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鐤儏缁堝皢杩囧幓锛屽浣曠洿闈㈢ぞ浼氭姂閮佸垱浼わ紵

12.1鐭ヨ瘑鍒嗗瓙The Intellectual

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1

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2

鎶戦儊鐥囩殑鐥呭洜

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3

鎶戦儊鐥囩殑鐢熺墿瀛﹀熀纭€

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鎬讳綋鑰岃█锛屾姂閮佺棁鐨勭敓鐗╁鍩虹鍦ㄨ繃鍘诲嚑鍗佸勾闂村彇寰椾簡涓嶅皯杩涘睍銆傚洜涓烘姂閮佺棁鏄竴绉嶆瀬绔鏉傜殑绮剧闅滅锛岃繕闇€瑕佹洿澶氱殑鍩虹鐮旂┒鏉ラ槓杩板彂鐥呮満鍒跺強鎻愬嚭鏇村畬缇庢不鐤楁柟妗堛€?/p>

4

鎶戦儊鐥囩殑娌荤枟

鎶戦儊鐥囩殑娌荤枟鍖呮嫭鑽墿銆佺墿鐞嗗埡婵€锛堢數銆佺鍒烘縺锛夈€佽鐭ヨ涓虹枟娉曠瓑聽[17]銆?/p>

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5

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鐤儏瀵逛簬鍏ㄤ汉绫绘潵璇撮兘鏄竴涓瀬澶х殑蹇冪悊鍒涗机锛屽嵆渚跨柅鎯呯粨鏉燂紝淇杩欎簺鍒涗机涔熼渶瑕佷粯鍑烘瘮浠ュ線鏇村ぇ鐨勫姫鍔涖€傚ぉ鐏句笉鍙伩鍏嶏紝鑰屼笖鎴戝浗鐨勫簲瀵规€讳綋鐩稿綋鎴愬姛銆傚浜庡悗鐤儏鏃朵唬绀句細蹇冪悊鍋ュ悍鑰岃█锛屾皯浼楁帴鍙楀簲婵€鐨勬椂闂村拰姘村钩鑳藉惁闄嶄綆銆佸簲婵€鏄惁鍙互棰勬祴銆佸簲婵€涔嬪悗鏄惁鍙帶銆佷翰鎯呭弸鎯呮槸鍚﹁兘澶熸仮澶嶏紝閮芥槸闇€瑕佽€冭檻鐨勯棶棰橈紝闇€瑕佸叏绀句細鑰岄潪鍗曚竴閮ㄩ棬鐨勫姫鍔涖€傛垜鏈熷緟绀句細鍙婃棭鍙戝竷鏈夋槑纭噷绋嬬鐨勯噸鏂板紑鏀捐鍒掞紝鏁欒偛鍜屽紩瀵煎叕浼楁憜鑴卞浜庣梾姣掔殑闀挎湡鎭愭儳锛屽闈掑皯骞磋鍔犲ぇ蹇冪悊杈呭锛屽姫鍔涢檷浣庢皯浼楃敓娲诲帇鍔涖€佹彁鍑烘洿鏈夌ǔ瀹氭€х殑绠$悊鎺柦銆佽浜哄彲浠ュ彂鎸ヤ釜浜哄垱閫犲姏骞跺緱浠ユ彁楂樿嚜韬殑鐢熸椿姘村噯锛岄紦鍔卞拰鎺ㄥ姩绀句細浜ゅ線锛屼粠鑰岃揪鍒版彁楂樺叏绀句細鐨勫績鐞嗗仴搴风殑鐩殑銆?/p>

鐗瑰埆璇存槑锛?/strong>

a)聽鏈汉鎵嶇枏瀛︽祬锛屾鐭枃涔冧竴瀹朵箣瑷€锛屽繀鏈変笉瓒冲拰閿欒涔嬪锛岃瘹鎭虫帴鍙楁壒璇勬寚姝o紱

b)聽鏈汉鍋氬熀纭€鐮旂┒锛屼笉鏄复搴婂尰鐢燂紝鍥犳鏈枃涓嶅彲鏇夸唬鍖荤敓鐨勪笓涓氳瘖鏂拰寤鸿锛?/p>

c)聽鏈汉瑷€璁轰笉浠h〃浠讳綍鏈烘瀯銆?/p>

聽鍙傝€冩枃鐚細锛堜笂涓嬫粦鍔ㄥ彲娴忚锛?/p>

1.Uher, Rudolf, et al. "Major depressive disorder in DSM鈥?: Implications for clinical practice and research of changes from DSM4." Depression and anxiety聽31.6 (2014): 459-471.

2.Matthews, Timothy, et al. "Social isolation, loneliness and depression in young adulthood: a behavioural genetic analysis."聽Social psychiatry and psychiatric epidemiology聽51.3 (2016): 339-348.

3.Benazzi, Franco. "Various forms of depression."聽Dialogues in clinical neuroscience聽(2022).

4.US聽National聽Institute of Health. Major Depression. https://www.nimh.nih.gov/health/statistics/major-depression#

5.Qin, Xuezheng, Suyin Wang, and Chee-Ruey Hsieh. "The prevalence of depression and depressive symptoms among adults in China: estimation based on a National Household Survey."聽China Economic Review聽51 (2018): 271-282.

6.L茅pine, Jean-Pierre, and Mike Briley. "The increasing burden of depression."聽Neuropsychiatric disease and treatment聽7.Suppl 1 (2011): 3.

7.Flint, Jonathan, and Kenneth S. Kendler. "The genetics of major depression."聽Neuron聽81.3 (2014): 484-503.

8.Mullins, Niamh, and Cathryn M. Lewis. "Genetics of depression: progress at last."聽Current psychiatry reports聽19.8 (2017): 1-7.

9.Shadrina, Maria, Elena A. Bondarenko, and Petr A. Slominsky. "Genetics factors in major depression disease."聽Frontiers in psychiatry聽9 (2018): 334.

10.Kessler, Ronald C., et al. "Prevalence, correlates, and course of minor depression and major depression in the National Comorbidity Survey."聽Journal of affective disorders聽45.1-2 (1997): 19-30.

11.Heim, Christine, and Elisabeth B. Binder. "Current research trends in early life stress and depression: Review of human studies on sensitive periods, gene鈥揺nvironment interactions, and epigenetics."聽Experimental neurology聽233.1 (2012): 102-111.

12.Himmerich, Hubertus, et al. "Cytokine research in depression: principles, challenges, and open questions."聽Frontiers in Psychiatry聽10 (2019): 30.

13.Hirschfeld, Robert MA. "History and evolution of the monoamine hypothesis of depression."聽Journal of clinical psychiatry聽61.6 (2000): 4-6.

14.Jia, Xiaoning, Zhihua Gao, and Hailan Hu. "Microglia in depression: current perspectives."聽Science China Life Sciences聽64.6 (2021): 911-925.

15.Pandya, Mayur, et al. "Where in the brain is depression?."聽Current psychiatry reports聽14.6 (2012): 634-642.

16.Williams, Leanne M. "Precision psychiatry: a neural circuit taxonomy for depression and anxiety."聽The Lancet Psychiatry聽3.5 (2016): 472-480.

17.Al-Harbi, Khalid Saad. "Treatment-resistant depression: therapeutic trends, challenges, and future directions."聽Patient preference and adherence聽6 (2012): 369.

18.Cipriani, Andrea, et al. "Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: a systematic review and network meta-analysis."聽Focus聽16.4 (2018): 420-429.

19.De Gregorio, Danilo, et al. "Hallucinogens in mental health: preclinical and clinical studies on LSD, psilocybin, MDMA, and ketamine."聽Journal of Neuroscience聽41.5 (2021): 891-900.

20.Young, Jeffrey E., et al. "Cognitive therapy for depression." (2014).

21.Sterling, Peter. 鈥淎 Neuroscientist Evaluates the Standard Biological Model of Depression鈥? https://www.madinamerica.com/2022/10/neuroscientist-evaluates-depression/ (2022)

22.Blackburn鈥怣unro, Gordon, and R. E. Blackburn鈥怣unro. "Chronic pain, chronic stress and depression: coincidence or consequence?."聽Journal of neuroendocrinology聽13.12 (2001): 1009-1023.

23.Chiba, Shuichi, et al. "Chronic restraint stress causes anxiety-and depression-like behaviors, downregulates glucocorticoid receptor expression, and attenuates glutamate release induced by brain-derived neurotrophic factor in the prefrontal cortex."聽Progress in Neuro-Psychopharmacology and Biological Psychiatry聽39.1 (2012): 112-119.

24.缃戞槗鏂伴椈. 鈥滅幇瀹炵増澶ч€冧骸锛氬瘜澹悍鍛樺伐寰掓杩斾埂锛岀疮鍒版湁姘旀棤鍔涳紝杩樻湁100鍏噷鈥?https://www.163.com/dy/article/HL14M85B0548B0VJ.html.

25.鍑ゅ嚢缃戞柊闂? "鎯婃厡澶辨帾锛佷笂娴蜂竴楂樻牎瀛︾敓闆嗕綋鐤媯閫冨嚭鏍″洯" https://fashion.ifeng.com/c/8Kf65RW6wuN.

26.涓崕浜烘皯鍏卞拰鍥藉浗瀹跺崼鐢熷仴搴峰鍛樹細.聽鈥滅柅鎯呴€氭姤鈥?聽http://www.nhc.gov.cn/xcs/yqtb/list_gzbd.shtml.

27.Burger, Jerry M., and Robert M. Arkin. "Prediction, control, and learned helplessness."聽Journal of Personality and Social Psychology聽38.3 (1980): 482.

28.Anisman, Hymie, and Kim Matheson. "Stress, depression, and anhedonia: caveats concerning animal models."聽Neuroscience & Biobehavioral Reviews聽29.4-5 (2005): 525-546.

29.Antoniuk, Svitlana, et al. "Chronic unpredictable mild stress for modeling depression in rodents: Meta-analysis of model reliability."聽Neuroscience & Biobehavioral Reviews聽99 (2019): 101-116.

30.Zack, Martin, Ross St George, and Luke Clark. "Dopaminergic signaling of uncertainty and the aetiology of gambling addiction."聽Progress in Neuro-Psychopharmacology and Biological Psychiatry聽99 (2020): 109853.

31.Jin, Yan. "Making sense sensibly in crisis communication: How publics鈥?crisis appraisals influence their negative emotions, coping strategy preferences, and crisis response acceptance."聽Communication Research聽37.4 (2010): 522-552.

32.Silfver, Mia. "Coping with guilt and shame: A narrative approach."聽Journal of Moral Education聽36.2 (2007): 169-183.

33.Fareri, Dominic S., and Mauricio R. Delgado. "Social rewards and social networks in the human brain."聽The Neuroscientist聽20.4 (2014): 387-402.

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