累积的压力暴露预测月经周期的情感变化在一个跨诊断的门诊样本与过去一个月的自杀念头
Anisha Nagpal1, Jordan C Barone1, Hafsah Tauseef1
1Department of Psychiatry, University of Illinois Chicago, USA.
Psychological medicine
|October 14, 2024
概括
在精神病患者中,终身暴露于压力因素显著恶化了与月经周期相关的情绪变化和自杀念头 (SI). 早期的生活压力,特别是人际关系的损失,加剧了这些经期前症状,增加了SI的风险.
科学领域:
- 精神病学是一个精神病学.
- 生殖内分泌学 生殖内分泌学
- 心理压力 心理压力
背景情况:
- 月经周期的情感反应在个体之间有很大差异.
- 严重的症状,如 premenstrual dysphoric 障碍,与最小的变化形成对比.
- 应激因子暴露在这些差异中的作用尚未得到充分研究,特别是在精神病患者群体中.
研究的目的:
- 调查一生暴露于压力因素和月经周期期间情感变化之间的关系.
- 检查不同类型的压力因素和暴露时间 (月经前和后) 如何影响症状.
- 在临床样本中探索这些关联的个人与自杀念头.
主要方法:
- 在过去一个月有自杀想法 (SI) 的114位门诊患者的前性研究.
- 在1-3个月经周期中每天的负面影响和SI评级 (n = 6187).
- 使用压力和逆境库存 (STRAIN) 评估终身压力因素暴露;多层次建模来分析由压力调节的循环相关症状变化.
主要成果:
- 增加终身压力因素的暴露预测了更大的月经前期增加活跃SI,负面影响和被动SI.
- 与经期后的压力因素相比,经期前的压力因素更显著地增加了活跃SI的周期性.
- 人际关系损失压力因素与负面影响和SI的更大周经变化有关;情绪波动和愤怒等特定症状也受到影响.
结论:
- 较高的终身压力因素暴露可能会加剧在月经周期期间对荷尔蒙波动的情绪反应.
- 这种高反应性会增加精神病理的风险,特别是在弱势群体中.
- 研究结果强调了压力对与月经周期相关的情绪调节的长期影响.
更多相关视频
相关概念视频
Stress and Mental Health
81
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...
81
Introduction to Stress and Lifestyle
86
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...
86
Psychological Responses to Stress
45
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...
45
Depressive Disorders: Etiology
53
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
53
Types of Stressors
86
A stressor is any event, condition, or stimulus that triggers stress and causes a physical or psychological response in the body. Stressors can be categorized into three main types: catastrophes; significant life changes; and daily hassles, including social stress. Each can be detrimental to physical and mental well-being.
Catastrophes
Catastrophes refer to large-scale, unpredictable events that create overwhelming stress and a sense of threat. Examples include natural disasters like...
Catastrophes
Catastrophes refer to large-scale, unpredictable events that create overwhelming stress and a sense of threat. Examples include natural disasters like...
86
Psychoneuroimmunology: Cardiovascular Disease
25
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...
25


