首页|基于记忆再巩固的负性记忆干预研究进展

基于记忆再巩固的负性记忆干预研究进展

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负性记忆是许多精神疾病(如创伤后应激障碍、抑郁症等)的重要病因,常阻碍临床治疗,需要寻求有效的干预方法.动物和人类的基础研究和前临床研究均发现,记忆并非一成不变,而是在提取后变得脆弱易更改,并经历再次巩固的过程,即记忆再巩固,在此过程中进行干预有可能彻底改写或更新记忆.这一发现为干预负性记忆提供了可能性,具有巨大的临床潜力,并迅速成为研究热点.本文通过介绍记忆再巩固的研究简史,总结药物干预、无创脑刺激干预及行为干预负性记忆再巩固的研究进展,探讨其作用的神经机制,发现药物、无创脑刺激及行为均是潜在的干预手段,其中药物(心得安)、消退/暴露及经颅磁刺激可能是相对有效的方法,但作用机制还有待进一步研究.未来进行临床转化研究时需注意实验室研究与临床研究的区别,同时在临床应用中需要克服干预记忆再巩固的"边界条件",如记忆提取时长、记忆新旧、个体差异等,都可能影响临床应用效果.
Research progress in reconsolidation-based interventions for aversive memories
Aversive memories are the core pathology of many psychiatric disorders(such as postt-raumatic stress disorder and depression),often impeding clinical treatment,which requires validated inter-ventions.Animal researches and preclinical human studies have shown that memories are vulnerable after re-trieval due to a memory process known as the memory reconsolidation mechanism,and that interventions dur-ing this process can potentially rewrite or update memories.The discovery of the reconsolidation mechanism has sparked a wave of research interest in its potential to rewrite aversive memories.This article presents a brief research history and advances in reconsolidation-based interventions,including pharmacological,non-in-vasive brain stimulation and behavioral interventions,as well as the biological mechanisms of reconsolidation.It is noted that pharmacological,behavioral and non-invasive brain stimulation interventions are all potential approaches for reconsolidation intervention,with propranolol,extinction/exposure therapy and transcranial magnetic stimulation being relatively effective.It is important to consider the differences between laboratory and clinical studies in future clinical translational research,and to overcome the"boundary conditions"of re-consolidation-based intervention in clinical applications,such as duration of memory retrieval,age of memory,individual differences,and so on,which may affect its efficacy.

Post-traumatic stress disorderDepressionPhobic disordersMemoryPsy-chological trauma

郑芷滢、周云飞、肖琢、胡静初

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深圳市精神卫生中心/深圳市康宁医院焦虑障碍科,深圳 518020

香港中文大学(深圳)人文社科学院,深圳 518172

创伤后应激障碍 抑郁症 恐惧症 记忆 心理创伤

国家自然科学基金教育部人文社会科学研究项目深圳市科创委基础研究面上项目深圳市医学重点学科建设经费资助项目

8220167222YJC190008JCYJ2022053016500300782201672

2024

中华行为医学与脑科学杂志
中华医学会 济宁医学院

中华行为医学与脑科学杂志

CSTPCD北大核心
影响因子:1.472
ISSN:1674-6554
年,卷(期):2024.33(1)
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