Hormonal Cycles, Brain Network Connectivity, and Windows of Vulnerability to Affective Disorder.

Hormonal Cycles, Brain Network Connectivity, and Windows of Vulnerability to Affective Disorder.
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激素循环,大脑网络连通性和易感障碍脆弱性的窗户。

DOI:
10.1016/j.tins.2018.08.007
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发表时间:
2018-10
影响因子:
15.9
通讯作者:
Barrett LF
Barrett LF
中科院分区:
医学1区
文献类型:
--
作者:
Andreano JM;Touroutoglou A;Dickerson B;Barrett LF

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女性情感障碍的发生率明显高于男性,大量证据表明卵巢激素在调节这种差异中起作用。在这个观点中,我们讨论了卵巢激素水平的周期性变化在大脑内在网络之间的连接中产生周期性改变的假设。当网络间连接增加时,这些改变在月经周期内产生特定的时间窗口,与增加的压力反应性和对不愉快的唤醒事件的更好记忆相关,导致负面情绪增加和对情感障碍的易感性。我们的脆弱性窗口模型为情感障碍的治疗和大脑性别差异的研究提供了见解。
The rate of affective disorder is substantially higher in women than in men, and considerable evidence points to the actions of ovarian hormones in mediating this disparity. In this Opinion, we discuss the hypothesis that cyclic changes in ovarian hormone levels produce cyclic alterations in connectivity between the brain’s intrinsic networks. These alterations produce specific temporal windows within the menstrual cycle when inter-network connectivity is increased, associated with increased stress reactivity and better memory for unpleasant, arousing events, leading to increased negative mood and susceptibility to affective disorder. Our windows of vulnerability model offers insights for both treatment of affective disorder and research on sex differences in the brain.
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