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Brain reward circuitry:The overlapping neurobiology of trauma and substance use disorders

World Journal of Psychiatry 2021年第6期11卷 222-231页

作者： Timothy I Michaels Emily Stone sonali singal Vladan Novakovic Robert L Barkin Stacy Barkin Department of Psychiatry The Zucker Hillside HospitalNorthwell HealthGlen OaksNY 11004United States Department of Psychiatry The Donald and Barbara Zucker School of MedicineHofstra/NorthwellGlen OaksNY 11004United States Department of Anesthesiology Rush University Medical CollegeChicagoIL 60612United States Private Practice ScottsdaleAZ 85250United States

Mental health symptoms secondary to trauma exposure and substance use disorders(SUDs)co-occur frequently in both clinical and community *** possibility of a shared aetiology remains an important question in translational *** in genetics,basic science,and neuroimaging have led to an improved understanding of the neural basis of these disorders,their frequent comorbidity and high rates of relapse remain a clinical *** project aimed to conduct a review of the field’s current understanding regarding the neural circuitry underlying posttraumatic stress disorder and SUD.A comprehensive review was conducted of available published literature regarding the shared neurobiology of these disorders,and is summarized in detail,including evidence from both animal and clinical *** summarizing the relevant literature,this review puts forth a hypothesis related to their shared neurobiology within the context of fear processing and reward *** provides an overview of brain reward circuitry and its relation to the neurobiology,symptomology,and phenomenology of trauma and substance *** review provides clinical insights and implications of the proposed theory,including the potential development of novel pharmacological and therapeutic treatments to address this shared *** and extensions of this theory are discussed to provide future directions and insights for this shared phenomena.

关键词： Posttraumatic stress disorder Substance abuse Reward circuitry Mesolimbic Neurobiology

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