Molecular Psychiatry,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 27, 2025
The
amygdala
has
increasingly
been
proposed
as
a
therapeutic
target
for
patients
with
post-traumatic
stress
disorder
(PTSD).
However,
the
distinct
contributions
of
left
and
right
to
various
aspects
fear
processing
remain
inadequately
understood.
Here,
we
critically
re-evaluate
key
findings
from
human
functional
neuroimaging
lesion
studies
on
conditioning
extinction.
We
propose
that
while
both
amygdalae
likely
make
critical
processing,
is
more
associated
sensory-mediated
expression,
cognitive-mediated
acquisition
With
accumulating
evidence
studies,
suggest
differentially
targeting
versus
ablative
or
neuromodulatory
therapies
can
be
crucial
optimizing
PTSD
treatment.
Neuropsychopharmacology,
Journal Year:
2021,
Volume and Issue:
47(1), P. 247 - 259
Published: Sept. 20, 2021
Abstract
Posttraumatic
stress
disorder
can
be
viewed
as
a
of
fear
dysregulation.
An
abundance
research
suggests
that
the
prefrontal
cortex
is
central
to
processing—that
is,
how
fears
are
acquired
and
strategies
regulate
or
diminish
responses.
The
current
review
covers
foundational
on
threat
acquisition
extinction
in
nonhuman
animals,
healthy
humans,
patients
with
posttraumatic
disorder,
through
lens
involvement
these
processes.
Research
harnessing
advances
technology
further
probe
role
processes,
such
use
optogenetics
rodents
brain
stimulation
will
highlighted,
well
other
regulation
approaches
relevant
treatment
involve
cortex,
namely
cognitive
avoidance/active
coping.
Despite
large
body
translational
research,
many
questions
remain
unanswered
remains
difficult
treat.
We
conclude
by
outlining
future
directions
related
processing
implications
for
disorder.
Frontiers in Human Neuroscience,
Journal Year:
2019,
Volume and Issue:
13
Published: June 12, 2019
Verbal
Working
memory
(vWM)
capacity
measures
the
ability
to
maintain
and
manipulate
verbal
information
for
a
short
period
of
time.
The
specific
neural
correlates
this
construct
are
still
matter
debate.
aim
study
was
conduct
coordinate-based
meta-analysis
42
fMRI
studies
on
visual
vWM
in
healthy
subjects
(n
=
795,
males
459,
females
325,
unknown
11;
age
range:
18-75).
were
obtained
after
an
exhaustive
literature
search
PubMed,
Scopus,
Web
Science,
Brainmap
database.
We
analyzed
regional
activation
differences
during
tasks
with
anisotropic
effect-size
version
seed-based
d
mapping
software
(ES-SDM).
results
further
validated
by
performing
jackknife
sensitivity
analyses
heterogeneity
analyses.
investigated
effect
numerous
relevant
influencing
factors
fitting
corresponding
linear
regression
models.
isolated
consistent
network
containing
fronto-parietal
areas,
right
cerebellum,
basal
ganglia
structures.
Regarding
lateralization,
pointed
toward
bilateral
frontal
activation,
left-lateralization
parietal
regions
right-lateralization
indicating
that
left-hemisphere
concept
should
be
reconsidered.
also
important
response
inhibition,
emphasizing
role
attentional
control
vWM.
Moreover,
we
found
significant
influence
mean
reaction
time,
load,
associated
Activation
left
medial
gyrus,
precentral
gyrus
turned
out
positively
time
whereas
load
across
PFC,
fusiform
cortex,
parts
cerebellum.
In
latter
case
mainly
detectable
both
hemispheres
became
manifest
predominantly
hemisphere.
This
led
us
conclude
future
take
these
into
consideration.
Nutrients,
Journal Year:
2021,
Volume and Issue:
13(3), P. 732 - 732
Published: Feb. 25, 2021
In
the
last
decade,
emerging
evidence
has
reported
correlations
between
gut
microbiome
and
human
health
disease,
including
those
affecting
brain.
We
performed
a
systematic
assessment
of
available
literature
focusing
on
bacterial
metabolites
their
associations
with
diseases
central
nervous
system
(CNS).
The
short-chain
fatty
acids
(SCFAs)
as
well
non-SCFAs
like
amino
acid
(AAMs)
amyloids
are
described
in
particular.
found
significantly
altered
SCFA
levels
patients
autism
spectrum
disorder
(ASD),
affective
disorders,
multiple
sclerosis
(MS)
Parkinson’s
disease
(PD).
Non-SCFAs
yielded
less
distinct
changes
faecal
healthy
controls,
majority
findings
were
derived
from
urinary
blood
samples.
Preclinical
studies
have
implicated
different
potentially
beneficial
detrimental
mechanisms
brain
diseases.
Examples
include
immunomodulation
catecholamine
production
by
histone
deacetylase
inhibition,
anti-inflammatory
effects
through
activity
aryl
hydrocarbon
receptor
involvement
protein
misfolding.
Overall,
our
highlight
existence
across
various
diseases,
potential
neuroactive
which
gut-derived
SCFAs,
p-cresol,
indole
derivatives
could
impact
development
progression.
summarized
this
review
lead
to
further
insights
into
gut–brain–axis
thus
diagnostic,
therapeutic
or
preventive
strategies
World Psychiatry,
Journal Year:
2024,
Volume and Issue:
23(1), P. 4 - 25
Published: Jan. 12, 2024
Borderline
personality
disorder
(BPD)
was
introduced
in
the
DSM‐III
1980.
From
to
DSM‐5,
no
major
changes
have
occurred
its
defining
criteria.
The
is
characterized
by
instability
of
self‐image,
interpersonal
relationships
and
affects.
Further
symptoms
include
impulsivity,
intense
anger,
feelings
emptiness,
strong
abandonment
fears,
suicidal
or
self‐mutilation
behavior,
transient
stress‐related
paranoid
ideation
severe
dissociative
symptoms.
There
evidence
that
BPD
can
be
reliably
diagnosed
differentiated
from
other
mental
disorders
semi‐structured
interviews.
associated
with
considerable
functional
impairment,
intensive
treatment
utilization,
high
societal
costs.
risk
suicide
high.
In
general
adult
population,
lifetime
prevalence
has
been
reported
0.7
2.7%,
while
about
12%
outpatient
22%
inpatient
psychiatric
services.
significantly
disorders,
including
depressive
substance
use
post‐traumatic
stress
disorder,
attention‐deficit/hyperactivity
bipolar
bulimia
nervosa,
disorders.
convincing
suggest
interaction
between
genetic
factors
adverse
childhood
experiences
plays
a
central
role
etiology
BPD.
spite
research,
neurobiological
underpinnings
remain
clarified.
Psychotherapy
choice
for
Various
approaches
empirically
supported
randomized
controlled
trials,
dialectical
behavior
therapy,
mentalization‐based
transference‐focused
schema
therapy.
No
approach
proved
superior
others.
Compared
as
usual,
psychotherapy
more
efficacious,
effect
sizes
0.50
0.65
regard
core
symptom
severity.
However,
almost
half
patients
do
not
respond
sufficiently
psychotherapy,
further
research
this
area
warranted.
It
clear
whether
some
may
benefit
one
psychotherapeutic
than
available
consistently
showing
any
psychoactive
medication
efficacious
features
For
discrete
comorbid
anxiety
psychotic‐like
features,
pharmacotherapy
useful.
Early
diagnosis
reduce
individual
suffering
high‐quality
studies
are
required,
both
adolescents
adults.
This
review
provides
comprehensive
update
clinical
characterization,
factors,
neurobiology,
cognition,
management.
also
discusses
current
controversies
concerning
highlights
areas
which
needed.
Psychological Medicine,
Journal Year:
2019,
Volume and Issue:
50(9), P. 1442 - 1451
Published: July 1, 2019
Establishing
neurobiological
markers
of
posttraumatic
stress
disorder
(PTSD)
is
essential
to
aid
in
diagnosis
and
treatment
development.
Fear
processing
deficits
are
central
PTSD,
their
neural
signatures
may
be
used
as
such
markers.Here,
we
conducted
a
meta-analysis
seven
Pavlovian
fear
conditioning
fMRI
studies
comparing
156
patients
with
PTSD
148
trauma-exposed
healthy
controls
(TEHC)
using
seed-based
d-mapping,
contrast
correlates
experimental
phases,
namely
conditioning,
extinction
learning,
recall.Patients
compared
TEHCs,
exhibited
increased
activation
the
anterior
hippocampus
(extending
amygdala)
medial
prefrontal
cortex
during
conditioning;
hippocampus-amygdala
regions
learning;
areas
recall.
Yet,
have
shown
an
overall
decreased
thalamus
all
phases
this
meta-analysis.Findings
from
metanalysis
suggest
that
characterized
by
related
salience
threat,
lower
thalamus,
key
relay
hub
between
subcortical
areas.
If
replicated,
these
network
alterations
serve
objective
diagnostic
for
potential
targets
novel
development,
including
pharmacological
brain
stimulation
interventions.
Future
longitudinal
needed
examine
whether
observed
alteration
cause
or
consequence
PTSD.
Journal of Neuroscience,
Journal Year:
2019,
Volume and Issue:
39(17), P. 3264 - 3276
Published: Feb. 19, 2019
Standard
fear
extinction
relies
on
the
ventromedial
prefrontal
cortex
(vmPFC)
to
form
a
new
memory
given
omission
of
threat.
Using
fMRI
in
humans,
we
investigated
whether
replacing
threat
with
novel
neutral
outcomes
(instead
just
omitting
threat)
facilitates
by
engaging
vmPFC
more
effectively
than
standard
extinction.
Computational
modeling
associability
(indexing
surprise
strength
and
dynamically
modulating
learning
rates)
characterized
skin
conductance
responses
activity
during
novelty-facilitated
but
not
Subjects
who
showed
faster
within-session
updating
also
expressed
better
retention
next
day,
as
through
responses.
Finally,
separable
patterns
connectivity
between
amygdala
ventral
versus
dorsal
mPFC
retrieval
memories,
respectively.
These
results
indicate
that
stimulates
involvement
trials,
leading
durable
long-term
memory.
SIGNIFICANCE
STATEMENT
Psychiatric
disorders
be
excessive
are
major
public
health
concern.
Popular
clinical
treatments,
such
exposure
therapy,
informed
principles
Pavlovian
Thus,
there
is
motivation
optimize
strategies
laboratory
so
ultimately
develop
effective
treatments.
Here,
used
functional
neuroimaging
humans
found
(rather
omitting)
expected
aversive
events
engages
learning.
Enhanced
diminished
threat-related
networks
(e.g.,
insula,
thalamus)
immediate
24
h
test.
This
evidence
for
how
behavioral
protocols
designed
enhance
affects
neurocircuitry
underlying
memories.