创伤后应激障碍中的炎症:失调还是重新校准?
Kostas Patas1, Dewleen G Baker2,3, George P Chrousos4
1Department of Biopathology and Laboratory Medicine, Eginition University Hospital, Athens, Greece.
Current neuropharmacology
|August 8, 2023
概括
系统性炎症是一种系统性炎症.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 免疫学 免疫学 免疫学
背景情况:
- 炎症调解者与压力诱导的行为和神经生物学变化有关.
- 在创伤后应激障碍 (PTSD) 中,系统性炎症和中枢神经系统炎症之间的因果关系尚未完全确立.
- 促炎活性在PTSD病理生理学中的作用是复杂的,可能不会从广泛的抗炎治疗中受益.
研究的目的:
- 探索炎症在创伤后应激障碍 (PTSD) 中的细微作用.
- 研究压抑微质功能的PTSD患者调节炎症反应的潜在益处.
主要方法:
- 关于炎症和PTSD的临床前和临床研究的审查.
- 分析系统性炎症,中枢神经系统炎症和微质功能之间的相互作用.
- 对低度炎症的适应性作用的概念性检查.
主要成果:
- 在PTSD患者中,系统性低级炎症和中枢神经系统炎症在很大程度上是概念性的.
- 支持炎症的活动可能在PTSD中起着模两可的作用,质疑一般抗炎药物的有用性.
- 针对性强化炎症反应,而不是抑制,可能有利于压抑微质功能的PTSD患者.
结论:
- 应考虑慢性压力诱导的全身炎症的影响,以及组织层面的潜在适应性益处.
- 不分青红白的抗炎策略可能不适合PTSD.
- 调节炎症反应,特别是在微质功能被抑制的情况下,需要进一步研究PTSD治疗.
更多相关视频
09:55Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
Published on: March 8, 2018
12.5K
08:29Biomarkers in an Animal Model for Revealing Neural, Hematologic, and Behavioral Correlates of PTSD
Published on: October 10, 2012
16.1K
相关概念视频
Post-traumatic Stress Disorder
71
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
71
Introduction to Stress and Lifestyle
144
Stress is a multifaceted response to events perceived as challenging or threatening, highlighting physical, emotional, cognitive, and behavioral reactions. Physically, stress can lead to fatigue, sleep disruptions, and various health issues such as frequent colds, chest pains, and nausea. Emotionally, it can manifest as anxiety, depression, irritability, and anger triggered by both minor and major life events. Cognitively, it may result in difficulty in concentration, memory, and...
144
Psychoneuroimmunology: Cardiovascular Disease
51
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
51
Traumatic Memory
113
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
113
Stress and Mental Health
180
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
180
Psychological Responses to Stress
76
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
76
