“数挫意阻”致焦虑:一种情志失调新假说探讨
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1.山东中医药大学 中医药创新研究院;2.山东中医药大学 实验中心;3.国家中医药管理局高水平中医药重点学科中医基础理论学科

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国家自然科学基金(NO. 82305065,82204958),山东省自然科学基金(ZR2023QH078, ZR2024QH185)


Anxiety caused by continuous and frustration: a new theoretical exploration of emotional disorders
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Shandong University of Chinese Medicine

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    摘要:

    焦虑作为一种主要的情绪障碍,表现为个体对未来威胁的预期,发病率约为7.3%,终生患病率位居首位,且与抑郁存在重叠机制,为多种精神疾病或称中医情志病证典型症状,共病率及致残率高, 严重危害人民健康。动物模型作为研究焦虑的重要载体,对破解焦虑发病机制及研发药物具有重要意义。但传统上的应激致焦虑公认范式却较为局限,本文基于“传统理论+临床数据+动物实验数据”提出一种“数挫意阻”致焦虑新假说,定义为“个体经过多次尝试后自身需求无法满足、需求受限或被剥夺,是一种因愿望受阻又无能为力时所诱发的焦虑状态”,本假说更加契合临床患者绝望放弃、快感缺乏和社交退缩典型表现,并契合“饥而不能食,食而不能得,得而不能饱”传统理论及实验数据支撑,据此建立的造模范式易于操作、重复性好、成本低廉,可用于建立大小鼠焦虑模型,为抗焦虑药物的研发及药效学评价提供理论和模型依据。

    Abstract:

    Anxiety, as a major emotional disorder, is manifested in the individual"s expectation of future threats. The incidence rate is about 7.3%, and the lifetime prevalence rate ranks first. There is an overlapping mechanism with depression. Anxiety is a typical symptom of a variety of mental diseases or emotional disorders in traditional Chinese medicine. The high rate of comorbidity and disability seriously endangers people"s health. Animal models, as important carriers for studying anxiety, are of great significance in deciphering the pathogenesis of anxiety and developing drugs. However, the traditional paradigm of stress-induced anxiety is relatively limited. Based on "traditional theory+clinical data+animal experimental data", this article proposes a new hypothesis of "multiple setbacks and obstructed intentions" causing anxiety, which is defined as "an anxiety state induced by the inability of an individual to meet their own needs, limited or deprived after multiple attempts, which is due to the inability of their desires to be hindered and powerless." This hypothesis is more in line with the typical manifestations of despair, lack of pleasure, and social withdrawal in clinical patients, and is supported by the traditional theory and experimental data of "hunger but unable to eat, food but unable to obtain, and gain but not full." Based on this, the modeling paradigm established is easy to operate, has good repeatability, and low cost, and can be used to establish anxiety models for rats and mice. To provide theoretical and model basis for the development and pharmacological evaluation of anti anxiety drugs.

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  • 收稿日期:2024-12-26
  • 最后修改日期:2025-06-27
  • 录用日期:2025-09-05
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