Ho qobelloa ho qobelloa ho sebelisoa hampe ha meriana ea lithethefatsi le e sa sebeliseng lithethefatsi (2016)

Ka pele. Behav. Neurosci. | Doi: 10.3389 / fnbeh.2016.00154

Paula Banca1*, Valerie Voon2, 3 le Neil A. Harrison4

  • 1Setsi sa Behavial and Clinical Neuroscience Institute, Univesithi ea Cambridge, United Kingdom
  • 2Lefapha la Psychiatry, Univesithi ea Cambridge, United Kingdom
  • 3Cambridgeshire le Peterborough NHS Foundation Trust, United Kingdom
  • 4Brighton le Sussex Medical School, Univesithi ea Sussex, United Kingdom

Ho ikamahanya le boitšoaro ho hlokahala bakeng sa ho tsamaisa katleho ea tikoloho e lulang e fetoha. Ho sitisoa ha maemo a boitšoaro ho totobetse hangata ho bonahala likhathatso tsa mafu a kelello ho kenyeletsa le bokhoba. Boithuto bona bo lekola likarolo tse peli tse ikhethileng tsa ho ikoetlisa, e leng ho ithuta ka mokhoa o feto-fetohang le ho feto-fetoha ha maikutlo ka sepheo sa ho fetoha, ho beha li-orbitoforali le libaka tsa pele pele, ka mathata a meputso ea mantlha le ea bobeli. Lithuto tse fetotsoeng tse nang le bothata ba ho ja ka mokhoa o feteletseng (BED), batho ba nang le boits'oaro bo matla ba thobalano (CSB), bothata ba tšebeliso ea lino tse tahang (AUD) le li-video tsa papali ea methapo ea kutlo (VG) li ile tsa lekoa ka mesebetsi e 'meli e etsoang ka har'a k'homphieutha. le liphoso tsa win-lula / lahleheloa ke phetoho) le Intra / Extra-dimensional Set Shift Task (IED). Batho ba nang le AUD le lipapali tsa video tsa pathological ba ne ba lieha ho ithuta ka mokhoa o ikhethileng ho sa tsotelloe maemo, empa lithuto tsa AUD li ka khona ho mamella kamora tahlehelo. Ha ho bapisoa le lithuto tse batenya tse se nang BED, lithuto tsa BED li ne li le bobe le ho feta ha li ithuta ho hapa li-win empa li ne li le molemo ho tahlehelo tse totobatsang litlamorao e le ts'ebetso ea ho itlopa lijo. Lithuto tsa CSB li bontsitse kutloisiso e ntlafalitsoeng ea ho fumana moputso ka ho fumana kapele le mamello e kholo le meputso e phahameng. Re tsoela pele ho bonts'a ho senyeha ha batho ba nang le BED le AUD ba amanang le baithaopi ba phetseng hantle. Boithuto bona bo fana ka bopaki ba ho tšoana le ho se tšoane ka likarolo tse peli tse ikhethileng tsa boitšoaro bo sa rarahanang ho pholletsa le mathata a ho qobelloa. Boithuto bona bo fana ka bopaki ba ho tšoana le ho se tšoane ka likarolo tse peli tse ikhethileng tsa boitšoaro bo sa rarahanang ho pholletsa le mathata a ho qobelloa. Re akaretsa lithuto mabapi le subtypes subivpes ka hara palo ena ea bakuli. Re totobatsa ho tloaeleha ho AUD le ho BED ka mathata a ho qobelloa, mohlomong ho ts'ehetsa ho itlopa lijo ka mokhoa o itseng e le mokhoa oa ho lemalla. Re boela re totobatsa maemo a tšoanang lithutong tse fetohileng tsa ho ithuta ho pholletsa le mathata le karolo ea bohlokoa ea litlamorao. Liphumano tsena li bonts'a karolo ea ho se feto-fetohe ha boits'oaro le ho qobelloa e le sebaka se nepahetseng sa ho hlalosa tlhabollo ea kelello le ho tsebahatsa endophenotypes e nepahetseng e le liphofu tsa phokotso ea kalafo.

Keywords: Bokhoba, ts'ebeliso ea joala, Binge Eating Disorder, khatello ea maikutlo, Ho ithuta hape, Ho feto-fetoha.

Caring: Banca P, Voon V le Harrison NA (2016). Khatello ho pholletsa le ts'ebeliso e mpe ea ts'ebeliso ea lithethefatsi le meputso e seng ea lithethefatsi. Ka pele. Behav. Neurosci. 10: 154. Doi: 10.3389 / fnbeh.2016.00154

E amohetse: 14 Apr 2016; E amohetsoe: 19 Jul 2016.

E hlophisitsoeng ke: Matthias Brand, Univesithi ea Duisburg, Jeremane

Hlahloba by:

Alicia Izquierdo, Univesithi ea California, Los Angeles, USA
Juan M. Dominguez, Univesithi ea Texas ho Austin, USA
Rudolf Stark, Univesithi ea Giessen, Jeremane  

* Litaba: Ngaka Paula Banca, Univesithi ea Cambridge, Setsi sa Boipheliso le Tleliniki ea Clinical Neuroscience, Cambridge, United Kingdom, [imeile e sirelelitsoe]


 

HO HLOKA

Lithuto tsa CSB li bontsitse kutloisiso e ntlafalitsoeng ea ho putsa liphetho ka ho fumana kapele le mamello e kholo e nang le moputso o phahameng

LIPOTSO

Trails to criterion: Karolong ea Reversal lithutong tsa CSB (N = 25) ha e bapisoa le baithaopi ba phetseng hantle (N = 50) ha ho na phello e kholo ea Sehlopha (F (1,73) = 1.33, p = 0.253), Valence (F (1,73) = 1.47, p = 0.229) kapa phello ea tšebelisano (F (1,73) = 0.008, p = 0.928) (Setšoantšo sa 1). Karolong ea Acquisition lithutong tsa CSB (Moputso: HV 9.39 (SD 7.34); CSB 6.39 (SD 5.43); Tahlehelo: HV 7.26 (SD 6.53); CSB 8.69 (SD 7.83) ho ne ho na le tšebelisano ea Sehlopha x Valence  (F (1,73) = 4.35, p = 0.039) moo lithuto tsa CSB li neng li potlakile ho ithuta ho tsoa Meputsong le ho lieha ho ithuta ho Tahlehelo ha li bapisoa le baithaopi ba phetseng hantle. Ho ne ho se na Sehlopha (F (1,73) = 0.38, p = 0.539) kapa phello ea Valence (F (1,73) <0.001, p = 0.983 Win-Stay / Lose-Shift: Tlhatlhobong ea Lose-Shift, moo e ne e le phello ea Sehlopha x Valence (Letlapa la 3; Setšoantšo sa 2); tlhahlobisong ea posthoc, lithuto tsa CSB li ne li na le Lose-Shift e tlase kapa ba ne ba ka lula kapa ba mamella kamora tahlehelo maemong a Moputso. 422 Ho lahleheloa (p = 0.005) le Neutral  (le <p. 0.001). Ka mokhoa o ts'oanang, tlhahlobisong ea Win-Stay, ho bile le phello ea Sehlopha x Valence; tlhahlobisong ea posthoc, CSB e ne e na le Win-Stay e phahameng kapa e ne e le monyetla oa ho lula kamora ho hlola maemong a Moputso mabapi le Tahlehelo (p = 0.019) le Neutral (p = 0.007). 427

Kakaretso: lithuto tsa CSB li ile tsa potlakela ho ithuta ho tsoa moputsong molemong oa ho fumana le ho bapisoa le baithaopi ba phetseng hantle 'me ba ne ba khona ho tiisetsa kapa ho lula kamora ho lahleheloa kapa ho hapa boemo ba Moputso.

TŠOHLOA

Lingolo li lula li fana ka likarolo tse fapaneng tsa ho fetoha ha likereke tsa thuto ea kereke ka mokhoa o fapaneng oa ho ithuta le ho feto-fetoha ha maikutlo esale pele, e leng tsela ea morao-rao ea morao-rao le ea pele. Re kile ra tlaleha ka mehato ena ea ho feto-fetoha le maemo ho ithuta  (palo ea liteko ho ea ho tlhahlobo) le liphetoho tse tsamaeang le ED tse bonts'ang kamano e lipakeng tsa li-circuits tsa fronto-striatal dissociable (Morris et al., 2016).

Ho fapana le mathata a mang, CSB ha e bapisoa le baithaopi ba phetseng hantle ba bonts'a ho fumana moputso kapele le mamello e kholo maemong a moputso ho sa tsotelehe sephetho. Lithuto tsa CSB ha lia ka tsa bonts'a ho senyeha ho itseng ha ho ne ho ithuta kapa ho fetolela morao thutong. Liphumano tsena li kopana le liphumano tsa rona tsa pejana tsa boikhethollo bo ntlafalitsoeng ba sephetho sa thobalano kapa chelete, ka kakaretso bo fana ka maikutlo a ntlafalitsoeng a meputso (Banca et al., 2016). Ho bontšoa lithuto tse ling tse sebelisang meputso e ikhethang. Lits'oants'o tsa boitšoaro bo lebisitsoeng ho sepheo kapa boithuto ho CSB ha li e-so tlaleheloe.