些障碍的神经支需要澄清.
研究的目的:
- 在精神疾病中识别改变疼痛同理心的强有力的神经标志物.
- 为了定量分析功能磁共振成像 (fMRI) 数据.
- 探索网络层面和行为关联.
主要方法:
- 11个病例对照fMRI研究的基于协调的元分析.
- 涉及296名患者和229名对照参与者.
- 进行了探索性网络和行为元分析.
主要成果:
- 患者在左前带带状回,中间前额叶皮层和右中间状回中表现出高度的疼痛同情反应.
- 观察到左小脑IV/V和左中尾环中的活动减少.
- 过度活跃的区域与默认模式网络相互作用,与情感和社会认知相关.
结论:
- 精神障碍中的改变疼痛同理心涉及大脑系统对同情困扰和社会处理的过度反应.
- 这些发现表明,对于社会功能障碍,有一个共同的治疗目标.
- 突出了精神疾病中社会赤字的共同神经机制.
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