双相障碍患者决策功能的功能磁共振研究进展
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摘要
决策是人的认知功能,也是一种心理应激过程。研究发现,决策功能受损是双相障碍抑郁发作期及躁狂发作期均可出现的认知功能障碍,严重影响患者的社会功能。目前对双相障碍决策功能的影像学研究较少,仍需要进一步补充。本文对功能磁共振成像技术在双相障碍决策功能研究的应用进行综述,以进一步探讨双相障碍患者决策功能障碍的特征和神经心理机制。
Decision making is one kind of human being's cognitive functions, and also regarded as a process of psychological stress. Studies reveal that decision making impairment can both be found in bipolar depressive episodes and manic episodes, which seriously influences social functions of bipolar patients. There are few imaging studies focus on decision function of bipolar disorder, which is still needed to further explore. In this paper, the functional magnetic resonance imaging(MRI) research in decision function of bipolar disorder were reviewed, in order to find out characteristics of decision function in patients with bipolar disorder and its neuropsychological mechanism.
Decision making is one kind of human being's cognitive functions, and also regarded as a process of psychological stress. Studies reveal that decision making impairment can both be found in bipolar depressive episodes and manic episodes, which seriously influences social functions of bipolar patients. There are few imaging studies focus on decision function of bipolar disorder, which is still needed to further explore. In this paper, the functional magnetic resonance imaging(MRI) research in decision function of bipolar disorder were reviewed, in order to find out characteristics of decision function in patients with bipolar disorder and its neuropsychological mechanism.
引文
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[14]Shackman AJ,Salomons TV,Slagter HA,et al.The integration of negative affect,pain and cognitive control in the cingulate cortex[J].Nat Rev Neurosci,2011,12(3):154-167.
[15]Mansouri FA,Tanaka K,Buckley MJ.Conflict-induced behavioural adjustment:a clue to the executive functions of the prefrontal cortex[J].Nat Rev Neurosci,2009,10(2):141-152.
[16]Bechara A,Tranel D,Damasio H.Characterization of the decision-making deficit of patients with ventromedial prefrontal cortex lesions[J].Brain,2000,123(11):2 189-2 202.
[17]Manes F,Sahakian B,Clark L,et al.Decision-making processes following damage to the prefrontal cortex[J].Brain,2002,125(3):624-639.
[18]Radaelli D,Dallaspezia S,Poletti S,et al.Different neural responses to a moral valence decision task in unipolar and bipolar depression[J].ISRN Psychiatry,2013,2013:568617.
[19]Scholz V,Houenou J,Kollmann B,et al.Dysfunctional decision-making related to white matter alterations in bipolarⅠdisorder[J].J Affect Disord,2016,194:72-79.
[20]Nusslock R,Almeida JR,Forbes EE,et al.Waiting to win:elevated striatal and orbitofrontal cortical activity during reward anticipation in euthymic bipolar disorder adults[J].Bipolar Disord,2012,14(3):249-260.
[21]Dutra SJ,Cunningham WA,Kober H,et al.Elevated striatal reactivity across monetary and social rewards in bipolarⅠdisorder[J].J Abnorm Psychol,2015,124(4):890-904.
[22]Phillips ML,Swartz HA.A critical appraisal of neuroimaging studies of bipolar disorder:toward a new conceptualization of underlying neural circuitry and a road map for future research[J].Am J Psychiatry,2014,171(8):829-843.
[2]Clemente AS,Diniz BS,Nicolato R,et al.Bipolar disorder prevalence:a systematic review and meta-analysis of the literature[J].Braz J Psychiatr,2015,37(2):155-161.
[3]Disease GBD,Injury I,Prevalence C.Global,regional,and national incidence,prevalence,and years lived with disability for310diseases and injuries,1990-2015a systematic analysis for the Global Burden of Disease Study 2015[J].Lancet,2016,388(10 053):1 545-1 602.
[4]Torres IJ,Boudreau VG,Yatham LN.Neuropsychological functioning in euthymic bipolar disorder:a metaanalysis[J].Acta Psychiatr Scand Suppl,2007,(434):17-26.
[5]Henry BL,Minassian A,Perry W.Everyday functional ability across different phases of bipolar disorder[J].Psychiatry Res,2013,210(3):850-856.
[6]Anaya C,Torrent C,Caballero FF,et al.Cognitive reserve in bipolar disorder:relation to cognition,psychosocial functioning and quality of life[J].Acta Psychiatr Scand,2016,133(5):386-398.
[7]崔玲玲,徐克.血氧水平依赖脑功能磁共振在精神障碍疾病中的应用[J].解剖科学进展,2016,22(1):87-91.Cui LL,Xu K.Application of BOLD functional magnetic resonance imaging in mental disorders[J].Progress of Anatomical Sciences,2016,22(1):87-91.
[8]Bechara A,Damasio AR,Damasio H,et al.Insensitivity to future consequences following damage to human prefrontal cortex[J].Cognition,1994,50(1-3):7-15.
[9]Rubinsztein JS,Michael A,Paykel ES,et al.Cognitive impairment in remission in bipolar affective disorder[J].Psychol Med,2000,30(5):1 025-1 036.
[10]van Eimeren T,Ballanger B,Pellecchia G,et al.Dopamine agonists diminish value sensitivity of the orbitofrontal cortex:a trigger for pathological gambling in Parkinson's disease?[J].Neuropsychopharmacology,2009,34(13):2 758-2 766.
[11]Mason L,O'Sullivan N,Montaldi D,et al.Decisionmaking and trait impulsivity in bipolar disorder are associated with reduced prefrontal regulation of striatal reward valuation[J].Brain,2014,137(8):2 346-2 355.
[12]Peters J,Buchel C.Neural representations of subjective reward value[J].Behav Brain Res,2010,213(2):135-141.
[13]Miller EK,Cohen JD.An integrative theory of prefrontal cortex function[J].Annu Rev Neurosci,2001,24:167-202.
[14]Shackman AJ,Salomons TV,Slagter HA,et al.The integration of negative affect,pain and cognitive control in the cingulate cortex[J].Nat Rev Neurosci,2011,12(3):154-167.
[15]Mansouri FA,Tanaka K,Buckley MJ.Conflict-induced behavioural adjustment:a clue to the executive functions of the prefrontal cortex[J].Nat Rev Neurosci,2009,10(2):141-152.
[16]Bechara A,Tranel D,Damasio H.Characterization of the decision-making deficit of patients with ventromedial prefrontal cortex lesions[J].Brain,2000,123(11):2 189-2 202.
[17]Manes F,Sahakian B,Clark L,et al.Decision-making processes following damage to the prefrontal cortex[J].Brain,2002,125(3):624-639.
[18]Radaelli D,Dallaspezia S,Poletti S,et al.Different neural responses to a moral valence decision task in unipolar and bipolar depression[J].ISRN Psychiatry,2013,2013:568617.
[19]Scholz V,Houenou J,Kollmann B,et al.Dysfunctional decision-making related to white matter alterations in bipolarⅠdisorder[J].J Affect Disord,2016,194:72-79.
[20]Nusslock R,Almeida JR,Forbes EE,et al.Waiting to win:elevated striatal and orbitofrontal cortical activity during reward anticipation in euthymic bipolar disorder adults[J].Bipolar Disord,2012,14(3):249-260.
[21]Dutra SJ,Cunningham WA,Kober H,et al.Elevated striatal reactivity across monetary and social rewards in bipolarⅠdisorder[J].J Abnorm Psychol,2015,124(4):890-904.
[22]Phillips ML,Swartz HA.A critical appraisal of neuroimaging studies of bipolar disorder:toward a new conceptualization of underlying neural circuitry and a road map for future research[J].Am J Psychiatry,2014,171(8):829-843.