Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Psychiatry, Amsterdam Public Health Research Institute, Oldenaller 1, the Netherlands; Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Psychiatry, Amsterdam Neuroscience, De Boelelaan 1117, Amsterdam, the Netherlands.
Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Psychiatry, Amsterdam Public Health Research Institute, Oldenaller 1, the Netherlands.
Psychoneuroendocrinology. 2019 Aug;106:293-311. doi: 10.1016/j.psyneuen.2019.04.004. Epub 2019 Apr 5.
Aging is associated with complex biological changes that can be accelerated, slowed, or even temporarily reversed by biological and non-biological factors. This article focuses on the link between biological aging, psychological stressors, and mental illness. Rather than comprehensively reviewing this rapidly expanding field, we highlight challenges in this area of research and propose potential strategies to accelerate progress in this field. This effort requires the interaction of scientists across disciplines - including biology, psychiatry, psychology, and epidemiology; and across levels of analysis that emphasize different outcome measures - functional capacity, physiological, cellular, and molecular. Dialogues across disciplines and levels of analysis naturally lead to new opportunities for discovery but also to stimulating challenges. Some important challenges consist of 1) establishing the best objective and predictive biological age indicators or combinations of indicators, 2) identifying the basis for inter-individual differences in the rate of biological aging, and 3) examining to what extent interventions can delay, halt or temporarily reverse aging trajectories. Discovering how psychological states influence biological aging, and vice versa, has the potential to create novel and exciting opportunities for healthcare and possibly yield insights into the fundamental mechanisms that drive human aging.
衰老是与多种生物学变化相关联的,这些变化可被生物学和非生物学因素加速、减缓,甚至暂时逆转。本文主要关注生物学衰老、心理应激源与精神疾病之间的联系。我们并非全面综述这一日益扩展的领域,而是着重介绍该研究领域所面临的挑战,并提出可能的策略来加速该领域的进展。这项工作需要不同学科的科学家——包括生物学、精神病学、心理学和流行病学;以及不同分析水平的科学家——强调不同的结果测量——功能能力、生理、细胞和分子进行相互作用。学科间和分析水平间的对话自然而然地带来了新的发现机会,但也带来了具有挑战性的问题。一些重要的挑战包括:1)建立最佳的客观和预测性生物学年龄指标或指标组合;2)确定生物学衰老速度个体间差异的基础;3)研究干预措施在多大程度上可以延缓、阻止或暂时逆转衰老轨迹。发现心理状态如何影响生物学衰老,反之亦然,有可能为医疗保健创造新颖而令人兴奋的机会,并可能深入了解驱动人类衰老的基本机制。