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超越感受:人口科学中压力测量的统一观点。

More than a feeling: A unified view of stress measurement for population science.

机构信息

Department of Psychiatry, University of California San Francisco, 401 Parnassus Avenue, San Francisco, CA, USA.

Cousins Center for Psychoneuroimmunology and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, CA, USA.

出版信息

Front Neuroendocrinol. 2018 Apr;49:146-169. doi: 10.1016/j.yfrne.2018.03.001. Epub 2018 Mar 15.

Abstract

Stress can influence health throughout the lifespan, yet there is little agreement about what types and aspects of stress matter most for human health and disease. This is in part because "stress" is not a monolithic concept but rather, an emergent process that involves interactions between individual and environmental factors, historical and current events, allostatic states, and psychological and physiological reactivity. Many of these processes alone have been labeled as "stress." Stress science would be further advanced if researchers adopted a common conceptual model that incorporates epidemiological, affective, and psychophysiological perspectives, with more precise language for describing stress measures. We articulate an integrative working model, highlighting how stressor exposures across the life course influence habitual responding and stress reactivity, and how health behaviors interact with stress. We offer a Stress Typology articulating timescales for stress measurement - acute, event-based, daily, and chronic - and more precise language for dimensions of stress measurement.

摘要

压力会影响人的一生的健康,但对于哪些类型和方面的压力对人类健康和疾病最重要,人们的意见并不一致。部分原因是“压力”不是一个单一的概念,而是一个涉及个体和环境因素、历史和当前事件、适应状态以及心理和生理反应之间相互作用的新兴过程。其中许多过程本身就被贴上了“压力”的标签。如果研究人员采用一种包含流行病学、情感和心理生理学观点的通用概念模型,并使用更精确的语言来描述压力测量,那么压力科学将得到进一步发展。我们阐述了一个综合的工作模型,强调了生命过程中的压力源如何影响习惯性反应和压力反应,以及健康行为如何与压力相互作用。我们提出了一种压力分类法,阐明了压力测量的时间尺度——急性、基于事件、日常和慢性——以及更精确的压力测量维度的语言。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84a9/6345505/a7a89ec564cb/nihms-972357-f0001.jpg

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