用药动作线索诱发海洛因戒断者的镜像神经活动:一项fMRI研究

相关线索能够诱发药物依赖者的心理渴求,而健康人不会对相关线索产生心理渴求。15名海洛因成瘾者和12名没有任何物质滥用的健康被试参与实验,收集了他们在观看相关线索与对照线索时的脑神经活动。结果发现,药物线索能够诱发戒断者更多脑区的活动,包括扣带回和楔前叶。两组被试在对照动作线索刺激诱发作用下,其颞叶、顶叶均出现了较为一致的活动。在用药动作线索诱发作用下,戒断组双侧颞中回、双侧顶下小叶、左侧顶上小叶和右侧额下回显示出显著活动,并且与对照动作线索激活脑区一致;健康组被试除枕叶-颞叶联合区外,没有出现显著的脑区活动。以上结果表明,用药动作线索诱发了海洛因戒断者颞中回、顶下小叶、额下回等镜像神经系统的活动,这些脑区对不同类型的相关线索十分敏感,它们可能通过对用药动作的心理模拟,参与了用药动作线索的快速自动化加工。     

奖赏对海洛因成瘾者执行功能的影响机制

一些研究发现海洛因成瘾者奖赏失调表现为:对海洛因相关线索的注意偏向、渴求感增加,对金钱奖赏表现出"即时收益优先"的高风险决策模式和对长时收益的敏感性降低。另一些研究发现海洛因成瘾者的执行功能存在障碍。奖赏失调和执行功能障碍在成瘾物质使用的维持和复吸中起着重要作用。双重竞争模型认为奖赏和执行功能的交互作用决定着行为的结果,但是奖赏对海洛因成瘾者执行功能的影响机制还不清楚。因此,拟使用事件相关电位技术来考察海洛因相关线索和金钱奖赏对不同戒断期成瘾者执行功能的影响机制,短期(1~3个月)、长期(18个月以上)海洛因戒断者和健康对照组被比较。这不仅有助于构建完善的成瘾理论体系,还有助于确定临床戒断后复吸的风险因素和不同戒断期的治疗目标。     

藏汉双语者汉语阅读理解的静息态功能连接分析

研究结合静息态全脑功能连接密度和基于种子点的功能连接（FC）分析考察了藏汉双语者汉语（L2）阅读各子能力（细节捕捉和推理判断）的固有脑功能组织特点。结果发现左侧额下回—左侧颞上回和右侧舌回—右侧中央前回之间的FC值均与细节捕捉题得分和推理判断题得分呈显著正相关,但是左侧额下回—右侧顶下小叶之间的FC值只与推理判断题得分呈显著正相关。表明藏汉双语者汉语阅读各子能力之间既有重叠的又有不同的功能连接通路。     

不同相关线索下海洛因成瘾者的反应差异及反应抑制特征：来自ERP的证据

采用ERP技术, 探究海洛因成瘾者在不同相关线索下的脑电反应及其与冲动性的关系。实验采用组间实验设计和双选择Oddball范式, 要求海洛因成瘾组和健康对照组被试对标准刺激与偏差刺激分别做不同的按键反应, 记录他们的EEG数据。结果发现：相比对照组被试, 海洛因成瘾者在观看药物相关线索时诱发的N2波幅更小, P3波幅更大; 在成瘾组内, 相比用药工具线索, 用药动作线索诱发了更小的N2波幅和更大的P3波幅。这表明海洛因成瘾者对药物相关线索存在反应抑制缺陷, 且不同的药物相关线索会激发海洛因成瘾者不同程度的反应抑制缺陷, 用药动作线索比用药工具线索更大程度地影响成瘾者的反应抑制能力, 反映出更高的动作冲动性。     

不同药物相关线索反应下感觉-运动脑区的激活及作用

药物相关线索反应不仅表现在心理渴求, 也表现在强迫性用药行为上。相关线索下, 除包括奖赏环路在内的边缘系统被激活外, 感觉-运动脑区也被激活, 引发自动化动作图式的表达, 这对相关线索反应及复吸行为具有特殊的意义。是否所有相关线索都会激活感觉-运动脑区, 目前, 还不清楚, 而这对临床治疗具有重要意义。本研究采用磁共振扫描, 生理测试等方法探索了不同类型相关线索下, 海洛因成瘾戒断者的大脑激活状况, 试图了解他们在不同线索刺激下的大脑反应。采用组内实验设计, 测量29名海洛因成瘾者相关线索反应下的血氧水平。结果发现, 相比对照线索, 所有药物相关线索, 包括药物、用药工具、用药动作线索都更多激活扣带回、海马、舌回、梭回等与奖赏机制相关的脑区; 而不同类型的药物相关线索之间的比较则显示, 用药工具和用药动作线索更多激活了双侧颞中回、双侧顶下小叶、左侧顶上小叶和右侧额下回等感觉-运动脑区。用药动作线索比单纯药物和用药工具线索, 激活了更为广泛的动作脑区。由此, 我们认为药物相关线索导致成瘾者大脑中奖赏和感觉-动作两套系统被激活, 包含用药工具、用药动作在内的相关线索会激活更多的感觉-运动脑区。     

外显和内隐情绪韵律加工的脑机制：近红外成像研究

准确识别言语中的情绪韵律信息对社会交往非常重要。本研究采用功能近红外成像技术, 探索外显和内隐情绪加工条件下愤怒、恐惧、快乐三种情绪韵律加工过程中的大脑皮层神经活动。结果表明, 对愤怒、恐惧、快乐韵律进行特异性加工的脑区分别为左侧额极/眶额叶、右侧缘上回、左侧额下回, 其中右侧缘上回脑区同时受到情绪和任务的调控。此外, 右侧颞中回、颞下回和颞极在情绪外显任务中的激活明显强于内隐任务。本研究的结果部分支持了情绪韵律的层次模型, 也对该模型的第三层次, 即“额区对语音情绪信息的精细加工需要外显性情绪加工任务参与”提出了质疑。     

记忆汉字和英语单词的差异脑区研究

通过英文词和汉字的记忆实验,探讨储存和提取不同阶段汉字与英文的脑加工差异。采用经典的"学习-再认"实验范式,8名大学生进行英文与汉字记忆和再认测验,fMRI采集数据,AFNI软件进行预处理、多元回归及ANOVA组分析统计语言差异。结果显示:汉字记忆减英文记忆激活右扣带回;英文记忆减汉字记忆激活右颞上回(BA38)、左扣带回(BA31)、左小脑扁桃体。汉字再认减英文再认的差异脑区为小脑扁桃体、左颞上回。英文再认减汉字再认在0.05水平上没有脑区差异。汉字记忆激活左侧梭状回、右舌回、左顶上小叶、左额下回;英文记忆激活右舌回、左内侧前额叶、左中央前回、左额中回。汉字再认激活左枕下回、左顶下小叶、右额下回、左额中回、右豆状核、左小脑扁桃体、左颞上回、右内侧前额叶。英文再认激活右舌回、左额上回、左顶下小叶、额下回、左中央前回、右顶上小叶、豆状核、右侧尾状核、左中央后回、左侧丘脑。本研究发现:(1)记忆的差异性统计激活颞叶,表明颞叶是记忆存储脑区;(2)学习和记忆阶段有额叶、顶叶激活,表明这些脑区参与文字加工;(3)英文再认比汉字再认激活更多脑区,花费更多的脑资源。     

冲动还是习惯?成瘾不同阶段中冲动性的性质与机制

冲动性是一种缺乏充分思考、不顾后果的冒险行为或行为倾向, 它既表现在人格特质中, 也会表现为各类环境中的行为。成瘾者具有典型的冲动性特征, 但成瘾者的冲动性是如何影响和促进成瘾行为的发生、发展, 目前还并不明朗。从成瘾形成的不同阶段, 也许可以对此有更进一步的了解。在药物使用的开始阶段, 冲动性人格特质作为动机原因, 促进成瘾物质的首次使用; 接着操作性条件学习导致用药者进入“目标-导向”阶段, 呈现出选择冲动性。第三阶段, 经典条件学习又使相关线索和药物效应不断匹配, 形成条件反射性药物使用行为。成瘾者进入习惯性用药阶段, 表现出显著的停止冲动性。     

提示潜在机会成本对男性海洛因戒断者跨期决策的改善

由于物质成瘾者的跨期决策缺陷在成瘾行为发生、发展及戒断预后中的重要作用,其已成为成瘾研究中的一个靶向干预目标。研究旨在检验提示潜在机会成本能否有效改善男性海洛因戒断者的跨期决策。两个实验分别选取男性海洛因戒断者30名与27名,让其在提示潜在机会成本和未提示潜在机会成本两种决策条件下,分别完成金钱跨期决策任务与海洛因-金钱跨类别延迟折扣任务。结果发现,提示潜在机会成本可以显著减少男性海洛因戒断者在金钱跨期决策任务中选择即时金钱奖赏的数量,但未能显著降低其在海洛因-金钱跨类别延迟折扣任务中的延迟折扣水平。研究结果表明,提示潜在机会成本可以改善男性海洛因戒断者在金钱跨期决策中的短视倾向,但无法改善其在海洛因-金钱跨类别跨期决策中的短视倾向。     

读写分离的脑神经机制：来自fMRI的证据

使用只读不写的繁体字和会读会写的简体字材料, 以默读为实验任务, 探讨“会读会写”与“只读不写”文字的加工脑区。8名在校大学生在磁共振扫描过程中默读呈现的繁体字或简体字, 采用ANOVA统计全脑激活图。与简体字相比, 繁体字额外激活了右额下回、左小脑。在功能连接性上, 简体字和繁体字相同的激活脑区有左楔前叶-左内侧前额叶, 左楔前叶-左中央前回, 右枕中回-左舌回; 不同的是, 繁体字左楔前叶与右额下回有高相关, 而简体字左楔前叶与右额中回有高相关。左内侧前额叶与中央前回只在繁体字中表现出高相关。繁体字和简体字任务的T检验差异脑区包括左颞中回和右顶下小叶。只读不写的文字具有加工的整体性和轮廓性特征, 它的读音与不规则简体字相似, 具有整字加工特点。繁体字和简体字加工具有相同的功能连接区, 但也存在差异。右脑表现为连接脑区不同, 左脑内侧前额叶与中央前回表现为相关性不同, 说明内侧前额叶-中央前回在繁体字加工中起着重要作用。实验结果还证明顶叶是记忆再认的主要脑区。     

Differences in feedback- and inhibition-related neural activity in adult ADHD

The objective of this study was to examine response inhibition- and feedback-related neural activity in adults with attention deficit hyperactivity disorder (ADHD) using event-related functional MRI. Sixteen male adults with ADHD and 13 healthy/normal controls participated in this study and performed a modified Go/NoGo task. Behaviourally, attention and inhibition problems in the ADHD group were observed; no feedback-related differences between the groups were detected. The neuroimaging data showed that the ADHD group displayed more activation in the inferior frontal gyrus and putamen during response inhibition. During feedback-related processes, the ADHD group displayed less activation in the inferior frontal/orbitofrontal cortex, hippocampus/nucleus accumbens, and caudate nucleus, but more activity in the inferior frontal gyrus. These results indicate that at least two distinguishable underlying brain networks related to response inhibition and feedback are altered in adults with ADHD.     

海洛因依赖者抑制控制功能的损伤机制及其可逆性

抑制控制障碍是海洛因依赖者认知功能受损的核心问题, 是影响复吸的关键因素。大量研究证实了海洛因依赖者抑制控制功能的受损, 并且发现长期药物滥用者额叶、前扣带回皮层、中脑腹侧被盖区、伏隔核、脑岛等相关脑区活动存在异常。以往研究表明海洛因依赖者抑制控制功能受损是一种持久性的、不可逆的脑损伤, 但最近一些研究却提供了毒品戒断者抑制控制功能生物性恢复的证据。未来的研究应该更加关注多重冲突条件下海洛因依赖者抑制控制功能的研究, 并且在戒毒实践中根据海洛因戒断者自身特点进行区分性治疗。     

The effects of sport dance on brain connectivity and body intelligence

Dancing is characterised by physical movement in accordance with rhythm perception. Twelve sport dancers and 12 age- and sex-matched young adults who had no dance experience (control group) were recruited. Body intelligence and brain activity were assessed in both groups using the Body Intelligence Scale (BIS) and resting state functional magnetic resonance imaging. BIS scores of dancers were higher than those of control subjects. The dancer group showed increased functional connectivity from the precentral gyrus to the right cingulate gyrus, right occipital fusiform gyrus, right inferior frontal gyrus, right medial frontal gyrus, left inferior frontal gyrus, right parietal postcentral gyrus, and right frontal lobe compared with control subjects. Sport dancers had increased body intelligence sensitivity compared with matched controls. In addition, the characteristics of dance, including physical movement in accordance with rhythm perception, might be associated with increased brain activity in the somatosensory and rhythm perception networks.     

强迫性特征在药物成瘾行为中的易感性及其前额叶-反奖赏系统神经基础

强迫性是一种与不顾严重后果的固着行为密切相关的神经心理结构, 大脑神经系统对强迫性行为的调控机制崩溃是导致药物成瘾的直接原因。以往研究对于奖赏系统(中脑-皮层-边缘神经环路)在成瘾行为中的作用及机制已经具有丰富的了解, 但针对药物成瘾的强迫性特征本身以及前额叶-反奖赏系统神经环路在成瘾行为中的作用机制了解有限, 尤其是缺乏对药物成瘾强迫性特征的系统考察、缺少遗传学研究以及非兴奋剂类药物的汇聚证据。项目拟结合人类成瘾行为的遗传学视角(海洛因成瘾者与其无药物使用的兄弟姐妹对照), 结合神经认知、脑电生理、神经影像等不同层面的方法和技术, 对药物成瘾强迫性的外在表征、神经生物学基础以及与个体差异有关的遗传易感性进行探索, 期在进一步识别药物成瘾的神经生物标记, 为探寻潜在的药物或非药物干预靶点提供更多证据。     

Gray matter density negatively correlates with duration of heroin use in young lifetime heroin-dependent individuals

Numerous studies have documented cognitive impairments and hypoactivity in the prefrontal and anterior cingulate cortices in drug users. However, the relationships between opiate dependence and brain structure changes in heroin users are largely unknown. In the present study, we measured the density of gray matter (DGM) with voxel-based morphometry in 30 lifetime heroin-dependent individuals who had abstained from drug use for 5 months, and 34 healthy participants. The DGM of the prefrontal, temporal and cingulate cortices significantly decreased in heroin addicts relative to the healthy group. Critically, partial correlation analysis, which controlled for age, education and gender factors as well as nicotine use and heroin abstinence duration, showed that the duration of heroin use negatively correlated with the DGM in heroin-dependent individuals. These results provide compelling evidence for structural abnormality in heroin-dependent individuals and further suggest that duration of heroin use is a critical factor leading to brain damage.     

Gray matter density negatively correlates with duration of heroin use in young lifetime heroin-dependent individuals

Numerous studies have documented cognitive impairments and hypoactivity in the prefrontal and anterior cingulate cortices in drug users. However, the relationships between opiate dependence and brain structure changes in heroin users are largely unknown. In the present study, we measured the density of gray matter (DGM) with voxel-based morphometry in 30 lifetime heroin-dependent individuals who had abstained from drug use for 5 months, and 34 healthy participants. The DGM of the prefrontal, temporal and cingulate cortices significantly decreased in heroin addicts relative to the healthy group. Critically, partial correlation analysis, which controlled for age, education and gender factors as well as nicotine use and heroin abstinence duration, showed that the duration of heroin use negatively correlated with the DGM in heroin-dependent individuals. These results provide compelling evidence for structural abnormality in heroin-dependent individuals and further suggest that duration of heroin use is a critical factor leading to brain damage.     

Altered topological patterns of large-scale brain functional networks during passive hyperthermia

In this study, we simulated environmental heat exposure to 18 participants, and obtained functional magnetic resonance image (fMRI) data during resting state. Brain functional networks were constructed over a wide range of sparsity threshold according to a prior atlas dividing the whole cerebrum into 90 regions. Results of graph theoretical approaches showed that although brain networks in both normal and hyperthermia conditions exhibited economical small-world property, significant alterations in both global and nodal network metrics were demonstrated during hyperthermia. Specifically, a lower clustering coefficient, maintained shortest path length, a lower small-worldness, a lower mean local efficiency were found, indicating a tendency shift to a randomized network. Additionally, significant alterations in nodal efficiency were found in bilateral gyrus rectus, bilateral parahippocampal gyrus, bilateral insula, right caudate nucleus, bilateral putamen, left temporal pole of middle temporal gyrus, right inferior temporal gyrus. In consideration of physiological system changes, we found that the alterations of normalized clustering coefficient, small-worldness, mean normalized local efficiency were significantly correlated with the rectal temperature alteration, but failed to obtain significant correlations with the weight loss. More importantly, behavioral attention network test (ANT) after MRI scanning showed that the ANT effects were altered and correlated with the alterations of some global metrics (normalized shortest path length and normalized global efficiency) and prefrontal nodal efficiency (right dorsolateral superior frontal gyrus, right middle frontal gyrus and left orbital inferior frontal gyrus), implying behavioral deficits in executive control effects and maintained alerting and orienting effects during passive hyperthermia. The present study provided the first evidence for human brain functional disorder during passive hyperthermia according to graph theoretical analysis using resting-state fMRI.     

概化理论预算限制下最佳样本量估计

概化理论广泛应用于各种心理测评实践中。当有预算限制时,概化理论需要考虑如何设计一个测量可靠性相对较高且可行性也相对较强的测量程序,这就要求通过某些途径估计最佳样本量。拉格朗日乘法是概化理论预算限制下最佳样本量估计较为成熟的方法。探讨了概化理论预算限制下最佳样本量估计的一些影响因素,如受总预算舍入的影响等,也提出了一些后续改善的建议,如推导出拉格朗日乘法的统一公式等     

网络游戏成瘾与海洛因成瘾存在相同的神经机制吗?——基于MRI的证据

网游成瘾与海洛因成瘾具有许多相似的临床表现,但其神经机制是否相同还不得而知。综合近5年来的MRI研究发现,两类成瘾存在部分相同区域的脑结构和功能损害,且在成瘾线索诱发下二者的4个成瘾相关环路(认知控制环路、奖赏环路、动机环路和记忆-学习环路)均出现了广泛而增强的脑区激活反应。但海洛因成瘾的脑损害区域偏向更高级的认知控制环路和奖赏环路,损害范围也更广(4个环路的功能连通性均降低),而网游成瘾的脑损害主要发生在相对低级的记忆-学习环路和动机环路,损害范围也较窄(功能连通性降低只发生在认知控制和记忆-学习环路之间)。这些结果说明,两类成瘾行为的神经机制既有相同点,又有差异性。