上海交通大学学报(医学版) ›› 2024, Vol. 44 ›› Issue (4): 518-524.doi: 10.3969/j.issn.1674-8115.2024.04.013
• 综述 • 上一篇
收稿日期:
2023-06-19
接受日期:
2024-02-06
出版日期:
2024-04-28
发布日期:
2024-04-28
通讯作者:
吕钦谕
E-mail:hscxth@163.com;lvqinyu_louis@163.com
作者简介:
何 山(1995—),男,住院医师,硕士;电子信箱:hscxth@163.com。
基金资助:
HE Shan1(), LÜ Qinyu1,2(
), YI Zhenghui1,2
Received:
2023-06-19
Accepted:
2024-02-06
Online:
2024-04-28
Published:
2024-04-28
Contact:
Lü Qinyu
E-mail:hscxth@163.com;lvqinyu_louis@163.com
Supported by:
摘要:
青少年的非自杀性自伤行为(non-suicidal self-injury,NSSI)正逐渐成为全世界关注的精神心理问题。在全球范围内,NSSI的检出率呈现逐年增长的趋势,其检出群体有低龄化的趋势。与既往传统的观点有所不同,NSSI行为不仅存在于有情绪障碍或精神病性障碍的群体中,还可能存在于品行障碍、物质使用障碍和神经发育障碍等群体;其特征和神经生理机制也与单纯的自杀行为和观念存在差异。NSSI青少年往往在学业、社交等多方面存在困难和问题,这些问题往往又都与个体的执行功能障碍存在关联。执行功能的成分众多,不同成分的损害提示个体存在相应的功能缺陷。目前的研究发现,包括注意力、工作记忆、抑制功能在内的执行功能障碍与NSSI发生存在关联,甚至能预测未来NSSI的发生。此外,越来越多的研究也证实,与正常儿童青少年群体相比,NSSI群体存在脑部功能及结构的差异;其中部分研究者通过应用执行功能的相关范式获得了NSSI青少年任务态磁共振影像和神经电生理学的证据。该文就近几年NSSI青少年的执行功能障碍及其神经机制方面的研究进行综述。
中图分类号:
何山, 吕钦谕, 易正辉. 非自杀性自伤青少年执行功能障碍的研究进展[J]. 上海交通大学学报(医学版), 2024, 44(4): 518-524.
HE Shan, LÜ Qinyu, YI Zhenghui. Research progress in executive dysfunction among adolescents with non-suicidal self-injury[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2024, 44(4): 518-524.
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