Nuuriyoolojiyada Dabeecadda Isku Galmoodka Isku Galmoodka: Sayniska Soo Saarista (2016)

FAALLOOYINKA: In kasta oo warqaddani ay tahay soo koobid kooban, haddana waxa ku jira dhowr indho-indhayn oo muhiim ah oo ku saabsan sayniska soo baxaya. Tusaale ahaan, waxay sheegaysaa in labadaba Prause et al., 2015 iyo Kuhn & Gallinat , 2014 ay soo sheegaan natiijo la mid ah: isticmaalka galmada oo weyn oo la xidhiidha caado weyn oo loogu talagalay galmada. Labada daraasadoodba waxay soo sheegeen firfircooni maskaxeed oo hooseeya iyadoo laga jawaabayo soo-gaadhista gaaban ee sawirrada galmada vanilla. Qaybta soo socota "Ka-hortagga hoose ee mustaqbalka wanaagsan" waxay tilmaamaysaa natiijooyinka EEG ee Prause et al .:

"Taas bedelkeeda, daraasadaha lagu sameeyay dadka caafimaadka qaba waxay soo jeedinayaan door ku saabsan dhaqan wanaagsan oo la xoojiyay oo leh isticmaalka xad-dhaafka ah ee sawirrada qaawan . Ragga caafimaadka qaba, waqtiga dheeraadka ah ee lagu qaato daawashada sawirrada qaawan wuxuu la xiriiraa dhaqdhaqaaqa bidix ee hoose ilaa sawirrada qaawan (Kühn iyo Gallinat, 2014). Dhaqdhaqaaqa hoose ee mustaqbalka wanaagsan ee sawirrada qaawan ayaa lagu arkay dadka isticmaala sawirrada qaawan ee dhibaatada leh."

Maxay tani muhiim u tahay? Qoraaga hormuudka ka ah Nicole Prause ayaa sheegtay in daraasaddeeda EEG ee hal-ku-dhigga ah ay beenisay "balwadda galmada". Kani waa warqaddii labaad ee dib loo eegay ee lagu diiday fasiraadaha Prause. Waa kan warqaddii ugu horreysay.

Fiiro gaar ah - Waraaqo badan oo kale oo dib loo eegay oo asaageed ah ayaa isku raacay in Prause et al., 2015 ay taageerto qaabka balwadda galmada: Dib u eegista asxaabta ee Prause et al ., 2015


Neuropsychopharmacology 41, 385-386 (Janaayo 2016) | laba: 10.1038 / npp.2015.300

Shane W Kraus 1, 2, Valerie Voon 3, iyo Marc N Potenza 2, 4

1 VISN 1 Cilmi-baarista Cudurrada Cilmi-baarista iyo Xarumaha Daaweynta, VA Connecticut Nidaamka Daryeelka, West Haven, CT, USA; 2 Waaxda Maskaxiyan, Jaamacadda Yale ee Daawada, New Haven, CT, USA;

3 Waaxda Maskaxiyan, Jaamacadda Cambridge, Cambridge, UK;

4 Waaxda Neurobiology, Xarunta Waxbarashada Carruurta iyo CASA Columbia, Jaamacadda Yale University Medical, New Haven, CT, USA

Iimayl: [email protected]


Habdhaqanka galmada ee qasabka ah (CSB) waxaa lagu gartaa xayiraad, niyad xumo, naafonimo bulsho / shaqo la'aan, iyo cudurada nafsaaniga ah. Maqnaanshaha CSB waxaa lagu qiyaasay hareeraha 3-6%, iyadoo leh ragga. Inkasta oo aan ku jirin DSM-5, CSB waxaa lagu ogaan karaa ICD-10 oo ah xakamaynta xakameynta kicinta. Si kastaba ha ahaatee, dooddu waxay ka jirtaa kala soocidda CSB (tusaale ahaan, sida xannibaad isdabajoog ah, qalab uur-jiifsan, xatooyo, ama sii wadida dabeecada galmada ee caadiga ah).

Caddaynta hordhaca ahi waxay soo jeedinaysaa in dopamine uu wax ku biirin karo CSB. Cudurka Parkinson (PD), daawooyinka dopamine beddelidda (Levo-dopa, agagaaraha dopamine) ayaa lala xiriiriyay CSB iyo cudurada kale ee kantaroolka ah (Weintraub et al, 2010). Daraasado tiro yar oo la adeegsanayo naltrexone ayaa taageeraya waxtarkeeda yareynta dhiirigelinta iyo dabeecadaha la xidhiidha CSB (Raymond et al, 2010), iyada oo la waafajin karo isbedelka opioidergic ee falgalka dopamine mesolimbic ee yareynta CSB. Waqtigaan, baaritaanada neurochiimka, iyo tijaabooyinka dawada ayaa loo baahan yahay, si ballaadhan loogu fahmo CSB.

Hawlaha dhiirigelinta dhiiri galinta waxay la xiriiraan fal-dambiyeedka jinsiga. CSB-ka non-CSB-yada waxay leeyihiin firfircooni galmo-badis ah oo ah baalal-gashi, maqaar-gucad ah, iyo amygdala (Voon et al, 2014). Maaddooyinka CSB, isku xirnaanta shaqeynta ee shabakadan la xidhiidha rabitaanka jinsiga la xidhiidha, taas oo markaa ka dhigaysa natiijooyinka helitaanka mukhaadaraadka daroogada (Voon et al, 2014). Ragga kale ee CSB waxay muujinayaan indho-indheyn indho-indheyn ah oo muujinaysa sheekooyin fara badan, oo muujinaya hor-u-marinta wax-ka-qabashada fiiro gaar ah sida maadooyinka (Mechelmans et al, 2014). Cudurrada CSB-yada aan-CSB-da bukaansocodka, soo-bandhigista astaamaha pornographic waxay kor u qaadeen firfircoonida taranka, xarkaha iyo kortexdoortiga, waxay kaloo ku xiran yihiin rabitaanka galmada (Politis et al, 2013). Daraasad sawir-yar oo sawir-qaadis yar-yar ayaa muujinaysa isbeddellada hore ee CSB-ka ee aan ragga aan CSB ahayn (Miner et al, 2009).

Taas bedelkeeda, daraasadaha lagu sameeyay shakhsiyaadka caafimaadka qaba waxay soo jeedinayaan door ku saabsan dhaqan-wanaagsan oo la xoojiyay iyadoo la isticmaalayo xad-dhaafka ah ee filimada qaawan. Ragga caafimaadka qaba, waqtiga dheeraadka ah ee lagu qaato daawashada filimada qaawan waxay la xiriirtaa dhaqdhaqaaqa bidix ee hoose ilaa sawirrada qaawan (Kühn iyo Gallinat, 2014). Dhaqdhaqaaqa hoose ee mustaqbalka wanaagsan ee sawirrada qaawan ayaa lagu arkay dadka isticmaala filimada qaawan ee dhibaatada leh . Natiijooyinkan, inkastoo ay iska hor imaanayaan, ma aha kuwo iswaafaqsan. Caadada sawirada tilmaamaha marka loo eego tilmaamaha fiidiyowga ayaa laga yaabaa in lagu kordhiyo shakhsiyaadka caafimaadka qaba ee isticmaala xad-dhaafka ah; halka, dadka CSB ee isticmaala kuwa aadka u daran/cudurka qaba ay yeelan karaan falcelinta calaamadaha oo la xoojiyay.

Inkastoo daraasadihii hore ee neuroimaging ay soo jeediyeen qaar ka mid ah qaababka neerobiological ee CSB, natiijooyinkaas waa in lagu daaweeyo xaddidaadaha habboon ee habka loo isticmaalo (tusaale ahaan, tiro yar oo tusaalo ah, naqshado dhinacyo kala duwan ah, maaddooyinka oo keliya, iyo wixii la mid ah). Baaxaadaha hadda jira ee cilmi-baarista ayaa leh dhibaatooyin adag oo la xidhiidha go'aanka ugu wayn ee CSB-yada ugu habboon loo tixgeliyo maandooriye ama maahan. Cilmi-baadhis dheeraad ah ayaa loo baahan yahay si loo fahmo sida qaababka neurobiinku ula xidhiidho tallaabooyinka caafimaad ee la xidhiidha sida daaweynta natiijooyinka CSB. Kala soocista CSB oo ah 'qabatinka dabeecadda' waxay saameyn weyn ku yeelanaysaa dadaallada siyaasadda, ka hortagga iyo daaweynta; Si kastaba ha ahaatee, xilligan, baaritaanku wuxuu ku jiraa dhallintiisa. Marka la eego qaar ka mid ah noocyada udhexeeya CSB iyo mukhaadaraadka daroogada, waxqabadyada waxtarka leh ee ku-takooridda waxay ballan qaad u noqon kartaa CSB, si ay u bixiso aragti ku saabsan tilmaamaha cilmi-baarista ee mustaqbalka si ay u baaraan suurtogalnimadaas si toos ah

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