中间前额前-体白质微观结构与强迫症的危害回避有关:一项发现和跨诊断复制研究
João Paulo Lima Santos1, Amelia Versace2,3, Manan Arora2
1Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA. limasantosjp2@upmc.edu.
概括
背中中前额叶皮层 (PFC) - 丘脑通路中较高的分数异质性 (FA) 与精神疾病中伤害避免率的增加有关. 这一发现确定了一个跨诊断的神经点,用于开发针对强迫症等疾病的新疗法.
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.
背景情况:
- 了解避免伤害和不完整性的神经基础对于诊断和治疗像强迫症 (OCD) 这样的精神疾病至关重要.
- 与这些症状尺寸相关的神经通路的现有研究是有限的,特别是在不同的临床人群中.
研究的目的:
- 通过扩散核磁共振 (MRI) 来研究与避免伤害和不完整性相关的神经通路.
- 复制和扩展先前的强迫症发现到一个跨诊断样本,包括健康对照组 (HC),强迫症患者,强迫症-强迫性人格障碍 (OCPD) 和其他非强迫症疾病.
主要方法:
- 整个大脑通道图被用来重建前额外和下皮层区域 (大脑和状体) 之间的连接.
- 在38名高血压患者,47名强迫症患者,21名强迫症患者和20名非强迫症患者中,为每个连接计算了分数异位性 (FA).
- 使用强迫症特征核心尺寸问卷评估了避免伤害和不完整性症状尺寸.
主要成果:
- 在复制模型 (OCD和HC) 中,左上和右上脊中 PFC-thalamus FA 与避免伤害的增加相关.
- 在最初的模型中,左背中介PFC-thalamus连接也与更高的不完整性有关.
- 当包括OCPD和非OCD组时,这些关联对于预防伤害仍然很重要,但对于不完整性或PFC-striatum连接而言没有.
结论:
- 增加的背中介PFC-thalamus FA与诊断组之间增加的伤害回避有关,这表明一个跨诊断的神经机制.
- 这一发现突出了背中介PFC-thalamus通路作为一种潜在的治疗目标,以避免伤害为特征的精神疾病.
- 该研究没有发现PFC-striatum连接与研究的症状尺寸之间的关联.
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