岛内皮层生物学及其在精神疾病中的作用:叙述性回顾
Darko Laketić1, Nikola M Stojanović2, Isidora Laketić3
1Faculty of Medicine, Niko Miljanić Institute of Anatomy, University of Belgrade, 11000 Belgrade, Serbia.
岛屿皮层对于情绪和感官处理至关重要, 在精神障碍中显示出改变的结构. 它的功能障碍与精神分裂症,抑郁症和焦虑症的症状有关.
科学领域:
- 神经科学
- 精神病学
背景情况:
- 岛屿皮层集成感官,情感和认知信息, 作为大脑突出网络的关键枢纽.
- 它的前部 (AIC) 和后部 (PIC) 分别专注于情绪意识/内感和体感处理.
研究的目的:
- 探索岛屿皮层在精神病理学中的作用.
- 审查将岛屿结构和连接性改变与精神障碍联系在一起的证据.
主要方法:
- 关于岛内皮层结构,连接性和精神疾病中的功能现有文献的审查.
- 对精神分裂症,双相情感障碍,严重抑郁症和焦虑症的发现进行分析.
主要成果:
- 岛屿体积减少, 尤其是左侧, 与精神分裂症的幻觉和认知缺陷相关.
- 在双极性抑郁症和重度抑郁症中观察到前半岛体积损失和连接性变化,影响情绪调节.
- 在焦虑症中观察到胰岛的功能过活,尽管结构上的发现是不一致的.
结论:
- 岛内皮质在各种精神疾病的病理生理学中起着重要作用.
- 岛内皮层的改变是未来精神病学诊断和治疗策略的潜在目标.
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