精神疾患における脳の意思決定への影響を解明するモデルを構築(A Mount Sinai-Led Team Creates Model for Understanding How the Brain’s Decision-Making is Impacted in Psychiatric Disorders)

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2025-08-13 マウントサイナイ医療システム (MSHS)

Mount Sinaiの研究チームは、精神疾患における意思決定障害を理解するため、線条体内の神経化学的に特異な領域「ストリオソーム」の活動に基づく計算モデルを開発した。活動が高すぎると衝動的で単純な判断に偏り、報酬を重視しコストを無視する傾向が生じ、低すぎると過度な検討による意思決定遅延(分析麻痺)を引き起こす。PTSDや依存症では過活動型、うつ病では低活動型のパターンが病態に関与する可能性が示された。ストリオソーム活動の調整は幅広い精神疾患への新たな治療戦略になり得るとされる。成果はNature Communicationsに掲載。

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意思決定空間モデルが文脈に応じた意思決定を説明 A decision-space model explains context-specific decision-making

Dirk W. Beck,Cory N. Heaton,Luis D. Davila,Lara I. Rakocevic,Sabrina M. Drammis,Danil Tyulmankov,Atanu Giri,Shreeya Umashankar Beck,Qingyang Zhang,Michael Pokojovy,Kenichiro Negishi,Alexis A. Salcido,Neftali F. Reyes,Andrea Y. Macias,Serina A. Batson,Paulina Vara,Raquel J. Ibáñez Alcalá,Safa B. Hossain,Graham L. Waller,Laura E. O’Dell,Travis M. Moschak,Ki A. Goosens & Alexander Friedman
Nature Communications  Published:14 August 2025
DOI:https://doi.org/10.1038/s41467-025-61466-x

精神疾患における脳の意思決定への影響を解明するモデルを構築(A Mount Sinai-Led Team Creates Model for Understanding How the Brain’s Decision-Making is Impacted in Psychiatric Disorders)

Abstract

Optimal decision-making requires consideration of internal and external contexts. Biased decision-making is a transdiagnostic symptom of neuropsychiatric disorders. We created a computational model demonstrating how the striosome compartment of the striatum constructs a context-dependent mathematical space for decision-making computations, and how the matrix compartment uses this space to define action value. The model explains multiple experimental results and unifies other theories like reward prediction error, roles of the direct versus indirect pathways, and roles of the striosome versus matrix, under one framework. We also found, through new analyses, that striosome and matrix neurons increase their synchrony during difficult tasks, caused by a necessary increase in dimensionality of the space. The model makes testable predictions about individual differences in disorder susceptibility, decision-making symptoms shared among neuropsychiatric disorders, and differences in neuropsychiatric disorder symptom presentation. The model provides evidence for the central role that striosomes play in neuroeconomic and disorder-affected decision-making.

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