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181 0 _ai
182 0 _ab
200 1 _aCircuits regulating pleasure and happiness in major depression
_fA. J. M. Loonen, S. A. Ivanova
203 _aText
_celectronic
300 _aTitle screen
320 _a[References.: p. 20-21 (58 tit.)]
330 _aThe introduction of selective serotonin reuptake inhibitors has gradually changed the borders of the major depression disease class. Anhedonia was considered a cardinal symptom of endogenous depression, but the potential of selective serotonin reuptake inhibitors to treat anxiety disorders has increased the relevance of stress-induced morbidity. This shift has led to an important heterogeneity of current major depressive disorder. The complexity can be disentangled by postulating the existence of two different but mutually interacting neuronal circuits regulating the intensity of anhedonia (lack of pleasure) and dysphoria (lack of happiness). These circuits are functionally dominated by partly closed limbic (regulating misery-fleeing behaviour) and extrapyramidal (regulating reward-seeking behaviour) cortico-striato-thalamo-cortical (CSTC) circuits. The re-entry circuits include the shell and core parts of the accumbens nucleus, respectively. Pleasure can be considered to result from finding relief from the hypermotivation to exhibit rewarding behaviour, and happiness from finding relief from negative or conflicting circumstances. Hyperactivity of the extrapyramidal CSTC circuit results in craving, whereas hyperactivity of the limbic system results in dysphoria.
333 _aРежим доступа: по договору с организацией-держателем ресурса
461 _tMedical Hypotheses
_d1975-
463 _tVol. 87
_v[P. 14–21]
_d2016
610 1 _aэлектронный ресурс
610 1 _aтруды учёных ТПУ
700 1 _aLoonen
_bA. J. M.
701 1 _aIvanova
_bS. A.
_cspecialist in the field of ecology and life safety
_cProfessor of Tomsk Polytechnic University, doctor of medical sciences
_f1964-
_gSvetlana Aleksandrovna
_2stltpush
_3(RuTPU)RU\TPU\pers\33859
712 0 2 _aНациональный исследовательский Томский политехнический университет (ТПУ)
_bИнститут неразрушающего контроля (ИНК)
_bКафедра экологии и безопасности жизнедеятельности (ЭБЖ)
_h4850
_2stltpush
_3(RuTPU)RU\TPU\col\18720
801 2 _aRU
_b63413507
_c20160505
_gRCR
856 4 _uhttp://dx.doi.org/10.1016/j.mehy.2015.12.013
942 _cCF