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隐性创伤?儿童期创伤与精神病理学之间的炎症联系。

Hidden Wounds? Inflammatory Links Between Childhood Trauma and Psychopathology.

机构信息

MRC Social, Genetic, and Developmental Psychiatry Research Centre, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London SE5 8AF, United Kingdom; email:

Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, United Kingdom.

出版信息

Annu Rev Psychol. 2017 Jan 3;68:517-544. doi: 10.1146/annurev-psych-010416-044208. Epub 2016 Aug 17.

Abstract

Childhood trauma is a key risk factor for psychopathology. However, little is known about how exposure to childhood trauma is translated into biological risk for psychopathology. Observational human studies and experimental animal models suggest that childhood exposure to stress can trigger an enduring systemic inflammatory response not unlike the bodily response to physical injury. In turn, these "hidden wounds" of childhood trauma can affect brain development, key behavioral domains (e.g., cognition, positive valence systems, negative valence systems), reactivity to subsequent stressors, and, ultimately, risk for psychopathology. Further research is needed to better characterize the inflammatory links between childhood trauma and psychopathology. Detecting and healing these hidden wounds may help prevent and treat psychopathology emerging after childhood trauma.

摘要

儿童期创伤是精神病理学的一个关键风险因素。然而,对于儿童期创伤是如何转化为精神病理学的生物学风险,人们知之甚少。观察性的人类研究和实验动物模型表明,儿童期暴露于压力之下会引发持久的全身性炎症反应,这与身体对物理损伤的反应非常相似。反过来,这些儿童期创伤的“隐性创伤”会影响大脑发育、关键行为领域(例如认知、正性情绪系统、负性情绪系统)、对后续应激源的反应,最终导致精神病理学的风险。需要进一步的研究来更好地描述儿童期创伤与精神病理学之间的炎症联系。检测和治疗这些隐性创伤可能有助于预防和治疗儿童期创伤后出现的精神病理学。

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