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Neurosci Biobehav Rev ; 111: 199-228, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32001274

RESUMO

Sadness is typically characterized by raised inner eyebrows, lowered corners of the mouth, reduced walking speed, and slumped posture. Ancient subcortical circuitry provides a neuroanatomical foundation, extending from dorsal periaqueductal grey to subgenual anterior cingulate, the latter of which is now a treatment target in disorders of sadness. Electrophysiological studies further emphasize a role for reduced left relative to right frontal asymmetry in sadness, underpinning interest in the transcranial stimulation of left dorsolateral prefrontal cortex as an antidepressant target. Neuroimaging studies - including meta-analyses - indicate that sadness is associated with reduced cortical activation, which may contribute to reduced parasympathetic inhibitory control over medullary cardioacceleratory circuits. Reduced cardiac control may - in part - contribute to epidemiological reports of reduced life expectancy in affective disorders, effects equivalent to heavy smoking. We suggest that the field may be moving toward a theoretical consensus, in which different models relating to basic emotion theory and psychological constructionism may be considered as complementary, working at different levels of the phylogenetic hierarchy.


Assuntos
Sistema Nervoso Autônomo , Córtex Cerebral , Epigênese Genética/fisiologia , Interocepção , Transtornos do Humor , Rede Nervosa , Neurociências , Teoria Psicológica , Tristeza/fisiologia , Sistema Nervoso Autônomo/metabolismo , Sistema Nervoso Autônomo/fisiopatologia , Córtex Cerebral/metabolismo , Córtex Cerebral/fisiopatologia , Humanos , Interocepção/fisiologia , Transtornos do Humor/genética , Transtornos do Humor/metabolismo , Transtornos do Humor/fisiopatologia , Rede Nervosa/metabolismo , Rede Nervosa/fisiopatologia
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