Psychopathology and the Human Connectome: Toward a Transdiagnostic Model of Risk For Mental Illness

被引:291
作者
Buckholtz, Joshua W. [1 ,2 ,3 ]
Meyer-Lindenberg, Andreas [4 ]
机构
[1] Harvard Univ, Dept Psychol, Cambridge, MA 02138 USA
[2] Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02115 USA
[3] Harvard Univ, Ctr Brain Sci, Cambridge, MA 02138 USA
[4] Heidelberg Univ, Med Fac Mannheim, Cent Inst Mental Hlth, D-68159 Mannheim, Germany
关键词
CATECHOL-O-METHYLTRANSFERASE; MAJOR DEPRESSIVE DISORDER; FUNCTIONAL NETWORK CONNECTIVITY; OBSESSIVE-COMPULSIVE DISORDER; GENERALIZED ANXIETY DISORDER; WITHIN-FAMILY TESTS; WORKING-MEMORY; COGNITIVE CONTROL; INDIVIDUAL-DIFFERENCES; BIPOLAR DISORDER;
D O I
10.1016/j.neuron.2012.06.002
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The panoply of cognitive, affective, motivational, and social functions that underpin everyday human experience requires precisely choreographed patterns of interaction between networked brain regions. Perhaps not surprisingly, diverse forms of psychopathology are characterized by breakdowns in these interregional relationships. Here, we discuss how functional brain imaging has provided insights into the nature of brain dysconnectivity in mental illness. Synthesizing work to date, we propose that genetic and environmental risk factors impinge upon systems-level circuits for several core dimensions of cognition, producing transdiagnostic symptoms. We argue that risk-associated disruption of these circuits mediates susceptibility to broad domains of psychopathology rather than discrete disorders.
引用
收藏
页码:990 / 1004
页数:15
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