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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Friends not foes: Combined risperidone and behavior therapy for irritability in autism
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Friends not foes: Combined risperidone and behavior therapy for irritability in autism

机译:朋友而不是敌人:利培酮和行为疗法相结合可治疗自闭症

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Prior research has described a distributed neural circuit that is engaged when threats capture attention. This work relies on a task called the dot-probe paradigm, which quantifies the capacity of threat stimuli, such as angry faces, to divert attention during a simple motor task (Figure 1). Biases in the engagement of this circuit are thought to account for the association between clinical anxiety and vigilance toward threat as manifested behav-ioraUy on the dot-probe task. Two key components of this circuit are the amygdala and the ventrolateral prefrontal cortex (vlPFC).7 The amygdala is a structure centrally involved in salience detection and stimulus-reinforcement learning. Imaging work with clinically anxious and with behaviorally inhibited subjects has found an amygdala hyper-activity to threat-relevant cues (e.g., angry faces), reflecting the enhanced salience of such cues. Considerable basic science work has delineated the ways in which the amygdala and the vlPFC support orienting attention when individuals confront threats.
机译:先前的研究已经描述了一种分布式神经回路,当威胁引起注意时就会参与。这项工作依赖于称为“点探针”范例的任务,该任务可以量化威胁刺激(例如生气的面孔)在简单的运动任务中转移注意力的能力(图1)。如在点探针任务上表现出的行为,该电路参与的偏差被认为是临床焦虑与对威胁保持警惕之间的联系。该电路的两个关键组件是杏仁核和腹侧前额叶皮层(vlPFC)。7杏仁核是一种结构,主要参与显着性检测和刺激强化学习。在临床上焦虑且行为受到抑制的受试者的影像工作发现杏仁核对与威胁相关的线索(例如生气的面孔)表现出过度活跃,反映出这种线索的显着性增强。大量的基础科学工作描述了杏仁核和vlPFC在个体面对威胁时支持定向注意力的方式。

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