Social Preference and Glutamatergic Dysfunction: Underappreciated Prerequisites for Social Dysfunction in Schizophrenia.

Social Preference and Glutamatergic Dysfunction: Underappreciated Prerequisites for Social Dysfunction in Schizophrenia.
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DOI:
10.1016/j.tins.2016.06.005
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发表时间:
2016-09
影响因子:
15.9
通讯作者:
Green MF
Green MF
中科院分区:
医学1区
文献类型:
--
作者:
Lee J;Green MF

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社会功能受损在精神分裂症中普遍存在。不幸的是,现有的治疗方法疗效有限,这种疾病中社会功能障碍的潜在心理或神经生物学机制仍然不清楚。在这里,我们评估是否社会偏好,社会处理的一个关键方面,在很大程度上被忽视的精神分裂症的研究,和N-甲基-d-天冬氨酸受体(NMDAR)功能障碍,可以提供深入了解精神分裂症的社会功能障碍的机制。基于来自发展心理学、行为和临床神经科学的证据,我们提出了一个启发式模型,在该模型中,NMDAR功能的降低可能会导致社会偏好的破坏,从而导致社会认知障碍和社会残疾。我们讨论了精神分裂症的病理生理学的影响,其他显着的社会障碍,和潜在的治疗方法。
Impaired social functioning is pervasive in schizophrenia. Unfortunately, existing treatments have limited efficacy and possible psychological or neurobiological mechanisms underlying social dysfunction in this disorder remain obscure. Here, we evaluate whether social preference, one key aspect of social processing that has been largely overlooked in schizophrenia research, and N-methyl-d-aspartate receptor (NMDAR) dysfunction can provide insights into the mechanism underlying social dysfunction in schizophrenia. Based on evidence from developmental psychology, and behavioral and clinical neuroscience, we propose a heuristic model in which reduced NMDAR function may induce disrupted social preference that can subsequently lead to social cognitive impairment and social disability. We discuss its implications in terms of the pathophysiology of schizophrenia, other disorders with marked social disability, and potential treatments.
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