综述与专论: 经颅磁刺激和经颅直流电刺激在调控大脑共情功能中的应用
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作者:
作者单位:

1)成都中医药大学基础医学院,成都 611137;2)电子科技大学生命科学与技术学院,成都 610054

作者简介:

Tel: 028-83208889, E-mail: liling@uestc.edu.cnTel: 86-28-83208889, E-mail: liling@uestc.edu.cn

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基金项目:

国家自然科学基金(62176045) 和成都中医药大学“杏林学者” 苗圃人才专项(MPRC2021024) 资助。


Review: Application of Transcranial Magnetic Stimulation (TMS) and Transcranial Direct Current Stimulation (tDCS) Techniques in The Regulation of Empathy
Author:
Affiliation:

1)School of Basic Medical Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China;2)School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610054, China

Fund Project:

This work was supported by grants from The National Natural Science Foundation of China (62176045) and Chengdu University of Traditional Chinese Medicine “Xinglin Scholars” Special Project (MPRC2021024).

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    摘要:

    共情可以帮助人们建立和谐的人际关系,更好地适应现实社会,是一种重要的社会认知功能。已有研究表明,诸多神经和精神类疾病的发生发展和复发与共情缺陷有关。非侵入性脑刺激技术(经颅磁刺激和经颅直流电刺激)可以通过调节大脑皮层兴奋性来调控个体的共情水平,缓解共情缺陷症状。针对健康群体使用该技术的现有证据显示:内侧前额叶、初级运动皮层、额下回、背外侧前额叶和颞顶交界处的活动有助于提升个体的认知共情水平,其中双侧背外侧前额叶的活动还有助于下调个体的情感共情水平,而右侧颞顶交界处的活动则可以增强自我表征从而支持个体在共情时进行自我和他人的区分。少数针对共情缺陷群体使用该技术的临床证据提示,增强左侧背外侧前额叶和内侧前额叶的活动可以分别提升精神疾病和神经退行性疾病患者的认知共情水平。未来的研究应探讨在统一的行为测量范式下针对不同刺激参数和刺激位点进行共情干预研究,通过融合其他神经生理技术进一步考察非侵入性脑刺激技术改善共情功能的作用机制,并考虑个体差异性对大脑共情功能干预效果的影响。

    Abstract:

    As an important social cognitive function, empathy can help people establish harmonious interpersonal relationship and better adapt to the real society. Previous studies have shown that the occurrence, development and recurrence of many neurological and psychiatric diseases are related to empathy deficit. By modulating cortical excitability, non-invasive brain stimulation techniques (transcranial magnetic stimulation and transcranial direct current stimulation) can regulate the individual’s level of empathy and alleviate the symptoms of empathy deficit. The available evidence from healthy populations shows that the activities of the medial prefrontal cortex, the primary motor cortex, the inferior frontal gyrus, the dorsolateral prefrontal cortex and the temporoparietal junction help improve cognitive empathy. The activities of the bilateral dorsolateral prefrontal cortex can also help to down-regulate the level of affective empathy, while the activities of the right temporoparietal junction can enhance self-representation and support the self-other discrimination during empathy. There is a small amount of clinical evidence suggest that enhancing the activities of the left dorsolateral prefrontal cortex and the medial prefrontal cortex can improve cognitive empathy in patients with psychiatric and neurodegenerative diseases, respectively. Future research should explore empathy intervention with different stimulus parameters and stimulus sites under a unified behavioral measurement, and further investigate the mechanism of non-invasive brain stimulation in improving empathy by integrating other neurophysiological techniques. The effects of individual differences on brain intervention should also be considered.

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李芸,李凌.综述与专论: 经颅磁刺激和经颅直流电刺激在调控大脑共情功能中的应用[J].生物化学与生物物理进展,2023,50(10):2420-2436

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历史
  • 收稿日期:2022-11-01
  • 最后修改日期:2023-09-05
  • 接受日期:2023-02-21
  • 在线发布日期: 2023-10-20
  • 出版日期: 2023-10-20