Localization of Dysfunction in Major Depressive Disorder: Prefrontal Cortex and Amygdala

被引:158
作者
Murray, Elisabeth A. [1 ]
Wise, Steven P. [2 ]
Drevets, Wayne C. [3 ,4 ]
机构
[1] NIMH, Sect Neurobiol Learning & Memory, Neuropsychol Lab, NIH, Bethesda, MD 20892 USA
[2] Olschefskie Inst Neurobiol Knowledge, Potomac, MD USA
[3] Laureate Inst Brain Res, Tulsa, OK USA
[4] Univ Oklahoma, Coll Med, Tulsa, OK USA
关键词
Animal models; devaluation; emotion; frontal lobe function; mood; primate research; reversal; reward; self-esteem; self-reflection; self-valuation; self-worth; DEEP BRAIN-STIMULATION; ORBITOFRONTAL CORTEX; ANTERIOR CINGULATE; BASOLATERAL AMYGDALA; DECISION-MAKING; NEURAL RESPONSE; ARCHITECTONIC SUBDIVISION; ANTIDEPRESSANT TREATMENT; TRYPTOPHAN DEPLETION; UNMEDICATED PATIENTS;
D O I
10.1016/j.biopsych.2010.09.041
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Despite considerable effort, the localization of dysfunction in major depressive disorder (MDD) remains poorly understood. We present a hypothesis about its localization that builds on recent findings from primate neuropsychology. The hypothesis has four key components: a deficit in the valuation of "self" underlies the core disorder in MDD; the medial frontal cortex represents "self"; interactions between the amygdala and cortical representations update their valuation; and inefficiency in using positive feedback by orbital prefrontal cortex contributes to MDD.
引用
收藏
页码:E43 / E54
页数:12
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