成年人的心理性和皮质醇水平:系统性审查
Ibane Aizpurua-Perez1, Amaia Arregi1, Ainitze Labaka2
1Department of Basic Psychological Processes and their Development, University of the Basque Country, San Sebastian, Spain.
概括
心理性,即应对压力的能力,与成人皮质醇水平有着多种关联. 需要进一步的研究来了解健康预防策略的这种关系.
科学领域:
- 心理神经内分泌学心理学
- 压力生理学 压力生理学
- 心理学科学 心理学科学
背景情况:
- 弹性,即在压力下保持心理生物学平衡的能力,对于预防与压力相关的疾病至关重要.
- 循环皮质醇的变化与重复应激暴露后的病态状态有关.
- 了解性和皮质醇之间的相互作用对于心理健康研究至关重要.
研究的目的:
- 系统地审查现有的关于心理弹性和成年人皮质醇水平之间的关系的文献.
- 综合关于弹性如何影响下丘脑-垂体-上腺 (HPA) 轴的不同组成部分的证据输出.
主要方法:
- 在PubMed和Web of Science数据库中使用PRISMA指南进行了全面的系统文献搜索.
- 35篇同行评审的文章从一组最初的1256个已识别的研究中被纳入.
- 结果根据皮质醇测量时间 (短期/长期) 和HPA轴输出组件 (日间,相位,强力) 分类.
主要成果:
- 报告的心理性和皮质醇参数之间的关联是不一致的,包括积极的,负面的和无效的发现.
- 使用单个早晨皮质醇样本的研究经常报告说,与弹性没有显著的关系.
- 在各项研究中,测量性和皮质醇的方法中发现了显著的异质性.
结论:
- 尽管有方法的变化,但证据表明,弹性可能是影响生理应激反应的可修改因素.
- 对抗性-皮质醇相互作用的进一步调查是有必要的.
- 了解这种关系可以为未来的干预措施提供信息,促进健康预防的弹性.
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