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治疗精神障碍的新出现方法。

New and emerging approaches to treat psychiatric disorders.

机构信息

Department of Psychiatry and Behavioral Sciences, UCSF Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, CA, USA.

Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.

出版信息

Nat Med. 2023 Feb;29(2):317-333. doi: 10.1038/s41591-022-02197-0. Epub 2023 Feb 16.

Abstract

Psychiatric disorders are highly prevalent, often devastating diseases that negatively impact the lives of millions of people worldwide. Although their etiological and diagnostic heterogeneity has long challenged drug discovery, an emerging circuit-based understanding of psychiatric illness is offering an important alternative to the current reliance on trial and error, both in the development and in the clinical application of treatments. Here we review new and emerging treatment approaches, with a particular emphasis on the revolutionary potential of brain-circuit-based interventions for precision psychiatry. Limitations of circuit models, challenges of bringing precision therapeutics to market and the crucial advances needed to overcome these obstacles are presented.

摘要

精神障碍是高度普遍的,往往是毁灭性的疾病,对全球数百万人的生活产生负面影响。尽管它们的病因和诊断异质性长期以来一直挑战着药物发现,但对精神疾病的新兴基于电路的理解为当前对试验和错误的依赖提供了一个重要的替代方案,无论是在治疗的开发还是临床应用中。在这里,我们回顾了新出现的治疗方法,特别强调了基于大脑电路的干预措施在精准精神病学方面的革命性潜力。本文还介绍了电路模型的局限性、将精准治疗推向市场的挑战以及克服这些障碍所需的关键进展。

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